WorldWideScience

Sample records for united nations recommendation

  1. The United Nations recommendations and data efforts: international migration statistics.

    Science.gov (United States)

    Simmons, A B

    1987-01-01

    This article reviews the UN's efforts to improve international migration statistics. The review addresses the challenges faced by the UN, the direction in which this effort is going, gaps in the current approach, and priorities for future action. The content of the UN recommendations has changed in the past and seems to be moving toward further changes. At each stage, the direction of change corresponds broadly to earlier shifts in the overall context of world social-economic affairs and related transformations in international travel and migration patterns. Early (1953) objectives were vaguely stated in terms of social, economic, and demographic impacts of long term settlement. 1976 recommendations continued the focus on long term resettlement and, at the same time, gave more attention to at least 1 kind of short term (work-related) movement. Most recent recommendations have given more attention to other classes of short term travellers, such as refugees and contract workers. Recommendations on the measures and data sources have changed over time, also. The 1953 recommendations were limited to flow data from international border statistics. 1976 recommendations drew attention to stock data and the use of civil registration data to supplement border crossing data. Recent UN reflections recognize that the volume of border crossings has now reached the point where many countries simply refuse to gather data on all travellers, choosing instead to make estimates. It is implied that either sample surveys at border points and/or visas and entry permits may be the best way of counting various specific kinds of migrants. Future recommendations corresponding to contemporary and emerging concerns will require that the guidelines be restructured: 1) to give more explicit attention in international migration statistics to citizenship and access to political and welfare benefits; 2) to distinguish more carefully various sub-classes of movers; 3) to expand objectives of data

  2. Treatment Recommendations for Single-Unit Crowns: Findings from The National Dental Practice-Based Research Network

    Science.gov (United States)

    McCracken, Michael S.; Louis, David R.; Litaker, Mark S.; Minyé, Helena M.; Mungia, Rahma; Gordan, Valeria V.; Marshall, Don G.; Gilbert, Gregg H.

    2016-01-01

    Background Objectives were to: (1) quantify practitioner variation in likelihood to recommend a crown; and (2) test whether certain dentist, practice, and clinical factors are significantly associated with this likelihood. Methods Dentists in the National Dental Practice-Based Research Network completed a questionnaire about indications for single-unit crowns. In four clinical scenarios, practitioners ranked their likelihood of recommending a single-unit crown. These responses were used to calculate a dentist-specific “Crown Factor” (CF; range 0–12). A higher score implies a higher likelihood to recommend a crown. Certain characteristics were tested for statistically significant associations with the CF. Results 1,777 of 2,132 eligible dentists responded (83%). Practitioners were most likely to recommend crowns for teeth that were fractured, cracked, endodontically-treated, or had a broken restoration. Practitioners overwhelmingly recommended crowns for posterior teeth treated endodontically (94%). Practice owners, Southwest practitioners, and practitioners with a balanced work load were more likely to recommend crowns, as were practitioners who use optical scanners for digital impressions. Conclusions There is substantial variation in the likelihood of recommending a crown. While consensus exists in some areas (posterior endodontic treatment), variation dominates in others (size of an existing restoration). Recommendations varied by type of practice, network region, practice busyness, patient insurance status, and use of optical scanners. Practical Implications Recommendations for crowns may be influenced by factors unrelated to tooth and patient variables. A concern for tooth fracture -- whether from endodontic treatment, fractured teeth, or large restorations -- prompted many clinicians to recommend crowns. PMID:27492046

  3. Current practice and recommendations in UK epilepsy monitoring units. Report of a national survey and workshop.

    Science.gov (United States)

    Hamandi, Khalid; Beniczky, Sandor; Diehl, Beate; Kandler, Rosalind H; Pressler, Ronit M; Sen, Arjune; Solomon, Juliet; Walker, Matthew C; Bagary, Manny

    2017-08-01

    Inpatient video-EEG monitoring (VEM) is an important investigation in patients with seizures or blackouts, and in the pre-surgical workup of patients with epilepsy. There has been an expansion in the number of Epilepsy Monitoring Units (EMU) in the UK offering VEM with a necessary increase in attention on quality and safety. Previous surveys have shown variation across centres on issues including consent and patient monitoring. In an effort to bring together healthcare professionals in the UK managing patients on EMU, we conducted an online survey of current VEM practice and held a one-day workshop convened under the auspices of the British Chapter of the ILAE. The survey and workshop aimed to cover all aspects of VEM, including pre-admission, consent procedures, patient safety, drug reduction and reinstatement, seizure management, staffing levels, ictal testing and good data recording practice. This paper reports on the findings of the survey, the workshop presentations and workshop discussions. 32 centres took part in the survey and there were representatives from 22 centres at the workshop. There was variation in protocols, procedures and consent processes between units, and levels of observation of monitored patients. Nevertheless, the workshop discussion found broad areas of agreement on points. A survey and workshop of UK epilepsy monitoring units found that some variability in practice is inevitable due to different local arrangements and patient groups under investigation. However, there were areas of clear consensus particularly in relation to consent and patient safety that can be applied to most units and form a basis for setting minimum standards. Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  4. National Recommended Water Quality Criteria

    Data.gov (United States)

    U.S. Environmental Protection Agency — The National Recommended Water Quality Criteria is a compilation of national recommended water quality criteria for the protection of aquatic life and human health...

  5. Reducing Health Inequities in the United States: Insights and Recommendations from the National Heart, Lung, and Blood Institute’s Health Inequities Think Tank Meeting

    Science.gov (United States)

    Sampson, Uchechukwu K.A.; Kaplan, Robert M.; Cooper, Richard S.; Diez Roux, Ana V.; Marks, James S.; Engelgau, Michael M.; Peprah, Emmanuel; Mishoe, Helena; Boulware, L. Ebony; Felix, Kaytura L.; Califf, Robert M.; Flack, John M.; Cooper, Lisa A.; Gracia, J. Nadine; Henderson, Jeffrey A.; Davidson, Karina W.; Krishnan, Jerry A.; Lewis, Tené T.; Sanchez, Eduardo; Luban, Naomi L.; Vaccarino, Viola; Wong, Winston F.; Wright, Jackson T.; Meyers, David; Ogedegbe, Olugbenga G.; Presley-Cantrell, Letitia; Chambers, David A.; Belis, Deshirée; Bennett, Glen C.; Boyington, Josephine E; Creazzo, Tony L.; de Jesus, Janet M.; Krishnamurti, Chitra; Lowden, Mia R.; Punturieri, Antonello; Shero, Susan T.; Young, Neal S.; Zou, Shimian; Mensah, George A.

    2016-01-01

    The National, Heart, Lung, and Blood Institute convened a Think Tank meeting to obtain insight and recommendations regarding the objectives and design of the next generation of research aimed at reducing health inequities in the United States. The panel recommended several specific actions, including: 1) Embrace broad and inclusive research themes; 2) Develop research platforms that optimize the ability to conduct informative and innovative research, and promote systems science approaches; 3) Develop networks of collaborators and stakeholders, and launch transformative studies that can serve as benchmarks; 4) Optimize the use of new data sources, platforms, and natural experiments; and 5) develop unique transdisciplinary training programs to build research capacity. Confronting health inequities will require engaging multiple disciplines and sectors (including communities), using systems science, and intervening through combinations of individual, family, provider, health system, and community-targeted approaches. Details of the panel’s remarks and recommendations are provided in this report. PMID:27470459

  6. Recommendation for a National Standard for Tactical Emergency Casualty Care and Israeli Hospital Trauma Protocols in the United States

    Science.gov (United States)

    2015-06-01

    Joint Surgery, and the Journal Orthopedic & Sports Physical Therapy (March 2014): 23, http://sites.jbjs.org/ittakesateam/2014/report.pdf 338...Joint Surgery, and the Journal Orthopedic & Sports Physical Therapy (March 2014). http://sites.jbjs.org/ittakesateam/2014/report.pdf Jangi, Sushrut...populations such as pediatric and geriatric patients, scope of practice, and liability issues. A select few other jurisdictions in the nation have followed

  7. United States National Seismographic Network

    International Nuclear Information System (INIS)

    Buland, R.

    1993-09-01

    The concept of a United States National Seismograph Network (USNSN) dates back nearly 30 years. The idea was revived several times over the decades. but never funded. For, example, a national network was proposed and discussed at great length in the so called Bolt Report (U. S. Earthquake Observatories: Recommendations for a New National Network, National Academy Press, Washington, D.C., 1980, 122 pp). From the beginning, a national network was viewed as augmenting and complementing the relatively dense, predominantly short-period vertical coverage of selected areas provided by the Regional Seismograph Networks (RSN's) with a sparse, well-distributed network of three-component, observatory quality, permanent stations. The opportunity finally to begin developing a national network arose in 1986 with discussions between the US Geological Survey (USGS) and the Nuclear Regulatory Commission (NRC). Under the agreement signed in 1987, the NRC has provided $5 M in new funding for capital equipment (over the period 1987-1992) and the USGS has provided personnel and facilities to develop. deploy, and operate the network. Because the NRC funding was earmarked for the eastern United States, new USNSN station deployments are mostly east of 105 degree W longitude while the network in the western United States is mostly made up of cooperating stations (stations meeting USNSN design goals, but deployed and operated by other institutions which provide a logical extension to the USNSN)

  8. Impact of National Clinical Guideline Recommendations for Revascularization of Persistently Occluded Infarct-Related Arteries on Clinical Practice in the United States

    Science.gov (United States)

    Deyell, Marc W.; Buller, Christopher E.; Miller, Louis H.; Wang, Tracy Y.; Dai, David; Lamas, Gervasio A.; Srinivas, Vankeepuram S.; Hochman, Judith S.

    2013-01-01

    Background The Occluded Artery Trial (OAT) was a large, randomized controlled trial published in 2006 that demonstrated no benefit to routine percutaneous coronary intervention (PCI) of persistently totally occluded infarct-related arteries (IRA) identified a minimum of 24 hours (on calendar days 3–28) after myocardial infarction (MI). The purpose of this study was to determine the impact of OAT results and consequent change in guideline recommendations for PCI for treatment of persistently occluded IRAs. Methods We identified all patients enrolled in the CathPCI Registry, from 2005 to 2008, undergoing catheterization more than 24 hours after MI with a totally occluded native coronary artery and no major OAT exclusion criteria. We examined trends in monthly rates of PCI for occlusions after OAT publication and after guideline revisions. Because reporting of diagnostic catheterizations was not mandatory, we examined trends among hospitals in the highest quartile for reporting of diagnostic procedures. Results A total of 28 780 patient visits from 896 hospitals were included. Overall, we found no significant decline in the adjusted monthly rate of PCI of occlusions after publication of OAT (odds ratio [OR], 0.997; 95% confidence interval [CI], 0.989–1.006) or after guideline revisions (OR, 1.007; 95% CI, 0.992–1.022). Among hospitals consistently reporting diagnostic catheterizations, there was no significant decline after OAT publication (OR, 1.018; 95% CI, 0.995–1.042), and there was a trend toward decline after guideline revisions (OR, 0.963; 95% CI, 0.920–1.000). Conclusion These findings suggest that the results of OAT and consequent guideline revisions have not, to date, been fully incorporated into clinical practice in a large cross-section of hospitals in the United States. PMID:21747002

  9. Earthquake risk reduction in the United States: An assessment of selected user needs and recommendations for the National Earthquake Hazards Reduction Program

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    This Assessment was conducted to improve the National Earthquake Hazards Reduction Program (NEHRP) by providing NEHRP agencies with information that supports their user-oriented setting of crosscutting priorities in the NEHRP strategic planning process. The primary objective of this Assessment was to take a ``snapshot`` evaluation of the needs of selected users throughout the major program elements of NEHRP. Secondary objectives were to conduct an assessment of the knowledge that exists (or is being developed by NEHRP) to support earthquake risk reduction, and to begin a process of evaluating how NEHRP is meeting user needs. An identification of NEHRP`s strengths also resulted from the effort, since those strengths demonstrate successful methods that may be useful to NEHRP in the future. These strengths are identified in the text, and many of them represent important achievements since the Earthquake Hazards Reduction Act was passed in 1977.

  10. United Kingdom national report

    International Nuclear Information System (INIS)

    Tomkins, B.

    1998-01-01

    Report of the United Kingdom deals with life extension granted to Calder Hall and Chapelcross reactors for further 10 years operation. The two well recognised life-limiting features of Magnox type reactors are graphite core ageing and materials properties of the reactor pressure circuit components. These features have been scrutinised particularly closely and the conclusion has been reached that there are no safety factors which will necessarily limit the plant life to less than 50 years. Two other life-limiting factors are hear exchanger tubes and the heat exchanger tube failures internal to boiler shells and the integrity of the main engineering structures of the plant. It was concluded that appropriate routine ageing monitoring programs are in place in respect to these features to support continuing operation beyond 40 years

  11. United Nations and Multilateralism: Appraising USA's Unilateralism ...

    African Journals Online (AJOL)

    DrNneka

    global peace and security, as well as the survival of the United Nations. This is because ... Key Words: United Nations, multilateralism, United States, unilateralism, national interest, UN Charter ..... Lebanon, Iraq, Turkey, Egypt, Jordan, etc.

  12. The United Nations at 40

    International Nuclear Information System (INIS)

    1985-01-01

    The United Nations adopted a resolution expressing the hope that 1985 would mark the beginning of an era of durable and global peace and justice, social and economic development and progress and independence of all peoples. 1985 is the organization's 40th anniversary year - the United Nations Charter entered into force on 24 October 1945 - and the Assembly has chosen 'United Nations for a better world' as the anniversary theme. It also has decided to hold a brief commemorative session culminating on 24 October this year. Member States of the UN also have been urged to organize appropriate observance of the anniversary, with the widest possible participation, and to consider the creation of national committees to evaluate the contribution of the UN system over the past four decades, its continuing relevance in the current international situation, and ways in which it could be strengthened and made more effective. Among other things, the Assembly in its resolution appealed to the international mass media, both public and private, to contribute more effectively to dissemination of information on UN activities. During the commemorative session planned this October, a final document is expected to be adopted for which the Assembly has asked the Preparatory Committee for the Fortieth Anniversary of the United Nations to compose a suitable text. The Preparatory Committee had been established by the Assembly in 1983, and by December 1984, 98 countries had joined in its work, which relates to various activities

  13. The United Nations at 40

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1985-10-01

    The United Nations adopted a resolution expressing the hope that 1985 would mark the beginning of an era of durable and global peace and justice, social and economic development and progress and independence of all peoples. 1985 is the organization's 40th anniversary year - the United Nations Charter entered into force on 24 October 1945 - and the Assembly has chosen 'United Nations for a better world' as the anniversary theme. It also has decided to hold a brief commemorative session culminating on 24 October this year. Member States of the UN also have been urged to organize appropriate observance of the anniversary, with the widest possible participation, and to consider the creation of national committees to evaluate the contribution of the UN system over the past four decades, its continuing relevance in the current international situation, and ways in which it could be strengthened and made more effective. Among other things, the Assembly in its resolution appealed to the international mass media, both public and private, to contribute more effectively to dissemination of information on UN activities. During the commemorative session planned this October, a final document is expected to be adopted for which the Assembly has asked the Preparatory Committee for the Fortieth Anniversary of the United Nations to compose a suitable text. The Preparatory Committee had been established by the Assembly in 1983, and by December 1984, 98 countries had joined in its work, which relates to various activities.

  14. International and national radiation protection standards and recommendations

    International Nuclear Information System (INIS)

    Swindon, T.N.

    1989-01-01

    The recommendations of the International Commission on Radiological Protection (ICRP) and their basis are discussed with particular emphasis on the extensive review of its earlier recommendations undertaken by the ICRP during the 1970s. The new recommendations issued in 1977 after this review are described. The dose limits for various organs and tissues before and after 1977 are compared. The optimization principle contained in the 1977 recommendations is assessed. The implementation of the 1977 recommendations, the subsequent changes to them and the ICRP's 1987 statement on cancer risk assessments are discussed. The National Radiological Protection Board's October 1987 radiation protection recommendations are outlined. 8 refs., 1 fig

  15. US earthquake observatories: recommendations for a new national network

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    This report is the first attempt by the seismological community to rationalize and optimize the distribution of earthquake observatories across the United States. The main aim is to increase significantly our knowledge of earthquakes and the earth's dynamics by providing access to scientifically more valuable data. Other objectives are to provide a more efficient and cost-effective system of recording and distributing earthquake data and to make as uniform as possible the recording of earthquakes in all states. The central recommendation of the Panel is that the guiding concept be established of a rationalized and integrated seismograph system consisting of regional seismograph networks run for crucial regional research and monitoring purposes in tandem with a carefully designed, but sparser, nationwide network of technologically advanced observatories. Such a national system must be thought of not only in terms of instrumentation but equally in terms of data storage, computer processing, and record availability.

  16. United Nations Peacekeeping: Issues for Congress

    National Research Council Canada - National Science Library

    Browne, Marjorie A

    2008-01-01

    A major issue facing the United Nations, the United States, and the 110th Congress is the extent to which the United Nations has the capacity to restore or keep the peace in the changing world environment...

  17. United Nations Peacekeeping: Issues for Congress

    National Research Council Canada - National Science Library

    Browne, Marjorie A

    2007-01-01

    A major issue facing the United Nations, the United States, and the 110th Congress is the extent to which the United Nations has the capacity to restore or keep the peace in the changing world environment...

  18. National Academy of Sciences Recommends Continued Support of ALMA Project

    Science.gov (United States)

    2000-05-01

    A distinguished panel of scientists today announced their support for the continued funding of the Atacama Large Millimeter Array (ALMA) Project at a press conference given by the National Academy of Sciences. The ALMA Project is an international partnership between U.S. and European astronomy organizations to build a complete imaging telescope that will produce astronomical images at millimeter and submillimeter wavelengths. The U.S. partner is the National Science Foundation, through Associated Universities, Inc., (AUI), led by Dr. Riccardo Giacconi, and the National Radio Astronomy Observatory (NRAO). "We are delighted at this show of continued support from our peers in the scientific community," said Dr. Robert Brown, ALMA U.S. Project Director and Deputy Director of NRAO. "The endorsement adds momentum to the recent strides we've made toward the building of this important telescope." In 1998, the National Research Council, the working arm of the National Academy of Sciences, charged the Astronomy and Astrophysics Survey Committee to "survey the field of space- and ground-based astronomy and astrophysics" and to "recommend priorities for the most important new initiatives of the decade 2000-2010." In a report released today, the committee wrote that it "re-affirms the recommendations of the 1991 Astronomy and Astrophysics Survey Committee by endorsing the completion of . . . the Millimeter Array (MMA, now part of the Atacama Large Millimeter Array)." In the 1991 report "The Decade of Discovery," a previous committee chose the Millimeter Array as one of the most important projects of the decade 1990-2000. Early last year, the National Science Foundation signed a Memorandum of Understanding with a consortium of European organizations that effectively merged the MMA Project with the European Large Southern Array project. The combined project was christened the Atacama Large Millimeter Array. ALMA, expected to consist of 64 antennas with 12-meter diameter dishes

  19. Recommendations on national radioactive waste management policies

    International Nuclear Information System (INIS)

    1981-01-01

    As a nation, we have learned that sound technical solutions to the problems of waste disposal cannot be carried out without public acceptance. The key to gaining the public's confidence is a process of decision making which is open and accessible to elected officials from all levels of government. The Council believes that such a process can be put in place through a renewal of the traditional principles of our federal system of government. State, local, and tribal officials must become working partners with the federal government in making the crucial decisions about how radioactive wastes will be handled, transported, and ultimately disposed. A workable and effective partnership must include, first the full sharing of information and plans regarding waste disposal activities among all levels of government and, second, the opportunity for state, local, and tribal governments to participate effectively in waste management decisions which affect their jurisdictions. Finally, althougcome this difficulty

  20. United Nations Climate Change Bulletin

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    The journal has printed a collection of five articles published just before the July 1996 second Conference of the Parties (COP-2) where some 160 countries were to meet to work on the UN Framework Convention on Climate Change. Raul Estrado-Oyuela discusses the progress of the Ad Hoc Group on the Berlin Mandate (AGBM) now half-way through its two-year task of preparing a protocol or other legal instrument to further the goals of the Convention and recommends directions for further effort. Vitaly Matsarki reviews national efforts to implement the Convention. Dr. Angela Merkel, presents her views on the lines that ministers should take at COP-2.

  1. 75 FR 65561 - United Nations Day, 2010

    Science.gov (United States)

    2010-10-26

    ... A Proclamation Sixty-five years ago, 51 nations came together in the aftermath of one of history's... all peoples. The United Nations has made great advances since it first developed out of ruin and... of nations. The United Nations' humanitarian assistance lifts up countless lives, supporting nations...

  2. 76 FR 66845 - United Nations Day, 2011

    Science.gov (United States)

    2011-10-27

    ... become ever more intertwined, the leadership, staff, and member states of the United Nations continue to... a time of dramatic political transformation, the United Nations can embrace democratic movements and...

  3. The United Nations Basic Space Science Initiative

    Science.gov (United States)

    Haubold, H. J.

    2006-08-01

    Pursuant to recommendations of the United Nations Conference on the Exploration and Peaceful Uses of Outer Space (UNISPACE III) and deliberations of the United Nations Committee on the Peaceful Uses of Outer Space (UNCOPUOS), annual UN/ European Space Agency workshops on basic space science have been held around the world since 1991. These workshops contribute to the development of astrophysics and space science, particularly in developing nations. Following a process of prioritization, the workshops identified the following elements as particularly important for international cooperation in the field: (i) operation of astronomical telescope facilities implementing TRIPOD, (ii) virtual observatories, (iii) astrophysical data systems, (iv) concurrent design capabilities for the development of international space missions, and (v) theoretical astrophysics such as applications of nonextensive statistical mechanics. Beginning in 2005, the workshops focus on preparations for the International Heliophysical Year 2007 (IHY2007). The workshops continue to facilitate the establishment of astronomical telescope facilities as pursued by Japan and the development of low-cost, ground-based, world-wide instrument arrays as lead by the IHY secretariat. Wamsteker, W., Albrecht, R. and Haubold, H.J.: Developing Basic Space Science World-Wide: A Decade of UN/ESA Workshops. Kluwer Academic Publishers, Dordrecht 2004. http://ihy2007.org http://www.unoosa.org/oosa/en/SAP/bss/ihy2007/index.html http://www.cbpf.br/GrupPesq/StatisticalPhys/biblio.htm

  4. International law and United Nations

    Directory of Open Access Journals (Sweden)

    Savić Matej

    2012-01-01

    Full Text Available Along with centuries-lasting open military pretensions of world superpowers, modern diplomacy has developed, as beginning a war, as well as coming to peace demanded political activity which resulted, first in signing, and then coming into effect of international documents, on the basis of which, a foundation for the modern international order has been cast. Further on, by the formation of international organizations, codification has been allowed, as well as a progressive development of international law. Additionally, in the sense of preserving international peace and security, first the League of Nations was formed, and following the ending of World War II, the UN. Generally, the functioning of the United Nation's organs, has been regulated by legal rules, however political goals, tendencies, and mechanisms which the member states are using determine greatly the activity above all of the Security Council, but furthermore of the General Assembly, as a plenary organ. Nevertheless, the achieved results of the Commission for International Law in the meaning of creation of international conventions, as well as state adhering to the same, present unassailable achievements in the sense of development of international law. On the other hand, tendencies of motion of international relationships are aimed at establishing a multi-polar system in the international community. Today, the political scene is assuming a new appearance, by which the nearly built international system is already awaiting further progressive development.

  5. 3 CFR - Waiver of Reimbursement Under the United Nations Participation Act to Support the United Nations...

    Science.gov (United States)

    2010-01-01

    ... Participation Act to Support the United Nations/African Union Mission in Darfur Presidential Documents Other... the United Nations Participation Act to Support the United Nations/African Union Mission in Darfur... the United Nations/African Union Mission in Darfur to support the airlift of equipment for...

  6. Indicators of climate impacts for forests: recommendations for the US National Climate Assessment indicators system

    Science.gov (United States)

    Linda S. Heath; Sarah M. Anderson; Marla R. Emery; Jeffrey A. Hicke; Jeremy Littell; Alan Lucier; Jeffrey G. Masek; David L. Peterson; Richard Pouyat; Kevin M. Potter; Guy Robertson; Jinelle Sperry; Andrzej Bytnerowicz; Sarah Jovan; Miranda H. Mockrin; Robert Musselman; Bethany K. Schulz; Robert J. Smith; Susan I. Stewart

    2015-01-01

    The Third National Climate Assessment (NCA) process for the United States focused in part on developing a system of indicators to communicate key aspects of the physical climate, climate impacts, vulnerabilities, and preparedness to inform decisionmakers and the public. Initially, 13 active teams were formed to recommend indicators in a range of categories, including...

  7. Analysis of Serbian Military Riverine Units Capability for Participation in the United Nations Peacekeeping Operations

    Directory of Open Access Journals (Sweden)

    Slobodan Radojevic

    2017-06-01

    Full Text Available This paper analyses required personnel, training capacities and equipment for participation in the United Nations peacekeeping operations with the riverine elements. In order to meet necessary capabilities for engagement in United Nations peacekeeping operations, Serbian military riverine units have to be compatible with the issued UN requirements. Serbian Armed Forces have the potential to reach such requirements with the River Flotilla as a pivot for the participation in UN missions. Serbian Military Academy adopted and developed educational and training program in accordance with the provisions and recommendations of the IMO conventions and IMO model courses. Serbian Military Academy has opportunities for education and training military riverine units for participation in the United Nations peacekeeping operations. Moreover, Serbia has Multinational Operations Training Center and Peacekeeping Operations Center certified to provide selection, training, equipping and preparations of individuals and units to the United Nations multinational operations.

  8. United Nations and multilateralism: appraising USA's unilateralism ...

    African Journals Online (AJOL)

    Multilateralism as symbolized by the United Nations Organization, seems to have come under threat today, and nowhere is this more evident than in the United States-United Nations relations particularly in the area of military interventions around the world. The aim of this paper is to appraise the practice of the principle of ...

  9. United Nations negotiations on climate change

    International Nuclear Information System (INIS)

    Street, R.B.

    1993-01-01

    Climate change is a global environmental issue which is the subject of intergovernmental negotiations in the United Nations system. The World Commission on Environment and Development (WCED) recommended to the UN General Assembly a four-track strategy relating to climate change: improved monitoring and assessment; increased research; development of internationally agreed policies to reduce greenhouse gases; and adoption of strategies to minimize impacts of climate change. The UN hosted a Conference on Environment and Development (UNCED) in Rio de Janeiro, Brazil, in June 1992 to attempt to find a common basis for action to protect the Earth's future and to secure a sustainable and equitable process of development. The focal point for UNCED efforts related to climate change is the Protection of the Atmosphere chapter of Agenda 21. Program A of this agenda contains responses to the WCED recommendations and Program B includes promotion of sustainable development in energy development, transportation, industry, and resource development. A framework convention on climate change was developed by an Intergovernmental Negotiating Committee established in 1990 and adopted by 130-140 countries. This convention includes general and specific obligations such as stabilization and control of greenhouse gas concentrations, development of emission inventories, and provision of financial resources to aid developing countries in responding to the climate change problem. 3 refs

  10. [Recommendations of the Seminar on "Women, Population and Development", jointly organized by the Projet Institut de Recherches et d'Etudes de Population and the United Nations Population Fund, Tunis, June 29 - July 3, 1992].

    Science.gov (United States)

    1992-08-01

    This work outlines actions recommended by the 1992 Tunis Seminar on Women, Population, and Development to be taken by national governments, international organizations and nongovernmental organizations. In the area of fertility, seminar participants urged adherence to the 1979 International Convention on the Elimination of All Forms of Discrimination Against Women, which was ratified in 1992 by more than 100 UN member nations; respect for the basic right of women and especially for their access to family planning information and services; close monitoring of the quality and availability of family planning and maternal-child health services and the use of contraceptive methods; and initiation of studies on the impact of socioeconomic factors on fertility to aid in design of policies concerning promotion of women, population, and development. In the area of health, seminar participants urged governments and international organizations to increase efforts to control maternal mortality; to provide information and education for prevention of sexually transmitted diseases and elimination of social practices harmful to women such as excision, forced marriage, and early pregnancy; and to encourage research and programs relating to the socioeconomic causes of mortality among infants and women. Governments and international organizations were urged to take necessary measures to improve conditions among migrant and refugee women and to conduct in-depth studies of the socioeconomic determinants of female migration and the condition of wives of migrants. In the area population policy, the seminar recommended that population policy address not just fertility and population growth but also mortality and migration; that governments reinforce their institutional facilities related to population policy, especially through creation of a high level population institute; the nongovernmental organizations educate women about their individual and collective rights, fertility behavior

  11. Oversight Institutions Within the United Nations

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam

    2015-01-01

    This article will give a description of the role of internal audit and governance functions within the United Nations system. The United Nations has, during the last 10 years, worked to establish effective oversight services. Oversight, governance and hereunder the internal audit function has been...

  12. The United Nations and Its Critics.

    Science.gov (United States)

    Menon, Bhaskar P.

    1989-01-01

    Provides a brief history of the development of the United Nations. Identifies achievements of the United Nations in the promotion of human rights, the translation of the Universal Declaration of Human Rights into binding international covenants, and the establishment of monitoring mechanisms to ensure the protection of human rights. (KO)

  13. 75 FR 41891 - Certain Footwear: Recommendations for Modifying the Harmonized Tariff Schedule of the United States

    Science.gov (United States)

    2010-07-19

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 1205-8] Certain Footwear: Recommendations for Modifying the Harmonized Tariff Schedule of the United States AGENCY: United States International Trade Commission. ACTION: Change in date for transmitting final recommendations to the President. SUMMARY: The...

  14. Are women in early pregnancy following the national pyramid recommendations?

    LENUS (Irish Health Repository)

    O'Neill, J L

    2011-10-01

    Appropriate nutrition in pregnancy is fundamental for maternal and fetal health, and the long-term physiological wellbeing of the offspring. We aimed to determine whether a sample of pregnant women met the national guidelines for healthy eating during pregnancy, and to examine if compliance differs when analysed by Body Mass Index (BMI) category. Subjects completed a 24-hr dietary recall, and had their BMI calculated. The mean age was 27.8 years. The mean BMI was 25.1 kg\\/m2, with 32 (31.7%) subjects overweight and 14 (13.9%) obese based on BMI category. Although the majority of subjects thought that they had a healthy diet, less than half met the recommended guidelines for each individual food group with achievement of the dairy group being particularly low. Achievement of food group recommendations was not influenced by BMI category. Public health messages on healthy eating guidelines need to be clearly communicated to pregnant women.

  15. The Congo crisis, the United Nations, and Zimbabwean nationalism ...

    African Journals Online (AJOL)

    United Nations moved swiftly in response to Lumumba's immediate request for assistance .... of apathy towards the white man in Africa and a strong desire to rid .... such actions would legitimatise the intervention of the Congo government in.

  16. 78 FR 64385 - United Nations Day, 2013

    Science.gov (United States)

    2013-10-28

    ... A Proclamation In 1945, after two world wars that showed the horrific lethality of modern conflict.... We celebrate the organization's challenging and often unheralded work of forging a world in which... children and grandchildren from the ravages of war, the members of the United Nations committed ``to unite...

  17. Unit: Plants, Inspection Pack, National Trial Print.

    Science.gov (United States)

    Australian Science Education Project, Toorak, Victoria.

    This is a National Trial Print of a unit on plants produced as a part of the Australian Science Education Project. The unit consists of an information booklet for students, a booklet for recording student data, and a teacher's guide. The material, designed for use with students in the upper elementary grades, takes from 15 to 20 forty-minute…

  18. The United Nations University and Information Development.

    Science.gov (United States)

    Tanaskovic, Ines Wesley

    1994-01-01

    Describes the role of the United Nations University (UNU) in promoting the effective use of new information technologies in support of science and technology for development. The UNU Information and Decision Systems (INDES) project examines the constraints preventing developing nations from using advances in informatics and from integrating their…

  19. International boundary experiences by the United Nations

    Science.gov (United States)

    Kagawa, A.

    2013-12-01

    Over the last few decades, the United Nations (UN) has been approached by Security Council and Member States on international boundary issues. The United Nations regards the adequate delimitation and demarcation of international boundaries as a very important element for the maintenance of peace and security in fragile post-conflict situations, establishment of friendly relationships and cross-border cooperation between States. This paper will present the main principles and framework the United Nations applies to support the process of international boundary delimitation and demarcation activities. The United Nations is involved in international boundary issues following the principle of impartiality and neutrality and its role as mediator. Since international boundary issues are multi-faceted, a range of expertise is required and the United Nations Secretariat is in a good position to provide diverse expertise within the multiple departments. Expertise in different departments ranging from legal, political, technical, administrative and logistical are mobilised in different ways to provide support to Member States depending on their specific needs. This presentation aims to highlight some of the international boundary projects that the United Nations Cartographic Section has been involved in order to provide the technical support to different boundary requirements as each international boundary issue requires specific focus and attention whether it be in preparation, delimitation, demarcation or management. Increasingly, the United Nations is leveraging geospatial technology to facilitate boundary delimitation and demarcation process between Member States. Through the presentation of the various case studies ranging from Iraq - Kuwait, Israel - Lebanon (Blue Line), Eritrea - Ethiopia, Cyprus (Green Line), Cameroon - Nigeria, Sudan - South Sudan, it will illustrate how geospatial technology is increasingly used to carry out the support. In having applied a range

  20. Methodical recommendations for power unit comprehensive engineering and radiation survey

    International Nuclear Information System (INIS)

    Nosovskij, A.V.

    2000-01-01

    The article describes power unit radiation survey methods developed and applied during conduction of Ch NPP unit I Comprehensive Engineering Radiation Survey. Special requirements for units under decommissioning, main survey principals, criteria for definition of volume and the order of survey for various systems of a NPP Unit are included

  1. High proportions of foods recommended for consumption by United States Dietary Guidance contain solid fats and added sugar: Results from the National Health and Nutrition Examination Survey (2007-2008)

    Science.gov (United States)

    The 2010 Dietary Guidelines for Americans (DGA) recommend that individuals older than one year reduce intakes of solid fats (SoF) and added sugars (AS; together SoFAS). MyPlate, illustrates the proportions of five major food groups to promote healthy eating (Vegetables, Grains, Protein Foods, Fruit...

  2. United States of America National Report

    International Nuclear Information System (INIS)

    1992-01-01

    The United States has produced this report as part of the preparations for the United Nations Conference on Environment and Development (UNCED) to be held in Brazil in June 1992. It summarizes this nation's efforts to protect and enhance the quality of the human environment in concert with its efforts to provide economic well-being during the two decades since the United Nations Conference on the Human Environment was held in Stockholm. The information presented in this report is primarily and deliberately retrospective. It is an attempt to portray the many human, economic and natural resources of the United States, to describe resource use and the principal national laws and programs established to protect these resources, and to analyze key issues on the agenda of UNCED. This analysis is presented in terms of past and present conditions and trends, measures of progress made in responding to the key issues, and a summary of government activities, underway or pending, to address ongoing or newly emerging national environmental and resource management problems

  3. United Nations conference on the human environment, Stockholm, June 5--16, 1972

    Energy Technology Data Exchange (ETDEWEB)

    None

    1972-07-03

    Recommendations of the working group of the United Nations conference on the preservation and improvement of the human environment are presented. Emphasis was placed on conservation of natural resources. (CH)

  4. Benchmarking against the National Emergency Laparotomy Audit recommendations.

    Science.gov (United States)

    Ho, Yiu Ming; Cappello, Julie; Kousary, Ramin; McGowan, Brian; Wysocki, Arkadiusz P

    2018-05-01

    The Royal College of Anaesthetists published the National Emergency Laparotomy Audit (NELA) to describe and compare inpatient care and outcomes of major emergency abdominal surgery in England and Wales in 2015 and 2016. The purpose of this article is to compare emergency abdominal surgical care and mortality in a regional hospital (Logan Hospital, Queensland, Australia) with NELA results. Data were extracted from two databases. All deaths from May 2010 to April 2015 were reviewed and patients who had an emergency abdominal operation within 30 days of death were identified. The health records of all patients who underwent abdominal surgery were extracted and those who had an emergency laparotomy were identified for analysis. Three hundred and fifty patients underwent emergency laparotomy and were included in the analysis. The total 30-day mortality during this 5-year period was 9.7%. Factors affecting mortality included age, Portsmouth-Physiological and Operative Severity Score (P-POSSUM) and admission source. Timing of antibiotic administration, use of perioperative medical service and frequency of intensive care admission were the same in patients who died and survived. Mortality in patients following emergency laparotomy at Logan Hospital compares favourably with 11.1% reported by NELA. This may be partly attributable to case mix distribution as for each P-POSSUM risk Logan Hospital mortality was at the upper end of that reported by NELA. Further Australia data are required. Improved compliance with NELA recommendations may improve outcomes. © 2017 Royal Australasian College of Surgeons.

  5. An Update from the United Nations

    Science.gov (United States)

    Staley, Lynn

    2005-01-01

    On September 8, 9, and 10, the United Nations (UN) Department of Information (DPI) partnered with the non-governmental organizations (NGOs) to sponsor the 57th Annual DPI/NGO Conference in New York City. In his welcoming remarks, Kofi Annan, Secretary-General of the UN, highlighted the theme of the conference, "Millennium Development Goals (MDGs):…

  6. United Nations Environment Programme. Annual Review 1981.

    Science.gov (United States)

    United Nations Environment Programme, Nairobi (Kenya).

    This edition of the United Nations Environment Programme (UNEP) annual report is structured in three parts. Part 1 focuses on three contemporary problems (ground water, toxic chemicals and human food chains and environmental economics) and attempts to solve them. Also included is a modified extract of "The Annual State of the Environment…

  7. Unit: Petroleum, Inspection Pack, National Trial Print.

    Science.gov (United States)

    Australian Science Education Project, Toorak, Victoria.

    This is a National Trial Print of a unit on petroleum developed for the Australian Science Education Project. The package contains the teacher's edition of the written material and a script for a film entitled "The Extraordinary Experience of Nicholas Nodwell" emphasizing the uses of petroleum and petroleum products in daily life and…

  8. Baseline inventory data recommendations for National Wildlife Refuges

    Data.gov (United States)

    Department of the Interior — The Baseline Inventory Team recommends that each refuge have available abiotic “data layers” for topography, aerial photography, hydrography, soils, boundaries, and...

  9. Nations United: The United Nations, the United States, and the Global Campaign Against Terrorism. A Curriculum Unit & Video for Secondary Schools.

    Science.gov (United States)

    Houlihan, Christina; McLeod, Shannon

    This curriculum unit and 1-hour videotape are designed to help students understand the purpose and functions of the United Nations (UN) and explore the relationship between the United Nations and the United States. The UN's role in the global counterterrorism campaign serves as a case study for the unit. The students are asked to develop a basic…

  10. Strength of recommendations in WHO guidelines using GRADE was associated with uptake in national policy.

    Science.gov (United States)

    Nasser, Syed Muhammad Umar; Cooke, Graham; Kranzer, Katharina; Norris, Susan L; Olliaro, Piero; Ford, Nathan

    2015-06-01

    This study assesses the extent to which the strength of a recommendation in a World Health Organization (WHO) guideline affects uptake of the recommendation in national guidelines. The uptake of recommendations included in HIV and TB guidelines issued by WHO from 2009 to 2013 was assessed across guidelines from 20 low- and middle-income countries in Africa and Southeast Asia. Associations between characteristics of recommendations (strength, quality of the evidence, type) and uptake were assessed using logistic regression. Eight WHO guidelines consisting of 109 strong recommendations and 49 conditional recommendations were included, and uptake assessed across 44 national guidelines (1,255 recommendations) from 20 countries. Uptake of WHO recommendations in national guidelines was 82% for strong recommendations and 61% for conditional recommendations. The odds of uptake comparing strong recommendations and conditional recommendations was 1.9 (95% confidence interval: 1.4, 2.7), after adjustment for quality of evidence. Higher levels of evidence quality were associated with greater uptake, independent of recommendation strength. Guideline developers should be confident that conditional recommendations are frequently adopted. The fact that strong recommendations are more frequently adopted than conditional recommendations underscores the importance of ensuring that such recommendations are justified. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. FTA National Transit GIS : data standards, guidelines and recommended practices

    Science.gov (United States)

    1996-01-01

    The Federal Transit Administration (FTA) National Transit Geographic Information System (GIS) is a representative inventory of the public transit assets of the country. Creation of this national system is an ongoing and collaborative effort on the pa...

  12. Competitive Technologies for National Security: Review and Recommendations

    National Research Council Canada - National Science Library

    Carafano, James J; Gudgel, Andew; Kochems, Alane

    2008-01-01

    .... Innovation will always be a national security wild card. New technologies may unleash or accelerate social and cultural changes that affect how nations protect themselves on battlefields and behind the scenes...

  13. The National Guard: Recommendations to Develop the Joint Future Force

    Science.gov (United States)

    2010-03-01

    Health, Sexual Assault Prevention and Response, and Warrior Support programs.109 This joint support concept is distinctive to the NG, and provides an...National Defense Strategy (Washington, DC: Department of Defense, June 2008), TOC . Available online at http://www.defense.gov/news/2008%20 National

  14. The Origin of the United Nations

    Directory of Open Access Journals (Sweden)

    Carlos Yordan

    2010-11-01

    Full Text Available Este artículo explica los orígenes de sistema global antiterrorista de las Naciones Unidas. Nosotros argüimos que tres factores determinan las características de un sistema descentralizado y de estados centralizados. El primero es la reacción de la ONU contra los ataques terroristas del 11 de septiembre de 2001. El segundo factor es la cada vez mayor relevancia de las redes de gobierno transnacional. La tercera fuerza son los intereses y los asuntos del Consejo de Seguridad permanente, que últimamente determina la arquitectura del sistema.9/11, United Nations, Security Council, transnacional governance networks,counter-terrorism system.___________________________ABSTRACT:This article explains the origins of the United Nations’ global counter-terrorism system. We argue that three factors shaped the system’s decentralized and state-centered characteristics. The first is the UN’s reactions to terrorism prior to the attacks of 11 September 2001. The second factor is the growing relevance of transnational governance networks. The third force is the interests and concerns of the Security Council’s permanent representative interests, which ultimately shaped the system’s architecture.Keywords: 9/11; United Nations; Security Council; transnacional governance networks; counter-terrorism system

  15. The United Nations Basic Space Science Initiative

    Science.gov (United States)

    Haubold, Hans; Balogh, Werner

    2014-05-01

    The basic space science initiative was a long-term effort for the development of astronomy and space science through regional and international cooperation in this field on a worldwide basis, particularly in developing nations. Basic space science workshops were co-sponsored and co-organized by ESA, JAXA, and NASA. A series of workshops on basic space science was held from 1991 to 2004 (India 1991, Costa Rica and Colombia 1992, Nigeria 1993, Egypt 1994, Sri Lanka 1995, Germany 1996, Honduras 1997, Jordan 1999, France 2000, Mauritius 2001, Argentina 2002, and China 2004; http://neutrino.aquaphoenix.com/un-esa/) and addressed the status of astronomy in Asia and the Pacific, Latin America and the Caribbean, Africa, and Western Asia. Through the lead of the National Astronomical Observatory Japan, astronomical telescope facilities were inaugurated in seven developing nations and planetariums were established in twenty developing nations based on the donation of respective equipment by Japan.Pursuant to resolutions of the Committee on the Peaceful Uses of Outer Space of the United Nations (COPUOS) and its Scientific and Technical Subcommittee, since 2005, these workshops focused on the preparations for and the follow-ups to the International Heliophysical Year 2007 (UAE 2005, India 2006, Japan 2007, Bulgaria 2008, South Korea 2009; www.unoosa.org/oosa/SAP/bss/ihy2007/index.html). IHY's legacy is the current operation of 16 worldwide instrument arrays with more than 1000 instruments recording data on solar-terrestrial interaction from coronal mass ejections to variations of the total electron content in the ionosphere (http://iswisecretariat.org/). Instruments are provided to hosting institutions by entities of Armenia, Brazil, France, Israel, Japan, Switzerland, and the United States. Starting in 2010, the workshops focused on the International Space Weather Initiative (ISWI) as mandated in a three-year-work plan as part of the deliberations of COPUOS. Workshops on ISWI

  16. Nutritional practices of national female soccer players: analysis and recommendations.

    Science.gov (United States)

    Martin, Louise; Lambeth, Anneliese; Scott, Dawn

    2006-01-01

    The aim of the study was to establish the nutritional practices and activity patterns of elite female soccer players. The nutritional intake of 16 female England Soccer players was self-reported over a seven-day period. Participants were provided with written and verbal guidelines for the completion of the diaries. Training details were also recorded, and used in combination with BMR predictions to calculate daily energy expenditure. Energy, macronutrient and micronutrient intakes were determined using DietMaster 4.0 software. Results suggest that energy intake was low (1904 ± 366.3 kcal) in relation to previous recommendations for soccer players. Energy expenditure (2153.5 ± 596.2 kcal) was not significantly different (p > 0.05) from intake, suggesting energy balance was achieved. Carbohydrate (53.8 ± 6.8%), protein (16.8 ± 2.1%) and fat (28.8 ± 6.6%) intakes were in line with recommendations. Fluid intake (2466 ± 1350.5ml·day(-1)) was sufficient to meet baseline recommendations, but would need to be higher to meet the additional requirement of training and competition. With the exception of vitamin A and iron, all micronutrient intakes were higher than the DRI. In conclusion, recommendations for female soccer players are to encourage consumption of carbohydrate-electrolyte beverages to enhance carbohydrate intake and increase fluid intake, and ensure sufficient iron rich foods are included in the diet to meet the DRI. Key pointsFemale soccer players demonstrate a low energy intake in relation to predicted requirements, but were in energy balance in this study.Increased carbohydrate intake may be beneficial to both training and competition performance of elite female soccer playersFluid requirements should be addressed on an individual basis and matched to player requirements.The iron status of female soccer players may be compromised due to insufficient dietary intake to meet the DRV.

  17. Nutritional Practices of National Female Soccer Players: Analysis and Recommendations

    Science.gov (United States)

    Martin, Louise; Lambeth, Anneliese; Scott, Dawn

    2006-01-01

    The aim of the study was to establish the nutritional practices and activity patterns of elite female soccer players. The nutritional intake of 16 female England Soccer players was self-reported over a seven-day period. Participants were provided with written and verbal guidelines for the completion of the diaries. Training details were also recorded, and used in combination with BMR predictions to calculate daily energy expenditure. Energy, macronutrient and micronutrient intakes were determined using DietMaster 4.0 software. Results suggest that energy intake was low (1904 ± 366.3 kcal) in relation to previous recommendations for soccer players. Energy expenditure (2153.5 ± 596.2 kcal) was not significantly different (p > 0.05) from intake, suggesting energy balance was achieved. Carbohydrate (53.8 ± 6.8%), protein (16.8 ± 2.1%) and fat (28.8 ± 6.6%) intakes were in line with recommendations. Fluid intake (2466 ± 1350.5ml·day-1) was sufficient to meet baseline recommendations, but would need to be higher to meet the additional requirement of training and competition. With the exception of vitamin A and iron, all micronutrient intakes were higher than the DRI. In conclusion, recommendations for female soccer players are to encourage consumption of carbohydrate-electrolyte beverages to enhance carbohydrate intake and increase fluid intake, and ensure sufficient iron rich foods are included in the diet to meet the DRI. Key points Female soccer players demonstrate a low energy intake in relation to predicted requirements, but were in energy balance in this study. Increased carbohydrate intake may be beneficial to both training and competition performance of elite female soccer players Fluid requirements should be addressed on an individual basis and matched to player requirements. The iron status of female soccer players may be compromised due to insufficient dietary intake to meet the DRV. PMID:24198690

  18. United Nations International Drug Control Programme responds

    Directory of Open Access Journals (Sweden)

    Michael Platzer

    2002-01-01

    Full Text Available [First paragraph] We would like to reply to the article written by Axel Klein entitled, "Between the Death Penalty and Decriminalization: New Directions for Drug Control in the Commonwealth Caribbean" published in NWIG 75 (3&4 2001. We have noted a number of factual inaccuracies as well as hostile comments which portray the United Nations International Drug Control Programme in a negative light. This reply is not intended to be a critique of the article, which we find unbalanced and polemical, but rather an alert to the tendentious statements about UNDCP, which we feel should be corrected.

  19. Sustainable Procurement in the United Nations

    DEFF Research Database (Denmark)

    Lund-Thomsen, Peter; Costa, Nives

    2011-01-01

    are highly contested among UN procurement officers and member states. However, so far the debate has mostly been based on assumptions about how the implementation of SP might affect developing country stakeholders. In fact, very few academic studies have been made of the economic, social and environmental......This paper deals with the integration of economic, social and environmental criteria into the purchasing practices of the United Nations (UN) system--also known as the UN engagement in sustainable procurement (SP). We argue that the debates about the pros and cons of the UN engaging in SP...

  20. Managing the nation's high-level radioactive waste: key issues and recommendations

    International Nuclear Information System (INIS)

    1981-07-01

    To date, no unified national plan has been adopted to develop and implement a comprehensive system of management and disposal of high-level radioactive waste in the United States. Growing public concern about this problem has resulted in a number of recent efforts to develop a national high-level waste management policy. The 96th Congress strove to resolve the central issues, but ultimately failed to pass legislation, partly because of disagreements about the appropriate role of states in the siting of repositories for military waste. Outside government, a number of organizations convened representatives of diverse groups concerned with national high-level radioactive waste management to seek agreement on the major elements of national policy. One such organization was RESOLVE, Center for Environmental Conflict Resolution, which in May 1981 was merged into The Conservation Foundation. RESOLVE convened Forum II, a series of discussions among representatives of environmental, industrial, governmental, and citizen interest groups, in 1981 specifically to address the issues blocking Congressional agreement on high-level waste policy. This report contains the recommendations which resulted from these deliberations. Reprocessing, interim storage, respository development, and licensing requirements are addressed. Federal, state, and public participation in decision making are also discussed

  1. The United Nations: It's More Than You Think.

    Science.gov (United States)

    Lord, Juliana G.; Gardner, Janet

    This guide accompanies a 30-minute color video of the same name. Chapters include: (1) "History of the United States" including information on the League of Nations, the birth of the United Nations, and the home of the United Nations; (2) "Structure of the Organization" which discusses each of the sections--General Assembly,…

  2. "Individualized Science" Field Test Findings and Recommendations, the Hooke Unit. Appendix A.

    Science.gov (United States)

    Loue, William E., III

    This informal report contains the findings and recommendations resulting from the field test of the Hooke Unit of the "Individualized Science" program. Data were collected from three schools. Because of an unusual number of weaknesses ranging from formal inconsistencies to manipulative deficiencies, it was concluded that the Hooke Unit is somewhat…

  3. Auditor recommendations resulting from three clinical audit rounds in Finnish radiology units.

    Science.gov (United States)

    Miettunen, Kirsi; Metsälä, Eija

    2017-06-01

    Background The purpose of clinical audits performed in radiology units is to reduce the radiation dose of patients and staff and to implement evidence-based best practices. Purpose To describe auditor recommendations in three Finnish clinical audit rounds performed in 2002-2014, and to determine if auditor recommendations have had any impact on improving medical imaging practice. Material and Methods The retrospective observational study was performed in radiology units holding a radiation safety license issued by the Finnish Radiation and Nuclear Safety Authority. The data comprised a systematic sample (n = 120) of auditor reports produced in three auditing rounds in these units during the years 2002-2014. The data were analyzed by descriptive methods and by using the Friedman two-way ANOVA test. Results The number of auditor recommendations given varied between clinical audit rounds and according to the type of imaging unit, as well as according to calculation method. Proportionally, the most recommendations in all three clinical audit rounds were given about defining and using quality assurance functions and about guidelines and practices for carrying out procedures involving radiation exposure. Demanding radiology units improved their practices more than basic imaging units towards the third round. Conclusion Auditor recommendations help to address the deficiencies in imaging practices. There is a need to develop uniform guidelines and to provide tutoring for clinical auditors in order to produce comparable clinical audit results.

  4. The United Nations' endeavour to standardize mineral resource classification

    International Nuclear Information System (INIS)

    Schanz, J.J. Jr.

    1980-01-01

    The United Nations' Economic and Social Council passed a resolution in July 1975 calling for the development of a mineral resources classification system to be used in reporting data to the United Nations. Following preparation of background papers and an agenda by the UN Centre for Natural Resources, Energy and Transport, a panel of experts recommended a classification system to the Council's Committee on Natural Resources. The Committee met in Turkey in June 1979 and has reported favourably to the Council on the proposed system. The classification system is designed to provide maximum capability for requesting and receiving data from the resources data systems already used internally by major mineral producing nations. In addition, the system provides for flexibility in adjusting to the particular needs of individual mineral commodities. The proposed system involves three basic categories of in-situ resources: R-1, reliable estimates of known deposits; R-2, preliminary estimates of the extensions of known deposits; and, R-3, tentative estimates of quantities to be found in undiscovered deposits. As an option for given countries and commodities, the R-1 category can be further sub-divided into: R-1-E, economic; R-1-M, marginal; and R-1-S, sub-economic. Finally, the classification scheme provides for all categories to have a parallel set of estimates of recoverable mineral quantities. (author)

  5. The United Nations Framework Classification for World Petroleum Resources

    Science.gov (United States)

    Ahlbrandt, T.S.; Blystad, P.; Young, E.D.; Slavov, S.; Heiberg, S.

    2003-01-01

    The United Nations has developed an international framework classification for solid fuels and minerals (UNFC). This is now being extended to petroleum by building on the joint classification of the Society of Petroleum Engineers (SPE), the World Petroleum Congresses (WPC) and the American Association of Petroleum Geologists (AAPG). The UNFC is a 3-dimansional classification. This: Is necessary in order to migrate accounts of resource quantities that are developed on one or two of the axes to the common basis; Provides for more precise reporting and analysis. This is particularly useful in analyses of contingent resources. The characteristics of the SPE/WPC/AAPG classification has been preserved and enhanced to facilitate improved international and national petroleum resource management, corporate business process management and financial reporting. A UN intergovernmental committee responsible for extending the UNFC to extractive energy resources (coal, petroleum and uranium) will meet in Geneva on October 30th and 31st to review experiences gained and comments received during 2003. A recommended classification will then be delivered for consideration to the United Nations through the Committee on Sustainable Energy of the Economic Commission for Europe (UN ECE).

  6. The Texts of the Agency's Agreements with the United Nations

    International Nuclear Information System (INIS)

    1959-01-01

    The texts of the following agreements and supplementary agreements between the Agency and the United Nations are reproduced in this document for the information of all Members of the Agency: I. A. Agreement Governing the Relationship Between the United Nations and the International Atomic Energy Agency; B. Protocol Concerning the Entry into Force of the Agreement between the United Nations and the International Atomic Energy Agency; II. Administrative Arrangement Concerning the Use of the United Nations Laissez-Passer by Officials of the International Atomic Energy Agency; and III. Agreement for the Admission of the International Atomic Energy Agency into the United Nations Joint Staff Pension Fund

  7. The Texts of the Agency's Agreements with the United Nations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-10-30

    The texts of the following agreements and supplementary agreements between the Agency and the United Nations are reproduced in this document for the information of all Members of the Agency: I. A. Agreement Governing the Relationship Between the United Nations and the International Atomic Energy Agency; B. Protocol Concerning the Entry into Force of the Agreement between the United Nations and the International Atomic Energy Agency; II. Administrative Arrangement Concerning the Use of the United Nations Laissez-Passer by Officials of the International Atomic Energy Agency; and III. Agreement for the Admission of the International Atomic Energy Agency into the United Nations Joint Staff Pension Fund.

  8. The Texts of the Agency's Agreements with the United Nations

    International Nuclear Information System (INIS)

    1959-01-01

    The texts of the following agreements and supplementary agreements between the Agency and the United Nations are reproduced in this document for the information of all Members of the Agency: I. A. Agreement Governing the Relationship Between the United Nations and the International Atomic Energy Agency; B. Protocol Concerning the Entry into Force of the Agreement between the United Nations and the International Atomic Energy Agency; II. Administrative Arrangement Concerning the Use of the United Nations Laissez-Passer by Officials of the International Atomic Energy Agency; and III. Agreement for the Admission of the International Atomic Energy Agency into the United Nations Joint Staff Pension Fund [ru

  9. The Texts of the Agency's Agreements with the United Nations

    International Nuclear Information System (INIS)

    1959-01-01

    The texts of the following agreements and supplementary agreements between the Agency and the United Nations are reproduced in this document for the information of all Members of the Agency: I. A. Agreement Governing the Relationship Between the United Nations and the International Atomic Energy Agency; B. Protocol Concerning the Entry into Force of the Agreement between the United Nations and the International Atomic Energy Agency; II. Administrative Arrangement Concerning the Use of the United Nations Laissez-Passer by Officials of the International Atomic Energy Agency; and III. Agreement for the Admission of the International Atomic Energy Agency into the United Nations Joint Staff Pension Fund [es

  10. Model United Nations comes to CERN

    CERN Multimedia

    Anaïs Schaeffer

    2012-01-01

    From 20 to 22 January pupils from international schools in Switzerland, France and Turkey came to CERN for three days of "UN-type" conferences.   The MUN organisers, who are all pupils at the Lycée international in Ferney-Voltaire, worked tirelessly for weeks to make the event a real success. The members of the MUN/MFNU association at the Lycée international in Ferney-Voltaire spent several months preparing for their first "Model United Nations" (MUN),  a simulation of a UN session at which young "diplomats" take on the role of delegates representing different nations to discuss a given topic. And as their chosen topic was science, it was only natural that they should hold the event at CERN. For three days, from 20 to 22 January, no fewer than 340 pupils from 12 international schools* in Switzerland, France and Turkey came together to deliberate, consult and debate on the importance of scientific progress fo...

  11. CE: Tuberculosis: A New Screening Recommendation and an Expanded Approach to Elimination in the United States.

    Science.gov (United States)

    Parmer, John; Allen, Leeanna; Walton, Wanda

    2017-08-01

    : Nurses play a critical role in the diagnosis and treatment of tuberculosis and in the prevention of tuberculosis transmission through infection control practices. To eliminate tuberculosis in the United States, however, an expanded approach to testing and treating people with latent tuberculosis infection must be implemented. Recently, the U.S. Preventive Services Task Force (USPSTF) issued a new recommendation statement on latent tuberculosis infection testing that expands nurses' opportunities to identify at-risk populations for tuberculosis prevention. In combination with newer testing methodologies and shorter treatment regimens, implementation of the USPSTF recommendation has the potential to remove previously existing barriers to screening and treatment of both patients and health care providers. This article provides a general overview of tuberculosis transmission, pathogenesis, and epidemiology; presents preventive care recommendations for targeted testing among high-risk groups; and discusses the USPSTF recommendation's applicability to public health and primary care practice in the United States.

  12. Recommendations for future low-level and mixed waste management practices at Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Jennrich, E.A.; Klein, R.B.; Murphy, E.S.; Shuman, R.; Hickman, W.W.; Rutz, A.C.; Uhl, D.L.

    1989-01-01

    This report describes recommendations concerning the management of low-level radioactive wastes and mixtures at Los Alamos National Laboratory. Performance assessments, characterization, site disposal design, shipment, and storage are discussed

  13. World National Parks Congress. Recommendations. (Bali, Indonesia, October 11-22, 1982).

    Science.gov (United States)

    International Union for Conservation of Nature and Natural Resources, Morges, (Switzerland).

    Recommendations of the World National Parks Congress, which met in Bali, Indonesia, are provided in this document. These recommendations address issues related to: information on protected areas; global system of representative terrestrial protected areas; marine and coastal protected areas; Antarctica; the role of protected areas in sustainable…

  14. The United Nations Disarmament Yearbook. V. 16

    International Nuclear Information System (INIS)

    1992-01-01

    Throughout 1991 the end of the cold war continued to have a positive impact on international relations. In the Minsk Declaration, proclaiming the establishment of the CIS, the Republic of Belarus, the Russian Federation and Ukraine undertook to discharge the international obligations incumbent on them under treaties and agreements entered into by the USSR and in the Alma Ata Declaration, this undertaking was accepted by all the eleven republics constituting the Commonwealth. In the course of 1991 several steps were taken which helped enhance the status of the Treaty on the Non-Proliferation of Nuclear Weapons. France and China had decided to accede. On 10 July, South Africa signed a safeguards agreement with IAEA. By the end of 1991, almost all the front-line States in southern Africa had also acceded to the Treaty. Argentina and Brazil concluded a joint safeguards agreement with IAEA and stated that they were taking measures to permit the full entry into force for them of the Treaty for the Prohibition of Nuclear Weapons in Latin America and the Caribbean (treaty of Tlatelolco). The European Council adopted a Declaration on non-proliferation and arms exports with a view to strengthening the regime of nuclear non-proliferation and, in the light of the Persian Gulf War, further enhancing the effectiveness of ''regimes of non-proliferation''. The heads of State and Government of the seven major industrialized countries reaffirmed their readiness to work in favour of an equitable and stable non-proliferation regime based on balance between nuclear non-proliferation and the development of peaceful uses of nuclear energy, and to achieve a strengthened and improved IAEA safeguards system. The work carried out in Iraq by the Special Commission, established by the Security Council broke new ground for the United Nations in several respects, in particular, those of intrusive on-site inspection and destruction of weapons and mass destruction and associated facilities under

  15. Early national and international recommendations for X-ray and radiation protection

    International Nuclear Information System (INIS)

    Tesinska, E.

    2008-01-01

    The first three decades of pioneering work in the field of X-ray and natural radioactivity research and use took its toll all over the world because of lack of knowledge and caution. Coordinated, international cooperation in the field of X-ray and radium protection and standardization of measures was established after the World War I. The First and the Second International Congress of Radiology held in London in 1925 and in Stockholm in 1928 respectively, played a crucial role in it. Based on these congresses' initiatives and resolutions, the International X-ray Unit Committee and the International X-ray and Radium Protection Committee were established in 1828. The early recommendations on the international X-ray unit and on X-ray and radium protection, as passed by the Second International Congress of Radiology in Stockholm in 1928, are presented and compared with two related national initiatives, namely with the Memorandum No. 1 (July 1921) of the British X-ray and Radium Protection Committee, and with a draft of a legal measure regarding the X-ray and radium treatment regulation in Czechoslovakia, which was put together by the Czechoslovak Society of Radiology and the Vereinigung der deutschen Roentgenologen und Radiologen in der Tschechoslowakischen Republik in 1927 at a request of the Chamber of Doctor of Medicine for Bohemia and Moravia and in response to the international initiatives in that field. (author)

  16. ROTARY DAY AT THE UNITED NATIONS OFFICE IN GENEVA

    CERN Multimedia

    Staff Association

    2017-01-01

    We have been informed about the Rotary day at the United Nations office in Geneva. Join us on November 10th & 11th, 2017 at the United Nations office Avenue de la Paix 8-14 1211 Geneva, Switzerland   PEACE: MAKING A DIFFERENCE! Conflict and violence displace millions of people each year. Half of those killed in conflict are children, and 90 percent are civilians. We, Rotarians, refuse conflict as a way of life. But how can we contribute to Peace? And what about you? Are you keen on meeting exceptional individuals and exchanging ideas to move forward? Would you like to network and collaborate with Rotarians, Government Representatives, International Civil Servants, Representatives of Nongovernmental Organizations and Liberal Professions, Businessmen/women, and Students to make a difference in Peace? In November 2017, come to Geneva, get involved, and formulate recommendations to the international community. Together, we’ll celebrate Rotary&a...

  17. Perspectives on Inclusive Education with Reference to United Nations

    Science.gov (United States)

    Sharma, Arvind

    2015-01-01

    This essay explores inclusive education and explains the role of United Nations for imparting it to different nations. Undoubtedly, the UN and the United Nations Children's Fund (UNICEF) strive for all children to have equitable access to education as a basic human right. The Convention on the Rights of the Child (CRC) combined with the Convention…

  18. Allocating HIV prevention funds in the United States: recommendations from an optimization model.

    Directory of Open Access Journals (Sweden)

    Arielle Lasry

    Full Text Available The Centers for Disease Control and Prevention (CDC had an annual budget of approximately $327 million to fund health departments and community-based organizations for core HIV testing and prevention programs domestically between 2001 and 2006. Annual HIV incidence has been relatively stable since the year 2000 and was estimated at 48,600 cases in 2006 and 48,100 in 2009. Using estimates on HIV incidence, prevalence, prevention program costs and benefits, and current spending, we created an HIV resource allocation model that can generate a mathematically optimal allocation of the Division of HIV/AIDS Prevention's extramural budget for HIV testing, and counseling and education programs. The model's data inputs and methods were reviewed by subject matter experts internal and external to the CDC via an extensive validation process. The model projects the HIV epidemic for the United States under different allocation strategies under a fixed budget. Our objective is to support national HIV prevention planning efforts and inform the decision-making process for HIV resource allocation. Model results can be summarized into three main recommendations. First, more funds should be allocated to testing and these should further target men who have sex with men and injecting drug users. Second, counseling and education interventions ought to provide a greater focus on HIV positive persons who are aware of their status. And lastly, interventions should target those at high risk for transmitting or acquiring HIV, rather than lower-risk members of the general population. The main conclusions of the HIV resource allocation model have played a role in the introduction of new programs and provide valuable guidance to target resources and improve the impact of HIV prevention efforts in the United States.

  19. Building the United States National Vegetation Classification

    Science.gov (United States)

    Franklin, S.B.; Faber-Langendoen, D.; Jennings, M.; Keeler-Wolf, T.; Loucks, O.; Peet, R.; Roberts, D.; McKerrow, A.

    2012-01-01

    The Federal Geographic Data Committee (FGDC) Vegetation Subcommittee, the Ecological Society of America Panel on Vegetation Classification, and NatureServe have worked together to develop the United States National Vegetation Classification (USNVC). The current standard was accepted in 2008 and fosters consistency across Federal agencies and non-federal partners for the description of each vegetation concept and its hierarchical classification. The USNVC is structured as a dynamic standard, where changes to types at any level may be proposed at any time as new information comes in. But, because much information already exists from previous work, the NVC partners first established methods for screening existing types to determine their acceptability with respect to the 2008 standard. Current efforts include a screening process to assign confidence to Association and Group level descriptions, and a review of the upper three levels of the classification. For the upper levels especially, the expectation is that the review process includes international scientists. Immediate future efforts include the review of remaining levels and the development of a proposal review process.

  20. The United Nations and disarmament since 1945

    International Nuclear Information System (INIS)

    1991-01-01

    Since the beginning of the United Nations, the combined efforts of Governments at global, regional and bilateral levels have led to a body of important agreements, treaties and conventions committing their parties to various arms limitation and disarmament measures. The multilateral instruments concluded so far are as follows: The Treaty Banning Nuclear Weapon Test in the Atmosphere, in Outer Space and under Water (partial test-ban Treaty); The Treaty on Principles Governing the Activities of States in the Exploration and Use of Outer Space, including the Moon and Other Celestial Bodies (outer space Treaty); The Treaty on the Non-Proliferation of Nuclear Weapons (non-proliferation Treaty); The Treaty on the Prohibition of the Emplacement of Nuclear Weapons and Other Weapons of Mass Destruction on the Sea-Bed and the Ocean Floor and in the Subsoil Thereof (sea-bed Treaty); The Antarctic Treaty of 1959, for the demilitarization of Antarctica; The Treaty for the Prohibition of Nuclear Weapons in Latin America and the Caribbean (Treaty of Tlatelolco); The South Pacific Nuclear Free Zone Treaty (Treaty of Rarotonga); The Vienna Document 1990 on confidence- and security-building measures, and a number of bilateral agreements, including: The Treaty on the Limitation of Underground Nuclear-Weapon Tests; The Treaty on Underground Nuclear Explosions for Peaceful Purposes; The Agreement on the Establishment of Nuclear Risk Reduction Centers and the Strategic Arms Reduction Treaty

  1. Solar Energy and the United Nations

    International Nuclear Information System (INIS)

    Broda, E.

    1976-01-01

    Some applications of solar power have an easy technology, and are a matter for the present or immediate future. The methods for the large-scale production of electricity, however, cannot mature before the end of the century, even if determined efforts are begun now. May it be recalled that some 30 years also elapsed between the discovery of nuclear fission and the start of the first economic nuclear power stations. Investments into R and D were thus needed for decades. In nuclear science, it was relatively easy to find the finance because the military was interested. But in view of its tremendous importance for the welfare of mankind it should be at least equally easy to bridge the gap in respect to solar power. May it be underlined that far more money has indeed been found, and is being found, for CERN in Geneva, which is of purely scientific-academic interest and cannot promise much valuable practical 'spin-off'. The United Nations, the countries of the First, Second and Third World, ought to shoulder their responsibility in respect to solar energy. Energetic steps towards the founding of the International Solar Power Institute should be taken right now. (author)

  2. The pre-operational monitoring - how useful are recommendations of international organizations and various national programs

    International Nuclear Information System (INIS)

    Mihailovic, M.

    1980-01-01

    National legislation and the preoperational monitoring program around Nuclear Power Plant Krsko are described. The usefulness of international recommendations and various national preoperational monitoring programs is examined. Modifications are described which were introduced with the aim of identifying the site specific critical exposure pathways. The role of qualified and experienced experts is discussed. (H.K.)

  3. The Evolution of School Nursing Data Indicators in Massachusetts: Recommendations for a National Data Set

    Science.gov (United States)

    Gapinski, Mary Ann; Sheetz, Anne H.

    2014-01-01

    The National Association of School Nurses' research priorities include the recommendation that data reliability, quality, and availability be addressed to advance research in child and school health. However, identifying a national school nursing data set has remained a challenge for school nurses, school nursing leaders, school nurse professional…

  4. Radioactivity: Recommendations of the International Commission on Radiological Units and Measurements (1962), (ICRU) Report 10 c.

    Science.gov (United States)

    National Bureau of Standards (DOC), Washington, DC.

    This handbook presents recommendations agreed upon at the meeting of the International Commission on Radiological Units and Measurements (ICRU) held in Montreux, Switzerland, in April 1962. It is written in a report form with a preface including symbols, abbreviations and definitions of terms used in the report. The report consists of four…

  5. 75 FR 75695 - Certain Footwear: Recommendations for Modifying the Harmonized Tariff Schedule of the United States

    Science.gov (United States)

    2010-12-06

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 1205-8 (Addendum)] Certain Footwear.... 1205-8, Certain Footwear: Recommendations for Modifying the Harmonized Tariff Schedule of the United... addition of new tariff lines applicable to the subject footwear. DATES: December 22, 2010: Deadline for...

  6. Evolution Dilemma of the United Nations

    Directory of Open Access Journals (Sweden)

    Cuneyt M. Yenigun

    2016-03-01

    Full Text Available The United Nations (UN, despite some successful stories, has largely failed to safeguard international peace and security, particularly in the Middle East since its establishment. The UN’s inability to effectively resolve international conflicts is due to the Security Council (UNSC’s decision making-process. The power to block any initiatives that do not fit the interest of any of the five permanent members (P5: US, UK, France, Russia, China have impeded the UN’s ability to take effectively take actions where it is needed in safeguarding security in the Middle East. The nature of the veto power no longer reflects the reality of the 21st century; the UN is frozen in the context of the post-Second World War era and has failed to evolve with the international community.  Double standards in the International Court of Justice's decrees and infirmity of purpose of the UNSC overshadow the legitimacy of the organization, jeopardizing its security mission, and clashes with the democratic values in world public opinion. The UN should change to earn legitimacy and efficiency of preserving international peace and security by amending decision making system in the UNSC or changing decision-making organ within the UN. The Secretary General’s diplomatic activism and attempts to fill the gap left by the P5 infightings could not succeed because of the resistance of the UNSC’s permanent members to change and lack of integrity among the other states. To ensure democratic transformation of the UN today, all states, NGOs and think tanks should work together. This study discusses the system's current shortcomings and suggests some alternative paths for the effective transformation of the UN as a supranational security institution.

  7. Dietary recommendations: comparing dietary guidelines from Brazil and the United States.

    Science.gov (United States)

    Sichieri, Rosely; Chiuve, Stephanie E; Pereira, Rosângela Alves; Lopes, Aline Cristine Souza; Willett, Walter C

    2010-11-01

    The Brazilian dietary guidelines are based in part on mainstream United States' recommendations, in spite of the criticisms and shortcomings of the American guidelines. In this paper, Brazilian food guidelines are summarized and discussed in comparison with the USA recommendations. American and Brazilian dietary recommendations are quite similar in many aspects, particularly those related to variety in the diet, the importance of physical activity and weight management. Different to American guidelines, those from Brazil advise people to choose fresh foods, to prefer healthier types of fat, to limit trans fat intake and to eat good sources of protein, but does not recommend the consumption of whole grains. Besides the challenges related to their implementation, indicators for the evaluation of the effectiveness of these guidelines should be established from the beginning, particularly those related to changes in dietary habits and the prevalence of obesity.

  8. Indigenous Peoples and Indicators of Well-Being: Australian Perspectives on United Nations Global Frameworks

    Science.gov (United States)

    Taylor, John

    2008-01-01

    One of the major tasks of the United Nations Permanent Forum on Indigenous Issues (UNPFII) following its establishment in 2000 has been to establish statistical profiles of the world's Indigenous peoples. As part of this broad task, it has recommended that the Millennium Development Goals and other global reporting frameworks should be assessed…

  9. National Lexicography Units: Past, Present, Future

    African Journals Online (AJOL)

    Mariëtta Alberts, Research Unit for Languages and Literature in SA Context,. Northwest ..... NLUs were also assisted with the marketing of the units and the obtaining .... each dictionary project, and developing an editorial style guide for each dic- .... The DSAE edited the South African Concise Oxford Dictionary that was.

  10. Compliance with national recommendations for exercise during early pregnancy in a Danish cohort

    DEFF Research Database (Denmark)

    Broberg, Lotte; Ersbøll, Anne S; Backhausen, Mette G

    2015-01-01

    BACKGROUND: Exercise during pregnancy is associated with health benefits for both the mother and the fetus, and is therefore recommended in several national guidelines. Only few studies investigate whether these guideline recommendations are met. The aims of this study were 1. To assess...... the prevalence of pregnant women meeting the Danish recommendations for exercise during early pregnancy, 2. To identify pre-pregnancy factors associated with a lower probability for meeting the recommendations, and 3. To describe which types of exercise pregnant women prefer before and during pregnancy. METHODS...... the recommendation for exercise from the Danish Health and Medicines Authority (≥3.5 hours a week). Multiparity, previous miscarriage use of assisted reproductive technology, no engagement in exercise before pregnancy, smoking, pregnancy following assisted reproductive technology, overweight, not understanding...

  11. [Secondary school menu in Madrid (Spain): knowledge and adherence to the Spanish National Health System recommendations].

    Science.gov (United States)

    Berradre-Sáenz, Belén; Royo-Bordonada, Miguel Ángel; Bosqued, María José; Moya, María Ángeles; López, Lázaro

    2015-01-01

    To establish the degree of knowledge and adherence to the Spanish National Health System recommendations on nutrition in schools in the Autonomous Community of Madrid. Cross-sectional study of a random sample of 182 secondary schools from Madrid, during 2013-2014 school year. Information on the characteristics of the schools and the knowledge of the recommendations was collected by internet and telephone interviews, as well as a copy of the school menu. The average number of rations per week offered for each food item and the percentage of schools within the recommended range were calculated. The overall adherence was obtained as the mean of food items (0-12) within the range. 65.5% of the schools were unaware of the national recommendations. The supply of rice, pasta, fish, eggs, salad and fruit was lower than recommended, whereas for meat, accompaniment and other desserts was higher. The percentage of schools within the range for each food item varied between 13% and 95%. The mean of overall adherence was 6.3, with no differences depending on whether the menu was prepared or not at schools or there was or not a person in charge of nutrition standards. The degree of adherence to the recommendations was variable, being advised to increase the supply of cereals, eggs, fish, salad and fruit. Programs for dissemination and implementation of the recommendations, leaded by trained professionals, are required to improve the nutritional value of school menu. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

  12. Adherence to CDC Recommendations for the Treatment of Uncomplicated Gonorrhea - STD Surveillance Network, United States, 2016.

    Science.gov (United States)

    Weston, Emily J; Workowski, Kimberly; Torrone, Elizabeth; Weinstock, Hillard; Stenger, Mark R

    2018-04-27

    Gonorrhea, the sexually transmitted disease (STD) caused by Neisseria gonorrhoeae, is the second most common notifiable disease in the United States after chlamydia; 468,514 cases were reported to state and local health departments in 2016, an increase of 18.5% from 2015 (1). N. gonorrhoeae has progressively developed resistance to most antimicrobials used to treat the infection (2). As a result, CDC recommends two antimicrobials (250 mg of ceftriaxone [IM] plus 1 g of azithromycin [PO]) for treating uncomplicated gonorrhea to improve treatment efficacy and, potentially, to slow the emergence and spread of antimicrobial resistance. To monitor adherence to the current CDC-recommended regimen for uncomplicated gonorrhea, CDC reviewed enhanced data collected on a random sample of reported cases of gonorrhea in seven jurisdictions participating in the STD Surveillance Network (SSuN) and estimated the proportion of patients who received the CDC-recommended regimen for uncomplicated gonorrhea, by patient characteristics and diagnosing facility type. In 2016, the majority of reported patients with gonorrhea (81%) received the recommended regimen. There were no differences in the proportion of patients receiving the recommended regimen by age or race/ethnicity; however, patients diagnosed with gonorrhea in STD (91%) or family planning/reproductive health (94%) clinics were more likely to receive this regimen than were patients diagnosed in other provider settings (80%). These data document high provider adherence to CDC gonorrhea treatment recommendations in specialty STD clinics, indicating high quality of care provided in those settings. Local and state health departments should monitor adherence with recommendations in their jurisdictions and consider implementing interventions to improve provider and patient compliance with gonorrhea treatment recommendations where indicated.

  13. 77 FR 65459 - United Nations Day, 2012

    Science.gov (United States)

    2012-10-29

    ... when the global community acts collectively. Dedicated to assuring ``the equal rights of men and women... better part of a century, we have seen what is possible when a strong and united international community...

  14. 31 CFR 515.334 - United States national.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States national. 515.334 Section 515.334 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE... of the United States, and which has its principal place of business in the United States. [61 FR...

  15. Developing Leadership in Managers to Facilitate the Implementation of National Guideline Recommendations: A Process Evaluation of Feasibility and Usefulness

    Directory of Open Access Journals (Sweden)

    Malin Tistad

    2016-08-01

    Full Text Available Background: Previous research supports the claim that managers are vital players in the implementation of clinical practice guidelines (CPGs, yet little is known about interventions aiming to develop managers’ leadership in facilitating implementation. In this pilot study, process evaluation was employed to study the feasibility and usefulness of a leadership intervention by exploring the intervention’s potential to support managers in the implementation of national guideline recommendations for stroke care in outpatient rehabilitation. Methods: Eleven senior and frontline managers from five outpatient stroke rehabilitation centers participated in a fourmonth leadership intervention that included workshops, seminars, and teleconferences. The focus was on developing knowledge and skills to enhance the implementation of CPG recommendations, with a particular focus on leadership behaviors. Each dyad of managers was assigned to develop a leadership plan with specific goals and leadership behaviors for implementing three rehabilitation recommendations. Feasibility and usefulness were explored through observations and interviews with the managers and staff members prior to the intervention, and then one month and one year after the intervention. Results: Managers considered the intervention beneficial, particularly the participation of both senior and frontline managers and the focus on leadership knowledge and skills for implementing CPG recommendations. All the managers developed a leadership plan, but only two units identified goals specific to implementing the three stroke rehabilitation recommendations. Of these, only one identified leadership behaviors that support implementation. Conclusion: Managers found that the intervention was delivered in a feasible way and appreciated the focus on leadership to facilitate implementation. However, the intervention appeared to have limited impact on managers’ behaviors or clinical practice at the

  16. Developing Leadership in Managers to Facilitate the Implementation of National Guideline Recommendations: A Process Evaluation of Feasibility and Usefulness

    Science.gov (United States)

    Tistad, Malin; Palmcrantz, Susanne; Wallin, Lars; Ehrenberg, Anna; Olsson, Christina B.; Tomson, Göran; Holmqvist, Lotta Widén; Gifford, Wendy; Eldh, Ann Catrine

    2016-01-01

    Background: Previous research supports the claim that managers are vital players in the implementation of clinical practice guidelines (CPGs), yet little is known about interventions aiming to develop managers’ leadership in facilitating implementation. In this pilot study, process evaluation was employed to study the feasibility and usefulness of a leadership intervention by exploring the intervention’s potential to support managers in the implementation of national guideline recommendations for stroke care in outpatient rehabilitation. Methods: Eleven senior and frontline managers from five outpatient stroke rehabilitation centers participated in a four-month leadership intervention that included workshops, seminars, and teleconferences. The focus was on developing knowledge and skills to enhance the implementation of CPG recommendations, with a particular focus on leadership behaviors. Each dyad of managers was assigned to develop a leadership plan with specific goals and leadership behaviors for implementing three rehabilitation recommendations. Feasibility and usefulness were explored through observations and interviews with the managers and staff members prior to the intervention, and then one month and one year after the intervention. Results: Managers considered the intervention beneficial, particularly the participation of both senior and frontline managers and the focus on leadership knowledge and skills for implementing CPG recommendations. All the managers developed a leadership plan, but only two units identified goals specific to implementing the three stroke rehabilitation recommendations. Of these, only one identified leadership behaviors that support implementation. Conclusion: Managers found that the intervention was delivered in a feasible way and appreciated the focus on leadership to facilitate implementation. However, the intervention appeared to have limited impact on managers’ behaviors or clinical practice at the units. Future

  17. Refugee resettlement to the United States: recommendations for a new approach.

    Science.gov (United States)

    Westermeyer, Joseph John

    2011-08-01

    Hmong acculturation to the United States has involved high prevalence of several psychosocial challenges: acculturation failure, welfare dependency, psychiatric disorder, mistrust, malignant youth gangs, and violence. Conversely, resettlement of the Thai Dam-a tribal group, also from Laos-has gone remarkably well in comparison. Strategies used for resettlement of these two groups differed greatly. Based on these differences, the author recommends a refugee resettlement strategy aimed at improved mental health and optimal acculturation for future refugee groups.

  18. United Nations opens gender coordinating unit for Afghanistan.

    Science.gov (United States)

    Morris, K

    1999-02-06

    The UN has created a gender coordinating unit for Afghanistan in an effort to combat some problems encountered by women and girls in the country. Reports continue to come in of women in Afghanistan being denied the right to work, to be educated, and to have access to medical care. The gap in education between men and women continues to widen as a result of edicts issued by Taliban authorities banning girls from attending formal schools and female teachers from working. The situation has grown worse since the UN and nongovernmental organizations (NGOs) withdrew international workers last year due to security concerns. Although a UN mission will travel to the country this week to discuss the return of international staff, the gender coordinating unit will for now have to work out of Islamabad, Pakistan. The unit will create guidelines for gender mainstreaming, a strategy in which mainstream policies and resource allocations are changed to reflect the principle of gender equality. Other goals include setting realistic objectives for gender activities, working with partners on pilot projects, and establishing minimum standards for best practices. MERLIN, a NGO with a primary health care program run by local staff in the Taliban-controlled province of Farah, welcomes the move.

  19. First ONPE report - French national observatory of fuel poverty. Definitions, indicators, first results and recommendations

    International Nuclear Information System (INIS)

    Cherel, Didier; Nolay, Pierre; Devaliere, Isolde; Teissier, Olivier; Maresca, Bruno; Guimard, Sebastien; Moisan, Marie; Rousseau, Nicolas; Jouffe, Yves; Poutrel, Severin; Buresi, Sandrine

    2014-09-01

    This first report from the French national observatory of fuel poverty (ONPE) aims at defining fuel poverty and at characterizing and measuring this phenomenon through indicators and inquiries. An additional dimension concerns the vulnerability linked with everyday mobility which is presented in a separate chapter. The national and local policies against fuel poverty are presented with their results, efficiency and possible improvements. A short glimpse on fuel poverty in Europe is given before the conclusion and recommendations

  20. United Nations Peacekeeping Operations: Challenges and Opportunities

    Science.gov (United States)

    2012-04-27

    close the gap between aspiration and performance…makes the difference between civilisation and chaos” AND OPPORTUNITIES - Dag Hammarskjöld...ONUB) and left behind a democratic local and national structure. 10 UN also successfully completed the referendum in Sudan in 2011(UNMIS) which

  1. A survey of exercise advice and recommendations in United Kingdom paediatric cardiac clinics.

    Science.gov (United States)

    Williams, Craig A; Gowing, Lucy; Horn, Richard; Stuart, Alan Graham

    2017-07-01

    Physical activity and exercise have important health benefits for children and adolescents with CHD. The objective of this study was to survey the provision of advice and recommendations in United Kingdom paediatric CHD clinics. A three-page questionnaire was sent out to paediatric cardiac consultants in the United Kingdom, paediatric consultants with expertise in cardiology, and nursing staff (Paediatricians with Expertise in Cardiology Special Interest Group), as well as all members of the British Congenital Cardiovascular Association. The aim of this questionnaire was to determine the extent and scope of current information provision and to assess the importance that clinicians place on this advice. There were 68 responses in total, and the data showed that, of these, 24 (36%) clinicians had never provided paediatric CHD patients with written advice about exercise. Only 27 (39%) clinicians provided physical activity advice at every appointment. Lack of time during consultation (n=39, 56.9%), lack of training (n=38, 55.2%), and uncertainty about appropriate recommendations (n=38, 55.2%) were identified as the main factors preventing clinicians from providing patients with advice about physical activity. Although healthcare providers consider physical activity to be very important, the provision of clear, specific advice and recommendations is underutilised; therefore, more education and provision of resources to support the promotion of exercise need to be provided to clinicians and their support teams.

  2. Recommendations to reduce inequalities for LGBT people facing advanced illness: ACCESSCare national qualitative interview study.

    Science.gov (United States)

    Bristowe, Katherine; Hodson, Matthew; Wee, Bee; Almack, Kathryn; Johnson, Katherine; Daveson, Barbara A; Koffman, Jonathan; McEnhill, Linda; Harding, Richard

    2018-01-01

    Lesbian, gay, bisexual and/or trans (LGBT) people have higher risk of certain life-limiting illnesses and unmet needs in advanced illness and bereavement. ACCESSCare is the first national study to examine in depth the experiences of LGBT people facing advanced illness. To explore health-care experiences of LGBT people facing advanced illness to elicit views regarding sharing identity (sexual orientation/gender history), accessing services, discrimination/exclusion and best-practice examples. Semi-structured in-depth qualitative interviews analysed using thematic analysis. In total, 40 LGBT people from across the United Kingdom facing advanced illness: cancer ( n = 21), non-cancer ( n = 16) and both a cancer and a non-cancer conditions ( n = 3). In total, five main themes emerged: (1) person-centred care needs that may require additional/different consideration for LGBT people (including different social support structures and additional legal concerns), (2) service level or interactional (created in the consultation) barriers/stressors (including heteronormative assumptions and homophobic/transphobic behaviours), (3) invisible barriers/stressors (including the historical context of pathology/criminalisation, fears and experiences of discrimination) and (4) service level or interactional facilitators (including acknowledging and including partners in critical discussions). These all shape (5) individuals' preferences for disclosing identity. Prior experiences of discrimination or violence, in response to disclosure, were carried into future care interactions and heightened with the frailty of advanced illness. Despite recent legislative change, experiences of discrimination and exclusion in health care persist for LGBT people. Ten recommendations, for health-care professionals and services/institutions, are made from the data. These are simple, low cost and offer potential gains in access to, and outcomes of, care for LGBT people.

  3. Recommendations to reduce inequalities for LGBT people facing advanced illness: ACCESSCare national qualitative interview study

    Science.gov (United States)

    Bristowe, Katherine; Hodson, Matthew; Wee, Bee; Almack, Kathryn; Johnson, Katherine; Daveson, Barbara A; Koffman, Jonathan; McEnhill, Linda; Harding, Richard

    2017-01-01

    Background: Lesbian, gay, bisexual and/or trans (LGBT) people have higher risk of certain life-limiting illnesses and unmet needs in advanced illness and bereavement. ACCESSCare is the first national study to examine in depth the experiences of LGBT people facing advanced illness. Aim: To explore health-care experiences of LGBT people facing advanced illness to elicit views regarding sharing identity (sexual orientation/gender history), accessing services, discrimination/exclusion and best-practice examples. Design: Semi-structured in-depth qualitative interviews analysed using thematic analysis. Setting/participants: In total, 40 LGBT people from across the United Kingdom facing advanced illness: cancer (n = 21), non-cancer (n = 16) and both a cancer and a non-cancer conditions (n = 3). Results: In total, five main themes emerged: (1) person-centred care needs that may require additional/different consideration for LGBT people (including different social support structures and additional legal concerns), (2) service level or interactional (created in the consultation) barriers/stressors (including heteronormative assumptions and homophobic/transphobic behaviours), (3) invisible barriers/stressors (including the historical context of pathology/criminalisation, fears and experiences of discrimination) and (4) service level or interactional facilitators (including acknowledging and including partners in critical discussions). These all shape (5) individuals’ preferences for disclosing identity. Prior experiences of discrimination or violence, in response to disclosure, were carried into future care interactions and heightened with the frailty of advanced illness. Conclusion: Despite recent legislative change, experiences of discrimination and exclusion in health care persist for LGBT people. Ten recommendations, for health-care professionals and services/institutions, are made from the data. These are simple, low cost and offer potential gains in access

  4. Recommendations on basic requirements for intensive care units: structural and organizational aspects.

    Science.gov (United States)

    Valentin, Andreas; Ferdinande, Patrick

    2011-10-01

    To provide guidance and recommendations for the planning or renovation of intensive care units (ICUs) with respect to the specific characteristics relevant to organizational and structural aspects of intensive care medicine. The Working Group on Quality Improvement (WGQI) of the European Society of Intensive Care Medicine (ESICM) identified the basic requirements for ICUs by a comprehensive literature search and an iterative process with several rounds of consensus finding with the participation of 47 intensive care physicians from 23 countries. The starting point of this process was an ESICM recommendation published in 1997 with the need for an updated version. The document consists of operational guidelines and design recommendations for ICUs. In the first part it covers the definition and objectives of an ICU, functional criteria, activity criteria, and the management of equipment. The second part deals with recommendations with respect to the planning process, floorplan and connections, accommodation, fire safety, central services, and the necessary communication systems. This document provides a detailed framework for the planning or renovation of ICUs based on a multinational consensus within the ESICM.

  5. EPA's Role in the United Nations Economic and Social Council

    Science.gov (United States)

    The United Nations Economic and Social Council (ECOSOC) considers the world’s economic, social, and environmental challenges. ECOSOC is composed of subsidiary bodies, including the recently concluded Commission on Sustainable Development (CSD).

  6. United Nations programme for the assistance in Uruguay mining exploration

    International Nuclear Information System (INIS)

    1976-01-01

    The Uruguay government asked for the United Nations for the development of technical assistance programme in geological considerations of the Valentines iron deposits. This agreement was signed as Mining prospect ion assistance in Uruguay.

  7. Nigeria and the United States: An Analysis of National Goals

    National Research Council Canada - National Science Library

    McCarthy, John M

    2008-01-01

    Since the beginning of the 21st century, the continent of Africa has regained its importance to the United States and other developed nations, primarily due to its vast amounts of untapped resources...

  8. Unit evaluation at Yucca Mountain, Nevada Test Site: summary report and recommendation

    International Nuclear Information System (INIS)

    Johnstone, J.K.; Peters, R.R.; Gnirk, P.F.

    1984-06-01

    Of the four potential repository units, identified at Yucca Mountain, two potential units the welded, devitrified portions of the Bullfrog and Tram Members of the Crater Flat Tuff are below the water table. The welded, devitrified Topopah Spring Member of the Paintbrush Tuff and the nonwelded, zeolitized Tuffaceous Beds of Calico Hills are above the water table. The results of a study of the four potential repository units are to provide a technical basis for selecting a single target repository unit for future test and evaluation. The unit evaluation studies compared the units rather than provided and absolute assessment. The four ranking evaluation criteria used were: radionuclide isolation time; allowable repository gross thermal loading; excavation stability; and relative economics. Considered the most important of the criteria as well as the most difficult, radionuclide isolation times were estimated using the limited existing data. The allowable repository gross thermal loadings determined from near-field calculations, were nearly the same for all four units. The gross thermal loading supported other criteria by providing the heat source for succeeding thermally related evaluation studies. A large number of studies evaluated excavation stability, including near-field mechanical and thermomechanical finite element code calculations studies. A large number of studies evaluated excavation stability, including near-field mechanical and thermomechanical finite element code calculations, rock matrix property evaluation, and rock mass classification. Relative economics, a minor criterion, did not play an explicit role in the final ranking. Based on all of the analyses, the final recommendation was that the Topopah Springs be selected as the target unit, followed, in order, by the Calico Hills, Bullfrog, and Tram

  9. Disposition of recommendations of the National Research Council in the report ''Revitalizing Nuclear Safety Research''

    International Nuclear Information System (INIS)

    1988-06-01

    On December 8, 1986, the Committee on Nuclear Safety Research of the National Research Council submitted its report, ''Revitalizing Nuclear Safety Research,'' to the US Nuclear Regulatory Commission (NRC). The Commission and its staff have carefully reviewed the Committee's report and have extensively examined the planning, implementation, and management of NRC research programs in order to respond most effectively to the Committee's recommendations. This report presents the Commission's view of the Committee's report and describes the actions that are under way in response to its recommendations

  10. Adherence to clinic recommendations among patients with phenylketonuria in the United States.

    Science.gov (United States)

    Jurecki, E R; Cederbaum, S; Kopesky, J; Perry, K; Rohr, F; Sanchez-Valle, A; Viau, K S; Sheinin, M Y; Cohen-Pfeffer, J L

    2017-03-01

    Assess current management practices of phenylketonuria (PKU) clinics across the United States (US) based on the key treatment metrics of blood phenylalanine (Phe) concentrations and blood Phe testing frequency, as well as patient adherence to their clinic's management practice recommendations. An online survey was conducted with medical professionals from PKU clinics across the US from July to September 2015. Forty-four clinics participated in the survey and account for approximately half of PKU patients currently followed in clinics in the US (Berry et al., 2013). The majority of PKU clinics recommended target blood Phe concentrations to be between 120 and 360μM for all patients; the upper threshold was relaxed by some clinics for adult patients (from 360 to 600μM) and tightened for patients who are pregnant/planning to become pregnant (to 240μM). Patient adherence to these recommendations (percentage of patients with blood Phe below the upper recommended threshold) was age-dependent, decreasing from 88% in the 0-4years age group to 33% in adults 30+ years. Patient adherence to recommendations for blood testing frequency followed a similar trend. Higher staffing intensity (specialists per 100 PKU patients) was associated with better patient adherence to clinics' blood Phe concentrations recommendations. Clinic recommendations of target blood Phe concentrations in the US are now stricter compared to prior years, and largely reflect recent guidelines by the American College of Medical Genetics and Genomics (Vockley et al., 2014). Adherence to recommended Phe concentrations remains suboptimal, especially in older patients. However, despite remaining above the guidelines, actual blood Phe concentrations in adolescents and adults are lower than those reported in the past (Walter et al., 2002; Freehauf et al., 2013). Continued education and support for PKU patients by healthcare professionals, including adequate clinic staffing, are needed to improve adherence

  11. The United Nations disarmament yearbook. V. 19: 1994

    International Nuclear Information System (INIS)

    1995-01-01

    The United Nations Disarmament Yearbook contains a review of the main developments and negotiations in the field of disarmament taking place each year, together with a brief history of the major issues. The series began with the 1976 edition. The Yearbook makes no claim to present fully the views of Member States of the Organization. For further information on the official positions of States, readers should consult the Official Records of the General Assembly and other sources. General Assembly resolutions and decisions are quoted in The Yearbook in the form in which they were adopted by the General Assembly. For the edited texts of these documents for 1994, readers should consult the Official Records of the General Assembly, Forty-ninth Session, Supplement No. 49 (A/49/49). For an overview of the work of the United Nations in the field of disarmament, one should consult The United Nations and Disarmament: A short History (UN, 1988). A more detailed account is included in The United Nations and Disarmament: 1945-1970; United Nations and Disarmament: 1970-1975, and previous volumes of The United Nations Disarmament Yearbook

  12. The National Nanotechnology Initiative: Second Assessment and Recommendations of the National Nanotechnology Advisory Panel

    Science.gov (United States)

    2008-04-01

    Council on Bioethics . NNI member agencies and the National Nanotechnology Coordination Office (NNCO) also provided valuable information. The NNAP...societal aspects of nanotechnology. In consultation with the President’s Council on Bioethics , the panel concluded that at present, nanotechnology...biomarker. One is a magnetic particle probe that captures the target from complex media . The other is a gold nanoparticle probe that is specific to the

  13. Do current national and international guidelines have specific recommendations for older adults with bipolar disorder?

    DEFF Research Database (Denmark)

    Dols, Annemiek; Kessing, Lars Vedel; Strejilevich, Sergio A

    2016-01-01

    a variety of sources have become available in recent years. It is expected that at least some of this emerging information on OABD would be incorporated into treatment guidelines available to clinicians around the world. METHODS: The International Society of Bipolar Disorders OABD task force compiled...... and compared recommendations from current national and international guidelines that specifically address geriatric or older individuals with BD (from year 2005 onwards). RESULTS: There were 34 guidelines, representing six continents and 19 countries. The majority of guidelines had no separate section on OABD....... General principles for treating OABD with medication are recommended to be similar to those for younger adults, with special caution for side effects due to somatic comorbidity and concomitant medications. Therapeutic lithium serum levels are suggested to be lower but recommendations are very general...

  14. International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.

    Science.gov (United States)

    Howell, Ann-Marie; Burns, Elaine M; Hull, Louise; Mayer, Erik; Sevdalis, Nick; Darzi, Ara

    2017-02-01

    Patient safety incident reporting systems (PSRS) have been established for over a decade, but uncertainty remains regarding the role that they can and ought to play in quantifying healthcare-related harm and improving care. To establish international, expert consensus on the purpose of PSRS regarding monitoring and learning from incidents and developing recommendations for their future role. After a scoping review of the literature, semi-structured interviews with experts in PSRS were conducted. Based on these findings, a survey-based questionnaire was developed and subsequently completed by a larger expert panel. Using a Delphi approach, consensus was reached regarding the ideal role of PSRSs. Recommendations for best practice were devised. Forty recommendations emerged from the Delphi procedure on the role and use of PSRS. Experts agreed reporting system should not be used as an epidemiological tool to monitor the rate of harm over time or to appraise the relative safety of hospitals. They agreed reporting is a valuable mechanism for identifying organisational safety needs. The benefit of a national system was clear with respect to medication error, device failures, hospital-acquired infections and never events as these problems often require solutions at a national level. Experts recommended training for senior healthcare professionals in incident investigation. Consensus recommendation was for hospitals to take responsibility for creating safety solutions locally that could be shared nationally. We obtained reasonable consensus among experts on aims and specifications of PSRS. This information can be used to reflect on existing and future PSRS, and their role within the wider patient safety landscape. The role of PSRS as instruments for learning needs to be elaborated and developed further internationally. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  15. National and international standards and recommendations on fire protection and fire safety assessment

    International Nuclear Information System (INIS)

    Berg, H.P.

    2007-01-01

    Experience feedback from events in nuclear facilities worldwide has shown that fire can represent a safety significant hazard. Thus, the primary objectives of fire protection programmes are to minimize both the probability of occurrence and the consequences of a fire. The regulator body expects that the licensees justify their arrangements for identifying how fires can occur and spread, assess the vulnerability of plant equipment and structures, determine how the safe operation of a plant is affected, and introduce measures to prevent a fire hazard from developing and propagating as well as to mitigate its effects in case the fire cannot be prevented. For that purpose usually a comprehensive regulatory framework for fire protection has been elaborated, based on national industrial regulations, nuclear specific regulations as well as international recommendations or requirements. Examples of such national and international standards and recommendations on fire protection and fire safety assessment as well as ongoing activities in this field are described. (orig.)

  16. Performance Evaluation of the United Nations Environment ...

    Science.gov (United States)

    A request for technical collaboration between the UNEP and the US EPA resulted in the establishment of a MCRADA. The purpose of this agreement was to evaluate an air quality monitoring system (referred to as the UNEP pod) developed by the UNEP for use in environmental situations where more sophisticated monitoring instrumentation was not available. The US EPA has conducted numerous evaluations of other similar sensor pods at its Research Triangle Park, NC research campus and has trained staff as well as established research designs for such efforts. Under the terms of the MCRADA, the US EPA would operate the pod using UNEP provided operating procedures in a manner consistent with its planned intent of deployment. The US EPA would collect air quality monitoring data from the pod involving select environmental measures over a period of approximately one month. Reference monitoring data collected from collocated federal regulatory monitors would be used to establish a comparison between the two systems and thus establishment of performance characteristics. In addition, the US EPA would provide feedback information to the UNEP as to observed ease of use features of the pod that would be beneficial in its future evolution and deployment. The UNEP recently developed a multipollutant sensor pod called the UNEP Air Quality Monitoring Unit, herein simply defined as the UNEP pod (http://aqicn.org/faq/2015-10-28/unep-air-quality-monitoring-station/). First introduced in 20

  17. Summary of Federal Aviation Administration Responses to National Transportation Safety Board Safety Recommendations.

    Science.gov (United States)

    1981-01-01

    i It: Wo. r (A’I) upr,;cl. ’ Vih t_’o a . hc pre-.ntal, i c ould (1lay a pilot’s t ;f,L..ion to a suit.bl, ba-ckup approach in th- event of radar or...analysis and your recommendation. Since y) ,anigh.ne Bond Admin ist rator 2 Enclosures NATIONAL TRANSPORTATION SAFETY BOARD WASHINGTON, D.C. ISSUED: October

  18. United Nations Charter, Chapter VII, Article 43: Now or Never.

    Science.gov (United States)

    Burkle, Frederick M

    2018-04-25

    For more than 75 years, the United Nations Charter has functioned without the benefit of Chapter VII, Article 43, which commits all United Nations member states "to make available to the Security Council, on its call, armed forces, assistance, facilities, including rights of passage necessary for the purpose of maintaining international peace and security." The consequences imposed by this 1945 decision have had a dramatic negative impact on the United Nation's functional capacity as a global body for peace and security. This article summarizes the struggle to implement Article 43 over the decades from the onset of the Cold War, through diplomatic attempts during the post-Cold War era, to current and often controversial attempts to provide some semblance of conflict containment through peace enforcement missions. The rapid growth of globalization and the capability of many nations to provide democratic protections to their populations are again threatened by superpower hegemony and the development of novel unconventional global threats. The survival of the United Nations requires many long overdue organizational structure and governance power reforms, including implementation of a robust United Nations Standing Task Force under Article 43. (Disaster Med Public Health Preparedness. 2018;page 1 of 8).

  19. Population compliance with national dietary recommendations and its determinants: findings from the ORISCAV-LUX study.

    Science.gov (United States)

    Alkerwi, Ala'a; Sauvageot, Nicolas; Nau, Anne; Lair, Marie-Lise; Donneau, Anne-Françoise; Albert, Adelin; Guillaume, Michèle

    2012-12-14

    The objective of the present study was to determine the proportion of adults meeting national recommendations for food and nutrient intake and to identify the demographic, socio-economic and behavioural factors that may contribute to weaken dietary compliance. ORISCAV-LUX is a cross-sectional study that took place in Luxembourg (2007-8). A representative stratified random sample of 1352 adults aged 18-69 years participated in the nationwide cardiovascular health survey. A FFQ was used to estimate food intake. Radar charts were built to compare graphically the compliance of the participants with different key dietary guidelines on the same set of axes. The thirteen food- and nutrient-based recommendations were scored and summed to create a recommendation compliance index (range -0·5 to 14). Ordinal logistic regression analyses were performed to determine the factors contributing to poor dietary compliance. Several food- and nutrient-based guidelines were insufficiently respected compared with others. The greatest gaps occurred in the adherence to grain and dairy product consumption guidelines, as well as to total fat and notably to SFA recommendations. Age, country of birth, economic status, smoking status and subject's awareness of the importance of balanced meals emerged as independently associated with weak dietary compliance. Obese subjects conformed more to dietary recommendations compared with normal-weight subjects. The findings underscore the need for specific nutrition education messages along with targeted interventions. Efforts should be continued to increase population awareness of the importance of a healthy lifestyle and a balanced diet.

  20. Sound levels in a neonatal intensive care unit significantly exceeded recommendations, especially inside incubators.

    Science.gov (United States)

    Parra, Johanna; de Suremain, Aurelie; Berne Audeoud, Frederique; Ego, Anne; Debillon, Thierry

    2017-12-01

    This study measured sound levels in a 2008 built French neonatal intensive care unit (NICU) and compared them to the 2007 American Academy of Pediatrics (AAP) recommendations. The ultimate aim was to identify factors that could influence noise levels. The study measured sound in 17 single or double rooms in the NICU. Two dosimeters were installed in each room, one inside and one outside the incubators, and these conducted measurements over a 24-hour period. The noise metrics measured were the equivalent continuous sound level (L eq ), the maximum noise level (L max ) and the noise level exceeded for 10% of the measurement period (L 10 ). The mean L eq , L 10 and L max were 60.4, 62.1 and 89.1 decibels (dBA), which exceeded the recommended levels of 45, 50 and 65 dBA (p care was correlated to an increased noise level, except for a postconceptional age below 32 weeks. The sound levels significantly exceeded the AAP recommendations, particularly inside incubators. A multipronged strategy is required to improve the sound environment and protect the neonates' sensory development. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  1. Use of Special Operations Forces in United Nations Missions: a Method to Resolve Complexity

    Science.gov (United States)

    2015-05-21

    physical stamina and psychological stability, followed by a rigorous training program are the imperatives to create SOF soldiers.42 Mark Bowden in...recommendation is that the United Nations should establish a Special Operations planning cell within the UN Department of Peacekeeping Operations. As of...now, the cell is nonexistent. This cell should be able to facilitate the integration of SOF into the overall peace operations concept. Finally, the

  2. Proposal for a United Nations Basic Space Technology Initiative

    Science.gov (United States)

    Balogh, Werner

    Putting space technology and its applications to work for sustainable economic and social development is the primary objective of the United Nations Programme on Space Applications, launched in 1971. A specific goal for achieving this objective is to establish a sustainable national space capacity. The traditional line of thinking has supported a logical progression from building capacity in basic space science, to using space applications and finally - possibly - to establishing indigenous space technology capabilities. The experience in some countries suggests that such a strict line of progression does not necessarily hold true and that priority given to the establishment of early indigenous space technology capabilities may contribute to promoting the operational use of space applications in support of sustainable economic and social development. Based on these findings and on the experiences with the United Nations Basic Space Science Initiative (UNBSSI) as well as on a series of United Nations/International Academy of Astronautics Workshops on Small Satellites in the Service of Developing Countries, the United Nations Office for Outer Space Affairs (UNOOSA) is considering the launch of a dedicated United Nations Basic Space Technology Initiative (UNBSTI). The initiative would aim to contribute to capacity building in basic space technology and could include, among other relevant fields, activities related to the space and ground segments of small satellites and their applications. It would also provide an international framework for enhancing cooperation between all interested actors, facilitate the exchange of information on best practices, and contribute to standardization efforts. It is expected that these activities would advance the operational use of space technology and its applications in an increasing number of space-using countries and emerging space nations. The paper reports on these initial considerations and on the potential value-adding role

  3. [Applicability of "do not do recommendations" from the National Institute for Health and Care Excellence in a quaternary care hospital].

    Science.gov (United States)

    Martin, S; Miñarro, R; Cano, P; Aranda, J M

    2015-01-01

    To qualitatively and quantitatively identify the level of agreement between the clinical staff of a quaternary care hospital and the National Institute for Health and Care Excellence (NICE) "do not do" recommendations, and to submit a strategic alternative for effective implementation. An ad hoc form was designed to evaluate level of clinical disagreement from the experience and knowledge of the clinical staff, as well as the applicability, usefulness, effectivity and efficiency of all the NICE "do not do" recommendations that had been published up to June 2012, checking their stability up to the July 2014 update. Description of the process of design and implementation of the strategic alternative to improve compliance is presented. The great majority (90%) of Clinical Unit directors agree with the NICE recommendations, with 64% finding them useful or very useful, 52% finding them applicable, and 32% and 34% thinking they are of high effectivity and efficiency, respectively. However, 20% of the efficient ones are not being applied. Moreover, knowledge discordances that might lead to clinical disagreements were detected. A strategic intervention, combining culture and incentives for good clinical practices, has been implemented. The improvement in the use of the good clinical practice recommendations is directly related to the agreement of its definition and evidence. An evaluation strategy of its application by the health professionals is essential to achieve an impact in avoidable costs. Moreover, to control for harmful effects of the economic impact on patient safety, it will be necessary to simultaneously evaluate clinical/health outcome indicators tightly linked to the applied recommendations. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  4. Effect of national recommendation on sweet selling as an intervention for a healthier school environment.

    Science.gov (United States)

    Anttila, Jaakko; Rytkönen, Tatu; Kankaanpää, Rami; Tolvanen, Mimmi; Lahti, Satu

    2015-02-01

    In 2007, the Finnish National Board of Education (FNBE) and the National Institute for Health and Welfare (THL) gave a national recommendation that Finnish upper comprehensive schools should not sell sweet products. The aim was to find out how the national recommendation changed the schools' selling of sweet products. This longitudinal survey was conducted in Finnish upper comprehensive school classes 7-9 (13-15-year-old pupils) in 2007 and 2010. All the schools (N=970) were invited to answer the questionnaire and 237 schools answered in both years (response rate 24%). The questionnaires contained questions concerning the selling of sweet and healthy products and school policy on sweet selling guidelines. Of the nine items in the questionnaire, three weighted sum scores were formed for oral health promotion: Exposure, enabling and policy (higher score indicating better actions). These sum scores were also trichotomized. Statistical significances of the changes were analyzed using nonparametric Wilcoxon's test, McNemar's test, and McNemar-Bowker's test. Schools had decreased exposure of pupils to sweet products (psweet products, candies and soft drinks had decreased (psweet products had not changed (p=0.665). Schools tended to improve their exposure and policy status (psweet products among adolescents. © 2014 the Nordic Societies of Public Health.

  5. National survey of crystalline rocks and recommendations of regions to be explored for high-level radioactive waste repository sites

    International Nuclear Information System (INIS)

    Smedes, H.W.

    1983-04-01

    A reconnaissance of the geological literature on large regions of exposed crystalline rocks in the United States provides the basis for evaluating if any of those regions warrant further exploration toward identifying potential sites for development of a high-level radioactive waste repository. The reconnaissance does not serve as a detailed evaluation of regions or of any smaller subunits within the regions. Site performance criteria were selected and applied insofar as a national data base exists, and guidelines were adopted that relate the data to those criteria. The criteria include consideration of size, vertical movements, faulting, earthquakes, seismically induced ground motion, Quaternary volcanic rocks, mineral deposits, high-temperature convective ground-water systems, hydraulic gradients, and erosion. Brief summaries of each major region of exposed crystalline rock, and national maps of relevant data provided the means for applying the guidelines and for recommending regions for further study. It is concluded that there is a reasonable likelihood that geologically suitable repository sites exist in each of the major regions of crystalline rocks. The recommendation is made that further studies first be conducted of the Lake Superior, Northern Appalachian and Adirondack, and the Southern Appalachian Regions. It is believed that those regions could be explored more effectively and suitable sites probably could be found, characterized, verified, and licensed more readily there than in the other regions

  6. Addressing the nation's physician workforce needs: The Society of General Internal Medicine (SGIM) recommendations on graduate medical education reform.

    Science.gov (United States)

    Jackson, Angela; Baron, Robert B; Jaeger, Jeffrey; Liebow, Mark; Plews-Ogan, Margaret; Schwartz, Mark D

    2014-11-01

    The Graduate Medical Education (GME) system in the United States (US) has garnered worldwide respect, graduating over 25,000 new physicians from over 8,000 residency and fellowship programs annually. GME is the portal of entry to medical practice and licensure in the US, and the pathway through which resident physicians develop the competence to practice independently and further develop their career plans. The number and specialty distribution of available GME positions shapes the overall composition of our national workforce; however, GME is failing to provide appropriate programs that support the delivery of our society's system of healthcare. This paper, prepared by the Health Policy Education Subcommittee of the Society of General Internal Medicine (SGIM) and unanimously endorsed by SGIM's Council, outlines a set of recommendations on how to reform the GME system to best prepare a physician workforce that can provide high quality, high value, population-based, and patient-centered health care, aligned with the dynamic needs of our nation's healthcare delivery system. These recommendations include: accurate workforce needs assessment, broadened GME funding sources, increased transparency of the use of GME dollars, and implementation of incentives to increase the accountability of GME-funded programs for the preparation and specialty selection of their program graduates.

  7. National survey of crystalline rocks and recommendations of regions to be explored for high-level radioactive waste repository sites

    Energy Technology Data Exchange (ETDEWEB)

    Smedes, H.W.

    1983-04-01

    A reconnaissance of the geological literature on large regions of exposed crystalline rocks in the United States provides the basis for evaluating if any of those regions warrant further exploration toward identifying potential sites for development of a high-level radioactive waste repository. The reconnaissance does not serve as a detailed evaluation of regions or of any smaller subunits within the regions. Site performance criteria were selected and applied insofar as a national data base exists, and guidelines were adopted that relate the data to those criteria. The criteria include consideration of size, vertical movements, faulting, earthquakes, seismically induced ground motion, Quaternary volcanic rocks, mineral deposits, high-temperature convective ground-water systems, hydraulic gradients, and erosion. Brief summaries of each major region of exposed crystalline rock, and national maps of relevant data provided the means for applying the guidelines and for recommending regions for further study. It is concluded that there is a reasonable likelihood that geologically suitable repository sites exist in each of the major regions of crystalline rocks. The recommendation is made that further studies first be conducted of the Lake Superior, Northern Appalachian and Adirondack, and the Southern Appalachian Regions. It is believed that those regions could be explored more effectively and suitable sites probably could be found, characterized, verified, and licensed more readily there than in the other regions.

  8. New radiation quantities recommended by ICRU for practical use in radiological protection: their implementation in the United Kingdom

    International Nuclear Information System (INIS)

    1986-06-01

    This report considers the practical application of both the ICRU Report No. 39 and the ICRP Statement of 1985 and recommends the implementation of the ICRU operational quantities in the United Kingdom but, at this stage, the increase in the Q values for neutrons is not recommended. No other changes in Q are expected for some years. (author)

  9. Recommended methods for range-wide monitoring of prairie dogs in the United States

    Science.gov (United States)

    McDonald, Lyman L.; Stanley, Thomas R.; Otis, David L.; Biggins, Dean E.; Stevens, Patricia D.; Koprowski, John L.; Ballard, Warren

    2011-01-01

    One of the greatest challenges for conserving grassland, prairie scrub, and shrub-steppe ecosystems is maintaining prairie dog populations across the landscape. Of the four species of prairie dogs found in the United States, the Utah prairie dog (Cynomys parvidens) is listed under the Endangered Species Act (ESA) as threatened, the Gunnison's prairie dog (C. gunnisoni) is a candidate for listing in a portion of its range, and the black-tailed prairie dog (C. ludovicianus) and white-tailed prairie dog (C. leucurus) have each been petitioned for listing at least once in recent history. Although the U.S. Fish and Wildlife Service (USFWS) determined listing is not warranted for either the black-tailed prairie dog or white-tailed prairie dog, the petitions and associated reviews demonstrated the need for the States to monitor and manage for self-sustaining populations. In response to these findings, a multi-State conservation effort was initiated for the nonlisted species which included the following proposed actions: (1) completing an assessment of each prairie dog species in each State, (2) developing a range-wide monitoring protocol for each species using a statistically valid sampling procedure that would allow comparable analyses across States, and (3) monitoring prairie dog status every 3-5 years depending upon the species. To date, each State has completed an assessment and currently is monitoring prairie dog status; however, for some species, the inconsistency in survey methodology has made it difficult to compare data year-to-year or State-to-State. At the Prairie Dog Conservation Team meeting held in November 2008, there was discussion regarding the use of different methods to survey prairie dogs. A recommendation from this meeting was to convene a panel in a workshop-type forum and have the panel review the different methods being used and provide recommendations for range-wide monitoring protocols for each species of prairie dog. Consequently, the Western

  10. The United Nations disarmament yearbook. V. 29: 2004

    International Nuclear Information System (INIS)

    2005-09-01

    The United Nations Disarmament book is designed to be a concise reference work. As a good amount of background information is condensed, it may be helpful to consult previous editions. Factual information, presented where possible in tabular form, is provided in the appendices. Web sites of United Nations departments and specialized agencies, intergovernmental organizations, research institutes and non-governmental organizations appear as footnotes. The Department for Disarmament Affairs draws your attention to its web site at http://disarmament.un.org where up-to-date information on disarmament issues may be obtained throughout the year

  11. Report from UNSCEAR to the United Nations General Assembly

    International Nuclear Information System (INIS)

    2001-01-01

    Over the past few years, the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) has undertaken a broad review of the sources and effects of ionizing radiation. The result of this work has presented for the general reader in the 2000 Report to the General Assembly. This report with the supporting scientific annexes, which are aimed at the general scientific community, was published as 'Sources and Effects of Ionizing Radiation, United Nations Scientific Committee on the Effects of Atomic Radiation 2000 report to the General Assembly, with scientific annexes'

  12. Canadian National Guidelines and Recommendations for Integrating Career Advising Into Medical School Curricula.

    Science.gov (United States)

    Howse, Kelly; Harris, June; Dalgarno, Nancy

    2017-11-01

    Career planning, decision making about specialty choice, and preparation for residency matching are significant sources of stress for medical students. Attempts have been made to structure and formalize career advising by including it in accreditation standards. There is an expressed need for national guidelines on career advising for medical students. The Future of Medical Education in Canada Postgraduate (FMEC PG) Implementation Project was created to ensure Canadian medical trainees receive the best education possible. From this, a diverse sub-working group (SWG), representing different Canadian regions, was formed to review career advising processes across the country. The SWG developed, through a modified formal consensus methodology, a strategy for medical student career advising that is adaptable to all schools in alignment with existing accreditation standards. The SWG outlined five guiding principles and five essential elements for Canadian universities offering an MD degree with recommendations on how to integrate the elements into each school's career advising system. The five essential elements are a structured approach to career advising, information about available career options, elective guidance, preparation for residency applications, and social accountability. This Perspective endorses the view of the FMEC PG Implementation Project that national guidelines are important to ensure Canadian medical schools are consistently meeting accreditation standards by providing reliable and quality career advising to all medical students. The SWG's position, based on national and provincial feedback, is that these guidelines will stimulate discourse and action regarding the requirements and processes to carry out these recommendations nationwide and share across borders.

  13. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.

    Science.gov (United States)

    Koch, Sven H; Weir, Charlene; Haar, Maral; Staggers, Nancy; Agutter, Jim; Görges, Matthias; Westenskow, Dwayne

    2012-01-01

    Fatal errors can occur in intensive care units (ICUs). Researchers claim that information integration at the bedside may improve nurses' situation awareness (SA) of patients and decrease errors. However, it is unclear which information should be integrated and in what form. Our research uses the theory of SA to analyze the type of tasks, and their associated information gaps. We aimed to provide recommendations for integrated, consolidated information displays to improve nurses' SA. Systematic observations methods were used to follow 19 ICU nurses for 38 hours in 3 clinical practice settings. Storyboard methods and concept mapping helped to categorize the observed tasks, the associated information needs, and the information gaps of the most frequent tasks by SA level. Consensus and discussion of the research team was used to propose recommendations to improve information displays at the bedside based on information deficits. Nurses performed 46 different tasks at a rate of 23.4 tasks per hour. The information needed to perform the most common tasks was often inaccessible, difficult to see at a distance or located on multiple monitoring devices. Current devices at the ICU bedside do not adequately support a nurse's information-gathering activities. Medication management was the most frequent category of tasks. Information gaps were present at all levels of SA and across most of the tasks. Using a theoretical model to understand information gaps can aid in designing functional requirements. Integrated information that enhances nurses' Situation Awareness may decrease errors and improve patient safety in the future.

  14. Origins of a national seismic system in the United States

    Science.gov (United States)

    Filson, John R.; Arabasz, Walter J.

    2016-01-01

    This historical review traces the origins of the current national seismic system in the United States, a cooperative effort that unifies national, regional, and local‐scale seismic monitoring within the structure of the Advanced National Seismic System (ANSS). The review covers (1) the history and technological evolution of U.S. seismic networks leading up to the 1990s, (2) factors that made the 1960s and 1970s a watershed period for national attention to seismology, earthquake hazards, and seismic monitoring, (3) genesis of the vision of a national seismic system during 1980–1983, (4) obstacles and breakthroughs during 1984–1989, (5) consensus building and convergence during 1990–1992, and finally (6) the two‐step realization of a national system during 1993–2000. Particular importance is placed on developments during the period between 1980 and 1993 that culminated in the adoption of a charter for the Council of the National Seismic System (CNSS)—the foundation for the later ANSS. Central to this story is how many individuals worked together toward a common goal of a more rational and sustainable approach to national earthquake monitoring in the United States. The review ends with the emergence of ANSS during 1999 and 2000 and its statutory authorization by Congress in November 2000.

  15. Evidence-based recommendations for bowel cleansing before colonoscopy in children: a report from a national working group.

    Science.gov (United States)

    Turner, D; Levine, A; Weiss, B; Hirsh, A; Shamir, R; Shaoul, R; Berkowitz, D; Bujanover, Y; Cohen, S; Eshach-Adiv, O; Jamal, Gera; Kori, M; Lerner, A; On, A; Rachman, L; Rosenbach, Y; Shamaly, H; Shteyer, E; Silbermintz, A; Yerushalmi, B

    2010-12-01

    There are no current recommendations for bowel cleansing before colonoscopy in children. The Israeli Society of Pediatric Gastroenterology and Nutrition (ISPGAN) established an iterative working group to formulate evidence-based guidelines for bowel cleansing in children prior to colonoscopy. Data were collected by systematic review of the literature and via a national-based survey of all endoscopy units in Israel. Based on the strength of evidence, the Committee reached consensus on six recommended protocols in children. Guidelines were finalized after an open audit of ISPGAN members. Data on 900 colonoscopies per year were accrued, which represents all annual pediatric colonoscopies performed in Israel. Based on the literature review, the national survey, and the open audit, several age-stratified pediatric cleansing protocols were proposed: two PEG-ELS protocols (polyethylene-glycol with electrolyte solution); Picolax-based protocol (sodium picosulphate with magnesium citrate); sodium phosphate protocol (only in children over the age of 12 years who are at low risk for renal damage); stimulant laxative-based protocol (e. g. bisacodyl); and a PEG 3350-based protocol. A population-based analysis estimated that the acute toxicity rate of oral sodium phosphate is at most 3/7320 colonoscopies (0.041 %). Recommendations on diet and enema use are provided in relation to each proposed protocol. There is no ideal bowel cleansing regimen and, thus, various protocols are in use. We propose several evidence-based protocols to optimize bowel cleansing in children prior to colonoscopy and minimize adverse events. © Georg Thieme Verlag KG Stuttgart · New York.

  16. State of security at US colleges and universities: a national stakeholder assessment and recommendations.

    Science.gov (United States)

    Greenberg, Sheldon F

    2007-09-01

    In 2004 the US Department of Justice, Office of Community Oriented Policing Services, sponsored a National Summit on Campus Public Safety. The summit brought together various stakeholders including campus police and security officials, local police chiefs, college and university faculty and administrators, federal officials, students and parents, and community leaders to address the issues and complexities of campus safety. Delegates to the summit identified key issues in campus safety and security, which included establishing a national center on campus safety, balancing traditional open environments with the need to secure vulnerable sites, improving coordination with state and local police, reducing internal fragmentation, elevating professionalism, and increasing eligibility of campus police and security agencies to compete for federal law enforcement funds. Focus on "active shooters" on campus, resulting from the Virginia Tech incident, should not diminish attention placed on the broader, more prevalent safety and security issues facing the nation's educational campuses. Recommendations resulting from the summit called for establishing a national agenda on campus safety, formation of a national center on campus public safety, and increased opportunity for campus police and security agencies to compete for federal and state funds.

  17. A national agenda for public health informatics: summarized recommendations from the 2001 AMIA Spring Congress.

    Science.gov (United States)

    Yasnoff, W A; Overhage, J M; Humphreys, B L; LaVenture, M

    2001-01-01

    The AMIA 2001 Spring Congress brought together members of the the public health and informatics communities to develop a national agenda for public health informatics. Discussions of funding and governance; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; and training and workforce resulted in 74 recommendations with two key themes-that all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research; and that informatics training is needed throughout the public health workforce. Implementation of this consensus agenda will help promote progress in the application of information technology to improve public health.

  18. The Texts of the Agency's Agreements with the United Nations

    International Nuclear Information System (INIS)

    1963-01-01

    The text of the Special Agreement extending the jurisdiction of the Administrative Tribunal of the United Nations International Atomic Energy Agency regarding the applications of officials of this organization alleging non-observance of the Regulations of the Pension Fund UN staff, comes into force October 18, 1963, is reproduced in this document for the information of all Members of the Agency [fr

  19. The Texts of the Agency's Agreements with the United Nations

    International Nuclear Information System (INIS)

    1963-01-01

    The text of the Special Agreement extending the jurisdiction of the Administrative Tribunal of the United Nations International Atomic Energy Agency regarding the applications of officials of this organization alleging non-observance of the Regulations of the Pension Fund UN staff, comes into force October 18, 1963, is reproduced in this document for the information of all Members of the Agency

  20. The Texts of the Agency's Agreements with the United Nations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1963-12-02

    The text of the Special Agreement extending the jurisdiction of the Administrative Tribunal of the United Nations International Atomic Energy Agency regarding the applications of officials of this organization alleging non-observance of the Regulations of the Pension Fund UN staff, comes into force October 18, 1963, is reproduced in this document for the information of all Members of the Agency.

  1. Is the Human Development Index (HDI) of the United Nations ...

    African Journals Online (AJOL)

    Is the Human Development Index (HDI) of the United Nations Development Programme (UNDP) a relevant indicator? Jean Claude Saha. Abstract. No Abstract. African Journal of Economic Policy Vol. 12(1) 2005: 1-27. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  2. Processing United Nations Documents in the University of Michigan Library.

    Science.gov (United States)

    Stolper, Gertrude

    This guide provides detailed instructions for recording documents in the United Nations (UN) card catalog which provides access to the UN depository collection in the Harlan Hatcher Graduate Library at the University of Michigan. Procedures for handling documents when they are received include stamping, counting, and sorting into five categories:…

  3. The 2011 United Nations High-Level Meeting on Non ...

    African Journals Online (AJOL)

    The 2011 United Nations High-Level Meeting on Non- Communicable Diseases: The Africa agenda calls for a 5-by-5 approach. ... The Political Declaration issued at the meeting focused the attention of world leaders and the global health community on the prevention and control of noncommunicable diseases (NCDs).

  4. National Agricultural Library | United States Department of Agriculture

    Science.gov (United States)

    Skip to main content Home National Agricultural Library United States Department of Agriculture Ag Terms of Service Frequently Asked Questions Policies and Documentation Ag Data Commons Monthly Metrics News Contact Us Search  Log inRegister Home Home About Policies and Documentation Ag Data Commons

  5. The challenges of preventive diplomacy: The United Nations' post ...

    African Journals Online (AJOL)

    In Africa, however, where international borders are porous and state organs are sometimes not in .... the media, and information dissemination form part of the options available to the United .... National boundaries are blurred by ..... and arrangements for the free flow of information, including the monitoring of regional arms ...

  6. Model United Nations and Deep Learning: Theoretical and Professional Learning

    Science.gov (United States)

    Engel, Susan; Pallas, Josh; Lambert, Sarah

    2017-01-01

    This article demonstrates that the purposeful subject design, incorporating a Model United Nations (MUN), facilitated deep learning and professional skills attainment in the field of International Relations. Deep learning was promoted in subject design by linking learning objectives to Anderson and Krathwohl's (2001) four levels of knowledge or…

  7. [Assessment of the sonographer's knowledge on the second trimester ultrasound recommendations of the National Technical Committee of Ultrasound].

    Science.gov (United States)

    Matar, M; Picone, O; Dalmon, C; Ayoubi, J-M

    2013-09-01

    To evaluate the sonographers' knowledge of the National Technical Committee of Ultrasound's recommendations concerning second trimester ultrasound. Anonymous questionnaire was sent by e-mails containing 25 questions about demographic elements, the practice of second trimester ultrasound and the recommendations of the National Technical Committee of Ultrasound about second trimester ultrasound. Six hundred and eighty-four responses were obtained. Six hundred and fifty-three upon 684 (95%) of respondents practice second trimester ultrasound and 635 upon 653 (97%) know about the existence of the report of the National Technical Committee of Ultrasound. The rates of correct answers concerning recommended biometrical images vary between 97% for the biparietal diameter and head circumference, 98% for abdominal circumference and 100% for the femur length. While for morphological images, rates vary between 52% and 100%. A subgroup analysis (whether the respondents have already read the recommendations or not) showed that those who had read the recommendations have significantly better results than those who did not. Those who have already read the recommendations have better knowledge and global knowledge can be improved. National recommendations serve to promote a policy of quality assurance of ultrasound and may be used in medicolegal issues. The societies that make recommendations should more diffuse their work and practitioners should make effort to pursue the continuing medical education and to implement the recommendations. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  8. Denmark's National Inventory Reports. Submitted under the United Nations framework convention on climate change

    International Nuclear Information System (INIS)

    Boll Illerup, J.; Lyck, E.; Winther, M.; Rasmussen, E.

    2000-01-01

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2000. The report contains information on Denmark's inventories for all years from 1990 to 1998 for CO 2 , CH 4 , N 2 O, NO x , CO, NMVOC, SO 2 , HFCs, PFCs and SF. (au)

  9. Toward a national policy for managing low-level radioactive waste: key issues and recommendations

    International Nuclear Information System (INIS)

    Duerksen, C.J.; Mantell, M.; Thompson, G.P.

    1981-06-01

    The Conservation Foundation, a not-for-profit research and public education organization, asked individuals with diverse backgrounds and viewpoints to come together under Foundation leadership as a Dialogue Group on Low-Level Radioactive Waste Management. The group, including persons who represent waste generators, concerned citizens, state regulators, and environmentalists, met over an 18-month period to discuss issues crucial to the development of a national policy on low-level wastes. The Dialogue Group agreed that three principles, if accepted broadly, would form the basis of a sound national policy for managing low-level radioactive wastes: with proper implementation, technology exists to manage low-level waste safely; generators and their customers should pay disposal costs; and greater public involvement at all stages can improve the disposal system. These principles acted as polestars for the group as it worked toward a series of policy recommendations in four main areas: (1) cleaning up closed commercial sites; (2) remodeling a system for defining and classifying low-level radioactive waste; (3) siting new low-level waste disposal facilities; and (4) decommissioning, long-term care, and liability. This report presents an extensive discussion of these recommendations covering qualifications, limitations, and alternatives

  10. Recommended reactor coolant water chemistry requirements for WWER-1000 units with 235U higher enriched fuel

    International Nuclear Information System (INIS)

    Dobrevski, I.; Zaharieva, N.

    2011-01-01

    well as recommended reactor coolant water chemistry requirements for WWER-1000 Units with 235 U higher enriched fuel are presented

  11. The implementation of research recommendations at the Walter Sisulu National Botanical Garden

    Directory of Open Access Journals (Sweden)

    Martie Mearns

    2009-09-01

    of the ideals of environmental conservation after their visit to the garden. Secondly, the study determined the spatial preferences of visitors to the garden which was thirdly correlated to the time that they spent at each area. A number of recommendations were made and a comparative study followed twelve years after the initial study in which the implementation of the resultant findings was determined through observation and a comparison of information pamphlets and garden layout maps. It was found that large-scale changes took place in line with the recommendations made after the initial study. These included the demolition of unsuccessful theme gardens and their replacement by topical theme gardens such as water-wise gardens and a garden that attracts butterflies and birds. The educational function of the Walter Sisulu National Botanical Garden was greatly improved by adding more information plaques throughout the garden, a new interpretative centre and many additional information pamphlets that had been absent during the initial study. Major structural changes were made, such as the building of an amphitheatre which reduced the negative impact of noise and disturbance surrounding the nests of the Verreaux’s eagles that breed successfully in the garden. The changes undertaken at the garden show innovative improvements in line with the con servation principles outlined by the South African National Biodiversity Institute (SANBI. The evidence of the implementation of research recommendations from the initial study could play a direct role in improving the visitor experience, which would facilitate the economic viability of the Walter Sisulu National Botanical Garden in its endeavours to reach its conservation goals. Further research is suggested to continuously determine the areas of preference of visitors in the evolving landscape of the garden to ensure renewed interest of visitors to the garden. If botanical gardens want to succeed in their goal to increase

  12. [Storing succinylcholine in prehospital settings following the recommendations of the French National Agency for the safety of medicines].

    Science.gov (United States)

    Lefort, H; Mendibil, A; Margerin, S; Cuquel, A-C; Jost, D; Tazarourte, K; Domanski, L; Tourtier, J-P

    2014-06-01

    The French National Pharmaceuticals Agency (ANSM) has recommanded in July 2012 not to break the cold chain before using succinylcholine (Celocurine®). to understand the pre-clinical evolution of the conservation modes of this curare. Descriptive study before (year 2011) and after (year 2012). Online survey to French Samu/Smur. SMUR location, conservation method at clinical base, in the mobile unit (UMH) and at the patient. Principal decision criteria: evolution of the conservation modes before and after the recommendation (qualitatives variables compared with a Fisher test). Out of 101 SAMU/SMUR, 62 answered. Conservation modes of succinylcholine vials were significantly different (Pactive on UMH went from 31 % to 3.4 % with isotherms bags with ice when a fridge was not available. The destruction of capsules at current temperature in a 24-hour period increased: 22 % before, 47 % after (P=0.04). After recommendations from ANSM, conservation modes and destruction of succinylcholine in a prehospital environment were significantly impacted. Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

  13. Statement to the 54th session of the United Nations General Assembly. United Nations, New York, 4 November 1999

    International Nuclear Information System (INIS)

    ElBaradei, M.

    1999-01-01

    In his Statement to the 54th Session of the United Nations General Assembly (New York, 4 November 1999), the Director General of the IAEA presented some of the major Agency's achievements in fulfilling its mandate as described in the Annual Report of the IAEA for 1998, and also some of the challenges and opportunities that lie ahead

  14. CAEP 2015 Academic Symposium: Current State and Recommendations to Achieve Adequate and Sustainable Funding for Emergency Medicine Academic Units.

    Science.gov (United States)

    Lang, Eddy S; Artz, Jennifer D; Wilkie, Ryan D; Stiell, Ian G; Topping, Claude; Belanger, François P; Afilalo, Marc; Renouf, Tia; Crocco, Anthony; Wyatt, Kelly; Christenson, Jim

    2016-05-01

    To describe the current state of academic emergency medicine (EM) funding in Canada and develop recommendations to grow and establish sustainable funding. A panel of eight leaders from different EM academic units was assembled. Using mixed methods (including a literature review, sharing of professional experiences, a survey of current EM academic heads, and data previously collected from an environmental scan), 10 recommendations were drafted and presented at an academic symposium. Attendee feedback was incorporated, and the second set of draft recommendations was further distributed to the Canadian Association Emergency Physicians (CAEP) Academic Section for additional comments before being finalized. Recommendations were developed around the funding challenges identified and solutions developed by academic EM university-based units across Canada. A strategic plan was seen as integral to achieving strong funding of an EM unit, especially when it aligned with departmental and institutional priorities. A business plan, although occasionally overlooked, was deemed an important component for planning and sustaining the academic mission. A number of recommendations surrounding philanthropy consisted of creating partnerships with existing foundations and engaging multiple stakeholders and communities. Synergy between academic and clinical EM departments was also viewed as an opportunity to ensure integration of common missions. Education and networking for current and future leaders were also viewed as invaluable to ensure that opportunities are optimized through strong leadership development and shared experiences to further the EM academic missions across the country. These recommendations were designed to improve the financial circumstances for many Canadian EM units. There is a considerable wealth of resources that can contribute to financial stability for an academic unit, and an annual networking meeting and continuing education on these issues will facilitate

  15. Large-Scale Pumping Test Recommendations for the 200-ZP-1 Operable Unit

    Energy Technology Data Exchange (ETDEWEB)

    Spane, Frank A.

    2010-09-08

    CH2M Hill Plateau Remediation Company (CHPRC) is currently assessing aquifer characterization needs to optimize pump-and-treat remedial strategies (e.g., extraction well pumping rates, pumping schedule/design) in the 200-ZP-1 operable unit (OU), and in particular for the immediate area of the 241 TX-TY Tank Farm. Specifically, CHPRC is focusing on hydrologic characterization opportunities that may be available for newly constructed and planned ZP-1 extraction wells. These new extraction wells will be used to further refine the 3-dimensional subsurface contaminant distribution within this area and will be used in concert with other existing pump-and-treat wells to remediate the existing carbon tetrachloride contaminant plume. Currently, 14 extraction wells are actively used in the Interim Record of Decision ZP-1 pump-and-treat system for the purpose of remediating the existing carbon tetrachloride contamination in groundwater within this general area. As many as 20 new extraction wells and 17 injection wells may be installed to support final pump-and-treat operations within the OU area. It should be noted that although the report specifically refers to the 200-ZP-1 OU, the large-scale test recommendations are also applicable to the adjacent 200-UP-1 OU area. This is because of the similar hydrogeologic conditions exhibited within these two adjoining OU locations.

  16. Association of provider recommendation and offer and influenza vaccination among adults aged ≥18 years - United States.

    Science.gov (United States)

    Lu, Peng-Jun; Srivastav, Anup; Amaya, Ashley; Dever, Jill A; Roycroft, Jessica; Kurtz, Marshica Stanley; O'Halloran, Alissa; Williams, Walter W

    2018-02-01

    Influenza vaccination has been recommended for all persons aged ≥6 months since 2010. Data from the 2016 National Internet Flu Survey were analyzed to assess provider vaccination recommendations and early influenza vaccination during the 2016-17 season among adults aged ≥18 years. Predictive marginals from a multivariable logistic regression model were used to identify factors independently associated with early vaccine uptake by provider vaccination recommendation status. Overall, 24.0% visited a provider who both recommended and offered influenza vaccination, 9.0% visited a provider who only recommended but did not offer, 25.1% visited a provider who neither recommended nor offered, and 41.9% did not visit a doctor from July 1 through date of interview. Adults who reported that a provider both recommended and offered vaccine had significantly higher vaccination coverage (66.6%) compared with those who reported that a provider only recommended but did not offer (48.4%), those who neither received recommendation nor offer (32.0%), and those who did not visit a doctor during the vaccination period (28.8%). Results of multivariable logistic regression indicated that having received a provider recommendation, with or without an offer for vaccination, was significantly associated with higher vaccination coverage after controlling for demographic and access-to-care factors. Provider recommendation was significantly associated with influenza vaccination. However, overall, 67.0% of adults did not visit a doctor during the vaccination period or did visit a doctor but did not receive a provider recommendation. Evidence-based strategies such as client reminder/recall, standing orders, provider reminders, or health systems interventions in combination should be undertaken to improve provider recommendation and influenza vaccination coverage. Other factors significantly associated with a higher level of influenza vaccination included age ≥50 years, being Hispanic

  17. Building Human Rights, Peace and Development within the United Nations

    Directory of Open Access Journals (Sweden)

    Christian Guillermet Fernández

    2015-01-01

    Full Text Available War and peace have perpetually alternated in history. Consequently, peace has always been seen as an endless project, even a dream, to be in brotherhood realized by everyone across the earth. Since the XVII century the elimination of war and armed conflict has been a political and humanitarian objective of all nations in the world. Both the League of Nations and the United Nations were conceived with the spirit of eliminating the risk of war through the promotion of peace, cooperation and solidarity among Nations. The Universal Declaration of Human Rights and the subsequent human rights instruments were drafted with a sincere aspiration of promoting the value of peace and human rights worldwide. International practice shows the close linkage between the disregard of human rights and the existence of war and armed conflict. It follows that the role of human rights in the prevention of war and armed conflict is very important. Since 2008 the Human Rights Council has been working on the ‘Promotion of the Right of Peoples to Peace.’ Pursuant resolutions 20/15 and 23/16 the Council decided firstly to establish, and secondly to extend the mandate of the Open-Ended Working Group (OEWG aimed at progressively negotiating a draft United Nations declaration on the right to peace. The OEGW welcomed in its second session (July 2014 the approach of the Chairperson-Rapporteur, which is basically based on the relationship between the right to life and human rights, peace and development.

  18. Concert | United Nations Orchestra at CERN | 19 September

    CERN Multimedia

    2014-01-01

    The United Nations Orchestra will give a concert on the occasion of CERN’s 60th anniversary.   Under the baton of conductor and artistic director Antoine Marguier, the Orchestra will have the pleasure to accompany the soloist Maestro Matteo Fedeli, who, under the patronage of the Permanent Mission of Italy to the United Nations, will perform on a Stradivarius violin. The programme for the concert comprises: Jacques Offenbach, Orpheus in the Underworld Overture Franz von Suppé, Poet and Peasant Overture Camille Saint-Saëns, Introduction & Rondo Capriccioso for solo violin and orchestra Georges Bizet, Carmen Suite No. 1 Franz Lehár, Gold and Silver Waltz Gioachino Rossini, William Tell Overture   Doors open at 6 p.m. The concert will take place in a marquee behind the Globe of Science and Innovation, CERN Book your ticket here.

  19. CERN’s new seat at the United Nations

    CERN Multimedia

    Antonella Del Rosso

    2013-01-01

    At the end of December, the General Assembly of the United Nations in New York granted CERN Observer status. As the only science organisation to acquire this prestigious status in the Assembly, CERN hopes to be able to raise awareness about the importance of fundamental science for society more effectively.   “Both CERN and the United Nations are committed to promoting science as a driving element for society. Both organisations promote dialogue between different cultures and can propose concrete models for peaceful cooperation towards objectives that benefit society as a whole,” says Maurizio Bona, CERN's officer in charge of relations with international organisations. Although the basic motivations are clear, obtaining the prestigious status from the UN was a long process that required negotiations and diplomatic work. Following some preliminary contacts with Switzerland starting in spring 2012, the resolution to grant observer status to CERN was jointly submitted...

  20. Croatian Society of Medical Biochemistry and Laboratory Medicine: national recommendations for venous blood sampling.

    Science.gov (United States)

    Nikolac, Nora; Supak-Smolcić, Vesna; Simundić, Ana-Maria; Celap, Ivana

    2013-01-01

    Phlebotomy is one of the most complex medical procedures in the diagnosis, management and treatment of patients in healthcare. Since laboratory test results are the basis for a large proportion (60-80%) of medical decisions, any error in the phlebotomy process could have serious consequences. In order to minimize the possibility of errors, phlebotomy procedures should be standardised, well-documented and written instructions should be available at every workstation. Croatia is one of the few European countries that have national guidelines for phlebotomy, besides the universally used CLSI (Clinical Laboratory Standards Institute) H3-A6 Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; approved Standard-Sixth Edition (CLSI, 2007) and WHO (World Health Organization) guidelines on drawing blood: best practices in phlebotomy (WHO, 2010). However, the growing body of evidence in importance of preanalytical phase management resulted in a need for evidence based revision and expansion of existing recommendations. The Croatian Society for Medical Biochemistry and Laboratory Medicine, Working Group for the Preanalytical Phase issued this recommendation. This document is based on the CLSI guideline H3-A6, with significant differences and additional information.

  1. Physical activity promotion in business and industry: evidence, context, and recommendations for a national plan.

    Science.gov (United States)

    Pronk, Nicolaas P

    2009-11-01

    The contemporary workplace setting is in need of interventions that effectively promote higher levels of occupational and habitual physical activity. It is the purpose of this paper to outline an evidence-based approach to promote physical activity in the business and industry sector in support of a National Physical Activity Plan. Comprehensive literature searches identified systematic reviews, comprehensive reviews, and consensus documents on the impact of physical activity interventions in the business and industry sector. A framework for action and priority recommendations for practice and research were generated. Comprehensive, multicomponent work-site programs that include physical activity components generate significant improvements in health, reduce absenteeism and sick leave, and can generate a positive financial return. Specific evidence-based physical activity interventions are presented. Recommendations for practice include implementing comprehensive, multicomponent programs that make physical activity interventions possible, simple, rewarding and relevant in the context of a social-ecological model. The business and industry sector has significant opportunities to improve physical activity among employees, their dependents, and the community at-large and to reap important benefits related to worker health and business performance.

  2. United States National Waste Terminal Storage argillaceous rock studies

    International Nuclear Information System (INIS)

    Brunton, G.D.

    1981-01-01

    The past and present argillaceous rock studies for the US National Waste Terminal Storage Program consist of: (1) evaluation of the geological characteristics of several widespread argillaceous formations in the United States; (2) laboratory studies of the physical and chemical properties of selected argillaceous rock samples; and (3) two full-scale in situ surface heater experiments that simulate the emplacement of heat-generating radioactive waste in argillaceous rock

  3. United States National Waste Terminal Storage argillaceous rock studies

    International Nuclear Information System (INIS)

    Brunton, G.D.

    1979-01-01

    The past and present argillaceous rock studies for the US National Waste Terminal Storage Program consist of: (1) evaluation of the geological characteristics of several widespread argillaceous formations in the United States; (2) laboratory studies of the physical and chemical properties of selected argillaceous rock samples; and (3) two full-scale in-situ surface heater experiments that simulate the emplacement of heat-generating radioactive waste in argillaceous rock

  4. The United Nations General Assembly and Disarmament 1987

    International Nuclear Information System (INIS)

    1988-01-01

    The report offers a summary of the proposals made and action taken on disarmament issues by the Assembly at its forty-second regular session. It is published in the framework of the World Disarmament Campaign, which was launched by a unanimous decision of the Assembly in 1982 to inform, to educate and to generate public understanding and support for the objectives of the United Nations in the field of disarmament

  5. United nations Supported principles for Responsible Management Education

    DEFF Research Database (Denmark)

    Godemann, Jasmin; Moon, Jeremy; Haertle, Jonas

    2014-01-01

    and various ecological system crises. The United Nations supported Principles for Responsible Management Education (PRME) initiative is an important catalyst for the transformation of management education and a global initiative to change and reform management education in order to meet the increasing......The expectation that management education institutions should be leading thought and action on issues related to corporate responsibility and sustainability has been reinforced in the light of their association with business leaders' failings, including corporate corruption, the financial crisis...

  6. Postdeployment reintegration experiences of female soldiers from national guard and reserve units in the United States.

    Science.gov (United States)

    Kelly, Patricia J; Berkel, LaVerne A; Nilsson, Johanna E

    2014-01-01

    Women are an integral part of Reserve and National Guard units and active duty armed forces of the United States. Deployment to conflict and war zones is a difficult experience for both soldiers and their families. On return from deployment, all soldiers face the challenge of reintegration into family life and society, but those from the National Guard and Reserve units face the additional challenge of reintegration in relative isolation from other soldiers. There is limited research about the reintegration experiences of women and the functioning of the families during reintegration following deployment. The goal was to document postdeployment family reintegration experiences of women in the National Guard. Semistructured interviews were conducted with 42 female members of Midwestern National Guard units. Directed content analysis was used to identify categories of experiences related to women's family reintegration. Five categories of postdeployment experience for female soldiers and their families were identified: Life Is More Complex, Loss of Military Role, Deployment Changes You, Reestablishing Partner Connections, and Being Mom Again. The categories reflected individual and family issues, and both need to be considered when soldiers and their families seek care. Additional research is needed to fully understand the specific impact of gender on women's reintegration.

  7. Waste Processing Cost Recovery at Los Alamos National Laboratory-Analysis and Recommendations

    International Nuclear Information System (INIS)

    Booth, St. R.

    2009-01-01

    Los Alamos National Laboratory is implementing full cost recovery for waste processing in fiscal year 2009 (FY2009), after a transition year in FY2008. Waste processing cost recovery has been implemented in various forms across the nuclear weapons complex and in corporate America. The fundamental reasoning of sending accurate price signals to waste generators is economically sound, and leads to waste minimization and reduced waste expense over time. However, Los Alamos faces significant implementation challenges because of its status as a government-owned, contractor-operated national scientific institution with a diverse suite of experimental and environmental cleanup activities, and the fact that this represents a fundamental change in how waste processing is viewed by the institution. This paper describes the issues involved during the transition to cost recovery and the ultimate selection of the business model. Of the six alternative cost recovery models evaluated, the business model chosen to be implemented in FY2009 is Recharge Plus Generators Pay Distributed Direct. Under this model, all generators who produce waste must pay a distributed direct share associated with their specific waste type to use a waste processing capability. This cost share is calculated using the distributed direct method on the fixed cost only, i.e., the fixed cost share is based on each program's forecast proportion of the total Los Alamos volume forecast of each waste type. (Fixed activities are those required to establish the waste processing capability, i.e., to make the process ready, permitted, certified, and prepared to handle the first unit of waste. Therefore, the fixed cost ends at the point just before waste begins to be processed. The activities to actually process the waste are considered variable.) The volume of waste actually sent for processing is charged a unit cost based solely on the variable cost of disposing of that waste. The total cost recovered each year is the

  8. Vascular access and infection prevention and control: a national survey of routine practices in Irish haemodialysis units.

    Science.gov (United States)

    McCann, Margaret; Clarke, Michael; Mellotte, George; Plant, Liam; Fitzpatrick, Fidelma

    2013-04-01

    National and international guidelines recommend the use of effective vascular access (VA) and infection prevention and control practices within the haemodialysis environment. Establishing an arterio-venous fistula (AVF) and preventing central venous catheter (CVC)-related infections are ongoing challenges for all dialysis settings. We surveyed VA and routine infection prevention and control practices in dialysis units, to provide national data on these practices in Ireland. A descriptive survey was emailed to nurse managers at all adult (n = 19) and children (n = 1) outpatient haemodialysis units in the Republic of Ireland. Data collected included AVF formation, CVC insertion and maintenance practices, VA use and surveillance of infection and screening protocols. Nineteen of the 20 units responded to the survey. The AVF prevalence was 49% for 1370 patients in 17 units who provided these data [mean prevalence per unit: 45.7% (SD 16.2)]; the CVC mean prevalence per unit was 52.5% (SD 16.0). Fourteen dialysis units experienced inadequate access to vascular surgical procedures either due to a lack of dedicated theatre time or hospital beds. Six units administered intravenous prophylactic antimicrobials prior to CVC insertion with only two units using a CVC insertion checklist at the time of catheter insertion. In general, dialysis units in Ireland show a strong adherence to national guidelines. Compared with the 12 countries participating in the Dialysis Outcomes Practice Patterns Study (DOPPS 4), in 2010, AVF prevalence in Irish dialysis units is the second lowest. Recommendations include establishing an AVF national prevalence target rate, discontinuing the administration of intravenous prophylactic antimicrobials prior to CVC insertion and promoting the use of CVC insertion checklists.

  9. Dietary habits and supplement use in relation to national pregnancy recommendations: data from the EuroPrevall birth cohort.

    Science.gov (United States)

    Oliver, E M; Grimshaw, K E C; Schoemaker, A A; Keil, T; McBride, D; Sprikkelman, A B; Ragnarsdottir, H S; Trendelenburg, V; Emmanouil, E; Reche, M; Fiocchi, A; Fiandor, A; Stanczyk-Przyluska, A; Wilczynski, J; Busacca, M; Sigurdardottir, S T; Dubakiene, R; Rudzeviciene, O; Vlaxos, G D; Beyer, K; Roberts, G

    2014-12-01

    Assessing maternal dietary habits across Europe during pregnancy in relation to their national pregnancy recommendations. A collaborative, multi-centre, birth cohort study in nine European countries was conducted as part of European Union funded EuroPrevall project. Standardised baseline questionnaire data included details of food intake, nutritional supplement use, exposure to cigarette smoke during pregnancy and socio-demographic data. Pregnancy recommendations were collected from all nine countries from the appropriate national organisations. The most commonly taken supplement in pregnancy was folic acid (55.6 % Lithuania-97.8 % Spain) and was favoured by older, well-educated mothers. Vitamin D supplementation across the cohort was very poor (0.3 % Spain-5.1 % Lithuania). There were significant differences in foods consumed in different countries during pregnancy e.g. only 2.7 % Dutch mothers avoided eating peanut, while 44.4 % of British mothers avoided it. Some countries have minimal pregnancy recommendations i.e. Lithuania, Poland and Spain while others have similar, very specific recommendations i.e. UK, the Netherlands, Iceland, Greece. Allergy specific recommendations were associated with food avoidance during pregnancy [relative rate (RR) 1.18 95 % CI 0.02-1.37]. Nutritional supplement recommendations were also associated with avoidance (RR 1.08, 1.00-1.16). Maternal dietary habits and the use of dietary supplements during pregnancy vary significantly across Europe and in some instances may be influenced by national recommendations.

  10. Newborn follow-up after discharge from the maternity unit: Compliance with national guidelines.

    Science.gov (United States)

    Roisné, J; Delattre, M; Rousseau, S; Bourlet, A; Charkaluk, M-L

    2018-02-01

    In the context of shorter hospital stays in maternity units, in 2014 the French health authorities issued guidelines for newborn follow-up after discharge from maternity units. A medical visit is recommended between the 6th and 10th day of life, as are home visits from midwives. This study was designed to evaluate compliance with these guidelines. The study was observational, prospective, multicenter, and was conducted in March and April 2015 in three maternity units in northern France that participate in the Baby Friendly Hospital Initiative (BFHI). Follow-up practices (medical visit between the 6th and 10th day, home visits from a midwife) and demographic, social, and medical data were recorded during the stay in the maternity unit, and through a phone interview 1 month later, in singleton term-born infants. The study population included 108 mother-infant pairs. The recommended medical visit was effectively performed by a physician between the 6th and 10th day of life for 20 newborns (19%) (95% CI: [11; 26]). During the 1st month, at least one home visit from a midwife was recorded for 96 mother-infant pairs (89%). The only factor positively correlated with a medical visit between the 6th and 10th day was the mother's choice, made early during the hospital stay and independently of the real length of stay, for early discharge from the maternity unit. Compliance with national guidelines was poor for the recommended medical visit between the 6th and 10th day of life. Information needs to be improved. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  11. Chapter 3. Coordination and collaboration with interface units. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

    NARCIS (Netherlands)

    Joynt, Gavin M.; Loo, Shi; Taylor, Bruce L.; Margalit, Gila; Christian, Michael D.; Sandrock, Christian; Danis, Marion; Leoniv, Yuval; Sprung, Charles L.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joyng, Gavin M.; Colvin, John; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances

    2010-01-01

    To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on enhancing coordination and collaboration between the ICU and other key stakeholders. Based on a literature

  12. The National Security Strategy Under the United Nations and International Law

    Science.gov (United States)

    2004-03-19

    a result of that war." This was addressed in 1951 by Hans Kelsen in a legal analysis of fundamental problems with the UN Charter. He concluded that...www.zmag.org/content/print_article.cfm>; Internet; accessed 31 January 2004. 36 Charter of the United Nations, Article 107. 37 Kearly, 27–28. 38 Hans Kelsen

  13. Arms control is everyone`s business: The United States and the United Nations at the mid-point of the 1990`s

    Energy Technology Data Exchange (ETDEWEB)

    Lehman, R.F. II

    1993-03-01

    This presentation encourages current efforts in arms control, non- proliferation, and peacekeeping. Verification is heralded as a confidence building method to bring about more openness in international relations. It is purported that openness has already enhanced democratic forces around the world. The insistence on strict compliance with the decisions of the United Nations Security Council is a show of support for international law. It is recommended that international norms on human rights, non-proliferation, and non-aggression be strengthened.

  14. The role of the United Nations in the field of verification

    International Nuclear Information System (INIS)

    1991-01-01

    By resolution 43/81 B of 7 December 1988, the General Assembly requested the Secretary General to undertake, with the assistance of a group of qualified governmental experts, an in-depth study of the role of the United Nations in the field of verification. In August 1990, the Secretary-General transmitted to the General Assembly the unanimously approved report of the experts. The report is structured in six chapters and contains a bibliographic appendix on technical aspects of verification. The Introduction provides a brief historical background on the development of the question of verification in the United Nations context, culminating with the adoption by the General Assembly of resolution 43/81 B, which requested the study. Chapters II and III address the definition and functions of verification and the various approaches, methods, procedures and techniques used in the process of verification. Chapters IV and V examine the existing activities of the United Nations in the field of verification, possibilities for improvements in those activities as well as possible additional activities, while addressing the organizational, technical, legal, operational and financial implications of each of the possibilities discussed. Chapter VI presents the conclusions and recommendations of the Group

  15. Ethiopia before the United Nations Treaty Monitoring Bodies

    Directory of Open Access Journals (Sweden)

    Eva Brems

    2007-08-01

    Full Text Available Among the many human rights conventions adopted by the UN, seven are known — together with their additional protocols — as the core international human rights instruments: - The International Convention on the Elimination of All Forms of Racial Discrimination; - The International Covenant on Civil and Political Rights; - The International Covenant on Economic, Social and Cultural Rights; - The Convention on the Elimination of all Forms of Discrimination against Women; - The Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment; - The Convention on the Rights of the Child;  - The International Convention on the Protection of the Rights of all Migrant Workers and Members of their Families.  The main international control mechanism under these conventions is what may be considered the standard mechanism in international human rights protection: state reporting before an international committee. An initial report is due usually one year after joining the treaty and afterwards, reports are due periodically (every four or five years. The international committees examine the reports submitted by the state parties. In the course of this examination they include information from other sources, such as the press, other United Nations materials or NGO information. They also hold a meeting with representatives of the state submitting the report. At the end of this process the committee issues 'concluding observations' or 'concluding comments'. This paper focuses on the experience of one state — Ethiopia - with the seven core human rights treaties. This should allow the reader to gain insights both into the human rights situation in Ethiopia and in the functioning of the United Nations human rights protection system. Key Words: United Nations, Human Rights Conventions, State Reporting, Human Rights Situation in Ethiopia

  16. 75 FR 18882 - Certain Footwear: Recommendations For Modifying the Harmonized Tariff Schedule of the United States

    Science.gov (United States)

    2010-04-13

    ... Secretary of the Treasury for Tax, Trade, and Tariff Policy, Treasury asked that the Commission conduct an... Modifying the Harmonized Tariff Schedule of the United States AGENCY: United States International Trade... Harmonized Tariff Schedule of the United States, pursuant to section 1205 of the Omnibus Trade and...

  17. Assessing national nutrition security: The UK reliance on imports to meet population energy and nutrient recommendations.

    Science.gov (United States)

    Macdiarmid, Jennie I; Clark, Heather; Whybrow, Stephen; de Ruiter, Henri; McNeill, Geraldine

    2018-01-01

    Nutrition security describes the adequacy of the food supply to meet not only energy but also macronutrient and micronutrient requirements for the population. The aim of this study was to develop a method to assess trends in national nutrition security and the contribution of imports to nutrition security, using the UK as a case study. Food supply data from FAO food balance sheets and national food composition tables were used to estimate the nutrient content of domestically produced food, imported food and exported food. Nutrition security was defined as the total nutrient supply (domestic production, minus exports, plus imports) to meet population-level nutrient requirements. The results showed that the UK was nutrition secure over the period 1961-2011 for energy, macronutrients and key micronutrients, with the exception of total carbohydrates and fibre, which may be due to the loss of fibre incurred by processing cereals into refined products. The supply of protein exceeded population requirements and could be met with domestic production alone. Even excluding all meat there was sufficient protein for population requirements. The supply of total fat, saturated fat and sugar considerably exceeded the current dietary recommendation. As regards nutrition security in 2010, the UK was reliant on imported foods to meet energy, fibre, total carbohydrate, iron, zinc and vitamin A requirements. This analysis demonstrates the importance of including nutrients other than energy to determine the adequacy of the food supply. The methodology also provides an alternative perspective on food security and self-sufficiency by assessing the dependency on imports to meet population level nutritional requirements.

  18. Consistency and sources of divergence in recommendations on screening with questionnaires for presently experienced health problems or symptoms: a comparison of recommendations from the Canadian Task Force on Preventive Health Care, UK National Screening Committee, and US Preventive Services Task Force.

    Science.gov (United States)

    Thombs, Brett D; Saadat, Nazanin; Riehm, Kira E; Karter, Justin Michael; Vaswani, Akansha; Andrews, Bonnie K; Simons, Peter; Cosgrove, Lisa

    2017-08-09

    Recently, health screening recommendations have gone beyond screening for early-stage, asymptomatic disease to include "screening" for presently experienced health problems and symptoms using self-report questionnaires. We examined recommendations from three major national guideline organizations to determine the consistency of recommendations, identify sources of divergent recommendations, and determine if guideline organizations have identified any direct randomized controlled trial (RCT) evidence for the effectiveness of questionnaire-based screening. We reviewed recommendation statements listed by the Canadian Task Force on Preventive Health Care (CTFPHC), the United Kingdom National Screening Committee (UKNSC), and the United States Preventive Services Task Force (USPSTF) as of 5 September 2016. Eligible recommendations focused on using self-report questionnaires to identify patients with presently experienced health problems or symptoms. Within each recommendation and accompanying evidence review we identified screening RCTs. We identified 22 separate recommendations on questionnaire-based screening, including three CTFPHC recommendations against screening, eight UKNSC recommendations against screening, four USPSTF recommendations in favor of screening (alcohol misuse, adolescent depression, adult depression, intimate partner violence), and seven USPSTF recommendations that did not recommend for or against screening. In the four cases where the USPSTF recommended screening, either the CTFPHC, the UKNSC, or both recommended against. When recommendations diverged, the USPSTF expressed confidence in benefits based on indirect evidence, evaluated potential harms as minimal, and did not consider cost or resource use. CTFPHC and UKNSC recommendations against screening, on the other hand, focused on the lack of direct evidence of benefit and raised concerns about harms to patients and resource use. Of six RCTs that directly evaluated screening interventions, five

  19. The United Nations disarmament yearbook. V. 23: 1998

    International Nuclear Information System (INIS)

    1999-01-01

    The United Nations Disarmament book is a designed to be a concise reference work. As background information is greatly condensed, reader may wish to consult the previous editions. Factual information in tabular form is provided in the appendices with the status of multilateral and regional disarmament agreements. The present volume, 23 years after the first one was published, represents some of the best times and some of the worst times for disarmament. Up to date information on disarmament is also available through the internet home page of the Department of Disarmament Affairs:www.un.org/depts/dda/DDAHome.htm

  20. [Evaluating the impact of the United Nations funding act].

    Science.gov (United States)

    1987-01-01

    Representatives of the principal donors supporting population assistance in India are concerned about the impact of the cuts in funds given by the US to the United Nations Fund for Population Activities (UNFPA). The suppression of US aid to the UNFPA will definitely affect the largest programs, including those in South Asia. India is the country receiving the most assistance from the UNFPA. The UNFPA contributed 63 million dollars for the current 5 year plan which began in April 1985. US spokesmen stated that UNFPA funding was cut off because of that organization's support for coercive family planning programs in China.

  1. Geothermal exploitation activity by the United Nations in Ethiopia

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, H. (Geological Survey of Japan)

    1971-01-01

    The Rift Valley in Ethiopia was investigated for geothermal exploitation by the United Nations because it has Quaternary volcanoes which often indicate possible geothermal power generation. Preparations for the project are still being made, and the chemical analysis of hot springs is being conducted. The Rift Valley has high temperature springs and potential mineral deposits. The Danakil basin in Ethiopia which is included in the Northern Afar, has several active volcanoes made up of basalt deposits and has active hot springs. The East Africa Rift Valley, the Red Sea Rift Valley, and the Afar area are also areas suitable for investigation. Seven maps are included.

  2. Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations

    Science.gov (United States)

    Sommers, Juultje; Engelbert, Raoul HH; Dettling-Ihnenfeldt, Daniela; Gosselink, Rik; Spronk, Peter E; Nollet, Frans; van der Schaaf, Marike

    2015-01-01

    Objective: To develop evidence-based recommendations for effective and safe diagnostic assessment and intervention strategies for the physiotherapy treatment of patients in intensive care units. Methods: We used the EBRO method, as recommended by the ‘Dutch Evidence Based Guideline Development Platform’ to develop an ‘evidence statement for physiotherapy in the intensive care unit’. This method consists of the identification of clinically relevant questions, followed by a systematic literature search, and summary of the evidence with final recommendations being moderated by feedback from experts. Results: Three relevant clinical domains were identified by experts: criteria to initiate treatment; measures to assess patients; evidence for effectiveness of treatments. In a systematic literature search, 129 relevant studies were identified and assessed for methodological quality and classified according to the level of evidence. The final evidence statement consisted of recommendations on eight absolute and four relative contra-indications to mobilization; a core set of nine specific instruments to assess impairments and activity restrictions; and six passive and four active effective interventions, with advice on (a) physiological measures to observe during treatment (with stopping criteria) and (b) what to record after the treatment. Conclusions: These recommendations form a protocol for treating people in an intensive care unit, based on best available evidence in mid-2014. PMID:25681407

  3. Recommendations for Cycle II of National Water-Quality Assessment (NAWQA) Program

    Science.gov (United States)

    ,; Mallard, Gail E.; Armbruster, Jeffrey T.; Broshears, Robert E.; Evenson, Eric J.; Luoma, Samuel N.; Phillips, Patrick J.; Prince, Keith R.

    1999-01-01

    The Planning Team for the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program defines a successful NAWQA Program as one that makes a balanced contribution to study-unit issues, national issues, and to the pursuit of scientific knowledge. Using this criterion, NAWQA has been a success. The program has provided important new knowledge and understanding of scientific processes, and insights into the occurrence and distribution of contaminants that have been key to local and national policy decisions. Most of the basic design characteristics of NAWQA's first decade (1991-2000), hereafter called cycle I) remain appropriate as the program enters its second decade (cycle II) in 2001. In cycle II, the program has the opportunity to build on its successful base and to evolve to take advantage of the knowledge generated in cycle I. In addition to this expected evolution, NAWQA must also make some changes to compensate for the fact that program funding has not kept pace with inflation. An important theme for the second cycle of NAWQA will be the integration of knowledge across scales and across disciplines. The question that drove the NAWQA design in the first cycle was "How is water quality related to land use?" Cycle II will build upon what was learned in cycle I and use land-use and water-quality gradients to identify and understand potential sources of various constituents and the processes affecting transport and fate of those constituents and their effects on receptors. The understanding we gain from applying this approach will be relevant to the interests of policymakers, regulatory agencies, and resource managers.

  4. Data Resource Profile: United Nations Children’s Fund (UNICEF)

    Science.gov (United States)

    Murray, Colleen; Newby, Holly

    2012-01-01

    The United Nations Children’s Fund (UNICEF) plays a leading role in the collection, compilation, analysis and dissemination of data to inform sound policies, legislation and programmes for promoting children’s rights and well-being, and for global monitoring of progress towards the Millennium Development Goals. UNICEF maintains a set of global databases representing nearly 200 countries and covering the areas of child mortality, child health, maternal health, nutrition, immunization, water and sanitation, HIV/AIDS, education and child protection. These databases consist of internationally comparable and statistically sound data, and are updated annually through a process that draws on a wealth of data provided by UNICEF’s wide network of >150 field offices. The databases are composed primarily of estimates from household surveys, with data from censuses, administrative records, vital registration systems and statistical models contributing to some key indicators as well. The data are assessed for quality based on a set of objective criteria to ensure that only the most reliable nationally representative information is included. For most indicators, data are available at the global, regional and national levels, plus sub-national disaggregation by sex, urban/rural residence and household wealth. The global databases are featured in UNICEF’s flagship publications, inter-agency reports, including the Secretary General’s Millennium Development Goals Report and Countdown to 2015, sector-specific reports and statistical country profiles. They are also publicly available on www.childinfo.org, together with trend data and equity analyses. PMID:23211414

  5. Data resource profile: United Nations Children's Fund (UNICEF).

    Science.gov (United States)

    Murray, Colleen; Newby, Holly

    2012-12-01

    The United Nations Children's Fund (UNICEF) plays a leading role in the collection, compilation, analysis and dissemination of data to inform sound policies, legislation and programmes for promoting children's rights and well-being, and for global monitoring of progress towards the Millennium Development Goals. UNICEF maintains a set of global databases representing nearly 200 countries and covering the areas of child mortality, child health, maternal health, nutrition, immunization, water and sanitation, HIV/AIDS, education and child protection. These databases consist of internationally comparable and statistically sound data, and are updated annually through a process that draws on a wealth of data provided by UNICEF's wide network of >150 field offices. The databases are composed primarily of estimates from household surveys, with data from censuses, administrative records, vital registration systems and statistical models contributing to some key indicators as well. The data are assessed for quality based on a set of objective criteria to ensure that only the most reliable nationally representative information is included. For most indicators, data are available at the global, regional and national levels, plus sub-national disaggregation by sex, urban/rural residence and household wealth. The global databases are featured in UNICEF's flagship publications, inter-agency reports, including the Secretary General's Millennium Development Goals Report and Countdown to 2015, sector-specific reports and statistical country profiles. They are also publicly available on www.childinfo.org, together with trend data and equity analyses.

  6. [Recommendations for the peri-operative management of bariatric surgery patients: results of a national survey].

    Science.gov (United States)

    Ortega, Joaquin; Cassinello, Norberto; Baltasar, Aniceto; Torres, Antonio J

    2012-01-01

    To standardise possible peri-operative bariatric surgery protocols, a survey was prepared to be filled in by members of the Spanish Society for Obesity (Sociedad Española de Cirugía de la Obesidad) (SECO), and to approve it at the XII National Congress. A total of 47 members of SECO from 14 autonomous communities responded, and it unanimously approved by the Congress. As highly recommended peri-operative procedures, were proposed: full laboratory analysis (98%) with an endocrine study (90%), ECG (96%), chest x-ray (98%), an oesophageal-gastric imaging test (endoscopy or gastro-duodenal transit study (98%), antibiotic prophylaxis (92%) and use of low molecular weight heparins pre-operatively (96%), and for 2 weeks (83%). Pre-surgical, abdominal ultrasound (86%), spirometry (80%), diet (88%) and psychological study (76%), and during surgery, use of elastic stockings (76%), leak tests (92%) and drainages (90%), were established as advisable procedures. Copyright © 2011 AEC. Published by Elsevier Espana. All rights reserved.

  7. Consistency of nutrition recommendations for foods marketed to children in the United States, 2009-2010.

    Science.gov (United States)

    Weatherspoon, Lorraine J; Quilliam, Elizabeth Taylor; Paek, Hye-Jin; Kim, Sookyong; Venkatesh, Sumathi; Plasencia, Julie; Lee, Mira; Rifon, Nora J

    2013-09-26

    Food marketing has emerged as an environmental factor that shapes children's dietary behaviors. "Advergames," or free online games designed to promote branded products, are an example of evolving food marketing tactics aimed at children. Our primary objective was to classify foods marketed to children (aged 2-11 y) in advergames as those meeting or not meeting nutrition recommendations of the US Department of Agriculture (USDA), Food & Drug Administration (FDA), Center for Science in the Public Interest (CSPI), and the Institute of Medicine (IOM). We document the consistency of classification of those foods across agency guidelines and offer policy recommendations. We used comScore Media Builder Metrix to identify 143 websites that marketed foods (n = 439) to children aged 2 to 11 years through advergames. Foods were classified on the basis of each of the 4 agency criteria. Food nutrient labels provided information on serving size, calories, micronutrients, and macronutrients. The websites advertised 254 meals, 101 snacks, and 84 beverages. Proportions of meals and snacks meeting USDA and FDA recommendations were similarly low, with the exception of saturated fat in meals and sodium content in snacks. Inconsistency in recommendations was evidenced by only a small proportion of meals and fewer snacks meeting the recommendations of all the agencies per their guidelines. Beverage recommendations were also inconsistent across the 3 agencies that provide recommendations (USDA, IOM, and CSPI). Most (65%-95%) beverages advertised in advergames did not meet some of these recommendations. Our findings indicate that a large number of foods with low nutritional value are being marketed to children via advergames. A standardized system of food marketing guidance is needed to better inform the public about healthfulness of foods advertised to children.

  8. Consistency of Nutrition Recommendations for Foods Marketed to Children in the United States, 2009–2010

    Science.gov (United States)

    Quilliam, Elizabeth Taylor; Paek, Hye-Jin; Kim, Sookyong; Venkatesh, Sumathi; Plasencia, Julie; Lee, Mira; Rifon, Nora J.

    2013-01-01

    Introduction Food marketing has emerged as an environmental factor that shapes children’s dietary behaviors. “Advergames,” or free online games designed to promote branded products, are an example of evolving food marketing tactics aimed at children. Our primary objective was to classify foods marketed to children (aged 2–11 y) in advergames as those meeting or not meeting nutrition recommendations of the US Department of Agriculture (USDA), Food & Drug Administration (FDA), Center for Science in the Public Interest (CSPI), and the Institute of Medicine (IOM). We document the consistency of classification of those foods across agency guidelines and offer policy recommendations. Methods We used comScore Media Builder Metrix to identify 143 websites that marketed foods (n = 439) to children aged 2 to 11 years through advergames. Foods were classified on the basis of each of the 4 agency criteria. Food nutrient labels provided information on serving size, calories, micronutrients, and macronutrients. Results The websites advertised 254 meals, 101 snacks, and 84 beverages. Proportions of meals and snacks meeting USDA and FDA recommendations were similarly low, with the exception of saturated fat in meals and sodium content in snacks. Inconsistency in recommendations was evidenced by only a small proportion of meals and fewer snacks meeting the recommendations of all the agencies per their guidelines. Beverage recommendations were also inconsistent across the 3 agencies that provide recommendations (USDA, IOM, and CSPI). Most (65%–95%) beverages advertised in advergames did not meet some of these recommendations. Conclusion Our findings indicate that a large number of foods with low nutritional value are being marketed to children via advergames. A standardized system of food marketing guidance is needed to better inform the public about healthfulness of foods advertised to children. PMID:24070037

  9. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2018.

    Science.gov (United States)

    Kim, David K; Riley, Laura E; Hunter, Paul

    2018-02-09

    In October 2017, the Advisory Committee on Immunization Practices (ACIP) voted to approve the Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2018. The 2018 adult immunization schedule summarizes ACIP recommendations in two figures and a table of contraindications and precautions for vaccines recommended for adults, and is intended is to assist health care providers in implementing the current ACIP recommendations for vaccinating adults. The schedule can be found at https://www.cdc.gov/vaccines/schedules.* The full ACIP recommendations for each vaccine are available at https://www.cdc.gov/vaccines/hcp/acip-recs/index.html. The 2018 adult immunization schedule has also been approved by the American College of Physicians (https://www.acponline.org), the American Academy of Family Physicians (https://www.aafp.org), the American College of Obstetricians and Gynecologists (https://www.acog.org), and the American College of Nurse-Midwives (http://www.midwife.org). The ACIP-recommended use of each vaccine is developed after an in-depth review of vaccine-related data, including data on disease epidemiology, vaccine efficacy and effectiveness, vaccine safety, feasibility of program implementation, and economic aspects of immunization policy (1).

  10. The National Legal Framework of the United States

    International Nuclear Information System (INIS)

    Crosland, Martha S.

    2017-01-01

    Ms Crosland presented the United States legal framework regarding public participation. Under the Administrative Procedure Act, the primary way of conducting public participation is through 'notice and comment rulemaking'. A proposed rule is published in the Federal Register and is open to comment by the general public; the final publication of the rule includes the answers to the comments received. The various agencies in the United States make use of several digital tools to expand effective public participation and manage the process. The Atomic Energy Act established an adjudicatory process including 'trial-type' hearings, providing participation opportunities to any individual or group whose interests may be affected by a Nuclear Regulatory Commission licensing action. The National Environmental Policy Act requires several levels of review for all actions with potentially significant environmental impacts. An environmental assessment (EA) is conducted, to determine whether there is no significant impact or if a more detailed environmental impact statement (EIS) is needed. The EA requires notification of the host state and/or tribe, and the agency in charge has discretion as to the level of public involvement. The EIS requires public notification, a period for public comments on the draft EIS, and at least one public hearing. Ms Crosland presented stakeholder involvement initiatives carried out beyond the legal requirements, such as Citizen Advisory Boards at certain Department of Energy nuclear sites or the National Transportation Stakeholders Forum

  11. Antimicrobial Resistance Risks of Cholera Prophylaxis for United Nations Peacekeepers.

    Science.gov (United States)

    Kunkel, Amber; Lewnard, Joseph A; Pitzer, Virginia E; Cohen, Ted

    2017-08-01

    More than 5 years after a United Nations peacekeeping battalion introduced cholera to Haiti, over 150,000 peacekeepers continue to be deployed annually from countries where cholera is endemic. The United Nations has thus far declined to provide antimicrobial chemoprophylaxis to peacekeepers, a policy based largely on concerns that the risks of drug resistance generation and spread would outweigh the potential benefits of preventing future cholera importations. In this study, we sought to better understand the relative benefits and risks of cholera chemoprophylaxis for peacekeepers in terms of antibiotic resistance. Using a stochastic model to quantify the potential impact of chemoprophylaxis on importation and transmission of drug-resistant and drug-sensitive Vibrio cholerae , we found that chemoprophylaxis would decrease the probability of cholera importation but would increase the expected number of drug-resistant infections if an importation event were to occur. Despite this potential increase, we found that at least 10 drug-sensitive infections would likely be averted per excess drug-resistant infection under a wide range of assumptions about the underlying prevalence of drug resistance and risk of acquired resistance. Given these findings, policymakers should reconsider whether the potential resistance risks of providing antimicrobial chemoprophylaxis to peacekeepers are sufficient to outweigh the anticipated benefits. Copyright © 2017 American Society for Microbiology.

  12. The United Nations disarmament yearbook. V. 25: 2000

    International Nuclear Information System (INIS)

    2001-01-01

    The 2000 edition of The United Nations Disarmament Yearbook provides a descriptive narrative of events at the United Nations in the field of disarmament during the year of the historic Millennium Assembly. Though The Yearbook is now in its 25th edition, its more distant roots date back to the Armaments Year-Books issued by the League of Nations. Then, as now, nation-States and members of the concerned public have found it useful to have in one place a handy shelf reference documenting the triumphs and setbacks of the world community's efforts to reduce and eliminate the deadliest of weapons. The year 2000 marked a crucial juncture in the history of disarmament. During the Millennium Summit, 22 States responded to the Secretary-General's invitation to ratify six key legal instruments in the field of disarmament. Over the course of the year, 86 States chose to advance their security interests by ratifying or acceding to a wide range of disarmament treaties. The solemn 'ends' of disarmament also guided the deliberation of roughly 50 resolutions in the General Assembly as well as the work of many institutions throughout the United Nations disarmament machinery, including the Disarmament Commission, the Department for Disarmament Affairs and its three regional centres, the United Nations Institute for Disarmament Research, and the Secretary-General's Advisory Board on Disarmament Matters. Even the Conference on Disarmament, which has been deadlocked for so many years, has persisted in its efforts to forge a new consensus on a multilateral agenda for this difficult field. The Security Council also devoted attention to aspects of disarmament pertaining to peace-keeping and peace-building.With respect to the 'means' of disarmament, the world community reaffirmed its determination to implement agreed disarmament commitments and to work out arrangements in new areas. The States parties to the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) after four weeks of

  13. Multilateral Disarmament and the Special Session: Twelfth Conference on the United Nations of the Next Decade.

    Science.gov (United States)

    Stanley Foundation, Muscatine, IA.

    The report discusses issues relating to multilateral disarmament in the context of the Special Session of the United Nations General Assembly to be convened in 1978. Intended as a forum for the exchange of ideas of government leaders from the United States and other nations about the international peace-keeping role of the United Nations, the…

  14. Environmental components of OCS policy committee recommendations regarding national oil spill prevention and response program

    International Nuclear Information System (INIS)

    Groat, C.G.; Thorman, J.

    1991-01-01

    The Exxon Valdez oil spill of March 24, 1989 resulted in thousands of pages of analytical reports assessing the environmental, organizational, legal, procedural, social, economic, and political aspects of the event. Even though the accident was a transportation incident, it had a major impact on the public and political perception of offshore oil operations. This caused the OCS Policy Committee, which advises the Secretary of the Interior and the Minerals Management Service on Outer Continental Shelf resource development and environmental matters, to undertake a review of the reports for the purpose of developing recommendations to the secretary for improvements in OCS operations that would insure maximum efforts to prevent spills and optimal ability to deal with any that occur. The Committee felt strongly that 'a credible national spill prevention and response program from both OCS and non-OCS oil spills in the marine environment is needed to create the political climate for a viable OCS program.' The report of the Committee described eight essential elements of this program; four of these focused on the environmental aspects of oil spills, calling for (1) adequate characterization of the marine and coastal environment, including both information and analysis, accessible to decision makers, (2) the capacity to restore economic and environmental resources as quickly as possible if damage occurs, (3) a mechanism for research on oil spill impacts, and (4) a meaningful role for all interested and responsible parties, including the public, in as many of these activities as possible, from spill prevention and contingency planning to environmental oversight of ongoing operations and participation in clean-up and restoration activities

  15. Dietary Habits and Supplement Use in Relation to National Pregnancy Recommendations: Data from the EuroPrevall Birth Cohort

    NARCIS (Netherlands)

    Oliver, E. M.; Grimshaw, K. E. C.; Schoemaker, A. A.; Keil, T.; McBride, D.; Sprikkelman, A. B.; Ragnarsdottir, H. S.; Trendelenburg, V.; Emmanouil, E.; Reche, M.; Fiocchi, A.; Fiandor, A.; Stanczyk-Przyluska, A.; Wilczynski, J.; Busacca, M.; Sigurdardottir, S. T.; Dubakiene, R.; Rudzeviciene, O.; Vlaxos, G. D.; Beyer, K.; Roberts, G.

    2014-01-01

    Assessing maternal dietary habits across Europe during pregnancy in relation to their national pregnancy recommendations. A collaborative, multi-centre, birth cohort study in nine European countries was conducted as part of European Union funded EuroPrevall project. Standardised baseline

  16. Investing in Youth: A Compilation of Recommended Policies and Practices. National Conference (New Orleans, Louisiana, December 9-11, 1992).

    Science.gov (United States)

    National Governors' Association, Washington, DC.

    These proceedings include 13 "perspectives from the field" and 9 selected papers (with abstracts) from a national conference on recommended policies and practices for investing in youth. The 13 perspectives papers are as follows: "Saving the Next Generation" (Berlin); "Effective Strategies for Investing in Youth"…

  17. The United Nations Basic Space Science Initiative (UNBSSI): A Historical Introduction

    Science.gov (United States)

    Haubold, H. J.

    2006-11-01

    Pursuant to recommendations of the Third United Nations Conference on the Exploration and Peaceful Uses of Outer Space (UNISPACE III) and deliberations of the United Nations Committee on the Peaceful Uses of Outer Space (UNCOPUOS), annual UN/European Space Agency workshops on basic space science have been held around the world since 1991. These workshops contributed to the development of astrophysics and space science, particularly in developing nations. Following a process of prioritization, the workshops identified the following elements as particularly important for international cooperation in the field: (i) operation of astronomical telescope facilities implementing TRIPOD, (ii) virtual observatories, (iii) astrophysical data systems, (iv) con-current design capabilities for the development of international space missions, and (v) theoretical astrophysics such as applications of non-extensive statistical mechanics. Beginning in 2005, the workshops are focusing on preparations for the International Heliophysical Year 2007 (IHY2007). The workshops continue to facilitate the establishment of astronomical telescope facilities as pursued by Japan and the development of low-cost, ground-based, world- wide instrument arrays as led by the IHY secretariat. Wamsteker, W., Albrecht, R. and Haubold, H.J.: Developing Basic Space Science World-Wide: A Decade of UN/ESA Workshops: Kluwer Academic Publishers, Dordrecht 2004. http://ihy2007.org http://www.unoosa.org/oosa/en/SAP/bss/ihy2007/index.html http://www.cbpf.br/GrupPesq/StatisticalPhys/biblio.htm

  18. National Round Table on the Environment and the Economy : Greening of the budget submission : Budget recommendations 2003

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    The mandate of the National Round Table on the Environment and the Economy is to act as a catalyst to identify, explain and promote principles and practices of sustainable development in all sectors of Canadian society. This annual set of recommendations outlining ways in which the Federal Government can better integrate economic, social, and environmental considerations into its annual budget is the result of multi-stakeholder processes involving industry, Aboriginals, environmental interest groups and others. The focus of this year's recommendations is in ensuring a more fully balanced budget that achieves an equilibrium between economic, environmental, and societal objectives. The 34 recommendations included in the report touched upon the following areas: sustainable urban communities; brownfield redevelopment; sustainability opportunities for Northern Aboriginal communities; environment and human health; conserving Canada's natural heritage; and building Canada's knowledge base and sustainable development capacity. A summary of recommended measures was provided in appendix A. tabs.

  19. National Round Table on the Environment and the Economy : Greening of the budget submission : Budget recommendations 2003

    International Nuclear Information System (INIS)

    2003-01-01

    The mandate of the National Round Table on the Environment and the Economy is to act as a catalyst to identify, explain and promote principles and practices of sustainable development in all sectors of Canadian society. This annual set of recommendations outlining ways in which the Federal Government can better integrate economic, social, and environmental considerations into its annual budget is the result of multi-stakeholder processes involving industry, Aboriginals, environmental interest groups and others. The focus of this year's recommendations is in ensuring a more fully balanced budget that achieves an equilibrium between economic, environmental, and societal objectives. The 34 recommendations included in the report touched upon the following areas: sustainable urban communities; brownfield redevelopment; sustainability opportunities for Northern Aboriginal communities; environment and human health; conserving Canada's natural heritage; and building Canada's knowledge base and sustainable development capacity. A summary of recommended measures was provided in appendix A. tabs

  20. 4. national communication to the United Nation framework convention on the climatic change

    International Nuclear Information System (INIS)

    2006-01-01

    France, as the other involved participants, has to periodically present its actions in favor of the climatic change fight. This fourth national communication follows a plan defined by the Conference of the Parties to the United Nation Framework Convention on the Climatic Change. This report follows the third national convention published on 2001. It presents in nine chapters the actions realized to reduce and stop the greenhouse effect gases emissions and limit the impacts on the environment and public health: an analytical abstract, the conditions specific to the country, the inventory, the policies and measures, the projections and global effects of the policies and measures, the evaluation of the vulnerability and the climatic changes consequences and the adapted measures, the financial resources and the technology transfer, the research programs, the education formation and awareness of the public. (A.L.B.)

  1. Long-term Mechanical Circulatory Support System reliability recommendation by the National Clinical Trial Initiative subcommittee.

    Science.gov (United States)

    Lee, James

    2009-01-01

    The Long-Term Mechanical Circulatory Support (MCS) System Reliability Recommendation was published in the American Society for Artificial Internal Organs (ASAIO) Journal and the Annals of Thoracic Surgery in 1998. At that time, it was stated that the document would be periodically reviewed to assess its timeliness and appropriateness within 5 years. Given the wealth of clinical experience in MCS systems, a new recommendation has been drafted by consensus of a group of representatives from the medical community, academia, industry, and government. The new recommendation describes a reliability test methodology and provides detailed reliability recommendations. In addition, the new recommendation provides additional information and clinical data in appendices that are intended to assist the reliability test engineer in the development of a reliability test that is expected to give improved predictions of clinical reliability compared with past test methods. The appendices are available for download at the ASAIO journal web site at www.asaiojournal.com.

  2. The United Nations disarmament yearbook. V. 22: 1997

    International Nuclear Information System (INIS)

    1998-01-01

    The United Nations Disarmament Yearbook contains a review of the main developments and negotiations in the field of disarmament and arms regulation each year. The Centre for Disarmament Affairs has endeavoured to make the publication as concise as possible without diminishing its usefulness as a reference work. Background information is greatly condensed; thus readers may wish to consult previous editions of The Yearbook. Factual information in tabular form is provided in the appendices. The status of multilateral and regional disarmament agreements is presented in appendix 1. With regard to resolutions on disarmament adopted by the General Assembly, texts are consolidated in appendix IV, information on sponsorship and voting is presented in appendix V and voting patterns are reproduced in appendix VI. Appendices II and Ill contain the texts of the Ottawa Convention on anti-personnel mines and the Inter-American Convention on trafficking in firearms, respectively

  3. The United Nations disarmament yearbook. V. 26: 2001

    International Nuclear Information System (INIS)

    2002-01-01

    The United Nations Disarmament Yearbook is designed to be a concise reference work. As a good amount of background information is condensed, it may be helpful to consult previous editions. Factual information, presented where possible in tabular form, is provided in the appendices, and website addresses of other UN departments and services, intergovernmental organizations, research institutes and non-governmental organizations appear as footnotes. The Department for Disarmament Affairs takes this opportunity to remind you that you can access current information on disarmament issues throughout the year by clicking onto the Department's home page on the Internet: www.un.org/Depts/dda. Among the many electronic resources, you will find updated on a daily basis, the status of multilateral treaties, containing the full texts of the treaties covered in appendix I of The Yearbook

  4. The indigenous space and marginalized peoples in the United Nations

    DEFF Research Database (Denmark)

    Dahl, Jens

    For more than 20 years, Jens Dahl has observed and now analyzed how a relatively independent space, the Indigenous Space, has been constructed within the confines of the United Nations. In the UN, indigenous peoples have achieved more than any other group of people, minorities included. The book...... traces this to the ability of indigenous peoples to create consensus among themselves; the establishment of an indigenous caucus; and the construction of a global indigenousness in a continuously developing process in which contentious relationships and symbols have been constructed, reformulated......, negotiated and re-negotiated internally and with the states. In this process 'indigenous peoples' developed as a category and an evolving concept. Dahl looks into the ability of different indigenous representatives to make an impact on the UN processes and use achievements for purposes at home. Combining...

  5. United Nations: preparing to examine energy and sustainable development

    Energy Technology Data Exchange (ETDEWEB)

    Radka, Mark [United Nations Environment Programme, Paris (France)

    2000-08-01

    This article examines the progress on sustainable development at the international level, and discusses the forthcoming meeting of the Commission for Sustainable Development (CSD-9) and the review of the progress of the Earth Summit in Rio in 1992. Details are given of the anticipated Third Assessment report of the Intergovernmental Panel on Climate Change which is expected to increase pressure to reduce emissions of greenhouses gases, the link between policies of sustainable development and renewable energy, the challenge of the growing demand for energy in the developing countries and the need to mitigate against environmental damage, and the setting up of the Sustainable Energy Advisory Facility (SEAF) by the United Nations Environment Programme to aid developing countries to participate in the CSD-9 process.

  6. United Nations: preparing to examine energy and sustainable development

    International Nuclear Information System (INIS)

    Radka, Mark

    2000-01-01

    This article examines the progress on sustainable development at the international level, and discusses the forthcoming meeting of the Commission for Sustainable Development (CSD-9) and the review of the progress of the Earth Summit in Rio in 1992. Details are given of the anticipated Third Assessment report of the Intergovernmental Panel on Climate Change which is expected to increase pressure to reduce emissions of greenhouses gases, the link between policies of sustainable development and renewable energy, the challenge of the growing demand for energy in the developing countries and the need to mitigate against environmental damage, and the setting up of the Sustainable Energy Advisory Facility (SEAF) by the United Nations Environment Programme to aid developing countries to participate in the CSD-9 process

  7. [Schools meals in French secondary state schools: compliance to national recommendations and schools catering patterns].

    Science.gov (United States)

    Bertin, M; Lafay, L; Calamassi-Tran, G; Volatier, J-L; Dubuisson, C

    2011-02-01

    Recent reports on the lack of nutritional quality of meals served in schools have led public authorities to draft, in 1999, recommendations for restoring a balanced food supply. Following the survey carried out by the French food safety Agency in 2005-2006, which highlighted gaps in the implementation of these recommendations, a law passed in July 2010 plans to make these recommendations mandatory, as their 2007 revised version. Thus, the objective of this study was to assess initial school compliance with regard to this last revised version of the recommendations and to identify school patterns through their catering management and implication in a dietary project. Seven hundred and seven secondary state schools were questioned (570 were administrated by the Ministry of Education and 137 by the Ministry of Agriculture) on their catering practices. Twenty consecutive menus from each school were also analyzed with a specific coding system to establish its nutritional composition for comparison with the 2007 recommendations. On average, schools complied with half of the recommendations. Good compliance was observed with the 2007 recommendations concerning fried products, starchy foods, fruits, and dairy products whereas very few schools were in compliance with recommendations concerning fish, cheeses and sweetened desserts containing less than 15 % fat and more than 20 g of sugar per portion. Furthermore, compliance with recommendations was significantly better for lunch meals, and even better for agricultural establishments. A 5-component meal was also associated with greater compliance with the recommendations. In addition, four school patterns were identified based on catering management practices. The first two categories of establishments had knowledge of the recommendations but exhibited different levels of application. The last two types of establishments had no knowledge of the recommendations and differed in their catering management practices. Compliance

  8. Non-native plant invasions of United States National parks

    Science.gov (United States)

    Allen, J.A.; Brown, C.S.; Stohlgren, T.J.

    2009-01-01

    The United States National Park Service was created to protect and make accessible to the public the nation's most precious natural resources and cultural features for present and future generations. However, this heritage is threatened by the invasion of non-native plants, animals, and pathogens. To evaluate the scope of invasions, the USNPS has inventoried non-native plant species in the 216 parks that have significant natural resources, documenting the identity of non-native species. We investigated relationships among non-native plant species richness, the number of threatened and endangered plant species, native species richness, latitude, elevation, park area and park corridors and vectors. Parks with many threatened and endangered plants and high native plant species richness also had high non-native plant species richness. Non-native plant species richness was correlated with number of visitors and kilometers of backcountry trails and rivers. In addition, this work reveals patterns that can be further explored empirically to understand the underlying mechanisms. ?? Springer Science+Business Media B.V. 2008.

  9. Evaluating the completeness of the national ALS registry, United States.

    Science.gov (United States)

    Kaye, Wendy E; Wagner, Laurie; Wu, Ruoming; Mehta, Paul

    2018-02-01

    Our objective was to evaluate the completeness of the United States National ALS Registry (Registry). We compared persons with ALS who were passively identified by the Registry with those actively identified in the State and Metropolitan Area ALS Surveillance project. Cases in the two projects were matched using a combination of identifiers, including, partial social security number, name, date of birth, and sex. The distributions of cases from the two projects that matched/did not match were compared and Chi-square tests conducted to determine statistical significance. There were 5883 ALS cases identified by the surveillance project. Of these, 1116 died before the Registry started, leaving 4767 cases. We matched 2720 cases from the surveillance project to those in the Registry. The cases identified by the surveillance project that did not match cases in the Registry were more likely to be non-white, Hispanic, less than 65 years of age, and from western states. The methods used by the Registry to identify ALS cases, i.e. national administrative data and self-registration, worked well but missed cases. These findings suggest that developing strategies to identify and promote the Registry to those who were more likely to be missing, e.g. non-white and Hispanic, could be beneficial to improving the completeness of the Registry.

  10. The United Nations Convention on the Rights of the Child as policy and strategy for social work action in child welfare in the United States.

    Science.gov (United States)

    Scherrer, James L

    2012-01-01

    The United States and Somalia are the only two countries in the world that have not ratified the United Nations Convention on the Rights of the Child (CRC). Opposition in the United States stems from the CRC's demand for a cultural change in how a society cares for children and a political hesitancy to become involved in binding international agreements. An earlier analysis for understanding the CRC is reviewed and replaced with one that uses a policy analysis model. This new model provides a basis for uniform child welfare policy and strategy throughout the nation. Although NASW has been supportive, it has not actively studied the consequences of implementation of the CRC, nor has it incorporated the CRC into its policy statements as a fundamental tenet. This article recommends that the NASW use the CRC as a basis for all child welfare policy statements and reference the CRS in future articles on child welfare issues. It also urges social workers to become politically active on behalf of the CRC to achieve ratification. Finally, it recommends a national committee to not only coordinate efforts toward ratification, but also oversee implementation of the CRC once it is ratified.

  11. National Lexicography Units: Past, Present, Future Nasionale leksikografiese eenhede: Verlede, hede, toekoms

    Directory of Open Access Journals (Sweden)

    Mariëtta Alberts

    2012-01-01

    Full Text Available This article deals with the national dictionary offices of the previous bilingual dispensation, the eleven official national dictionary offices in the present multilingual dispensation, and the future prospects of these offices. It discusses the past dispensation in terms of the need and reasons for the establishment of national dictionary offices, i.e. national lexicography units (NLUs. Attention is given to the prescripts of the National Lexicography Units Bill (1996 for the establishment of NLUs, as well as the transfer of these units from the Department of Arts, Culture, Science and Technology to the Pan South African Language Board. The restructuring of dictionary units that existed prior to the multilingual dispensation is considered, together with the establishment of new dictionary units for the official African languages. The present situation is dealt with by describing the status quo at the NLUs in terms of housing, administration, funding, management, training, computerisation, cooperation, production and the like. The article concludes with some questions and reservations about the future of the NLUs, followed by a number of apposite recommendations.Hierdie artikel handel oor die nasionale woordeboekkantore tydens die voormalige tweetalige bedeling, die huidige meertalige bedeling waarin kantore vir die elf amptelike nasionale woordeboeke funksioneer, en die toekoms van hierdie kantore. Aspekte van die vorige bedeling word bespreek ten opsigte van die behoefte aan en redes vir die stigting van nasionale woordeboekkantore oftewel nasionale leksikografiese eenhede (NLEe. Die soeklig val op voorskrifte van die wetsontwerp oor nasionale leksikografiese eenhede (1996 vir die stigting van sodanige eenhede, sowel as op hul oordrag van die Departement van Kuns, Kultuur, Wetenskap en Tegnologie na die Pan-Suid-Afrikaanse Taalraad. Verder fokus die artikel op die herstrukturering van daardie woordeboekeenhede wat voor die meertalige bedeling

  12. FELASA recommendations for the health monitoring of mouse, rat, hamster, guinea pig and rabbit colonies in breeding and experimental units.

    Science.gov (United States)

    Mähler Convenor, M; Berard, M; Feinstein, R; Gallagher, A; Illgen-Wilcke, B; Pritchett-Corning, K; Raspa, M

    2014-07-01

    The microbiological quality of experimental animals can critically influence animal welfare and the validity and reproducibility of research data. It is therefore important for breeding and experimental facilities to establish a laboratory animal health monitoring (HM) programme as an integrated part of any quality assurance system. FELASA has published recommendations for the HM of rodent and rabbit colonies in breeding and experimental units (Nicklas et al. Laboratory Animals, 2002), with the intention of harmonizing HM programmes. As stated in the preamble, these recommendations need to be adapted periodically to meet current developments in laboratory animal medicine. Accordingly, previous recommendations have been revised and shall be replaced by the present recommendations. These recommendations are aimed at all breeders and users of laboratory mice, rats, Syrian hamsters, guinea pigs and rabbits as well as diagnostic laboratories. They describe essential aspects of HM, such as the choice of agents, selection of animals and tissues for testing, frequency of sampling, commonly used test methods, interpretation of results and HM reporting. Compared with previous recommendations, more emphasis is put on the role of a person with sufficient understanding of the principles of HM, opportunistic agents, the use of sentinel animals (particularly under conditions of cage-level containment) and the interpretation and reporting of HM results. Relevant agents, testing frequencies and literature references are updated. Supplementary information on specific agents and the number of animals to be monitored and an example of a HM programme description is provided in the appendices. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  13. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2018.

    Science.gov (United States)

    Robinson, Candice L; Romero, José R; Kempe, Allison; Pellegrini, Cynthia; Szilagyi, Peter

    2018-02-09

    In October 2017, the Advisory Committee on Immunization Practices (ACIP) approved the Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2018. The 2018 child and adolescent immunization schedule summarizes ACIP recommendations, including several changes from the 2017 immunization schedules, in three figures and footnotes to the figures. These documents can be found on the CDC immunization schedule website (https://www.cdc.gov/vaccines/schedules/index.html). These immunization schedules are approved by ACIP (https://www.cdc.gov/vaccines/acip/index.html), the American Academy of Pediatrics (https://www.aap.org), the American Academy of Family Physicians (https://www.aafp.org), and the American College of Obstetricians and Gynecologists (https://www.acog.org). Health care providers are advised to use the figures and the footnotes together. The full ACIP recommendations for each vaccine, including contraindications and precautions, can be found at https://www.cdc.gov/vaccines/hcp/acip-recs/index.html. Providers should be aware that changes in recommendations for specific vaccines can occur between annual updates to the childhood/adolescent immunization schedules. If errors or omissions are discovered within the child and adolescent schedule, CDC posts revised versions on the CDC immunization schedule website.

  14. Disparity between state fish consumption advisory systems for Methylmercury and US Environmental Protection Agency recommendations: a case study of the South Central United States

    Science.gov (United States)

    Adams, Kimberly; Drenner, Ray W.; Chumchal, Matthew M.; Donato, David I.

    2015-01-01

    Fish consumption advisories are used to inform citizens in the United States about noncommercial game fish with hazardous levels of methylmercury (MeHg). The US Environmental Protection Agency (USEPA) suggests issuing a fish consumption advisory when concentrations of MeHg in fish exceed a human health screening value of 300 ng/g. However, states have authority to develop their own systems for issuing fish consumption advisories for MeHg. Five states in the south central United States (Arkansas, Louisiana, Mississippi, Oklahoma, and Texas) issue advisories for the general human population when concentrations of MeHg exceed 700 ng/g to 1000 ng/g. The objective of the present study was to estimate the increase in fish consumption advisories that would occur if these states followed USEPA recommendations. The authors used the National Descriptive Model of Mercury in Fish to estimate the mercury concentrations in 5 size categories of largemouth bass–equivalent fish at 766 lentic and lotic sites within the 5 states. The authors found that states in this region have not issued site-specific fish consumption advisories for most of the water bodies that would have such advisories if USEPA recommendations were followed. One outcome of the present study may be to stimulate discussion between scientists and policy makers at the federal and state levels about appropriate screening values to protect the public from the health hazards of consuming MeHg-contaminated game fish.

  15. Perceived Barriers to Implementing Individual Choosing Wisely® Recommendations in Two National Surveys of Primary Care Providers.

    Science.gov (United States)

    Zikmund-Fisher, Brian J; Kullgren, Jeffrey T; Fagerlin, Angela; Klamerus, Mandi L; Bernstein, Steven J; Kerr, Eve A

    2017-02-01

    While some research has examined general attitudes about efforts to reduce overutilization of services, such as the Choosing Wisely ® (CW) initiative, little data exists regarding primary care providers' attitudes regarding individual recommendations. We sought to identify whether particular CW recommendations were perceived by primary care providers as difficult to follow, difficult for patients to accept, or both. Two national surveys, one by mail to a random sample of 2000 U.S. primary care physicians in November 2013, and the second electronically to a random sample of 2500 VA primary care providers (PCPs) in October-December 2014. A total of 603 U.S. primary care physicians and 1173 VA primary care providers. Response rates were 34 and 48 %, respectively. PCP ratings of whether 12 CW recommendations for screening, testing and treatments applicable to adult primary care were difficult to follow and difficult for patients to accept; and ratings of potential barriers to reducing overutilization. For four recommendations regarding not screening or testing in asymptomatic patients, less than 20 % of PCPs found the CW recommendations difficult to accept (range 7.2-16.6 %) or difficult for patients to follow (12.2-19.3 %). For five recommendations regarding testing or treatment for symptomatic conditions, however, there was both variation in reported difficulty to follow (9.8-32 %) and a high level of reported difficulty for patients to accept (35.7-87.1 %). The most frequently reported barriers to reducing overuse included malpractice concern, patient requests for services, lack of time for shared decision making, and the number of tests recommended by specialists. While PCPs found many CW recommendations easy to follow, they felt that some, especially those for symptomatic conditions, would be difficult for patients to accept. Overcoming PCPs' perceptions of patient acceptability will require approaches beyond routine physician education, feedback and

  16. Cyber for the Middleweight Fighter: Recommendations for Cyberspace Capabilities for the United States Marine Corps

    Science.gov (United States)

    2013-02-14

    L acts to “provided resources for national and joint kinetic attack requirements.”24 Additionally, the Marine Corps Force Structure Review Group...for unusual system activity and searching for signs of known malware, unlike what is depicted in movies such as Hackers, where opposing cyber...never admitted involvement but the attacks originated in Russia. The FBI code name for the inquiry was Moonlight Maze. 29. Jeffrey Carr, Inside Cyber

  17. Medical Managment of the Acute Radiation Syndrome: Recommendations of the Strategic National Stockpile Radiation Working Group

    National Research Council Canada - National Science Library

    Waselenka, Jamie K; MacVittie, Thomas J; Blakely, William F; Pesik, Nicki; Wiley, Albert L; Dickerson, William E; Tsu, Horace; Confer, Dennis L; Coleman, Norman; Seed, Thomas

    2004-01-01

    .... This consensus document was developed by the Strategic National Stockpile Radiation Working Group to provide a framework for physicians in internal medicine and the medical subspecialties to evaluate...

  18. United Kingdom national paediatric bilateral cochlear implant audit: preliminary results.

    Science.gov (United States)

    Cullington, Helen; Bele, Devyanee; Brinton, Julie; Lutman, Mark

    2013-11-01

    Prior to 2009, United Kingdom (UK) public funding was mainly only available for children to receive unilateral cochlear implants. In 2009, the National Institute for Health and Care Excellence published guidance for cochlear implantation following their review. According to these guidelines, all suitable children are eligible to have simultaneous bilateral cochlear implants or a sequential bilateral cochlear implant if they had received the first before the guidelines were published. Fifteen UK cochlear implant centres formed a consortium to carry out a multi-centre audit. The audit involves collecting data from simultaneously and sequentially implanted children at four intervals: before bilateral cochlear implants or before the sequential implant, 1, 2, and 3 years after bilateral implants. The measures include localization, speech recognition in quiet and background noise, speech production, listening, vocabulary, parental perception, quality of life, and surgical data including complications. The audit has now passed the 2-year point, and data have been received on 850 children. This article provides a first view of some data received up until March 2012.

  19. The joint industry development of a recommended practice for the site specific assessment of mobile jackup units

    International Nuclear Information System (INIS)

    Jones, D.E.; Bennett, W.T.; Hoyle, M.J.R.

    1993-01-01

    The mobile self-elevating (drilling) unit, or jack-up, has been central to the exploration and development of offshore oil and gas reserves. In recent years there has been an increased desire to benefit from the potential economics of using these units in longer term production roles either in association with a fixed platform or as a stand-alone facility. However, until recently there had been no concerted effort to develop a consistent and commonly accepted standard for general industry use in site specific assessment of jack-ups. This paper describes the background and work carried out to develop such a standard. The project is nearing completion and has resulted in the publication of a Guideline document. A Recommended Practice and associated Commentary are (at the time of writing) in the final stage of drafting for release to the project sponsors for trial and comment prior to issuing the first Edition early in 1994

  20. How Picture Books on the National Science Teacher's Association Recommend List Portray Scientists

    Science.gov (United States)

    Farland-Smith, Donna; Finson, Kevin D.; Arquette, Cecile M.

    2017-01-01

    This study utilized the Draw-A-Scientist Test Checklist (DAST-C) to assess the illustrations of scientists in the most recent three years of NSTA Recommends book lists. A total of 15,778 images were contained in the 148 books from those lists, of which 1,676 were of scientists. ANOVA procedures revealed no significant differences in stereotypical…

  1. Summary of Federal Aviation Administration Responses to National Transportation Safety Board Safety Recommendations.

    Science.gov (United States)

    1982-01-01

    agency shall respond to each such recommendation formally and in writing not later than 90 days after receipt thereof. The Act also requires that the...34 which provides an overview of the current IELT situation. The study was prompted by the large number of false ELT signals and failures to activate

  2. 76 FR 10598 - Office of the National Coordinator for Health Information Technology; Recommendations Received...

    Science.gov (United States)

    2011-02-25

    ... Information Technology to publish in the Federal Register and post on the internet all policy recommendations... for Health Information Technology (ONC), Department of Health and Human Services (HHS). ACTION: Notice. SUMMARY: Section 3002(e) of the Public Health Service Act, as amended by the Health Information Technology...

  3. Permissible dose from external sources of ionizing radiation. Recommendations of the National Committee on Radiation Protection. Handbook 59

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1954-09-24

    The Advisory Committee on X-ray and Radium Protection was formed in 1929 upon the recommendation of the International Commission on Radiological Protection, under the sponsorship of the National Bureau of Standards, and with the cooperation of the leading radiological organizations. The small committee functioned effectively until the advent of atomic energy, which introduced a large number of new and serious problems in the field of radiation protection. The present report deals primarily with the protection of persons occupationally exposed to ionizing radiation from external sources. An attempt has been made to cover most of the situations encountered in practice. However, it has not always been possible to make recommendations in quantitative terms. In such cases the recommendations are intended to serve as practical guides. The recommendations are based on presently available information and cannot be regarded as permanent. For this reason and on general grounds it is strongly recommended that exposure to radiation be kept at the lowest practicable level in all cases.

  4. Permissible dose from external sources of ionizing radiation. Recommendations of the National Committee on Radiation Protection. Handbook 59

    International Nuclear Information System (INIS)

    1954-01-01

    The Advisory Committee on X-ray and Radium Protection was formed in 1929 upon the recommendation of the International Commission on Radiological Protection, under the sponsorship of the National Bureau of Standards, and with the cooperation of the leading radiological organizations. The small committee functioned effectively until the advent of atomic energy, which introduced a large number of new and serious problems in the field of radiation protection. The present report deals primarily with the protection of persons occupationally exposed to ionizing radiation from external sources. An attempt has been made to cover most of the situations encountered in practice. However, it has not always been possible to make recommendations in quantitative terms. In such cases the recommendations are intended to serve as practical guides. The recommendations are based on presently available information and cannot be regarded as permanent. For this reason and on general grounds it is strongly recommended that exposure to radiation be kept at the lowest practicable level in all cases

  5. What rheumatologists in the United States think of complementary and alternative medicine: results of a national survey

    Directory of Open Access Journals (Sweden)

    Curlin Farr A

    2010-01-01

    Full Text Available Abstract Background We aimed to describe prevailing attitudes and practices of rheumatologists in the United States toward complementary and alternative medicine (CAM treatments. We wanted to determine whether rheumatologists' perceptions of the efficacy of CAM therapies and their willingness to recommend them relate to their demographic characteristics, geographic location, or clinical practices. Methods A National Institutes of Health-sponsored cross-sectional survey of internists and rheumatologists was conducted regarding CAM for treatment of chronic back pain or joint pain. In this study we analyzed responses only from rheumatologists. Response items included participant characteristics and experience with 6 common CAM categories, as defined by the National Institutes of Health. Descriptive statistics were used to describe attitudes to CAM overall and to each CAM category. Composite responses were devised for respondents designating 4 or more of the 6 CAM therapies as "very" or "moderately" beneficial or "very likely" or "somewhat likely" to recommend. Results Of 600 rheumatologists who were sent the questionnaire, 345 responded (58%; 80 (23% were women. Body work had the highest perceived benefit, with 70% of respondents indicating benefit. Acupuncture was perceived as beneficial by 54%. Most were willing to recommend most forms of CAM. Women had significantly higher composite benefit and recommend responses than men. Rheumatologists not born in North America were more likely to perceive benefit of select CAM therapies. Conclusions In this national survey of rheumatologists practicing in the United States, we found widespread favorable opinion toward many, but not all, types of CAM. Further research is required to determine to what extent CAM can or should be integrated into the practice of rheumatology in the United States.

  6. Combating Terrorism. The 9/11 Commission Recommendations and the National Strategies

    National Research Council Canada - National Science Library

    Parachini, John

    2004-01-01

    .... The objective was to have people think like the Jihadists. In the second part of the exercise, participants assessed how the National Strategy for Combating Terrorism prepares the country to contend with possible next moves of the Jihadist movement...

  7. The RECALCAR Project. Healthcare in the Cardiology Units of the Spanish National Health System, 2011 to 2014.

    Science.gov (United States)

    Íñiguez Romo, Andrés; Bertomeu Martínez, Vicente; Rodríguez Padial, Luis; Anguita Sánchez, Manuel; Ruiz Mateas, Francisco; Hidalgo Urbano, Rafael; Bernal Sobrino, José Luis; Fernández Pérez, Cristina; Macaya de Miguel, Carlos; Elola Somoza, Francisco Javier

    2017-07-01

    The RECALCAR project (Spanish acronym for Resources and Quality in Cardiology Units) uses 2 data sources: a survey of cardiology units and an analysis of the Minimum Basic Data set of all hospital discharges of the Spanish National Health System. From 2011 to 2014, there was marked stability in all indicators of the availability, utilization, and productivity of cardiology units. There was significant variability between units and between the health services of the autonomous communities. There was poor implementation of process management (only 14% of the units) and scarce development of health care networks (17%). Structured cardiology units tended to have better results, in terms of both quality and efficiency. No significant differences were found between the different types of unit in the mean length of stay (5.5±1.1 days) or the ratio between successive and first consultations (2:1). The mean discharge rate was 5/1000 inhabitants/y and the mean rate of initial consultations was 16±4/1000 inhabitants/y. No duty or on-call cardiologist was available in 30% of cardiology units with 24 or more beds; of these, no critical care beds were available in 45%. Our findings support the recommendation to regionalize cardiology care and to promote the development of cardiology unit networks. Copyright © 2017 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  8. USGS Governmental Unit Boundaries Overlay Map Service from The National Map

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The USGS Governmental Unit Boundaries service from The National Map (TNM) represents major civil areas for the Nation, including States or Territories, counties (or...

  9. Current National Weather Service Watches, Warnings, or Advisories for the United States

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Weather Service (NWS) Storm Prediction Center uses RSS feeds to disseminate all watches, warnings and advisories for the United States that are...

  10. Indigenous Rights in the Making: The United Nations Declaration on the Rights of Indigenous Peoples

    OpenAIRE

    Gilbert, Jérémie

    2007-01-01

    This article examines to what extent the recently adopted United Nations Declarations on the Rights of Indigenous Peoples participate to the development of indigenous peoples' international human rights.

  11. Annual Report of the United Nations Joint Staff Pension Board. The Report Made In 1974

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1974-11-06

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1974 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Ninth Session (A/9609). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them.

  12. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1975

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1975-11-27

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1975 as Supplement No. 9 to the Official Records of the General Assembly: Thirtieth Session (A/10009). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them.

  13. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1972

    International Nuclear Information System (INIS)

    1972-01-01

    Pursuant to the requirement in Article 14 of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1972 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Seventh Session (A/8709). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them

  14. Annual Report of the United Nations Joint Staff Pension Board. The Report Made In 1974

    International Nuclear Information System (INIS)

    1974-01-01

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1974 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Ninth Session (A/9609). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them

  15. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1975

    International Nuclear Information System (INIS)

    1975-01-01

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1975 as Supplement No. 9 to the Official Records of the General Assembly: Thirtieth Session (A/10009). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them

  16. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1972

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-11-28

    Pursuant to the requirement in Article 14 of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1972 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Seventh Session (A/8709). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them.

  17. International recommendations

    International Nuclear Information System (INIS)

    Lindell, Bo

    1986-01-01

    Full text: This short presentation will indicate the general radiation protection background to protective measures against foodstuffs contaminated with radioactive substances. A number of international organizations are involved in various aspects of radiation protection, for example, the International Atomic Energy Agency (IAEA), the United Nations Food and Agriculture Organization (FAO), the United Nations Environment Programme (UNEP), and the World Health Organization (WHO). Two international organizations, however, provide the basic background. These are the International Commission on Radiological Protection (ICRP) and the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). UNSCEAR provides the scientific information on radiation levels and effects. It consists of 21 member countries, with truly international coverage. It issues reports to the UN General Assembly, including comprehensive scientific annexes. Its latest comprehensive report was issued in 1982, the next is expected to be published in 1988. That report will include an assessment of the radiological consequences of the Chernobyl accident. The ICRP is a non-governmental organization. It has issued recommendations on radiation protection since 1928. The postulated biological basis for radiation protection recommendations involves two types of biological effects. The so-called non-stochastic effects, mainly due to cell death, appear only when the radiation doses exceed a certain threshold value. These effects, therefore, can only appear after high accidental exposures. After the Chernobyl accident, they only affected about 200 individuals involved in fire extinction and rescue work at the damaged nuclear power plant. Stochastic effects, with some simplification, may be seen as the result of initial changes in the genetic code of some surviving cells. If these cells are germ cells, this may lead to hereditary harm. If they are somatic cells, the result could be cancer

  18. Towards a national trauma registry for the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Barka Ezedin

    2010-07-01

    Full Text Available Abstract Background Trauma is a major health problem in the United Arab Emirates (UAE as well as worldwide. Trauma registries provide large longitudinal databases for analysis and policy improvement. We aim in this paper to report on the development and evolution of a national trauma registry using a staged approach by developing a single-center registry, a two-center registry, and then a multi-center registry. The three registries were established by developing suitable data collection forms, databases, and interfaces to these databases. The first two registries collected data for a finite period of time and the third is underway. The steps taken to establish these registries depend on whether the registry is intended as a single-center or multi-center registry. Findings Several issues arose and were resolved during the development of these registries such as the relational design of the database, whether to use a standalone database management system or a web-based system, and the usability and security of the system. The inclusion of preventive medicine data elements is important in a trauma registry and the focus on road traffic collision data elements is essential in a country such as the UAE. The first two registries provided valuable data which has been analyzed and published. Conclusions The main factors leading to the successful establishment of a multi-center trauma registry are the development of a concise data entry form, development of a user-friendly secure web-based database system, the availability of a computer and Internet connection in each data collection center, funded data entry personnel well trained in extracting medical data from the medical record and entering it into the computer, and experienced personnel in trauma injuries and data analysis to continuously maintain and analyze the registry.

  19. 77 FR 31274 - Hazardous Materials: Harmonization With the United Nations Recommendations on the Transport of...

    Science.gov (United States)

    2012-05-25

    ... responsibilities related to packaging design variation, manufacturer notification, and recordkeeping requirements... related to packaging design variation and manufacturer notification recordkeeping requirements for certain... provide sufficient time for packaging manufacturers to review their current packaging design manufacturer...

  20. 76 FR 82163 - Hazardous Materials: Harmonization With the United Nations Recommendations on the Transport of...

    Science.gov (United States)

    2011-12-30

    ... cartridges to be transported as ORM-D-AIR by aircraft so that fuel cell technologies are not placed at a disadvantage compared to other technologies authorized to be transported by aircraft. PHMSA response. We deny... Association (FCHEA) Healthcare Distribution Management Association (HDMA) International Air Transport...

  1. 76 FR 3307 - Hazardous Materials: Harmonization With the United Nations Recommendations, International...

    Science.gov (United States)

    2011-01-19

    ... article or substance does not significantly hinder or prohibit fire fighting or emergency response efforts... international counterparts. E. Metal Hydride Storage Systems in Conveyances A metal hydride storage system is a single complete hydrogen storage system that includes a receptacle, metal hydride, a pressure relief...

  2. 75 FR 52069 - Hazardous Materials: Harmonization With the United Nations Recommendations, International...

    Science.gov (United States)

    2010-08-24

    ...) Association of Hazmat Shippers, Inc. (AHS; PHMSA-2009-0126- 0009); (7) U.S. Fuel Cell Council (USFCC; PHMSA... flammability criteria for Class 3, PG II, and toxicity criteria for Division 6.1, PG I, poisonous-by-inhalation... inhalation hazard of each crude oil batch they transport and switch to other placards and shipping papers...

  3. 78 FR 1101 - Hazardous Materials: Harmonization With the United Nations Recommendations on the Transport of...

    Science.gov (United States)

    2013-01-07

    ..., S.A. (Amadeus). Air Line Pilots Association International (ALPA). Airlines for America (A4A). Alaska Airlines (Alaska). American Coatings Association (ACA). American Veterinary Distributors Association (AVDA... Transportation of Hazardous Articles, Inc. (COSTHA). Dangerous Goods Advisory Council, Inc. (DGAC). Food...

  4. Volunteer Service and Service Learning: Opportunities, Partnerships, and United Nations Millennium Development Goals.

    Science.gov (United States)

    Dalmida, Safiya George; Amerson, Roxanne; Foster, Jennifer; McWhinney-Dehaney, Leila; Magowe, Mabel; Nicholas, Patrice K; Pehrson, Karen; Leffers, Jeanne

    2016-09-01

    This article explores approaches to service involvement and provides direction to nurse leaders and others who wish to begin or further develop global (local and international) service or service learning projects. We review types of service involvement, analyze service-related data from a recent survey of nearly 500 chapters of the Honor Society of Nursing, Sigma Theta Tau International (STTI), make recommendations to guide collaborative partnerships and to model engagement in global and local service and service learning. This article offers a literature review and describes results of a survey conducted by the STTI International Service Learning Task Force. Results describe the types of service currently conducted by STTI nursing members and chapters, including disaster response, service learning, and service-related responses relative to the Millennium Development Goals (MDGs). The needs of chapter members for information about international service are explored and recommendations for promoting global service and sustainability goals for STTI chapters are examined. Before engaging in service, volunteers should consider the types of service engagement, as well as the design of projects to include collaboration, bidirectionality, sustainability, equitable partnerships, and inclusion of the United Nations Sustainable Development Goals. STTI supports the learning, knowledge, and professional development of nurses worldwide. International service and collaboration are key to the advancement of the nursing profession. Culturally relevant approaches to international service and service learning are essential to our global organization, as it aims to impact the health status of people globally. © 2016 Sigma Theta Tau International.

  5. Healthcare waste management: a case study from the National Health Service in Cornwall, United Kingdom

    International Nuclear Information System (INIS)

    Tudor, T.L.; Noonan, C.L.; Jenkin, L.E.T.

    2005-01-01

    This paper looks at steps taken towards the development of a 10-year strategy for the management of healthcare waste from the National Health Service (NHS) in Cornwall, United Kingdom. The major issues and challenges that affect the management of waste by the NHS, including its organisational structure and collection infrastructure, are outlined. The waste flows of the main acute medical site are detailed, using waste audits of domestic and clinical bags, redundant equipment, bulky waste, and special waste. Some of the common barriers to change, such as staff habits and public perceptions, are also identified. Recommendations are made with respect to improvements in the overall organisational infrastructure and increased localised control. The recommendations also centre around the formation of strategic partnerships, within the site, between sites and at the broader level between the NHS and its surrounding community. An important challenge to be overcome is the need to progress from the concept of 'waste management', to one of sustainable decision making regarding resource use, including methods of waste minimisation at the source and recycling. Staff training and awareness underpin several of the short and medium/long term solutions suggested to reduce the waste at the source and recover value from that produced. These measures could potentially reduce disposal quantities by as much as 20-30% (wt.) and costs by around 25-35%

  6. Achievement of national clinical practice recommendations among those in the Puerto Rican population with diabetes mellitus.

    Science.gov (United States)

    Rodríguez-Vigil, Efraín; Rodríguez-Chacón, Migdalia; Trabanco, Cesar; Irizarry-Ramos, Jessica

    2014-12-01

    To analyze glycemic control among patients with diabetes mellitus (DM) in Puerto Rico (PR) using the 2011 American Diabetes Association (ADA) recommendations and glycemic goals as standards. We also explored other factors that are related to glycemic control. Glycemic data were obtained from 600 adults with DM from 5 different regions in PR. The patient's health insurance coverage, type of health care provider, type of diabetes treatment, gender, age, physical activity, weight, degree of hypertension and degree and type of dyslipidemia comorbidities (when one or both were applicable), and disease duration were variables of interest. Univariate and bivariate analyses were conducted to describe the population and determine the statistical differences in the glycemic control of the subjects. Fewer than half of the participants achieved the ADA-recommended levels for HbA1c (37.3%) and blood pressure (34%). However, relatively more participants met the goals for high-density lipoprotein cholesterol (51.7%), low-density lipoprotein cholesterol (59.9%), and triglycerides (61.5%). The percentage of participants reaching the HbA1c, blood pressure, and low-density lipoprotein cholesterol goals at the same time was 9.9%. Patients with private health insurance achieved better glycemic control than did patients in the public-managed healthcare system. Half of the population presented simultaneous hypertension, dyslipidemia, and DM comorbidities. Only 50% of the participants were physically active. In the sample population, glycemic control levels and blood pressure levels in adults with DM were far from the ADA-recommended standards. Physical activity levels, type of medical insurance, and type of DM medical treatment were the main modifiable factors associated with the goal of attaining glycemic control. Barriers that limit the achievement of this goal should be analyzed in more detail to improve the medical care for people with DM.

  7. Comparison of children’s food and beverage intakes with national recommendations in New York City child-care centres

    Science.gov (United States)

    Dixon, L Beth; Breck, Andrew; Khan, Laura Kettel

    2016-01-01

    Objective The present study compared foods and beverages provided to and consumed by children at child-care centres in New York City (NYC) with national nutrition recommendations. Design The study used survey, observational and centre record data collected from child-care centres. Food and beverage intakes from two days of observation and amounts of energy and nutrients were estimated using the US National Cancer Institute’s Automated Self-Administered 24 h Recall system. Setting Meal and snack time at 108 child-care centres in low-income communities in NYC. Subjects Children aged 3–4 years old in classrooms selected by the directors of the participating child-care centres. Results Foods and beverages provided to and consumed by children (n 630) met >50% of the Dietary Reference Intake (DRI) for most nutrients. Intakes of fibre and vitamins D and E were Foods and beverages provided >50% of the recommended average daily intake amounts for total grains, fruits and fruit juices, and dairy, but foods and vegetables. Intake of oils was below the allowance for energy levels, but foods and beverages with solid fats and added sugars exceeded the limits by 68%. Conclusions Providing more whole grains, vegetables and low-fat dairy and fewer foods with solid fats and added sugars may improve children’s diet quality when at child-care centres. Centre staff may need training, resources and strategies in order to meet the nutrition recommendations. PMID:27280552

  8. Recommendations on Model Fidelity for Wind Turbine Gearbox Simulations; NREL (National Renewable Energy Laboratory)

    Energy Technology Data Exchange (ETDEWEB)

    Keller, J.; Lacava, W.; Austin, J.; Nejad, A.; Halse, C.; Bastard, L.; Helsen, J.

    2015-02-01

    This work investigates the minimum level of fidelity required to accurately simulate wind turbine gearboxes using state-of-the-art design tools. Excessive model fidelity including drivetrain complexity, gearbox complexity, excitation sources, and imperfections, significantly increases computational time, but may not provide a commensurate increase in the value of the results. Essential designparameters are evaluated, including the planetary load-sharing factor, gear tooth load distribution, and sun orbit motion. Based on the sensitivity study results, recommendations for the minimum model fidelities are provided.

  9. Neuropsychological consequences of boxing and recommendations to improve safety: a National Academy of Neuropsychology education paper.

    Science.gov (United States)

    Heilbronner, Robert L; Bush, Shane S; Ravdin, Lisa D; Barth, Jeffrey T; Iverson, Grant L; Ruff, Ronald M; Lovell, Mark R; Barr, William B; Echemendia, Ruben J; Broshek, Donna K

    2009-02-01

    Boxing has held appeal for many athletes and audiences for centuries, and injuries have been part of boxing since its inception. Although permanent and irreversible neurologic dysfunction does not occur in the majority of participants, an association has been reported between the number of bouts fought and the development of neurologic, psychiatric, or histopathological signs and symptoms of encephalopathy in boxers. The purpose of this paper is to (i) provide clinical neuropsychologists, other health-care professionals, and the general public with information about the potential neuropsychological consequences of boxing, and (ii) provide recommendations to improve safety standards for those who participate in the sport.

  10. 76 FR 24291 - Proposed National Marketing Agreement Regulating Leafy Green Vegetables; Recommended Decision and...

    Science.gov (United States)

    2011-04-29

    ... the hearing indicates that the value of leafy green vegetables grown for the United States fresh and... the 2008 production value, lettuce crops accounted for 79 percent, cabbage accounted for 15 percent... Food Safety Guidelines for Lettuce and Leafy Greens Supply Chain''. These guidelines have not been...

  11. The role of the United Nations Scientific Committee on the Effects of Atomic Radiation in relation to medical radiation exposures

    International Nuclear Information System (INIS)

    Shrimpton, P.C.

    2001-01-01

    In 1955, growing global concerns about ionizing radiation led the General Assembly of the United Nations to establish the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). The mandate of this committee, which presently includes 21 Member States, is to assess and report on the levels and effects of exposure to ionizing radiation. Accordingly, UNSCEAR applies scientific judgement in undertaking comprehensive reviews and evaluations concerning radiation and maintains an independent and neutral position in drawing its conclusions. These are published in authoritative reports to the UN General Assembly, with there having been 14 such substantive reports, with technical annexes, since 1958. The information provided by UNSCEAR assists the General Assembly in making recommendations in relation, for example, to international collaboration in the field of health. Governments and organizations all over the world rely on the committee's evaluations as the scientific basis for estimating radiation risk, establishing radiation protection and safety standards, and regulating radiation sources

  12. Cost estimate of grouting the proposed test pits at Idaho National Engineering Laboratory using the ORNL-recommended grouts

    International Nuclear Information System (INIS)

    Spence, R.D.

    1987-08-01

    EG and G Idaho will construct three experimental pits to simulate the TRU waste trenches at Idaho National Engineering Laboratory (INEL). Two of these pits will be grouted and then one will be destructively examined as soon as the grout cures and the other will be monitored for 10 years. Oak Ridge National Laboratory (ORNL) is evaluating grouts and will recommend a grout to EG and G Idaho to reduce the permeability of the pit, fill the large voids, and encapsulate the waste. A previous ORNL report (ORNL/TM-9881) discusses the grouts evaluated and the grout recommended based on those evaluations. This report evaluates the economics of grouting the experimental pits. The cost of double grouting two of the EG and G Idaho design pits at the Idaho National Engineering Laboratory using lance injection was estimated to be $100,000. Jet grouting the same two pits was estimated to cost $85,000. Both should be tried as part of the test EG and G Idaho is conducting

  13. Proposal for revisions of the United Nations Moon Treaty

    Science.gov (United States)

    Fernandes, Vera; Abreu, Neyda; Fritz, J.; Knapmeyer, Martin; Smeenk, Lisa; Ten Kate, Inge; Trüninger, Monica

    During this new 2010-decade, it will be imperative to reconsider the effectiveness of the current United Nations (U.N.) Moon Treaty (c.1979). Amendments are necessary to underline the mandatory human stewardship of this fragile planetary body of our Solar System, indispensible to life on Earth. After the very successful Apollo and Luna missions to the Moon (ending in 1976), which brought a wide array of data (samples, surface and orbital experiments), the Moon lost its exploratory attraction in favor of other programs, such as the International Space Station and potential human exploration of Mars. However, since the mid-90's, the enthusiasm for the Moon has been revived, which resulted in several space agencies worldwide (NASA, ESA, ISRO, JAXA, and the Chinese Space Agency) having made great efforts to re-start ex-ploratory and scientific campaigns even though budgetary changes may delay the process. As a result, a wide array of peoples and their interests are put together in each mission planned to reach the Moon (e.g., orbiters and landers). Up to now, mission plans focus on technical requirements and the desires of scientists and engineers, but hardly any other aspects. Field specialists on issues regarding the social, economic, political, cultural, ethical and environmen-tal impacts of Moon exploration and colonization have had little to no involvement in current and past lunar missions. However, these fields would provide different and essential points of view regarding the planning of lunar missions. Moreover, recent documents written by the scientific community, such as "The Scientific Context for Exploration of the Moon: Final Re-port" Committee on the Scientific Context for Exploration of the Moon, National Research Council (2007), or the recent (summer 2009) White Papers for the National Research Council Planetary Science Decadal Survey 2011-2020, do not seem to leave space for a multidisciplinary approach regarding the future lunar exploration either

  14. Recommendations for protecting National Library of Medicine Computing and Networking Resources

    Energy Technology Data Exchange (ETDEWEB)

    Feingold, R.

    1994-11-01

    Protecting Information Technology (IT) involves a number of interrelated factors. These include mission, available resources, technologies, existing policies and procedures, internal culture, contemporary threats, and strategic enterprise direction. In the face of this formidable list, a structured approach provides cost effective actions that allow the organization to manage its risks. We face fundamental challenges that will persist for at least the next several years. It is difficult if not impossible to precisely quantify risk. IT threats and vulnerabilities change rapidly and continually. Limited organizational resources combined with mission restraints-such as availability and connectivity requirements-will insure that most systems will not be absolutely secure (if such security were even possible). In short, there is no technical (or administrative) {open_quotes}silver bullet.{close_quotes} Protection is employing a stratified series of recommendations, matching protection levels against information sensitivities. Adaptive and flexible risk management is the key to effective protection of IT resources. The cost of the protection must be kept less than the expected loss, and one must take into account that an adversary will not expend more to attack a resource than the value of its compromise to that adversary. Notwithstanding the difficulty if not impossibility to precisely quantify risk, the aforementioned allows us to avoid the trap of choosing a course of action simply because {open_quotes}it`s safer{close_quotes} or ignoring an area because no one had explored its potential risk. Recommendations for protecting IT resources begins with discussing contemporary threats and vulnerabilities, and then procedures from general to specific preventive measures. From a risk management perspective, it is imperative to understand that today, the vast majority of threats are against UNIX hosts connected to the Internet.

  15. A national benchmarking survey of student counselling centres/units ...

    African Journals Online (AJOL)

    The present study further found that the majority of counselling centres/units had one or more staff members with specialised training in areas such as HIV/AIDS counselling, sexual abuse counselling and multicultural counselling. In 2007, these counselling centres/units saw on average 18 per cent of enrolled students as ...

  16. The National Counterintelligence Strategy of the United States of America

    National Research Council Canada - National Science Library

    McConnell, J. M

    2007-01-01

    .... Our adversaries -- foreign intelligence services, terrorists, foreign criminal enterprises and cyber intruders -- use overt, covert, and clandestine activities to exploit and undermine US national security interests...

  17. Management of HIV Infection during Pregnancy in the United States: Updated Evidence-Based Recommendations and Future Potential Practices

    Directory of Open Access Journals (Sweden)

    Bassam H. Rimawi

    2016-01-01

    Full Text Available All HIV-infected women contemplating pregnancy should initiate combination antiretroviral therapy (cART, with a goal to achieve a maternal serum HIV RNA viral load beneath the laboratory level of detection prior to conceiving, as well as throughout their pregnancy. Successfully identifying HIV infection during pregnancy through screening tests is essential in order to prevent in utero and intrapartum transmission of HIV. Perinatal HIV transmission can be less than 1% when effective cART, associated with virologic suppression of HIV, is given during the ante-, intra-, and postpartum periods. Perinatal HIV guidelines, developed by organizations such as the World Health Organization, American College of Obstetricians and Gynecologists, and the US Department of Health and Human Services, are constantly evolving, and hence the aim of our review is to provide a useful concise review for medical providers caring for HIV-infected pregnant women, summarizing the latest and current recommendations in the United States.

  18. Education for Sustainable Development at the United Nations Conference on Sustainable Development (Rio+20)

    Science.gov (United States)

    Journal of Education for Sustainable Development, 2012

    2012-01-01

    The United Nations Conference on Sustainable Development (Rio+20) was held in Rio de Janeiro, Brazil, 20-22 June 2012, marking the twentieth anniversary of the United Nations Conference on Sustainable Development in Rio de Janeiro in 1992 and the tenth anniversary of the 2002 World Summit on Sustainable Development in Johannesburg. With more than…

  19. New representative of the Director-General of the IAEA to the United Nations

    International Nuclear Information System (INIS)

    2000-01-01

    The document gives information about Mr. Kwaku Aning (Ghana) who was nominated as the Representative of the Director-General of the IAEA to the United Nations and as Director of its Office at the United Nations Headquarters in New York, USA, as of 1 February 2000

  20. Denmark's National Inventory Report - Submitted under the United Nations Framework Convention on Climate Change, 1990-2001

    DEFF Research Database (Denmark)

    Illerup, J. B.; Lyck, E.; Nielsen, M.

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2003. The report contains information on Denmark's in-ventories for all years' from 1990 to 2001 for CO2, CH4, N2O......, CO, NMVOC, SO2 , HFCs, PFCs and SF6....

  1. Denmark's national inventory report 2006 - Submitted under the United Nations framework convention on climate change, 1990-2004. Emission inventories

    International Nuclear Information System (INIS)

    Illerup, J.B.; Lyck, E.; Nielsen, Ole-Kenneth

    2006-08-01

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2006. The report contains information on Denmark's inventories for all years' from 1990 to 2004 for CO 2 , CH 4 , N 2 O, HFCs, PFCs and SF 6 , CO, NMVOC, SO 2 . (au)

  2. Denmark's national inventory report. Submitted under the United Nations framework convention on climate change, 1990-2001. Emission inventories

    International Nuclear Information System (INIS)

    Illerup, J.B.; Lyck, E.; Nielsen, M.; Winther, M.; Hjort Mikkelsen, M.

    2003-01-01

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due bye 15 April 2003. The report contains information on Denmark's inventories for all years' from 1990 to 2001 for CO 2 , CH 4 , N 2 O, CO, NMVOC, SO 2 , HFCs, PFCs and SF 6 . (au)

  3. National priorities list sites: The United States Territories, 1992

    International Nuclear Information System (INIS)

    1992-12-01

    The publication provides general Superfund background information and descriptions of activities at each State National Priorities List (NPL) site. It clearly describes what the problems are, what EPA and others participating in site cleanups are doing, and how the nation can move ahead in solving these serious problems. Compiles site summary fact sheets on each State site being cleaned up under the Superfund Program

  4. Economic dynamics of all members of the United Nations

    CERN Document Server

    Chukwu, Ethelbert Nwakuche

    2014-01-01

    This book provides an enduring response to modern economic problems and the consequent crises, dealing with the economic modelling of nations and the forecasting of economic growth. The main arguments embodied constitute the creation of jobs and the restoration of economic growth, using the implicit acceptance of analysis on differential models and neutral systems for controlling the wealth of nations.

  5. Quality Measurement Recommendations Relevant to Clinical Guidelines in Germany and the United Kingdom: (What) Can We Learn From Each Other?

    Science.gov (United States)

    Petzold, Thomas; Deckert, Stefanie; Williamson, Paula R.; Schmitt, Jochen

    2018-01-01

    We conducted a systematic review of clinical guidelines (CGs) to examine the methodological approaches of quality indicator derivation in CGs, the frequency of quality indicators to check CG recommendations in routine care, and clinimetric properties of quality indicators. We analyzed the publicly available CG databases of the Association of the Scientific Medical Societies in Germany (AWMF) and National Institute for Health and Care Excellence (NICE). Data on the methodology of subsequent quality indicator derivation, the content and definition of recommended quality indicators, and clinimetric properties of measurement instruments were extracted. In Germany, no explicit methodological guidance exists, but 3 different approaches are used. For NICE, a general approach is used for the derivation of quality indicators out of quality standards. Quality indicators were defined in 34 out of 87 CGs (39%) in Germany and for 58 out of 133 (43%) NICE CGs. Statements regarding measurement properties of instruments for quality indicator assessment were missing in German and NICE documents. Thirteen pairs of CGs (32%) have associated quality indicators. Thirty-four quality indicators refer to the same aspect of the quality of care, which corresponds to 27% of the German and 7% of NICE quality indicators. The development of a standardized and internationally accepted methodology for the derivation of quality indicators relevant to CGs is needed to measure and compare quality of care in health care systems. PMID:29591538

  6. Security for Telecommuting and Broadband Communications: Recommendations of the National Institute of Standards and Technology

    Science.gov (United States)

    2002-08-01

    Aware http://www.lavasoftusa.com/ Adware, Alexa 1.0-5.0, Aureate 1.0-3.0, Comet Cursor 1.0-2.0, Cydoor, Doubleclick, DSSAgent, EverAd, EzUla...Internet. Known as “voice over IP” (VOIP), the services convert speech to Internet messages and transmit them to a facility that interfaces with the...reporting, handling, prevention, and recognition . National Information Assurance Partnership (NIAP) - http://www.niap.nist.gov/ NIAP is a U.S

  7. Principles and foundation: national standards on quantities and units in nuclear science field

    International Nuclear Information System (INIS)

    Chen Lishu

    1993-11-01

    The main contents of National Standards on Quantities and units of atomic and nuclear physics (GB 3102.9) and Quantities and Units of nuclear reactions and ionizing radiations (GB 310.10) are presented in which most important quantities with their symbols and definitions in the nuclear scientific field are given. The principles and foundation, including the International System of Units (SI) and its application to the nuclear scientific field, in the setting of the National Standards are explained

  8. The Design-to-Analysis Process at Sandia National Laboratories Observations and Recommendations; TOPICAL

    International Nuclear Information System (INIS)

    BURNS, SHAWN P.; HARRISON, RANDY J.; DOBRANICH, DEAN

    2001-01-01

    The efficiency of the design-to-analysis process for translating solid-model-based design data to computational analysis model data plays a central role in the application of computational analysis to engineering design and certification. A review of the literature from within Sandia as well as from industry shows that the design-to-analysis process involves a number of complex organizational and technological issues. This study focuses on the design-to-analysis process from a business process standpoint and is intended to generate discussion regarding this important issue. Observations obtained from Sandia staff member and management interviews suggest that the current Sandia design-to-analysis process is not mature and that this cross-organizational issue requires committed high-level ownership. A key recommendation of the study is that additional resources should be provided to the computer aided design organizations to support design-to-analysis. A robust community of practice is also needed to continuously improve the design-to-analysis process and to provide a corporate perspective

  9. Radiation alarms and access control systems: Recommendations of the National Council on Radiation Protection and Measurements

    International Nuclear Information System (INIS)

    1986-01-01

    In facilities where radioactive materials are handled, or where radiation-producing equipment is used, the building, the equipment, and the associated safety procedures should be designed and developed together to provide a safe work environment. The specific combination of requirements for a given facility is defined by the operational radiation safety program. It should be emphasized that this report describes a range of alarm and access control systems that can provide an acceptable level of safety at many types of facilities. Depending on circumstances, the solutions offered may not be appropriate for certain facilities because they are to restrictive, not restrictive enough, or do not cover all circumstances. The document is offered as a starting point providing ideas that professional health physicists can adapt to meet the needs of a particular situation. Under no circumstances should this report be interpreted in ''cookbook'' fashion, with literal adherence to every recommendation demanded, nor should it be expected to provide adequate protection in every case without consideration of local conditions

  10. Nonmethane hydrocarbons in the rural southeast United States national parks

    Science.gov (United States)

    Kang, Daiwen; Aneja, Viney P.; Zika, Rod G.; Farmer, Charles; Ray, John D.

    2001-02-01

    Measurements of volatile organic compounds (VOCs) were made at three rural sites in the southeast U.S. national parks: Mammoth Cave National Park, Kentucky; Cove Mountain, Great Smoky Mountains National Park, Tennessee; and Big Meadows, Shenandoah National Park, Virginia. In 1995 the three locations were sampling sites for the Southern Oxidants Study (SOS) Nashville Intensive, and the measurements of VOCs for Shenandoah were also made under contract with the National Park Service. Starting in 1996, the National Park Service added the other two parks to the monitoring contract. Hydrocarbon measurements made during June through September for the years 1995, 1996, and 1997 were analyzed in this study. Source classification techniques based on correlation coefficient, chemical reactivity, and ratioing were developed and applied to these data. The results show that anthropogenic VOCs from automobile exhaust appeared to be dominant at Mammoth Cave National Park, and at Cove Mountain, Great Smoky Mountains National Park, but other sources were also important at Big Meadows, Shenandoah National Park. Correlation and ratio analysis based on chemical reactivity provides a basis for source-receptor relationship. The most abundant ambient VOCs varied both in concentration and order depending on park and year, but the following VOCs appeared on the top 10 list for all three sites: isoprene (6.3 to 18.4 ppbv), propane (2.1 to 12.9 ppbv), isopentane (1.3 to 5.7 ppbv), and toluene (1.0 to 7.2 ppbv). Isoprene is naturally emitted by vegetation, and the others are produced mainly by fossil fuel combustion and industrial processes. Propylene-equivalent concentrations were calculated to account for differences in reaction rates between the hydroxyl radical and individual hydrocarbons, and to thereby estimate their relative contributions to ozone formation.

  11. Corrective Action Investigation Plan for Corrective Action Unit 573: Alpha Contaminated Sites, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick

    2014-05-01

    Corrective Action Unit (CAU) 573 is located in Area 5 of the Nevada National Security Site, which is approximately 65 miles northwest of Las Vegas, Nevada. CAU 573 is a grouping of sites where there has been a suspected release of contamination associated with non-nuclear experiments and nuclear testing. This document describes the planned investigation of CAU 573, which comprises the following corrective action sites (CASs): • 05-23-02, GMX Alpha Contaminated Area • 05-45-01, Atmospheric Test Site - Hamilton These sites are being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives.

  12. Oral cavity and lip cancer: United Kingdom National Multidisciplinary Guidelines.

    Science.gov (United States)

    Kerawala, C; Roques, T; Jeannon, J-P; Bisase, B

    2016-05-01

    This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It provides recommendations on the assessment and management of patients with cancer of the oral cavity and the lip. Recommendations • Surgery remains the mainstay of management for oral cavity tumours. (R) • Tumour resection should be performed with a clinical clearance of 1 cm vital structures permitting. (R) • Elective neck treatment should be offered for all oral cavity tumours. (R) • Adjuvant radiochemotherapy in the presence of advanced neck disease or positive margins improves control rates. (R) • Early stage lip cancer can be treated equally well by surgery or radiation therapy. (R).

  13. The National Security Strategy of the United States of America

    National Research Council Canada - National Science Library

    Bush, George

    2002-01-01

    ...: freedom, democracy, and free enterprise. In the twenty-first century, only nations that share a commitment to protecting basic human rights and guaranteeing political and economic freedom will be able to unleash the potential...

  14. Post-Apartheid South Africa and United States National Security

    National Research Council Canada - National Science Library

    Cochran, Edwin

    1998-01-01

    .... It is based on the realist premise that the U.S. has limited national interests in Sub-Saharan Africa which would be best served by a regional security strategy explicitly predicated on engagement with South Africa...

  15. Changing national guidelines is not enough: the impact of 1990 IOM recommendations on gestational weight gain among US women.

    Science.gov (United States)

    Hamad, R; Cohen, A K; Rehkopf, D H

    2016-10-01

    Gestational weight gain (GWG) is associated with both long- and short-term maternal and child health outcomes, particularly obesity. Targeting maternal nutrition through policies is a potentially powerful pathway to influence these outcomes. Yet prior research has often failed to evaluate national policies and guidelines that address maternal and child health. In 1990, the U.S. Institute of Medicine (IOM) released guidelines recommending different GWG thresholds based on women's pre-pregnancy body mass index (BMI), with the goal of improving infant birth weight. In this study, we employ quasi-experimental methods to examine whether the release of the IOM guidelines led to changes in GWG among a diverse and nationally representative sample of women. Our sample included female participants of the National Longitudinal Survey of Youth who self-reported GWG for pregnancies during 1979-2000 (n=7442 pregnancies to 4173 women). We compared GWG before and after the guidelines were released using difference-in-differences (DID) and regression discontinuity (RD) analyses. In DID analyses we found no reduction in GWG among overweight/obese women relative to normal/underweight women. Meanwhile, RD analyses demonstrated no changes in GWG by pre-pregnancy BMI for either overweight/obese or normal/underweight women. Results were similar for women regardless of educational attainment, race or parity. These findings suggest that national guidelines had no effect on weight gain among pregnant women. These results have implications for the implementation of policies targeting maternal and child health via dietary behaviors.

  16. Vegetable and Fruit Intakes of On-Reserve First Nations Schoolchildren Compared to Canadian Averages and Current Recommendations

    Directory of Open Access Journals (Sweden)

    Ian D. Martin

    2012-04-01

    Full Text Available This study investigated, in on-reserve First Nations (FN youth in Ontario, Canada, the following: (a the intakes of vegetable and fruit, “other” foods and relevant nutrients as compared to current recommendations and national averages, (b current prevalence rates of overweight and obesity and (c the relationship between latitude and dietary intakes. Twenty-four-hour diet recalls were collected via the Waterloo Web-Based Eating Behaviour Questionnaire (WEB-Q (n = 443. Heights and weights of participants were self reported using measured values and Body Mass Index was categorized using the International Obesity Task Force cutoffs. Food group and nutrient intakes were compared to current standards, Southern Ontario Food Behaviour data and the Canadian Community Health Survey, Cycle 2.2, using descriptive statistics. Mean vegetable and fruit, fibre and folate intakes were less than current recommendations. Girls aged 14–18 years had mean intakes of vitamin A below current recommendations for this sub-group; for all sub-groups, mean intakes of vegetables and fruit were below Canadian averages. All sub-groups also had intakes of all nutrients and food groups investigated that were less than those observed in non-FN youth from Southern Ontario, with the exception of “other” foods in boys 12–18 years. Prevalence rates of overweight and obesity were 31.8% and 19.6%, respectively, exceeding rates in the general population. Dietary intakes did not vary consistently by latitude (n = 248, as revealed by ANOVA. This study provided a unique investigation of the dietary intakes of on-reserve FN youth in Ontario and revealed poor intakes of vegetables and fruit and related nutrients and high intakes of “other” foods. Prevalence rates of overweight and obesity exceed those of the general population.

  17. Vegetable and Fruit Intakes of On-Reserve First Nations Schoolchildren Compared to Canadian Averages and Current Recommendations

    Science.gov (United States)

    Gates, Allison; Hanning, Rhona M.; Gates, Michelle; Skinner, Kelly; Martin, Ian D.; Tsuji, Leonard J. S.

    2012-01-01

    This study investigated, in on-reserve First Nations (FN) youth in Ontario, Canada, the following: (a) the intakes of vegetable and fruit, “other” foods and relevant nutrients as compared to current recommendations and national averages, (b) current prevalence rates of overweight and obesity and (c) the relationship between latitude and dietary intakes. Twenty-four-hour diet recalls were collected via the Waterloo Web-Based Eating Behaviour Questionnaire (WEB-Q) (n = 443). Heights and weights of participants were self reported using measured values and Body Mass Index was categorized using the International Obesity Task Force cutoffs. Food group and nutrient intakes were compared to current standards, Southern Ontario Food Behaviour data and the Canadian Community Health Survey, Cycle 2.2, using descriptive statistics. Mean vegetable and fruit, fibre and folate intakes were less than current recommendations. Girls aged 14–18 years had mean intakes of vitamin A below current recommendations for this sub-group; for all sub-groups, mean intakes of vegetables and fruit were below Canadian averages. All sub-groups also had intakes of all nutrients and food groups investigated that were less than those observed in non-FN youth from Southern Ontario, with the exception of “other” foods in boys 12–18 years. Prevalence rates of overweight and obesity were 31.8% and 19.6%, respectively, exceeding rates in the general population. Dietary intakes did not vary consistently by latitude (n = 248), as revealed by ANOVA. This study provided a unique investigation of the dietary intakes of on-reserve FN youth in Ontario and revealed poor intakes of vegetables and fruit and related nutrients and high intakes of “other” foods. Prevalence rates of overweight and obesity exceed those of the general population. PMID:22690200

  18. PROGRAM EVALUATION INVOLVEMENT INDONESIAN NATIONAL ARMED FORCES (TNI ON MISSION UNITED NATIONS PEACEKEEPING OPERATIONS (UNPKO

    Directory of Open Access Journals (Sweden)

    I Gede Sumertha KY

    2017-07-01

    Full Text Available This research is constructed in order to study and to evaluate involvement TNI on mission United Nations Peacekeeping Operations (UNPKO in Lebanon program FY 2014-2015 due to achieve vision 4000 Peacekeepers. The CIPP model is using on apply the qualitative method for the research with consist of four evaluation components: (1 context; (2 input; (3 process; (4 product. The mechanism collecting data were collected through interviews, observations, questionnaires and documentation study. There are three levels of evaluation for judgment each aspect: low, moderate, and high. The summarized results and figured into case-order effect matrix was figure out of the categorization.The results of this research indicate that TNI involvement in mission UNPKO Lebanon, aspire to increase the number of peacekeepers up to 4.000 personnel in the category “high”, but still have some minor additional improvement especially on coordination among stakeholders. This is because the Results of Context Evaluation has a category of "high" with a scale of assessment "many" (75.3%; the Results of Input Evaluation has a category of "high" with a scale of assessment "moderate" (60.6%; the Results of Process Evaluation has a category of "high" with a scale of assessment "moderate" (65.3% and the Results of Product Evaluation has a category of "high" with a scale of assessment "moderate" (63.3% .

  19. United Nations and human cloning: a slender and fortunate defence for biomedical research.

    Science.gov (United States)

    Edwards, R G

    2003-12-01

    Numerous biomedical scientists have contributed to the wide knowledge on the growth of preimplantation human embryos in vitro, now improving every aspect of the form of clinical care. These data were gained ethically in many countries, to open new vistas including the alleviation of infertility, preimplantation genetic diagnosis and stem cells, combined with some recent reports on human reproductive cloning. After detailed consultations with scientists, clinicians, ethicists and lawyers, many governments passed legislation permitting research under their own particular socially-defined conditions. Virtually all of them rejected reproductive cloning; a few have accepted therapeutic cloning. These legislatures saluted the many biomedical scientists striving to improve IVF and its derivatives, recognizing their immense medical potential. A motion recently placed before the United Nations then recommended a worldwide ban on all forms of human cloning. Proponents included the Vatican and many Roman Catholic countries, the USA and others. Opponents included Belgium, China, Japan, Brazil, UK, Germany and France. Mediation was achieved by Iran and other Muslim nations, and led to a motion passed by single vote for a two-year delay. This may be the first-ever proposal to ban worldwide a particular form of research. It sounds the alarm bells for further research. It raises questions about the UN being an appropriate forum for ethical decisions affecting the entire world and its future medicine. Large blocs of nations committed to particular religions and outlooks confronted each other, a situation in total contrast to the detailed and widespread consultations made by individual governments when deciding their own individual ethics. This event was clearly a narrow escape for free research as defined by each country's own jurisprudence. It also places research on human embryology and reproductive biomedicine into a more critical situation than before. Current liberalism in

  20. Relation between the national handbook of recommended methods for water data acquisition and ASTM standards

    Science.gov (United States)

    Glysson, G. Douglas; Skinner, John V.

    1991-01-01

    In the late 1950's, intense demands for water and growing concerns about declines in the quality of water generated the need for more water-resources data. About thirty Federal agencies, hundreds of State, county and local agencies, and many private organizations had been collecting water data. However, because of differences in procedures and equipment, many of the data bases were incompatible. In 1964, as a step toward establishing more uniformity, the Bureau of the Budget (now the Office of Management and Budget, OMB) issued 'Circular A-67' which presented guidelines for collecting water data and also served as a catalyst for creating the Office of Water Data Coordination (OWDC) within the U.S. Geological Survey. This paper discusses past, present, and future aspects of the relation between methods in the National Handbook and standards published by ASTM (American Society for Testing and Materials) Committee D-19 on Water's Subcommittee D-19.07 on Sediment, Geomorphology, and Open Channel Flow. The discussion also covers historical aspects of standards - development work jointly conducted by OWDC and ASTM.

  1. Serological diagnosis of Toxoplasma gondii infection: Recommendations from the French National Reference Center for Toxoplasmosis.

    Science.gov (United States)

    Villard, O; Cimon, B; L'Ollivier, C; Fricker-Hidalgo, H; Godineau, N; Houze, S; Paris, L; Pelloux, H; Villena, I; Candolfi, E

    2016-01-01

    Toxoplasmosis manifests no clinical signs in 80% of cases in immunocompetent patient, causing immunization characterized by the persistence of cysts, particularly in brain, muscles, and retina. Assessing the serological status, based on testing for serum toxoplasma IgG and IgM antibodies, is essential in cases that are increasingly at risk for the more severe disease forms, such as congenital or ocular toxoplasmosis. This disease also exposes immunosuppressed patients to reactivation, which can lead to more widespread forms and increased mortality. By interpreting the serological results, we can estimate the risk of contamination or reactivation and define appropriate prophylactic and preventive measures, such as hygienic and dietetic, therapeutic, biological, and clinical follow-up, according to the clinical context. We hereby propose practical approaches based on serological data, resulting from a consensus of a group of experts from the French National Reference Center Network for Toxoplasmosis, according to both routine and specific clinical situations. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  2. The United States National Climate Assessment - Alaska Technical Regional Report

    Science.gov (United States)

    Markon, Carl J.; Trainor, Sarah F.; Chapin, F. Stuart; Markon, Carl J.; Trainor, Sarah F.; Chapin, F. Stuart

    2012-01-01

    The Alaskan landscape is changing, both in terms of effects of human activities as a consequence of increased population, social and economic development and their effects on the local and broad landscape; and those effects that accompany naturally occurring hazards such as volcanic eruptions, earthquakes, and tsunamis. Some of the most prevalent changes, however, are those resulting from a changing climate, with both near term and potential upcoming effects expected to continue into the future. Alaska's average annual statewide temperatures have increased by nearly 4°F from 1949 to 2005, with significant spatial variability due to the large latitudinal and longitudinal expanse of the State. Increases in mean annual temperature have been greatest in the interior region, and smallest in the State's southwest coastal regions. In general, however, trends point toward increases in both minimum temperatures, and in fewer extreme cold days. Trends in precipitation are somewhat similar to those in temperature, but with more variability. On the whole, Alaska saw a 10-percent increase in precipitation from 1949 to 2005, with the greatest increases recorded in winter. The National Climate Assessment has designated two well-established scenarios developed by the Intergovernmental Panel on Climate Change (Nakicenovic and others, 2001) as a minimum set that technical and author teams considered as context in preparing portions of this assessment. These two scenarios are referred to as the Special Report on Emissions Scenarios A2 and B1 scenarios, which assume either a continuation of recent trends in fossil fuel use (A2) or a vigorous global effort to reduce fossil fuel use (B1). Temperature increases from 4 to 22°F are predicted (to 2070-2099) depending on which emissions scenario (A2 or B1) is used with the least warming in southeast Alaska and the greatest in the northwest. Concomitant with temperature changes, by the end of the 21st century the growing season is expected

  3. National Security Strategy of the United States of America

    Science.gov (United States)

    2017-12-18

    build new partnerships based on the principle of reciprocity. Economic tools—including sanctions, anti-mon- ey- laundering and anti-corruption...parency, and help ensure that money reaches its intended destination. INCENTIVIZE REFORMS: The United States will use diplomacy and assistance to

  4. Unit: Electric Circuits, Inspection Pack, National Trial Print.

    Science.gov (United States)

    Australian Science Education Project, Toorak, Victoria.

    As a part of the unit materials in the series produced by the Australian Science Education Project, this teacher edition is primarily composed of a core relating to simple circuits, a test form, and options. Options are given under the headings: Your Invention; "How Long Does a Call Last?"; One, Two, Three Wires; Parallel Circuits; More…

  5. 50 CFR 600.320 - National Standard 3-Management Units.

    Science.gov (United States)

    2010-10-01

    .... Wherever practicable, an FMP should seek to manage interrelated stocks of fish. (c) Unity of management... management exits or is planned for a separate geographic area or for a distinct use of the stocks, or if the... stock of fish shall be managed as a unit throughout its range, and interrelated stocks of fish shall be...

  6. Recommendations for strengthening the national systems and the international regime for combating of illicit trafficking. Keynote address/session 10

    International Nuclear Information System (INIS)

    Ek, P.; Wredberg, L.

    2001-01-01

    internal control, quality assurance, security culture and individual responsibilities; Shortage of suitable and modern equipment for monitoring and detection of radioactive material; Shortage of staff and training capabilities and insufficient financial resources concerning supervision and law enforcement authorities; Insufficient access to relevant information and data bases. A first step to improve national systems would be to assist states, by educating key-persons and authority staff, how to establish good, state-of-the-art national systems for combating of illicit trafficking, which would meet the requirements of international legal instruments, recommendations and guidelines. State Governments need to be made more aware of the seriousness of the proliferation threat and be convinced that supervision and law enforcement resources must be reinforced for bringing their national systems up to international standard. On the international level, combating of illicit trafficking would be ameliorated by improving the communication links between national authorities bi-laterally and with the international organisations. Also increased information exchange between national and international databases would improve prevention and detection capabilities. For the effective and consequent combating of illicit trafficking of nuclear material and equipment, it is, however, necessary that the international non-proliferation regime be strengthened through new initiatives and approaches. These should focus on, inter alia, a set of minimum requirements to be implemented, and to pursue, impose, follow-up and audit the implementation of those requirements into the national systems for combating of illicit trafficking. The IAEA is the recognised international organisation, both for nuclear energy promoting activities, and for the implementation of the international non-proliferation regime. The IAEA has, within its area of competence, relevant know-how and capability, including qualified

  7. Restorative dentistry and oral rehabilitation: United Kingdom National Multidisciplinary Guidelines.

    Science.gov (United States)

    Butterworth, C; McCaul, L; Barclay, C

    2016-05-01

    This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK and provides recommendations on the pre-treatment oral and dental assessment, during and after treatment and oral rehabilitation. Restorative dentists are core members of the multidisciplinary team treating head and neck cancer patients, involved from the treatment planning phase through to long-term rehabilitation. Recommendations • Preventative oral care must be delivered to patients whose cancer treatment will affect the oral cavity, jaws, salivary glands and oral accessibility. (G) • Close working and communication between the surgeons, oncologists and restorative dental specialists is important in ensuring optimal oral health outcomes. (G) • Intensity-modulated radiotherapy has been shown to reduce long-term xerostomia and should be offered to all appropriate patients. (R) • If patients are deemed at risk of trismus they should be warned and its progressive and potentially irreversible nature explained. (G) • Where it is known that adjuvant radiotherapy will be given, extractions should take place at primary surgery to maximise the time for healing and minimise the number of surgical events for patients. (G) • Osseointegrated implants should be considered for all patients having resection for head and neck cancer. (G).

  8. The Small Area Health Statistics Unit: a national facility for investigating health around point sources of environmental pollution in the United Kingdom.

    Science.gov (United States)

    Elliott, P; Westlake, A J; Hills, M; Kleinschmidt, I; Rodrigues, L; McGale, P; Marshall, K; Rose, G

    1992-01-01

    STUDY OBJECTIVE--The Small Area Health Statistics Unit (SAHSU) was established at the London School of Hygiene and Tropical Medicine in response to a recommendation of the enquiry into the increased incidence of childhood leukaemia near Sellafield, the nuclear reprocessing plant in West Cumbria. The aim of this paper was to describe the Unit's methods for the investigation of health around point sources of environmental pollution in the United Kingdom. DESIGN--Routine data currently including deaths and cancer registrations are held in a large national database which uses a post code based retrieval system to locate cases geographically and link them to the underlying census enumeration districts, and hence to their populations at risk. Main outcome measures were comparison of observed/expected ratios (based on national rates) within bands delineated by concentric circles around point sources of environmental pollution located anywhere in Britain. MAIN RESULTS--The system is illustrated by a study of mortality from mesothelioma and asbestosis near the Plymouth naval dockyards during 1981-87. Within a 3 km radius of the docks the mortality rate for mesothelioma was higher than the national rate by a factor of 8.4, and that for asbestosis was higher by a factor of 13.6. CONCLUSIONS--SAHSU is a new national facility which is rapidly able to provide rates of mortality and cancer incidence for arbitrary circles drawn around any point in Britain. The example around Plymouth of mesothelioma and asbestosis demonstrates the ability of the system to detect an unusual excess of disease in a small locality, although in this case the findings are likely to be related to occupational rather than environmental exposure. PMID:1431704

  9. Integrated Unit Deployments: Rethinking Air National Guard Fighter Mobilizations

    Science.gov (United States)

    2016-06-01

    participation in the homeland defense mission. But they emphasized that homeland defense would not become an exclusive ANG mission. Operation...station that can absorb pilots and maintainers left behind. Few Air National Guard squadrons enjoy this luxury . Only Air Guard squadrons that are part

  10. National scale biomass estimators for United States tree species

    Science.gov (United States)

    Jennifer C. Jenkins; David C. Chojnacky; Linda S. Heath; Richard A. Birdsey

    2003-01-01

    Estimates of national-scale forest carbon (C) stocks and fluxes are typically based on allometric regression equations developed using dimensional analysis techniques. However, the literature is inconsistent and incomplete with respect to large-scale forest C estimation. We compiled all available diameter-based allometric regression equations for estimating total...

  11. Continental United States Military Housing Inspection National Capital Region

    Science.gov (United States)

    2015-08-13

    mechanical rooms, electrical rooms, laundry rooms, lounges, and common kitchen areas. We interviewed residents, maintenance personnel, housing...standards, the National Electrical Code (NEC), U.S. Environmental Protection Agency (EPA) standards, and international building codes. Findings We found...that could affect the health, safety, and well-being of warfighters and their families: 168 electrical system, 131 fire protection system, and 17

  12. The user with respiratory symptoms of tuberculosis in the primary care: assessment of actions according to national recommendations

    Directory of Open Access Journals (Sweden)

    Luize Barbosa Antunes

    2016-06-01

    Full Text Available Objective: to investigate the evaluation of the user with respiratory symptoms of tuberculosis in Primary Health Care services according to the norms of the National Program for Tuberculosis Control. Methods: cross-sectional study with application of a form to 99 people with pulmonary tuberculosis. Results: a total of 87.9% participants reported cough as the symptom that motivated the search for Primary Care; from these, 27.3% sought Primary Care units, 96.3% received care in this service, of which 46.2% reported that sputum smear was requested by professionals in the units. Conclusion: more than half of participants sought secondary or tertiary services due to the symptoms of tuberculosis, and also less than half of patients assisted in Primary Care had diagnostic tests requested by professionals of that service.

  13. Maximum permissible body burdens and maximum permissible concentrations of radionuclides in air and in water for occupational exposure. Recommendations of the National Committee on Radiation Protection. Handbook 69

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-06-05

    The present Handbook and its predecessors stem from the Second International Congress of Radiology, held in Stockholm in 1928. At that time, under the auspices of the Congress, the International Commission on Radiological Protection (ICRP) was organized to deal initially with problems of X-ray protection and later with radioactivity protection. At that time 'permissible' doses of X-rays were estimated primarily in terms of exposures which produced erythema, the amount of exposure which would produce a defined reddening of the skin. Obviously a critical problem in establishing criteria for radiation protection was one of developing useful standards and techniques of physical measurement. For this reason two of the organizations in this country with a major concern for X-ray protection, the American Roentgen Ray Society and the Radiology Society of North America, suggested that the National Bureau of Standards assume responsibility for organizing representative experts to deal with the problem. Accordingly, early in 1929, an Advisory Committee on X-ray and Radium Protection was organized to develop recommendations on the protection problem within the United States and to formulate United States points of view for presentation to the International Commission on Radiological Protection. The organization of the U.S. Advisory Committee included experts from both the medical and physical science fields. The recommendations of this Handbook take into consideration the NCRP statement entitled 'Maximum Permissible Radiation Exposures to Man', published as an addendum to Handbook 59 on April 15, 1958. As noted above this study was carried out jointly by the ICRP and the NCRP, and the complete report is more extensive than the material contained in this Handbook.

  14. Maximum permissible body burdens and maximum permissible concentrations of radionuclides in air and in water for occupational exposure. Recommendations of the National Committee on Radiation Protection. Handbook 69

    International Nuclear Information System (INIS)

    1959-01-01

    The present Handbook and its predecessors stem from the Second International Congress of Radiology, held in Stockholm in 1928. At that time, under the auspices of the Congress, the International Commission on Radiological Protection (ICRP) was organized to deal initially with problems of X-ray protection and later with radioactivity protection. At that time 'permissible' doses of X-rays were estimated primarily in terms of exposures which produced erythema, the amount of exposure which would produce a defined reddening of the skin. Obviously a critical problem in establishing criteria for radiation protection was one of developing useful standards and techniques of physical measurement. For this reason two of the organizations in this country with a major concern for X-ray protection, the American Roentgen Ray Society and the Radiology Society of North America, suggested that the National Bureau of Standards assume responsibility for organizing representative experts to deal with the problem. Accordingly, early in 1929, an Advisory Committee on X-ray and Radium Protection was organized to develop recommendations on the protection problem within the United States and to formulate United States points of view for presentation to the International Commission on Radiological Protection. The organization of the U.S. Advisory Committee included experts from both the medical and physical science fields. The recommendations of this Handbook take into consideration the NCRP statement entitled 'Maximum Permissible Radiation Exposures to Man', published as an addendum to Handbook 59 on April 15, 1958. As noted above this study was carried out jointly by the ICRP and the NCRP, and the complete report is more extensive than the material contained in this Handbook

  15. United States National Library of Medicine Drug Information Portal.

    Science.gov (United States)

    Hochstein, Colette; Goshorn, Jeanne; Chang, Florence

    2009-01-01

    The Drug Information Portal is a free Web resource from the National Library of Medicine (NLM) that provides a user-friendly gateway to current information for more than 15,000 drugs. The site guides users to related resources of NLM, the National Institutes of Health (NIH), and other government agencies. Current drug-related information regarding consumer health, clinical trials, AIDS, MeSH pharmacological actions, MEDLINE/PubMed biomedical literature, and physical properties and structure is easily retrieved by searching on a drug name. A varied selection of focused topics in medicine and drugs is also available from displayed subject headings. This column provides background information about the Drug Information Portal, as well as search basics.

  16. Recommendations for the use of eliglustat in the treatment of adults with Gaucher disease type 1 in the United States.

    Science.gov (United States)

    Balwani, Manisha; Burrow, Thomas Andrew; Charrow, Joel; Goker-Alpan, Ozlem; Kaplan, Paige; Kishnani, Priya S; Mistry, Pramod; Ruskin, Jeremy; Weinreb, Neal

    2016-02-01

    In Gaucher disease, deficient activity of acid β-glucosidase results in accumulation of its substrates, glucosylceramide and glucosylsphingosine, within the lysosomes of cells primarily in the spleen, liver, bone marrow, and occasionally the lung. The multisystem disease is predominantly characterized by hepatosplenomegaly, anemia, thrombocytopenia, and skeletal disease. Enzyme replacement therapy with recombinant human acid β-glucosidase has been the first-line therapy for Gaucher disease type 1 for more than two decades. Eliglustat, a novel oral substrate reduction therapy, was recently approved in the United States and the European Union as a first-line treatment for adults with Gaucher disease type 1. Eliglustat inhibits glucosylceramide synthase, thereby decreasing production of the substrate glucosylceramide and reducing its accumulation. Although existing recommendations for the care of patients with Gaucher disease remain in effect, unique characteristics of eliglustat require additional investigation and monitoring. A panel of physicians with expertise in Gaucher disease and experience with eliglustat in the clinical trials provide guidance regarding the use of eliglustat, including considerations before starting therapy and monitoring of patients on eliglustat therapy. Copyright © 2015 Shire Development LLC. Published by Elsevier Inc. All rights reserved.

  17. Non-melanoma skin cancer: United Kingdom National Multidisciplinary Guidelines.

    Science.gov (United States)

    Newlands, C; Currie, R; Memon, A; Whitaker, S; Woolford, T

    2016-05-01

    This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. This paper provides consensus recommendations on the management of cutaneous basal cell carcinoma and squamous cell carcinoma in the head and neck region on the basis of current evidence. Recommendations • Royal College of Pathologists minimum datasets for NMSC should be adhered to in order to improve patient care and help work-force planning in pathology departments. (G) • Tumour depth is of critical importance in identifying high-risk cutaneous squamous cell carcinoma (cSCC), and should be reported in all cases. (R) • Appropriate imaging to determine the extent of primary NMSC is indicated when peri-neural involvement or bony invasion is suspected. (R) • In the clinically N0 neck, radiological imaging is not beneficial, and a policy of watchful waiting and patient education can be adopted. (R) • Patients with high-risk NMSC should be treated by members of a skin cancer multidisciplinary team (MDT) in secondary care. (G) • Non-infiltrative basal cell carcinoma (BCC) skin cancer prevention measures. (G) • Patients who have had a single completely excised BCC or low-risk cSCC can be discharged after a single post-operative visit. (G) • Patients with an excised high-risk cSCC should be reviewed three to six monthly for two years, with further annual review depending upon clinical risk. (G) • Those with recurrent or multiple BCCs should be offered annual review. (G).

  18. Do current national and international guidelines have specific recommendations for older adults with bipolar disorder? A brief report.

    Science.gov (United States)

    Dols, Annemiek; Kessing, Lars Vedel; Strejilevich, Sergio A; Rej, Soham; Tsai, Shang-Ying; Gildengers, Ariel G; Almeida, Osvaldo P; Shulman, Kenneth I; Sajatovic, Martha

    2016-12-01

    Older adults with bipolar disorder (OABD) are a growing segment of patients with bipolar disorder (BD) for which specific guidelines are warranted. Although, OABD are frequently excluded from randomized controlled trials due to their age or somatic comorbidity, more treatment data from a variety of sources have become available in recent years. It is expected that at least some of this emerging information on OABD would be incorporated into treatment guidelines available to clinicians around the world. The International Society of Bipolar Disorders OABD task force compiled and compared recommendations from current national and international guidelines that specifically address geriatric or older individuals with BD (from year 2005 onwards). There were 34 guidelines, representing six continents and 19 countries. The majority of guidelines had no separate section on OABD. General principles for treating OABD with medication are recommended to be similar to those for younger adults, with special caution for side effects due to somatic comorbidity and concomitant medications. Therapeutic lithium serum levels are suggested to be lower but recommendations are very general and mostly not informed by specific research evidence. There is a lack of emphasis of OABD-specific issues in existing guidelines. Given the substantial clinical heterogeneity in BD across the life span, along with the rapidly expanding population of older individuals worldwide, and limited mental health workforce with geriatric expertise, it is critical that additional effort and resources be devoted to studying treatment interventions specific to OABD and that treatment guidelines reflect research findings. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  19. Pharmacogenetics of antidepressant drugs: State of the art and clinical implementation - recommendations from the French National Network of Pharmacogenetics.

    Science.gov (United States)

    Quaranta, Sylvie; Dupouey, Julien; Colle, Romain; Verstuyft, Céline

    2017-04-01

    Tailoring antidepressant drug therapy to each individual patient is a complex process because these drugs have adverse effects leading to discontinuation. Pharmacogenetics may provide useful information in routine practice for optimizing antidepressant treatment by helping limit toxic effects while maintaining efficacy. This review presents the usefulness of pharmacogenetic tests for P450 cytochromes CYP2C19 and CYP2D6 in psychiatric patients taking antidepressants. Depending on the level of evidence, the French National Network of Pharmacogenetics (RNPGx) has issued recommendations stating that pharmacogenetic tests for CYP2D6 and CYP2C19 genes are potentially useful in psychiatric patients treated with antidepressant drugs. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  20. Do textbooks used in university reading education courses conform to the instructional recommendations of the national reading panel?

    Science.gov (United States)

    Malatesha Joshi, R; Binks, Emily; Graham, Lori; Ocker-Dean, Emily; Smith, Dennie L; Boulware-Gooden, Regina

    2009-01-01

    Two reasons may be responsible for the poor grasp of the linguistic concepts related to literacy acquisition by preservice and in-service teachers: a lack of attention given to such concepts by teacher educators (college faculty members) and a lack of relevant information provided in the textbooks used in college courses. In an earlier study, the authors found that many teacher educators involved in the training of preservice and in-service teachers were not well acquainted with these concepts. In this study, the authors examined the extent to which textbooks used in reading education courses contain the information about the five components of literacy instruction (phonemic awareness, phonics, fluency, vocabulary, and text comprehension) recommended by the National Reading Panel. Such scrutiny shows that many textbooks do not adequately cover these five components and the related instructional procedures for teaching them. In addition to the paucity of information about teaching the five components, some textbooks present inaccurate information.

  1. Denmark's national inventory report 2008 - Submitted under the United Nations framework convention on climate change, 1990-2006. Emission inventories

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, Ole-Kenneth; Lyck, E; Hjorth Mikkelsen, M [and others

    2008-05-15

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2008. The report contains information on Denmark's inventories for all years' from 1990 to 2006 for CO{sub 2}, CH{sub 4}, N{sub 2}O, HFC{sub s}, PFC{sub s} and SF{sub 6}, CO, NMVOC, SO{sub 2}. (au)

  2. Denmark's National Inventory Reports. Submitted under the United Nations framework convention on climate change

    Energy Technology Data Exchange (ETDEWEB)

    Boll Illerup, J.; Lyck, E.; Winther, M. [Danmarks Miljoeundersoegelser, Afd. for Systemanalyse (Denmark); Rasmussen, E. [Energistyrelsen (Denmark)

    2000-05-01

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2000. The report contains information on Denmark's inventories for all years from 1990 to 1998 for CO{sub 2}, CH{sub 4}, N{sub 2}O, NO{sub x}, CO, NMVOC, SO{sub 2}, HFCs, PFCs and SF. (au)

  3. The National Intelligence Strategy of the United States of America: Transformation Through Integration and Innovation

    National Research Council Canada - National Science Library

    2005-01-01

    ... and President Bush's National Security Strategy of the United States of America. The President signed the new law with the expectation that "our vast intelligence enterprise will become more unified, coordinated, and effective...

  4. An Analytical Review of the United States National Interests in Korea

    National Research Council Canada - National Science Library

    Swope, Frederick

    2004-01-01

    ... and interests for continued security on the peninsula and in the region. It will address these new growing tensions and review the United States National interests and policy differences with South Korea...

  5. An Assessment of the United States National Security Strategy for Combating Terrorism

    National Research Council Canada - National Science Library

    Chambliss, John

    2004-01-01

    .... While terrorism may be simply viewed as a crime against humanity the United States must pursue a comprehensive policy and strategy to deal with such acts anywhere and anytime because they threaten its national security...

  6. Relevance of Army National Guard Infantry Units in the Force Structure and Their Role in Combat

    National Research Council Canada - National Science Library

    Harris, Brian

    2004-01-01

    ...% of a total force of 346,848 assigned. Such large numbers are staggering considering that National Guard infantry units are not being utilized according to their organization training and equipment...

  7. United States National Grid for New Mexico, UTM 12, (1000m X 1000m polygons )

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This is a polygon feature data layer of United States National Grid (1000m x 1000m polygons ) constructed by the Center for Interdisciplinary Geospatial Information...

  8. China and the United Nations Convention on the Law of the Sea: Operational Challenges

    National Research Council Canada - National Science Library

    Vincent, Steven D

    2005-01-01

    ...), and has made maritime claims citing historic waters. China asserts that these actions are consistent with the provisions of the United Nations Convention On The Law Of the Sea (UNCLOS) Treaty...

  9. SECURITY IN SUSTAINABLE DEVELOPMENT: COMPARING UNITED NATIONS 2030 AGENDA FOR SUSTAINABLE DEVELOPMENT WITH MILLENNIUM DECLARATION

    Directory of Open Access Journals (Sweden)

    Ahmet BARBAK

    2017-06-01

    Full Text Available This study aims to compare United Nations 2030 Agenda for Sustainable Development with Millennium Declaration in terms of their security conceptualizations to explore changes in security thinking and policy components (goals, targets, principles, priorities etc. over time. In doing so, it is envisaged that United Nations’ expectations from member states regarding their national security policies and organizations could be revealed. Security thinking has changed since late 1980’s with the introduction of sustainable development approach by the United Nations. This shift in security thinking encompasses human security and security-development nexus. Holding all member states responsible, Millennium Declaration and 2030 Agenda for Sustainable Development constitute the primary and the most recent outcome documents of United Nations’ sustainable development policy. Both documents have security components. This enables extracting security elements and comparing them with an analytical manner. Consequently, findings are compared and discussed in terms of public policy and organization at national level.

  10. United States National Grid for New Mexico, UTM 13, (1000m X 1000m polygons )

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This is a polygon feature data layer of United States National Grid (1000m x 1000m polygons ) constructed by the Center for Interdisciplinary Geospatial Information...

  11. 3 CFR 8441 - Proclamation 8441 of October 19, 2009. United Nations Day, 2009

    Science.gov (United States)

    2010-01-01

    ... Proclamation The United Nations was created 64 years ago by men and women from every corner of the world. These... foundations of democracy, human rights, and development; and to establish conditions in which people can live...

  12. EnviroAtlas - National Inventory of Dams for the Conterminous United States

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset is a summary of the National Dams Inventory data from 2009 survey. The file contains counts of inventoried dams by 12-digit hydrologic units...

  13. A Multidisciplinary Approach to Decommissioning Offshore Wells Using Stakeholder Engagement, Risk Identification, and the United Nations Sustainable Development Goals

    Science.gov (United States)

    Battalora, L.; Prasad, M.

    2017-12-01

    A multidisciplinary approach using stakeholder engagement and risk identification tools and the United Nations Sustainable Development Goals is recommended for designing the decommissioning program of offshore wells. This recommendation also applies to onshore decommissioning programs.

  14. National Survey of Interscholastic Sport Sponsorship in the United States

    Directory of Open Access Journals (Sweden)

    DAVID PIERCE

    2011-01-01

    Full Text Available Due to cuts in educational funding in the United States, interscholastic athletic administrators have turned to corporate sponsorship to fund athletic departments. While the academic literature in sport management has extensively covered corporate sponsorship at the intercollegiate and professional level, the purpose of this paper is to examine the prevalence, nature, and importance of sponsorship to high school athletics in the United States. This paper identified factors that predicted the use of sponsorship, the amount of revenue generated from sponsorship, who is responsible for selling sponsorship, motivators behind not soliciting sponsorship, and the extent to which fundraising and participation fees are utilized to supplement athletic department budgets. The most common form of alternative revenue generation is fund raising (87% of schools followed by, sponsorship (57% and participation fees (34%. One-third of schools reported using sponsorship in response to budget cuts, and over one-fourth solicited sponsorship to prevent charging participation fees. Results also indicated that while the majority of high school athletic departments solicited corporate sponsorship, administrators were cautious in the so-licitation of sponsorship as evidenced by the small dollar amounts involved and overall impact on the budget, reliance on game program advertisements and facility signage to activate sponsorships, and a lack of outsourcing to sport marketing firms to sell the sponsorships. There is clearly room for growth in the interscholastic sport sponsorship market.

  15. Upaya United Nations World Tourism Organization (Unwto) Menangani Sex Tourism Di Thailand (2009-2013)

    OpenAIRE

    Rani, Faisyal; Oktavia, Raesa

    2015-01-01

    This research explain about the efforts of United Nations World Tourism Organization (UNWTO) in dealing with sex tourism in Thailand. This research focused explaining about the role of UNWTO to fix sex tourism problem in Thailand, because sex tourism is one of the most favorite tourism in the world. UNWTO focused to protect the children because they are the biggest victim on sex tourism. This research intended to show the role of United Nations World Tourism Organization to handle the sex tou...

  16. Reflective practices at the Security Council: Children and armed conflict and the three United Nations.

    Science.gov (United States)

    Bode, Ingvild

    2018-06-01

    The United Nations Security Council passed its first resolution on children in armed conflict in 1999, making it one of the oldest examples of Security Council engagement with a thematic mandate and leading to the creation of a dedicated working group in 2005. Existing theoretical accounts of the Security Council cannot account for the developing substance of the children and armed conflict agenda as they are macro-oriented and focus exclusively on states. I argue that Security Council decision-making on thematic mandates is a productive process whose outcomes are created by and through practices of actors across the three United Nations: member states (the first United Nations), United Nations officials (the second United Nations) and non-governmental organizations (the third United Nations). In presenting a practice-based, micro-oriented analysis of the children and armed conflict agenda, the article aims to deliver on the empirical promise of practice theories in International Relations. I make two contributions to practice-based understandings: first, I argue that actors across the three United Nations engage in reflective practices of a strategic or tactical nature to manage, arrange or create space in Security Council decision-making. Portraying practices as reflective rather than as only based on tacit knowledge highlights how actors may creatively adapt their practices to social situations. Second, I argue that particular individuals from the three United Nations are more likely to become recognized as competent performers of practices because of their personality, understood as plural socialization experiences. This adds varied individual agency to practice theories that, despite their micro-level interests, have focused on how agency is relationally constituted.

  17. United Nations Global Compact as a driver of Sustainable Development through businesses

    OpenAIRE

    Bereng, Reitumetse Esther

    2018-01-01

    The United Nations Global Compact (UNGC) was created in 2000 as a global compact between the United Nations and the Corporate Sector to induce businesses to incorporate principles that relate to human rights, labour, environment and anti-corruption into their corporate actions in order to contribute to sustainable development. This report reviews the tools used by the UNGC to ensure that its members´ strategies and operations align to the basic principles.

  18. "A necessary supplement" : what the United Nations global compact is and is not

    OpenAIRE

    Rasche, Andreas

    2009-01-01

    The United Nations Global Compact is with currently more than 6,000 voluntary participants the world's largest corporate citizenship initiative. This article first analyzes three critical allegations often made against the Compact by looking at the academic and nonacademic literature. (1) The Compact supports the capture of the United Nations by "big business." (2) Its 10 principles are vague and thus hard to implement. (3) The Compact is not accountable due to an absence of verification mech...

  19. Corrective Action Decision Document/Closure Report for Corrective Action Unit 567: Miscellaneous Soil Sites - Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro-Intera, LLC (N-I), Las Vegas, NV (United States)

    2014-12-01

    This Corrective Action Decision Document/Closure Report presents information supporting the closure of Corrective Action Unit (CAU) 567: Miscellaneous Soil Sites, Nevada National Security Site, Nevada. The purpose of this Corrective Action Decision Document/Closure Report is to provide justification and documentation supporting the recommendation that no further corrective action is needed for CAU 567 based on the implementation of the corrective actions. The corrective actions implemented at CAU 567 were developed based on an evaluation of analytical data from the CAI, the assumed presence of COCs at specific locations, and the detailed and comparative analysis of the CAAs. The CAAs were selected on technical merit focusing on performance, reliability, feasibility, safety, and cost. The implemented corrective actions meet all requirements for the technical components evaluated. The CAAs meet all applicable federal and state regulations for closure of the site. Based on the implementation of these corrective actions, the DOE, National Nuclear Security Administration Nevada Field Office provides the following recommendations: • No further corrective actions are necessary for CAU 567. • The Nevada Division of Environmental Protection issue a Notice of Completion to the DOE, National Nuclear Security Administration Nevada Field Office for closure of CAU 567. • CAU 567 be moved from Appendix III to Appendix IV of the FFACO.

  20. A National Audit of Smoking Cessation Services in Irish Maternity Units

    LENUS (Irish Health Repository)

    2017-06-01

    There is international consensus that smoking cessation in the first half of pregnancy improves foetal outcomes. We surveyed all 19 maternity units nationally about their antenatal smoking cessation practices. All units recorded details on maternal smoking at the first antenatal visit. Only one unit validated the self-reported smoking status of pregnant women using a carbon monoxide breath test. Twelve units (63%) recorded timing of smoking cessation. In all units women who reported smoking were given verbal cessation advice. This was supported by written advice in 12 units (63%), but only six units (32%) had all midwives trained to provide this advice. Only five units (26%) reported routinely revisiting smoking status later in pregnancy. Although smoking is an important modifiable risk factor for adverse pregnancy outcomes, smoking cessation services are inadequate in the Irish maternity services and there are variations in practices between hospitals.

  1. Deployment of national resources in the provision of energy in the United Kingdom, 1975-2025

    International Nuclear Information System (INIS)

    1977-01-01

    The principal sections of the report are headed: unit capital costs (primary energy sources - coal, oil, natural gas, nuclear, alternative primary energy; conversion; transmission and distribution; storage related to electricity supply; district heating); economic base; capital cost by scenarios; total capital costs by scenarios; cost of balancing imports; materials; manpower; land use; conclusions and recommendations. (U.K.)

  2. Design electronic of manual control for cobalt unit Alcyon II of the National Center of Radiotherapy

    International Nuclear Information System (INIS)

    Morraz V, E.; Campos, X.

    2002-01-01

    A manual control for the cobalt unit, of French production, it was designed by the team of electronic of the national center of radiotherapy with materials found in the national trade. The control has the same characteristics that the original one and it is also adapted a switch from which you can control the lights of the room of the cobalt

  3. Forest health monitoring in the United States: focus on national reports

    Science.gov (United States)

    Kurt Riitters; Kevin Potter

    2013-01-01

    The health and sustainability of United States forests have been monitored for many years from several different perspectives. The national Forest Health Monitoring (FHM) Program was established in 1990 by Federal and State agencies to develop a national system for monitoring and reporting on the status and trends of forest ecosystem health. We describe and illustrate...

  4. United Nations Environment Programme. Annual Report of the Executive Director, 1985.

    Science.gov (United States)

    United Nations Environment Programme, Nairobi (Kenya).

    This report to the Governing Council of the United Nations Environment Programme (UNEP) was prepared to provide the governments of member nations with information on what UNEP had done during 1985, and to serve as a communications mechanism to replace the usual meeting of the Governing Council in 1986. It contains chapters on: (1) the year in…

  5. United Nations' Concept of Justice and Fairness in The Context of ...

    African Journals Online (AJOL)

    Perhaps the inability of the United Nations to manage some international conflicts successfully coupled with its passivity on matters that involve some powerful nations on may be responsible for its criticism by some analysts. These critics, in turn, may not have considered holistically, the UN programmes which have ...

  6. The 2014 United States National Seismic Hazard Model

    Science.gov (United States)

    Petersen, Mark D.; Moschetti, Morgan P.; Powers, Peter; Mueller, Charles; Haller, Kathleen; Frankel, Arthur; Zeng, Yuehua; Rezaeian, Sanaz; Harmsen, Stephen; Boyd, Oliver; Field, Edward; Chen, Rui; Rukstales, Kenneth S.; Luco, Nicolas; Wheeler, Russell; Williams, Robert; Olsen, Anna H.

    2015-01-01

    New seismic hazard maps have been developed for the conterminous United States using the latest data, models, and methods available for assessing earthquake hazard. The hazard models incorporate new information on earthquake rupture behavior observed in recent earthquakes; fault studies that use both geologic and geodetic strain rate data; earthquake catalogs through 2012 that include new assessments of locations and magnitudes; earthquake adaptive smoothing models that more fully account for the spatial clustering of earthquakes; and 22 ground motion models, some of which consider more than double the shaking data applied previously. Alternative input models account for larger earthquakes, more complicated ruptures, and more varied ground shaking estimates than assumed in earlier models. The ground motions, for levels applied in building codes, differ from the previous version by less than ±10% over 60% of the country, but can differ by ±50% in localized areas. The models are incorporated in insurance rates, risk assessments, and as input into the U.S. building code provisions for earthquake ground shaking.

  7. Firework injuries presenting to a national burn's unit.

    Science.gov (United States)

    Jones, D; Lee, W; Rea, S; Donnell, M O; Eadie, P A

    2004-09-01

    The sale to the general public of fireworks is illegal in Ireland. However, many fireworks are readily available on the black market from illegal traders. The number of firework injuries presenting to our unit during the three week run-up to Hallowe'en October 2001 was recorded. In addition, each patient was contacted to determine how the fireworks were obtained, the average amount of money spent, and the level of adult supervision present at the time of injury. A total of 19 patients presented, 18 from the local catchment area, with a mean age of 16 yrs (range 5-46 yrs). Thirteen patients required admission. Sixteen patients sustained hand injuries including burns, and three sustained burns to other body areas. The amount of money spent varied between adults and children, the average amount among the paediatric group was Euro 2-4, but Euro 45 in the adult group. None were willing to identify the local source of their fireworks, but most fireworks originated in Northern Ireland. This small review highlights an ongoing problem in Ireland; fireworks are illegal, yet they are easily and cheaply available without quality or safety controls. Our public awareness campaign has failed to reach its target audience, and the illegal traders who sell these often inferior products are seldom charged. Children and adults will continue to sustain serious injuries as a result.

  8. Closure Report for Corrective Action Unit 547: Miscellaneous Contaminated Waste Sites, Nevada National Security Site, Nevada

    International Nuclear Information System (INIS)

    2012-01-01

    This Closure Report (CR) presents information supporting closure of Corrective Action Unit (CAU) 547, Miscellaneous Contaminated Waste Sites, and provides documentation supporting the completed corrective actions and confirmation that closure objectives for CAU 547 were met. This CR complies with the requirements of the Federal Facility Agreement and Consent Order (FFACO) that was agreed to by the State of Nevada; the U.S. Department of Energy (DOE), Environmental Management; the U.S. Department of Defense; and DOE, Legacy Management (FFACO, 1996 as amended). CAU 547 consists of the following three Corrective Action Sites (CASs), located in Areas 2, 3, and 9 of the Nevada National Security Site: (1) CAS 02-37-02, Gas Sampling Assembly; (2) CAS 03-99-19, Gas Sampling Assembly; AND (3) CAS 09-99-06, Gas Sampling Assembly Closure activities began in August 2011 and were completed in June 2012. Activities were conducted according to the Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) for CAU 547 (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2011). The recommended corrective action for the three CASs in CAU 547 was closure in place with administrative controls. The following closure activities were performed: (1) Open holes were filled with concrete; (2) Steel casings were placed over vertical expansion joints and filled with cement; (3) Engineered soil covers were constructed over piping and exposed sections of the gas sampling system components; (4) Fencing, monuments, Jersey barriers, radiological postings, and use restriction (UR) warning signs were installed around the perimeters of the sites; (5) Housekeeping debris was picked up from around the sites and disposed; and (6) Radiological surveys were performed to confirm final radiological postings. UR documentation is included in Appendix D. The post-closure plan was presented in detail in the CADD/CAP for CAU 547 and is included as

  9. Closure Report for Corrective Action Unit 547: Miscellaneous Contaminated Waste Sites, Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2012-07-17

    This Closure Report (CR) presents information supporting closure of Corrective Action Unit (CAU) 547, Miscellaneous Contaminated Waste Sites, and provides documentation supporting the completed corrective actions and confirmation that closure objectives for CAU 547 were met. This CR complies with the requirements of the Federal Facility Agreement and Consent Order (FFACO) that was agreed to by the State of Nevada; the U.S. Department of Energy (DOE), Environmental Management; the U.S. Department of Defense; and DOE, Legacy Management (FFACO, 1996 as amended). CAU 547 consists of the following three Corrective Action Sites (CASs), located in Areas 2, 3, and 9 of the Nevada National Security Site: (1) CAS 02-37-02, Gas Sampling Assembly; (2) CAS 03-99-19, Gas Sampling Assembly; AND (3) CAS 09-99-06, Gas Sampling Assembly Closure activities began in August 2011 and were completed in June 2012. Activities were conducted according to the Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) for CAU 547 (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2011). The recommended corrective action for the three CASs in CAU 547 was closure in place with administrative controls. The following closure activities were performed: (1) Open holes were filled with concrete; (2) Steel casings were placed over vertical expansion joints and filled with cement; (3) Engineered soil covers were constructed over piping and exposed sections of the gas sampling system components; (4) Fencing, monuments, Jersey barriers, radiological postings, and use restriction (UR) warning signs were installed around the perimeters of the sites; (5) Housekeeping debris was picked up from around the sites and disposed; and (6) Radiological surveys were performed to confirm final radiological postings. UR documentation is included in Appendix D. The post-closure plan was presented in detail in the CADD/CAP for CAU 547 and is included as

  10. 2014 Update of the United States National Seismic Hazard Maps

    Science.gov (United States)

    Petersen, M.D.; Mueller, C.S.; Haller, K.M.; Moschetti, M.; Harmsen, S.C.; Field, E.H.; Rukstales, K.S.; Zeng, Y.; Perkins, D.M.; Powers, P.; Rezaeian, S.; Luco, N.; Olsen, A.; Williams, R.

    2012-01-01

    The U.S. National Seismic Hazard Maps are revised every six years, corresponding with the update cycle of the International Building Code. These maps cover the conterminous U.S. and will be updated in 2014 using the best-available science that is obtained from colleagues at regional and topical workshops, which are convened in 2012-2013. Maps for Alaska and Hawaii will be updated shortly following this update. Alternative seismic hazard models discussed at the workshops will be implemented in a logic tree framework and will be used to develop the seismic hazard maps and associated products. In this paper we describe the plan to update the hazard maps, the issues raised in workshops up to March 2012, and topics that will be discussed at future workshops. An advisory panel will guide the development of the hazard maps and ensure that the maps are acceptable to a broad segment of the science and engineering communities. These updated maps will then be considered by end-users for inclusion in building codes, risk models, and public policy documents.

  11. Retention Patterns for Army National Guard Units Attending the National Training Center

    Science.gov (United States)

    1988-04-01

    which are more difficult, Table 2.1 NTC ROUNDOUT BATTALION SCHEDULE ARNG UNIT STATE DATES 1-108 AR GA 9-22 September 󈨗 2-136 INF (M) MN 19 April-8 May...1984 1-121 INF (M) GA 3-22 October 󈨘 2-121 INF (M) GA 18 March-6 April 󈨙 2-152 AR AL 1-20 June 󈨙 2-120 INF (M) NC 26 June-15 July 󈨙 3-156 INF...roundout unit to the 24th Infantry Division headquartered at Fort Stewart, Georgia. Elements of the unit are located in Tifton , Valdosta, Fitzgerald and

  12. Chapter 9. Educational process. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

    NARCIS (Netherlands)

    Richards, Guy A.; Sprung, Charles L.; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

    2010-01-01

    To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with focus on education of all stakeholders, specifically the emergency executive control groups, ICU staff and staff co-opted to

  13. Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

    NARCIS (Netherlands)

    Sprung, Charles L.; Kesecioglu, Jozef; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

    2010-01-01

    To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies. Based on a literature review and expert opinion, a Delphi process was

  14. Chapter 4. Manpower. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

    NARCIS (Netherlands)

    Sandrock, Christian; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Sprung, Charles L.; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

    2010-01-01

    To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on manpower. Based on a literature review and expert opinion, a Delphi process was used to define the essential

  15. Chapter 7. Critical care triage. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

    NARCIS (Netherlands)

    Christian, Michael D.; Joynt, Gavin M.; Hick, John L.; Colvin, John; Danis, Marion; Sprung, Charles L.; Christian, Micahel D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Farmer, Chris; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

    2010-01-01

    To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on critical care triage. Based on a literature review and expert opinion, a Delphi process was used to define the

  16. Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

    NARCIS (Netherlands)

    Zimmerman, Janice L.; Sprung, Charles L.; Christian, Michael D.; Camargo, Ruben; Ceraso, Daniel; Azoulay, Elie; Duguet, Alexandre; Guery, Benoit; Reinhart, Konrad; Adini, Bruria; Barlavie, Yaron; Benin-Goren, Odeda; Cohen, Robert; Klein, Motti; Leoniv, Yuval; Margalit, Gila; Rubinovitch, Bina; Sonnenblick, Moshe; Steinberg, Avraham; Weissman, Charles; Wolff, Donna; Kesecioglu, Jozef; de Jong, Menno; Moreno, Rui; An, Youzhong; Du, Bin; Joynt, Gavin M.; Colvin, John; Loo, Shi; Richards, Guy; Artigas, Antonio; Pugin, Jerome; Amundson, Dennis; Devereaux, Asha; Beigel, John; Danis, Marion; Farmer, Chris; Hick, John L.; Maki, Dennis; Masur, Henry; Rubinson, Lewis; Sandrock, Christian; Talmor, Daniel; Truog, Robert; Zimmerman, Janice; Brett, Steve; Montgomery, Hugh; Rhodes, Andrew; Sanderson, Frances; Taylor, Bruce

    2010-01-01

    To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in

  17. Visit of H.E. Mr. S. Marchi, Ambassador and Permanent Representative for Canada to the Office of the United Nations at Geneva and H.E. Mr. Ch. Westdal, Alternate Permanent Representative, Ambassador to the Office of the United Nations Permanent Representative and Ambassador to the United Nations for Disarmament for Canada

    CERN Multimedia

    Patrice Loiez

    2000-01-01

    Visit of H.E. Mr. S. Marchi, Ambassador and Permanent Representative for Canada to the Office of the United Nations at Geneva and H.E. Mr. Ch. Westdal, Alternate Permanent Representative, Ambassador to the Office of the United Nations Permanent Representative and Ambassador to the United Nations for Disarmament for Canada

  18. The United Nations development programme initiative for sustainable energy

    Energy Technology Data Exchange (ETDEWEB)

    Hurry, S.

    1997-12-01

    Energy is central to current concerns about sustainable human development, affecting economic and social development; economic growth, the local, national, regional, and global environment; the global climate; a host of social concerns, including poverty, population, and health, the balance of payments, and the prospects for peace. Energy is not an end in itself, but rather the means to achieve the goals of sustainable human development. The energy systems of most developing countries are in serious crisis involving insufficient levels of energy services, environmental degradation, inequity, poor technical and financial performance, and capital scarcity. Approximately 2.5 billion people in the developing countries have little access to commercial energy supplies. Yet the global demand for energy continues to grow: total primary energy is projected to grow from 378 exajoules (EJ) per year in 1990 to 571 EJ in 2020, and 832 EJ in 2050. If this increase occurs using conventional approaches and energy sources, already serious local (e.g., indoor and urban air pollution), regional (eg., acidification and land degradation), and global (e.g., climate change) environmental problems will be critically aggravated. There is likely to be inadequate capital available for the needed investments in conventional energy sources. Current approaches to energy are thus not sustainable and will, in fact, make energy a barrier to socio-economic development. What is needed now is a new approach in which energy becomes an instrument for sustainable development. The two major components of a sustainable energy strategy are (1) more efficient energy use, especially at the point of end-use, and (2) increased use of renewable sources of energy. The UNDP Initiative for Sustainable Energy (UNISE) is designed to harness opportunities in these areas to build upon UNDP`s existing energy activities to help move the world toward a more sustainable energy strategy by helping program countries.

  19. Online palliative care and oncology patient education resources through Google: Do they meet national health literacy recommendations?

    Science.gov (United States)

    Prabhu, Arpan V; Crihalmeanu, Tudor; Hansberry, David R; Agarwal, Nitin; Glaser, Christine; Clump, David A; Heron, Dwight E; Beriwal, Sushil

    The Google search engine is a resource commonly used by patients to access health-related patient education information. The American Medical Association and National Institutes of Health recommend that patient education resources be written at a level between the third and seventh grade reading levels. We assessed the readability levels of online palliative care patient education resources using 10 readability algorithms widely accepted in the medical literature. In October 2016, searches were conducted for 10 individual terms pertaining to palliative care and oncology using the Google search engine; the first 10 articles written for the public for each term were downloaded for a total of 100 articles. The terms included palliative care, hospice, advance directive, cancer pain management, treatment of metastatic disease, treatment of brain metastasis, treatment of bone metastasis, palliative radiation therapy, palliative chemotherapy, and end-of-life care. We determined the average reading level of the articles by readability scale and Web site domain. Nine readability assessments with scores equivalent to academic grade level found that the 100 palliative care education articles were collectively written at a 12.1 reading level (standard deviation, 2.1; range, 7.6-17.3). Zero articles were written below a seventh grade level. Forty-nine (49%) articles were written above a high school graduate reading level. The Flesch Reading Ease scale classified the articles as "difficult" to read with a score of 45.6 of 100. The articles were collected from 62 Web site domains. Seven domains were accessed 3 or more times; among these, www.mskcc.org had the highest average reading level at a 14.5 grade level (standard deviation, 1.4; range, 13.4-16.1). Most palliative care education articles readily available on Google are written above national health literacy recommendations. There is need to revise these resources to allow patients and their families to derive the most

  20. Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

    Science.gov (United States)

    Hick, John L; Christian, Michael D; Sprung, Charles L

    2010-04-01

    To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including surge capacity and infrastructure considerations. Key recommendations include: (1) hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas; (2) hospitals should have appropriate beds and monitors for these expansion areas; hospitals should develop contingency plans at the facility and government (local, state, provincial, national) levels to provide additional ventilators; (3) hospitals should develop a phased staffing plan (nursing and physician) for ICUs that provides sufficient patient care supervision during contingency and crisis situations; (4) hospitals should provide expert input to the emergency management personnel at the hospital both during planning for surge capacity as well as during response; (5) hospitals should assure that adequate infrastructure support is present to support critical care activities; (6) hospitals should prioritize locations for expansion by expanding existing ICUs, using postanesthesia care units and emergency departments to capacity, then step-down units, large procedure suites, telemetry units and finally hospital wards. Judicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic.

  1. The United States, the United Nations, and the Legitimation of the Use of Force

    Science.gov (United States)

    1993-06-01

    powerful enough in its own right to impose its will in issues or in areas where its most powerful Members disagreed. These parochial interests began to...34 Realism is descriptive, not teleological (as is Rationalism) nor prescriptive (Revolutionism). [Ref. 8:pp. 18-24] 13 The three traditions provide a...a subset of international interests. The interests of a civitas maxima, definable and attainable, override any supposed parochial national interests

  2. Closure Report for Corrective Action Unit 573: Alpha Contaminated Sites Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States)

    2017-03-01

    This Closure Report (CR) presents information supporting the closure of Corrective Action Unit (CAU) 573: Alpha Contaminated Sites, Nevada National Security Site, Nevada. CAU 573 comprises the two corrective action sites (CASs): 05-23-02-GMX Alpha Contaminated Are-Closure in Place and 05-45-01-Atmospheric Test Site - Hamilton- Clean Closure. The purpose of this CR is to provide justification and documentation supporting the recommendation that no further corrective action is needed for CAU 573 based on the implementation of the corrective actions. Corrective action activities were performed at Hamilton from May 25 through June 30, 2016; and at GMX from May 25 to October 27, 2016, as set forth in the Corrective Action Decision Document (CADD)/Corrective Action Plan (CAP) for Corrective Action Unit 573: Alpha Contaminated Sites; and in accordance with the Soils Activity Quality Assurance Plan, which establishes requirements, technical planning, and general quality practices. Verification sample results were evaluated against data quality objective criteria developed by stakeholders that included representatives from the Nevada Division of Environmental Protection and the DOE, National Nuclear Security Administration Nevada Field Office (NNSA/NFO) during the corrective action alternative (CAA) meeting held on November 24, 2015. Radiological doses exceeding the final action level were assumed to be present within the high contamination areas associated with CAS 05-23-02, thus requiring corrective action. It was also assumed that radionuclides were present at levels that require corrective action within the soil/debris pile associated with CAS 05-45-01. During the CAU 573 CAA meeting, the CAA of closure in place with a use restriction (UR) was selected by the stakeholders as the preferred corrective action of the high contamination areas at CAS 05-23-02 (GMX), which contain high levels of removable contamination; and the CAA of clean closure was selected by the

  3. Fast forward for the United Nations. Human security becomes a unifying force

    International Nuclear Information System (INIS)

    Annan, Kofi

    2005-01-01

    This paper speaks about the author's vision of a safer world and a better United Nations. The global threats of our age include terrorism, deadly weapons, genocide, infectious disease, poverty, environmental degradation and organized crime. They will not wait for States to sort out their differences. That is why we must act now to strengthen our collective defences. We must unite to master today's threats, and not allow them to divide and master us. And I submit that the only universal instrument that can bring States together in such a global effort is the United Nations. One must acknowledge that the United Nations is not perfect. At times, it shows its age. But our world will not easily find a better instrument for forging a sustained, global response to today's threats. We must use it to unite around common priorities - and act on them. And we must agree on a plan to reform the United Nations - and get on with the job of implementing it. This message lies at the heart of the recent report, A More Secure World: Our Shared Responsibility. It is the work of the Panel of 16 men and women from around the world I appointed last year. The report contains a powerful vision of collective security. Whether the threat is terrorism or AIDS, a threat to one is a threat to all. Our defences are only as strong as their weakest link. We will be safest if we work together

  4. Denmark's national inventory report 2005 - submitted under the United Nations frameword convention on climate change. 1990-2003. Emission Inventories

    International Nuclear Information System (INIS)

    Illerup, J.B.

    2005-01-01

    This report is Denmkark's National Inventory Report (NIR) due by 15 April 2005 to the United Nations Framework Convention on Climate Change (UNFCCC). the report contains information on Denmark's inventories for all years from 1990 to 2003. The structure of the report is in accordance with the UNFCCC Guidelines on reporting and review and the report includes detailed information on the inventories for all years from the base year to the year of the current annual inventory submission, in order to ensure the transparency of the inventory. (au)

  5. Vascular plant and vertebrate species richness in national parks of the eastern United States

    Science.gov (United States)

    Hatfield, Jeffrey S.; Myrick, Kaci E.; Huston, Michael A.; Weckerly, Floyd W.; Green, M. Clay

    2013-01-01

    Given the estimates that species diversity is diminishing at 50-100 times the normal rate, it is critical that we be able to evaluate changes in species richness in order to make informed decisions for conserving species diversity. In this study, we examined the potential of vascular plant species richness to be used as a surrogate for vertebrate species richness in the classes of amphibians, reptiles, birds, and mammals. Vascular plants, as primary producers, represent the biotic starting point for ecological community structure and are the logical place to start for understanding vertebrate species associations. We used data collected by the United States (US) National Park Service (NPS) on species presence within parks in the eastern US to estimate simple linear regressions between plant species richness and vertebrate richness. Because environmental factors may also influence species diversity, we performed simple linear regressions of species richness versus natural logarithm of park area, park latitude, mean annual precipitation, mean annual temperature, and human population density surrounding the parks. We then combined plant species richness and environmental variables in multiple regressions to determine the variables that remained as significant predictors of vertebrate species richness. As expected, we detected significant relationships between plant species richness and amphibian, bird, and mammal species richness. In some cases, plant species richness was predicted by park area alone. Species richness of mammals was only related to plant species richness. Reptile species richness, on the other hand, was related to plant species richness, park latitude and annual precipitation, while amphibian species richness was related to park latitude, park area, and plant species richness. Thus, plant species richness predicted species richness of different vertebrate groups to varying degrees and should not be used exclusively as a surrogate for vertebrate

  6. National Identity and the New Nationalism: The Rise of Ethnic Absolutism in the United States.

    Science.gov (United States)

    Giroux, Henry A.

    1994-01-01

    Discusses media culture and the populist construction of nationalist identity, highlighting right-wing conservatives Pat Buchanan's and Rush Limbaugh's cultural conformist viewpoints. Leftist intellectual Richard Rorty's notion of national identity constricts the principles informing a multicultural and multiracial society. Educators need a…

  7. Knowledge of influenza vaccination recommendation and early vaccination uptake during the 2015-16 season among adults aged ≥18years - United States.

    Science.gov (United States)

    Lu, Peng-Jun; Srivastav, Anup; Santibanez, Tammy A; Christopher Stringer, M; Bostwick, Michael; Dever, Jill A; Stanley Kurtz, Marshica; Williams, Walter W

    2017-08-03

    Since 2010, the Advisory Committee on Immunization Practices (ACIP) has recommended that all persons aged ≥6months receive annual influenza vaccination. We analyzed data from the 2015 National Internet Flu Survey (NIFS), to assess knowledge and awareness of the influenza vaccination recommendation and early influenza vaccination coverage during the 2015-16 season among adults. Predictive marginals from a multivariable logistic regression model were used to identify factors independently associated with adults' knowledge and awareness of the vaccination recommendation and early vaccine uptake during the 2015-16 influenza season. Among the 3301 respondents aged ≥18years, 19.6% indicated knowing that influenza vaccination is recommended for all persons aged ≥6months. Of respondents, 62.3% indicated awareness that there was a recommendation for influenza vaccination, but did not indicate correct knowledge of the recommended age group. Overall, 39.9% of adults aged ≥18years reported having an influenza vaccination. Age 65years and older, being female, having a college or higher education, not being in work force, having annual household income ≥$75,000, reporting having received an influenza vaccination early in the 2015-16 season, having children aged ≤17years in the household, and having high-risk conditions were independently associated with a higher correct knowledge of the influenza vaccination recommendation. Approximately 1 in 5 had correct knowledge of the recommendation that all persons aged ≥6months should receive an influenza vaccination annually, with some socio-economic groups being even less aware. Clinic based education in combination with strategies known to increase uptake of recommended vaccines, such as patient reminder/recall systems and other healthcare system-based interventions are needed to improve vaccination, which could also improve awareness. Published by Elsevier Ltd.

  8. United Nations - African Union Cooperation In Conflict Prevention, Peacekeeping and Peacebuildin

    Directory of Open Access Journals (Sweden)

    Liliya Igorevna Romadan

    2015-01-01

    Full Text Available The article addresses the cooperation between the United Nations and regional organizations, in particular the African Union in the sphere of security and settlement of conflicts. Over the last decade the role of the AU and sub regional organizations has dramatically increased. Through its agencies of ensuring peace and security the African Union is making significant contribution to strengthening stability and promotion of democracy and human rights in Africa. In the beginning of the article authors make a review of the level of security on the African continent and stress the sharpest conflict zones. According to researches one of the most turbulent regions on continent in terms of security is the North-East Africa. Continuing quarter-century war in Somalia, conflict relations between Somalia and Ethiopia, the border crises between Ethiopia and Eritrea, which in the late 20th century turned into the war between the two countries, finally, the number of armed clashes in Sudan attracted the special attention to the region of the entire world community. Authors pay the main attention to the cooperation between the United Nations and the African Union in the sphere of settling regional conflicts and holding peacekeeping operations. In the article the main mechanisms and methods that are used by the United Nations and the African Union to hold peacekeeping operations are analyzed in details. The situation in Somalia and efforts of the United Nations and the African Union that are making towards stabilization in this country are also studied. Authors reveal the basic elements and make a review of the mixed multicomponent peacekeeping operation of the United Nations and the African Union in Sudan. In the conclusion authors stress the measures that could strengthen the strategic cooperation between the United Nations and the African union. According to the authors the most important task is to solve problems of financing joint peacekeeping operations

  9. Addressing Child Poverty: How Does the United States Compare With Other Nations?

    Science.gov (United States)

    Smeeding, Timothy; Thévenot, Céline

    2016-04-01

    Poverty during childhood raises a number of policy challenges. The earliest years are critical in terms of future cognitive and emotional development and early health outcomes, and have long-lasting consequences on future health. In this article child poverty in the United States is compared with a set of other developed countries. To the surprise of few, results show that child poverty is high in the United States. But why is poverty so much higher in the United States than in other rich nations? Among child poverty drivers, household composition and parent's labor market participation matter a great deal. But these are not insurmountable problems. Many of these disadvantages can be overcome by appropriate public policies. For example, single mothers have a very high probability of poverty in the United States, but this is not the case in other countries where the provision of work support increases mothers' labor earnings and together with strong public cash support effectively reduces child poverty. In this article we focus on the role and design of public expenditure to understand the functioning of the different national systems and highlight ways for improvements to reduce child poverty in the United States. We compare relative child poverty in the United States with poverty in a set of selected countries. The takeaway is that the United States underinvests in its children and their families and in so doing this leads to high child poverty and poor health and educational outcomes. If a nation like the United States wants to decrease poverty and improve health and life chances for poor children, it must support parental employment and incomes, and invest in children's futures as do other similar nations with less child poverty. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  10. Annual Report to the Economic and Social Council of the United Nations for 1958-59

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-06-15

    By resolution GC(II)/RES/24 the General Conference decided that a report should be submitted by the Agency to the Economic and Social Council of the United Nations each year at its second session on matters within the Council's competence, and authorized the Board of Governors to submit this report in 1959. After approval by the Board at the 126th meeting on 11 April 1959, the report was accordingly transmitted to the United Nations. The text of the report is reproduced in this document for the information of Member States.

  11. Annual Report to the Economic and Social Council of the United Nations for 1958-59

    International Nuclear Information System (INIS)

    1959-06-01

    By resolution GC(II)/RES/24 the General Conference decided that a report should be submitted by the Agency to the Economic and Social Council of the United Nations each year at its second session on matters within the Council's competence, and authorized the Board of Governors to submit this report in 1959. After approval by the Board at the 126th meeting on 11 April 1959, the report was accordingly transmitted to the United Nations. The text of the report is reproduced in this document for the information of Member States.

  12. Updated United Nations Framework Classification for reserves and resources of extractive industries

    Science.gov (United States)

    Ahlbrandt, T.S.; Blaise, J.R.; Blystad, P.; Kelter, D.; Gabrielyants, G.; Heiberg, S.; Martinez, A.; Ross, J.G.; Slavov, S.; Subelj, A.; Young, E.D.

    2004-01-01

    The United Nations have studied how the oil and gas resource classification developed jointly by the SPE, the World Petroleum Congress (WPC) and the American Association of Petroleum Geologists (AAPG) could be harmonized with the United Nations Framework Classification (UNFC) for Solid Fuel and Mineral Resources (1). The United Nations has continued to build on this and other works, with support from many relevant international organizations, with the objective of updating the UNFC to apply to the extractive industries. The result is the United Nations Framework Classification for Energy and Mineral Resources (2) that this paper will present. Reserves and resources are categorized with respect to three sets of criteria: ??? Economic and commercial viability ??? Field project status and feasibility ??? The level of geologic knowledge The field project status criteria are readily recognized as the ones highlighted in the SPE/WPC/AAPG classification system of 2000. The geologic criteria absorb the rich traditions that form the primary basis for the Russian classification system, and the ones used to delimit, in part, proved reserves. Economic and commercial criteria facilitate the use of the classification in general, and reflect the commercial considerations used to delimit proved reserves in particular. The classification system will help to develop a common understanding of reserves and resources for all the extractive industries and will assist: ??? International and national resources management to secure supplies; ??? Industries' management of business processes to achieve efficiency in exploration and production; and ??? An appropriate basis for documenting the value of reserves and resources in financial statements.

  13. Denmark's forth national communication on climate change. Under the United Nations framework convention on climate change

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    The Kingdom of Denmark comprises Denmark, Greenland and the Faeroe Islands. The UN Framework Convention on Climate Change has been ratified on behalf of all three parts. This report is Denmark's Fourth Climate Communication under the Climate Convention. Since Denmark's ratification covers the entire Realm, the report includes information on Greenland and the Faeroe Islands. The report is organised in accordance with the guidelines for national communications adopted by the parties to the Climate Convention. (BA)

  14. Malaysia’s Participation in a United Nations Standing Force: A Question of National Security

    Science.gov (United States)

    2002-05-31

    Armed Forces Defence College and during a key note address at the National Security Conference, Malaysian Defense Minister, Dato’ Najib Tun Razak ...Oxford: Oxford University Press, 1999), 197-198. 9Speech by Dato’ Sri Mohd Najib Tun Abdul Razak , “Regional Insecurity: Preparing For Low to High...Resolution 15, No.2, (1971) Dato’ Sri Mohd Najib Tun Razak . “Executive Interview.” Asian Defence Journal (October 2001): 14-16. General Tan Sri Dato

  15. Meeting UK dietary recommendations is associated with higher estimated consumer food costs: an analysis using the National Diet and Nutrition Survey and consumer expenditure data, 2008-2012.

    Science.gov (United States)

    Jones, Nicholas Rv; Tong, Tammy Yn; Monsivais, Pablo

    2018-04-01

    To test whether diets achieving recommendations from the UK's Scientific Advisory Committee on Nutrition (SACN) were associated with higher monetary costs in a nationally representative sample of UK adults. A cross-sectional study linking 4 d diet diaries in the National Diet and Nutrition Survey (NDNS) to contemporaneous food price data from a market research firm. The monetary cost of diets was assessed in relation to whether or not they met eight food- and nutrient-based recommendations from SACN. Regression models adjusted for potential confounding factors. The primary outcome measure was individual dietary cost per day and per 2000 kcal (8368 kJ). UK. Adults (n 2045) sampled between 2008 and 2012 in the NDNS. On an isoenergetic basis, diets that met the recommendations for fruit and vegetables, oily fish, non-milk extrinsic sugars, fat, saturated fat and salt were estimated to be between 3 and 17 % more expensive. Diets meeting the recommendation for red and processed meats were 4 % less expensive, while meeting the recommendation for fibre was cost-neutral. Meeting multiple targets was also associated with higher costs; on average, diets meeting six or more SACN recommendations were estimated to be 29 % more costly than isoenergetic diets that met no recommendations. Food costs may be a population-level barrier limiting the adoption of dietary recommendations in the UK. Future research should focus on identifying systems- and individual-level strategies to enable consumers achieve dietary recommendations without increasing food costs. Such strategies may improve the uptake of healthy eating in the population.

  16. Staff Report to the Senior Department Official on Recognition Compliance Issues. Recommendation Page: National Accrediting Commission Of Cosmetology Arts and Sciences

    Science.gov (United States)

    US Department of Education, 2010

    2010-01-01

    The National Accrediting Commission of Cosmetology Arts and Sciences (NACCAS) is a national accreditor whose scope of recognition is for the accreditation throughout the United States of postsecondary schools and departments of cosmetology arts and sciences and massage therapy. The agency accredits approximately 1,300 institutions offering…

  17. Fatty acid dietary intake in the general French population: are the French Agency for Food, Environmental and Occupational Health & Safety (ANSES) national recommendations met?

    Science.gov (United States)

    Tressou, Jessica; Moulin, Philippe; Vergès, Bruno; Le Guillou, Céline; Simon, Noémie; Pasteau, Stéphane

    2016-12-01

    Quantity and quality of fatty acids (FA) in diet influence CVD risk. Consequently, health authorities promote recommended dietary intakes for FA, looking for optimal intakes in a primary prevention of CVD perspective. In parallel, a few data are available detailing intakes in national populations. The objective of the present study was to perform a large analysis combining the data of the French National Survey INCA 2 on food consumption performed in 2006 and 2007, and the nutritional content of food consumed in France updated in 2013 by the French Information Centre on Food Quality, to explore in details the FA intakes in French adults using the most recent available data. To compare the discrepancies in the observed intake levels with the French recommended levels, a weighted fat adherence score was built combining intakes of the different FA. Individual scores were computed in relation to official recommendations, and potential explanatory factors were identified. These data show that SFA intakes are persistently higher than national recommendations, combined with low intakes of MUFA and PUFA, particularly long-chain n-3 FA. Only 14·6 % of the French population met DHA intake recommendation, 7·8 % for EPA and 21·6 % for SFA. This situation remains unfavourable in terms of primary prevention of CVD. Consuming fish and other sources of n-3 FA, living in the south of France, being female, having a higher education level, and low alcohol consumption were associated with a healthier fat adherence score.

  18. Application of international recommendations and guidance on low level radioactive waste management and remediation of contaminated land at the national level: Experience of regulatory support in Northwest Russia

    International Nuclear Information System (INIS)

    Sneve, M.; Smith, G.M.; Kerrigan, E

    2005-01-01

    This paper notes the developments in international recommendations on radioactive waste management and remediation of contaminated land and considers their implementation in the context of the Norwegian Plan of Action to improve nuclear safety in North West Russia. Summary information is provided on projects to implement waste management activities (so-called Industrial Projects) and on projects to support regulatory supervision of waste management activities (so-called Regulatory Support Projects). The links between international recommendations and national practice are discussed and it is concluded that, in practice, the details of national standards differ both among themselves and, in some respects, from the recommendations of the ICRP and IAEA. Examples of further potential collaboration projects are listed. While separate responsibilities among organisations have to clear and maintained, combined involvement of operators and regulators is recognised as a prioritised area in future cooperation between NRPA and Russia. (author)

  19. France's fifth national communication submitted under the United Nations framework on Climate Change. November 2009

    International Nuclear Information System (INIS)

    2009-01-01

    After a presentation of France's national context (institutions, demography, geography, climate, economy), this document proposes information related to greenhouse gas emission inventory, a description of policy and measures aimed notably at meeting Kyoto's protocol requirements, a discussion of projections and of an assessment of the total effect of these policy and measures, a discussion of vulnerability assessment, climate change impacts and adaptation measures, a presentation of financial resources and technology transfer actions, a presentation of research actions and systematic observations, and a presentation of actions in the fields of education, training and public participation

  20. After the Conference of United Nations Conference on Environment and Development. The national environmental action program

    International Nuclear Information System (INIS)

    1996-01-01

    Following to the Strategy, priorities and principles of the state environmental policy the government of the Slovak republic has accepted by resolution No 350/1996 the first National environmental action program (NEAP), This NEAP contains the measures for attaining of aims of the Strategy in all nine sectors of protection and creation of the environment. The NEAP contains 1356 measures with conceptual, legislative, economic, educational-educational, scientific-research (including monitoring) and organizational character. The measures of the NEAP in detail are discussed

  1. Sweden's third national communication on climate change. Under the United Nations framework convention on climate change

    International Nuclear Information System (INIS)

    2001-01-01

    Sweden's national communication to the UN Convention on Climate Change describes everything about the emission and absorption of greenhouse gases, the motives and forces behind emissions, and official Swedish climate policies. Every five years, Sweden submits a communication on practical climate efforts in Sweden to the UN Convention on Climate Change. The Swedish Environmental Protection Board has coordinated the work of producing the basic documentation for the communication, which also describes the measures already taken and those planned for the future. In addition, scenarios have been adopted for developments in Swedish greenhouse gas emissions, Sweden's vulnerability and Swedish research into the climate and climate change

  2. Dentist Material Selection for Single-Unit Crowns: Findings from The National Dental Practice-Based Research Network

    Science.gov (United States)

    Makhija, Sonia K.; Lawson, Nathaniel C.; Gilbert, Gregg H.; Litaker, Mark S.; McClelland, Jocelyn A.; Louis, David R.; Gordan, Valeria V.; Pihlstrom, Daniel J.; Meyerowitz, Cyril; Mungia, Rahma; McCracken, Michael S.

    2016-01-01

    Objectives Dentists enrolled in the National Dental Practice-Based Research Network completed a study questionnaire about techniques and materials used for single-unit crowns and an enrollment questionnaire about dentist/practice characteristics. The objectives were to quantify dentists’ material recommendations and test the hypothesis that dentist’s and practice’s characteristics are significantly associated with these recommendations. Methods Surveyed dentists responded to a contextual scenario asking what material they would use for a single-unit crown on an anterior and posterior tooth. Material choices included: full metal, porcelain-fused-to-metal (PFM), all-zirconia, layered zirconia, lithium disilicate, leucite-reinforced ceramic, or other. Results 1,777 of 2,132 eligible dentists responded (83%). The top 3 choices for anterior crowns were lithium disilicate (54%), layered zirconia (17%), and leucite-reinforced glass ceramic (13%). There were significant differences (p<0.05) by dentist’s gender, race, years since graduation, practice type, region, practice busyness, hours worked/week, and location type. The top 3 choices for posterior crowns were all-zirconia (32%), PFM (31%), and lithium disilicate (21%). There were significant differences (p<0.05) by dentist’s gender, practice type, region, practice busyness, insurance coverage, hours worked/week, and location type. Conclusions Network dentists use a broad range of materials for single-unit crowns for anterior and posterior teeth, adopting newer materials into their practices as they become available. Material choices are significantly associated with dentist’s and practice’s characteristics. Clinical Significance Decisions for crown material may be influenced by factors unrelated to tooth and patient variables. Dentists should be cognizant of this when developing an evidence-based approach to selecting crown material. PMID:27693778

  3. Self-Employment for People with Disabilities in the United States: A Recommended Process for Vocational Rehabilitation Agencies.

    Science.gov (United States)

    Arnold, Nancy; Seekins, Tom; Ipsen, Catherine; Colling, Kyle

    2003-01-01

    Recommends a research-based process for rehabilitation agencies assisting clients with self-employment. Steps include counselor-client dialog about self-employment, use of assessment tools and resources, education/training, development of a business plan, start-up funding from the agency and other sources, business start-up, and evaluation of…

  4. Screening and management of gestational diabetes mellitus in Scottish obstetric units: a national survey.

    Science.gov (United States)

    Stirrat, Laura I; Denison, Fiona C; Love, Corinne D B; Lindsay, Robert S; Reynolds, Rebecca M

    2015-02-01

    The last study of screening practices for gestational diabetes (GDM) in the UK concluded that a lack of consensus about screening was due to a lack of clinical guidelines. We aimed to determine current practices in Scotland since new guidelines recommended that diagnosis should be made at a lower level of hyperglycaemia. An online questionnaire designed to investigate the screening and management of GDM was distributed to all maternity units in Scotland managing women with GDM (n = 15) for completion by relevant clinical team members. The response rate was 100%. Considerable variation in clinical practice existed between units. Thirteen units (86.7%) had adopted the lower glucose tolerance values for diagnosis of GDM (fasting ≥5.1 mmol/L; 2-h ≥8.5 mmol/L) recommended by the Scottish Intercollegiate Guidelines Network in 2010. Available data from units using this guideline (n = 3) revealed a significant increase in the percentage of women diagnosed with GDM between 2010 and 2012 (2010: 1.28%, 2012: 2.54%; p still inconsistencies in screening and management of GDM in Scotland. If a similar increase in the prevalence of GDM is experienced across Scotland, there will be major implications for health care provision and resource allocation. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  5. League of Our Own: Creating a Model United Nations Scrimmage Conference

    Science.gov (United States)

    Ripley, Brian; Carter, Neal; Grove, Andrea K.

    2009-01-01

    Model United Nations (MUN) provides a great forum for students to learn about global issues and political processes, while also practicing communication and negotiation skills that will serve them well for a lifetime. Intercollegiate MUN conferences can be problematic, however, in terms of logistics, budgets, and student participation. In order to…

  6. United Nations Sustainable Development Goals: Promoting Health and Well-Being through Physical Education Partnerships

    Science.gov (United States)

    Lynch, Timothy

    2016-01-01

    This paper shares a health and wellbeing partnership, modelling implementation of physical education (PE) advocated by the United Nations (UN). The Sustainable Development Goals (SDGs) exemplifies global efforts towards equality, specifically Goal 3 and 4 address health and wellbeing. The purpose of this paper is to provide insights into cross…

  7. Eleanor Roosevelt, the United Nations and the Role of Radio Communications

    NARCIS (Netherlands)

    Luscombe, Anya

    Eleanor Roosevelt communicated with the public through a variety of media, both before, during and following her time in the White House. In 1946 she became part of the US delegation to the newly formed United Nations and she used newspaper columns, speeches and radio broadcasts to converse with

  8. "Out of Fear and into Peace" President Eisenhower's Address of the United Nations.

    Science.gov (United States)

    Mueller, Jean West; Schamel, Wynell Burroughs

    1990-01-01

    Presents a section of President Dwight D. Eisenhower's, "Atoms for Peace," 1953 address to the United Nations General Assembly. Suggests using the document for classroom discussions of nuclear proliferation, emphasizing that using primary sources develops research skills, activates classroom discussions, citizenship, and creative…

  9. Arms limitation and disarmament in the United Nations: Perspectives and prospects

    International Nuclear Information System (INIS)

    Akashi, Yasushi.

    1991-01-01

    In this paper, the Under-Secretary-General for Disarmament Affairs of the United Nations presented the main activities and achievements of the UN in the field of multilateral disarmament as well as the next steps to be undertaken by UN and Member States for disarmament and arms limitation

  10. National Offshore Wind Strategy: Facilitating the Development of the Offshore Wind Industry in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Gilman, Patrick [National Renewable Energy Lab. (NREL), Golden, CO (United States); Maurer, Ben [National Renewable Energy Lab. (NREL), Golden, CO (United States); Feinberg, Luke [National Renewable Energy Lab. (NREL), Golden, CO (United States); Duerr, Alana [National Renewable Energy Lab. (NREL), Golden, CO (United States); Peterson, Lauren [National Renewable Energy Lab. (NREL), Golden, CO (United States); Musial, Walt [National Renewable Energy Lab. (NREL), Golden, CO (United States); Beiter, Phillipp [National Renewable Energy Lab. (NREL), Golden, CO (United States); Golladay, Jennifer [Dept. of the Interior (DOI), Washington DC (United States); Stromberg, Jessica [Dept. of the Interior (DOI), Washington DC (United States); Johnson, Isis [Dept. of the Interior (DOI), Washington DC (United States); Boren, Doug [Dept. of the Interior (DOI), Washington DC (United States); Moore, Annette [Dept. of the Interior (DOI), Washington DC (United States)

    2016-09-01

    The U.S. Department of Energy, through its Wind Energy Technologies Office, and U.S. Department of the Interior, through its Bureau of Ocean Energy Management, have jointly produced this updated national strategy to facilitate the responsible development of offshore wind energy in the United States.

  11. Nothing but the Truth? The United Nations and the Millennium Development Goals

    Science.gov (United States)

    Porter, Shirley

    2014-01-01

    The United Nations established eight Millennium Development Goals (MDGs) in 2000, with the target for achievement set at 2015. On the UN website a special section is devoted to the MDGs. In this article the website as it was presented in late 2013 is examined. Although the website was easy to negotiate, it was difficult to ascertain any…

  12. The Role of Ethiopia's Public Universities in Achieving the United Nations Sustainable Development Goals

    Science.gov (United States)

    O'Keeffe, Paul

    2016-01-01

    In recent years, the Ethiopian government has embarked on an ambitious agriculture development strategy aimed at raising Ethiopia to the status of a middle-income-level country by 2025. Encouraged by the international development push behind the United Nations Sustainable Development Goals (SDGs), the rapid expansion of public universities has…

  13. Medical abortion practices : a survey of National Abortion Federation members in the United States

    NARCIS (Netherlands)

    Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.

    2008-01-01

    Background: Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation

  14. Medical abortion practices: a survey of National Abortion Federation members in the United States

    NARCIS (Netherlands)

    Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.

    2008-01-01

    Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation (NAF) members

  15. The United Nations Convention against Corruption. A Primer for Development Practitioners

    OpenAIRE

    Schultz, Jessica

    2007-01-01

    The United Nations Convention against Corruption (UNCAC), adopted in Merida, Mexico in 2003, represents a remarkable achievement for international anti-corruption efforts. With endorsements from more than 140 state signatories representing every region of the world, the UNCAC offers a comprehensive, global framework for combating corruption.

  16. The State of the World Environment, 1987. United Nations Environment Programme.

    Science.gov (United States)

    United Nations Environment Programme, Nairobi (Kenya).

    One of the main activities assigned to the Governing Council of the United Nations Environment Programme (UNEP) is to review the world environmental situation to insure that emerging environmental problems of wide international significance receive appropriate and adequate consideration by governments. Accordingly, UNEP has assessed the state of…

  17. United Nations Environment Programme. Annual Report of the Executive Director, 1983.

    Science.gov (United States)

    United Nations Environment Programme, Nairobi (Kenya).

    This report provides a comprehensive overview of the major activities, programs, events, and developments within the United Nations Environment Programme (UNEP) in 1983. Its purpose is to provide a broad understanding of what UNEP is, how it functions, and what it does with the money it has at its disposal. Chapter I summarizes 1983 in terms of…

  18. The United Nations, Peace, and Higher Education: Pedagogic Interventions in Neoliberal Times

    Science.gov (United States)

    Kester, Kevin

    2017-01-01

    Peace and conflict studies (PACS) education in recent decades has become a popular approach to social justice learning in higher education institutions (Harris, Fisk, and Rank 1998; Smith 2007; Carstarphen et al. 2010; Bajaj and Hantzopoulos 2016) and has been provided legitimacy through a number of different United Nations (UN) declarations…

  19. Beyond the Rhetoric: An Historian's View of the "National" Standards for United States History.

    Science.gov (United States)

    Stern, Sheldon M.

    1994-01-01

    Suggests there are flaws in the National Standards for United States History that could be detrimental to students. According to the author, in their pervasive present-mindedness and self-censorship, the standard's framers underestimate and ill-serve the students because the standards help develop a smug, superior, and self-righteous attitude…

  20. The United Nations University: The Concept, History, Structure, Financing, Objectives, Centres and Programmes. Guest Editorial.

    Science.gov (United States)

    Reddy, J.

    2000-01-01

    The United Nations University (UNU) is an international academic organization which brings together leading international scholars to tackle world problems. This article describes for South African scholars, institutions, governments, and their agencies the importance of the work being undertaken by the UNU and encourages their participation. (EV)

  1. A Methodology for Building Faculty Support for the United Nations Principles for Responsible Management Education

    Science.gov (United States)

    Maloni, Michael J.; Smith, Shane D.; Napshin, Stuart

    2012-01-01

    Evidence from extant literature indicates that faculty support is a critical driver for implementing the United Nations Principles for Responsible Management Education (PRME), particularly for schools pursuing an advanced, cross-disciplinary level of sustainability integration. However, there is limited existing research offering insight into how…

  2. Corrective Action Decision Document/Closure Report for Corrective Action Unit 372: Area 20 Cabriolet/Palanquin Unit Craters, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick and Sloop, Christy

    2011-04-01

    This Corrective Action Decision Document (CADD)/Closure Report (CR) has been prepared for Corrective Action Unit (CAU) 372, Area 20 Cabriolet/Palanquin Unit Craters, located within Areas 18 and 20 at the Nevada National Security Site, Nevada, in accordance with the Federal Facility Agreement and Consent Order (FFACO). Corrective Action Unit 372 comprises four corrective action sites (CASs): • 18-45-02, Little Feller I Surface Crater • 18-45-03, Little Feller II Surface Crater • 20-23-01, U-20k Contamination Area • 20-45-01, U-20L Crater (Cabriolet) The purpose of this CADD/CR is to provide justification and documentation supporting the recommendation that no further corrective action is needed for CAU 372 based on the implementation of the corrective action of closure in place with administrative controls at all CASs. Corrective action investigation (CAI) activities were performed from November 9, 2009, through December 10, 2010, as set forth in the Corrective Action Investigation Plan for Corrective Action Unit 372: Area 20 Cabriolet/Palanquin Unit Craters. The approach for the CAI was divided into two facets: investigation of the primary release of radionuclides and investigation of other releases (migration in washes and chemical releases). The purpose of the CAI was to fulfill data needs as defined during the data quality objective (DQO) process. The CAU 372 dataset of investigation results was evaluated based on a data quality assessment. This assessment demonstrated the dataset is acceptable for use in fulfilling the DQO data needs. Investigation results were evaluated against final action levels (FALs) established in this document. A radiological dose FAL was established of 25 millirem per year based on the Remote Work Area exposure scenario (336 hours of annual exposure). Radiological doses exceeding the FAL were found to be present at all four CASs. It is assumed that radionuclide levels present within the Little Feller I and Cabriolet high

  3. 12 CFR 7.4003 - Establishment and operation of a remote service unit by a national bank.

    Science.gov (United States)

    2010-01-01

    ...(Seventh). An RSU includes an automated teller machine, automated loan machine, and automated device for... a remote service unit by a national bank. A remote service unit (RSU) is an automated facility...

  4. The Imposition of the Death Penalty on Mexican Nationals in the United States and the Cultural, Legal and Political Context

    Directory of Open Access Journals (Sweden)

    James Michael Olivero

    2013-03-01

    Full Text Available This paper reviews death penalty perspectives from the United States, Mexico and international law. The United States practices the death penalty on not only its citizens, but those of other nations who commit capital crimes. Mexico is a death penalty abolitionist state that takes significant issue with the United States over executing Mexican nationals. The paper analyzes the cultural, legal and political conflict between the two countries surrounding the application of the death penalty on Mexican nationals.

  5. Annual Report of the United Nations Joint Staff Pension Board. Report for the Year ending on 30 September 1964

    International Nuclear Information System (INIS)

    1966-01-01

    Pursuant to the requirement in Article XXXV of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board (JSPB) present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published a report containing statistical data for the year ending on 30 September 1964, as well as a summary of action taken on behalf of JSPB by its Standing Committee since the former's last session in July 1964, as Supplement No. 8 to the Official Records of the General Assembly: 20 th Session (A/6008)

  6. Annual Report of the United Nations Joint Staff Pension Board. Report for the Year ending on 30 September 1963

    International Nuclear Information System (INIS)

    1965-01-01

    Pursuant to the requirement in Article XXXV of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board (JSPB) present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published a report containing statistical data for the year ending on 30 September 1963, as well as an account of the twelfth session of JSPB in July 1964, as Supplement No. 8 to the Official Records of the General Assembly: 19 th Session (A/5808)

  7. Annual Report of the United Nations Joint Staff Pension Board. Report for the Year ending on 30 September 1965

    International Nuclear Information System (INIS)

    1967-01-01

    Pursuant to the requirement in Article XXXV of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board (JSPB) present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published a report containing statistical data for the year ending on 30 September 1965, as well as an account of the thirteenth session of JSPB in July 1966, as Supplement No. 8 to the Official Records of the General Assembly: Twenty-first Session (A/6308)

  8. The United Nations and One Health: the International Health Regulations (2005) and global health security.

    Science.gov (United States)

    Nuttall, I; Miyagishima, K; Roth, C; de La Rocque, S

    2014-08-01

    The One Health approach encompasses multiple themes and can be understood from many different perspectives. This paper expresses the viewpoint of those in charge of responding to public health events of international concern and, in particular, to outbreaks of zoonotic disease. Several international organisations are involved in responding to such outbreaks, including the United Nations (UN) and its technical agencies; principally, the Food and Agriculture Organization of the UN (FAO) and the World Health Organization (WHO); UN funds and programmes, such as the United Nations Development Programme, the World Food Programme, the United Nations Environment Programme, the United Nations Children's Fund; the UN-linked multilateral banking system (the World Bank and regional development banks); and partner organisations, such as the World Organisation for Animal Health (OIE). All of these organisations have benefited from the experiences gained during zoonotic disease outbreaks over the last decade, developing common approaches and mechanisms to foster good governance, promote policies that cut across different sectors, target investment more effectively and strengthen global and national capacities for dealing with emerging crises. Coordination among the various UN agencies and creating partnerships with related organisations have helped to improve disease surveillance in all countries, enabling more efficient detection of disease outbreaks and a faster response, greater transparency and stakeholder engagement and improved public health. The need to build more robust national public human and animal health systems, which are based on good governance and comply with the International Health Regulations (2005) and the international standards set by the OIE, prompted FAO, WHO and the OIE to join forces with the World Bank, to provide practical tools to help countries manage their zoonotic disease risks and develop adequate resources to prevent and control disease

  9. European recommendations for primary prevention of congenital anomalies: a joined effort of EUROCAT and EUROPLAN projects to facilitate inclusion of this topic in the National Rare Disease Plans.

    Science.gov (United States)

    Taruscio, Domenica; Arriola, Larraitz; Baldi, Francesca; Barisic, Ingeborg; Bermejo-Sánchez, Eva; Bianchi, Fabrizio; Calzolari, Elisa; Carbone, Pietro; Curran, Rhonda; Garne, Ester; Gatt, Miriam; Latos-Bieleńska, Anna; Khoshnood, Babak; Irgens, Lorentz; Mantovani, Alberto; Martínez-Frías, Maria Luisa; Neville, Amanda; Rißmann, Anke; Ruggeri, Stefania; Wellesley, Diana; Dolk, Helen

    2014-01-01

    Congenital anomalies (CA) are the paradigm example of rare diseases liable to primary prevention actions due to the multifactorial etiology of many of them, involving a number of environmental factors together with genetic predispositions. Yet despite the preventive potential, lack of attention to an integrated preventive strategy has led to the prevalence of CA remaining relatively stable in recent decades. The 2 European projects, EUROCAT and EUROPLAN, have joined efforts to provide the first science-based and comprehensive set of recommendations for the primary prevention of CA in the European Union. The resulting EUROCAT-EUROPLAN 'Recommendations on Policies to Be Considered for the Primary Prevention of Congenital Anomalies in National Plans and Strategies on Rare Diseases' were issued in 2012 and endorsed by EUCERD (European Union Committee of Experts on Rare Diseases) in 2013. The recommendations exploit interdisciplinary expertise encompassing drugs, diet, lifestyles, maternal health status, and the environment. The recommendations include evidence-based actions aimed at reducing risk factors and at increasing protective factors and behaviors at both individual and population level. Moreover, consideration is given to topics specifically related to CA (e.g. folate status, teratogens) as well as of broad public health impact (e.g. obesity, smoking) which call for specific attention to their relevance in the pre- and periconceptional period. The recommendations, reported entirely in this paper, are a comprehensive tool to implement primary prevention into national policies on rare diseases in Europe. © 2014 S. Karger AG, Basel.

  10. Death in the United States, 2011

    Science.gov (United States)

    ... Order from the National Technical Information Service NCHS Death in the United States, 2011 Recommend on Facebook ... 2011 SOURCE: National Vital Statistics System, Mortality. Do death rates vary by state? States experience different mortality ...

  11. Tidal wetlands of the Yaquina and Alsea River estuaries, Oregon: Geographic Information Systems layer development and recommendations for National Wetlands Inventory revisions

    Science.gov (United States)

    Brophy, Laura S.; Reusser, Deborah A.; Janousek, Christopher N.

    2013-01-01

    Geographic Information Systems (GIS) layers of current, and likely former, tidal wetlands in two Oregon estuaries were generated by enhancing the 2010 National Wetlands Inventory (NWI) data with expert local field knowledge, Light Detection and Ranging-derived elevations, and 2009 aerial orthophotographs. Data were generated for two purposes: First, to enhance the NWI by recommending revised Cowardin classifications for certain NWI wetlands within the study area; and second, to generate GIS data for the 1999 Yaquina and Alsea River Basins Estuarine Wetland Site Prioritization study. Two sets of GIS products were generated: (1) enhanced NWI shapefiles; and (2) shapefiles of prioritization sites. The enhanced NWI shapefiles contain recommended changes to the Cowardin classification (system, subsystem, class, and/or modifiers) for 286 NWI polygons in the Yaquina estuary (1,133 acres) and 83 NWI polygons in the Alsea estuary (322 acres). These enhanced NWI shapefiles also identify likely former tidal wetlands that are classified as upland in the current NWI (64 NWI polygons totaling 441 acres in the Yaquina estuary; 16 NWI polygons totaling 51 acres in the Alsea estuary). The former tidal wetlands were identified to assist strategic planning for tidal wetland restoration. Cowardin classifications for the former tidal wetlands were not provided, because their current hydrology is complex owing to dikes, tide gates, and drainage ditches. The scope of this project did not include the field evaluation that would be needed to determine whether the former tidal wetlands are currently wetlands, and if so, determine their correct Cowardin classification. The prioritization site shapefiles contain 49 prioritization sites totaling 2,177 acres in the Yaquina estuary, and 39 prioritization sites totaling 1,045 acres in the Alsea estuary. The prioritization sites include current and former (for example, diked) tidal wetlands, and provide landscape units appropriate for basin

  12. 77 FR 39459 - Fisheries of the United States; National Standard 1 Guidelines; Extension of Public Comment Period

    Science.gov (United States)

    2012-07-03

    .... 120425420-2420-01] RIN 0648-BB92 Fisheries of the United States; National Standard 1 Guidelines; Extension... adjustments to the National Standard 1 Guidelines, one of 10 national standards for fishery conservation and... National Standard 1 Guidelines. The ANPR provides the public with a formal opportunity to comment on the...

  13. Streamlined Approach for Environmental Restoration Plan for Corrective Action Unit 574: Neptune, Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2011-08-31

    This Streamlined Approach for Environmental Restoration (SAFER) Plan identifies the activities required for closure of Corrective Action Unit (CAU) 574, Neptune. CAU 574 is included in the Federal Facility Agreement and Consent Order (FFACO) (1996 [as amended March 2010]) and consists of the following two Corrective Action Sites (CASs) located in Area 12 of the Nevada National Security Site: (1) CAS 12-23-10, U12c.03 Crater (Neptune); (2) CAS 12-45-01, U12e.05 Crater (Blanca). This plan provides the methodology for the field activities that will be performed to gather the necessary information for closure of the two CASs. There is sufficient information and process knowledge regarding the expected nature and extent of potential contaminants to recommend closure of CAU 574 using the SAFER process. Based on historical documentation, personnel interviews, site process knowledge, site visits, photographs, field screening, analytical results, the results of the data quality objective (DQO) process (Section 3.0), and an evaluation of corrective action alternatives (Appendix B), closure in place with administrative controls is the expected closure strategy for CAU 574. Additional information will be obtained by conducting a field investigation to verify and support the expected closure strategy and provide a defensible recommendation that no further corrective action is necessary. This will be presented in a Closure Report that will be prepared and submitted to the Nevada Division of Environmental Protection (NDEP) for review and approval.

  14. Corrective Action Plan for Corrective Action Unit 562: Waste Systems, Nevada National Security Site, Nevada

    International Nuclear Information System (INIS)

    2011-01-01

    This Corrective Action Plan has been prepared for Corrective Action Unit (CAU) 562, Waste Systems, in accordance with the Federal Facility Agreement and Consent Order (1996; as amended March 2010). CAU 562 consists of 13 Corrective Action Sites (CASs) located in Areas 2, 23, and 25 of the Nevada National Security Site. Site characterization activities were performed in 2009 and 2010, and the results are presented in Appendix A of the Corrective Action Decision Document for CAU 562. The scope of work required to implement the recommended closure alternatives is summarized. (1) CAS 02-26-11, Lead Shot, will be clean closed by removing shot. (2) CAS 02-44-02, Paint Spills and French Drain, will be clean closed by removing paint and contaminated soil. As a best management practice (BMP), asbestos tile will be removed. (3) CAS 02-59-01, Septic System, will be clean closed by removing septic tank contents. As a BMP, the septic tank will be removed. (4) CAS 02-60-01, Concrete Drain, contains no contaminants of concern (COCs) above action levels. No further action is required; however, as a BMP, the concrete drain will be removed. (5) CAS 02-60-02, French Drain, was clean closed. Corrective actions were completed during corrective action investigation activities. As a BMP, the drain grates and drain pipe will be removed. (6) CAS 02-60-03, Steam Cleaning Drain, will be clean closed by removing contaminated soil. As a BMP, the steam cleaning sump grate and outfall pipe will be removed. (7) CAS 02-60-04, French Drain, was clean closed. Corrective actions were completed during corrective action investigation activities. (8) CAS 02-60-05, French Drain, will be clean closed by removing contaminated soil. (9) CAS 02-60-06, French Drain, contains no COCs above action levels. No further action is required. (10) CAS 02-60-07, French Drain, requires no further action. The french drain identified in historical documentation was not located during corrective action investigation

  15. United States Department of Energy radiological emergency response programme - a national capability

    International Nuclear Information System (INIS)

    Gordon-Hagerty, L.E.

    1993-01-01

    In order to respond to a radiological emergency, the United States Department of Energy (USDOE) maintains seven emergency response assets and capabilities in support of a radiological emergency of any proportion within the continental United States and abroad. The seven emergency response assets and capabilities include: Accident Response Group; Aerial Measuring Systems; Atmospheric Release Advisory Capability; Federal Radiological Monitoring and Assessment Center; Nuclear Emergency Search Team; Radiation Emergency Assistance Center/Training Site; and Radiological Assistance Program. Presently, USDOE maintains the most comprehensive national radiological emergency response assets in the United States, capable of dealing with any type of emergency involving nuclear materials. In all, the Department's assets are available to support any type of accident/incident involving radioactive materials in coordination with other United States Federal agencies, as well as state and local governments, as required. (author)

  16. Reimbursements and frequency of tests in privately insured testicular cancer patients in the United States: Implications to national guidelines

    Directory of Open Access Journals (Sweden)

    Mohamed H Kamel

    2017-01-01

    Conclusions: Testicular cancer is not an inexpensive disease. Surgery is the less utilized than radiation and chemotherapy despite lower cost. This may have implications to national guidelines and training since these treatments often carry the same grade of recommendation.

  17. Tackling U.S. energy challenges and opportunities: preliminary policy recommendations for enhancing energy innovation in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Anadon, Laura Diaz; Gallagher, Kelly Sims; Bunn, Matthew; Jones, Charles

    2009-02-18

    The report offers preliminary recommendations for near-term actions to strengthen the U.S. effort to develop and deploy advanced energy technologies. The report comes as the Obama Administration and the 111th U.S. Congress face enormous challenges and opportunities in tackling the pressing security, economic, and environmental problems posed by the energy sector. Improving the technologies of energy supply and end-use is a prerequisite for surmounting these challenges in a timely and cost-effective way, and this report elaborates on how policy can support develop of these important energy technologies.

  18. When Iron Crumbles: Berlin and the Wall. A Social Studies Unit Recommended for Grades 9-12 and Community College.

    Science.gov (United States)

    Chan, Adrian; And Others

    This unit, designed for use with high school and community college students, uses primary materials, literature, and interactive lesson plans to present the city of Berlin (Germany) as a case study of some of the 20th century's most significant events. In lesson 1, students take a pre-test, view a video about the Berlin Wall, and discuss the kinds…

  19. The need for economic policy coordination between Europe, Japan, and the United States: Policy recommendations for the 1990s

    NARCIS (Netherlands)

    A. Knoester (Anthonie); A. Kolodziejak (André)

    1994-01-01

    textabstractBetter policy coordination between Europe, Japan, and the United States is urgently needed in order to restore economic growth and to diminish mutual trade imbalances. Using the EC Compact model it is shown how coordinated fiscal policies can contribute to reaching these goals in the

  20. Terrestrial Carbon Sequestration in National Parks: Values for the Conterminous United States

    Science.gov (United States)

    Richardson, Leslie A.; Huber, Christopher; Zhu, Zhi-Liang; Koontz, Lynne

    2015-01-01

    Lands managed by the National Park Service (NPS) provide a wide range of beneficial services to the American public. This study quantifies the ecosystem service value of carbon sequestration in terrestrial ecosystems within NPS units in the conterminous United States for which data were available. Combining annual net carbon balance data with spatially explicit NPS land unit boundaries and social cost of carbon estimates, this study calculates the net metric tons of carbon dioxide sequestered annually by park unit under baseline conditions, as well as the associated economic value to society. Results show that, in aggregate, NPS lands in the conterminous United States are a net carbon sink, sequestering more than 14.8 million metric tons of carbon dioxide annually. The associated societal value of this service is estimated at approximately $582.5 million per year. While this analysis provides a broad overview of the annual value of carbon sequestration on NPS lands averaged over a five year baseline period, it should be noted that carbon fluxes fluctuate from year to year, and there can be considerable variation in net carbon balance and its associated value within a given park unit. Future research could look in-depth at the spatial heterogeneity of carbon flux within specific NPS land units.

  1. Pacific Northwest National Laboratory Facility Radionuclide Emissions Units and Sampling Systems

    Energy Technology Data Exchange (ETDEWEB)

    Barnett, J. Matthew; Brown, Jason H.; Walker, Brian A.

    2012-04-01

    Battelle–Pacific Northwest Division operates numerous research and development (R&D) laboratories in Richland, WA, including those associated with Pacific Northwest National Laboratory (PNNL) on the U.S. Department of Energy (DOE)’s Hanford Site and PNNL Site that have the potential for radionuclide air emissions. The National Emission Standard for Hazardous Air Pollutants (NESHAP 40 CFR 61, Subparts H and I) requires an assessment of all emission units that have the potential for radionuclide air emissions. Potential emissions are assessed annually by PNNL staff members. Sampling, monitoring, and other regulatory compliance requirements are designated based upon the potential-to-emit dose criteria found in the regulations. The purpose of this document is to describe the facility radionuclide air emission sampling program and provide current and historical facility emission unit system performance, operation, and design information. For sampled systems, a description of the buildings, exhaust units, control technologies, and sample extraction details is provided for each registered emission unit. Additionally, applicable stack sampler configuration drawings, figures, and photographs are provided. Deregistered emission unit details are provided as necessary for up to 5 years post closure.

  2. Challenges to decision-making processes in the national HTA agency in Brazil: operational procedures, evidence use and recommendations.

    Science.gov (United States)

    Yuba, Tania Yuka; Novaes, Hillegonda Maria Dutilh; de Soárez, Patrícia Coelho

    2018-05-11

    The quality of the evidence used in health technology assessment (HTA) agency reports has been considered essential for decision-making processes and their legitimacy. In Brazil, CONITEC is the agency responsible for defining data mandatory for the submission of proposals for the incorporation of new technologies. The objective of this study was to analyse CONITEC recommendation reports, the type of scientific evidence used in them and their compliance with operational procedures. This is a descriptive study based on CONITEC official reports from July 2012 through December 2016. Data were collected with a specific extraction form and analysed using descriptive statistics. We evaluated 199 CONITEC recommendation reports. The annual number of reports increased during the study period. The absolute annual number of new technologies incorporated in 2013 (n = 24) was similar to that observed for 2014 (n = 24) and 2015 (n = 22), decreasing in 2016 (n = 13). The type of technology most frequently evaluated was 'drugs' (68.3%), followed by 'procedures' (20.1%). Overall, 117 (58.8%) reports were internal demands, 75 (37.7%) were external demands and 7 (3.5%) were mixed demands. There were differences between internal and external demands in terms of the evidence used in the reports and the decision regarding the recommendation to incorporate the technologies. Among the internal demands, the recommendation to incorporate the new technology was made for 70.9% of the reports, only 9.6% of which included full HTAs. Among the external demands, the incorporation of the new technology was recommended for 17.3% of the reports, 76.9% of which included full HTAs. Of the 101 reports in which incorporation of the new technology was recommended, 88 (87.1%) did not include a full health economic evaluation and ICER calculation. There are compliance difficulties with the recommendations in the CONITEC internal regulations regarding the type and quality of evidence

  3. Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom.

    Science.gov (United States)

    Shawe, Jill; Delbaere, Ilse; Ekstrand, Maria; Hegaard, Hanne Kristine; Larsson, Margareta; Mastroiacovo, Pierpaolo; Stern, Jenny; Steegers, Eric; Stephenson, Judith; Tydén, Tanja

    2015-04-01

    Preconception care is important for the screening, prevention and management of risk factors that affect pregnancy outcomes. We aimed to investigate pre-pregnancy care policies, guidelines, recommendations and services in six European countries. In 2013, an electronic search and investigation was undertaken of preconception policy, guidelines, recommendations and services available to healthcare professionals and the general public in six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. Findings were compared within five categories: Governmental policy and legislation; Professional bodies and organisations; Healthcare providers; Charitable organisations; Web-based public information and internet sites. All countries had preconception recommendations for women with chronic diseases, such as diabetes and epilepsy. Recommendations for healthy women and men were fragmented and inconsistent. Preconception guidance was often included in antenatal and pregnancy guidelines. Differences between countries were seen with regard to nutritional and lifestyle advice particularly in relation to fish, caffeine and alcohol consumption, and vitamin supplementation. Current guidelines are heterogeneous. Collaborative research across Europe is required in order to develop evidence-based guidelines for preconception health and care. There is a need to establish a clear strategy for promoting advice and guidance within the European childbearing population.

  4. 4. national communication to the United Nation framework convention on the climatic change; 4. communication nationale a la convention cadre des Nations Unies sur les changements climatiques

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    France, as the other involved participants, has to periodically present its actions in favor of the climatic change fight. This fourth national communication follows a plan defined by the Conference of the Parties to the United Nation Framework Convention on the Climatic Change. This report follows the third national convention published on 2001. It presents in nine chapters the actions realized to reduce and stop the greenhouse effect gases emissions and limit the impacts on the environment and public health: an analytical abstract, the conditions specific to the country, the inventory, the policies and measures, the projections and global effects of the policies and measures, the evaluation of the vulnerability and the climatic changes consequences and the adapted measures, the financial resources and the technology transfer, the research programs, the education formation and awareness of the public. (A.L.B.)

  5. An assessment of seismic monitoring in the United States; requirement for an Advanced National Seismic System

    Science.gov (United States)

    ,

    1999-01-01

    This report assesses the status, needs, and associated costs of seismic monitoring in the United States. It sets down the requirement for an effective, national seismic monitoring strategy and an advanced system linking national, regional, and urban monitoring networks. Modernized seismic monitoring can provide alerts of imminent strong earthquake shaking; rapid assessment of distribution and severity of earthquake shaking (for use in emergency response); warnings of a possible tsunami from an offshore earthquake; warnings of volcanic eruptions; information for correctly characterizing earthquake hazards and for improving building codes; and data on response of buildings and structures during earthquakes, for safe, cost-effective design, engineering, and construction practices in earthquake-prone regions.

  6. Application of United Nations Framework Classification – 2009 (UNFC-2009) to nuclear fuel resources

    International Nuclear Information System (INIS)

    Tulsidas, Harikrishnan; Li Shengxiang; Van Gosen, Bradley

    2014-01-01

    United Nations Framework Classification for Fossil Fuel and Mineral Reserves and Resources 2009: • Generic, principles-based system: – Applicable to both solid minerals and fluids; • Applications in: – International energy studies; – National resource reporting; – Company project management; – Financial reporting; • 3-D classification of resources on the basis of: – Socio-economic criteria (E); – Project maturity (technical feasibility) (F); – Geological knowledge (G); • A key goal of UNFC-2009 is to provide a tool to facilitate global communications: – Uses a numerical coding system; – Language independent reporting

  7. Treatment Patterns Associated with ACR-Recommended Medications in the Management of Fibromyalgia in the United States.

    Science.gov (United States)

    Liu, Yifei; Qian, Chunlin; Yang, Mei

    2016-03-01

    Fibromyalgia (FM) affects up to 6% of U.S. adults, resulting in a significant burden on the health care system and poor quality of life for patients. Duloxetine, pregabalin, and milnacipran are approved for management of FM; however, consensus is lacking regarding optimal therapy. Patients with FM taking approved medications often do not experience meaningful symptom relief, and many experience intolerable adverse events. To assess treatment patterns associated with available and commonly used medications for the management of FM using U.S. health insurance claims. This retrospective analysis used the MarketScan claims database to identify adults with a first diagnosis of FM (ICD-9-CM code 729.1) between 2009 and 2011 with continuous health plan enrollment for 12 months pre- and post-index. Medications of interest were pregabalin, gabapentin, duloxetine, milnacipran, cyclobenzaprine, and tramadol. These are 6 of the 8 medications recommended by the American College of Rheumatology (ACR) for treating FM; the other 2 (amitriptyline and venlafaxine) were only included in some initial assessments. The Charlson Comorbidity Index (CCI) was used to assess overall comorbidity burden. Endpoints included proportion of patients treated within 1 year after first diagnosis; initial treatment pattern; adherence over the first-year follow-up period for the medications of interest; and discontinuation, switching, and combination therapy patterns among pain medications of interest at different time points. Proportion of days covered (PDC; defined as number of days in the period when the patient had drug supply divided by the number of days in the period) was used to define adherence, which was categorized as low (PDC time to discontinuation (defined as the first drug supply gap ≥ 90 days) was estimated using Kaplan-Meier analysis. Overall, 240,144 patients met the inclusion criteria. Patients were predominantly women (68%), had preferred provider organization insurance coverage

  8. Summary and recommendations of a National Cancer Institute workshop on issues limiting the clinical use of Monte Carlo dose calculation algorithms for megavoltage external beam radiation therapy

    International Nuclear Information System (INIS)

    Fraass, Benedick A.; Smathers, James; Deye, James

    2003-01-01

    Due to the significant interest in Monte Carlo dose calculations for external beam megavoltage radiation therapy from both the research and commercial communities, a workshop was held in October 2001 to assess the status of this computational method with regard to use for clinical treatment planning. The Radiation Research Program of the National Cancer Institute, in conjunction with the Nuclear Data and Analysis Group at the Oak Ridge National Laboratory, gathered a group of experts in clinical radiation therapy treatment planning and Monte Carlo dose calculations, and examined issues involved in clinical implementation of Monte Carlo dose calculation methods in clinical radiotherapy. The workshop examined the current status of Monte Carlo algorithms, the rationale for using Monte Carlo, algorithmic concerns, clinical issues, and verification methodologies. Based on these discussions, the workshop developed recommendations for future NCI-funded research and development efforts. This paper briefly summarizes the issues presented at the workshop and the recommendations developed by the group

  9. Teaching about the United Nations through the Hunger Issue in an English as a Foreign Language Class.

    Science.gov (United States)

    Iino, Atsushi

    1994-01-01

    Reports on the views of 73 secondary school Japanese students toward the United Nations. Finds that most tend to think of the UN as relevant to conflicts. Describes how the hunger issue was used in an English-as-a-Second-Language class to teach about the United Nations. (CFR)

  10. The United Nations and Disarmament. An analysis of the Spanish positions in the UN

    Directory of Open Access Journals (Sweden)

    Javier Sánchez Cano

    1993-07-01

    Full Text Available In 1953 the Franco regime, internationally isolated, signed the Defence and Economic Assistance Treaties with the USA which allowed it to have access to the organs of the United Nations system. Logically, the implicit subordination in defence aspects brought about a complete misunderstanding of the disarmament issues.The democratic transition, which in the foreign and defence fields lasted until 1988, meant a change in the sense of greater participation through progressive incorporation in various western structures : the EC, NATO, WEU...In this new context, this study analyses the Spanish positions with respect to disarmament in the field of the United Nations, from both its own perspective and that of its adequacy with relation to the conduct of its allies.

  11. The case for a United Nations verification agency. Disarmament under effective international control. Working paper 26

    International Nuclear Information System (INIS)

    Dorn, A.W.

    1990-07-01

    It is now universally recognized that arms control treaties should be effectively verified. The most objective, flexible and cost-effective means to verify the majority of multilateral treaties would be through a new agency under the United Nations. As a cooperative international effort to develop both the technology and the political framework for arms control verification, a United Nations verification agency (UNVA) would speed up and help secure the disarmament process by: verifying a number of existing and future treaties; investigating alleged breaches of treaties; and certifying, upon request, that voluntary arms control and confidence-building measures have been carried out. This paper presents the case for such a proposal, outlines a possible institutional configuration, considers the possibilities for growth and discusses the challenges facing the establishment of such an agency. (author). 16 refs., 1 tab

  12. Cross-National Investigation of Health Indicators among Sexual Minorities in Norway and the United States

    Directory of Open Access Journals (Sweden)

    Ryan J. Watson

    2015-10-01

    Full Text Available A cross-national study of young adult sexual minorities was conducted in order to explore the associations between sexual orientation and measures of depression, suicidality, and substance use. Two nationally representative data sets were explored from the United States (N = 14,335 and Norway (N = 2423. Results indicated that sexual minorities experienced multiple health disparities (depression, suicidality, and substance use compared to their heterosexual counterparts. We found similar patterns of depression, suicidality, and substance use for sexual minorities in both the United States and Norway. The highest odds of substance use were among heterosexual-identified Norwegian youth who reported same-sex sexual activity, and the highest odds of suicidality were found for bisexual young adults in Norway. These findings have implications for how we consider culture and social policy as barriers and/or opportunities for sexual minorities.

  13. The case for a United Nations verification agency. Disarmament under effective international control. Working paper 26

    Energy Technology Data Exchange (ETDEWEB)

    Dorn, A W

    1990-07-01

    It is now universally recognized that arms control treaties should be effectively verified. The most objective, flexible and cost-effective means to verify the majority of multilateral treaties would be through a new agency under the United Nations. As a cooperative international effort to develop both the technology and the political framework for arms control verification, a United Nations verification agency (UNVA) would speed up and help secure the disarmament process by: verifying a number of existing and future treaties; investigating alleged breaches of treaties; and certifying, upon request, that voluntary arms control and confidence-building measures have been carried out. This paper presents the case for such a proposal, outlines a possible institutional configuration, considers the possibilities for growth and discusses the challenges facing the establishment of such an agency. (author). 16 refs., 1 tab.

  14. protection against radon at home and at work; recommendations of the Israel national advisory committee on radiation protection and their practical implementation

    International Nuclear Information System (INIS)

    Schlesinger, T.; Margaliot, M.

    1997-01-01

    Existing legislation in Israel related to protection of the worker and the public from ionizing radiation excludes certain natural radiation sources from control by national authorities. Among these sources are radon and radon daughters. Employers are not required, by law to intervene in order to reduce radon levels in the working place, even when these levels exceed the action levels recommended by the ICRP or by the International Basic Safety Standards for protection Against Ionizing radiation. The Israel National Advisory Committee for radiation protection - INACRP (appointed by the Minister of the Environment and the Minister of Health) recommended, in 1993, to rectify this lack and proposed that the above two ministers issue guidelines for protecting the public and the worker from hazards of radon and radon daughters. The proposed guidelines are based on recent 1993 recommendations of the ICRP related to Radon at Home and at Work.The guidelines establish activity concentration levels, in homes and at work premises, above which remedial actions are recommended, and specify a time-table for these actions, depending on the extent to which the activity concentrations in the building exceed the remedial action levels specified. (authors)

  15. Soil Patterns Associated with the Major Geological Units of the Kruger National Park

    Directory of Open Access Journals (Sweden)

    F.J. Venter

    1986-11-01

    Full Text Available The dominant soil types of the Kruger National Park and their interrelationships with parent material, topography and climate are discussed. The geogenetic and topogenetic nature of the soils are manifested in the strong correlations between recurrent soil patterns, major geological units and terrain morphology. The soils are categorised into seven major classes on the basis of the parent material from which they developed. General soil patterns within the major classes are discussed.

  16. The Text of the Executing Agency Agreement between the Agency and the United Nations Special Fund

    International Nuclear Information System (INIS)

    1962-01-01

    The text of the Executing Agency Agreement between the Agency and the United Nations Special Fund, which was approved by the General Conference on 5 October 1961 and which entered into force on 29 November 1961 upon signature by the Director General of the Agency and the Managing Director of the Special Fund, is reproduced in this document for the information of all Members of the Agency

  17. The Text of the Executing Agency Agreement between the Agency and the United Nations Special Fund

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1962-02-07

    The text of the Executing Agency Agreement between the Agency and the United Nations Special Fund, which was approved by the General Conference on 5 October 1961 and which entered into force on 29 November 1961 upon signature by the Director General of the Agency and the Managing Director of the Special Fund, is reproduced in this document for the information of all Members of the Agency.

  18. Annual Report to the Economic and Social Council of the United Nations for 1959-60

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1960-05-15

    By resolution GC(III)/RES/41 the General Conference authorized the Board of Governors to submit the Agency's annual report to the Economic and Social Council of the United Nations for the year 1959-60 to the Council. The text of that report which was approved by the Board on 30 March 1960, is reproduced in this document for the information of Member States.

  19. United Nations-Led Disarmament, Demobilization and Reintegration (DDR) in the Eastern Democratic Republic of Congo

    Science.gov (United States)

    2011-12-01

    absorb rebel units into the national army failed to deconstruct previous personal and ideological allegiances to the former rebel movement and thus...victors our outside interveners, such as India in Sri Lanka, the U.S. in Somalia and Haiti, and UN interventions in Albania and Haiti.30 Nevertheless...Reconstructing Masculinities : The Disarmament, Demobilization, and Reintegration of Former Combatants in Colombia.” Human Rights Quarterly, Vol.31

  20. Impediments to the effectiveness of the United Nations-African Union Mission in Darfur (UNAMID)

    Science.gov (United States)

    2010-12-01

    Darfur fifteen years later, the Minsiriya murahaliin exterminated adult males, raped women , enslaved children, burned villages, and contaminated...June 19, 2010). 18 Ibid. 19 Security Council Resolution 1590 , S/RES/ 1590 (2005), 24 March 2005, para. 1. 8 immobilization of Fur opposition...Council, by Resolution 1590 , established the United Nations Mission in the Sudan (UNMIS). 133 Latent terrorist threats, heavily mined areas

  1. Statement to the fifty-fifth session of the United Nations General Assembly

    International Nuclear Information System (INIS)

    ElBaradei, M.

    2000-01-01

    In his statement to the fifty-fifth session of the United Nations General Assembly, the Director General of the IAEA briefly presented the three fundamental functions of the IAEA, namely: its role as a catalyst for the development and transfer of peaceful nuclear technologies, the efforts to prevent the proliferation of nuclear weapons and move towards nuclear disarmament, and the work to build and maintain a global nuclear safety regime

  2. Regional Centres for Space Science and Technology Education Affiliated to the United Nations

    Science.gov (United States)

    Aquino, A. J. A.; Haubold, H. J.

    2010-05-01

    Based on resolutions of the United Nations General Assembly, Regional Centres for space science and technology education were established in India, Morocco, Nigeria, Brazil and Mexico. Simultaneously, education curricula were developed for the core disciplines of remote sensing, satellite communications, satellite meteorology, and space and atmospheric science. This paper provides a brief report on the status of the operation of the Regional Centres and draws attention to their educational activities.

  3. Annual Report to the Economic and Social Council of the United Nations for 1959-60

    International Nuclear Information System (INIS)

    1960-05-01

    By resolution GC(III)/RES/41 the General Conference authorized the Board of Governors to submit the Agency's annual report to the Economic and Social Council of the United Nations for the year 1959-60 to the Council. The text of that report which was approved by the Board on 30 March 1960, is reproduced in this document for the information of Member States

  4. Irish foreign policy in the United Nations and European Union: influence and participation

    OpenAIRE

    Doyle, John; Connolly, Eileen

    2010-01-01

    The United Nations has had a central place in Irish foreign policy from the state’s accession in 1955. Both political discourse and public opinion polls indicate widespread support for the organisation as a source of international legitimacy and as the appropriate forum to make major decisions regarding peace and security; international human rights; and development. The EU has an equally central role in Ireland’s economic and social development in the last three decades, and w...

  5. Legitimizing Vetoes : A Discourse Analysis of How Vetoes are Motivated in the United Nations Security Council

    OpenAIRE

    Wernersson, Hanna

    2016-01-01

    How is a veto justified? Within the discipline of International Relations, discourse analysis is gaining a higher status. However, there is a surprising lacuna in the literature as a discursive approach to the veto in the United Nations Security Council, is yet to be taken. This is unfortunate, given the Security Council’s prominence. The way in which the council members make meaning through their word choice has profound effects for politics in the international system. There is, nonetheless...

  6. Achievable Steps Toward Building a National Health Information Infrastructure in the United States

    OpenAIRE

    Stead, William W.; Kelly, Brian J.; Kolodner, Robert M.

    2005-01-01

    Consensus is growing that a health care information and communication infrastructure is one key to fixing the crisis in the United States in health care quality, cost, and access. The National Health Information Infrastructure (NHII) is an initiative of the Department of Health and Human Services receiving bipartisan support. There are many possible courses toward its objective. Decision makers need to reflect carefully on which approaches are likely to work on a large enough scale to have th...

  7. AN ANALYSIS OF ENTREPRENEURSHIP ACROSS FIVE MAJOR NATIONALITY GROUPS IN THE UNITED ARAB EMIRATES

    OpenAIRE

    QINGXIA TONG; DECLAN McCROHAN; MURAT SAKIR EROGUL

    2012-01-01

    The paper investigates differences in entrepreneurial activity, attitudes, aspirations, connectivity and behavior among nascent entrepreneurs across five key nationality groups residing in the United Arab Emirates (UAE). It also seeks to identify key differences between entrepreneurs and non-entrepreneurs' perceptions and attitudes toward entrepreneurship. More than 8000 adult residents were randomly surveyed as part of the GEM UAE studies conducted in 2006, 2007, 2009 and 2011. The findings ...

  8. Unit Support Protects Against Sexual Harassment and Assault among National Guard Soldiers

    Science.gov (United States)

    Walsh, Kate; Galea, Sandro; Cerda, Magdalena; Richards, Catherine; Liberzon, Israel; Tamburrino, Marijo B.; Calabrese, Joseph; Koenen, Karestan C.

    2014-01-01

    Objective Despite concerns about increased sexual harassment and assault following 2013 legislation repealing the ban on women in combat, little research has examined military factors that could prevent sexual harassment and assault during deployment. This study examined whether unit support, which reflects the quality of service members’ relationships within their unit, protects against sexual harassment and assault during deployment. Methods Participants were 1674 Ohio Army National Guard service members who reported at least one deployment during a telephone survey conducted in 2008-2009. Participants completed measures of sexual harassment/assault, unit support, and psychosocial support. Logistic regression was used to model odds of sexual harassment/assault. Results Approximately 13.2% (n=198) of men and 43.5% (n=74) of women reported sexual harassment, and 1.1% (n=17) of men and 18.8% (n=32) of women reported sexual assault during their most recent deployment. Higher unit support was associated with decreased odds of sexual harassment and assault. Conclusions A substantial proportion of men and women reported sexual harassment/assault. Higher unit support was associated with diminished odds of sexual harassment/assault during deployment. Programming designed to improve unit cohesion has potential to reduce sexual harassment and assault. PMID:25442705

  9. Unit support protects against sexual harassment and assault among national guard soldiers.

    Science.gov (United States)

    Walsh, Kate; Galea, Sandro; Cerda, Magdalena; Richards, Catherine; Liberzon, Israel; Tamburrino, Marijo B; Calabrese, Joseph; Koenen, Karestan C

    2014-01-01

    Despite concerns about increased sexual harassment and assault after the 2013 legislation repealing the ban on women in combat, little research has examined military factors that could prevent sexual harassment and assault during deployment. This study examined whether unit support, which reflects the quality of service members' relationships within their unit, protects against sexual harassment and assault during deployment. Participants were 1,674 Ohio Army National Guard service members who reported at least one deployment during a telephone survey conducted in 2008 and 2009. Participants completed measures of sexual harassment/assault, unit support, and psychosocial support. Logistic regression was used to model odds of sexual harassment/assault. Approximately 13.2% of men (n = 198) and 43.5% of women (n = 74) reported sexual harassment, and 1.1% of men (n = 17) and 18.8% of women (n = 32) reported sexual assault during their most recent deployment. Greater unit support was associated with decreased odds of sexual harassment and assault. A substantial proportion of men and women reported sexual harassment/assault. Greater unit support was associated with diminished odds of sexual harassment/assault during deployment. Programming designed to improve unit cohesion has the potential to reduce sexual harassment and assault. Copyright © 2014 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  10. Capillary blood sampling: national recommendations on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine.

    Science.gov (United States)

    Krleza, Jasna Lenicek; Dorotic, Adrijana; Grzunov, Ana; Maradin, Miljenka

    2015-01-01

    Capillary blood sampling is a medical procedure aimed at assisting in patient diagnosis, management and treatment, and is increasingly used worldwide, in part because of the increasing availability of point-of-care testing. It is also frequently used to obtain small blood volumes for laboratory testing because it minimizes pain. The capillary blood sampling procedure can influence the quality of the sample as well as the accuracy of test results, highlighting the need for immediate, widespread standardization. A recent nationwide survey of policies and practices related to capillary blood sampling in medical laboratories in Croatia has shown that capillary sampling procedures are not standardized and that only a small proportion of Croatian laboratories comply with guidelines from the Clinical Laboratory Standards Institute (CLSI) or the World Health Organization (WHO). The aim of this document is to provide recommendations for capillary blood sampling. This document has been produced by the Working Group for Capillary Blood Sampling within the Croatian Society of Medical Biochemistry and Laboratory Medicine. Our recommendations are based on existing available standards and recommendations (WHO Best Practices in Phlebotomy, CLSI GP42-A6 and CLSI C46-A2), which have been modified based on local logistical, cultural, legal and regulatory requirements. We hope that these recommendations will be a useful contribution to the standardization of capillary blood sampling in Croatia.

  11. Blood gas testing and related measurements: National recommendations on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine.

    Science.gov (United States)

    Dukić, Lora; Kopčinović, Lara Milevoj; Dorotić, Adrijana; Baršić, Ivana

    2016-10-15

    Blood gas analysis (BGA) is exposed to risks of errors caused by improper sampling, transport and storage conditions. The Clinical and Laboratory Standards Institute (CLSI) generated documents with recommendations for avoidance of potential errors caused by sample mishandling. Two main documents related to BGA issued by the CLSI are GP43-A4 (former H11-A4) Procedures for the collection of arterial blood specimens; approved standard - fourth edition, and C46-A2 Blood gas and pH analysis and related measurements; approved guideline - second edition. Practices related to processing of blood gas samples are not standardized in the Republic of Croatia. Each institution has its own protocol for ordering, collection and analysis of blood gases. Although many laboratories use state of the art analyzers, still many preanalytical procedures remain unchanged. The objective of the Croatian Society of Medical Biochemistry and Laboratory Medicine (CSMBLM) is to standardize the procedures for BGA based on CLSI recommendations. The Working Group for Blood Gas Testing as part of the Committee for the Scientific Professional Development of the CSMBLM prepared a set of recommended protocols for sampling, transport, storage and processing of blood gas samples based on relevant CLSI documents, relevant literature search and on the results of Croatian survey study on practices and policies in acid-base testing. Recommendations are intended for laboratory professionals and all healthcare workers involved in blood gas processing.

  12. United nations internship programme policy and the need for its amendment

    Directory of Open Access Journals (Sweden)

    Novaković Marko

    2017-01-01

    Full Text Available An internship at the United Nations is an opportunity that young people interested in international law, international relations, and many other fields, perceive as he best possible career starting point - and rightfully so. The United Nations internship is an experience second to none in the world of international organizations and this is why it must be available to the widest range of people, regardless of their status, place of birth and social context. However, the current United Nations internship policy is very controversial and in desperate need of a change. While voices for change of policy are raised more and more, this topic has been very rarely addressed in academic literature across the world and papers and books dealing exclusively with this issue are almost non-existent. In this article, the author will address the main points of the concern regarding unpaid internship and will offer potential solutions for its improvement. This article is a humble contribution that will hopefully instigate wider academic acknowledgment of this problem and eventually contribute to the resolution of this unfortunate practice.

  13. Inconsistencies Exist in National Estimates of Eye Care Services Utilization in the United States

    Directory of Open Access Journals (Sweden)

    Fernando A. Wilson

    2015-01-01

    Full Text Available Background. There are limited research and substantial uncertainty about the level of eye care utilization in the United States. Objectives. Our study estimated eye care utilization using, to our knowledge, every known nationally representative, publicly available database with information on office-based optometry or ophthalmology services. Research Design. We analyzed the following national databases to estimate eye care utilization: the Medical Expenditure Panel Survey (MEPS, National Health Interview Survey (NHIS, Joint Canada/US Survey of Health (JCUSH, Behavioral Risk Factor Surveillance System (BRFSS, and the National Ambulatory Medical Care Survey (NAMCS. Subjects. US adults aged 18 and older. Measures. Self-reported utilization of eye care services. Results. The weighted number of adults seeing or talking with any eye doctor ranges from 87.9 million to 99.5 million, and the number of visits annually ranges from 72.9 million to 142.6 million. There were an estimated 17.2 million optometry visits and 55.8 million ophthalmology visits. Conclusions. The definitions and estimates of eye care services vary widely across national databases, leading to substantial differences in national estimates of eye care utilization.

  14. MacDill Air Force Base: National Register Eligibility Recommendations for Sites 8HI50 and 8HI5656

    National Research Council Canada - National Science Library

    Gerrell, Philip

    1997-01-01

    ...). The excavation methodology involved the hand excavation of systematically placed 50-x-5O-cm shovel tests and l-x-1-m excavation units to determine the horizontal and vertical dimensions of the site deposits...

  15. Conservative care for ESRD in the United Kingdom: a national survey.

    Science.gov (United States)

    Okamoto, Ikumi; Tonkin-Crine, Sarah; Rayner, Hugh; Murtagh, Fliss E M; Farrington, Ken; Caskey, Fergus; Tomson, Charles; Loud, Fiona; Greenwood, Roger; O'Donoghue, Donal J; Roderick, Paul

    2015-01-07

    Conservative kidney management (CKM) has been developed in the United Kingdom (UK) as an alternative to dialysis for older patients with stage 5 CKD (CKD5) and multiple comorbidities. This national survey sought to describe the current scale and pattern of delivery of conservative care in UK renal units and identify their priorities for its future development. A survey on practice patterns of CKM for patients age 75 and older with CKD5 was sent to clinical directors of all 71 adult renal units in the UK in March 2013. Sixty-seven units (94%) responded. All but one unit reported providing CKM for some patients. Terminology varied, although "conservative management" was the most frequently used term (46%). Lack of an agreed-upon definition of when a patient is receiving CKM made it difficult to obtain meaningful data on the numbers of such patients. Fifty-two percent provided the number of CKM patients age ≥ 75 years in 2012; the median was 45 per unit (interquartile range [IQR], 20-83). The median number of symptomatic CKM patients who would otherwise have started dialysis was eight (IQR, 4.5-22). CKM practice patterns varied: 35% had a written guideline, 23% had dedicated CKM clinics, 45% had dedicated staff, and 50% provided staff training on CKM. Most units (88%) provided primary care clinicians with information/advice regarding CKM. Eighty percent identified a need for better evidence comparing outcomes on CKM versus dialysis, and 65% considered it appropriate to enter patients into a randomized trial. CKM is provided in almost all UK renal units, but scale and organization vary widely. Lack of common terminology and definitions hinders the development and assessment of CKM. Many survey respondents expressed support for further research comparing outcomes with conservative care versus dialysis. Copyright © 2015 by the American Society of Nephrology.

  16. [Accidental exposure to blood by midwives in French maternity units: results of the national surveillance 2003].

    Science.gov (United States)

    Vincent, A; Cohen, M; Bernet, C; Parneix, P; L'Hériteau, F; Branger, B; Talon, D; Hommel, C; Abiteboul, D; Coignard, B

    2006-05-01

    Midwives appear to be the health care workers exposed to the highest rates of bloodborne injury. In this paper - based on a national survey - we describe the bloodborne injuries occurring in this profession. During the year 2003, 241 hospitals took part in a national survey of bloodborne injuries. Employees registered anonymous standardized reports of bloodborne events with the Occupational Medicine Unit. The data were processed by the coordination center for the fight against nosocomial infections (C. CLIN) which is in charge of the national analysis of all the events reported in this database. 169 of the 6973 bloodborne events reported during 2003 (2.4%), were signed by midwives or midwife students. The first three most frequent accidents reported were: ocular projections during childbirth, pricks when repairing episiotomy, pricks or cuts when handling soiled instruments. Improving knowledge of risk as well as promotion of protection/prevention measures well adapted to this profession should be helpful in optimizing future attitudes.

  17. The Need for National Credentialing Standards for Addiction Counselors

    Science.gov (United States)

    Miller, Geri; Scarborough, Jim; Clark, Catherine; Leonard, Justin C.; Keziah, Tyler B.

    2010-01-01

    The authors review the current state of credentialing for addiction counselors in the United States and provide recommendations to the addiction counseling field regarding national standards for credentialing.

  18. National Marriage and Divorce Rate Trends

    Science.gov (United States)

    ... Vital Statistics Online National Death Index NCHS National Marriage and Divorce Rate Trends Recommend on Facebook Tweet Share Compartir Provisional number of marriages and marriage rate: United States, 2000-2014 Year ...

  19. Corrective Action Decision Document/Closure Report for Corrective Action Unit 570: Area 9 Yucca Flat Atmospheric Test Sites, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro-Intera, LLC (N-I), Las Vegas, NV (United States)

    2013-11-01

    This Corrective Action Decision Document/Closure Report presents information supporting the closure of Corrective Action Unit (CAU) 570: Area 9 Yucca Flat Atmospheric Test Sites, Nevada National Security Site, Nevada. This complies with the requirements of the Federal Facility Agreement and Consent Order (FFACO) that was agreed to by the State of Nevada; U.S. Department of Energy (DOE), Environmental Management; U.S. Department of Defense; and DOE, Legacy Management. The purpose of the CADD/CR is to provide justification and documentation supporting the recommendation that no further corrective action is needed.

  20. HPV vaccination initiation after the routine-recommended ages of 11–12 in the United States

    Directory of Open Access Journals (Sweden)

    Daniel C. Beachler

    2016-12-01

    Full Text Available Background: Since 2006, routine HPV vaccination has been recommended for females aged 11–12 in the US. However not much is known about the extent of and factors associated with HPV vaccination after the ages of 11–12. Methods: Provider-verified data on 8710 females aged 13–17 were analyzed from the 2013 NIS-Teen survey. 2013 Data was utilized since it was the first year one can fully evaluate the age at vaccination through age 17 for females who could receive the HPV vaccine at age 11. Results: Among HPV vaccinated females who were 17 in 2013, 47% (95% CI=43–50% received their first dose after age 12, and 24% (95% CI=21–26% received their first dose after age 14. The HPV vaccine was more likely to be initiated later than the meningococcal and Tdap vaccines (p<0.05, and later HPV vaccine initiation was more common among those having a more highly educated mother and those not receiving a check-up/well visit between the ages of 11 and 12 in adjusted analyses (p-values<0.05. Females initiating the HPV vaccine late were more likely to not receive three doses (RR=1.90, 95% CI=1.76–2.04. Conclusions: HPV vaccination is commonly initiated after the age of 12 in the US, which could limit the vaccine׳s population-level effectiveness. Keywords: HPV vaccines, Late initiation, Vaccination, NIS-Teen

  1. Observing Al Qaeda Through the Lens of Complexity Theory: Recommendations for the National Strategy to Defeat Terrorism

    National Research Council Canada - National Science Library

    Beech, Michael

    2004-01-01

    .... To defeat al Qaeda or other complex global terrorist networks traditional military strategies reliant on nation state frameworks and determination of centers of gravity and decisive points may not be...

  2. Low parental awareness about energy (calorie) recommendations for children's restaurant meals: findings from a national survey in the USA.

    Science.gov (United States)

    Lynskey, Vanessa M; Anzman-Frasca, Stephanie; Harelick, Linda; Korn, Ariella; Sharma, Shanti; Simms, Stephanie; Economos, Christina D

    2017-08-01

    To assess parental awareness of per-meal energy (calorie) recommendations for children's restaurant meals and to explore whether calorie awareness was associated with parental sociodemographic characteristics and frequency of eating restaurant food. Cross-sectional online survey administered in July 2014. Parents estimated calories (i.e. kilocalories; 1 kcal=4·184 kJ) recommended for a child's lunch/dinner restaurant meal (range: 0-2000 kcal). Responses were categorized as 'underestimate' (600 kcal). Confidence in response was measured on a 4-point scale from 'very unsure' to 'very sure'. Logistic regressions estimated the odds of an 'accurate' response and confident response ('somewhat' or 'very sure') by parental sociodemographic characteristics and frequency of eating from restaurants. Sampling weights based on demographics were incorporated in all analyses. USA. Parents (n 1207) of 5-12-year-old children. On average, parents estimated 631 (se 19·4) kcal as the appropriate amount for a 5-12-year-old child's meal. Thirty-five per cent answered in the accurate range, while 33·3 and 31·8 % underestimated and overestimated, respectively. Frequent dining at restaurants, lower income and urban geography were associated with lower odds of answering accurately. Parents' confidence in their estimates was low across the sample (26·0 % confident) and only 10·1 % were both accurate and confident. Parent education about calorie recommendations for children could improve understanding and use of menu labelling information in restaurants. Targeted strategies are recommended to ensure that such efforts address, rather than exacerbate, health disparities.

  3. Global issues- National Policies: Comparing wetland protection polies and perceptions in the Netherlands en the United States

    NARCIS (Netherlands)

    Owens, K.A.

    2004-01-01

    Wetlands protection is a global goal that requires action on many levels of government, including National, State or Provincial, and municipal. Global plans and programs require a network of national and sub-national policy definition and enforcement. In the United States, for example, global and

  4. 77 FR 58086 - Fisheries of the United States; National Standard 1 Guidelines; Reopening of Public Comment Period

    Science.gov (United States)

    2012-09-19

    .... 120425420-2420-01] RIN 0648-BB92 Fisheries of the United States; National Standard 1 Guidelines; Reopening... Rulemaking (ANPR) published on May 3, 2012, on potential adjustments to the National Standard 1 Guidelines... adjustments to the National Standard 1 Guidelines. The ANPR provides the public with a formal opportunity to...

  5. National Estimates of Marijuana Use and Related Indicators - National Survey on Drug Use and Health, United States, 2002-2014.

    Science.gov (United States)

    Azofeifa, Alejandro; Mattson, Margaret E; Schauer, Gillian; McAfee, Tim; Grant, Althea; Lyerla, Rob

    2016-09-02

    In the United States, marijuana is the most commonly used illicit drug. In 2013, 7.5% (19.8 million) of the U.S. population aged ≥12 years reported using marijuana during the preceding month. Because of certain state-level policies that have legalized marijuana for medical or recreational use, population-based data on marijuana use and other related indicators are needed to help monitor behavioral health changes in the United States. 2002-2014. The National Survey on Drug Use and Health (NSDUH) is a national- and state-level survey of a representative sample of the civilian, noninstitutionalized U.S. population aged ≥12 years. NSDUH collects information about the use of illicit drugs, alcohol, and tobacco; initiation of substance use; frequency of substance use; substance dependence and abuse; perception of substance harm risk or no risk; and other related behavioral health indicators. This report describes national trends for selected marijuana use and related indicators, including prevalence of marijuana use; initiation; perception of harm risk, approval, and attitudes; perception of availability and mode of acquisition; dependence and abuse; and perception of legal penalty for marijuana possession. In 2014, a total of 2.5 million persons aged ≥12 years had used marijuana for the first time during the preceding 12 months, an average of approximately 7,000 new users each day. During 2002-2014, the prevalence of marijuana use during the past month, past year, and daily or almost daily increased among persons aged ≥18 years, but not among those aged 12-17 years. Among persons aged ≥12 years, the prevalence of perceived great risk from smoking marijuana once or twice a week and once a month decreased and the prevalence of perceived no risk increased. The prevalence of past year marijuana dependence and abuse decreased, except among persons aged ≥26 years. Among persons aged ≥12 years, the percentage reporting that marijuana was fairly easy or very easy

  6. Effectiveness of pre-admission data and letters of recommendation to predict students who will need professional behavior intervention during clinical rotations in the United States

    Directory of Open Access Journals (Sweden)

    Chalee Engelhard

    2016-06-01

    Full Text Available The study aimed at finding the value of letters of recommendation in predicting professional behavior problems in the clinical portion of a Doctor of Physical Therapy program learning cohorts from 2009-2014 in the United States. De-identified records of 137 Doctor of Physical Therapy graduates were examined by the descriptive statistics and comparison analysis. Thirty letters of recommendation were investigated based on grounded theory from 10 student applications with 5 randomly selected students of interest and 5 non-students of interest. Critical thinking, organizational skills, and judgement were statistically significant and quantitative differentiating characteristics. Qualitatively, significant characteristics of the student of interest included effective communication and cultural competency. Meanwhile, those of nonstudents of interest included conflicting personality descriptor, commitment to learning, balance, teamwork skills, potential future success, compatible learning skills, effective leadership skills, and emotional intelligence. Emerged significant characteristics did not consistently match common non-professional behavior issues encountered in clinic. Pre-admission data and letters of recommendation appear of limited value in predicting professional behavior performance in clinic.

  7. Engage, discover, apply, learn, repeat: Implementing a Sustained National Climate Assessment within the United States

    Science.gov (United States)

    Moss, R. H.

    2017-12-01

    Assessment of potential impacts and adaptations to global environmental change evaluate the continuously evolving state of science through the lens of relevance to challenges such as planning long-lived infrastructure and managing risks to property, ecosystems, public health, and other valued assets or objectives. These planning and decision contexts present varied challenges, including: multiple attributes at risk from interacting environmental and socioeconomic trends; uncertainties (scientific and otherwise); partial solutions with indefinite costs and benefits; and tradeoffs across stakeholder groups. Research and evaluation of assessments indicate they convey information that is more usable and relevant to decision makers if they are designed as sustained interactions of pertinent scientific and user communities and result in products beyond written reports. This talk will report on the work of a Federal Advisory Committee for the Sustained National Climate Assessment (SNCA) to develop recommendations to increase the SNCA's relevance and usability. The recommendations build on the conclusions of a 2013 report by the predecessor SNCA advisory committee and suggest next steps for (1) engagement, (2) provision of core scientific products, (3) tailoring of information and tools to provide insights under uncertainty, and (4) evaluation of products and outcomes. The recommended process focuses on providing insights relevant to consideration of risks and solutions. While resulting in a wide range of products and outcomes on an ongoing basis, aggregation and assessment of emerging insights and good practice for supporting decision making under uncertainty would recur over a four-year adaptive management cycle in the context of the preparation of the US national assessment report mandated under the Global Change Research Act. Uncertainty about the future role of Federal agencies in the assessment process and opportunities for increased engagement by non-Federal actors

  8. Denmark's second national communication on climate change. Submitted under the United Nations framework convention on climate change

    International Nuclear Information System (INIS)

    Dissing, L.; Torp, U.; Rasmussen, E.

    1997-09-01

    At the United Nations Conference on Environment and Development in Rio de Janeiro in June 1992 more than 150 countries signed the UN Framework Convention on Climate Change. According to decisions taken under article 12 of the Convention each developed country Party shall communicate to the Convention secretariat its second national report presenting inter-alia inventories of emissions by sources and removals by sinks of all greenhouse related gases. This report represents the Danish programmes and measures taken to observe the commitments under the Climate Convention. The revised 1996 IPCC guidelines have been applied to N 2 O from agriculture and the pollutants not earlier included (SO 2 , HFCs, CFCs and SF 6 ). Background material and data underlying the calculations in the report are available upon request to the Danish Environmental Protection Agency. A very comprehensive and thorough description is given of the programmes and plans for the energy sector with additional information presented in Annexes F and I. The twofold purpose is to give a detailed documentation of how Denmark will meet the ambitious target to reduce the emission of CO 2 by 20% by the year 2005 compared to 1988 and to inspire other Parties to the Convention in efforts to control their present as well as their future emissions of the most important greenhouse gases. (EG) 16 refs

  9. Hydrogeologic Assessment of the East Bear Creek Unit, San LuisNational Wildlife Refuge

    Energy Technology Data Exchange (ETDEWEB)

    Quinn, Nigel W.T.

    2007-07-15

    San Luis National Wildlife Refuge Complex to meetReclamation s obligations for Level 4 water supply under the CentralValley Project Improvement Act. Hydrogeological assessment of the EastBear Creek Unit of the San Luis National Wildlife Refuge was conductedusing a combination of field investigations and a survey of availableliterature from past US Geological Survey Reports and reports by localgeological consultants. Conservative safe yield estimates made using theavailable data show that the East Bear Creek Unit may have sufficientgroundwater resources in the shallow groundwater aquifer to meet aboutbetween 25 percent and 52 percent of its current Level II and between 17percent and 35 percent of its level IV water supply needs. The rate ofsurface and lateral recharge to the Unit and the design of the well fieldand the layout and capacity of pumped wells will decide both thepercentage of annual needs that the shallow aquifer can supply andwhether this yield is sustainable without affecting long-term aquiferquality. In order to further investigate the merits of pumping the nearsurface aquifer, which appears to have reasonable water quality for usewithin the East Bear Creek Unit -- monitoring of the potential sources ofaquifer recharge and the installation of a pilot shallow well would bewarranted. Simple monitoring stations could be installed both upstreamand downstream of both the San Joaquin River and Bear Creek and beinstrumented to measureriver stage, flow and electrical conductivity.Ideally this would be done in conjunction with a shallow pilot well,pumped to supply a portion of the Unit's needs for the wetland inundationperiod.

  10. Amikacin Dosing and Monitoring in Spinal Cord Injury Patients: Variation in Clinical Practice Between Spinal Injury Units and Differences in Experts' Recommendations

    Directory of Open Access Journals (Sweden)

    Subramanian Vaidyanathan

    2006-01-01

    Full Text Available The objective of this article was to determine the current practice on amikacin dosing and monitoring in spinal cord injury patients from spinal cord physicians and experts. Physicians from spinal units and clinical pharmacologists were asked to provide protocol for dosing and monitoring of amikacin therapy in spinal cord injury patients. In a spinal unit in Poland, amikacin is administered usually 0.5 g twice daily. A once-daily regimen of amikacin is never used and amikacin concentrations are not determined. In Belgium, Southport (U.K., Spain, and the VA McGuire Medical Center (Richmond, Virginia, amikacin is given once daily. Whereas peak and trough concentrations are determined in Belgium, only trough concentration is measured in Southport. In both these spinal units, modification of the dose is not routinely done with a nomogram. In Spain and the VA McGuire Medical Center, monitoring of serum amikacin concentration is not done unless a patient has renal impairment. In contrast, the dose/interval of amikacin is adjusted according to pharmacokinetic parameters at the Edward Hines VA Hospital (Hines, Illinois, where amikacin is administered q24h or q48h, depending on creatinine clearance. Spinal cord physicians from Denmark, Germany, and the Kessler Institute for Rehabilitation (West Orange, New Jersey state that they do not use amikacin in spinal injury patients. An expert from Canada does not recommend determining serum concentrations of amikacin, but emphasizes the value of monitoring ototoxicity and nephrotoxicity. Experts from New Zealand recommend amikacin in conventional twice- or thrice-daily dosing because of the theoretical increased risk of neuromuscular blockade and apnea with larger daily doses in spinal cord injury patients. On the contrary, experts from Greece, Israel, and the U.S. recommend once-daily dosing and determining amikacin pharmacokinetic parameters for each patient. As there is considerable variation in clinical

  11. The Origin of the United Nations "Global Counter-Terrorism System"

    Directory of Open Access Journals (Sweden)

    William B. Messmer

    2010-11-01

    Full Text Available Este artículo explica los orígenes de sistema global antiterrorista de las Naciones Unidas. Nosotros argüimos que tres factores determinan las características de un sistema descentralizado y de estados centralizados. El primero es la reacción de la ONU contra los ataques terroristas del 11 de septiembre de 2001. El segundo factor es la cada vez mayor relevancia de las redes de gobierno transnacional. La tercera fuerza son los intereses y los asuntos del Consejo de Seguridad permanente, que últimamente determina la arquitectura del sistema.9/11, United Nations, Security Council, transnacional governance networks,counter-terrorism system.___________________________ABSTRACT:This article explains the origins of the United Nations’ global counter-terrorism system. We argue that three factors shaped the system’s decentralized and state-centered characteristics. The first is the UN’s reactions to terrorism prior to the attacks of 11 September 2001. The second factor is the growing relevance of transnational governance networks. The third force is the interests and concerns of the Security Council’s permanent representative interests, which ultimately shaped the system’s architecture.Keywords: 9/11; United Nations; Security Council; transnacional governance networks; counter-terrorism system

  12. Sexual orientation and future parenthood in a 2011-2013 nationally representative United States sample.

    Science.gov (United States)

    Riskind, Rachel G; Tornello, Samantha L

    2017-09-01

    Previous researchers have found evidence for differences in parenting goals between lesbian and gay people and their heterosexual peers. However, no previous research has quantified the parenting goals of bisexual people or evaluated parenting goals as a function of sexual partner gender. In addition, political and social climates for sexual minority people had improved rapidly since the last representative data on lesbian and gay peoples' plans for parenthood were collected. We analyzed data from 3,941 childless lesbian, gay, bisexual, and heterosexual participants from the 2011-2013 National Survey of Family Growth (NSFG; United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, 2014), a nationally representative sample of United States residents aged 15 to 44 years. We found that statistically significant, within-gender sexual orientation differences in parenting plans persist, despite social and legal changes. Consistent with hypotheses, bisexual men's parenting desires and intentions were similar to those of their heterosexual male peers and different from those of their gay male peers, while bisexual women's reports were more mixed. Also consistent with hypotheses, the gender of the most recent sexual partner was a strong predictor of parenting goals. We discuss implications for mental and reproductive health-care providers, attorneys, social workers, and others who interact with sexual minority adults. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  13. National and state vaccination coverage among children aged 19-35 months--United States, 2010.

    Science.gov (United States)

    2011-09-02

    The National Immunization Survey (NIS) monitors vaccination coverage among children aged 19-35 months using a random-digit-dialed sample of telephone numbers of households to evaluate childhood immunization programs in the United States. This report describes the 2010 NIS coverage estimates for children born during January 2007-July 2009. Nationally, vaccination coverage increased in 2010 compared with 2009 for ≥ 1 dose of measles, mumps, and rubella vaccine (MMR), from 90.0% to 91.5%; ≥ 4 doses of pneumococcal conjugate vaccine (PCV), from 80.4% to 83.3%; the birth dose of hepatitis B vaccine (HepB), from 60.8% to 64.1%; ≥ 2 doses of hepatitis A vaccine (HepA), from 46.6% to 49.7%; rotavirus vaccine, from 43.9% to 59.2%; and the full series of Haemophilus influenzae type b (Hib) vaccine, from 54.8% to 66.8%. Coverage for poliovirus vaccine (93.3%), MMR (91.5%), ≥ 3 doses HepB (91.8%), and varicella vaccine (90.4%) continued to be at or above the national health objective targets of 90% for these vaccines.* The percentage of children who had not received any vaccinations remained low (poverty status still exist. Maintaining high vaccination coverage levels is important to reduce the burden of vaccine-preventable diseases and prevent a resurgence of these diseases in the United States, particularly in undervaccinated populations.

  14. The incompatibility of the United Nations' goals and conventionalist ethical relativism.

    Science.gov (United States)

    Kopelman, Loretta M

    2005-09-01

    The Universal Draft Declaration on Bioethics and Human Rights seeks to provide moral direction to nations and their citizens on a series of bioethical concerns. In articulating principles, it ranks respect for human rights, human dignity and fundamental freedoms ahead of respect for cultural diversity and pluralism. This ranking is controversial because it entails the rejection of the popular theory, conventionalist ethical relativism. If consistently defended, this theory also undercuts other United Nations activities that assume member states and people around the world can reach trans-cultural judgments having moral authority about health, pollution, aggression, rights, slavery, and so on. To illustrate problems with conventionalist ethical relativism and the importance of rejecting it for reasons of health, human rights, human dignity and fundamental freedoms, the widespread practice of female genital circumcision or cutting is discussed. These surgeries are virtually a test case for conventionalist ethical relativism since they are widely supported within these cultures as religious and health practices and widely condemned outside them, including by the United Nations.

  15. Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults.

    Science.gov (United States)

    Bednarczyk, Robert A; Whitehead, Jennifer L; Stephenson, Rob

    2017-06-01

    While national human papillomavirus (HPV) vaccination estimates exist by sex, little is known about HPV vaccination rates by gender identity. We conducted a self-administered, anonymous online cross-sectional survey, with recruitment through Facebook ads, of lesbian, gay, bisexual, and transgender individuals in rural areas of the US. We compared HPV vaccine recommendation and uptake by self-reported sex assigned at birth and current gender identity. Six hundred sixty respondents were age eligible for HPV vaccination: 84% reported gender identity aligned with their sex assigned at birth, while 10% reported gender identity the differed from their sex assigned at birth; an additional 6% reported non-binary gender identity. Only 14% of male sex assigned at birth and 44% of female sex assigned at birth received HPV vaccine, similar to estimates by current gender identity. Transgender respondents' HPV vaccination experience mirrored that of cisgender respondents with regard to sex assigned at birth. Providers may base HPV vaccine recommendations on individuals' sex assigned at birth, which may impact transgender individuals' vaccine coverage. Future HPV vaccine uptake studies should account for gender identity. With sex-specific catch-up HPV vaccination recommendations, the role of gender identity on provider recommendation and reimbursement needs to be addressed. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  16. Mandatory and recommended vaccination in the EU, Iceland and Norway: results of the VENICE 2010 survey on the ways of implementing national vaccination programmes.

    Science.gov (United States)

    Haverkate, M; D'Ancona, F; Giambi, C; Johansen, K; Lopalco, P L; Cozza, V; Appelgren, E

    2012-05-31

    This report provides an updated overview of recommended and mandatory vaccinations in the European Union (EU), Iceland and Norway, considering the differences in vaccine programme implementation between countries. In 2010, the Vaccine European New Integrated Collaboration Effort (VENICE) network, conducted a survey among the VENICE project gatekeepers to learn more about how national vaccination programmes are implemented, whether recommended or mandatory. Information was collected from all 27 EU Member States, Iceland and Norway. In total 15 countries do not have any mandatory vaccinations; the remaining 14 have at least one mandatory vaccination included in their programme. Vaccination against polio is mandatory for both children and adults in 12 countries; diphtheria and tetanus vaccination in 11 countries and hepatitis B vaccination in 10 countries. For eight of the 15 vaccines considered, some countries have a mixed strategy of recommended and mandatory vaccinations. Mandatory vaccination may be considered as a way of improving compliance to vaccination programmes. However, compliance with many programmes in Europe is high, using only recommendations. More information about the diversity in vaccine offer at European level may help countries to adapt vaccination strategies based on the experience of other countries. However, any proposal on vaccine strategies should be developed taking into consideration the local context habits.

  17. Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults

    Directory of Open Access Journals (Sweden)

    Robert A. Bednarczyk

    2017-06-01

    Full Text Available Background: While national human papillomavirus (HPV vaccination estimates exist by sex, little is known about HPV vaccination rates by gender identity. Methods: We conducted a self-administered, anonymous online cross-sectional survey, with recruitment through Facebook ads, of lesbian, gay, bisexual, and transgender individuals in rural areas of the US. We compared HPV vaccine recommendation and uptake by self-reported sex assigned at birth and current gender identity. Results: Six hundred sixty respondents were age eligible for HPV vaccination: 84% reported gender identity aligned with their sex assigned at birth, while 10% reported gender identity the differed from their sex assigned at birth; an additional 6% reported non-binary gender identity. Only 14% of male sex assigned at birth and 44% of female sex assigned at birth received HPV vaccine, similar to estimates by current gender identity. Transgender respondents’ HPV vaccination experience mirrored that of cisgender respondents with regard to sex assigned at birth. Conclusions: Providers may base HPV vaccine recommendations on individuals’ sex assigned at birth, which may impact transgender individuals' vaccine coverage. Future HPV vaccine uptake studies should account for gender identity. With sex-specific catch-up HPV vaccination recommendations, the role of gender identity on provider recommendation and reimbursement needs to be addressed. Keywords: Human papillomavirus, Vaccine, Transgender, Gender identity

  18. Recommendations for a National High Blood Pressure Community Education Plan. Report of Task Force III--Community Education.

    Science.gov (United States)

    National Institutes of Health (DHEW), Bethesda, MD. High Blood Pressure Information Center.

    Hypertensive disease being one of the most important medical problems now facing American medicine brought about the formation of the Federally sponsored National High Blood Pressure Education Program, which included four Task Forces. Task Force 3 reviews in this study information and experience useful for the development of guidelines for…

  19. National Infrastructure Advisory Council: Chemical, Biological, and Radiological Events and the Critical Infrastructure Workforce. Final Report and Recommendations

    Science.gov (United States)

    2008-01-08

    inbound and outbound products and materials, and products for distribution and product stewardship activities. The CSCC was the first Sector...for Nuclear and Radiological Terrorism” published in April 2006 addressed many of the 73 tactical logistical elements surrounding first response...including blisters, burns, vomiting, reddened skin, etc. o Residents faced nation-wide discrimination, including inability to travel, secure hotel rooms

  20. The third session of the United Nations Commission on Sustainable Development

    International Nuclear Information System (INIS)

    Guerrero, Juan Carlos

    1996-01-01

    Between the 11 and April of 1995, 28 almost three years later of the summit of the earth, representatives of countless countries and non government organizations (ONG) to carry out the third session of the Commission of Sustainable Development (CSD); in her were shared and they evaluated the different national experiences once again in the implementation of the program 21. The third session of the CSD began its work with two discussions in panel. The first; about the resources and financial mechanisms.; and the second; on regional matters. Then were carried out general debates on the advances in the execution of the program 21 and the drafts of the different recommendations were discussed adopted in three discussion groups: the group to that treated the chapters 2, 3, 4, 5 and 33 of the program 21; the group b that discussed the chapters 8, 34, 35 and 40; and the group c (regional matters) that embraced the chapters 10, 11, 12, 13, 14, 15 and 21 of the program 21. Two days they were devoted to the presentation of national strategies for the sustainable development and of national experiences in the administration of the earth and the sustainable agriculture that showed local advances in the implementation of the program 21

  1. Risk management of emergency service vehicle crashes in the United States fire service: process, outputs, and recommendations.

    Science.gov (United States)

    Bui, David P; Pollack Porter, Keshia; Griffin, Stephanie; French, Dustin D; Jung, Alesia M; Crothers, Stephen; Burgess, Jefferey L

    2017-11-17

    Emergency service vehicle crashes (ESVCs) are a leading cause of death in the United States fire service. Risk management (RM) is a proactive process for identifying occupational risks and reducing hazards and unwanted events through an iterative process of scoping hazards, risk assessment, and implementing controls. We describe the process, outputs, and lessons learned from the application of a proactive RM process to reduce ESVCs in US fire departments. Three fire departments representative of urban, suburban, and rural geographies, participated in a facilitated RM process delivered through focus groups and stakeholder discussion. Crash reports from department databases were reviewed to characterize the context, circumstances, hazards and risks of ESVCs. Identified risks were ranked using a risk matrix that considered risk likelihood and severity. Department-specific control measures were selected based on group consensus. Interviews, and focus groups were used to assess acceptability and utility of the RM process and perceived facilitators and barriers of implementation. Three to six RM meetings were conducted at each fire department. There were 7.4 crashes per 100 personnel in the urban department and 10.5 per 100 personnel in the suburban department; the rural department experienced zero crashes. All departments identified emergency response, backing, on scene struck by, driver distraction, vehicle/road visibility, and driver training as high or medium concerns. Additional high priority risks varied by department; the urban department prioritized turning and rear ending crashes; the suburban firefighters prioritized inclement weather/road environment and low visibility related crashes; and the rural volunteer fire department prioritized exiting station, vehicle failure, and inclement weather/road environment related incidents. Selected controls included new policies and standard operating procedures to reduce emergency response, cameras to enhance driver

  2. Male circumcision for HIV prevention in Papua New Guinea: a summary of research evidence and recommendations for public health following a national policy forum.

    Science.gov (United States)

    Vallely, A; MacLaren, D J; Kaleva, W; Millan, J; Tommbe, R; Marape, W; Manineng, C; Buchanan, H; Amos, A; Frank, R; Kelly, A; Kupul, M; Aeno, H; Trowalle, E; John, L N; Redman-Maclaren, M L; Ryan, C; Browne, K; Tynan, A; Hill, P S; Gray, R T; Murray, J; Wilson, D P; Law, G; Siba, P; McBride, W J H; Farley, T; Kaldor, J M

    2011-01-01

    In 2005, a clinical trial in South Africa found that circumcision of young men could reduce their risk of acquiring HIV (human immunodeficiency virus) infection by over 60%. In the following year, two more trials in Africa confirmed this finding, leading the World Health Organization to recommend male circumcision as a public health strategy for HIV prevention in high-incidence countries. In order to inform public health policy in Papua New Guinea (PNG), two major research projects were initiated with the goals of investigating the status of penile cutting practices and assessing understandings, acceptability, feasibility and cost-effectiveness of male circumcision for HIV prevention. In addition, behavioural surveillance surveys systematically asked questions on penile cutting practices and an ethnographic literature review informed historical perspectives of penile cutting in PNG. Key findings from these research activities were presented at a National Policy Forum on Male Circumcision for HIV Prevention held in Port Moresby in November 2011. The Forum made three key recommendations: (1) the formation of a joint National Department of HealthlNational AIDS Council Secretariat Policy Committee on male circumcision; (2) the establishment of an integrated harm reduction program; and (3) that future policy on wide-scale roll-out of male circumcision for HIV prevention in PNG be informed by a combination of data from (a) male circumcision intervention pilot programs and (b) research on the potential protective effect of other forms of penile cutting.

  3. International cooperative initiatives and the United Nations Framework Convention on Climate Change

    DEFF Research Database (Denmark)

    Bakhtiari, Fatemeh

    2017-01-01

    International cooperative initiatives (ICIs) are multi-country, multi-actor non-state actions that have the potential to reduce emissions of greenhouse gases. The article summarizes the literature on estimates of emission reduction potentials attributed to ICIs. This summary highlights three key ...... efforts under the UNFCCC is uncertain, but believed to be quite large. •The UNFCCC is arguably ill suited to coordinate and strengthen the accountability of international cooperative initiatives.......International cooperative initiatives (ICIs) are multi-country, multi-actor non-state actions that have the potential to reduce emissions of greenhouse gases. The article summarizes the literature on estimates of emission reduction potentials attributed to ICIs. This summary highlights three key...... transparent performance monitoring and reporting mechanisms. The article concludes with two considerations. Firstly, it advocates for the United Nations Environment Programme as one entity that could bring much-needed coordination among ICIs, and between ICIs and national government-led efforts to mitigate...

  4. RECALMIN: The association between management of Spanish National Health Service Internal Medical Units and health outcomes.

    Science.gov (United States)

    Zapatero-Gaviria, Antonio; Javier Elola-Somoza, Francisco; Casariego-Vales, Emilio; Fernandez-Perez, Cristina; Gomez-Huelgas, Ricardo; Bernal, José Luis; Barba-Martín, Raquel

    2017-08-01

    To investigate the association between management of Internal Medical Units (IMUs) with outcomes (mortality and length of stay) within the Spanish National Health Service. Data on management were obtained from a descriptive transversal study performed among IMUs of the acute hospitals. Outcome indicators were taken from an administrative database of all hospital discharges from the IMUs. Spanish National Health Service. One hundred and twenty-four acute general hospitals with available data of management and outcomes (401 424 discharges). IMU risk standardized mortality rates were calculated using a multilevel model adjusted by Charlson Index. Risk standardized myocardial infarction and heart failure mortality rates were calculated using specific multilevel models. Length of stay was adjusted by complexity. Greater hospital complexity was associated with longer average length of stays (r: 0.42; P International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  5. Achievable steps toward building a National Health Information infrastructure in the United States.

    Science.gov (United States)

    Stead, William W; Kelly, Brian J; Kolodner, Robert M

    2005-01-01

    Consensus is growing that a health care information and communication infrastructure is one key to fixing the crisis in the United States in health care quality, cost, and access. The National Health Information Infrastructure (NHII) is an initiative of the Department of Health and Human Services receiving bipartisan support. There are many possible courses toward its objective. Decision makers need to reflect carefully on which approaches are likely to work on a large enough scale to have the intended beneficial national impacts and which are better left to smaller projects within the boundaries of health care organizations. This report provides a primer for use by informatics professionals as they explain aspects of that dividing line to policy makers and to health care leaders and front-line providers. It then identifies short-term, intermediate, and long-term steps that might be taken by the NHII initiative.

  6. The Texts of the Agency's Agreements with the United Nations; Texte Des Accords Conclus Entre L'Agence Et L'Organisation Des Nations Unies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-10-30

    The texts of the following agreements and supplementary agreements between the Agency and the United Nations are reproduced in this document for the information of all Members of the Agency: I. A. Agreement Governing the Relationship Between the United Nations and the International Atomic Energy Agency; B. Protocol Concerning the Entry into Force of the Agreement between the United Nations and the International Atomic Energy Agency; II. Administrative Arrangement Concerning the Use of the United Nations Laissez-Passer by Officials of the International Atomic Energy Agency; and III. Agreement for the Admission of the International Atomic Energy Agency into the United Nations Joint Staff Pension Fund [French] Le texte des accords et des accords additionnels ci-apres, conclus entre l'Agence et l'Organisation des Nations Unies, est reproduit dans le present document pour l'information de tous les Membres de l'Agence. A.Accord regissant les relations entre l'Organisation des Nations Unies et l'Agence internationale de l'energie atomique; B.Protocole relatif a l'entree en vigueur de l'accord conclu entre l'Organisation des Nations Unies et l'Agence internationale de l'energie atomique; II.Dispositions administratives concernant l'utilisation du laissez-passer de l'Organisation des Nations Unies par les fonctionnaires de l'Agence internationale de l'energie atomique; III.Accord en vue de l'admission de l'Agence internationale de l'energie atomique a la Caisse commune des pensions du personnel des Nations Unies.

  7. Eleanor Roosevelt, the United Nations and the Role of Radio Communications

    OpenAIRE

    Luscombe, Anya

    2016-01-01

    Eleanor Roosevelt communicated with the public through a variety of media, both before, during and following her time in the White House. In 1946 she became part of the US delegation to the newly formed United Nations and she used newspaper columns, speeches and radio broadcasts to converse with citizens about the importance of the UN. This paper focuses on some of her radio performances of the early 1950s, both in the USA and in Europe. Despite increasing competition from television in the 1...

  8. Peran United Nations Development Programme (Undp) Dalam Melegalkan Pernikahanlesbian, Gay, Bisexual,transgender( Lgbt ) Di Tiongkok

    OpenAIRE

    Tama, Aira; Yealta, Den

    2017-01-01

    This study attempts to outline anything program-program undp in legalising lgbt marriage in China.And also will explain how program-program undp in legalising lgbt marriage in China.The methodology used is qualitative study.This study focused to talk about the role in the United Nations DeveopmentProgram ( UNDP ) legalising lgbt in the country tiongkok. Second, researchers feel the need to give time limit to phenomena or problem to check such as in 2014-2016This research use a pluralism persp...

  9. Did Iraq Cheat the United Nations? Underpricing, Bribes, and the Oil for Food Program

    OpenAIRE

    Chang-Tai Hsieh; Enrico Moretti

    2005-01-01

    From 1997 through early 2003, the United Nations Oil for Food Program allowed Iraq to export oil in exchange for humanitarian supplies. We measure the extent to which this program was corrupted by Iraq's attempts to deliberately set the price of its oil below market prices in an effort to solicit bribes, both in the form of direct cash bribes and in the form of political favors, from the buyers of the underpriced oil. We infer the magnitude of the potential bribe by comparing the gap between ...

  10. Molecular image in biomedical research. Molecular imaging unit of the National Cancer Research Center

    International Nuclear Information System (INIS)

    Perez Bruzon, J.; Mulero Anhiorte, F.

    2010-01-01

    This article has two basic objectives. firstly, it will review briefly the most important imaging techniques used in biomedical research indicting the most significant aspects related to their application in the preclinical stage. Secondly, it will present a practical application of these techniques in a pure biomedical research centre (not associated to a clinical facility). Practical aspects such as organisation, equipment, work norms, shielding of the Spanish National Cancer Research Centre (CNIO) Imaging Unit will be shown. This is a pioneering facility in the application of these techniques in research centres without any dependence or any direct relationship with other hospital Nuclear Medicine services. (Author) 7 refs.

  11. Psychological functioning and adherence to the recommended dose of physical activity in later life: results from a national health survey.

    Science.gov (United States)

    Netz, Yael; Dunsky, Ayelet; Zach, Sima; Goldsmith, Rebecca; Shimony, Tal; Goldbourt, Uri; Zeev, Aviva

    2012-12-01

    Official health organizations have established the dose of physical activity needed for preserving both physical and psychological health in old age. The objective of this study was to explore whether adherence to the recommended criterion of physical activity accounted for better psychological functioning in older adults in Israel. A random sample of 1,663 (799 men) Israelis reported their physical activity routine, and based on official guidelines were divided into sufficiently active, insufficiently active, and inactive groups. The General Health Questionnaire (GHQ) was used for assessing mental health and the Mini-Mental State Examination (MMSE) for assessing cognitive functioning. Factor analysis performed on the GHQ yielded two factors - positive and negative. Logistic regressions for the GHQ factors and for the MMSE were conducted for explaining their variance, with demographic variables entered first, followed by health and then physical activity. The explained variance in the three steps was Cox and Snell R2 = 0.022, 0.023, 0.039 for the positive factor, 0.066, 0.093, 0.101 for the negative factor, and 0.204, 0.206, 0.209 for the MMSE. Adherence to the recommended dose of physical activity accounted for better psychological functioning beyond demographic and health variables; however, the additional explained variance was small. More specific guidelines of physical activity may elucidate a stronger relationship, but only randomized controlled trials can reveal cause-effect relationship between physical activity and psychological functioning. More studies are needed focusing on the positive factor of psychological functioning.

  12. Delineating managed land for reporting national greenhouse gas emissions and removals to the United Nations framework convention on climate change.

    Science.gov (United States)

    Ogle, Stephen M; Domke, Grant; Kurz, Werner A; Rocha, Marcelo T; Huffman, Ted; Swan, Amy; Smith, James E; Woodall, Christopher; Krug, Thelma

    2018-05-29

    Land use and management activities have a substantial impact on carbon stocks and associated greenhouse gas emissions and removals. However, it is challenging to discriminate between anthropogenic and non-anthropogenic sources and sinks from land. To address this problem, the Intergovernmental Panel on Climate Change developed a managed land proxy to determine which lands are contributing anthropogenic greenhouse gas emissions and removals. Governments report all emissions and removals from managed land to the United Nations Framework Convention on Climate Change based on this proxy, and policy interventions to reduce emissions from land use are expected to focus on managed lands. Our objective was to review the use of the managed land proxy, and summarize the criteria that governments have applied to classify land as managed and unmanaged. We found that the large majority of governments are not reporting on their application of the managed land proxy. Among the governments that do provide information, most have assigned all area in specific land uses as managed, while designating all remaining lands as unmanaged. This designation as managed land is intuitive for croplands and settlements, which would not exist without management interventions, but a portion of forest land, grassland, and wetlands may not be managed in a country. Consequently, Brazil, Canada and the United States have taken the concept further and delineated managed and unmanaged forest land, grassland and wetlands, using additional criteria such as functional use of the land and accessibility of the land to anthropogenic activity. The managed land proxy is imperfect because reported emissions from any area can include non-anthropogenic sources, such as natural disturbances. However, the managed land proxy does make reporting of GHG emissions and removals from land use more tractable and comparable by excluding fluxes from areas that are not directly influenced by anthropogenic activity. Moreover

  13. Corrective Action Decision Document/Closure Report for Corrective Action Unit 375: Area 30 Buggy Unit Craters, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Patrick Matthews

    2011-08-01

    Corrective Action Unit 375 comprises three corrective action sites (CASs): (1) 25-23-22, Contaminated Soils Site; (2) 25-34-06, Test Cell A Bunker; and (3) 30-45-01, U-30a, b, c, d, e Craters. The purpose of this CADD/CR is to provide justification and documentation supporting the recommendation that no further corrective action is needed for CAU 375 based on the implementation of corrective action of closure in place with administrative controls at CAS 25-23-22, no further action at CAS 25-34-06, and closure in place with administrative controls and removal of potential source material (PSM) at CAS 30-45-01. Corrective action investigation (CAI) activities were performed from July 28, 2010, through April 4, 2011, as set forth in the Corrective Action Investigation Plan for Corrective Action Unit 375: Area 30 Buggy Unit Craters. The approach for the CAI was divided into two facets: investigation of the primary release of radionuclides, and investigation of other releases (migration in washes and chemical releases). The purpose of the CAI was to fulfill data needs as defined during the data quality objective (DQO) process. The CAU 375 dataset of investigation results was evaluated based on the data quality assessment. This assessment demonstrated the dataset is acceptable for use in fulfilling the DQO data needs. Investigation results were evaluated against final action levels (FALs) established in this document. A radiological dose FAL of 25 millirem per year was established based on the Remote Work Area exposure scenario (336 hours of annual exposure). Radiological doses exceeding the FAL were assumed to be present within the default contamination boundaries at CASs 25-23-22 and 30-45-01. No contaminants were identified at CAS 25-34-06, and no corrective action is necessary. Potential source material in the form of lead plate, lead-acid batteries, and oil within an abandoned transformer were identified at CAS 30-45-01, and corrective actions were undertaken that

  14. Report of the Commission to Assess the Threat to the United States from Electromagnetic Pulse (EMP) Attack: Critical National Infrastructures

    National Research Council Canada - National Science Library

    Foster, Jr., John S; Gjelde, Earl; Graham, William R; Hermann, Robert J; Kluepfel, Henry M; Lawson, Richard L; Soper, Gordon K; Wood, Lowell L; Woodard, Joan B

    2008-01-01

    ...) attack on our critical national infrastructures. An earlier report, Report of the Commission to Assess the Threat to the United States from Electromagnetic Pulse (EMP), Volume 1: Executive Report (2004...

  15. United Nations Environment Programme Capacity Building Pilot Project - Training on persistent organic pollutant analysis under the Stockholm Convention

    NARCIS (Netherlands)

    de Boer, J.; Leslie, H.A.; van Leeuwen, S.P.J.; Wegener, J.W.M.; van Bavel, B; Lindstrom, G.; Lahoutifard, N.; Fiedler, H.

    2008-01-01

    Within the framework of a United Nations Environment Programme (UNEP) Capacity Building Project for training of laboratory staff in developing countries on persistent organic pollutant (POP) analysis, an interlaboratory study was organised following an initial evaluation of the performance of

  16. Uranium prospecting program: memorandum of request United Nations Assistance Rotatory Fund for Naturals resources in Uranium Prospecting

    International Nuclear Information System (INIS)

    1976-01-01

    The Uruguayan government required assistance to Unit Nations funds with the aim of studies the Natural resources in Uranium prospecting, their antecedent, actual and projected works, equipment and end considerations

  17. Application for assistance to United Nations rotating fund for the study of natural resources, for uranium prospecting

    International Nuclear Information System (INIS)

    1976-01-01

    This memoranda is a United Nations petition about natural resources study which allow the uranium prospecting. These areas will be studied on sedentary, anomalous and crystal land as well as radiometric rises

  18. Closure Report for Corrective Action Unit 566: EMAD Compound, Nevada National Security Site, Nevada with ROTC-1, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Mark Krauss

    2011-06-01

    lead shot • PCB-contaminated soil • Radiologically contaminated filters and equipment • Fuels, lubricants, engine coolants, and oils • Lead debris • Electrical and lighting components assumed to be potential source materials, including - fluorescent light bulbs - mercury switches (thermostats) - circuit boards - PCB-containing ballasts Closure of CAU 566 was achieved through a combination of removal activities and closure in place. Corrective actions to remove COCs, and known and assumed potential source materials, were implemented as was practical. The PCBs remaining at the site are bounded laterally, but not vertically, within CAS 25-99-20 based upon step-out sampling; the sources (e.g., PCB transformer oils, diesel fuel from locomotive reservoirs) have been removed; the practice of the application of PCB-containing oils for soil stabilization has ceased; and the COCs are not readily mobile in the environment. Closure in place is necessary, and future land use of the site will be restricted from intrusive activities. This will effectively eliminate inadvertent contact by humans with the contaminated media. The DOE, National Nuclear Security Administration Nevada Site Office, provides the following recommendations: • No further corrective action is required at CAS 25-99-20. • Closure in place of CAS 25-99-20. • A use restriction is required at CAU 566. • A Notice of Completion to the DOE, National Nuclear Security Administration Nevada Site Office, is requested from the Nevada Division of Environmental Protection for closure of CAU 566. • Corrective Action Unit 566 should be moved from Appendix III to Appendix IV of the Federal Facility Agreement and Consent Order.

  19. Compliance of clinical microbiology laboratories in the United States with current recommendations for processing respiratory tract specimens from patients with cystic fibrosis.

    Science.gov (United States)

    Zhou, Juyan; Garber, Elizabeth; Desai, Manisha; Saiman, Lisa

    2006-04-01

    Respiratory tract specimens from patients with cystic fibrosis (CF) require unique processing by clinical microbiology laboratories to ensure detection of all potential pathogens. The present study sought to determine the compliance of microbiology laboratories in the United States with recently published recommendations for CF respiratory specimens. Microbiology laboratory protocols from 150 of 190 (79%) CF care sites were reviewed. Most described the use of selective media for Burkholderia cepacia complex (99%), Staphylococcus aureus (82%), and Haemophilus influenzae (89%) and identified the species of all gram-negative bacilli (87%). Only 52% delineated the use of agar diffusion assays for susceptibility testing of Pseudomonas aeruginosa. Standardizing laboratory practices will improve treatment, infection control, and our understanding of the changing epidemiology of CF microbiology.

  20. Corrective Action Investigation Plan for Corrective Action Unit 365: Baneberry Contamination Area, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Patrick Matthews

    2010-12-01

    Corrective Action Unit 365 comprises one corrective action site (CAS), CAS 08-23-02, U-8d Contamination Area. This site is being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives (CAAs). Additional information will be obtained by conducting a corrective action investigation before evaluating CAAs and selecting the appropriate corrective action for the CAS. The results of the field investigation will support a defensible evaluation of viable CAAs that will be presented in the Corrective Action Decision Document. The site will be investigated based on the data quality objectives (DQOs) developed on July 6, 2010, by representatives of the Nevada Division of Environmental Protection and the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office. The DQO process was used to identify and define the type, amount, and quality of data needed to develop and evaluate appropriate corrective actions for the Baneberry site. The primary release associated with Corrective Action Unit 365 was radiological contamination from the Baneberry nuclear test. Baneberry was an underground weapons-related test that vented significant quantities of radioactive gases from a fissure located in close proximity to ground zero. A crater formed shortly after detonation, which stemmed part of the flow from the fissure. The scope of this investigation includes surface and shallow subsurface (less than 15 feet below ground surface) soils. Radionuclides from the Baneberry test with the potential to impact groundwater are included within the Underground Test Area Subproject. Investigations and corrective actions associated with the Underground Test Area Subproject include the radiological inventory resulting from the Baneberry test.

  1. Updated CDC Recommendations for Using Artemether-Lumefantrine for the Treatment of Uncomplicated Malaria in Pregnant Women in the United States.

    Science.gov (United States)

    Ballard, Sarah-Blythe; Salinger, Allison; Arguin, Paul M; Desai, Meghna; Tan, Kathrine R

    2018-04-13

    Malaria infection during pregnancy is associated with an increased risk for maternal and fetal complications. In the United States, treatment options for uncomplicated, chloroquine-resistant Plasmodium falciparum and P. vivax malaria in pregnant women are limited to mefloquine or quinine plus clindamycin (1). However, limited availability of quinine and increasing resistance to mefloquine restrict these options. Strong evidence now demonstrates that artemether-lumefantrine (AL) (Coartem) is effective and safe in the treatment of malaria in pregnancy. The World Health Organization (WHO) has endorsed artemisinin-based combination therapies (ACTs), such as AL, for treatment of uncomplicated malaria during the second and third trimesters of pregnancy and is currently considering whether to add ACTs, including AL, as an option for malaria treatment during the first trimester (2,3). This policy note reviews the evidence and updates CDC recommendations to include AL as a treatment option for uncomplicated malaria during the second and third trimesters of pregnancy and during the first trimester of pregnancy when other treatment options are unavailable. These updated recommendations reflect current evidence and are consistent with WHO treatment guidelines.

  2. Canada's national report on climate change: Actions to meet commitments under the United Nations framework convention on climate change

    International Nuclear Information System (INIS)

    1994-01-01

    Under the United Nations Framework Convention on Climate Change, countries must adopt measures to mitigate climate change, adapt to its possible effects, increase public awareness and scientific understanding of climate change and possible responses, and work together in all of these areas. A review is provided of action being currently taken by Canadian governments, non-governmental organizations, communities, and the private sector to meet domestic and international climate change commitments. Projections indicate that climate change could result in significant changes to many of Canada's natural ecosystems, with equally significant economic and social consequences. Canadian demand for energy is the chief cause of Canada's man-made emissions of greenhouse gases. As a first step in meeting its commitment, Canada is developing and implementing measures to limit greenhouse gas emissions, mainly in the area of energy efficiency, energy conservation, and switching to energy sources that are less carbon-intensive. Progress in limiting such emissions will be assessed via emissions inventories, examination of climatic change indicators, forecasting future energy-related emissions of the three primary greenhouse gases, and use of case studies to assess the effectiveness of emissions control measures. Other components of Canadian activities include increasing public awareness of climate change, sponsoring research on the subject, reviewing environmental policies, and international cooperation. 59 refs., 36 figs., 23 tabs

  3. Health Policy Brief: Global Mental Health and the United Nations' Sustainable Development Goals.

    Science.gov (United States)

    Cratsley, Kelso; Mackey, Tim K

    2018-01-25

    Increased awareness of the importance of mental health for global health has led to a number of new initiatives, including influential policy instruments issued by the World Health Organization (WHO) and the United Nations (UN). This policy brief describes two WHO instruments, the Mental Health Action Plan for 2013-2020 (World Health Organization, 2013) and the Mental Health Atlas (World Health Organization, 2015), and presents a comparative analysis with the Sustainable Development Goals (SDGs) of the UN's 2030 Agenda for Sustainable Development (United Nations, 2015). The WHO's Action Plan calls for several specific objectives and targets, with a focus on improving global mental health governance and service coverage. In contrast, the UN's Sustainable Development Goals include only one goal specific to mental health, with a single indicator tracking suicide mortality rates. The discrepancy between the WHO and UN frameworks suggests a need for increased policy coherence. Improved global health governance can provide the basis for ensuring and accelerating progress in global mental health. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  4. Proposals for the Negotiation Process on the United Nations Global Compact for Migration

    Directory of Open Access Journals (Sweden)

    Victor Genina

    2017-09-01

    • builds a cooperation-oriented, peer-review mechanism to review migration policies.    The paper has been conceived as an input for those who will take part in the negotiation of the global compact for migration, as well as those who will closely follow those negotiations. Thus, the paper assumes a level of knowledge on how international migration has been addressed within the United Nations during the last several years and of the complexities of these negotiation processes. The author took part in different UN negotiation processes on international migration from 2004 to 2013. The paper is primarily based on this experience.[4] [1] G.A. Res. 71/1, ¶ 21 (Sept. 19, 2016. [2] G.A. Res. 68/4 (Oct. 3, 2013. [3] A mixed flow, according to UNHCR (n.d., is the migratory flow comprised by both asylum seekers and migrants: “Migrants and refugees increasingly make use of the same routes and means of transport to get to an overseas destination.” [4] During that period, the author was a staff member of the Mexican delegation to the United Nations, both in Geneva and New York.

  5. Treatment of Type 2 Diabetes: From "Guidelines" to "Position Statements" and Back: Recommendations of the Israel National Diabetes Council.

    Science.gov (United States)

    Mosenzon, Ofri; Pollack, Rena; Raz, Itamar

    2016-08-01

    Given the increased prevalence of type 2 diabetes worldwide, most patients are treated by their primary health care team (PHCT). PHCTs need guidance in choosing the best treatment regimen for patients, since the number of glucose-lowering agents (GLAs) is rapidly increasing, as is the amount of clinical data regarding these drugs. The American Diabetes Association/European Association for the Study of Diabetes Position Statement emphasizes the importance of personalized treatment and lists drug efficacy, risk of hypoglycemia, effect on weight, side effects, and cost as important parameters to consider when choosing GLAs. The suggested Israeli guidelines refocus earlier international recommendations from 2012 and 2015, based on emerging data from cardiovascular outcome trials as well as what we believe are important issues for patient care (i.e., durability, hypoglycemia risk, and weight gain). © 2016 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

  6. Sepsis National Hospital Inpatient Quality Measure (SEP-1): Multistakeholder Work Group Recommendations for Appropriate Antibiotics for the Treatment of Sepsis.

    Science.gov (United States)

    Septimus, Edward J; Coopersmith, Craig M; Whittle, Jessica; Hale, Caleb P; Fishman, Neil O; Kim, Thomas J

    2017-10-16

    The Center for Medicare and Medicaid Services adopted the Early Management Bundle, Severe Sepsis/Septic Shock (SEP-1) performance measure to the Hospital Inpatient Quality Reporting Program in July 2015 to help address the high mortality and high cost associated with sepsis. The SEP-1 performance measure requires, among other critical interventions, timely administration of antibiotics to patients with sepsis or septic shock. The multistakeholder workgroup recognizes the need for SEP-1 but strongly believes that multiple antibiotics listed in the antibiotic tables for SEP-1 are not appropriate and the use of these antibiotics, as called for in the SEP-1 measure, is not in alignment with prudent antimicrobial stewardship. To promote the appropriate use of antimicrobials and combat antimicrobial resistance, the workgroup provides recommendations for appropriate antibiotics for the treatment of sepsis. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

  7. Pathway to 2022: The Ongoing Modernization of the United States National Spatial Reference System

    Science.gov (United States)

    Stone, W. A.; Caccamise, D.

    2017-12-01

    The National Oceanic and Atmospheric Administration's National Geodetic Survey (NGS) mission is "to define, maintain and provide access to the National Spatial Reference System (NSRS) to meet our nation's economic, social, and environmental needs." The NSRS is an assemblage of geophysical and geodetic models, tools, and data, with the most-visible components being the North American Datum of 1983 (NAD83) and the North American Vertical Datum of 1988 (NAVD88), which together provide a consistent spatial reference framework for myriad geospatial applications and positioning requirements throughout the United States. The NGS is engaged in an ongoing and comprehensive multi-year project of modernizing the NSRS, a makeover necessitated by technological developments and user accuracy requirements, all with a goal of providing a modern, accurate, accessible, and globally aligned national positioning framework exploiting the substantial power and utility of the Global Navigation Satellite System - of both today and tomorrow. The modernized NSRS will include four new-generation geometric terrestrial reference frames (replacing NAD83) and a technically unprecedented geopotential datum (replacing NAVD88), all to be released in 2022 (anticipated). This poster/presentation will describe the justification for this modernization effort and will update the status and planned evolution of the NSRS as 2022 draws ever closer. Also discussed will be recent developments, including the publication of "blueprint" documents addressing technical details of various facets of the modernized NSRS and a continued series of public Geospatial Summits. Supporting/ancillary projects such as Gravity for the Redefinition of the American Vertical Datum (GRAV-D), which will result in the generation of a highly accurate gravimetric geoid - or definitional reference surface (zero elevation) - for the future geopotential datum, and Geoid Slope Validation Surveys (GSVS), which are exploring the achievable

  8. National estimates of healthcare utilization by individuals with hepatitis C virus infection in the United States.

    Science.gov (United States)

    Galbraith, James W; Donnelly, John P; Franco, Ricardo A; Overton, Edgar T; Rodgers, Joel B; Wang, Henry E

    2014-09-15

    Hepatitis C virus (HCV) infection is a major public health problem in the United States. Although prior studies have evaluated the HCV-related healthcare burden, these studies examined a single treatment setting and did not account for the growing "baby boomer" population (individuals born during 1945-1965). Data from the National Ambulatory Medical Care Survey, the National Hospital Ambulatory Medical Care Survey, and the Nationwide Inpatient Sample were analyzed. We sought to characterize healthcare utilization by individuals infected with HCV in the United States, examining adult (≥18 years) outpatient, emergency department (ED), and inpatient visits among individuals with HCV diagnosis for the period 2001-2010. Key subgroups included persons born before 1945 (older), between 1945 and 1965 (baby boomer), and after 1965 (younger). Individuals with HCV infection were responsible for >2.3 million outpatient, 73 000 ED, and 475 000 inpatient visits annually. Persons in the baby boomer cohort accounted for 72.5%, 67.6%, and 70.7% of care episodes in these settings, respectively. Whereas the number of outpatient visits remained stable during the study period, inpatient admissions among HCV-infected baby boomers increased by >60%. Inpatient stays totaled 2.8 million days and cost >$15 billion annually. Nonwhites, uninsured individuals, and individuals receiving publicly funded health insurance were disproportionately affected in all healthcare settings. Individuals with HCV infection are large users of outpatient, ED, and inpatient health services. Resource use is highest and increasing in the baby boomer generation. These observations illuminate the public health burden of HCV infection in the United States. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  9. Moving forward on strengthening and sustaining National Immunization Technical Advisory Groups (NITAGs) globally: Recommendations from the 2nd global NITAG network meeting.

    Science.gov (United States)

    MacDonald, Noni E; Duclos, Philippe; Wichmann, Ole; Henaff, Louise; Harnden, Anthony; Alshammary, Aisha; Tijerino, Roberto Arroba; Hall, Madeline; Sacarlal, Jahit; Singh, Rupa Rajbhandari

    2017-12-15

    National Immunization Technical Advisory Groups (NITAGs) provide independent, evidence-informed advice to assist their governments in immunization policy formation. This is complex work and many NITAGs face challenges in fulfilling their roles. Inter-country NITAG collaboration opportunities have the potential to enhance NITAG function and grow the quality of recommendations. Hence the many requests for formation of a network linking NITAGs together so they can learn from each other. The first Global NITAG Network (GNN) meeting, held in 2016, led to a push to launch the GNN and grow the network. At the second GNN meeting, held June 28-29, 2017 in Berlin, the GNN was formally inaugurated. Participants discussed GNN governance, reflected on the April 2017 Strategic Advisory Group of Experts (SAGE) on Immunization conclusions concerning strengthening of NITAGs and also shared NITAG experiences in evaluation and inter-country collaborations and independence. They also discussed the role of Regional Technical Advisory Groups on Immunization (RTAGs) and regional networks. A number of issues were raised including NITAGs and communications, dissemination of recommendations and vaccine implementation as well as implications of off-label recommendations. Participants were alerted to immunization evidence assessment sites and value of sharing of resources. They also discussed potential GNN funding opportunities, developed an action plan for 2017-18 and selected a Steering Committee to help move the GNN forward. All participants agreed on the importance of the GNN and the value in attracting more countries to join the GNN. Copyright © 2017.

  10. Evaluation of leakage in cobalt-60 unit in National Cancer Institute (NCI) Wad Medani

    International Nuclear Information System (INIS)

    Fadlellah, R. A.

    2013-08-01

    This study has been conducted primarily to evaluate the leakages radiation in cobalt-60 unit in National Cancer Institute Wad Medani, which represent the basic risky factor in this unit for the radio therapists who spend much time during patient set up, also they need to stand near the head of the machine to fix some accessories. The measurements which done using survey meter give normal level of occupational exposure compared with IAEA references except one situation that the radio therapist to be close contact to the head of unit for long time which may increase the received dose, in this situation. The radio therapist either not well trained, or there is insufficient accessories to reduce the time inside the room. Radiotherapy department need a special considerations from the beginning of construction till starting of treatment. It is important to contain separate rooms, for planning to determine treatment area, another one for molding to shape lead blocks to protect normal parts and an optimum designed room for treatment to enable workers to apply basic radiation protection principles. (Author)

  11. Mountain Forests and Sustainable Development: The Potential for Achieving the United Nations' 2030 Agenda

    Directory of Open Access Journals (Sweden)

    Georg Gratzer

    2017-08-01

    Full Text Available The world is facing numerous and severe environmental, social, and economic challenges. To address these, in September 2015 the General Assembly of the United Nations adopted the resolution Transforming our World: The 2030 Agenda for Sustainable Development. The United Nations' 17 sustainable development goals (SDGs and their 169 targets are ambitious, broadly encompassing, and indivisible. They are intended to guide nations and communities toward attaining healthy and peaceful livelihoods free of poverty and hunger. Collectively the goals envision sound and safe environments, where global threats like climate change are successfully combated through both mitigation and adaptation. Agenda 2030 envisages sustainable production patterns with inclusive, effective economies and institutions. It is of specific relevance to mountain communities, where the population is predominantly rural and half of the rural inhabitants experience food insecurity and are often highly dependent on forest resources. Mountain forests also contribute to human welfare well beyond the local community: through functions such as climate and hydrological services provided at regional and global scales, and harvested commodities traded at multiple economic scales. In this introductory essay we argue that sustainable forest management in mountain areas disproportionately contributes to achieving the SDGs. We discuss (1 the potential of mountain forests to help achieve SDGs in mountainous regions and beyond, (2 the potential of the SDGs to help solve severe socioeconomic and ecological problems in forested mountain areas, and (3 challenges and opportunities associated with implementing the SDGs. We base our argumentation also on the 8 papers presented in this Focus Issue of Mountain Research and Development. Together, they establish a clear connection between sustainable use and protection of mountain forests and vital ecosystem services upon which many regions depend. We

  12. The European Federation of Organisations for Medical Physics Policy Statement No. 6.1: Recommended Guidelines on National Registration Schemes for Medical Physicists.

    Science.gov (United States)

    Christofides, Stelios; Isidoro, Jorge; Pesznyak, Csilla; Bumbure, Lada; Cremers, Florian; Schmidt, Werner F O

    2016-01-01

    This EFOMP Policy Statement is an update of Policy Statement No. 6 first published in 1994. The present version takes into account the European Union Parliament and Council Directive 2013/55/EU that amends Directive 2005/36/EU on the recognition of professional qualifications and the European Union Council Directive 2013/59/EURATOM laying down the basic safety standards for protection against the dangers arising from exposure to ionising radiation. The European Commission Radiation Protection Report No. 174, Guidelines on Medical Physics Expert and the EFOMP Policy Statement No. 12.1, Recommendations on Medical Physics Education and Training in Europe 2014, are also taken into consideration. The EFOMP National Member Organisations are encouraged to update their Medical Physics registration schemes where these exist or to develop registration schemes taking into account the present version of this EFOMP Policy Statement (Policy Statement No. 6.1"Recommended Guidelines on National Registration Schemes for Medical Physicists"). Copyright © 2016. Published by Elsevier Ltd.

  13. A recommendation of the National Board for Atomic Safety and Radiation Protection for the appointment of Nuclear Safety Control Officers for research reactors

    International Nuclear Information System (INIS)

    Adler, B.

    1990-01-01

    The Ordinance on the Implementation of Atomic Safety and Radiation Protection of the GDR requires that the managers of plants where nuclear facilities are operated appoint Control Officers for the fields of radiation protection, nuclear safety, physical protection, and accounting for and control of nuclear materials. The Control Officers are staff members of the operating organization but their appointment is subject to approval by the National Board and requires adequate qualification. The main task of the Control Officers as specialists is to give advice to the plant manager who retains responsibility for the safety of nuclear facilities, and to verify on his behalf that all requirements within their competence are met by the operating group. For this reason the Control Officer has to be absolutely independent of the head of the operating group. To enable the Control Officers to accomplish all necessary control activities and to guarantee independence from the head of the operating group, the plant manager has to establish adequate regulations of operation. As a pattern for such regulations the National Board has issued a Recommendation for the Appointment of Nuclear Safety Control Officers for Research Reactors, which provides a comprehensive survey of the requisite qualification features as well as the duties and rights of these Control Officers. This recommendation will be dealt with in the presentation

  14. Haematological parameters in different african populations: an experience from united nations level 3 hospital

    International Nuclear Information System (INIS)

    Iftikhar, R.; Khan, N.U.; Iqbal, Z.; Anwar, M.I.

    2017-01-01

    To evaluate hematological parameters in African population to estimate normal reference intervals for these tests. Study Design: Cross sectional observational study. Place and Duration of Study: Department of Pathology, United Nations level 3 hospital, Nyala, Darfur from 1st Mar to 30th Dec 2014. Material and Methods: There were 396 healthy African male and female volunteers selected between 18-65 years of age, belonging to different countries. Fresh whole blood was used to measure haemoglobin (Hb) concentration, haematocrit (Hct), total red blood cell (TRBC) count, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC), platelet count, total leucocyte count (TLC) and differential white blood cells count. Data were analysed using SPSS version 19. Results: Mean Hb of study group was 13.81 +- 1.99 g/dl. Mean TLC was 5.50 +- 1.96 x 103/ul. Mean lymphocyte count was 2.58 +- 0.95. Mean platelet count was 234 +- 92 x103 /ul. Mean values for Hb Concentration, TRBC, Hct Ratio, MCV, MCH and MCHC were all higher for African Males than Females; this difference was statistically significant (p<0.05). Conclusion: This multi-national African population based study confirms the variations in haematological parameters previously described in single nation African studies. The commonly observed variations in normal adults are low RBC indices, relative neutropenia and lymphocytosis. (author)

  15. Sector activities and lessons learned around initial implementation of the United States national physical activity plan.

    Science.gov (United States)

    Evenson, Kelly R; Satinsky, Sara B

    2014-08-01

    National plans are increasingly common but infrequently evaluated. The 2010 United States National Physical Activity Plan (NPAP) provided strategies to increase population levels of physical activity. This paper describes (i) the initial accomplishments of the NPAP sector teams, and (ii) results from a process evaluation to determine how the sectors operated, their cross-sector collaboration, challenges encountered, and positive experiences. During 2011, a quarterly reporting system was developed to capture sector-level activities. A year-end interview derived more detailed information. Interviews with 12 sector leads were recorded, transcribed verbatim, and analyzed for common themes. The 6 sectors worked on goals from the implementation plan that focused broadly on education, promotion, intervention, policy, collaboration, and evaluation. Through year-end interviews, themes were generated around operations, goal setting, and cross-sector collaboration. Challenges to the NPAP work included lack of funding and time, the need for marketing and promotion, and organizational support. Positive experiences included collaboration, efficiency of work, enhanced community dynamic, and accomplishments toward NPAP goals. These initial results on the NPAP sector teams can be used as a baseline assessment for future monitoring. The lessons learned may be useful to other practitioners developing evaluations around state- or national-level plans.

  16. The Conventional and Unconventional about Disability Conventions: A Reflective Analysis of United Nations Convention on the Rights of Persons with Disabilities

    Science.gov (United States)

    Umeasiegbu, Veronica I.; Bishop, Malachy; Mpofu, Elias

    2013-01-01

    This article presents an analysis of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) in relation to prior United Nations conventions on disability and U.S. disability policy law with a view to identifying the conventional and also the incremental advances of the CRPD. Previous United Nations conventions related to…

  17. 31 CFR 585.218 - Trade in United Nations Protected Areas of Croatia and those areas of the Republic of Bosnia and...

    Science.gov (United States)

    2010-07-01

    ... HERZEGOVINA SANCTIONS REGULATIONS Prohibitions § 585.218 Trade in United Nations Protected Areas of Croatia... importation from, exportation to, or transshipment of goods through the United Nations Protected Areas in the... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Trade in United Nations Protected...

  18. Effects of Childhood Adversity on Bullying and Cruelty to Animals in the United States: Findings from a National Sample

    Science.gov (United States)

    Vaughn, Michael G.; Fu, Qiang; Beaver, Kevin M.; DeLisi, Matt; Perron, Brian E.; Howard, Matthew O.

    2011-01-01

    This study examined effects of type of and cumulative burden of childhood adversities on bullying and cruelty to animals in the United States. Data were derived from Waves I and II of the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative sample of U.S. adults. Structured psychiatric interviews were…

  19. 75 FR 48986 - Vendor Outreach Workshop for Small Businesses in the National Capitol Region of the United States

    Science.gov (United States)

    2010-08-12

    ... DEPARTMENT OF THE INTERIOR Office of the Secretary Vendor Outreach Workshop for Small Businesses in the National Capitol Region of the United States AGENCY: Office of the Secretary, Interior. ACTION... Interior are hosting a Vendor Outreach Workshop for small businesses in the National Capitol region of the...

  20. A Comparative Review of Music Education in Mainland China and the United States: From Nationalism to Multiculturalism

    Science.gov (United States)

    Ho, Wai-Chung

    2016-01-01

    This paper attempts to compare interactions between social changes and the integration of nationalism and multiculturalism in the context of music education by focusing on the ways in which the governmental politics of mainland China and the United States have managed nationalism and diversity in school music education. This paper also explores…