WorldWideScience

Sample records for united service institution

  1. A Service in Transition: Forging an Integrated Institutional Identity for the United States Air Force

    Science.gov (United States)

    2010-06-01

    due to the different historical experiences and traumas that each has endured. Institutional Identity---The Mask of War Each Service Wears Builder...216 Some of these priorities were: the F-22 Raptor , the F-35Joint Strike Fighter Lightning II, the next

  2. CORPORATE E-MAIL SERVICE GOOGLE APPS AS AN INSTRUMENT OF ACTIVITY OF ORGANIZATIONAL-EDUCATIONAL UNITS OF THE HIGHER EDUCATIONAL INSTITUTION

    Directory of Open Access Journals (Sweden)

    Кarpenko А.

    2017-03-01

    Full Text Available The advantages of usage of cloud technologies, particularly, of Gmail service Google Apps in work of organizational-educational units of higher educational institutions are analyzed in this work. The main accents are put concerning usage of corporate e-mail Gmail service Google Apps, with the help of which informational-analytical support of activity of organizational-educational units of the University is provided. The author of the publication underlines key advantages of Gmail and analyses its opportunities. Main characteristics of corporate e-mail Gmail service Google Apps are described. It is identified that implementation of corporate e-mail Gmail service Google Apps is a part of creation of certain information system, that will ensure united information space of a modern higher educational institution. Effective organization of educational process, that was used by methodist of organizational-educational units (Scientific-methodological centre of research, scientific projects and programs of Borys Grinchenko Kyiv University in the work of corporate mail Gmail service Google Aps is analyzed and presented. It is identified, that creation and improvement of mechanisms of building corporate content with the help of Gmail service Google Apps will allow the collaborators of organizational-educational units of the higher educational institution to plan and organize educational process. Such organization of educational process optimizes the activity of organizational-educational units of higher educational institutions.

  3. Pre-Service Teachers Institute

    Science.gov (United States)

    2008-01-01

    The Pre-Service Teachers Institute sponsored by Jackson (Miss.) State University participated in an agencywide Hubble Space Telescope workshop at Stennis Space Center on July 18. Twenty-five JSU junior education majors participated in the workshop, a site tour and educational presentations by Karma Snyder of the NASA SSC Engineering & Safety Center and Anne Peek of the NASA SSC Deputy Science & Technology Division.

  4. 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...... a key priority within the United Nations and a crucial ingredient in the Secretary-General’s efforts to reform and strengthen the United Nations to meet the challenges of the 21st century....

  5. 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...... a key priority within the United Nations and a crucial ingredient in the Secretary-General’s efforts to reform and strengthen the United Nations to meet the challenges of the 21st century....

  6. Community Services and Residential Institutions for Children

    Science.gov (United States)

    Gula, Martin

    1974-01-01

    Describes constructive "deinstitutionalization", the movement away from the establishment of large, custodial public residential institutions for dependent, delinquent, retarded or emotionally disturbed children, to more decentralized, informal community services. (CS)

  7. Juvenile Correctional Institutions Library Services: A Bibliography.

    Science.gov (United States)

    McAlister, Annette M.

    This bibliography lists citations for 14 articles, books, and reports concerned with library services in juvenile correctional institutions. A second section lists 21 additional materials on adult correctional libraries which also contain information relevant to the juvenile library. (KP)

  8. Exploring the institutional logics of health professions education scholarship units.

    Science.gov (United States)

    Varpio, Lara; O'Brien, Bridget; Hu, Wendy; Ten Cate, Olle; Durning, Steven J; van der Vleuten, Cees; Gruppen, Larry; Irby, David; Humphrey-Murto, Susan; Hamstra, Stanley J

    2017-07-01

    Although health professions education scholarship units (HPESUs) share a commitment to the production and dissemination of rigorous educational practices and research, they are situated in many different contexts and have a wide range of structures and functions. In this study, the authors explore the institutional logics common across HPESUs, and how these logics influence the organisation and activities of HPESUs. The authors analysed interviews with HPESU leaders in Canada (n = 12), Australia (n = 21), New Zealand (n = 3) and the USA (n = 11). Using an iterative process, they engaged in inductive and deductive analyses to identify institutional logics across all participating HPESUs. They explored the contextual factors that influence how these institutional logics impact each HPESU's structure and function. Participants identified three institutional logics influencing the organisational structure and functions of an HPESU: (i) the logic of financial accountability; (ii) the logic of a cohesive education continuum, and (iii) the logic of academic research, service and teaching. Although most HPESUs embodied all three logics, the power of the logics varied among units. The relative power of each logic influenced leaders' decisions about how members of the unit allocate their time, and what kinds of scholarly contribution and product are valued by the HPESU. Identifying the configuration of these three logics within and across HPESUs provides insights into the reasons why individual units are structured and function in particular ways. Having a common language in which to discuss these logics can enhance transparency, facilitate evaluation, and help leaders select appropriate indicators of HPESU success. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  9. US Forest Service National Grassland Units

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting National Grassland units designated by the Secretary of Agriculture and permanently held by the Department of Agriculture under...

  10. United Airlines Further Expands Asia Service

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ With strong customer demand in in ternational markets continuing, United announced today that it will deploy a larger aircraft on its Beijing-Chicago summer service; increase service on its existing route between Hong Kong and Chicago; and offer new service between Nagoya, Japan, and Taipei.

  11. Institutional Logics and Community Service-Learning in Higher Education

    Science.gov (United States)

    Taylor, Alison; Kahlke, Renate

    2017-01-01

    This paper explores how community service-learning (CSL) participants negotiate competing institutional logics in Canadian higher education. Drawing theoretically from new institutionalism and work on institutional logics, we consider how CSL has developed in Canadian universities and how participants discuss CSL in relation to other dominant…

  12. Measuring Service Quality in a Tertiary Institution.

    Science.gov (United States)

    Soutar, Geoffrey; McNeil, Margaret

    1996-01-01

    Measures service quality from the viewpoint of customers (students at an Australian university), using the SERVQUAL model. Obtains evaluations of academic and administrative aspects of the educational service. Makes significant negative evaluations of administrative service quality (resulting from communication problems). Satisfaction with the…

  13. 31 CFR 560.319 - United States depository institution.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States depository institution. 560.319 Section 560.319 Money and Finance: Treasury Regulations Relating to Money and Finance... associations, credit unions, trust companies and United States bank holding companies)....

  14. Downgrading Financial Service Delivery and Institutional ...

    African Journals Online (AJOL)

    2014-05-01

    May 1, 2014 ... Empirical evidence on impact of mimicry on institutional sustainability can ... statements and returns to the central bank between 1996 and 2005. ... is fraught with risk, none of which augurs well for long term financial self-sufficiency of .... collection concept as one of its saving mobilisation /credit products to ...

  15. Impacts of Sustained Institutional Participation in Service-Learning: Perspectives from faculty, staff and administrators

    Directory of Open Access Journals (Sweden)

    Amanda L. Vogel

    2011-11-01

    Full Text Available The movement for greater civic engagement in higher education in the United States has taken hold across the core academic missions of teaching, research and service. One manifestation of this movement has been growing participation in service-learning, a teaching method grounded in community-university partnerships in which students provide services that simultaneously address community-identified concerns and meet key learning objectives. In order to assess the benefits of long-term sustained institutional involvement in service-learning, in 2007–2008 we interviewed 23 faculty members, staff and administrators from 16 academic institutions that had participated in a national demonstration program for service-learning, which ended in 1998. We found that 15 of these institutions had sustained service-learning to some degree and 12 had integrated service-learning into the curriculum, with varying degrees of institutional support. Interview participants described five main impacts of their institutions’ sustained participation in service-learning: 1 increased community engagement and community-engaged scholarship, and increased valuation of both, among participating faculty members; 2 greater capacity for community-university partnerships among academic and community partners; 3 improved community-university relations; 4 diffusion of service-learning and/or principles of community-university partnerships to other departments and schools; and 5 recruitment of students seeking community engagement opportunities. This study provides evidence that sustained institutional participation in service-learning can foster an understanding of the scholarly value of community-engaged teaching and research among participating faculty, and increase community-engaged activities at participating academic institutions. These findings suggest that funding agencies, faculty members and academic administrators can use service-learning as a strategy to foster a

  16. 76 FR 23859 - Financial Management Service Proposed Collection of Information; Financial Institution Agreement...

    Science.gov (United States)

    2011-04-28

    ... Fiscal Service Financial Management Service Proposed Collection of Information; Financial Institution... the Financial Institution Agreement and Application AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and request for comments. SUMMARY: The Financial Management Service, as...

  17. Mobile satellite service in the United States

    Science.gov (United States)

    Agnew, Carson E.; Bhagat, Jai; Hopper, Edwin A.; Kiesling, John D.; Exner, Michael L.; Melillo, Lawrence; Noreen, Gary K.; Parrott, Billy J.

    1988-05-01

    Mobile satellite service (MSS) has been under development in the United States for more than two decades. The service will soon be provided on a commercial basis by a consortium of eight U.S. companies called the American Mobile Satellite Consortium (AMSC). AMSC will build a three-satellite MSS system that will offer superior performance, reliability and cost effectiveness for organizations requiring mobile communications across the U.S. The development and operation of MSS in North America is being coordinated with Telesat Canada and Mexico. AMSC expects NASA to provide launch services in exchange for capacity on the first AMSC satellite for MSAT-X activities and for government demonstrations.

  18. Institutional Confidence in the United States: Attitudes of Secular Americans

    Directory of Open Access Journals (Sweden)

    Isabella Kasselstrand

    2017-04-01

    Full Text Available The First Amendment to the United States’ Constitution addresses freedom of religion and the separation of church and state. However, the historical influence of religion in laws, policies, and political representation have left secular individuals feeling excluded. At the same time, levels of confidence in social and political institutions in the United States are at an all-time low. This begs the question: Is there a relationship between secularity and confidence in various social and political institutions (e.g. the armed forces, churches, major companies, government, police, and political parties? This question is examined using data on the United States from the World Values Survey from 1995–2011. While controlling for a range of key demographics, the findings show a negative relationship between secularity and institutional confidence. More specifically, atheists and nonreligious individuals are less likely than those who are religious to have confidence in all six institutions. Based on previous literature and the empirical evidence presented in this study, we argue that overall lower levels of institutional confidence among secular Americans is an outcome of the exclusion of such individuals from American social life. Thus, it highlights the importance of addressing the stereotypes and prejudice that this minority group faces.

  19. Characterizing Hospice Services in the United States

    Science.gov (United States)

    Smith, Maureen A.; Seplaki, Christopher; Biagtan, Mark; DuPreez, Amanda; Cleary, James

    2008-01-01

    Purpose: Although caregivers desire specific information about hospice programs, there is little descriptive information available. We characterized agencies that provide formal or informal hospice care in the United States according to four types of services considered important by caregivers: medications and treatments; rehabilitative care;…

  20. US Forest Service National Forest System Land Units

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting National Forest Service land units. An NFS Land Unit is nationally significant classification of Federally owned forest, range,...

  1. Factors associated with institutional delivery service utilization in Ethiopia.

    Science.gov (United States)

    Kebede, Alemi; Hassen, Kalkidan; Nigussie Teklehaymanot, Aderajew

    2016-01-01

    Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government's efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home. The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia. The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel-Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I (2) test. People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women's autonomy was not significantly associated with institutional delivery service utilization. Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended.

  2. The Relevancy of Service-Learning in the United States

    Science.gov (United States)

    Kessinger, Thomas A.

    2015-01-01

    Are the following terms synonymous: service, volunteerism, community service, service-learning? This article offers a survey of service-related terms and definitions by various groups. It also shows a connection between service (and/or service- learning) and citizenship. Finally, it notes how some public and private institutions (organizations)…

  3. A Legal Institutional Perspective on the European External Action Service

    DEFF Research Database (Denmark)

    Van Vooren, Bart

    2011-01-01

    This article provides a legal perspective on the new European External Action Service (EEAS), and positions this new body in the reshuffled institutional balance of EU external relations. Towards that end, the paper examines the EEAS’ legal nature as compared to that of Council, Commission, their...

  4. Factors associated with institutional delivery service utilization in Ethiopia

    Directory of Open Access Journals (Sweden)

    Kebede A

    2016-09-01

    Full Text Available Alemi Kebede,1 Kalkidan Hassen,2 Aderajew Nigussie Teklehaymanot1 1Department of Population and Family Health, 2College of Health Sciences, Jimma University, Ethiopia Background: Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government’s efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home.Objective: The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia.Methods: The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel–Haenszel odds ratios (ORs and their 95% confidence intervals (CIs were calculated. Heterogeneity of the study was assessed using I2 test.Results: People living in urban areas (OR =13.16, CI =1.24, 3.68, with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively, who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39, and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57 showed significant association with institutional delivery service utilization. Women’s autonomy was not significantly associated with institutional delivery service utilization.Conclusion and recommendation: Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available

  5. A new financial budgetary system for community health services institutions in China.

    Science.gov (United States)

    You, Chuanmei; Yao, Lan; Fu, Jiakang; Wang, Fang; Wang, Hongqing; Dai, Tao

    2011-01-01

    The separation of revenue and expenditure budgets (SREB) is a new financial budgetary system that is being implemented in community health services (CHS) institutions in some areas in China. Through literature review, it was found that, derived from the traditional separation of revenue and expenditure budgets (TSREB) implemented in administrative public services units, SREB and TSREB have something in common and yet many more differences. On the basis of some quantitative and qualitative data that were collected by field survey, it was also found that implementation of SREB in CHS institutions brings positive outcomes in terms of the quantity, quality and efficiency of services; residents' satisfaction; and the behavior of CHS institutions. The conclusion can be suggested that SREB, as a system having impact upon the incentives facing CHS institutions and the nature of governmental responsibility for developing CHS in China, will promote CHS institutions to fulfill basic service functions if implemented well. Therefore, it is a system that is worth further development and evaluation.

  6. Toward Family and Community: Mental Retardation Services in Massachusetts, New England, and the United States.

    Science.gov (United States)

    Braddock, David; Hemp, Richard

    1997-01-01

    Current trends in mental retardation services in Massachusetts were investigated using the New England region, the state of Michigan, and the United States as comparative frames of reference. Massachusetts' movement toward reducing reliance on state institutions, reallocating funding, and developing community services and family support is…

  7. Analytic institutes: A guide to training in the United States

    Science.gov (United States)

    Blanken, Terry G.

    This investigation was inspired by the researcher's desire to pursue psychoanalytic training subsequent to completion of her PhD in clinical psychology and the discovery that no comprehensive resource existed to assist prospective psychoanalytic candidates with identifying or evaluating psychoanalytic training opportunities. This dissertation therefore aspires to provide a comprehensive guide to analytic training in the United States today. The researcher presents the expanding horizons of depth-oriented training leading to certification as an analyst, including training based on those schools of thought that resulted from early splits with Freud (Adlerian and Jungian) as well as training based on thought that has remained within the Freudian theoretical umbrella (e.g., classical, object relations, self psychology, etc.). Employing a heuristic approach and using hermeneutics and systems theory methodologies, the study situates analytic training in its historical context, explores contemporary issues, and considers its future. The study reviews the various analytic schools of thought and traces the history of psychoanalytic theory from its origins with Freud through its many permutations. It then discusses the history of psychoanalytic training and describes political, social, and economic factors influencing the development of training in this country. The centerpiece of the dissertation is a guidebook offering detailed information on each of 107 training institutes in the United States. Tables provide contact data and information which differentiate the institutes in terms of such parameters as size; length of program, theoretical orientation, and accreditation. A narrative of each institute summarizes the unique aspects of the program, including its admissions policy, the requirements for the training analysis and supervised clinical work, and the didactic curriculum, along with lists of courses offered. Child and adolescent psychoanalytic training is also

  8. Institutional Change in Delivery of Dental Services: A Marketing Perspective

    Science.gov (United States)

    Capon, Noel

    1982-01-01

    The recent appearance and growth of new delivery systems for dental services is examined from a marketing perspective. Analysis reveals that the growth of low priced, high throughput operations is consistent not only with marketing principles, but with the development of American retail institutions in general. Options for independent dentists in the face of this new competitive environment are discussed. (Am J Public Health 1982; 72:679-683.) PMID:7091457

  9. Value-added service in health care institutions.

    Science.gov (United States)

    Umiker, W

    1996-12-01

    In today's highly competitive atmosphere, the survival of health care institutions depends largely on the ability to provide value-added services (VAS) at the lowest possible cost. Managers must identify their customers and delineate the needs and expectation of those customers. A strategy for satisfying these needs and expectations is essential. While technical advances and reasonable charges are important, a successful "high-tech," "high touch" approach demands the combination of process reengineering and employee training in customer relations.

  10. 42 CFR 410.50 - Institutional dialysis services and supplies: Scope and conditions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Institutional dialysis services and supplies: Scope... Medical and Other Health Services § 410.50 Institutional dialysis services and supplies: Scope and... following institutional dialysis services and supplies if they are furnished in approved ESRD facilities:...

  11. 7 CFR 1212.32 - United States Customs Service.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false United States Customs Service. 1212.32 Section 1212... § 1212.32 United States Customs Service. “United States Customs Service” or “Customs” means the United States Customs and Border Protection, an agency of the Department of Homeland Security. Honey Packers...

  12. NATO Advanced Research Institute on Health Services Systems

    CERN Document Server

    Werff, Albert; Hirsch, Gary; Barnard, Keith

    1984-01-01

    The Advanced Research Institute on "Health Services Systems" was held under the auspices of the NATO Special Programme Panel on Systems Science as a part of the NATO Science Committee's continuous effort to promote the advancement of science through international cooperation. A special word is said in this respect supra by Pro­ fessor Checkland, Chairman of the Systems Science Panel. The Advanced Research Institute (ARI) was organized for the purpose of bringing together senior scientists to seek a consensus on the assessment of the present state of knowledge on the specific topic of "health services systems" and to present views and recom­ mendations for future health services research directions, which should be of value to both the scientific community and the people in charge of reorienting health services. The conference was structured so as to permit the assembly of a variety of complementary viewpoints through intensive group discussions to be the basis of this final report. Invitees were selected fr...

  13. Managed competition, governmentality and institutional response in the United Kingdom.

    Science.gov (United States)

    Light, D W

    2001-04-01

    This article traces the use of managed competition policy to transform the NHS from an administered public service to a set of interlocking markets and contracts. It reviews the overlooked origins of managed competition in the new managerialism and explains the relationship between managed competition and the cost crisis of the NHS by extending Foucault's concept of governmentality to revise the concept of the state. The paper then describes how the government structured health care markets, using managed competition as an instrument of governmentality. It summarises institutional responses by health authorities, hospital trusts, and GP fundholders. The terms "master institution", "dictated competition" and "coercive partnering" are introduced as new concepts for economic sociology and as strategies of governmentality. Implementation, however, led to resistance, opposition and eventual abandonment of managed competition as too disruptive and costly. Yet, this analysis contends, managed competition has left an enduring legacy of accountability to purchasers in economic terms such as efficiency, transaction costs, and cost effectiveness. The policies of the new government are based on coercive partnering and doctor-based "commissioning". This and the Internet imply revolutionary changes for the health professions and the delivery of health care services through networks of moebius-strip organisations interacting in flexible sequences and subject to communitarian pressures.

  14. Two service units with interference in the access to servers

    Directory of Open Access Journals (Sweden)

    Rosa E. Lillo

    1999-01-01

    Full Text Available We examine the service mechanism of two queueing models with two units in tandem. In the first model, customers who complete service in Unit 1 must wait in an intermediate buffer until the ongoing service in Unit II ends. In the second model, jobs can be pre-positioned in an intermediate buffer to await service in Unit II. Under the assumption of phase-type service times, the steady-state regime of the service system is studied in detail.

  15. Institutional public private partnerships for core health services: evidence from Italy.

    Science.gov (United States)

    Cappellaro, Giulia; Longo, Francesco

    2011-04-19

    Public-private partnerships (PPPs) are potential instruments to enable private collaboration in the health sector. Despite theoretical debate, empirical analyses have thus far tended to focus on the contractual or project dimension, overlooking institutional PPPs, i.e., formal legal entities run by proper corporate-governance mechanisms and jointly owned by public and private parties for the provision of public-health goods. This work aims to fill this gap by carrying out a comparative analysis of the reasons for the adoption of institutional PPPs and the governance and managerial features necessary to establish them as appropriate arrangements for public-health services provisions. A qualitative analysis is carried out on experiences of institutional PPPs within the Italian National Health Service (Sistema Sanitario Nazionale, SSN). The research question is addressed through a contextual and comparative embedded case study design, assuming the entire population of PPPs (4) currently in force in one Italian region as the unit of analysis: (i) a rehabilitation hospital, (ii), an orthopaedic-centre, (iii) a primary care and ambulatory services facility, and (iv) a health- and social-care facility. Internal validity is guaranteed by the triangulation of sources in the data collection phase, which included archival and interview data. Four governance and managerial issues were found to be critical in determining the positive performance of the case examined: (i) a strategic market orientation to a specialised service area with sufficient potential demand, (ii) the allocation of public capital assets and the consistent financial involvement of the private partner, (iii) the adoption of private administrative procedures in a regulated setting while guaranteeing the respect of public administration principles, and (iv) clear regulation of the workforce to align the contracts with the organisational culture. Findings suggests that institutional PPPs enable national health

  16. Institutional public private partnerships for core health services: evidence from Italy

    Directory of Open Access Journals (Sweden)

    Longo Francesco

    2011-04-01

    Full Text Available Abstract Background Public-private partnerships (PPPs are potential instruments to enable private collaboration in the health sector. Despite theoretical debate, empirical analyses have thus far tended to focus on the contractual or project dimension, overlooking institutional PPPs, i.e., formal legal entities run by proper corporate-governance mechanisms and jointly owned by public and private parties for the provision of public-health goods. This work aims to fill this gap by carrying out a comparative analysis of the reasons for the adoption of institutional PPPs and the governance and managerial features necessary to establish them as appropriate arrangements for public-health services provisions. Methods A qualitative analysis is carried out on experiences of institutional PPPs within the Italian National Health Service (Sistema Sanitario Nazionale, SSN. The research question is addressed through a contextual and comparative embedded case study design, assuming the entire population of PPPs (4 currently in force in one Italian region as the unit of analysis: (i a rehabilitation hospital, (ii, an orthopaedic-centre, (iii a primary care and ambulatory services facility, and (iv a health- and social-care facility. Internal validity is guaranteed by the triangulation of sources in the data collection phase, which included archival and interview data. Results Four governance and managerial issues were found to be critical in determining the positive performance of the case examined: (i a strategic market orientation to a specialised service area with sufficient potential demand, (ii the allocation of public capital assets and the consistent financial involvement of the private partner, (iii the adoption of private administrative procedures in a regulated setting while guaranteeing the respect of public administration principles, and (iv clear regulation of the workforce to align the contracts with the organisational culture. Conclusions Findings

  17. The Critical Role of Institutional Services in Open Access Advocacy

    Directory of Open Access Journals (Sweden)

    Tomasz Neugebauer

    2013-06-01

    Full Text Available This paper examines the development of the Open Access movement in scholarly communication, with particular attention to some of the rhetorical strategies and policy mechanisms used to promote it to scholars and scientists. Despite the majority of journal publishers’ acceptance of author self-archiving practices, and the minimal time commitment required by authors to successfully self-archive their work in disciplinary or institutional repositories, the majority of authors still by and large avoid participation. The paper reviews the strategies and arguments used for increasing author participation in open access, including the role of open access mandates. We recommend a service-oriented approach towards increasing participation in open access, rather than rhetoric that speculates on the benefits that open access will have on text/data mining innovation. In advocating for open access participation, we recommend focusing on its most universal and tangible purpose: increasing public open (gratis access to the published results of publicly funded research. Researchers require strong institutional support to understand the copyright climate of open access self-archiving, user-friendly interfaces and useful metrics, such as repository usage statistics. We recommend that mandates and well-crafted and responsive author support services at universities will ultimately be required to ensure the growth of open access. We describe the mediated deposit service that was developed to support author self-archiving in Spectrum: Concordia University Research Repository. By comparing the number of deposits of non-thesis materials (e.g. articles and conference presentations that were accomplished through the staff-mediated deposit service to the number of deposits that were author-initiated, we demonstrate the relative significance of this service to the growth of the repository.

  18. Forging New Service Paths: Institutional Approaches to Providing Research Data Management Services

    Directory of Open Access Journals (Sweden)

    Regina Raboin

    2012-01-01

    Full Text Available Objective: This paper describes three different institutional experiences in developing research data management programs and services, challenges/opportunities and lessons learned.Overview: This paper is based on the Librarian Panel Discussion during the 4th Annual University of Massachusetts and New England Region e-Science Symposium. Librarians representing large public and private research universities presented an overview of service models developed at their respective organizations to bring support for data management and eScience to their communities. The approaches described include two library-based, integrated service models and one collaboratively-staffed, center-based service model.Results: Three institutions describe their experiences in creating the organizational capacity for research data management support services. Although each institutional approach is unique, common challenges include garnering administrative support, managing the integration of services with new or existing staff structures, and continuing to meet researchers needs as they evolve.Conclusions: There is no one way to provide research data management services, but any staff position, committee, or formalized center reflects an overarching organizational commitment to data management support.

  19. An Analytical Model for Service Profile Based Service Quality of an Institutional eLibrary

    CERN Document Server

    Abbas, Ash Mohammad

    2011-01-01

    Devising a scheme for evaluating the service quality of an institutional electronic library is a difficult and challenging task. The challenge comes from the fact that the services provided by an institutional electronic library depend upon the contents requested by the users and the contents housed by the library. Different types of users might be interested in different types of contents. In this paper, we propose a technique for evaluating the service quality of an institutional electronic library. Our scheme is based on the service profiles of contents requested by the users at the server side which is hosted at the library. Further, we propose models to analyze the service quality of an electronic library. For analyzing the service quality, we present two analytical models. The first one is based on the number of days by which the item to be served by the library is delayed and the penalty points per day for the duration for which the item is delayed. The second model is based on the credits earned by th...

  20. Web services at the European Bioinformatics Institute-2009.

    Science.gov (United States)

    McWilliam, Hamish; Valentin, Franck; Goujon, Mickael; Li, Weizhong; Narayanasamy, Menaka; Martin, Jenny; Miyar, Teresa; Lopez, Rodrigo

    2009-07-01

    The European Bioinformatics Institute (EMBL-EBI) has been providing access to mainstream databases and tools in bioinformatics since 1997. In addition to the traditional web form based interfaces, APIs exist for core data resources such as EMBL-Bank, Ensembl, UniProt, InterPro, PDB and ArrayExpress. These APIs are based on Web Services (SOAP/REST) interfaces that allow users to systematically access databases and analytical tools. From the user's point of view, these Web Services provide the same functionality as the browser-based forms. However, using the APIs frees the user from web page constraints and are ideal for the analysis of large batches of data, performing text-mining tasks and the casual or systematic evaluation of mathematical models in regulatory networks. Furthermore, these services are widespread and easy to use; require no prior knowledge of the technology and no more than basic experience in programming. In the following we wish to inform of new and updated services as well as briefly describe planned developments to be made available during the course of 2009-2010.

  1. Quality Function Deployment: Application to Chemotherapy Unit Services

    Directory of Open Access Journals (Sweden)

    Neda Hashemi

    2015-10-01

    Full Text Available Background: Today’s healthcare organizations are challenged by pressures to meet growing population demands and enhance community health through improving service quality. Quality function deployment is one of the widely-used customerdriven approaches for health services development. In the current study, quality function deployment is used to improve the quality of chemotherapy unit services. Methods: First, we identified chemotherapy outpatient unit patients as chemotherapy unit customers. Then, the Delphi technique and component factor analysis with orthogonal rotation was employed to determine their expectations. Thereafter, data envelopment analysis was performed to specify user priorities. We determined the relationships between patients’ expectations and service elements through expert group consensus using the Delphi method and the relationships between service elements by Pearson correlation. Finally, simple and compound priorities of the service elements were derived by matrix calculation. Results: Chemotherapy unit patients had four main expectations: access, suitable hotel services, satisfactory and effective relationships, and clinical services. The chemotherapy unit has six key service elements of equipment, materials, human resources, physical space, basic facilities, and communication and training. There were four-level relationships between the patients’ expectations and service elements, with mostly significant correlations between service elements. According to the findings, the functional group of basic facilities was the most critical factor, followed by materials. Conclusion: The findings of the current study can be a general guideline as well as a scientific, structured framework for chemotherapy unit decision makers in order to improve chemotherapy unit services.

  2. US Forest Service Purchase Units under the Weeks Law

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting units designated by the Secretary of Agriculture or previously approved by the National Forest Reservation Commission for purposes...

  3. US Forest Service Geopolitical Units adjusted within Administrative Forest Boundaries

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting geopolitical data for the entire area of the United States and territories. This includes States, Counties or Boroughs,...

  4. Unit cost of medical services at different hospitals in India.

    Directory of Open Access Journals (Sweden)

    Susmita Chatterjee

    Full Text Available Institutional care is a growing component of health care costs in low- and middle-income countries, but local health planners in these countries have inadequate knowledge of the costs of different medical services. In India, greater utilisation of hospital services is driven both by rising incomes and by government insurance programmes that cover the cost of inpatient services; however, there is still a paucity of unit cost information from Indian hospitals. In this study, we estimated operating costs and cost per outpatient visit, cost per inpatient stay, cost per emergency room visit, and cost per surgery for five hospitals of different types across India: a 57-bed charitable hospital, a 200-bed private hospital, a 400-bed government district hospital, a 655-bed private teaching hospital, and a 778-bed government tertiary care hospital for the financial year 2010-11. The major cost component varied among human resources, capital costs, and material costs, by hospital type. The outpatient visit cost ranged from Rs. 94 (district hospital to Rs. 2,213 (private hospital (USD 1 = INR 52. The inpatient stay cost was Rs. 345 in the private teaching hospital, Rs. 394 in the district hospital, Rs. 614 in the tertiary care hospital, Rs. 1,959 in the charitable hospital, and Rs. 6,996 in the private hospital. Our study results can help hospital administrators understand their cost structures and run their facilities more efficiently, and we identify areas where improvements in efficiency might significantly lower unit costs. The study also demonstrates that detailed costing of Indian hospital operations is both feasible and essential, given the significant variation in the country's hospital types. Because of the size and diversity of the country and variations across hospitals, a large-scale study should be undertaken to refine hospital costing for different types of hospitals so that the results can be used for policy purposes, such as revising

  5. Essays on the Impacts of Geography and Institutions on Access to Energy and Public Infrastructure Services

    Science.gov (United States)

    Archibong, Belinda

    While previous literature has emphasized the importance of energy and public infrastructure services for economic development, questions surrounding the implications of unequal spatial distribution in access to these resources remain, particularly in the developing country context. This dissertation provides evidence on the nature, origins and implications of this distribution uniting three strands of research from the development and political economy, regional science and energy economics fields. The dissertation unites three papers on the nature of spatial inequality of access to energy and infrastructure with further implications for conflict risk , the historical institutional and biogeographical determinants of current distribution of access to energy and public infrastructure services and the response of households to fuel price changes over time. Chapter 2 uses a novel survey dataset to provide evidence for spatial clustering of public infrastructure non-functionality at schools by geopolitical zone in Nigeria with further implications for armed conflict risk in the region. Chapter 3 investigates the drivers of the results in chapter 2, exploiting variation in the spatial distribution of precolonial institutions and geography in the region, to provide evidence for the long-term impacts of these factors on current heterogeneity of access to public services. Chapter 4 addresses the policy implications of energy access, providing the first multi-year evidence on firewood demand elasticities in India, using the spatial variation in prices for estimation.

  6. 76 FR 13097 - Institute of Museum and Library Services; Evaluation by Grantees

    Science.gov (United States)

    2011-03-10

    ... ARTS AND HUMANITIES 45 CFR Part 1180 Institute of Museum and Library Services; Evaluation by Grantees AGENCY: Institute of Museum and Library Services, National Foundation On the Arts and Humanities. ACTION: Technical amendment; final rule. SUMMARY: This rule makes a technical amendment to the Institute of...

  7. 42 CFR 440.10 - Inpatient hospital services, other than services in an institution for mental diseases.

    Science.gov (United States)

    2010-10-01

    ... furnished by a hospital with a swing-bed approval. ... 42 Public Health 4 2010-10-01 2010-10-01 false Inpatient hospital services, other than services in...: GENERAL PROVISIONS Definitions § 440.10 Inpatient hospital services, other than services in an institution...

  8. 42 CFR 440.155 - Nursing facility services, other than in institutions for mental diseases.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nursing facility services, other than in... PROVISIONS Definitions § 440.155 Nursing facility services, other than in institutions for mental diseases. (a) “Nursing facility services, other than in an institution for mental diseases” means...

  9. 42 CFR 441.11 - Continuation of FFP for institutional services.

    Science.gov (United States)

    2010-10-01

    ... SPECIFIC SERVICES General Provisions § 441.11 Continuation of FFP for institutional services. (a) Basic...) Nursing facility services for individuals age 21 or older. (4) Nursing facility services for individuals... individuals under age 21. (6) Nursing facility services for individuals under 21. (7) Intermediate care...

  10. SIMOcean: Maritime Open Data and Services Platform for Portuguese Institutions

    Science.gov (United States)

    Almeida, Nuno; Grosso, Nuno; Catarino, Nuno; Gutierrez, Antonio; Lamas, Luísa; Alves, Margarida; Almeida, Sara; Deus, Ricardo; Oliveira, Paulo

    2016-04-01

    Portugal is the country with the largest EEZ in the EU and the 10th largest EEZ in the world, at 3,877,408 km2, rendering the existence of an integrated management of Portuguese marine system crucial to monitor a wide range of interdependent domains. A system like this assimilates data and information from different thematic areas, ranging from ocean and atmosphere state variables to higher level datasets describing human activities and related environmental, social and economic impacts. Currently, these datasets are collected by a wide number of public and private institutions with very diverse purposes (e.g., monitoring, research, recreation, vigilance) leading to dataset duplication, inexistence of common data and metadata standards across organizations, and the propagation of closed information systems with different implementation solutions. This lack of coordination and visibility hinders the marine management, monitoring and vigilance capabilities, not only by making it more difficult to access, or even be aware of, the existence of certain datasets, but also by minimizing the ability to create added value products or services through dataset integration from different sources. Adopting Open Data approach will bring significant benefits by reducing the cost of information exchange and data integration, promoting the extensive use of this data. SIMOcean (System for Integrated Monitoring of the Ocean), co-funded by the EEA Grants Programme, is integrated in the initiative of the Portuguese Government to develop a set of coordinated systems providing access to national marine data. These systems aim to improve the Portuguese marine management, monitoring and vigilance capabilities, aggregating different data, including specific human activities datasets (vessel traffic, fishing records, oil spills), and environment variables (waves, currents, wind). Those datasets, currently scattered among different departments of the Portuguese Meteorological (IPMA) and the

  11. Census of Institutional Repositories in the United States: MIRACLE Project Research Findings. CLIR Publication No. 140

    Science.gov (United States)

    Markey, Karen; Rieh, Soo Young; St. Jean, Beth; Kim, Jihyun; Yakel, Elizabeth

    2007-01-01

    In this report, the authors describe results of a nationwide census of institutional repositories in U.S. academic institutions. The census is one of several activities of the MIRACLE Project, an Institute of Museum and Library Services (IMLS)-funded research program based at the University of Michigan. The acronym MIRACLE means "Making…

  12. The evaluation of tertiary institution service quality using HiEdQUAL ...

    African Journals Online (AJOL)

    One of the most important decisions that affect the future of young students is a ... of service quality, Multi Attribute Decision Making method: TOPSIS is applied for ... rank the institutions according to the multiple criteria service quality measure.

  13. Developing an institutional framework to incorporate ecosystem services into decision making-Proceedings of a workshop

    Science.gov (United States)

    Hogan, Dianna; Arthaud, Greg; Brookshire, David; Gunther, Tom; Pincetl, Stephanie; Shapiro, Carl; Van Horne, Bea

    2011-01-01

    The routine and effective incorporation of ecosystem services information into resource management decisions requires a careful consideration of the value of goods and services provided by natural systems. A multidisciplinary workshop was held in October 2008 on "Developing an Institutional Framework to Incorporate Ecosystem Services into Decision Making." This report summarizes that workshop, which focused on examining the relationship between an institutional framework and consideration of ecosystem services in resource management decision making.

  14. Developing and Implementing Health and Sustainability Guidelines for Institutional Food Service123

    OpenAIRE

    Kimmons, Joel; Jones, Sonya; McPeak, Holly H.; Bowden, Brian

    2012-01-01

    Health and sustainability guidelines for institutional food service are directed at improving dietary intake and increasing the ecological benefits of the food system. The development and implementation of institutional food service guidelines, such as the Health and Human Services (HHS) and General Services Administration (GSA) Health and Sustainability Guidelines for Federal Concessions and Vending Operations (HHS/GSA Guidelines), have the potential to improve the health and sustainability ...

  15. Developing and implementing health and sustainability guidelines for institutional food service.

    Science.gov (United States)

    Kimmons, Joel; Jones, Sonya; McPeak, Holly H; Bowden, Brian

    2012-05-01

    Health and sustainability guidelines for institutional food service are directed at improving dietary intake and increasing the ecological benefits of the food system. The development and implementation of institutional food service guidelines, such as the Health and Human Services (HHS) and General Services Administration (GSA) Health and Sustainability Guidelines for Federal Concessions and Vending Operations (HHS/GSA Guidelines), have the potential to improve the health and sustainability of the food system. Institutional guidelines assist staff, managers, and vendors in aligning the food environment at food service venues with healthier and more sustainable choices and practices. Guideline specifics and their effective implementation depend on the size, culture, nature, and management structure of an institution and the individuals affected. They may be applied anywhere food is sold, served, or consumed. Changing institutional food service practice requires comprehensive analysis, engagement, and education of all relevant stakeholders including institutional management, members of the food supply chain, and customers. Current examples of food service guidelines presented here are the HHS and GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations, which translate evidence-based recommendations on health and sustainability into institutional food service practices and are currently being implemented at the federal level. Developing and implementing guidelines has the potential to improve long-term population health outcomes while simultaneously benefitting the food system. Nutritionists, public health practitioners, and researchers should consider working with institutions to develop, implement, and evaluate food service guidelines for health and sustainability.

  16. US Forest Service Forest Carbon Stocks Contiguous United States

    Data.gov (United States)

    US Forest Service, Department of Agriculture — Through application of a nearest-neighbor imputation approach, mapped estimates of forest carbon density were developed for the contiguous United States using the...

  17. Map service: United States Decadal Production History Cells

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map service displays present and past oil and gas production in the United States, as well as the location and intensity of exploratory drilling outside...

  18. Map service: United States Oil and Gas Production 2008

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map service displays present and past oil and gas production in the United States, as well as the location and intensity of exploratory drilling outside...

  19. UNIT TRUST FUND'S INITIAL SERVICE CHARGE AND ITS DETERMINANTS

    Directory of Open Access Journals (Sweden)

    Nur Adiana Hiau Abdullah

    2006-01-01

    Full Text Available This paper examines the variables that might explain the initial service charge (ISC imposed on unit-holders of Malaysian unit trust funds in the year 1999. By using 39 openend unit trust funds, customer service and board structure variables are found to have asignificant effect in explaining the variations of ISC. Financial performance variables do not seem to have any influence on the level of ISC charged to the unit-holders. Our results also showed that funds which charged higher ISC do not necessarily provide higher returns to investors. Furthermore, there are unit trust funds that are having an initial service charge beyond the maximum 10% level required by the Securities Commissions or did not fulfil the independent directors requirement.

  20. Abortion incidence and service availability in the United States, 2011.

    Science.gov (United States)

    Jones, Rachel K; Jerman, Jenna

    2014-03-01

    Following a long-term decline, abortion incidence stabilized between 2005 and 2008. Given the proliferation of state-level abortion restrictions, it is critical to assess abortion incidence and access to services since that time. In 2012-2013, all facilities known or expected to have provided abortion services in 2010 and 2011 were surveyed. Data on the number of abortions were combined with population data to estimate national and state-level abortion rates. Incidence of abortions was assessed by provider type and caseload. Information on state abortion regulations implemented between 2008 and 2011 was collected, and possible relationships with abortion rates and provider numbers were considered. In 2011, an estimated 1.1 million abortions were performed in the United States; the abortion rate was 16.9 per 1,000 women aged 15-44, representing a drop of 13% since 2008. The number of abortion providers declined 4%; the number of clinics dropped 1%. In 2011, 89% of counties had no clinics, and 38% of women of reproductive age lived in those counties. Early medication abortions accounted for a greater proportion of nonhospital abortions in 2011 (23%) than in 2008 (17%). Of the 106 new abortion restrictions implemented during the study period, few or none appeared to be related to state-level patterns in abortion rates or number of providers. The national abortion rate has resumed its decline, and no evidence was found that the overall drop in abortion incidence was related to the decrease in providers or to restrictions implemented between 2008 and 2011. Copyright © 2014 by the Guttmacher Institute.

  1. Frequent Participation in Service Learning: Examining Institutional Differences and Individual Benefits

    Science.gov (United States)

    Bureau, Daniel A.; Cole, James S.; McCormick, Alexander C.

    2014-01-01

    This chapter examines the differences between institutions with high and low levels of involvement in service learning as well as the differences between students with high and low levels of involvement. The study shows a correlation between institutional organization and service-learning emphasis and describes, at the student level, correlations…

  2. Advancing the Payments for Ecosystem Service Discourse through Institutional Theory

    DEFF Research Database (Denmark)

    Jespersen, Kristjan

    the literature on institutional work, which serves as a lens for understanding the reorganisation of existing practices and norms (Lawrence & Suddaby, 2006). The research seeks to offer a unique contribution by interpreting PES through a neo-institutional perspective. Through both qualitative and quantitative...... as a set of compelling cases for studying institutional creation, and my driving research question is “How are institutions in support of PES created?” Importantly, my research spans environmental economics and business studies to study how PES schemes might more fully incorporate the private sector...

  3. Economic institutions and institutional change in the United States electric power industry

    Science.gov (United States)

    Wisniewski, Lorel Elaine

    Historical data from the U.S. electric power industry was used to test two theories of institutional change. A transactions costs theory based on the neoclassical model was tested against a strategic bargaining model of institutional change. A comparative test of the two models supports the strategic bargaining theory, finding that relative bargaining power can influence the course of institutional change when the power advantage is held by a player who expects to reap economic gains from the change. This result has implications for expectations regarding the nature of economic institutions in that efficient institutions would not be expected to emerge if outcomes are determined by asymmetries in bargaining power. Estimation of a cost function using recent firm-level panel data from the electric power industry found no statistically significant cost differentials between publicly owned and privately owned electric utilities. Transactions costs, measured at the level of the firm, were included as an explanatory variable. The model was estimated as a one-way, fixed effects model to account for institutional variation between firms. Institutional variation was found to lead to cost differentials between individual firms, but not by ownership sector. The cost functions estimated were found to differ structurally by ownership sector, suggesting that public and private electric utilities may utilize different input combinations.

  4. United Parcel Service Evaluates Hybrid Electric Delivery Vans (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2010-02-01

    This fact sheet describes how the National Renewable Energy Laboratory's Fleet Test and Evaluation team evaluated the 12-month, in-service performance of six Class 4 hybrid electric delivery vans - fueled by regular diesel - and six comparable conventional diesel vans operated by the United Parcel Service.

  5. Institutional Review Boards: Perspectives from the United States

    Directory of Open Access Journals (Sweden)

    Alvita Nathaniel, Ph.D., FNP-BC, FAANP

    2010-12-01

    Full Text Available In the U.S., all research must be approved by an Institutional Review Board (IRB that evaluates research protocols for the purpose of protecting human subjects. This paper includes a brief history of the development of public policy that guides institutional review boards in the U.S. and commentary on the responsibilities of a grounded theory researcher interested in applying for approval for a research study.An institutional review board (IRB is a formally constituted committee that approves and monitors biomedical and behavioural research with the purpose of protecting the rights and welfare of research participants. An IRB performs scientific, ethical, and regulatory oversight functions. In the U.S., it is common for grounded theorists to experience frustration with the IRB protocol submission process. Facets of the application process may seem rigid, redundant, and non-applicable. Review board members may not seem to understand or appreciate qualitative methods and delays are common. In addition, a conglomeration of disparate policies and procedures coupled with a variety of types of review boards creates a system that defies description. Nevertheless, a researcher who understands public policy and the responsibilities of institutional review boards can learn to develop research applications that are quickly approved.

  6. Repositioning for Quality Services Delivery in Tertiary Institutions ...

    African Journals Online (AJOL)

    FIRST LADY

    underpinning and literature review and model formulation are the focus of part IV and V ..... The institution's investment decision involves capital expenditures. They are, ... when an asset becomes less productive or non-profitable. - Working ... institution. Also adequate pricing and prompt payment of student workers is.

  7. 78 FR 37571 - Certain Opaque Polymers; Institution of Investigation Pursuant to United States Code

    Science.gov (United States)

    2013-06-21

    ... COMMISSION Certain Opaque Polymers; Institution of Investigation Pursuant to United States Code AGENCY: U.S... importation, and the sale within the United States after importation of certain opaque polymers by reason of... importation, or the sale within the United States after importation of certain opaque polymers that...

  8. Characteristics of diabetes care in an institutional network of health services Medellin. 2005-2008

    Directory of Open Access Journals (Sweden)

    Sandra M. Agudelo

    2011-05-01

    Full Text Available Because of its severity, frequency and increasing social and economic impact, Diabetes Mellitus (DM is considered the third priority health problem in the world. Although to date there is no curative treatment, it does have effective measures to reduce its occurrence and limit its complications. Objective: to describe the control program of diabetes in a statewide network of health services in regard to clinical variables, the epidemiology of population served and the control actions, in order to identify strategies for improvement. Methodology: operational research based on secondary data. We reviewed the general conditions of operation of the program based on records of patient care. We studied a random sample of medical records of patients served by the control program of diabetes care units in the network.The results were validated in a meeting with officials of the institution. Results: we detected flaws and points of improvement in the performance of the control program that resulted in specific recommendations for the institutional network. Other failures are due to rules that hinder health system monitoring and control of the DM at the first level. Conclusion:the review of medical records reveals important problems about registration, monitoring and control of diabetics. Other regulatory and contractual provisions of the colombian health system were identified as restrictions that prevent the program to control hyperglycemia and early detection of renal damage. These restrictions could be affecting the programs of control of diabetes in other institutions of the country that are subject to the same rules

  9. Pharmaceutical services in a Mexican pain relief and palliative care institute

    OpenAIRE

    Escutia Gutierrez R; Cortéz Alvarez CR; Álvarez Alvarez RM; Flores Hernandez JL; Gutiérrez Godinez J; López y Lopez JG

    2007-01-01

    Neither the purchase nor the distribution of pharmaceuticals in hospitals and community pharmacies in Mexico is under the care of pharmacists. Some are under control of physicians.This report presents the results of the implementation of somef pharmaceutical services for the Jalisco Pain Relief, and Palliative Care Institute (Palia Institute), under the direction of the Secretary of Health, Government of Jalisco. The services implemented were drug distribution system, Drug Information Service...

  10. COORDINATING SERVICES FOR HANDICAPPED CHILDREN, A REPORT OF THE NATIONAL INSTITUTE ON SERVICES FOR HANDICAPPED CHILDREN AND YOUTH.

    Science.gov (United States)

    KURREN, OSCAR; OBERMANN, C. ESCO

    THE REPORT AND ITS GUIDELINES SUMMARIZE VIEWS EXPRESSED IN SEVERAL PAPERS AND CONFERENCES SPONSORED BY THE NATIONAL INSTITUTE ON SERVICES FOR HANDICAPPED CHILDREN AND YOUTH. THE PURPOSES OF THE INSTITUTE ARE DEFINED. GUIDELINES DEVELOPED BY PRELIMINARY COMMITTEES AND REFINED BY CONFERENCES COVER FIVE AREAS--COOPERATION AMONG VOLUNTARY…

  11. Audit Guide: Audits of Federal Student Financial Assistance Programs at Participating Institutions and Institution Servicers.

    Science.gov (United States)

    Office of Inspector General (ED), Washington, DC.

    All institutions participating in the Federal Student Financial Assistance Programs must have an annual financial aid compliance audit performed by an independent auditor. This guide is effective for fiscal years ending December 31, 1999, and thereafter, for institutions preparing for their yearly audit. The purpose of the document is to assist…

  12. 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.

  13. Determinants of institutional delivery service utilization among pastorals of Liben Zone, Somali Regional State, Ethiopia, 2015

    Directory of Open Access Journals (Sweden)

    Zepro NB

    2016-12-01

    Full Text Available Nejimu Biza Zepro,1 Ahmed Tahir Ahmed2 1College of Health Sciences, Samara University, Samara, Afar, Ethiopia; 2College of Health Science, Jigjiga University, Jigjiga, Somali, Ethiopia Abstract: Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project “Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia”. This community-based cross-sectional study was conducted during November 2015. Interviews through a questionnaire and focus group discussions were used to collect the data. Proportional to size allocation followed by systematic sampling technique was used to identify the study units. The major determinants of institutional delivery in the study area were as follows: being apparently healthy, lack of knowledge, long waiting time, poor quality services, cultural beliefs, religious misconception, partner decision, and long travel. Around one-third (133, 34.5% of the women had visited at least once for their pregnancy. More than half (78, 58.6% of the women had visited health facilities due to health problems and only 27 (19.9% women had attended the recommended four antenatal care visits. Majority (268, 69.6% of the pregnant women preferred to give birth at home. Women who attended antenatal care were two times more likely to deliver at health facilities (AOR, 95% confidence interval [CI] =2.38, 1.065–4.96. Women whose family members preferred health facilities had 14 times more probability to give birth in health institutions (AOR, 95% CI =13.79, 5.28–35.8. Women living in proximity to a health facility were 13 times more likely to give birth at health facilities than women

  14. 75 FR 21270 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-04-23

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... budget period of 12 months. The Assistant Secretary for Special Education and Rehabilitative Services may... call with NIDRR staff from the Office of Special Education and Rehabilitative Services between 1:00 p.m...

  15. EnviroAtlas - NHDPlus V2 Hydrologic Unit Boundaries Web Service - Conterminous United States

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service contains layers depicting hydrologic unit boundary layers and labels for the Subregion level (4-digit HUCs), Subbasin level (8-digit...

  16. Status of Personal Health Requirement for Graduation at Institutions of Higher Education in the United States

    Science.gov (United States)

    Henry, Dayna S.; Aydt Klein, Nicole; Kempland, Monica; Rose Oswalt, Sarah; Rexilius, Molly A.

    2017-01-01

    Objective: The purpose of this study was to examine the proportion of higher education institutions in the United States that require a personal health course (PHC) for graduation and to describe the nature of such requirements. Participants: This study included a random sample of public and private institutions of higher education (IHE) with…

  17. Status of Personal Health Requirement for Graduation at Institutions of Higher Education in the United States

    Science.gov (United States)

    Henry, Dayna S.; Aydt Klein, Nicole; Kempland, Monica; Rose Oswalt, Sarah; Rexilius, Molly A.

    2017-01-01

    Objective: The purpose of this study was to examine the proportion of higher education institutions in the United States that require a personal health course (PHC) for graduation and to describe the nature of such requirements. Participants: This study included a random sample of public and private institutions of higher education (IHE) with…

  18. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nursing facility services for individuals age 21 or... institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility... recipients under age 21; and (2) Health care, treatment, and other measures to correct or ameliorate any...

  19. Institutional and Organizational Structure of the Federal Procurement System of the United States

    Directory of Open Access Journals (Sweden)

    Vovchenko Natalya Gennadyevna

    2015-09-01

    Full Text Available The paper deals with the role of the Federal procurement system of the United States as a regulatory tool of the U.S. economy. The scope of research is focused on organizational and institutional aspects of forming and developing the U.S. Federal procurement system. The main purpose of the paper is to study up-to-date mechanism of government acquisition in the United States and to consider all its structural elements taken in conjunction with each other, such as the President, the Office of Management and Budget (OMB, the Office of Federal Procurement Policy (OFPP, the General Services Administration (GSA, other executive and regulatory agencies. The methodological background of the research is based on normative, system-wide, statistical and complex approaches to the study of structural elements of the U.S. Federal procurement system. The theoretical and practical material of the present research can be used in teaching and learning activities at economic faculties, for instance, in the course of lectures on government contacting and public procurement management. It also can be used in training and advanced training of specialists who draft public procurement regulations in the Russian Federation. The statutory regulation of the U.S. Federal procurement system constitutes an organizational framework of executive agencies, their functions and responsibilities, specifics of government control over contract performance, competition requirements and contracting methods. The paper considered interrelated components of the U.S. Federal procurement system, which operates in furtherance of efficient utilization of Federal budget.

  20. Determinants of institutional delivery service utilization among pastorals of Liben Zone, Somali Regional State, Ethiopia, 2015

    Science.gov (United States)

    Zepro, Nejimu Biza; Ahmed, Ahmed Tahir

    2016-01-01

    Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project “Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia”. This community-based cross-sectional study was conducted during November 2015. Interviews through a questionnaire and focus group discussions were used to collect the data. Proportional to size allocation followed by systematic sampling technique was used to identify the study units. The major determinants of institutional delivery in the study area were as follows: being apparently healthy, lack of knowledge, long waiting time, poor quality services, cultural beliefs, religious misconception, partner decision, and long travel. Around one-third (133, 34.5%) of the women had visited at least once for their pregnancy. More than half (78, 58.6%) of the women had visited health facilities due to health problems and only 27 (19.9%) women had attended the recommended four antenatal care visits. Majority (268, 69.6%) of the pregnant women preferred to give birth at home. Women who attended antenatal care were two times more likely to deliver at health facilities (AOR, 95% confidence interval [CI] =2.38, 1.065–4.96). Women whose family members preferred health facilities had 14 times more probability to give birth in health institutions (AOR, 95% CI =13.79, 5.28–35.8). Women living in proximity to a health facility were 13 times more likely to give birth at health facilities than women living far away (AOR, 95% CI =13.37, 5.9–29.85). Nomadic way of life, service inaccessibility, and sociodemographic and cultural obstacles have an effect on the utilization of delivery services. Increasing

  1. Auditing and Managing Community Service in a Higher Education Institution

    Science.gov (United States)

    Smith-Tolken, Antoinette R.

    2004-01-01

    It is common practice for universities across the globe to engage in some form of benevolent interaction with communities beyond the borders of their campuses. Current legislative transformation in higher education in South Africa, for example, urges higher education institutions to become more responsive to civil society through projects that are…

  2. After Progressivism: Modern Composition, Institutional Service, and Cultural Studies.

    Science.gov (United States)

    Murphy, Michael

    1993-01-01

    Outlines the historical development of composition theory as autonomous field and its relation to surrounding academic and social situations, especially progressivism. Discusses composition as a "service" course. Critiques recent alliances between composition and cultural studies theory. (HB)

  3. Institutional Analysis of the Mexican Civil Service System

    OpenAIRE

    Allyson Lucinda Benton

    2002-01-01

    The Mexican public sector has undergone a dramatic reorganization and professionalization since the initiation of economic crisis and reform in 1982. Though such reforms appear to have improved efficiency in the provision of public services, administrative changes did not include the implementation of a national career civil service. (Note: The title in this original document is in Spanish, but the document itself is in English.)

  4. Developing institutional repository at National Institute for Materials Science : Researchers directory service “SAMURAI” and Research Collection Library

    Science.gov (United States)

    Takaku, Masao; Tanifuji, Mikiko

    National Institute for Materials Science (NIMS) has developed an institutional repository “NIMS eSciDoc” since 2008. eSciDoc is an open source repository software made in Germany, and provides E-Science infrastructures through its flexible data model and rich Web APIs. NIMS eScidoc makes use of eSciDoc functions to benefit for NIMS situations. This article also focuses on researchers directory service “SAMURAI” in addition to NIMS eSciDoc. Successfully launched in October 2010, SAMURAI provides approximately 500 researchers' profile and publication information.

  5. The Teaching of Italian in Institutions of Higher Learning in the United States and Canada.

    Science.gov (United States)

    Istituto Italiano di Cultura, New York, NY.

    This booklet contains a list of institutions of higher learning in the United States and Canada which teach Italian. Italian is taught, according to the booklet, in 383 colleges and universities in the United States (including 28 community or junior colleges), and in 15 colleges and universities in Canada. Other information includes the number of…

  6. Efficiency Effects of Unit-based Pricing Systems and Institutional Choices of Waste Collection

    NARCIS (Netherlands)

    E. Dijkgraaf (Elbert); R.H.J.M. Gradus (Raymond)

    2014-01-01

    markdownabstract__Abstract__ Much attention has been paid to the influence of the institutional form of waste collection on costs. We extend this literature in three directions by including the unit-based pricing system. First, we show that unit-based pricing systems are more important from a

  7. Institutions and organisations in Russian higher education: the example of Rostov region education services market

    National Research Council Canada - National Science Library

    Volchik Vyacheslav, V; Kot Vera, V; Shiriaev Igor, M

    2015-01-01

    ... (Rostov Region is taken as an example). Adaptive economic behavior of key actors on the Russian education services market has been studied in the context of constantly changing institutional and organizational environments...

  8. The Effect of Each Other Perceived Service Quality and Institutional Image In Pre - sc hool Education

    Directory of Open Access Journals (Sweden)

    Ebru Sönmez Karapınar

    2015-12-01

    Full Text Available Main purpose of this study is to examine the effect of service quality and dimensions of perceived institutional image; and effect of perceived institutional image and perceived service quality in pre-school education facilities. Two models were developed for that purpose. Perceived service quality was evaluated in five dimensions (empathy, reliability, responsiveness, assurance and tangibles and perceived institutional image was evaluated in four dimensions (quality image institutional communication, social image and institutional perspective. Influence of independent variable on dependent variable was mentioned in both of two models. Sample of the study consists of 250 families who use service provided by pre-schools in Kayseri. Data was collected by the way of a questionnaire which formed in the basis of two scales named as “servperf scale” and “institutional image scale”. Factor analysis, KMO test and regression analysis were used in order to test data. Findings indicate that there was a positive affect each other perceived service quality and perceived institutional image.

  9. 31 CFR Appendix C to Subpart A of... - United States Customs Service

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false United States Customs Service C...—United States Customs Service 1. In general. This appendix applies to the United States Customs Service. 2. Public reading room. The public reading room for the United States Customs Service is...

  10. Development and Creation of Competitive Advantages in the Function of Marketing Services in Financial Institutions

    Directory of Open Access Journals (Sweden)

    Fatos UKAJ

    2016-09-01

    Full Text Available The marketing of the financial services by financial institution is regarded as an easier job. This is due to the fact that, in most cases, when a client is gained, he/she remains loyal to the institution on a long term. Nowadays, taking into consideration the needs of the consumers - clients who are undergoing a constant change - financial institutions are faced with a necessity to have the required knowledge and information regarding what and how to meet the needs of their clients. Financial institutions have reached a stage of adapting their daily activities with the demands of their clients. Thus, this is due to the available information which deals with the needs of the clients, opportunities of financial institution themselves, structural changes in the services provided, and the changes in the market which includes competition. This paper will strive to present the stages of the marketing development in financial institutions through the acquisition of knowledge regarding the finances and marketing of these services. It also involves the current concept and approach towards marketing by financial institutions in Kosovo. Adopting new approaches would satisfy the client and would strengthen the position of financial institution. In addition, through this analysis, we will try to show the importance of including the concept of marketing in the operations and strategies of financial institutions for a successful business.

  11. Marketing Library and Information Services: Comparing Experiences at Large Institutions.

    Science.gov (United States)

    Noel, Robert; Waugh, Timothy

    This paper explores some of the similarities and differences between publicizing information services within the academic and corporate environments, comparing the marketing experiences of Abbot Laboratories (Illinois) and Indiana University. It shows some innovative online marketing tools, including an animated gif model of a large, integrated…

  12. Americans with Wings—Air show institution in the United States%Americans with Wings——Air show institution in the United States

    Institute of Scientific and Technical Information of China (English)

    张步云

    2016-01-01

    Wright Brother's first flying machine's flight in 1903 declared the advent of aviation age. Further stimulated by two world wars, aviation technologies have become the most advanced ones among human's manufacturing industries. In order to feed the industries' demand for human intelligence, various interactions between aviation staff and other social members were developed. Consequently, certain kind of aviation culture has been cultivating. In this paper, the author will make an introduction of aviation culture in the United States, and focus on the most representative content of that culture, the air show institution in United States.

  13. Bridging political economy analysis and critical institutionalism: an approach to help analyse institutional change for rural water services

    Directory of Open Access Journals (Sweden)

    Stephen David Jones

    2015-03-01

    Full Text Available This paper argues that approaches to understanding local institutionsfor natural resource management based on “critical institutionalism” (Cleaver2012, which emphasises the importance of improvisation and adaptationacross different scales, can be placed within broader political economy analysisframeworks for assessing challenges in public services delivery from national tolocal levels. The paper uses such an extended political economy analysis approachto understand the role of the international NGO WaterAid and its partners in Mali inrelation to institutions for financing rural water services, drawing on collaborativeresearch undertaken in 2010 and 2011. The case study shows that WaterAid’sapproach can be understood through elements of both mainstream and criticalinstitutionalist thinking. At local government level, WaterAid primarily promotesformal institutional arrangements, which exhibit the challenge of “reforms assignals” (Andrews 2013, where institutional reforms appear to happen but lackthe intended function. However, the work of WaterAid’s partners at communitylevel supports processes of “institutional bricolage” through which they try togradually work with local actors to find ways of ‘best fit’ for financing rural waterservices which adapt existing local practices into new arrangements.

  14. 76 FR 5834 - International Business Machines Corporation, Global Technology Services Business Unit, Integrated...

    Science.gov (United States)

    2011-02-02

    ... Employment and Training Administration International Business Machines Corporation, Global Technology Services Business Unit, Integrated Technology Services, Cost and Expense Team, Payroll, Travel and Mobility... Business Machines Corporation, Global Technology Services Business Unit, Integrated Technology...

  15. Civil Service Reform in Indonesia: Culture and Institution Issues

    OpenAIRE

    Prijono Tjiptoherijanto

    2012-01-01

    In adapting to the globalization era, the Indonesian government has to improve the structure of its bureaucracy, both in terms of enhancing the quality of government employee, and developing a modern and efficient government system. As with any reform, strong and determined leadership is crucial. While good governance is central for anticipatring the challenges of global competition, Indonesia must also undertake civil service reforms to achieve a cleaner and more efficient bureaucracy.

  16. MATURITY MODEL FOR IT SERVICE OUTSOURCING IN HIGHER EDUCATION INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Victoriano Valencia García

    2013-11-01

    Full Text Available The current success of organizations depends on the successful implementation of Information and Comunication Technologies (ICTs. Good governance and ICT management are essential for delivering value, managing technological risks, managing resources and performance measurement. In addition, outsourcing is a strategic option which complements IT services provided internally in organizations. This paper proposes the design of a new holistic maturity model based on standards ISO/IEC 20000 and ISO/IEC 38500, the frameworks and best practices of ITIL and COBIT, with a specific focus on IT outsourcing. This model is validated by practices in the field of higher education, using a questionnaire and a metrics table among other measurement tools. Models, standards and guidelines are proposed in the model for facilitating adaptation to universities and achieving excellence in the outsourcing of IT services. The applicability of the model allows an effective transition to a model of good governance and management of outsourced IT services which, aligned with the core business of universities (teaching, research and innovation, affect the effectiveness and efficiency of its management, optimizes its value and minimizes risks.

  17. Religious institutions and the politics of access to basic services in displacement contexts

    DEFF Research Database (Denmark)

    Lauterbach, Karen

    to networks). In contexts of displacement access to basic services is formally regulated by one’s status (e.g. as refugee or national citizen) and by physical location (e.g. in settlements/camps or urban areas). The paper discusses what role religious institutions play when access to services provided...

  18. 75 FR 22760 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-04-30

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... period of 12 months. The Assistant Secretary for Special Education and Rehabilitative Services may change... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  19. 75 FR 39216 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-07-08

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... period of 12 months. The Assistant Secretary for Special Education and Rehabilitative Services may change... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  20. 75 FR 36239 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-06-24

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... period of 12 months. The Assistant Secretary for Special Education and Rehabilitative Services may change... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  1. 75 FR 13111 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

    Science.gov (United States)

    2010-03-18

    ... Office of Special Education and Rehabilitative Services Overview Information; National Institute on... Program--Advanced Rehabilitation Research Training (ARRT) Projects AGENCY: Office of Special Education and..., Assistant Secretary for Office of Special Education and Rehabilitative Services. BILLING CODE 4000-01-P ...

  2. 75 FR 77624 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

    Science.gov (United States)

    2010-12-13

    ... Office of Special Education and Rehabilitative Services Overview Information; National Institute on... months. The Assistant Secretary for Special Education and Rehabilitative Services may change the maximum... the Department of Education (34 CFR 100.4, 104.5, 106.4, 108.8, and 110.23). 3. Special Conditions...

  3. 75 FR 39431 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-07-08

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... Special Education and Rehabilitative Services may change the maximum amount through a notice published in... this meeting by conference call with NIDRR staff from the Office of Special Education and...

  4. 75 FR 33274 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-06-11

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... Assistant Secretary for Special Education and Rehabilitative Services may change the maximum amount through... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  5. 75 FR 39426 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-07-08

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... Assistant Secretary for Special Education and Rehabilitative Services may change the maximum amount through... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  6. Student and Faculty Perceptions of Service Quality: The Moderating Role of the Institutional Aspects

    Science.gov (United States)

    Duževic, Ines; Ceh Casni, Anita

    2015-01-01

    The purpose of this study was to explore key attributes of service quality in the Croatian higher education system. In particular, the study aims to compare student and faculty perceptions of service quality and to identify institutional aspects that may affect the perceptions of these two customers. Principal component analysis is used to define…

  7. Assessing Institutional Support for Service-Learning: A Case Study of Organizational Sensemaking

    Science.gov (United States)

    Chadwick, Scott A.; Pawlowski, Donna R.

    2007-01-01

    This paper provides an example of how institutional service-learning assessment data can be used to drive organizational change. Furco's (1999) self-assessment rubric for the institutionalization of service-learning in higher education is used in modified form as the instrument through which organizational-level assessments were made. The process…

  8. Student and Faculty Perceptions of Service Quality: The Moderating Role of the Institutional Aspects

    Science.gov (United States)

    Duževic, Ines; Ceh Casni, Anita

    2015-01-01

    The purpose of this study was to explore key attributes of service quality in the Croatian higher education system. In particular, the study aims to compare student and faculty perceptions of service quality and to identify institutional aspects that may affect the perceptions of these two customers. Principal component analysis is used to define…

  9. 75 FR 63516 - Institute of Museum and Library Services; Sunshine Act Meeting of the National Museum and Library...

    Science.gov (United States)

    2010-10-15

    ... ARTS AND THE HUMANITIES Institute of Museum and Library Services; Sunshine Act Meeting of the National Museum and Library Services Board AGENCY: Institute of Museum and Library Services (IMLS), NFAH. ACTION... Museum and Library Services Board. This notice also describes the function of the Board. Notice of...

  10. 75 FR 8139 - Institute of Museum and Library Services; Sunshine Act Meeting of the National Museum and Library...

    Science.gov (United States)

    2010-02-23

    ... ARTS AND THE HUMANITIES Institute of Museum and Library Services; Sunshine Act Meeting of the National Museum and Library Services Board AGENCY: Institute of Museum and Library Services (IMLS), NFAH. ACTION... Museum and Library Services Board. This notice also describes the function of the Board. Notice of...

  11. 75 FR 32818 - Institute of Museum and Library Services; Sunshine Act Meeting of the National Museum and Library...

    Science.gov (United States)

    2010-06-09

    ... ARTS AND THE HUMANITIES Institute of Museum and Library Services; Sunshine Act Meeting of the National Museum and Library Services Board AGENCY: Institute of Museum and Library Services (IMLS), NFAH. ACTION... Museum and Library Services Board. This notice also describes the function of the Board. Notice of...

  12. [Disinfectants in health service institutions and frequency of their use].

    Science.gov (United States)

    Kieć-Swierczyńska, M

    1995-01-01

    On the basis of information obtained from sanitary and epidemiological stations places all over the country and from hospitals of the Lodz region it was found that about 60 types of disinfectants are now under use in Poland. The most frequent ones are: lysoformine, chloramine, aldesan, virkon, hypochloride, septil R, cidex, lysol, denatured alcohol, secuspet, aerodesine 2000, desoform, iodoseptane. Some of them contain well known allergenic factors (glutaraldehyde, benzalkonium, hydroquinone, phenol). Bearing in mind an increasing incidence of occupational skin diseases among health service workers it is postulated to continue studies of allergenic properties of disinfectants.

  13. Institutional analysis of incentive schemes for ecosystem service provision - a comparative study across four European countries

    DEFF Research Database (Denmark)

    Prokofieva, Irina; Górriz, Elena; Boon, Tove Enggrob

    2014-01-01

    Incentive schemes and payments for ecosystem services attract increasing attention as a means for aligning the interests of landowners and society by remunerating forest owners for the goods and services their forests produce. As incentive schemes expand around the world, questions related...... and Italy. The analysed schemes are predominantly aimed at enhancing biodiversity and improving recreation. One of the schemes is also related to preserving a variety of forest ecosystem services from forest fires. The incentive schemes are studied following a framework for the institutional analysis of PES...... developed by Prokofieva and Gorriz (Prokofieva, I. and Gorriz, E. 2013: Institutional analysis of incentives for the provision of forest goods and services: an assessment of incentive schemes in Catalonia (North-East Spain), Forest Policy and Economics, 37, 104-114.). We focus on actor and institutional...

  14. Explaining inequity in the use of institutional delivery services in selected countries.

    Science.gov (United States)

    Do, Mai; Soelaeman, Rieza; Hotchkiss, David R

    2015-04-01

    Wealth-related disparities in the use of reproductive health services remain a substantial problem in many low- and middle-income countries. Very few studies have attempted to explain such inequalities through decomposition of the contributions made by various individual- and household-level factors. This study aims to: (1) assess the degree of wealth-related inequality and inequity in the use of institutional delivery services in selected low- and middle-income countries, and (2) to explain wealth-related inequity through decomposition by the contributions made by various components, including health insurance coverage. Data come from Demographic and Health Surveys in three countries: Ghana, Rwanda, and the Philippines. Concentration indices are used to calculate inequality and horizontal inequity in service utilization. Multivariate methods are used to decompose inequity. Findings indicate a moderate to high degree of inequity in institutional delivery service use in all study countries. The study provides some evidence of the contribution of health insurance to increased wealth-related inequity in the use of institutional delivery services, although having health insurance was also associated with increased utilization of services. Results suggest that increased health insurance coverage does not automatically translate to lower wealth-related inequity in service utilization. Inequities in service utilization exist if there are still inequities in the health insurance status. The study advocates for expanding health insurance coverage, particularly among the poor to reduce inequity in insurance coverage and increase service utilization.

  15. 事业单位会计信息失真的研究%Distortion of accounting information in the institution unit

    Institute of Scientific and Technical Information of China (English)

    孙慧颖

    2012-01-01

      事业单位会计工作可以定义为,反映事业单位的发展情况和提供公共产品、服务的成本效益情况,向社会提供事业单位的财务状况,向资金捐赠者履行受托责任的情况以及提供其他有用信息。从事业单位和事业单位会计的概念入手,深入探讨了目前我国事业单位会计信息失真的问题,提出了解决问题的方法和建议。%  Institution unit accounting work can be defined as,reflecting the institution's unit development situation and the provision of public goods,services are cost-effective,to provide social institutions unit of the financial situation,to perform the responsibilities of donor funds and provides other useful information.From the institution and institution unit accounting concept,discussed at present our country institution unit accounting information distortion problems,put forward the solution of the problem and proposal.

  16. Cloud-based hospital information system as a service for grassroots healthcare institutions.

    Science.gov (United States)

    Yao, Qin; Han, Xiong; Ma, Xi-Kun; Xue, Yi-Feng; Chen, Yi-Jun; Li, Jing-Song

    2014-09-01

    Grassroots healthcare institutions (GHIs) are the smallest administrative levels of medical institutions, where most patients access health services. The latest report from the National Bureau of Statistics of China showed that 96.04 % of 950,297 medical institutions in China were at the grassroots level in 2012, including county-level hospitals, township central hospitals, community health service centers, and rural clinics. In developing countries, these institutions are facing challenges involving a shortage of funds and talent, inconsistent medical standards, inefficient information sharing, and difficulties in management during the adoption of health information technologies (HIT). Because of the necessity and gravity for GHIs, our aim is to provide hospital information services for GHIs using Cloud computing technologies and service modes. In this medical scenario, the computing resources are pooled by means of a Cloud-based Virtual Desktop Infrastructure (VDI) to serve multiple GHIs, with different hospital information systems dynamically assigned and reassigned according to demand. This paper is concerned with establishing a Cloud-based Hospital Information Service Center to provide hospital information software as a service (HI-SaaS) with the aim of providing GHIs with an attractive and high-performance medical information service. Compared with individually establishing all hospital information systems, this approach is more cost-effective and affordable for GHIs and does not compromise HIT performance.

  17. The association between aging inmate housing management models and non-geriatric health services in state correctional institutions.

    Science.gov (United States)

    Thivierge-Rikard, R V; Thompson, Maxine S

    2007-01-01

    One of the current debates in the literature on aging inmates asks, what is the most efficient housing/health care model for this "special needs" population? State and federal correctional systems place elderly inmates either in specialized segregated housing units away from the general inmate population, consolidate elderly inmates in housing units within the prison, or provide a combination of both models. In general, proponents of the segregated housing model argue that aging inmates will receive specialized medical services in geriatric units. However, proponents of consolidated housing model argue that aging inmates will have the benefit of both geriatric and non-geriatric health services. This paper examines the association between the type of housing management model for aging inmates and the availability of non-geriatric physical and mental health services. Data for the analysis come from the 2000 Bureau of Justice Statistics Census of State and Federal Adult Correctional Facilities. The results suggest that institutions offering consolidated geriatric care provide more mental health services and that these effects are independent of the characteristics of prison facility.

  18. THE IMPACT OF BANKING SERVICES QUALITY ON CREDIT INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Dinculescu Elena-Silvia

    2011-09-01

    Full Text Available Taking into account the increasing competition between commercial Romanian banks, there is a real problem to come up with new clients or to preserve the old ones. Quality management banking perspective is extremely interesting, from the point of view of the activities specific, and of the permanent area competition imposement. Banks being aware of the quality problems also lead to the appearance and requirement of some area working standards. Standards imposing and issuing together with the performance measure system are to be the main elements of a quality programme. The general aim of this study is to offer a practical perspective on the quality of services in order to reinforce certain concepts such as: typology (technical quality versus functional quality, the dimensions and the evaluation of quality. By analyzing the dimensions of quality, the measurement modalities and their improvement, the present research offers instruments for understanding the significance of this „irreproachable service”.

  19. Service quality and corporate social responsibility, influence on post-purchase intentions of sheltered employment institutions.

    Science.gov (United States)

    Chen, Chao-Chien; Lin, Shih-Yen; Cheng, Chia-Hsin; Tsai, Chia-Ching

    2012-01-01

    The main purpose of this study is to investigate the impact of service quality and corporate social responsibility (CSR) on customer satisfaction, and customer satisfaction toward post-purchase intentions from sheltered employment institutions. Work experience plays an important role in career development for those people with intellectual disabilities. When they are not yet capable of obtaining a job in the open market, they must receive job training and daily care in sheltered employment institutions. If the sheltered employment institutions cannot operate properly, they will greatly affect intellectual disabilities. From the study of "Children Are Us Bakeries and Restaurants" sheltered employment institutions are one kind of food service business that has been found to request and improve service quality and execution of CSR. These are two main factors which can enhance brand value and create a good reputation for sheltered employment institutions. The questionnaire results indicate that perceived service quality has a positive relationship with customer satisfaction and the reliability dimension is the most important factor for customers to assess service quality. Meanwhile, correlation analysis shows that customer satisfaction regarding service quality influences post-purchase intentions, indicating that friendly and helpful employees can please customers and enhance their satisfaction level and also induce positive post-purchase intentions of consumers. Regarding the CSR of "Children Are Us Bakeries and Restaurants" sheltered employment institutions, the analysis reveals a statistical significance: the greater customer satisfaction of CSR, the higher the post-purchase intention. In addition, in the work, paired-sample t test analysis reveals there is a significant difference (pvalue of sheltered employment institutions establishments should be recognized by all should receive continued support and there should be a willingness to hire these intellectually

  20. The high throughput biomedicine unit at the institute for molecular medicine Finland: high throughput screening meets precision medicine.

    Science.gov (United States)

    Pietiainen, Vilja; Saarela, Jani; von Schantz, Carina; Turunen, Laura; Ostling, Paivi; Wennerberg, Krister

    2014-05-01

    The High Throughput Biomedicine (HTB) unit at the Institute for Molecular Medicine Finland FIMM was established in 2010 to serve as a national and international academic screening unit providing access to state of the art instrumentation for chemical and RNAi-based high throughput screening. The initial focus of the unit was multiwell plate based chemical screening and high content microarray-based siRNA screening. However, over the first four years of operation, the unit has moved to a more flexible service platform where both chemical and siRNA screening is performed at different scales primarily in multiwell plate-based assays with a wide range of readout possibilities with a focus on ultraminiaturization to allow for affordable screening for the academic users. In addition to high throughput screening, the equipment of the unit is also used to support miniaturized, multiplexed and high throughput applications for other types of research such as genomics, sequencing and biobanking operations. Importantly, with the translational research goals at FIMM, an increasing part of the operations at the HTB unit is being focused on high throughput systems biological platforms for functional profiling of patient cells in personalized and precision medicine projects.

  1. A Study on Universal Service in Vietnam from an Institutional Perspective

    DEFF Research Database (Denmark)

    Do Manh, Thai; Falch, Morten; Williams, Idongesit

    2016-01-01

    Applying the institutional theory to examine the universal services policy in Vietnam, the paper looked at the institutional factors influencing the formulation and deployment of “the Program on provision of universal service till 2010”. The formulation of universal services policy in Vietnam...... was remarkably affected by directives of the Communist Party of Vietnam as well as the international commitments that Vietnam participated in. It is of a different feature compared to other countries. Furthermore, the implementation of this Program revealed the loose co-operations between central government...... services, and households could get the same subsidies from two or three operators. The outcome of this paper recommends that the central government should emphasize the role of DICs and encourage them to be more involved in the formulation and implementation of universal services policy....

  2. An Overview of Research Infrastructure for Medieval Studies in the United States: Associations, Institutes, and Universities

    Directory of Open Access Journals (Sweden)

    Zan Kocher

    2011-11-01

    Full Text Available This overview of research infrastructure in the United States brieflymentions some institutes, universities, associations, conferences,sources of funding, types of courses, research databases, academicjournals and book publishers. It intends to make American medievalistresources better accessible to colleagues from other countries, and toencourage those who wish to study in the United States and those whoare using the Internet to seek printed or digital materials for theirteaching or research.

  3. Nature as capital: Advancing and incorporating ecosystem services in United States federal policies and programs.

    Science.gov (United States)

    Schaefer, Mark; Goldman, Erica; Bartuska, Ann M; Sutton-Grier, Ariana; Lubchenco, Jane

    2015-06-16

    The concept of nature as capital is gaining visibility in policies and practices in both the public and private sectors. This change is due to an improved ability to assess and value ecosystem services, as well as to a growing recognition of the potential of an ecosystem services approach to make tradeoffs in decision making more transparent, inform efficient use of resources, enhance resilience and sustainability, and avoid unintended negative consequences of policy actions. Globally, governments, financial institutions, and corporations have begun to incorporate natural capital accounting in their policies and practices. In the United States, universities, nongovernmental organizations, and federal agencies are actively collaborating to develop and apply ecosystem services concepts to further national environmental and economic objectives. Numerous federal agencies have begun incorporating these concepts into land use planning, water resources management, and preparations for, and responses to, climate change. Going forward, well-defined policy direction will be necessary to institutionalize ecosystem services approaches in federal agencies, as well as to guide intersector and interdisciplinary collaborative research and development efforts. In addition, a new generation of decision support tools are needed to further the practical application of ecosystem services principles in policymaking and commercial activities. Improved performance metrics are needed, as are mechanisms to monitor the status of ecosystem services and assess the environmental and economic impacts of policies and programs. A greater national and international financial commitment to advancing ecosystem services and natural capital accounting would likely have broad, long-term economic and environmental benefits.

  4. Clinical research and service centre: an institutional profile and programmes.

    Science.gov (United States)

    Salam, M A

    1997-09-01

    The International Center for Diarrheal Disease Research, Bangladesh's (ICDDR,B) Clinical Research and Service Center (CRSC) provides free treatment to diarrheal patients; provides preventive health care to children and mothers; conducts clinical research upon diarrheal diseases and related aspects of nutrition; and provides training to health care providers in managing diarrheal diseases and conducting clinical and operations research. 930,860 patients were treated at CRSC during 1987-96 and more than 110,000 patients are now being treated annually at the facility. While most CRSC patients come from Dhaka city and its suburbs, some also come from remote corners of the country. About 60% of the center's patients are children under age 5 years and most patients are socioeconomically disadvantaged. For example, almost half of patients' mothers have no formal education. The CRSC, commonly known as the Cholera Hospital, is unique in that about 94% of its patients are mainly cared for by trained nurses either in the Oral Rehydration Triage or Short Stay Ward of the hospital. About 40% of patients are discharged within 1-2 hours and 60% within 12 hours. Approximately 80% of the children attending the CRSC are malnourished. Mothers are taught how to improve the nutritional status of their children, simple ways to generate income for the family, and the merits of breast feeding.

  5. Cooperation between parents and professional services during child's staying in institutional care

    OpenAIRE

    Kramar, Tjaša

    2014-01-01

    In this thesis I focus on the experience of cooperation between parents, Centre for Social Work and the residential treatment institution during a child’s stay in residential care. In the theoretical part of the thesis I present characteristics and vulnerability of those families where the majority of the youth placed in residential care come from. Later on, I explain the role of involved professional services and their methods of work with family before, during and in the time of institution...

  6. A comparative study of institutional frameworks for local public service partnerships in Finland and Scotland

    OpenAIRE

    Karlsson, Paula Sonja; Valkama, Pekka; Asenova, Darinka

    2015-01-01

    This research presents a cross-national comparative review of the institutional arrangements for how local public service partnerships are regulated and governed in Finland and Scotland.Both legal and administrative differences of partnership policies are analysed in order to explain the nature of the incentives and obligations for local governments to collaborate with external partners. Institutional theory and conceptual partnership approaches are utilised in the analysis. The Scottish inst...

  7. United States Army Research Institute of Environmental Medicine: Warfighter Research Focusing on the Past 25 Years

    Science.gov (United States)

    Pandolf, Kent B.; Francesconi, Ralph; Sawka, Michael N.; Cymerman, Allen; Hoyt, Reed W.; Young, Andrew J.; Zambraski, Edward J.

    2011-01-01

    The United States Army Research Institute of Environmental Medicine (USARIEM) celebrated its 50th anniversary on July 1, 2011. This article reviews its history, evolution, and transition of its research programs as well as its scientific and military accomplishments, emphasizing the past 25 yr. During the 1990s, USARIEM published a series of…

  8. Enrollments in Languages Other than English in United States Institutions of Higher Education, Fall 2006

    Science.gov (United States)

    Furman, Nelly; Goldberg, David; Lusin, Natalia

    2007-01-01

    With the continuous support of grants from the Department of Education, the Modern Language Association (MLA) has since 1958 gathered and analyzed information on enrollments in languages other than English as reported to them by United States institutions of higher education. This latest and twenty-first survey examines trends in enrollments for…

  9. The Role of an Academic Development Unit in Supporting Institutional VET Learning and Teaching Change Management

    Science.gov (United States)

    Fotinatos, Nina

    2016-01-01

    The aim of this paper is to examine the role and impact of a central academic development unit (ADU) within an institutional strategic and operational change management project. The primary goal of this project was to improve vocational education and training (VET) learning and teaching practice in an Australian dual-sector regional university.…

  10. Water safety and spatial development: An institutional comparison between the United Kingdom and the Netherlands

    NARCIS (Netherlands)

    van den Hurk, M.; Mastenbroek, E.; Meijerink, S.

    2015-01-01

    The Netherlands and the United Kingdom are known for their different traditions of river flood risk management, which is reflected in their respective institutional frameworks. Whereas the Dutch have focused almost exclusively on reducing the probability of flooding by defining high safety standards

  11. Dual Embeddedness: Informal Job Matching and Labor Market Institutions in the United States and Germany

    Science.gov (United States)

    McDonald, Steve; Benton, Richard A.; Warner, David F.

    2012-01-01

    Drawing on the embeddedness, varieties of capitalism and macrosociological life course perspectives, we examine how institutional arrangements affect network-based job finding behaviors in the United States and Germany. Analysis of cross-national survey data reveals that informal job matching is highly clustered among specific types of individuals…

  12. Customer Satisfaction Survey With Clinical Laboratory and Phlebotomy Services at a Tertiary Care Unit Level

    National Research Council Canada - National Science Library

    Koh, Young Rae; Kim, Shine Young; Kim, In Suk; Chang, Chulhun L; Lee, Eun Yup; Son, Han Chul; Kim, Hyung Hoi

    2014-01-01

    We performed customer satisfaction surveys for physicians and nurses regarding clinical laboratory services, and for outpatients who used phlebotomy services at a tertiary care unit level to evaluate...

  13. Investigating the social relations of human service provision: Institutional ethnography and activism

    Directory of Open Access Journals (Sweden)

    Naomi Nichols

    2016-04-01

    Full Text Available In this article, I reflect on my experiences using institutional ethnography to support socially just policy, practice and organizational change. I focus specifically on three inter-related institutional ethnographic research projects that have informed my approach to working with social workers, shelter workers, lawyers, policy analysts, community organizers, teachers, probation officers and youth to create change. Although strategic collaborations to change institutional practices and knowledge are rife with tensions, I show how institutional ethnography can be used reflexively throughout the collaborative process to create conditions for critical consciousness-raising among participants; inspire reflection and action on the part of human service professionals and inform collective efforts to create systemic change, as well as to guide the research process itself. I conclude by suggesting that institutional ethnographers seeking to influence socially just change need to find ways to balance the demands of academic writing, while being true to the activist origins of this sociological approach.

  14. [Mechanization of the work of the personnel of the sterilization service of therapeutic-preventive institutions].

    Science.gov (United States)

    Rabin'kiĭ, B Ia

    1978-01-01

    The presently functioning service of central sterilization departments at medical institutions has presented itself in a good light. The home industry already puts out the necessary basic facilities and is putting into production the ancillary ones to equip them. Further development of the sterilization service centralization follows the way of setting up sterilization centres organized on the principle of highly mechanized and automated industrial enterprises.

  15. Social, institutional, and knowledge mechanisms mediate diverse ecosystem service benefits from coral reefs.

    Science.gov (United States)

    Hicks, Christina C; Cinner, Joshua E

    2014-12-16

    Ecosystem services are supplied by nature but, by definition, are received by people. Ecosystem service assessments, intended to influence the decisions people make regarding their interactions with nature, need to understand how people benefit from different ecosystem services. A critical question is therefore, What determines the distribution of ecosystem service benefits between different sections of society? Here, we use an entitlements approach to examine how people perceive ecosystem service benefits across 28 coral reef fishing communities in four countries. In doing so, we quantitatively show that bundles of benefits are mediated by key access mechanisms (e.g., rights-based, economic, knowledge, social, and institutional). We find that specific access mechanisms influence which ecosystem services people prioritize. Social, institutional, and knowledge mechanisms are associated with the largest number and diversity of benefits. However, local context strongly determines whether specific access mechanisms enable or constrain benefits. Local ecological knowledge enabled people to prioritize a habitat benefit in Kenya, but constrained people from prioritizing the same benefit in Madagascar. Ecosystem service assessments, and their resultant policies, need to include the broad suite of access mechanisms that enable different people to benefit from a supply of ecosystem services.

  16. The prospects for health services in the United States.

    Science.gov (United States)

    Freidson, E

    1978-12-01

    The enormous variety of diagnoses and prescriptions for dealing with the health care crisis in the United States can be simplified and clarified by reference to four logically distinct models of methods for organizing the production of health services. The assumptions of the free market model, the bureaucratic planning model, the professional model and the cooperative equalitarian model are described, as are the characteristic pathologies connected with the form those models take in reality. The intrinsically expansionist character of the manufacturing, service and consumer segments of the U.S. health system is described and the suggestion made that legislative attempts to contain costs will lead to increased bureaucratization primarily at the expense of the consumer.

  17. Assessment of CEPH accredited institutions offering Public Health programs in the United States: A Short Report

    Directory of Open Access Journals (Sweden)

    Ashish eJoshi

    2016-01-01

    Full Text Available Aims: Examine the distribution of the CEPH accredited institutions offering public health educational programs in the United States, and characterize their various attributes.Methods: A search was conducted during the period of June 2014, using the Association of Schools and Programs of Public Health database (ASPPH, and individual university websites to obtain a complete list of CEPH accredited institutions offering programs in Public Health at the Certificate, Masters, and Doctoral levels in the United States. Detailed information were abstracted from the various programs offerings including: school/program information, school type, geographic location, admission cycle, education delivery format, public health concentration, number of credits, presence of a global component, joint programs and tuition. The data was analyzed in August 2014. Results: A total of 85 CEPH accredited institutions designated as either Schools of Public Health, or individual Programs of Public Health were present in the ASPPH database at the time of this data collection (2014. These institutions offer programs in public health at the Certificate (61%, n=52, Masters (100%, n=85 and Doctoral (44%, n=37 levels in the US. More than half of the programs offered were provided by schools of public health (58%, N=49, which were mostly public universities (75%, n=64, concentrated in the Northeast (22%, n=19 and mainly admitted students during the fall semester. Ninety three concentrations of Public Health currently exist, of which 25 concentrations are predominant. Conclusion: To the best of our knowledge, this is the first study which examines the distribution of existing CEPH accredited Public Health educational programs offered by US institutions. We suggest future areas of research to assess existing Public Health workforce demands, and map them to the curriculums and competencies provided by institutions offering Public Health educational programs in the United States

  18. The Efficacies of Secretarial Profession by Ghana Education Service and Higher Education Institutions

    Science.gov (United States)

    Adam, Abdul-Kahar

    2015-01-01

    This project is carried out by employing an empirical method through questionnaire design and administration and tapped the perceptions and knowledge of the target elements of this study. The research frame was about Ghana Education Service office workers within the Accra Metropolis including higher education institutions. A qualitative data…

  19. Early Onset Ageing and Service Preparation in People with Intellectual Disabilities: Institutional Managers' Perspective

    Science.gov (United States)

    Lin, Jin-Ding; Wu, Chia-Ling; Lin, Pei-Ying; Lin, Lan-Ping; Chu, Cordia M.

    2011-01-01

    Although longevity among older adults with intellectual disabilities is increasing, there is limited information on their premature aging related health characteristics and how it may change with increasing age. The present paper provides information of the institutional manager's perception on early onset aging and service preparation for this…

  20. Collaboration and Interconnectivity: Nottinghamshire Fire and Rescue Services and Higher Education Institutions in Nottingham

    Science.gov (United States)

    Murphy, Peter; Greenhalgh, Kirsten; Parkin, Craig

    2013-01-01

    This article will describe the developing relationship between Nottinghamshire Fire and Rescue Services and the two higher education institutions in Nottingham. It will chronicle how a very traditional relationship has been transformed, initially by a simple consultancy project, into a much closer working relationship characterised by a much…

  1. Support Services at Spanish and U.S. Institutions: A Driver for International Student Satisfaction

    Science.gov (United States)

    Perez-Encinas, Adriana; Ammigan, Ravichandran

    2016-01-01

    Many institutions of higher education are promoting campus internationalization as a core principle through international student mobility and, as a result, have expanded rapidly in enrollment. To effectively serve this growing population, many campuses have had to strengthen their student support services. However, while many have well-developed…

  2. Institutional dimensions of veterinary services reforms: responses to structural adjustment in Northern Ghana

    NARCIS (Netherlands)

    Amankwah, K.; Klerkx, L.W.A.; Sakyi-Dawson, O.; Karbo, N.; Oosting, S.J.; Leeuwis, C.; Zijpp, van der A.J.

    2014-01-01

    This study examines the effect of the post-1980s' structural adjustment reforms on the delivery and smallholders' use of veterinary services in two districts in Northern Ghana. Our analytical framework distinguishes between allocative, cognitive, and normative institutions to analyse the effects on

  3. New Media Institute – Personal Public Service Announcement Project

    Centers for Disease Control (CDC) Podcasts

    2009-05-15

    In this podcast, Erin Edgerton, CDC, and Scott Shamp, New Media Institute, University of Georgia, discuss new media and the personal public service announcement project.  Created: 5/15/2009 by National Center for Health Marketing (NCHM), Division of eHealth Marketing (DeHM).   Date Released: 2/10/2010.

  4. 75 FR 34990 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

    Science.gov (United States)

    2010-06-21

    ... Office of Special Education and Rehabilitative Services Overview Information; National Institute on... exceeding $850,000 for a single budget period of 12 months. The Assistant Secretary for Special Education... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  5. 76 FR 780 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

    Science.gov (United States)

    2011-01-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services Overview Information; National Institute on... exceeding $800,000 for a single budget period of 12 months. The Assistant Secretary for Special Education...

  6. 75 FR 33277 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-06-11

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... exceeding $400,000 for a single budget period of 12 months. The Assistant Secretary for Special Education... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  7. 75 FR 39782 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-07-12

    ... Office of Special Education and Rehabilitative Services; Overview Information; National Institute on... exceeding $650,000 for a single budget period of 12 months. The Assistant Secretary for Special Education... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  8. 77 FR 25861 - Establishing Principles of Excellence for Educational Institutions Serving Service Members...

    Science.gov (United States)

    2012-05-02

    ... enrollment, provide prospective students who are eligible to receive Federal military and veterans... educational institutions; (b) inform students who are eligible to receive Federal military and veterans... access to disability counseling) to assist service member and veteran students and their families with...

  9. Perceptions of Disability-Services Administrators about Assistive Technology at Postsecondary Institutions

    Science.gov (United States)

    Davis, Jeffrey S.

    2012-01-01

    The purpose of this study was to investigate the manifestation of assistive technology at postsecondary institutions from the perspectives of disability-services administrators, through their personal experiences. Exploration of assistive-technology-related experiences presents the potential to improve understanding of the operation of this vital…

  10. Service Quality and Corporate Social Responsibility, Influence on Post-Purchase Intentions of Sheltered Employment Institutions

    Science.gov (United States)

    Chen, Chao-Chien; Lin, Shih-Yen; Cheng, Chia-Hsin; Tsai, Chia-Ching

    2012-01-01

    The main purpose of this study is to investigate the impact of service quality and corporate social responsibility (CSR) on customer satisfaction, and customer satisfaction toward post-purchase intentions from sheltered employment institutions. Work experience plays an important role in career development for those people with intellectual…

  11. Service Quality and Corporate Social Responsibility, Influence on Post-Purchase Intentions of Sheltered Employment Institutions

    Science.gov (United States)

    Chen, Chao-Chien; Lin, Shih-Yen; Cheng, Chia-Hsin; Tsai, Chia-Ching

    2012-01-01

    The main purpose of this study is to investigate the impact of service quality and corporate social responsibility (CSR) on customer satisfaction, and customer satisfaction toward post-purchase intentions from sheltered employment institutions. Work experience plays an important role in career development for those people with intellectual…

  12. Marketing Informal Education Institutions in Israel: The Centrality of Customers' Active Involvement in Service Development

    Science.gov (United States)

    Oplatka, Izhar

    2004-01-01

    The current paper outlines a unique marketing perspective that prevails in some informal education institutions in Israel parallel with "traditional modes of marketing", such as promotion, public relations and the like. Based on a case study research in five community centres, a service development based on active participation of the…

  13. The Quality of Educational Services- Institutional Case Study From the Romanian Higher Education

    Directory of Open Access Journals (Sweden)

    Luminiţa NICOLESCU

    2010-02-01

    Full Text Available The present paper approaches the topic of the quality of educational services, emphasizing on higher education, as a field of services of large public interest that has high influences at individual, group and society level. The paper starts by looking at the influencing factors for the quality of higher education from the perspective of the regulations and practices at both European and national level. In this context, the internal evaluation of quality at institutional level is a new requirement for higher education institutions in Romania. Part of the evaluation process is represented by the requirement to develop informational data bases. The paper exemplifies the results that can be obtained by monitoring quality and collecting information, and concludes with a set of recommendations for managing quality at institutional level.

  14. 31 CFR Appendix C to Subpart C of... - United States Customs Service

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false United States Customs Service C... Customs Service 1. In general. This appendix applies to the United States Customs Service. It sets forth... records and accounting of disclosures. (a) For records which are maintained at the United States...

  15. Institutional analysis of incentive schemes for ecosystem service provision - a comparative study across four European countries

    DEFF Research Database (Denmark)

    Prokofieva, Irina; Górriz, Elena; Boon, Tove Enggrob;

    2014-01-01

    Incentive schemes and payments for ecosystem services attract increasing attention as a means for aligning the interests of landowners and society by remunerating forest owners for the goods and services their forests produce. As incentive schemes expand around the world, questions related...... and Italy. The analysed schemes are predominantly aimed at enhancing biodiversity and improving recreation. One of the schemes is also related to preserving a variety of forest ecosystem services from forest fires. The incentive schemes are studied following a framework for the institutional analysis of PES...

  16. 75 FR 20388 - International Business Machines Corporation, Global Technology Services Business Unit, Integrated...

    Science.gov (United States)

    2010-04-19

    ... Employment and Training Administration International Business Machines Corporation, Global Technology Services Business Unit, Integrated Technology Services, Cost and Expense Team, Working From Various States..., applicable to workers of International Business Machines Corporation, Global Technology Services...

  17. THE ROLE OF THE EUROPEAN EXTERNAL ACTION SERVICE IN THE EU’S INSTITUTIONAL SYSTEM

    Directory of Open Access Journals (Sweden)

    DAN VATAMAN

    2012-05-01

    Full Text Available European External Action Service (EEAS is a new institution of the European Union, whose foundation was laid by the Treaty of Lisbon with the role to support the High Representative of the Union for Foreign Affairs and Security Policy in fulfilling his mandate and, also to assist the President of the European Council, European Commission, President and other Commissioners to exercise their powers in international relations. Since the establishment of the European External Action Service (EEAS is relatively recent, this article tries to highlight the crucial role of the European External Action Service (EEAS in the European Union's institutional system and its contribution to strengthening the coherence and increasing impact and visibility of European Union action at international level and thus the one of the Member States.

  18. Construction of Rural Grass-roots Water Conservancy Service System in the Context of Institutional Changes

    Institute of Scientific and Technical Information of China (English)

    Ning WANG

    2015-01-01

    At present,it is urgent to solve problems of reforming and improving grass-roots water conservancy management mode in rural areas and improving rural water conservancy public service ability. Through analyzing institutional changes of grass-roots water conservancy management in rural areas,this paper discussed current situations and outstanding problems in grass-roots water conservancy services in rural areas of Kunming City. On the basis of current situations and problems,it came up with policy recommendations from reform of management institutions,reform of personnel system,construction of human resources,development of rural water use cooperation organizations,and improvement of fund input mechanism,to build rural grass-roots water conservancy service system.

  19. Is an "ideal" service institution image the same for all referral sources? The case of chemical dependency treatment programs.

    Science.gov (United States)

    Johnson, K; LaTour, M S

    1993-01-01

    In a competitive market like chemical dependency treatment, segmenting the professional referral market according to an "ideal" service image may offer a service institution a strategic advantage. Results of this study suggest that while different professionals in a referral market may attach differential importance to the same service feature, a favorable or unfavorable "image" seems to encompass how well both the professional and the professionals' client are treated by the service institution.

  20. National and Institutional Policies on Open Access in the United States

    Institute of Scientific and Technical Information of China (English)

    Marta Mestrovic Deyrup; Martha Fallahay Loesch

    2005-01-01

    National and institutional policies on open access are not yet fully established in the United States because of the manner in which the open access movement has evolved. In this report, the authors illustrate how the open access movement has evolved within each community libraries, universities, publishing companies, government agencies, the professoriate, public interest groups, and the U.S. Congress--and note what trends now are beginning to emerge.

  1. Factors associated with the utilization of institutional delivery services in Bangladesh.

    Science.gov (United States)

    Yaya, Sanni; Bishwajit, Ghose; Ekholuenetale, Michael

    2017-01-01

    Bangladesh has made remarkable progress towards reducing its maternal mortality rate (MMR) over the last two decades and is one of the few countries on track to achieving the MMR-related Millennium Development Goals (MDG-5A). However, the provision of universal access to reproductive healthcare (MDG-5B) and the utilization of maternal healthcare services (MHS) such as institutional delivery, which are crucial to the reduction of maternal mortality, are far behind the internationally agreed-upon target. Effective policymaking to promote the utilization of MHS can be greatly facilitated by the identification of the factors that hinder service uptake. In this study, we therefore aim to measure the prevalence of institutional delivery services and explore the factors associated with their utilization in Bangladesh. Data for this study were extracted from the 2011 Bangladesh Demographic and Health Survey (BDHS, 2011); participants were 7,313 women between the ages of 15 and 49 years, selected from both urban and rural households. Data were analyzed using Chi-square analysis, and conditional logistic regression. According to the findings, fewer than one in three women reported delivering at a health facility. The multivariable regression analysis showed that participants from rural areas were 46.9% less likely to have institutional deliveries compared to urban dwellers (OR = 0.531; pservice utilization compared to those aged 15 to 29 years (OR = 1.236; p = 0.006; 95%CI: 1.062-1.437). Moreover, participants with higher educational attainment were about twice as likely to deliver at a standard health facility when compared to those without formal education (OR = 2.081; pservice utilization of institutional delivery facilities compared to those without formal education (OR = 1.709; pservice use, with participants belonging to the highest economic stratum being more likely to receive skilled care compared to the lowest economic stratum (OR = 2.507; pservice utilization

  2. Node status algorithm for load balancing in distributed service architectures at paperless medical institutions.

    Science.gov (United States)

    Logeswaran, Rajasvaran; Chen, Li-Choo

    2008-12-01

    Service architectures are necessary for providing value-added services in telecommunications networks, including those in medical institutions. Separation of service logic and control from the actual call switching is the main idea of these service architectures, examples include Intelligent Network (IN), Telecommunications Information Network Architectures (TINA), and Open Service Access (OSA). In the Distributed Service Architectures (DSA), instances of the same object type can be placed on different physical nodes. Hence, the network performance can be enhanced by introducing load balancing algorithms to efficiently distribute the traffic between object instances, such that the overall throughput and network performance can be optimised. In this paper, we propose a new load balancing algorithm called "Node Status Algorithm" for DSA infrastructure applicable to electronic-based medical institutions. The simulation results illustrate that this proposed algorithm is able to outperform the benchmark load balancing algorithms-Random Algorithm and Shortest Queue Algorithm, especially under medium and heavily loaded network conditions, which are typical of the increasing bandwidth utilization and processing requirements at paperless hospitals and in the telemedicine environment.

  3. Institutional Development to Build a Succesfull Local Collective Action in Forest Management from Arau Watershed Unit

    Directory of Open Access Journals (Sweden)

    Nursidah Nursidah

    2012-04-01

    Full Text Available The study was aimed to build institution model of sustainable forest management, through analysis of action arena, community attributes and forest management rules in Arau Watershed Unit Management Area.  To achieve sustainable forest management, recognition and incorporation of local institutions in forest policy formulation is very important because it had great potential for collective action and had characteristics of common pools resources sustainable management needed.  To achieve a successful local collective action, the institution must be had: the rules in use suitable with local community norms; the organization has power to give reward and punishment as well as recognized and respected by society; specific management according location; rules of the game was made participatory; there are economic incentives for owners and users; there is an instrument for controlling sustainable use; and conflict resolution through negotiations to reach an concencus agreement.  The finding of institutional models  analysis  show  that  co-management  model  between government and local communities, called Nagari Forest Management Model is more suitable, because it gives greater opportunities for indigenous rights recognition to communal forest, until the capacity of villages get better, then the choice of forest management can be shifted into Nagari Community Based Forest Management Model.Keywords: sustainable forest management, institution, collective action, nagari

  4. Factors associated with the utilization of institutional delivery services in Bangladesh

    Science.gov (United States)

    Bishwajit, Ghose; Ekholuenetale, Michael

    2017-01-01

    Introduction Bangladesh has made remarkable progress towards reducing its maternal mortality rate (MMR) over the last two decades and is one of the few countries on track to achieving the MMR-related Millennium Development Goals (MDG-5A). However, the provision of universal access to reproductive healthcare (MDG-5B) and the utilization of maternal healthcare services (MHS) such as institutional delivery, which are crucial to the reduction of maternal mortality, are far behind the internationally agreed-upon target. Effective policymaking to promote the utilization of MHS can be greatly facilitated by the identification of the factors that hinder service uptake. In this study, we therefore aim to measure the prevalence of institutional delivery services and explore the factors associated with their utilization in Bangladesh. Methods Data for this study were extracted from the 2011 Bangladesh Demographic and Health Survey (BDHS, 2011); participants were 7,313 women between the ages of 15 and 49 years, selected from both urban and rural households. Data were analyzed using Chi-square analysis, and conditional logistic regression. Results According to the findings, fewer than one in three women reported delivering at a health facility. The multivariable regression analysis showed that participants from rural areas were 46.9% less likely to have institutional deliveries compared to urban dwellers (OR = 0.531; pBangladesh could be aided by investments into education, poverty reduction and the strengthening of reproductive healthcare services through community clinics, with particular focus on rural areas. PMID:28192478

  5. Institutional development of the sphere of physical culture and recreational services

    Directory of Open Access Journals (Sweden)

    Skopin Oleg Viktorovich

    2012-04-01

    Full Text Available In this article the author reveals the essence of the institutional approach as an approach to the study of the economic system, which focuses on the role of social, political and economic institutions. Featuring a particular sphere of sport and recreation services, the authors note the complexity of the processes of institutionalization, linking this to the fact that the industry of Physical Education and Sport recently moved from the state into a market economy, therefore, fundamental research in this area is not enough.

  6. Who wants to deliver public service? Do institutional antecedents of public service motivation provide an answer?

    NARCIS (Netherlands)

    Vandenabeele, W.V.

    2011-01-01

    Public service motivation has rapidly become one of the important concepts in contemporary public administration research. However, until now, research has mainly focused on its measurement and its consequences, whereas relatively ignoring its origins. This study investigates where the antecedents o

  7. Participation of Primary School Pupils Who Stay at Institution of Social Services and Child Protection Dormitories in Social Science Lessons

    Science.gov (United States)

    Guven, Sibel; Sahin Taskin, Cigdem

    2008-01-01

    This research aims to understand to what extent primary school pupils who stay at the Institution of Social Services and Child Protection dormitories participate in social science lessons. Data were obtained from pupils staying at the Institution of Social Services and Child Protection dormitories and attending primary schools in Istanbul and…

  8. 75 FR 5849 - Financial Management Service; Proposed Collection of Information: Claim Against the United States...

    Science.gov (United States)

    2010-02-04

    ... Fiscal Service Financial Management Service; Proposed Collection of Information: Claim Against the United States for the Proceeds of a Government Check AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and Request for comments. SUMMARY: The Financial Management Service, as part of...

  9. Acute care clinical pharmacy practice: unit- versus service-based models.

    Science.gov (United States)

    Haas, Curtis E; Eckel, Stephen; Arif, Sally; Beringer, Paul M; Blake, Elizabeth W; Lardieri, Allison B; Lobo, Bob L; Mercer, Jessica M; Moye, Pamela; Orlando, Patricia L; Wargo, Kurt

    2012-02-01

    This commentary from the 2010 Task Force on Acute Care Practice Model of the American College of Clinical Pharmacy was developed to compare and contrast the "unit-based" and "service-based" orientation of the clinical pharmacist within an acute care pharmacy practice model and to offer an informed opinion concerning which should be preferred. The clinical pharmacy practice model must facilitate patient-centered care and therefore must position the pharmacist to be an active member of the interprofessional team focused on providing high-quality pharmaceutical care to the patient. Although both models may have advantages and disadvantages, the most important distinction pertains to the patient care role of the clinical pharmacist. The unit-based pharmacist is often in a position of reacting to an established order or decision and frequently is focused on task-oriented clinical services. By definition, the service-based clinical pharmacist functions as a member of the interprofessional team. As a team member, the pharmacist proactively contributes to the decision-making process and the development of patient-centered care plans. The service-based orientation of the pharmacist is consistent with both the practice vision embraced by ACCP and its definition of clinical pharmacy. The task force strongly recommends that institutions pursue a service-based pharmacy practice model to optimally deploy their clinical pharmacists. Those who elect to adopt this recommendation will face challenges in overcoming several resource, technologic, regulatory, and accreditation barriers. However, such challenges must be confronted if clinical pharmacists are to contribute fully to achieving optimal patient outcomes.

  10. State-owned Enterprises as Institutional Market Actors in the Marketization of Public Service Provision

    DEFF Research Database (Denmark)

    Tolstrup Christensen, Lene

    This doctoral thesis (PhD) explores from a public governance perspective the role of stateowned enterprises (SOEs) in an era of marketization of public service provision and thus contributes to the renewed academic interest in contemporary SOEs. It builds on an explorative comparative case study...... of DSB SOV and SJ AB in the marketization of passenger rail in Denmark and Sweden respectively from the 1990s to 2015. In the period both cases kept full state ownership and Sweden gradually exposed all services to competition whereas in Denmark with time competition was put on hold. The case study...... as an institutional market actor (IMA)....

  11. Data-Intensive Cloud Service Provision for Research Institutes: the Network Connectivity Problem

    CERN Document Server

    Cass, Tony; CERN. Geneva. IT Department

    2016-01-01

    Much effort (and money) has been invested in recent years to ensure that academic and research sites are well interconnected with high-capacity networks that, in most cases, span national and continental boundaries. However, these dedicated research and education networks, whether national (NRENs) or trans-continental (RENs), frequently have Acceptable Use Policies (AUPs) that restrict their use by commercial entities, notably Cloud Service Providers (CSPs). After a brief summary of the issues involved, we describe three approaches to removing the network connectivity barrier that threatens to limit the ability of academic and research institutions to profit effectively from services offered by CSPs.

  12. A legal institutional perspective on the European Union External Action Service

    DEFF Research Database (Denmark)

    Van Vooren, Bart

    2010-01-01

    It is beyond doubt that setting up the European External Action Service will have a deep impact on EU external policy making. Both in legal and policy terms, this new player thoroughly changes the institutional balance in EU external relations. The goal of this paper is to examine the legal side...... of that coin, by exploring the legal and institutional nature and position of the EEAS in the EU’s external relations machinery. To that end, it queries the meaning of the EEAS’ sui generis status in the EU institutional set-up: what does it mean to say that the EEAS is ‘functionally autonomous’ from...... the Council and Commission? What are the implications of its absence of legal personality? What are its formal powers – if any, and could the EEAS be subject or object of Court proceedings? Against the backdrop of seeking answers to these questions, the paper then queries to which extent the legal choices...

  13. 78 FR 12369 - United States Government Policy for Institutional Oversight of Life Sciences Dual Use Research of...

    Science.gov (United States)

    2013-02-22

    ... Public comments are sought on the entirety of the proposed United States Government Policy for... TECHNOLOGY POLICY United States Government Policy for Institutional Oversight of Life Sciences Dual Use... responsible conduct and communication of such research. The proposed Policy herein, United States...

  14. 10 CFR 455.141 - Grant awards for units of local government, public care institutions, and coordinating agencies.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Grant awards for units of local government, public care... CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS Grant Awards § 455.141 Grant awards for units of local government, public...

  15. Complex Incremental Product Innovation in Established Service Firms: A Micro Institutional Perspective

    OpenAIRE

    Vermeulen, Patrick; Bosch, Frans; Volberda, Henk

    2006-01-01

    textabstractMany product innovation studies have described key determinants that should lead to successful incremental product innovation. Despite numerous studies suggesting how incremental product innovation should be successfully undertaken, many firms still struggle with this type of innovation. In this paper, we use an institutional perspective to investigate why established firms in the financial services industry struggle with their complex incremental product innovation efforts. We ar...

  16. State institutions and social identity: National representation in soldiers' and civilians' interview talk concerning military service.

    Science.gov (United States)

    Gibson, Stephen; Condor, Susan

    2009-06-01

    Theory and research deriving from social identity or self-categorization perspectives often starts out with the presumption that social actors necessarily view societal objects such as nations or states as human categories. However, recent work suggests that this may be only one of a number of forms that societal representation may take. For example, nations may be understood variously as peoples, places, or institutions. This paper presents findings from a qualitative interview study conducted in England, in which soldiers and civilians talked about nationhood in relation to military service. Analysis indicated that, in this context, speakers were often inclined to use the terms 'Britain', 'nation', and 'country' as references to a political institution as opposed to a category of people. In addition, there were systematic differences between the ways in which the two samples construed their nation in institutional terms. The civilians were inclined to treat military service as a matter of obedience to the dictates of the Government of the day. In contrast, the soldiers were more inclined to frame military service as a matter of loyalty to state as symbolically instantiated in the body of the sovereign. Implications for work adopting a social identity perspective are discussed.

  17. Service Quality, Students' Satisfaction and Behavioural Intentions in STEM and IC Higher Education Institutions

    Directory of Open Access Journals (Sweden)

    Dunja Meštrović

    2017-03-01

    Full Text Available Service quality, students' satisfaction and their behavioural intentions are recognised as rather important aspects in higher education institution's strategy in a competitive higher education marketplace, which enable them to attract and retain students in science, technology, engineering and mathematics (STEM and information-communication (IC study areas. This research aimed to study the relationship between service quality, students' satisfaction and behavioural intentions of STEM and IC students of the University of Rijeka Departments. Partial least squares structural equation modelling using SmartPLS 3.0 software was performed on student survey data, confirming a direct, positive and significant relationship between higher education service quality and students' satisfaction and between students' satisfaction and their behavioural intentions. According to indirect effects analysis, perceived higher education service quality has an an indirect, positive and significant impact on students' behavioural intentions through students' satisfaction. The results indicate that higher education service quality is an imperative for higher education sector. Based on the findings of this study, useful to policy makers in the services industry in general and in higher education sector in particular, improvements can be planned all service quality dimensions as a key factor to attract, educate and retain STEM and IC students in Croatia.

  18. 31 CFR 515.548 - Services rendered by Cuba to United States aircraft.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Services rendered by Cuba to United... REGULATIONS Licenses, Authorizations, and Statements of Licensing Policy § 515.548 Services rendered by Cuba to United States aircraft. Specific licenses are issued for payment to Cuba of charges for services...

  19. How Outpatient Substance Abuse Treatment Unit Director Activities May Affect Provision of Community Outreach Services

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey; Green, Sherri

    2013-01-01

    Aims: Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services,…

  20. How Outpatient Substance Abuse Treatment Unit Director Activities May Affect Provision of Community Outreach Services

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey; Green, Sherri

    2013-01-01

    Aims: Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services,…

  1. Institutional Knots: A Comparative Analysis of Cord Blood Policy in Canada and the United States.

    Science.gov (United States)

    Denburg, Avram

    2016-02-01

    Umbilical cord blood is a rich source of blood stem cells, which are of critical clinical importance in the treatment of a variety of malignant and genetic conditions requiring stem cell transplantation. Many countries have established national public cord blood banks; such banks often coexist with a panoply of private options for cord blood banking. Until recently, Canada was the only G8 country without a national cord blood bank. This differs markedly from the United States, which years ago established a national cord blood bank policy and inventory. This article investigates potential reasons for this discrepancy through a comparative analysis of the evolution of programs and policies on national cord blood banking in Canada and the United States. My analysis suggests that cross-national discrepancies in policy on public cord blood banking were determined primarily by institutional factors, principal among them formal governmental structure and the legacy of past policies. Institutional entrepreneurialism in the health sector played a constitutive role in the earlier evolution of national cord blood policy in the United States as compared to Canada.

  2. Assessment of the quality of service provided by a national regulatory institution

    Directory of Open Access Journals (Sweden)

    Adetunji, O.

    2013-05-01

    Full Text Available Government institutions need to assess how well they meet the needs of their customers, and what their customers think about the quality of the services they provide. This is aligned with the Batho Pele principle of the South African government. The SERVQUAL scale, augmented with a qualitative survey, was used to determine how the National Home Builders Registration Council (NHBRC is perceived by its clients, which key factors drive such perceptions, and whether the perceptions are consistent across the different client groups of this regulatory institution. The complementary role of qualitative data in illuminating issues driving quantitative results is highlighted. Service quality scores are computed for the NHBRC. The convergence of opinions of different customer groups was studied using correlation analysis. The significance of service quality perception gaps was tested using the multivariate analysis of variance, and the reliability of the SERVQUAL scale was examined using exploratory factor analysis. It was observed that by improving the feedback mechanism of the NHBRC, their clients customer service quality perceptions could be enhanced.

  3. [Management of tobacco smoking in the prison service units - The effects of the health promotion program].

    Science.gov (United States)

    Puchalski, Krzysztof; Korzeniowska, Elżbieta

    In 2014 the health promotion program aimed at managing personnel smoking was implemented in the Polish prison service (PS) in cooperation with the Nofer Institute of Occupational Medicine (NIOM). It combined education of managers, encouraging them to implement good practices, with employees' education. This paper describes the process of implementation and its effects in 159 units of PS, against the data on the management of smoking in medium and large companies in Poland gathered in 2010. Situations concerning smoking management in PS units before and after a half-year program implementation were compared. Data were gathered using self-diagnosis questionnaires (initial and final assessments) collectively filled in by representatives of management and employees. Due to the program implementation there was an increase in the percentage of PS units with known number of smoking employees (19% vs. 61%), consultions on formal smoking regulations with personnel (14% vs. 57%), minimal antismoking medical interventions (46% vs. 59%), and assessments of effects of antismoking activities (14% vs. 55%). There was also increase in the number of PS units with personnel totally obeying smoking regulations (28% vs. 41%) and decrease in those where such rules are not completely met (9% vs. 7%). In 3/4 PS units there was an increase in employees' interest in quitting smoking and in 40% of them employees smoke less at work. Almost every second unit has set up a health promotion team. In many aspects the program has brought along satisfying effects and allowed for depicting areas of improvement. Its scheme and tools can be used, after adaptation, in interventions concerning other health problems in workplaces. Med Pr 2016;67(5):605-621.

  4. Voluntary Opportunities for Inspiring Coordinators of Education Report on: Washington Technical Institute Students' Evaluation of the VOICE Tutorial Service 1971.

    Science.gov (United States)

    Washington Technical Inst., Washington, DC.

    Project VOICE tutoring service at the Washington Technical Institute (WTI) sent an eight-item evaluation questionnaire to students who had used its tutoring service in 1970. The survey was designed to assess the effectiveness of the service from the students' point of view and discover new ways to strengthen the program. Two hundred questionnaires…

  5. Institutions and organisations in Russian higher education: the example of Rostov region education services market

    Directory of Open Access Journals (Sweden)

    Volchik Vyacheslav, V.

    2015-12-01

    Full Text Available The paper examines the process of transformation in institutional and organizational structures of Russian Higher Education (Rostov Region is taken as an example. Adaptive economic behavior of key actors on the Russian education services market has been studied in the context of constantly changing institutional and organizational environments. Original institutional approach in the tradition of J. Commons and J. Hodgson has been applied to analyze interconnections between institutions and organizations. The evolution of institutional and organizational structures in Russian Higher education has been divided into three stages. We distinguish between those stages taking into account the dynamics of quantitative indicators and the change in norms and standards that regulate actors’ behavior in the field. The period of 1990-2002 can be characterized by weakening of government regulation and, simultaneously, lack of financial support of Higher Education. Meanwhile, private Higher Education and paid university programmes developed rapidly during that period. These changes resulted in quantitative growth in the field on the one hand, and devaluation of Higher Education, on the other hand. It is assumed that the “bubble” in Russian Higher Education, which arose in 2002-2008, occurred to a great extent because of the expansion in extramural and lowquality full-time education aimed only at getting graduate diplomas. During the period of bubble formation and latter decline in demand on the Russian education services market, the Government strengthened norms and standards referring to regulation of Higher Education. Recent “optimization processes” of 2009-2015 resulted in reducing the number of students and lecturers, universities and their branches.

  6. Public and Institutional Markets for ESCO Services: ComparingPrograms, Practices and Prformance

    Energy Technology Data Exchange (ETDEWEB)

    Hopper, Nicole; Goldman, Charles; McWilliams, Jennifer; Birr,Dave; Stoughton McMordie, Kate

    2005-03-01

    Throughout the U.S. energy services company (ESCO) industry's history, public and institutional sector customers have provided the greatest opportunities for ESCOs to develop projects. Generally speaking, these facilities are large, possess aging infrastructure, and have limited capital budgets for improvements. The convergence of these factors with strong enabling policy support makes performance contracting an attractive and viable option for these customers. Yet despite these shared characteristics and drivers, there is surprising variety of experience among public/institutional customers and projects. This collaborative study examines the public/institutional markets in detail by comparing the overarching models and project performance in the federal government and the ''MUSH'' markets municipal agencies (state/local government), universities/colleges, K-12 schools,and hospitals that have traditionally played host to much of the ESCO industry's activity. Results are drawn from a database of 1634 completed projects held in partnership by the National Association of Energy Services Companies and Lawrence Berkeley National Laboratory (the NAESCO/LBNL database), including 129 federal Super Energy Savings Performance Contracts (ESPC) provided by the Federal Energy Management Program (FEMP) (Strajnic and Nealon 2003). Project data results are supplemented by interviews with ESCOs.

  7. Implementation of ergonomics in a service unit: challenges and advances.

    Science.gov (United States)

    Penteado, Eliane Villas Bôas de Freitas; de França, Maria Goretti; Ramalhoto, Ana Maria de Brito; de Oliveira, Ana Maria; Machado, Bruno Rangel Cortoppassi; Genipapeiro, Joana Angélica Matos

    2012-01-01

    This article discusses the implementation of ergonomics in a service unit of a major company in the energy sector. From the perspective of management, it analyses the process of implementation of ergonomics programmes in four operational areas. The objective was to diagnose the level of implementation of ergonomics. The study is descriptive, undertaken through the interaction with the technical staff of the operational areas involved, incorporating the perception of these role players concerning their work routines. The results indicated significant differences in the level of implementation of the programmes, especially those concerning structural conditions. Important conquests were registered, such as the investment in the training of specialists, the establishment of a facilitator network and the improvement of the standard for the directioning and alignment of the execution of initiatives. The linking in of the programmes with those of occupational health management emphasises its contribution to the safety and well-being of the workforce through interventions aimed mainly at eliminating and reducing ergonomic biomechanical risks. However, the need to broaden and deepen the ergonomic approach regarding organizational and cognitive aspects, as well as the insertion of ergonomics in project design of new work spaces and processes were also identified.

  8. The thrombotic microangiopathy Registry of North America: A United States multi-institutional TMA network.

    Science.gov (United States)

    Metjian, Ara; Tanhehco, Yvette C; Aqui, Nicole; Bhoj, Vijay G; Jamensky, Lita; Marques, Marisa B; Onwuemene, Oluwatoyosi; Pham, Huy P; Arepally, Gowthami M

    2016-10-01

    The thrombotic microangiopathy (TMA) Registry Network of North America (TRNA) is a collaborative network organized for the purpose of developing a multi-institutional registry and network to conduct clinical studies in a rare patient population. The TRNA was founded in 2013 by four academic medical centers (Columbia University Medical Center, Duke University Medical Center, University of Alabama at Birmingham, and University of Pennsylvania) to develop a national and demographically diverse dataset of patients with TMA. A clinical database was developed by network members using REDCap (Research Electronic Data Capture), a web-based database developed for clinical research. To facilitate rapid Institutional Review Board (IRB) approval at multiple sites, the TRNA utilized IRBshare, a streamlined IRB process to allow patient recruitment and enrollment into the TMA registry. This article reviews the process used to establish the TRNA network and discusses the significance of the first multi-institutional clinical apheresis network developed in the United States. J. Clin. Apheresis 31:448-453, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  9. The Impact of Institutions on the Destandardization of Female Employment Patterns in the Services Sector

    DEFF Research Database (Denmark)

    Leschke, Janine

    Increasing female labour market participation is arguably one of the decisive factors in explaining a destandardisation of the European employment model. Due to a lack in institutions that allow combining wage and care work and in light of unequal gender distribution of care work women are partic......Increasing female labour market participation is arguably one of the decisive factors in explaining a destandardisation of the European employment model. Due to a lack in institutions that allow combining wage and care work and in light of unequal gender distribution of care work women...... at the country level the OECD family data base is used. Besides presenting descriptive statistics on the gender gaps in the services sector with regard to flexible forms of work, including their overlaps, the paper also makes use of multilevel analysis to explain the country differences in the gender gaps...

  10. The Image of Financial Institution as Islamic Bank In Mediation Service Quality and Customer Satisfaction on Customer Loyalty in Purwokerto.

    OpenAIRE

    Chandra Warsito

    2015-01-01

    The paper aims to determine the effect of service quality on customer satisfaction, service quality, customer satisfaction and image on customer loyalty, quality of service to the company’s image, to determine the image of financial institutions in mediating the relationship variable quality of service and customer satisfaction on customer loyalty. The samples used were 110 customers and methods of analysis used is Structural Equation Modeling (SEM) test results find no significant effect of ...

  11. Institute for International Public Policy Program

    Science.gov (United States)

    Office of Postsecondary Education, US Department of Education, 2012

    2012-01-01

    The Institute for International Public Policy program provides a single grant to assist a consortia of institutions of higher education in establishing an institute designed to increase the representation of minorities in international service, including private international voluntary organizations and the Foreign Service of the United States. A…

  12. US Forest Service Tribal Lands Ceded to the United States

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www that depicts sixty-seven maps from Royce’s 1897 report that have been scanned, georeferenced in JPEG2000 format, and digitized to create...

  13. State-owned Enterprises as Institutional Market Actors in the Marketization of Public Service Provision

    DEFF Research Database (Denmark)

    Tolstrup Christensen, Lene

    of DSB SOV and SJ AB in the marketization of passenger rail in Denmark and Sweden respectively from the 1990s to 2015. In the period both cases kept full state ownership and Sweden gradually exposed all services to competition whereas in Denmark with time competition was put on hold. The case study......This doctoral thesis (PhD) explores from a public governance perspective the role of stateowned enterprises (SOEs) in an era of marketization of public service provision and thus contributes to the renewed academic interest in contemporary SOEs. It builds on an explorative comparative case study...... consists of document study and +50 interviews and is based on a historical institutionalist perspective on gradual change that emphasizes interpretation in the implementation between rule makers and rule takers as a driver of institutional change. It leads to the conceptualization of the SOE...

  14. Medicaid managed care for mental health services: the survival of safety net institutions in rural settings.

    Science.gov (United States)

    Willging, Cathleen E; Waitzkin, Howard; Nicdao, Ethel

    2008-09-01

    Few accounts document the rural context of mental health safety net institutions (SNIs), especially as they respond to changing public policies. Embedded in wider processes of welfare state restructuring, privatization has transformed state Medicaid systems nationwide. We carried out an ethnographic study in two rural, culturally distinct regions of New Mexico to assess the effects of Medicaid managed care (MMC) and the implications for future reform. After 160 interviews and participant observation at SNIs, we analyzed data through iterative coding procedures. SNIs responded to MMC by nonparticipation, partnering, downsizing, and tapping into alternative funding sources. Numerous barriers impaired access under MMC: service fragmentation, transportation, lack of cultural and linguistic competency, Medicaid enrollment, stigma, and immigration status. By privatizing Medicaid and contracting with for-profit managed care organizations, the state placed additional responsibilities on "disciplined" providers and clients. Managed care models might compromise the rural mental health safety net unless the serious gaps and limitations are addressed in existing services and funding.

  15. Challenges to Prepare Pre-Service Teachers for Inclusive Education in Bangladesh: Beliefs of Higher Educational Institutional Heads

    Science.gov (United States)

    Ahsan, M. Tariq; Sharma, Umesh; Deppeler, Joanne M.

    2012-01-01

    This paper reveals the beliefs of higher education institutional heads about the challenges they face in preparing pre-service teachers for inclusive education in Bangladesh. Semi-structured interviews were conducted with 22 institutional heads. Data were analysed by applying thematic analysis procedure. Challenges were found in four theme areas:…

  16. 42 CFR 403.764 - Basis and purpose of religious nonmedical health care institutions providing home service.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Basis and purpose of religious nonmedical health care institutions providing home service. 403.764 Section 403.764 Public Health CENTERS FOR MEDICARE... Religious Nonmedical Health Care Institutions-Benefits, Conditions of Participation, and Payment §...

  17. Pharmaceutical services in a Mexican pain relief and palliative care institute

    Directory of Open Access Journals (Sweden)

    Escutia Gutierrez R

    2007-12-01

    Full Text Available Neither the purchase nor the distribution of pharmaceuticals in hospitals and community pharmacies in Mexico is under the care of pharmacists. Some are under control of physicians.This report presents the results of the implementation of somef pharmaceutical services for the Jalisco Pain Relief, and Palliative Care Institute (Palia Institute, under the direction of the Secretary of Health, Government of Jalisco. The services implemented were drug distribution system, Drug Information Service, Pharmacovigilance Program , and home pharmacotherapy follow-up pilot program for patients with advanced illness, with the ultimate using the appropriate medication. The drug distribution system included dispensing of opioid pain medications, antidepressants, anticonvulsants, NSAIDs, anxiolytic drugs, steroid drugs, laxatives, and anti-emetics. The frequently used drugs were morphine sulfate (62%, amitriptyline (6.4%, and dextropropoxyphene (5.8%. The Drug Information Service answered 114 consultations, mainly asked by a physician (71% concerned with adverse drug reactions and contraindications (21%. The pharmacovigilance program identified 146 suspected adverse drug reactions and classified them reasonably as possible (27%, probable (69%, and certain (4%. These were attributed mainly to pregabalin and tramadol. The home pharmacotherapy follow-up pilot program cared patients with different cancer diagnoses and drug-related problems (DRP, which were identified and classified (according to second Granada Consensus for pharmaceutical intervention as DRP 1 (5%, DRP 2 (10%, DRP 3 (14%, DRP 4 (19%, DRP 5 (24%, or DRP 6 (28%. This report provides information concerning the accurate use of medication and, above all, an opportunity for Mexican pharmacists to become an part of health teams seeking to resolve drug-related problems.

  18. Pharmaceutical services in a Mexican pain relief and palliative care institute.

    Science.gov (United States)

    Escutia Gutiérrez, Raymundo; Cortéz Álvarez, César R; Alvarez Álvarez, Rosa M; Flores Hernández, Jorge Lv; Gutiérrez Godínez, Jéssica; López Y López, José G

    2007-10-01

    Neither the purchase nor the distribution of pharmaceuticals in hospitals and community pharmacies in Mexico is under the care of pharmacists. Some are under control of physicians. This report presents the results of the implementation of somef pharmaceutical services for the Jalisco Pain Relief, and Palliative Care Institute (Palia Institute), under the direction of the Secretary of Health, Government of Jalisco. The services implemented were drug distribution system, Drug Information Service, Pharmacovigilance Program, and home pharmacotherapy follow-up pilot program for patients with advanced illness, with the ultimate using the appropriate medication. The drug distribution system included dispensing of opioid pain medications, antidepressants, anticonvulsants, NSAIDs, anxiolytic drugs, steroid drugs, laxatives, and anti-emetics. The frequently used drugs were morphine sulfate (62%), amitriptyline (6.4%), and dextropropoxyphene (5.8%). The Drug Information Service answered 114 consultations, mainly asked by a physician (71%) concerned with adverse drug reactions and contraindications (21%). The pharmacovigilance program identified 146 suspected adverse drug reactions and classified them reasonably as possible (27%), probable (69%), and certain (4%). These were attributed mainly to pregabalin and tramadol. The home pharmacotherapy follow-up pilot program cared patients with different cancer diagnoses and drug-related problems (DRP), which were identified and classified (according to second Granada Consensus) for pharmaceutical intervention as DRP 1 (5%), DRP 2 (10%), DRP 3 (14%), DRP 4 (19%), DRP 5 (24%), or DRP 6 (28%). This report provides information concerning the accurate use of medication and, above all, an opportunity for Mexican pharmacists to become an part of health teams seeking to resolve drug-related problems.

  19. 22 CFR 61.8 - Coordination with United States Customs Service.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Coordination with United States Customs Service... FREE FLOW OF AUDIO-VISUAL MATERIALS § 61.8 Coordination with United States Customs Service. (a) Nothing in this part shall preclude examination of imported materials pursuant to the Customs laws...

  20. Engine Tune-Up Service. Unit 5: Fuel and Carburetion Systems. Student Guide. Automotive Mechanics Curriculum.

    Science.gov (United States)

    Goodson, Ludy

    This student guide is for Unit 5, Fuel and Carburetion Systems, in the Engine Tune-Up Service portion of the Automotive Mechanics Curriculum. It deals with inspecting and servicing the fuel and carburetion systems. A companion review exercise book and posttests are available separately as CE 031 218-219. An introduction tells how this unit fits…

  1. Development of a Training Plan for DCW Juvenile Service Unit Workers.

    Science.gov (United States)

    Human Resources Research Organization, Fort Knox, KY. Div. 2.

    A study was conducted to ascertain the job requirements and training needs of juvenile service unit workers. A training needs assessment inventory questionnaire was mailed to all juvenile service unit workers in the Kentucky Department of Child Welfare (DCW). Data from 146 questionnaires were analyzed to provide job descriptive information, which…

  2. 40 CFR 52.351 - United States Postal Service substitute Clean Fuel Fleet Program.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false United States Postal Service substitute Clean Fuel Fleet Program. 52.351 Section 52.351 Protection of Environment ENVIRONMENTAL PROTECTION... § 52.351 United States Postal Service substitute Clean Fuel Fleet Program. Revisions to the...

  3. A Digital Mitigation: Application of Service Oriented Architecture by Microfinance Institutions

    Directory of Open Access Journals (Sweden)

    AjalaFunmilola

    2015-05-01

    Full Text Available Information Communication Technology (ICT is considered to be the back bone of interprocess communication of the records of the Microfinance Institutions who are the key players of distribution of the funds to the poor and to the people who are not eligible for standard financial services. In spite of the latest techniques used, MFIs face challenges in implementing the technology in respect to the high operational cost, unregulatory framework or lack of integration among the diversified technology platforms. This paper highlights the regulation of processes in Microfinance using a potential technology called Service oriented Architecture which would help to monitor any activity of Microfinance Institutions and gives MFIs greater sustainability and interoperability. SOA implementation in MFI’s helps in optimizing business performance amidst change, competition, and increase in regulatory reporting. Binding the loosely coupled functionalities is one of the important features of SOA which directly helps MFIs, whose functions work under silo organization. An architectural model using SOA for a particular module of MFI (Loan Officer and MFI and the various transactions between them has been proposed through this paper.

  4. [Georges Moustardier, physician of the Colonial Health Service and Overseas Pasteur Institutes and university professor].

    Science.gov (United States)

    Dedet, J P

    2011-10-01

    The purpose of this article is to provide a step-by-step description of Georges Moustardier's career. After completing studies at the Ecole Principale du Service de Santé de la Marine et des Colonies in Bordeaux, and at the Ecole d'Application du Service de Santé des Troupes Coloniales in Marseille, he was deployed to Indochina where he served as physician first at the Poulo Condor penitentiary from (1929 to 1930) and then in Cambodia from (1931 to 32). In 1933, he returned to Paris where he followed lectures on Microbiology at the Institut Pasteur, in Paris. He was then assigned to the Institut Pasteur in Madagascar from 1931 to 1932. From 1939 to 1944, he was Head of the General Hospital in Brazzaville, Congo and Director of the Medical School in French Equatorial Africa. He retired from the army in 1946. From 1949 to 1972, he held an academic position as Professor of Bacteriology at the Bordeaux School of Medicine.

  5. The capacities of institutions for the integration of ecosystem services in coastal strategic planning: The case of Jiaozhou Bay

    NARCIS (Netherlands)

    Li, Ruiqian; Li, Yongfu; Woltjer, Johan; van den Brink, Margo

    2015-01-01

    This paper explains how the practice of integrating ecosystem-service thinking (i.e., ecological benefits for human beings) and institutions (i.e., organisations, policy rules) is essential for coastal spatial planning. Adopting an integrated perspective on ecosystem services (ESs) both helps unders

  6. A proposed higher education institution-based Three Rs advisory service.

    Science.gov (United States)

    Berdoy, Manuel; Repp, Catherine R

    2004-09-01

    The University of Oxford's Ethical Review Process (ERP) is promoting a pilot scheme for a collaborative UK higher education institution-based Three Rs advisory service. It is believed that there is scope for UK academia to make a significant contribution, through the spread of its science base and the availability of high-quality library and IT services. A collaborative approach based on the concept of the critically appraised topic is envisaged, to minimise duplication and to ensure that limited resources are used to good effect. The initial objective is to identify, research, and validate refinement and replacement alternatives, drawing on both the skills of the information professional and the analogy of evidence-based health care. The results would be disseminated among member institutions by way of web-based systems, which could also offer on-line training in search strategies. The service would provide assistance to university-based project licence applicants, and would contribute to achieving the aims of the ERP, as an initiative "leading to the widest possible application of the Three Rs". It is hoped to develop the scheme in partnership with research council initiatives now under way, as the councils play a key role as funders, not only of research, but also of research student training. Universities are uniquely positioned, as centres of scientific education and, through continuing education, of continuing professional development, to provide a base for training in good practice. A successful pilot project could provide a foundation for a similar approach to reduction strategies and experimental design.

  7. Telehealth Delivery of Mental Health Services: An Analysis of Private Insurance Claims Data in the United States.

    Science.gov (United States)

    Wilson, Fernando A; Rampa, Sankeerth; Trout, Kate E; Stimpson, Jim P

    2017-09-01

    This study characterizes telehealth claims for mental health and substance abuse (MH/SA) services by using national private claims data. Telehealth-related mental health service claims were identified with private claims data from 2009 to 2013. These data-provided by the Health Care Cost Institute-included claims from Aetna, Humana, and UnitedHealth for more than 50 million individuals per year. In 2009-2013, there were 13,480 MH/SA telehealth provider claims out of 3,986,159 claims, with the majority of telehealth claims submitted by psychiatrists. For telehealth services, there was a decreasing trend for average reimbursements ($54.61 in 2009 to $43.28 in 2013). Average reimbursements for telehealth claims were half those for nontelehealth claims. Reimbursements for nine of the top 10 telehealth services were lower in 2015 dollars than for the same services provided during face-to-face treatment. Widespread adoption and use of costly telehealth technologies for mental health services may be limited by low reimbursements for telehealth services.

  8. Complete internal audit of a mammography service in a reference institution for breast imaging.

    Science.gov (United States)

    Badan, Gustavo Machado; Roveda Júnior, Décio; Ferreira, Carlos Alberto Pecci; de Noronha Junior, Ozeas Alves

    2014-01-01

    Undertaking of a complete audit of the service of mammography, as recommended by BI-RADS(®), in a private reference institution for breast cancer diagnosis in the city of São Paulo, SP, Brazil, and comparison of results with those recommended by the literature. Retrospective, analytical and cross-sectional study including 8,000 patients submitted to mammography in the period between April 2010 and March 2011, whose results were subjected to an internal audit. The patients were followed-up until December 2012. The radiological classification of 7,249 screening mammograms, according to BI-RADS, was the following: category 0 (1.43%), 1 (7.82%), 2 (80.76%), 3 (8.35%), 4 (1.46%), 5 (0.15%) and 6 (0.03%). The breast cancer detection ratio was 4.8 cases per 1,000 mammograms. Ductal carcinoma in situ was found in 22.8% of cases. Positive predictive values for categories 3, 4 and 5 were 1.3%, 41.3% and 100%, respectively. In the present study, the sensitivity of the method was 97.1% and specificity, 97.4%. The complete internal audit of a service of mammography is essential to evaluate the quality of such service, which reflects on an early breast cancer detection and reduction of mortality rates.

  9. Cross-Cultural Values in Office Education with Emphasis on In-Service Teacher Education. Report of a Regional Institute.

    Science.gov (United States)

    Winnett, William L.

    Twenty persons, selected according to experience, responsibilities, and interests in occupational education for disadvantaged youth, and representing several states, educational areas, and most ethnic groups participated in the institute. The three types of materials developed were: sensitivity units, instructional units, and titles for additional…

  10. Analysis and lessons learned instituting an instant messaging reference service at an academic health sciences library: the first year.

    Science.gov (United States)

    Kipnis, Daniel G; Kaplan, Gary E

    2008-01-01

    In February 2006, Thomas Jefferson University went live with a new instant messaging (IM) service. This paper reviews the first 102 transcripts to examine question types and usage patterns. In addition, the paper highlights lessons learned in instituting the service. IM reference represents a small proportion of reference questions, but based on user feedback and technological improvements, the library has decided to continue the service.

  11. 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.

  12. PATIENTS’ SATISFACTION WITH HEALTH SERVICES AT THE NATIONAL INSTITUTE OF PUBLIC HEALTH OF KOSOVA

    Science.gov (United States)

    Ramadani, Naser; Zhjeqi, Valbona; Berisha, Merita; Hoxha, Rina; Gashi, Sanije; Begolli, Ilir; Salihu, Drita; Muçaj, Sefedin

    2016-01-01

    Aim: Purpose of the research is to assess patient satisfaction with the quality of health services provided in National Institute of Public Health of Kosova. Methods: Study was observational and cross-sectional. Interviews were conducted with 625 clients of IPH. Inclusion criteria for enrollment in the study were patients above 18 years old, with verbally informed consent. Results: In our study, access to IPH, efficacy, patient-provider interpersonal communication, and explanations regarding procedures, readiness to answer to patients need and physical settings and appearance are valued satisfactorily whereas cleanliness was rated with minimal grades. Evaluated 12 quality components, were scored with average mark 3.6. Conclusions: SWOT analysis, and fishbone diagram should be used on regular bases and a new position for a manager for administrative issues, is opened, complaints box and list of rights and responsibilities of patients were dislocated in a more visible place, and internal staff turnover, is introduced. PMID:27482155

  13. Perceived service quality, perceived value, overall satisfaction and happiness of outlook for long-term care institution residents.

    Science.gov (United States)

    Lin, Jesun; Hsiao, Chih-Tung; Glen, Robert; Pai, Jar-Yuan; Zeng, Sin-Huei

    2014-06-01

    To investigate the psychometric properties and relationships of perceived service quality, perceived value and overall satisfaction for residents with respect to their long-term care institutions. The five-point Likert scale questionnaire administered through facetoface interviews. Fourteen long-term care institutions located in central and southern Taiwan stratified according to services and accommodation population. One hundred and eighty long-term institutional care residents. Perceived service quality (the SERVPERF model), perceived value and overall satisfaction (models based on the literature on perceived value and satisfaction). Student's t-test on institutional location shows a significant difference between overall satisfaction for central and southern institution long-term care recipients. The correlation test revealed that the higher a resident's level of education, the higher the scores for perceived value. The factor loading results of confirmation factor analysis show acceptable levels of reliability and index-of-model fits for perceived service, perceived value and overall satisfaction. In addition, the results suggest that an additional construct, a positive attitude (happiness of outlook) towards long-term care institutions, is also an important factor in residents' overall satisfaction. The primary goal of long-term institutional care policy in Taiwan, as in other countries, is to provide residents with practical, cost-effective but high-quality care. On the basis of the results of in-depth interviews with long-term institutional care residents, this study suggests long-term care institutions arrange more family visit days to increase the accessibility and interaction of family and residents and thereby increase the happiness of outlook of the residents. © 2012 John Wiley & Sons Ltd.

  14. Digital repository service (DRS) at National Institute of Oceanography: A case study

    Digital Repository Service at National Institute of Oceanography (India)

    Sahu, S.R.

    Open access to the publications over Internet has become a reality. The software likes DSpace help in creating institutional repositories to place the publications on Internet. Implementation of an institutional repository at National Institute...

  15. A Survey Study of Institutional Review Board Thought Processes in the United States and South Korea

    Directory of Open Access Journals (Sweden)

    Si-Kyung Jung

    2012-09-01

    Full Text Available Introduction: In the last several decades, South Korea has rapidly adopted Western customs and practices. Yet, cultural differences between South Korea and the United States exist. The purpose ofthis study was to identify and characterize potential cultural differences in the Korean and US institutional review board (IRB approach to certain topics.Methods: A qualitative analysis of a 9-item survey, describing 4 research study case scenarios, sent to IRB members from the United States and South Korea. The case scenarios involved the followingissues: (1 the need for consent for retrospective chart review when research subjects receive their care after the study is conceived; (2 child assent; (3 individual versus population benefit; and (4 exception from informed consent in emergency resuscitation research. The free-text responses were analyzed and abstracted for recurrent themes.Results: Twenty-three of the 45 survey recipients completed the survey, for an overall response rate of 51%. The themes that emerged were as follows: (1 the importance of parental authority among Korean participants versus the importance of child autonomy and child assent among US participants; (2 the recognition of the rights of a proxy or surrogate who can represent an individual’s values by all participants; and (3 the importance of the community, expressed by the Korean respondents, versus individualism, expressed by US respondents.Conclusion: Whereas US participants appear to emphasize the importance of the individual and the autonomy of a child, the Korean respondents stressed the importance of parental authority andbenefiting the community, above and beyond that of the individual person. However, there was substantial overlap in the themes expressed by respondents from both countries.

  16. The emergence of multidisciplinary teams for interagency service delivery in europe: is historical institutionalism wrong?

    Science.gov (United States)

    van Raak, Arno; Paulus, Aggie

    2008-12-01

    In Europe, a well-known problem is the coordination of interagency service delivery to independently living older persons, disabled persons or persons suffering from chronic illness. Coordination is necessary in order for the users to receive services at the appropriate time and place. Based on historical institutionalism, which focuses on the path dependency of the development of government policy and organizational and professional rules, it can be stated that coordination requires organizational models or other solutions that fit the characteristics of the context ('configuration') for which the solution is intended. The western European countries have different configurations. Remarkably, across these countries, we see the emergence of multidisciplinary teams as a solution to the problem of coordination. Consequently, if we take the above statement to mean that a solution should fit all the configuration's characteristics, we must reject the statement. However, when we assume that a solution should fit particular configurational characteristics, we must not. We take the second position and we argue that multidisciplinary teams have emerged because they fit one particular feature that is similar in the countries: professionalism and professional fragmentation.

  17. Description of physiotherapy services in a mental health institution in Nigeria

    Directory of Open Access Journals (Sweden)

    C.A. Gbiri

    2011-02-01

    Full Text Available Physiotherapy  has  long  been  recognised  as  adjunct  to  drug therapy in the management of individuals with mental illness. however, little evidence existed on the utilization of physiotherapy in mental health especially in developing worlds.This study reviewed the utilization of physiotherapy in a Mental health  Institution in lagos, nigeria and determined its contribution to quality of  patient-care in the hospital.This study involved review of clients’ activity profile and patients’ record in a federal neuro-psychiatric hospital in lagos, nigeria between 2002 and 2006. The hospital records were used as source of information for socio- demographic details. Information on the physical diagnosis was extracted from the patients’ records in the departmental records. Data were summarized using descriptive statistics.Six thousand, four hundred and seventy-three (3.3% out of the 195,686  patients of the hospital within the study period enjoyed physiotherapy ser vices. only 766 (14% of the hospital in-patients enjoyed physiotherapy services. In addition, 808 clients enjoyed the health promotion services. low back pain (85; 21.7%, osteo-arthritis (82; 20.9%, stroke (64; 16.3% and shoulder pain  (29; 7.4% were the most common co-existing health problems referred for physiotherapy.The importance of physiotherapy in mental health is evidenced in the number of patients/clients who benefited from its services. Therefore, physiotherapy is an integral and indispensible member of the mental health team. however, physiotherapy  is  still  under-utilized  in  the  hospital.  This  points  to  the  need  for  proper  integration  of  physiotherapy  into mental health team in the hospital and other similar health institutions.

  18. 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...

  19. 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...

  20. EMERGING TECHNOLOGY BULLETIN: DEVELOPMENT OF A PHOTOTHERMAL DETOXIFICATION UNIT - ENVIRONMENTAL SCIENCE AND ENGINEERING GROUP - UNIVERSITY OF DAYTON RESEARCH INSTITUTE

    Science.gov (United States)

    The University of Dayton Research Institute has developed a novel photochemical process embodied in a device called a Photothermal Detoxification Unit (PDU) which offers an efficient means of destroying hazardous organic wastes. The PDU, which overcomes the problems of slow react...

  1. Plant collecting program in Southeast Asia under the sponsorship of the United States National Cancer Institute (NCI) (1986-1991)

    NARCIS (Netherlands)

    Soejarto, D.D.

    1992-01-01

    Under the funding from the United States National Cancer Institute (NCI)¹, a program was undertaken to collect plant samples in Southeast Asia to be tested for their cancer- and AIDS-arresting properties, for the period of September 1, 1986 through August 31, 1991. The program was implemented with

  2. 78 FR 65711 - Uncovered Innerspring Units From China, South Africa, and Vietnam Institution of Five-Year Reviews

    Science.gov (United States)

    2013-11-01

    ... COMMISSION Uncovered Innerspring Units From China, South Africa, and Vietnam Institution of Five-Year Reviews... the scope of the five-year reviews, as defined by the Department of Commerce. (2) The Subject.... Former Commission employees who are seeking to appear in Commission five-year reviews are advised that...

  3. Emergency nurse practitioner services in major accident and emergency departments: a United Kingdom postal survey.

    OpenAIRE

    Tye, C C; Ross, F.; Kerry, S. M.

    1998-01-01

    OBJECTIVE: To establish the current and predicted distribution of formal emergency nurse practitioner services in major accident and emergency departments in the United Kingdom; to determine organisational variations in service provision, with specific reference to funding, role configuration, training, and scope of clinical activity. METHODS: Postal survey of senior nurses of all major accident and emergency departments in the United Kingdom (n = 293) in May/June 1996. RESULTS: There were 27...

  4. 12 CFR 7.4005 - Combination of loan production office, deposit production office, and remote service unit.

    Science.gov (United States)

    2010-01-01

    ... production office, and remote service unit. 7.4005 Section 7.4005 Banks and Banking COMPTROLLER OF THE... production office, deposit production office, and remote service unit. A location at which a national bank operates a loan production office (LPO), a deposit production office (DPO), and a remote service unit...

  5. 31 CFR Appendix D to Subpart C of... - United States Secret Service

    Science.gov (United States)

    2010-07-01

    ... request. Such inspection shall be conducted during the regular business hours of the Secret Service Field Office or other facility where the disclosure is made. A person of his or her own choosing may accompany... delivered to the following location: General Counsel, United States Secret Service, Suite 8300, 950 H...

  6. Electronic theses at the University of St Andrews: institutional infrastructure, policy and support to establish an electronic theses service

    OpenAIRE

    Aucock, Janet

    2008-01-01

    Electronic deposit of PhD theses produced by postgraduate research students in St Andrews was introduced in academic session 2006/7 and mandated as part of University regulations for the delivery and deposit of theses within the institution. The move to the new service was primarily driven by University Library planning and policy which clearly identified the need for improved service provision to the local, national and international research community by making the ...

  7. Respective Roles of Employer Strategies and Institutions on Job Quality: The case of household services sector in Belgium

    OpenAIRE

    Coster, Stéphanie; Léonard, Evelyne

    2017-01-01

    This article analyses human resource strategies within the firms, and their interactions with the institutional context, in new services – personal and household services – and how they respectively contribute to employment integration of low qualified workers. Our contribution develops an original framework articulating neo institutionalist approaches and the social regulation theory allowing an in-depth understanding of human resource management, considered as a set of social norms partly d...

  8. Management and Oversight of Services Acquisition Within the United States Air Force

    Science.gov (United States)

    2008-12-01

    47 Figure 14. Training Received............................................................................................48 Figure 15. QAP ...Surveillance Plan QAP Quality Assurance Personnel PSC Product Service Code SOO Statement of Objectives USA United States Army USN United States...Assurance Personnel ( QAP ), and the multi-functional teams (USAF, 2005). This policy has established clear guidelines and responsibilities for the USAF in

  9. SUM (Service Unit Management): An Organizational Approach To Improved Patient Care.

    Science.gov (United States)

    Jelinek, Richard C.; And Others

    To evaluate the effectiveness of Service Unit Management (SUM) in reducing costs, improving quality of care, saving professional nursing time, increasing personnel satisfaction, and setting a stage for further improvements, a national questionnaire survey identified the characteristics of SUM units, and compared the performance of a total of 55…

  10. The toy library service at Honeylands Family Support Unit: an assessment.

    Science.gov (United States)

    Rub, S

    1987-01-01

    Toy libraries have become a favoured way of providing a service to families in which there is a mentally handicapped child. The purpose of this study was to gain information about how parents valued the service provided by the toy library at Honeylands Family Support Unit. Parents expressed a great deal of satisfaction with the service. Suggestions are made as to how it could be further improved and about the desirability of it being extended to school-aged children.

  11. United States geothermal technology: Equipment and services for worldwide applications

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-05-01

    This document has two intended audiences. The first part, ``Geothermal Energy at a Glance,`` is intended for energy system decision makers and others who are interested in wide ranging aspects of geothermal energy resources and technology. The second part, ``Technology Specifics,`` is intended for engineers and scientists who work with such technology in more detailed ways. The glossary at the end of the document defines many of the specialized terms. A directory of US geothermal industry firms who provide goods and services for clients around the world is available on request.

  12. Military Health Service System Ambulatory Work Unit (AWU).

    Science.gov (United States)

    1988-04-01

    probability of a value outside 2.0 standard deviations ranges from .0456 for A-3 -Al" 122 NILITRY HEALTH SERVICE SYSTEM AMULRTORY MORKe UurNT CANdU )(U) ARMY...00 2 w w >4 &4~ ~z til 0n0 rz~ co00 P - xU) I : 0 ) ) %z E-4 z U) HHw H~~ ~ ~ 0 olf4 E1E- 004 H U) UDm 0 4 E- H wE- ~ H E-4 H 04 H Z U H Q z HO H % x z

  13. The 1951-98 experience of the Paris Institut Curie Radiopathology Unit: a preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Cosset, J.M.; Perdereau, B.; Dubray, B.; Helfre, S.; Brixy, F.; Gongora, R.; Fourquet, A. [Institut Curie, 26 rue d' Ulm, 75005 Paris (France)

    1999-12-01

    From 1 January 1951 to 30 June 1998, 696 patients presented spontaneously or were referred to the French Institut Curie Radiopathology Unit following a more or less severe accidental irradiation. Of these, 568 patients came from France, while 128 were sent by various foreign countries. The very great majority of irradiation accidents occurred in the workplace, particularly in industry. Interestingly, 'non-nuclear' industry was responsible for three times more events than the nuclear industry. While incidental irradiation of the public by lost radioactive sources was exceedingly rare in France, it seemed to be more frequent in our cohort of foreign patients. Radiation phobia accounted for about 10% of cases in the French cohort, but the number of cases did not seem to increase with time. Overall, the accrual of patients over time appears to be stable, with 10 to 25 new cases consulting each year. Fortunately, a majority of cases corresponded to low-level irradiation (and even no irradiation at all). In the French cohort, only 21.6% of patients, showing deterministic effects, required some form of treatment, with 4.9% considered as 'severe' cases. Not unexpectedly, more patients required treatment in the foreign cohort (35.2%), with 24.2% of severe cases, including four deaths. The main features of this database are consistent with the data previously reported by the IAEA, UNSCEAR and REAC/TS. Although the number of severe cases is small, it should still be considered to be too high, especially as most of these accidents could have been easily avoided if a few basic radioprotection rules had been fully respected. (abstract)

  14. Service needs and service gaps among refugees with disabilities resettled in the United States.

    Science.gov (United States)

    Mirza, Mansha; Heinemann, Allen W

    2012-01-01

    To examine the adequacy of existing service systems in addressing the needs of refugees with disabilities resettled in the U.S.A. A cross-disability group of eight Cambodian and seven Somali refugees were purposively selected to participate in a 2-year qualitative study in the Midwestern U.S.A. Ten disability/refugee service providers and key experts on refugee resettlement were also recruited to participate. Data sources included in-depth interviews, focus groups, participant observations and social network surveys with disabled refugees. Participant observations and semi-structured interviews were also conducted with service providers and key experts. Data were analyzed using coding procedures based on a grounded theory approach. Disabled refugee participants experienced several unmet disability-related needs and limited access to resettlement resources on account of their disability. These findings were associated with refugee service providers having limited awareness of disability rights and resources and a narrow biomedical perspective of disability. Additionally there was a disconnection between refugee and disability service systems resulting from resource limitations within agencies, mistrust between the different service entities, and a lack of cross-cultural nuance among disability service organizations. These findings contribute important insights to the literature on disability disparities. Disabled refugees resettled in the U.S.A. have many unmet needs associated with gaps in-service delivery stemming from disconnections between refugee and disability service systems.

  15. Centers for Medicare and Medicaid Services' readmission reports inaccurately describe an institution's decompensated heart failure admissions.

    Science.gov (United States)

    Cox, Zachary L; Lai, Pikki; Lewis, Connie M; Lenihan, Daniel J

    2017-09-01

    Hospitals typically use Center for Medicare and Medicaid Services' (CMS) Hospital Readmission Reduction Program (HRRP) administrative reports as the standard of heart failure (HF) admission quantification. We aimed to evaluate the HF admission population identified by CMS HRRP definition of HF hospital admissions compared with a clinically based HF definition. We evaluated all hospital admissions at an academic medical center over 16 months in patients with Medicare fee-for service benefits and age ≥65 years. We compared the CMS HRRP HF definition against an electronic HF identification algorithm. Admissions identified solely by the CMS HF definition were manually reviewed by HF providers. Admissions confirmed with having decompensated HF as the primary problem by manual review or by the HF ID algorithm were deemed "HF positive," whereas those refuted were "HF negative." Of the 1672 all-cause admissions evaluated, 708 (42%) were HF positive. The CMS HF definition identified 440 admissions: sensitivity (54%), specificity (94%), positive predictive value (87%), negative predictive value (74%). The CMS HF definition missed 324 HF admissions because of inclusion/exclusion criteria (15%) and decompensated HF being a secondary diagnosis (85%). The CMS HF definition falsely identified 56 admissions as HF. The most common admission reasons in this cohort included elective pacemaker or defibrillator implantations (n = 13), noncardiac dyspnea (n = 9), left ventricular assist device complications (n = 8), and acute coronary syndrome (n = 6). The CMS HRRP HF report is a poor representation of an institution's HF admissions because of limitations in administrative coding and the HRRP HF report inclusion/exclusion criteria. © 2017 Wiley Periodicals, Inc.

  16. Comparison of dietetics service delivery (demand and determinants within two Australian Medical Assessment and Planning Units

    Directory of Open Access Journals (Sweden)

    Angela P Vivanti

    2017-03-01

    Full Text Available Aims Assessment and Planning Units have increased globally however, models of care literature is limited. With high malnutrition prevalence amongst ageing populations, this case report identifies demands for dietetic services. Methods Descriptive data compared and contrasted two service including medical models, eligibility criteria, malnutrition screening, dietetic services, clinical follow-up, and team composition. Results High malnutrition prevalence (17 per cent, 31 per cent was evident with different screening approaches successfully implemented. Both units favoured rapid assessment and intervention. Conclusion Dietetic expertise was required for malnutrition assessment, and ongoing management in acute or community setting as determined by differing health-care system arrangements

  17. Institut Pasteur v. United States: the AIDS patent dispute, the Contract Disputes Act and the international exchange of scientific data.

    Science.gov (United States)

    Singer, H L

    1989-01-01

    In the case of Institut Pasteur v. United States, the Institut Pasteur (Pasteur) claimed that the National Cancer Institute (NCI) had breached express and implied contracts to share research on AIDS virus samples provided to NCI by Pasteur. NCI scientists allegedly used the samples to acquire information which allowed NCI to file patent applications for an AIDS blood test kit. The United States Claims Court dismissed the complaint by holding that the Institut Pasteur had not complied with certain administrative procedures required by the Contract Disputes Act before bringing its suit. The United States Court of Appeals for the Federal Circuit reversed the decision of the Claims Court by holding that the disputed contracts did not fit within the scope of the Contract Disputes Act. Soon after the Court of Appeals decision, President Reagan and Prime Minister Chirac announced a settlement agreement whereby the lawsuit was to be dropped, American and French scientists were to share credit for having discovered the AIDS virus, and both parties to the suit were to share the patent rights for the AIDS blood test kit. This settlement suggest that international legal disputes involving urgent scientific and medical matters may require dispute resolution techniques that serve as alternatives to national courts.

  18. The Effectiveness of Psychological and Social Services for the Elderly in Their Own Institutions from Their Perspective in Jordan

    Science.gov (United States)

    AL-Momani, Fackri Falha

    2016-01-01

    This study aimed to identify the effectiveness of psychological, social, health and recreational services provided for the elderly in their own institutions from their point of view. The study sample consisted of 50 elderly of both sexes living in the "White family Association" and "the Association of Irbid for hosting the…

  19. Grants to Private Institutions for Health Education Programs under the Provisions of the Health Services Education Grants Act.

    Science.gov (United States)

    Illinois State Board of Higher Education, Springfield. Master Plan Committee.

    In the Spring of 1969, the Illinois General Assembly enacted the "Health Services Education Grants Act" providing for allocations to private institutions for increasing enrollments in medical, dental, nursing, and allied health education programs. This report provides a summary of the dollars appropriated to the Board of Higher Education for the…

  20. Student Services/One Stop Centers: A Qualitative Examination of Implementation at Three Post-Secondary Institutions

    Science.gov (United States)

    Becker, Janine M.

    2012-01-01

    This research investigates Student Services/One Stop Centers at three post-secondary institutions, looking at the origination of the centers and success through the lens of behavioral theories. Comparing the 3-stage Group Dynamics Theory of Lewin (1947), Social Learning Theory of Bandura (1977), and the 8-stage Change Management Model of Kotter…

  1. College Student Entrepreneurship in China: Results from a National Survey of Directors of Career Services in Chinese Higher Education Institutions

    Science.gov (United States)

    You, You; Zhu, Feifei; Ding, Xiaohao

    2017-01-01

    As the number of college graduates increases dramatically in recent years in China, the Chinese Central government encourages college graduates to partake in entrepreneurial activities. The current study uses data from a nationwide institutional survey of directors of career services of 840 Chinese colleges and universities to study the current…

  2. Student Services/One Stop Centers: A Qualitative Examination of Implementation at Three Post-Secondary Institutions

    Science.gov (United States)

    Becker, Janine M.

    2012-01-01

    This research investigates Student Services/One Stop Centers at three post-secondary institutions, looking at the origination of the centers and success through the lens of behavioral theories. Comparing the 3-stage Group Dynamics Theory of Lewin (1947), Social Learning Theory of Bandura (1977), and the 8-stage Change Management Model of Kotter…

  3. User violence towards nursing professionals in mental health services and emergency units

    Directory of Open Access Journals (Sweden)

    Bartolomé Llor-Esteban

    2017-01-01

    Full Text Available Workplace violence is present in many work sectors, but in the area of mental health, nurses have a higher risk due to the close relationship they have with users. This study analyzed hostile user statements against nursing professionals of Mental Health Services and Emergency Units in Health Service (MHS hospitals in Murcia, Spain, and determined the frequency of exposure to the different violent user behaviors. The study was carried out with a sample of 518 nursing professionals from four hospital services: Mental Health, Emergency Units, Medical Hospitalization, and Maternal-and-Child. The nursing staff of Mental Health and Emergency Units was the most exposed to violence. Non-physical violence was more frequent in Emergency Units, whereas physical violence was more frequent in Mental Health. Among the consequences of exposure to non-physical violence are workers’ emotional exhaustion and the presence of psychological distress.

  4. Balancing power: A grounded theory study on partnership of academic service institutes.

    Science.gov (United States)

    Heshmati Nabavi, Fatemeh; Vanaki, Zohreh; Mohammadi, Eesa; Yazdani, Shahram

    2017-07-01

    Governments and professional organizations have called for new partnerships between health care providers and academics to improve clinical education for the benefit of both students and patients. To develop a substantive grounded theory on the process of forming academic-service partnerships in implementing clinical education, from the perspective of academic and clinical nursing staff members and managers working in Iranian settings. The participants included 15 hospital nurses, nurse managers, nurse educators, and educational managers from two central universities and clinical settings from 2009 to 2012. Data were collected through 30 in-depth, semi-structure interviews with the individual participants and then analyzed using the methodology of Strauss and Corbin's grounded theory. Utilizing "balancing power" as the core variable enabled us to integrate the concepts concerning the partnership processes between clinical and educational institutes. Three distinct and significant categories emerged to explain the process of partnership: 1) divergence, 2) conflict between educational and caring functions, and 3) creation of balance between educational and caring functions. In implementing clinical education, partnerships have been formed within a challenging context in Iran. Conflict between clinical and educational functions was the main concern of both sides of the partnership in forming a collaborative relationship, with our findings emphasizing the importance of nursing educators' role in the establishment of partnership programs.

  5. Balancing power: A grounded theory study on partnership of academic service institutes

    Directory of Open Access Journals (Sweden)

    FATEMEH HESHMATI NABAVI

    2017-07-01

    Full Text Available Introduction: Governments and professional organizations have called for new partnerships between health care providers and academics to improve clinical education for the benefit of both students and patients. To develop a substantive grounded theory on the process of forming academic-service partnerships in implementing clinical education, from the perspective of academic and clinical nursing staff members and managers working in Iranian settings. Methods: The participants included 15 hospital nurses, nurse managers, nurse educators, and educational managers from two central universities and clinical settings from 2009 to 2012. Data were collected through 30 in-depth, semi-structure interviews with the individual participants and then analyzed using the methodology of Strauss and Corbin’s grounded theory. Results: Utilizing “balancing power” as the core variable enabled us to integrate the concepts concerning the partnership processes between clinical and educational institutes. Three distinct and significant categories emerged to explain the process of partnership: 1 divergence, 2 conflict between educational and caring functions, and 3 creation of balance between educational and caring functions. Conclusions: In implementing clinical education, partnerships have been formed within a challenging context in Iran. Conflict between clinical and educational functions was the main concern of both sides of the partnership in forming a collaborative relationship, with our findings emphasizing the importance of nursing educators’ role in the establishment of partnership programs.

  6. Academic medicine amenities unit: developing a model to integrate academic medical care with luxury hotel services.

    Science.gov (United States)

    Kennedy, David W; Kagan, Sarah H; Abramson, Kelly Brennen; Boberick, Cheryl; Kaiser, Larry R

    2009-02-01

    The interface between established values of academic medicine and the trend toward inpatient amenities units requires close examination. Opinions of such units can be polarized, reflecting traditional reservations about the ethical dilemma of offering exclusive services only to an elite patient group. An amenities unit was developed at the University of Pennsylvania Health System in 2007, using an approach that integrated academic medicine values with the benefits of philanthropy and service excellence to make amenities unit services available to all patients. Given inherent internal political concerns, a broadly based steering committee of academic and hospital leadership was developed. An academically appropriate model was conceived, anchored by four principles: (1) integration of academic values, (2) interdisciplinary senior leadership, (3) service excellence, and (4) recalibrated occupancy expectations based on multiple revenue streams. Foremost is ensuring the same health care is afforded all patients throughout the hospital, thereby overcoming ethical challenges and optimizing teaching experiences. Service excellence frames the service ethic for all staff, and this, in addition to luxury hotel-style amenities, differentiates the style and feel of the unit from others in the hospital. Recalibrated occupancy creates program viability given revenue streams redefined to encompass gifts and patient revenue, including both reimbursement and self-pay. The medical-surgical amenities patient-care unit has enjoyed a successful first year and a growing stream of returning patients and admitting physicians. Implications for other academic medical centers include opportunities to extrapolate service excellence throughout the hospital and to cultivate philanthropy to benefit services throughout the medical center.

  7. Customer satisfaction survey with clinical laboratory and phlebotomy services at a tertiary care unit level.

    Science.gov (United States)

    Koh, Young Rae; Kim, Shine Young; Kim, In Suk; Chang, Chulhun L; Lee, Eun Yup; Son, Han Chul; Kim, Hyung Hoi

    2014-09-01

    We performed customer satisfaction surveys for physicians and nurses regarding clinical laboratory services, and for outpatients who used phlebotomy services at a tertiary care unit level to evaluate our clinical laboratory and phlebotomy services. Thus, we wish to share our experiences with the customer satisfaction survey for clinical laboratory and phlebotomy services. Board members of our laboratory designed a study procedure and study population, and developed two types of questionnaire. A satisfaction survey for clinical laboratory services was conducted with 370 physicians and 125 nurses by using an online or paper questionnaire. The satisfaction survey for phlebotomy services was performed with 347 outpatients who received phlebotomy services by using computer-aided interviews. Mean satisfaction scores of physicians and nurses was 58.1, while outpatients' satisfaction score was 70.5. We identified several dissatisfactions with our clinical laboratory and phlebotomy services. First, physicians and nurses were most dissatisfied with the specimen collection and delivery process. Second, physicians and nurses were dissatisfied with phlebotomy services. Third, molecular genetic and cytogenetic tests were found more expensive than other tests. This study is significant in that it describes the first reference survey that offers a survey procedure and questionnaire to assess customer satisfaction with clinical laboratory and phlebotomy services at a tertiary care unit level.

  8. A Survey of the Perception of the Services of Micro Finance Institutions by the Female Service Users in Benin City, South-South, Nigeria

    Directory of Open Access Journals (Sweden)

    Ernest Osas Ugiagbe

    2014-04-01

    Full Text Available The study examines the perceptions of the services of the micro finance Institutions by the women service users, and how the services of micro Institutions affect businesses of the beneficiaries of the micro credit loans. The research design for the study was the survey method. The instruments of data collection were structured questionnaires and in-depth interview. A total of 450 questionnaires were administered to the female participants, and senior management personnel of the micro credit institutions were interviewed. The cluster and simple random sampling were used to select the participants for the study. The leaders of registered unions were the informants.  The result reveals that the poor services and attitude of officials of micro finance institutions and other problems like the regressive tax regimes, harsh economic climate and patriarchy are negatively affecting the business ventures of the loan beneficiaries and by implication the goals of poverty reduction via micro credit scheme . The women beneficiaries are groaning under the burden of loan repayment and meeting other obligations as mothers and wives. This study is applicable in the context of social policy development at this time when social services delivery is not only poor but at dismal level. The need for gender sensitive and social development becomes imperative. It is critical to social work practice in the context of advocacy, empowerment programs, facilitating and initiating service delivery and Community organizing by social workers that will enhance the war against Poverty and other social impediments against women empowerment in Nigeria.  Normal 0 false false false EN-GB X-NONE X-NONE

  9. NUMBER AND KINDS OF CHILDREN'S RESIDENTIAL INSTITUTIONS IN THE UNITED STATES.

    Science.gov (United States)

    KUBY, ALMA M.; STAR, SHIRLEY A.

    A BYPRODUCT OF THE PROJECT ON PHYSICAL FACILITIES FOR GROUP CARE OF CHILDREN, THE REPORT LISTS THE NUMBER AND KINDS OF CHILDREN'S RESIDENTIAL INSTITUTIONS. TEN TABLES PROVIDE DATA AS OF SEPTEMBER 1965 ON THE TYPES AND AUSPICES OF PUBLIC AND PRIVATE (BOTH VOLUNTARY AND PROPRIETARY) INSTITUTIONS, INCLUDING MATERNITY HOMES FOR UNMARRIED GIRLS, AND…

  10. A Methodology to Understand Student Choice of Higher Education Institutions: The Case of the United Kingdom

    Science.gov (United States)

    McManus, Richard; Haddock-Fraser, Janet; Rands, Peter

    2017-01-01

    The need to understand how prospective students decide which higher education institution to attend is becoming of paramount importance as the policy context for higher education moves towards market-based systems in many countries. This paper provides a novel methodology by which student preferences between institutions can be assessed, using the…

  11. Physician satisfaction with clinical laboratory services: a College of American Pathologists Q-probes study of 138 institutions.

    Science.gov (United States)

    Jones, Bruce A; Bekeris, Leonas G; Nakhleh, Raouf E; Walsh, Molly K; Valenstein, Paul N

    2009-01-01

    Monitoring customer satisfaction is a valuable component of a laboratory quality improvement program. To survey the level of physician satisfaction with hospital clinical laboratory services. Participating institutions provided demographic and practice information and survey results of physician satisfaction with defined aspects of clinical laboratory services, rated on a scale of 1 (poor) to 5 (excellent). One hundred thirty-eight institutions participated in this study and submitted a total of 4329 physician surveys. The overall satisfaction score for all institutions ranged from 2.9 to 5.0. The median overall score for all participants was 4.1 (10th percentile, 3.6; 90th percentile, 4.5). Physicians were most satisfied with the quality/reliability of results and staff courtesy, with median values of excellent or good ratings of 89.9%. Of the 5 service categories that received the lowest percentage values of excellent/good ratings (combined scores of 4 and 5), 4 were related to turnaround time for inpatient stat, outpatient stat, routine, and esoteric tests. Surveys from half of the participating laboratories reported that 96% to 100% of physicians would recommend the laboratory to other physicians. The category most frequently selected as the most important category of laboratory services was quality/reliability of results (31.7%). There continues to be a high level of physician satisfaction and loyalty with clinical laboratory services. Test turnaround times are persistent categories of dissatisfaction and present opportunities for improvement.

  12. 26 CFR 31.3401(a)(8)(A)-1 - Remuneration for services performed outside the United States by citizens of the United States.

    Science.gov (United States)

    2010-04-01

    ... United States by citizens of the United States. 31.3401(a)(8)(A)-1 Section 31.3401(a)(8)(A)-1 Internal... Tax at Source § 31.3401(a)(8)(A)-1 Remuneration for services performed outside the United States by citizens of the United States. (a) Remuneration excluded from gross income under section 911. (1) (i...

  13. Insights from a national survey into why substance abuse treatment units add prevention and outreach services

    Directory of Open Access Journals (Sweden)

    Lemak Christy

    2006-08-01

    Full Text Available Abstract Background Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1 environmental, (2 unit-level, and (3 unit leadership. Results A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Conclusion Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care

  14. Insights from a national survey into why substance abuse treatment units add prevention and outreach services.

    Science.gov (United States)

    Wells, Rebecca; Lemak, Christy Harris; D'Aunno, Thomas A

    2006-08-03

    Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1) environmental, (2) unit-level, and (3) unit leadership. A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care contracts for prevention and outreach. The effects of

  15. 78 FR 59817 - Revision to United States Marshals Service Fees for Services

    Science.gov (United States)

    2013-09-30

    ... rounded to the nearest five-dollar increment. Thus, in order to recover the actual and reasonable costs of..., investment, productivity, innovation, or on the ability of United States-based enterprises to compete...

  16. Medical tourism services available to residents of the United States.

    Science.gov (United States)

    Alleman, Brandon W; Luger, Tana; Reisinger, Heather Schacht; Martin, Rene; Horowitz, Michael D; Cram, Peter

    2011-05-01

    There are growing reports of United States (US) residents traveling overseas for medical care, but empirical data about medical tourism are limited. To characterize the businesses and business practices of entities promoting medical tourism and the types and costs of procedures being offered. DESIGN, PARTICIPANTS, AND OUTCOMES: Between June and August 2008, we conducted a telephone survey of all businesses engaged in facilitating overseas medical travel for US residents. We collected information from each company including: the number of employees; number of patients referred overseas; medical records security processes; destinations to which patients were referred; treatments offered; treatment costs; and whether patient outcomes were collected. We identified 63 medical tourism companies and 45 completed our survey (71%). Companies had a mean of 9.8 employees and had referred an average of 285 patients overseas (a total of approximately 13,500 patients). 35 (79%) companies reported requiring accreditation of foreign providers, 22 (50%) collected patient outcome data, but only 17 (39%) described formal medical records security policies. The most common destinations were India (23 companies, 55%), Costa Rica (14, 33%), and Thailand (12, 29%). The most common types of care included orthopedics (32 companies, 73%), cardiac care (23, 52%), and cosmetic surgery (29, 66%). 20 companies (44%) offered treatments not approved for use in the US--most commonly stem cell therapy. Average costs for common procedures, CABG ($18,600) and knee arthroplasty ($10,800), were similar to previous reports. The number of Americans traveling overseas for medical care with assistance from medical tourism companies is relatively small. Attention to medical records security and patient outcomes is variable and cost-savings are dependent on US prices. That said, overseas medical care can be a reasonable alternative for price sensitive patients in need of relatively common, elective medical

  17. Using Service-Learning Projects to Jump Start Research at Small Institutions

    Science.gov (United States)

    Ongley, L. K.; Spigel, K.; Olin, J.

    2010-12-01

    Geoscientists at small institutions must frequently be very creative about funding and conducting research. High teaching loads, tuition-driven budgets, and a dearth of geosciences colleagues all contribute challenges to an intellectual life that includes research as a scholarship endeavor. Fortunately, service-learning can be used as a multi-purpose pedagogical technique. Unity College is a very small environmentally-focused undergraduate institution in rural Maine with a student population of less than 600 students. Our students really appreciate learning in the field and through participation in projects that impact the communities in which they live and study. Our Environmental Science (geosciences) and Environmental Analysis (chemistry) majors have been showing increasing interest in pursuing graduate school and independent projects in greater and greater depth. In the past 5 years we have had a complete turn-over in geoscience and chemistry faculty (2 persons), a shift that has brought new ideas to campus and a different idea about importance of research. Unity College has always been a big proponent of community-based projects so the extension to service learning as a pedagogical technique has been smooth. A wide variety of towns, schools, land trusts, pond associations and other groups approach Unity College with project ideas. We are best equipped to handle suggestions that relate to environmental chemistry and to lake sedimentation owing to the research interests of our geoscience faculty. We present two examples of ways to sequence student work that ultimately end in student/faculty research projects. Sophomores in the Unity College Environmental Stewardship Core curriculum may choose to take a course that introduces lake sedimentation as a tool to study environmental change. Students in the course take several sediment cores to analyze proxies of environmental change to reconstruct past environments. The final results are reported to the community

  18. Expansion in the private sector provision of institutional delivery services and horizontal equity: evidence from Nepal and Bangladesh

    Science.gov (United States)

    Hotchkiss, David R; Godha, Deepali; Do, Mai

    2014-01-01

    Wealth-related inequity in the use of maternal healthcare services continues to be a substantial problem in most low- and middle-income countries. One strategic approach to increase the use of appropriate maternal healthcare services is to encourage the expansion of the role of the private sector. However, critics of such an approach argue that increasing the role of the private sector will lead to increased inequity in the use of maternal healthcare services. This article explores this issue in two South Asian countries that have traditionally had high rates of maternal mortality—Nepal and Bangladesh. The study is based on multiple rounds of nationally representative household survey data collected in Nepal and Bangladesh from 1996 to 2011. The methodology involves estimating a concentration index for each survey to assess changes in wealth-related inequity in the use of institutional delivery assistance over time. The results of the study suggest that the expansion of private sector supply of institutional-based delivery services in Nepal and Bangladesh has not led to increased horizontal inequity. In fact, in both countries, inequity was shown to have decreased over the study period. The study findings also suggest that the provision of government delivery services to the poor protects against increased wealth-related inequity in service use. PMID:25012794

  19. The provision of assistive technology products and services for people with dementia in the United Kingdom.

    Science.gov (United States)

    Gibson, Grant; Newton, Lisa; Pritchard, Gary; Finch, Tracy; Brittain, Katie; Robinson, Louise

    2016-07-01

    In this review we explore the provision of assistive technology products and services currently available for people with dementia within the United Kingdom. A scoping review of assistive technology products and services currently available highlighted 171 products or product types and 331 services. In addition, we assimilated data on the amount and quality of information provided by assistive technology services alongside assistive technology costs. We identify a range of products available across three areas: assistive technology used 'by', 'with' and 'on' people with dementia. Assistive technology provision is dominated by 'telecare' provided by local authorities, with services being subject to major variations in pricing and information provision; few currently used available resources for assistive technology in dementia. We argue that greater attention should be paid to information provision about assistive technology services across an increasingly mixed economy of dementia care providers, including primary care, local authorities, private companies and local/national assistive technology resources.

  20. Prevention and Punishment: Barriers to Accessing Health Services for Undocumented Immigrants in the United States

    Directory of Open Access Journals (Sweden)

    Parul Monga

    2014-01-01

    Full Text Available Undocumented immigrants face significant challenges in accessing health care. Throughout the United States, these challenges may relate to the structure of the public health system in which the undocumented find themselves. In addition, local, regional, and national practices aimed at targeting immigrants for deportation or other non-health reasons may serve to punish them for seeking health services or care. Spain and the United Kingdom serve as useful case studies in comparing the ability of the undocumented to seek health services in Europe and the United States. Overall, promoting access to comprehensive health services for the undocumented should be a national priority, along with analysis of any immigration-related laws or policies for potential harmful impact on health care access.

  1. Possible ways of cooperation commercial institutions of physical training and sports with the subjects of services

    National Research Council Canada - National Science Library

    Yuri Dutchak

    2015-01-01

    ... (analysis, comparison, generalization), sociological (interview), expert evaluation (n=3). Results: possible ways of cooperation commercial institutions of physical training and sports with travel agencies...

  2. Comparison on the Institutional Repositories between United Kingdom and United States%英美机构知识库的比较

    Institute of Scientific and Technical Information of China (English)

    周永红; 吴振寰

    2014-01-01

    Based on the investigation of the institutional repositories development status between United Kingdom and United States from OpenDOAR, this paper ifrstly analyses their outlines, then it compares the institutional repositories from the types, the sotfwares, the sizes, the digital resources kinds, the subject, the languages, the open access, and so on. hTeir main sameness and difference are summarized to provide some enlightenments to construct the institutional repositories in China.%文章针对OpenDOAR网站所登记注册的英美机构知识库进行调查,分析英美机构知识库发展概况,并主要从机构知识库的主要类型及创建主体、创建软件应用情况、知识库容量大小、资源收录类型、学科分布、语种、开放存取情况等方面进行比较,总结两国的主要相同点和差异,为中国机构知识库建设提供相应的启示。

  3. Services and technical units for radiological protection; Servicios y unidades tecnicas de proteccion radiologica

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    Spanish law establishes the standard concerning ionizing radiation in accordance to European Union directives. the Spanish NSC (CSN) is the regulatory body in matters of radiological safety which issues a perceptive report on work conditions in everything related to radiological protection of nuclear and radioactive installations. It also inspects and approves their action protocols and makes demands that certain entities employ additional support with respect to radiological protection which they can receive through calls for radiological protection services and technical units. This article takes a look at what these services and technical units are and how they act. (Author)

  4. Management of tobacco smoking in the prison service units – The effects of the health promotion program

    Directory of Open Access Journals (Sweden)

    Krzysztof Puchalski

    2016-10-01

    Full Text Available Background: In 2014 the health promotion program aimed at managing personnel smoking was implemented in the Polish prison service (PS in cooperation with the Nofer Institute of Occupational Medicine (NIOM. It combined education of managers, encouraging them to implement good practices, with employees’ education. This paper describes the process of implementation and its effects in 159 units of PS, against the data on the management of smoking in medium and large companies in Poland gathered in 2010. Material and Methods: Situations concerning smoking management in PS units before and after a half-year program implementation were compared. Data were gathered using self-diagnosis questionnaires (initial and final assessments collectively filled in by representatives of management and employees. Results: Due to the program implementation there was an increase in the percentage of PS units with known number of smoking employees (19% vs. 61%, consultions on formal smoking regulations with personnel (14% vs. 57%, minimal antismoking medical interventions (46% vs. 59%, and assessments of effects of antismoking activities (14% vs. 55%. There was also increase in the number of PS units with personnel totally obeying smoking regulations (28% vs. 41% and decrease in those where such rules are not completely met (9% vs. 7%. In 3/4 PS units there was an increase in employees’ interest in quitting smoking and in 40% of them employees smoke less at work. Almost every second unit has set up a health promotion team. Conclusions: In many aspects the program has brought along satisfying effects and allowed for depicting areas of improvement. Its scheme and tools can be used, after adaptation, in interventions concerning other health problems in workplaces. Med Pr 2016;67(5:605–621

  5. Implementing health care reform in the United States: intergovernmental politics and the dilemmas of institutional design.

    Science.gov (United States)

    Béland, Daniel; Rocco, Philip; Waddan, Alex

    2014-05-01

    The Affordable Care Act (ACA) was enacted, and continues to operate, under conditions of political polarization. In this article, we argue that the law's intergovernmental structure has amplified political conflict over its implementation by distributing governing authority to political actors at both levels of the American federal system. We review the ways in which the law's demands for institutional coordination between federal and state governments (and especially the role it preserves for governors and state legislatures) have created difficulties for rolling out health-insurance exchanges and expanding the Medicaid program. By way of contrast, we show how the institutional design of the ACA's regulatory reforms of the insurance market, which diminish the reform's political salience, has allowed for considerably less friction during the implementation process. This article thus highlights the implications of multi-level institutional designs for the post-enactment politics of major reforms.

  6. Web Implementation of Quality Assurance (QA) for X-ray Units in Balkanic Medical Institutions.

    Science.gov (United States)

    Urošević, Vlade; Ristić, Olga; Milošević, Danijela; Košutić, Duško

    2015-08-01

    Diagnostic radiology is the major contributor to the total dose of the population from all artificial sources. In order to reduce radiation exposure and optimize diagnostic x-ray image quality, it is necessary to increase the quality and efficiency of quality assurance (QA) and audit programs. This work presents a web application providing completely new QA solutions for x-ray modalities and facilities. The software gives complete online information (using European standards) with which the corresponding institutions and individuals can evaluate and control a facility's Radiation Safety and QA program. The software enables storage of all data in one place and sharing the same information (data), regardless of whether the measured data is used by an individual user or by an authorized institution. The software overcomes the distance and time separation of institutions and individuals who take part in QA. Upgrading the software will enable assessment of the medical exposure level to ionizing radiation.

  7. Enrollments in Languages Other than English in United States Institutions of Higher Education, Fall 2009

    Science.gov (United States)

    Furman, Nelly; Goldberg, David; Lusin, Natalia

    2010-01-01

    Since 1958, the Modern Language Association (MLA), with the continuous support of the United States Department of Education, has gathered and analyzed data on undergraduate and graduate course enrollments in languages other than English in United States colleges and universities. The previous survey examined language enrollments in fall 2006; here…

  8. Oral health service utilization by elderly beneficiaries of the Mexican Institute of Social Security in México city

    Directory of Open Access Journals (Sweden)

    Solórzano-Santos Fortino

    2007-12-01

    Full Text Available Abstract Background The aging population poses a challenge to Mexican health services. The aim of this study is to describe recent oral health services utilization and its association with socio-demographic characteristics and co-morbidity in Mexican Social Security beneficiaries 60 years and older. Methods A sample of 700 individuals aged 60+ years was randomly chosen from the databases of the Mexican Institute of Social Security (IMSS. These participants resided in the southwest of Mexico City and made up the final sample of a cohort study for identifying risk factors for root caries in elderly patients. Sociodemographic variables, presence of cognitive decline, depression, morbidity, medication consumption, and utilization of as well as reasons for seeking oral health services within the past 12 months were collected through a questionnaire. Clinical oral assessments were carried out to determine coronal and root caries experience. Results The sample consisted of 698 individuals aged 71.6 years on average, of whom 68.3% were women. 374 participants (53.6% had made use of oral health services within the past 12 months. 81% of those who used oral health services sought private medical care, 12.8% sought social security services, and 6.2% public health services. 99.7% had experienced coronal caries and 44.0% root caries. Female sex (OR = 2.0, 6 years' schooling or less (OR = 1.4, and caries experience in more than 22 teeth (OR = 0.6 are factors associated with the utilization of these services. Conclusion About half the elderly beneficiaries of social security have made use of oral health services within the past 12 months, and many of them have to use private services. Being a woman, having little schooling, and low caries experience are factors associated with the use of these services.

  9. [Health care units image development on the market of medical services].

    Science.gov (United States)

    Kemicer-Chmielewska, Ewa; Karakiewicz, Beata

    2010-01-01

    The cause for this document is to present a deliberation on public health facility image development on the medical services market. Marketization of the health service, growing awareness of Polish citizens and their expectation of high service quality as well as increased competition in the healthcare system market is the reason why health unit managers need to put a lot of strength and effort in sustaining or improving the image of the facility they run. Such action gives a chance for obtaining a competitive advantage.

  10. MaPSeq, A Service-Oriented Architecture for Genomics Research within an Academic Biomedical Research Institution

    Directory of Open Access Journals (Sweden)

    Jason Reilly

    2015-07-01

    Full Text Available Genomics research presents technical, computational, and analytical challenges that are well recognized. Less recognized are the complex sociological, psychological, cultural, and political challenges that arise when genomics research takes place within a large, decentralized academic institution. In this paper, we describe a Service-Oriented Architecture (SOA—MaPSeq—that was conceptualized and designed to meet the diverse and evolving computational workflow needs of genomics researchers at our large, hospital-affiliated, academic research institution. We present the institutional challenges that motivated the design of MaPSeq before describing the architecture and functionality of MaPSeq. We then discuss SOA solutions and conclude that approaches such as MaPSeq enable efficient and effective computational workflow execution for genomics research and for any type of academic biomedical research that requires complex, computationally-intense workflows.

  11. Commercial and Institutional Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Fruergaard, Thilde

    2011-01-01

    Commercial and institutional waste is primarily from retail (stores), hotels, restaurants, health care (except health risk waste), banks, insurance companies, education, retirement homes, public services and transport. Within some of these sectors, e.g. retail and restaurants, large variations...... are found in terms of which products and services are offered. Available data on unit generation rates and material composition as well as determining factors are discussed in this chapter. The characterizing of commercial and institutional waste is faced with the problem that often only a part of the waste...

  12. [Transnational health service utilization by Mexican immigrants in the United States].

    Science.gov (United States)

    González-Vázquez, Tonatiuh Tomás; Torres-Robles, Cristian Armando; Pelcastre-Villafuerte, Blanca Estela

    2013-01-01

    Document the transnational utilization of health resources and services by Mexican immigrants in the United States. Between December 2009-February 2011, Interviews and focus groups were conducted in California and four states of México. Data were collected from 135 individuals, including return migrants, allopathic physicians and traditional healers. Faced with obstacles to accessing US health care and some health services within the Mexican system, many immigrants within the US make use of Mexican health resources and services, either from a distance or during visits to Mexico. These resources and services include allopathic medicine, traditional medicine, and home remedies and medicines. The legal status of immigrants and their access to health insurance in the US are related to whether their transnational use of Mexican health resources and services is formal or informal; immigrants who are undocumented and without health insurance are the most vulnerable.

  13. Governing Boards in Public Higher Education Institutions: A Perspective from the United States

    Science.gov (United States)

    Taylor, James S.; Machado, Maria de Lourdes

    2008-01-01

    Governing boards have a long tradition and prominent role in U.S. higher education. The diversity of institutional types, and thus governing boards, represents a multifaceted tapestry of functions, roles, and responsibilities. This paper will attempt to define the parameters of public higher education governing boards in the USA and offer critical…

  14. The role of public service motivation in performance : Examining the potentials and pitfalls through an institutional approach

    NARCIS (Netherlands)

    van Loon, N.M.

    2015-01-01

    Does feeling a motivational drive to contribute to society matter for the performance of public employees? This dissertation shows it does: employees that are highly public service motivated perform better in their job, are more likely to help their colleagues and work units with highly public

  15. The role of public service motivation in performance : Examining the potentials and pitfalls through an institutional approach

    NARCIS (Netherlands)

    van Loon, N.M.

    2015-01-01

    Does feeling a motivational drive to contribute to society matter for the performance of public employees? This dissertation shows it does: employees that are highly public service motivated perform better in their job, are more likely to help their colleagues and work units with highly public servi

  16. The IAASB - the International Auditing and Assurance Standards Board - the Influence of Institutional Aspects on International Harmonization Concept of Auditing Services

    OpenAIRE

    Ladislav Kareš; Petra Krišková

    2008-01-01

    The article dealt with institutional aspects of auditing profession, mostly their impact on international harmonization concept of auditing services. The authors of the article mention on importance and tasks of the institution - the IAASB - The International Auditing and Assurance Standards Board, by compiling of strategy of auditing services behavior and development, mostly in context of providing the auditing services. The authors mention on the IAASB priorities in this area set for period...

  17. The IAASB - the International Auditing and Assurance Standards Board - the Influence of Institutional Aspects on International Harmonization Concept of Auditing Services

    OpenAIRE

    Ladislav Kareš; Petra Krišková

    2008-01-01

    The article dealt with institutional aspects of auditing profession, mostly their impact on international harmonization concept of auditing services. The authors of the article mention on importance and tasks of the institution - the IAASB - The International Auditing and Assurance Standards Board, by compiling of strategy of auditing services behavior and development, mostly in context of providing the auditing services. The authors mention on the IAASB priorities in this area set for period...

  18. Phraseological units in the language of public service advertising: occasional configuration of the first type

    Directory of Open Access Journals (Sweden)

    Soboleva Nina Pavlovna

    2015-06-01

    Full Text Available The paper covers the implementation of phraseological units in the language of public service advertising, as well as theoretical and practical aspects of phraseological units and their contextual use. The research is aimed at the analysis, classification of the cases of implementation and identification of the main structural and semantic classes of phraseological units used in public service advertising slogans in the Russian, English and German languages. The choice of practical material is stipulated by a growing role of public service advertising and interest in this issue. As a result of our research we analysed three thousand slogans in three languages taken from posters and websites. The author dwells on occasional configuration of the first type, introduced by A.V. Kunin, and considers the following stylistic modifications: dual actualisation, substitution, ellipsis, extension, permutation and other. A relevant classification is introduced which covers the stylistic modifications implemented in public service advertising slogans in three languages. The most frequently used stylistic modifications are identified. The most commonly used structure types of phraseological units are revealed in the article. No matter what kind of modification is explored the reasons of transformation can be the following: the structure of PU, the inner form and pragmatics.

  19. 75 FR 409 - Privacy Act of 1974; United States Citizenship and Immigration Services-010 Asylum Information...

    Science.gov (United States)

    2010-01-05

    ...--010 Asylum Information and Pre-Screening System of Records AGENCY: Privacy Office; DHS. ACTION: Notice... Security's inventory, entitled Unites States Citizenship and Immigration Services-010 Asylum Information... systems: The Refugees, Asylum, and Parole System and the Asylum Pre-Screening System. Refugees,...

  20. 77 FR 30437 - Proposed Amendment of Air Traffic Service Routes; Southwestern United States

    Science.gov (United States)

    2012-05-23

    ... Federal Aviation Administration 14 CFR Part 71 RIN 2120-AA66 Proposed Amendment of Air Traffic Service Routes; Southwestern United States AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of... Administration, 800 Independence Avenue SW., Washington, DC 20591; telephone: (202) 267-8783....

  1. United Airlines Launches New Daily Beijing-San Francisco Non-Stop Services

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ United Airlines, the leading carrier between the U.S. and China, announced today that its new Beijing to San Francisco non-stop flight took off from Beijing at 12:00 p.m. helping to open a new air service route between two of the world's greatest cities.

  2. Agricultural Extension: Farm Extension Services in Australia, Britain and the United States.

    Science.gov (United States)

    Williams, Donald B.

    By analyzing the scope and structure of agricultural extension services in Australia, Great Britain, and the United States, this work attempts to set guidelines for measuring progress and guiding extension efforts. Extension training, agricultural policy, and activities of national, international, state, and provincial bodies are examined. The…

  3. 77 FR 59679 - Central Vermont Public Service Corporation (Millstone Power Station, Unit 3); Order Approving...

    Science.gov (United States)

    2012-09-28

    .... (DNC), Central Vermont Public Service Corporation (CVPS) and Massachusetts Municipal Wholesale Electric Company (MMWE) (collectively ``the licensees'' or ``DNC, Inc., et al.'') are the co-holders of the Renewed... Power Station, Unit 3 (MPS3). CVPS is a non-operating owner of a 1.7303% interest in MPS3. DNC is...

  4. Land grants of New Mexico and the United States Forest Service

    Science.gov (United States)

    Carol Raish; Alice M. McSweeney

    2011-01-01

    The U.S. Forest Service (FS) has a long, shared history with the Spanish and Mexican land grants of northern New Mexico. The Treaty of Guadalupe Hidalgo, which ended the war between the United States and Mexico, was supposed to recognize and respect the property rights of the resident Hispano population. In many cases the intent of the Treaty was not honored. During...

  5. Eligibility Characteristics of Infants and Toddlers Entering Early Intervention Services in the United States

    Science.gov (United States)

    Scarborough, Anita A.; Hebbeler, Kathleen M.; Spiker, Donna

    2006-01-01

    In the United States, legislation originally enacted in 1986 provided grants to states to build interagency service systems for children from birth to 3 years of age with developmental delays and disabilities. This legislation now renamed the Individuals with Disabilities Education Act (IDEA) was intended to facilitate the development of a…

  6. Journal publications by pharmacy practice faculty evaluated by institution and region of the United States (2001-2003

    Directory of Open Access Journals (Sweden)

    Coleman CI

    2007-12-01

    Full Text Available Objective: To compare the quantity of manuscripts published in journals by departments of pharmacy practice at schools and colleges of pharmacy in the United States for the years 2001-2003.Methods: We utilized the Web of Science bibliographic database to identify publication citations for the years 2001 to 2003 which were then evaluated in a number of different ways. Faculty were identified via American Association of Colleges of Pharmacy rosters for 2000-2001, 2001-2002, and 2002-2003 academic years. Results: Rankings were done based on the number of publications per institution and average number of publications per faculty member at an institution. Upon linear regression analysis, a relationship exists between an institution’s faculty size and the total number of publications but not for tenure/nontenure-track faculty ratio. Rating highest in overall publication number did not guarantee high rankings in the average number of publications per faculty member at an institution assessment. Midwestern schools were responsible for more publications per institution than other regions. Many schools only generated minimal scholarship over this evaluative period.Conclusion: While many schools have pharmacy practice faculty that strongly contributed to the biomedical literature, other schools have not. Pharmacy practice faculty in the Midwest publish more journal manuscripts than faculty in other regions of the country. More pharmacy schools need to engage their faculty in scholarly endeavors by providing support and incentives.

  7. A science confidence gap: Education, trust in scientific methods, and trust in scientific institutions in the United States, 2014.

    Science.gov (United States)

    Achterberg, Peter; de Koster, Willem; van der Waal, Jeroen

    2017-08-01

    Following up on suggestions that attitudes toward science are multi-dimensional, we analyze nationally representative survey data collected in the United States in 2014 ( N = 2006), and demonstrate the existence of a science confidence gap: some people place great trust in scientific methods and principles, but simultaneously distrust scientific institutions. This science confidence gap is strongly associated with level of education: it is larger among the less educated than among the more educated. We investigate explanations for these educational differences. Whereas hypotheses deduced from reflexive-modernization theory do not pass the test, those derived from theorizing on the role of anomie are corroborated. The less educated are more anomic (they have more modernity-induced cultural discontents), which not only underlies their distrust in scientific institutions, but also fuels their trust in scientific methods and principles. This explains why this science confidence gap is most pronounced among the less educated.

  8. Broad Scale Monitoring in the US Forest Service: Institutional Challenges and Collaborative Opportunites for Improving Planning and Decision-Making in an Era of Climate Change

    Science.gov (United States)

    Wurtzebach, Z.

    2016-12-01

    In 2012, the United States Forest Service promulgated new rules to guide Forest planning efforts in accordance with the National Forest Management Act (NFMA). One important component of the 2012 rule is a requirement for Regionally coordinated cross-boundary "broad scale" monitoring strategies that are designed to inform and facilitate Forest-level adaptive management and planning. This presentation will examine institutional challenges and opportunites for developing effective broad scale monitoring strategies identified in 90 interviews with USFS staff and partner organizations, and collaborative workshops held in Colorado, Wyoming, Arizona, and New Mexico. Internal barriers to development include funding and human resource constraints, organizational culture, problematic incentives and accountability structures, data management issues, and administrative barriers to collaboration. However, we also identify several opportunities for leveraging interagency collaboration, facilitating multi-level coordination, generating efficiencies in data collection and analysis, and improving strategies for reporting and communication to Forest level decision-makers and relevant stakeholders.

  9. Novel web-based real-time dashboard to optimize recycling and use of red cell units at a large multi-site transfusion service

    Directory of Open Access Journals (Sweden)

    Christopher Sharpe

    2014-01-01

    Full Text Available Background: Effective blood inventory management reduces outdates of blood products. Multiple strategies have been employed to reduce the rate of red blood cell (RBC unit outdate. We designed an automated real-time web-based dashboard interfaced with our laboratory information system to effectively recycle red cell units. The objective of our approach is to decrease RBC outdate rates within our transfusion service. Methods: The dashboard was deployed in August 2011 and is accessed by a shortcut that was placed on the desktops of all blood transfusion services computers in the Capital District Health Authority region. It was designed to refresh automatically every 10 min. The dashboard provides all vital information on RBC units, and implemented a color coding scheme to indicate an RBC unit′s proximity to expiration. Results: The overall RBC unit outdate rate in the 7 months period following implementation of the dashboard (September 2011-March 2012 was 1.24% (123 units outdated/9763 units received, compared to similar periods in 2010-2011 and 2009-2010: 2.03% (188/9395 and 2.81% (261/9220, respectively. The odds ratio of a RBC unit outdate postdashboard (2011-2012 compared with 2010-2011 was 0.625 (95% confidence interval: 0.497-0.786; P < 0.0001. Conclusion: Our dashboard system is an inexpensive and novel blood inventory management system which was associated with a significant reduction in RBC unit outdate rates at our institution over a period of 7 months. This system, or components of it, could be a useful addition to existing RBC management systems at other institutions.

  10. Unit Cost Analysis of PET-CT at an Apex Public Sector Health Care Institute in India

    Science.gov (United States)

    Gajuryal, SH; Daga, A; Siddharth, V; Bal, CS; Satpathy, S

    2017-01-01

    Context: PET/CT scan service is one of the capital intensive and revenue-generating centres of a tertiary care hospital. The cost associated with the provisioning of PET services is dependent upon the unit costs of the resources consumed. Aims: The study aims to determine the cost of providing PET/CT Scan services in a hospital. Methods and Material: This descriptive and observational study was conducted in the Department of Nuclear Medicine at a tertiary apex teaching hospital in New Delhi, India in the year 2014-15. Traditional costing methodology was used for calculating the unit cost of PET/CT scan service. The cost was calculated under two heads that is capital and operating cost. Annualized cost of capital assets was calculated using methodology prescribed by WHO and operating costs was taken on an actual basis. Results: Average number of PET/CT scan performed in a day is 30. The annual cost of providing PET/CT scan services was calculated to be 65,311,719 Indian Rupees (INR) (US$ 1,020,496), while the unit cost of PET scan was calculated to be 9625.92 INR (US$ 150). 3/4th cost was spent on machinery and equipment (75.3%) followed by healthcare personnel (11.37%), electricity (5%), consumables and supplies (4%) engineering maintenance (3.24%), building, furniture and HVAC capital cost (0.76%), and manifold cost (0.05%). Of the total cost, 76% was capital cost while the remaining was operating cost. Conclusions: Total cost for establishing PET/CT scan facility with cyclotron and chemistry module and PET/CT scan without cyclotron and chemistry module was calculated to be INR 610,873,517 (US$9944899) and 226,745,158 (US$3542893), respectively. (US$ 1=INR 64) PMID:28242974

  11. Unit Cost Analysis of PET-CT at an Apex Public Sector Health Care Institute in India.

    Science.gov (United States)

    Gajuryal, S H; Daga, A; Siddharth, V; Bal, C S; Satpathy, S

    2017-01-01

    PET/CT scan service is one of the capital intensive and revenue-generating centres of a tertiary care hospital. The cost associated with the provisioning of PET services is dependent upon the unit costs of the resources consumed. The study aims to determine the cost of providing PET/CT Scan services in a hospital. This descriptive and observational study was conducted in the Department of Nuclear Medicine at a tertiary apex teaching hospital in New Delhi, India in the year 2014-15. Traditional costing methodology was used for calculating the unit cost of PET/CT scan service. The cost was calculated under two heads that is capital and operating cost. Annualized cost of capital assets was calculated using methodology prescribed by WHO and operating costs was taken on an actual basis. Average number of PET/CT scan performed in a day is 30. The annual cost of providing PET/CT scan services was calculated to be 65,311,719 Indian Rupees (INR) (US$ 1,020,496), while the unit cost of PET scan was calculated to be 9625.92 INR (US$ 150). 3/4th cost was spent on machinery and equipment (75.3%) followed by healthcare personnel (11.37%), electricity (5%), consumables and supplies (4%) engineering maintenance (3.24%), building, furniture and HVAC capital cost (0.76%), and manifold cost (0.05%). Of the total cost, 76% was capital cost while the remaining was operating cost. Total cost for establishing PET/CT scan facility with cyclotron and chemistry module and PET/CT scan without cyclotron and chemistry module was calculated to be INR 610,873,517 (US$9944899) and 226,745,158 (US$3542893), respectively. (US$ 1=INR 64).

  12. The choice of indicators to assess the quality of educational services of the institution

    Directory of Open Access Journals (Sweden)

    Елена Егоровна Кулик

    2015-07-01

    Full Text Available On the basis of well-known international and national systems of indicators that make it possible to assess the development of the education system, educational system identified indicators to assess the quality of educational services to secondary schools. In the article the author formulated the original definition of concepts such as quality, quality of education, educational service, quality of education services and indicators of education.

  13. Summary Report for 2003-2004 Phase 1 Archaeological Survey of the United States Fish and Wildlife Service's Great Dismal Swamp National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In February 2004, the United States National Park Service (USNPS) recognized the significance of the United States Fish and Wildlife Service's Great Dismal Swamp...

  14. Garrison Institute on Aging – Lubbock Retired and Senior Volunteer Program (RSVP Provides Services to South Plains, Texas

    Directory of Open Access Journals (Sweden)

    Joan eBlackmon

    2015-12-01

    Full Text Available The Texas Tech University Health Sciences (TTUHSC Garrison Institute on Aging (GIA was established to promote healthy aging through cutting edge research on Alzheimer ’s disease (AD and other diseases of aging, through innovative educational and community outreach opportunities for students, clinicians, researchers, health care providers, and the public. The GIA sponsors the Lubbock Retired and Senior Volunteer Program (RSVP. According to RSVP Operates Handbook, RSVP is one of the largest volunteer efforts in the nation. Through this program, volunteer skills and talents can be matched to assist with community needs. It is a federally funded program under the guidance of the Corporation for National and Community Service (CNCS and Senior Corps (SC. Volunteers that participate in RSVP provide service in the following areas: food security, environmental awareness building and education, community need-based volunteer programs, and veteran services.

  15. Garrison Institute on Aging-Lubbock Retired and Senior Volunteer Program (RSVP) Provides Services to South Plains, Texas.

    Science.gov (United States)

    Blackmon, Joan; Boles, Annette N; Reddy, P Hemachandra

    2015-01-01

    The Texas Tech University Health Sciences (TTUHSC) Garrison Institute on Aging (GIA) was established to promote healthy aging through cutting edge research on Alzheimer's disease (AD) and other diseases of aging, through innovative educational and community outreach opportunities for students, clinicians, researchers, health care providers, and the public. The GIA sponsors the Lubbock Retired and Senior Volunteer Program (RSVP). According to RSVP Operations Handbook, RSVP is one of the largest volunteer efforts in the nation. Through this program, volunteer skills and talents can be matched to assist with community needs. It is a federally funded program under the guidance of the Corporation for National and Community Service (CNCS) and Senior Corps (SC). Volunteers that participate in RSVP provide service in the following areas: food security, environmental awareness building and education, community need-based volunteer programs, and veteran services.

  16. Assessing the Student, Faculty, and Community Partner in Academic Service-Learning: A Categorization of Surveys Posted Online at Campus Compact Member Institutions

    Science.gov (United States)

    Waters, Susan; Anderson-Lain, Karen

    2014-01-01

    Service-learning is an instructional strategy used by faculty at hundreds of institutions, including those that are members of Campus Compact, an organization committed to service-learning and community/civic engagement. For this study, researchers examined a variety of online survey assessment tools used in service-learning projects. The…

  17. Institutional Arrangements for River Basin Management: A Case Study of Comparison between the United States and China

    Institute of Scientific and Technical Information of China (English)

    ZHOU Gang-yan

    2007-01-01

    This note compares institutional arrangements for water resources management in two river basins, namely, those of the Susquehanna River in the United States and the Yangtze River in China. The Susquehanna River Basin Commission is composed of the US federal government and the three states of New York, Pennsylvania, and Maryland through which the Susquehanna River passes. Under the authority of the Susquehanna River Basin Compact, the Commission deals with water resources problems throughout its vast drainage area. In contrast, the Changjiang(Yangtze River) Water Resources Commission (CWRC) lacks relative effectiveness in mobilizing provincial governments in transboundary water resources management.

  18. The Effects of Integrating Service Learning into Computer Science: An Inter-Institutional Longitudinal Study

    Science.gov (United States)

    Payton, Jamie; Barnes, Tiffany; Buch, Kim; Rorrer, Audrey; Zuo, Huifang

    2015-01-01

    This study is a follow-up to one published in computer science education in 2010 that reported preliminary results showing a positive impact of service learning on student attitudes associated with success and retention in computer science. That paper described how service learning was incorporated into a computer science course in the context of…

  19. 75 FR 27737 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-05-18

    ... Doc No: 2010-11876] DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services... Assistant Secretary for Special Education and Rehabilitative Services may change the maximum amount through... participate in this meeting by conference call with NIDRR staff from the Office of Special Education and...

  20. The Effects of Integrating Service Learning into Computer Science: An Inter-Institutional Longitudinal Study

    Science.gov (United States)

    Payton, Jamie; Barnes, Tiffany; Buch, Kim; Rorrer, Audrey; Zuo, Huifang

    2015-01-01

    This study is a follow-up to one published in computer science education in 2010 that reported preliminary results showing a positive impact of service learning on student attitudes associated with success and retention in computer science. That paper described how service learning was incorporated into a computer science course in the context of…

  1. Comparing public service motivation within various Europe countries: do institutional environments make a difference ? Paper

    NARCIS (Netherlands)

    Vandenabeele, W.V.; Steijn, B.; Egger-Peitler, I; Hammerschmid, G; Meyer, R.; Camilleri, E; Cerase, F; Leisink, P.L.M.; Ritz, A; Hondeghem, A

    2009-01-01

    The motivation of public servants in general (Behn 1995), and public service motivation (PSM) in particular (Perry and Hondeghem 2008b), have always been important issues in public administration and public management research. In recent years, research on public service motivation has made signific

  2. Enrollments in Languages Other than English in United States Institutions of Higher Education, Fall 2013

    Science.gov (United States)

    Goldberg, David; Looney, Dennis; Lusin, Natalia

    2015-01-01

    SINCE 1958, the Modern Language Association (MLA) has gathered and analyzed data on undergraduate and graduate course enrollments in languages other than English in United States colleges and universities. The previous survey examined language enrollments in fall 2009; here the MLA presents its twenty-third survey in the series, describing trends…

  3. Effects of Total Quality Management implementation on business performance in service institutions: A case of Kenya Wildlife Services

    Directory of Open Access Journals (Sweden)

    Karani, Sharon R.

    2012-04-01

    Full Text Available The service sector is getting competitive every day. In order to be successful Quality Management (QM practices ought to be the integral part of any organization’s strategic management. Kenya’s national parks form the pillar of the country’s tourism industry. Over one million international tourists visit Kenya annually to partake in wildlife safari and other forms of nature-based tourism. However, Kenya Wildlife Services (KWS is being faced by some challenges which they are trying to manage. These include; decline in the volume of international tourists visiting the national parks, human wildlife conflict, encroachment and poaching, and poor infrastructure. The purpose of this study is to establish how Total Quality Management (TQM practices are employed while addressing these challenges by examining whether there are any gaps or discrepancies (positive or negative between the service quality management offered by KWS and the actual TQM practices by (KEBS, 2008. The study was guided by the following objectives: To determine the TQM principles used, to obtain the effects of TQM implementation on organizational business performance, to determine challenges in the implementation of TQM.

  4. Emergent patterns in the regulation of pharmaceuticals: institutions and interests in the United States, Canada, Britain, and France.

    Science.gov (United States)

    Wiktorowicz, Mary E

    2003-08-01

    Although industrialized nations regulate pharmaceuticals to ensure their safety and efficacy, they balance these concerns with those related to the timeliness of the approval process and the burdens involved in meeting regulatory criteria. The United States, Canada, Britain, and France have adopted different approaches to the regulation of pharmaceuticals that place varying emphases on these competing goals and involve the participation of private interests to different extents. The regulatory approval processes and the government-industry relationships inherent within them are compared in the United States, Canada, Britain, and France by analyzing five features that distinguish the U.S. pluralist from the European corporatist approaches to policy development: representation (internal versus external), process (closed versus open), stance (informal, accommodative versus formal, adversarial), institutional power (fragmented versus centralized), and resources. An institutional framework further characterizes these approaches as based on models of managerial discretion and adjudication (United States), consultation (Canada), and bargaining (Britain, France) to clarify the patterns that emerge. While the approach that most effectively supports product safety involves managerial discretion as occurs in the United States, formal mechanisms for negotiation might be incorporated rather than a reliance on the judicial process. In an era of globalization and regulatory harmonization such divergence has significant implications. First, where harmonization in Europe involves the mutual recognition of one country's product licensing decision by the others, differences in evaluative processes remain important. Second, as harmonization leads to a common set of regulatory criteria, the criteria adopted tend to be those of nations with the least stringent regulatory standards, making evident the need for more responsive systems of post-market surveillance to protect the public

  5. Institutional dimensions of Payments for Ecosystem Services. An analysis of Mexico's carbon forestry programme

    Energy Technology Data Exchange (ETDEWEB)

    Corbera, Esteve; Brown, Katrina [School of Development Studies, University of East Anglia (United Kingdom)]|[Tyndall Centre for Climate Change Research (United Kingdom); Soberanis, Carmen Gonzalez [Overseas Development Group, University of East Anglia (United Kingdom)

    2009-01-15

    This article proposes a multi-dimensional framework for understanding the development and effectiveness of Payments for Ecosystem Services (PES) schemes, framed around the notions of institutional design, performance and interplay. The framework is applied in the context of Mexico's Programme of Payments for Carbon, Biodiversity and Agro-forestry Services (PSA-CABSA), with an emphasis on its carbon component. The analysis shows that PSA-CABSA was promoted by civil society and its rules have been subject to continuous modifications over time. In the case of the carbon component, changes have been due to an original misunderstanding of how carbon projects should be designed, implemented, and carbon traded in actual markets. From a performance point of view, the paper shows that the programme has been well received by rural communities, and carbon payments have contributed to increase household income and to enhance forest management practices and organisational skills. The paper also highlights sources of institutional interplay with local institutions and international climate policy, and it reveals the importance of capacity and scale issues in securing an effective and fair implementation of PES. The conclusion provides some policy recommendations for the future development of PES initiatives in Mexico and elsewhere. (author)

  6. Evaluating Higher Education Institutions through Agency and Resources-Capabilities Theories. A Model for Measuring the Perceived Quality of Service

    Directory of Open Access Journals (Sweden)

    José G. Vargas-Hernández

    2016-12-01

    Full Text Available The objective of this paper is to explain through the agency theory and theory of resources and capacities as is the process of assessment in higher education institutions. The actors that are involved in the decision-making and the use that is giving the resources derived from repeatedly to practices that opportunistic diminishing the value that is given to the evaluation, in addition to the decrease in team work. A model is presented to measure the perception of service quality by students of the Technological Institute of Celaya, as part of the system of quality control, based on the theoretical support of several authors who have developed this topic (SERVQUAL and SERPERF an instrument adapted to the student area of the institution called SERQUALITC is generated. The paper presents the areas or departments to assess and the convenient size, the number of items used by size and Likert scale, the validation study instrument is mentioned. Finally, it is presented the model that poses a global vision of quality measurement process including corrective action services that enable continuous improvement.

  7. HUMAN DEVELOPMENT FOR STAFF INVOLVED IN INSTITUTIONS FROM TERTIARY HEALTH CARE: HEALTH SERVICES AND LABOR WELFARE MEDELLIN, COLOMBIA, 2007

    Directory of Open Access Journals (Sweden)

    Gladys Irene, Arboleda Posada

    2011-01-01

    Full Text Available The study describes the conditions of human development according to labor welfare and satisfaction with healthcare services from staff employed with an indefinite term contract before January 1997 in health institutions of tertiary care in the city of Medellin (Colombia. It was performed a cross-sectional study designed to measure these components of human development through surveys applied on the staff with the described conditions, without any difference of academic, socioeconomic status or type of position. It was included a population of 1622 persons from five institutions, with a final sample of 242.Among the key findings is highlighted the high degree of staff satisfaction related to received in healthcare services for both, the worker and their beneficiaries; as well as the supply of medicines and diagnostic aids; besides the satisfaction with the work performed in the company and the feeling of being useful and important to it, they find out it is difficult to have promotions by merit and recognition for their work. As factors to strengthen in these institutions are the establishing clear policies for promotion and recognition.

  8. Evaluating Higher Education Institutions through Agency and Resources-Capabilities Theories. A Model for Measuring the Perceived Quality of Service

    Directory of Open Access Journals (Sweden)

    José Guadalupe Vargas-hernández

    2016-08-01

    Full Text Available The objective of this paper is to explain through the agency theory and theory of resources and capacities as is the process of assessment in higher education institutions. The actors that are involved in the decision-making and the use that is giving the resources derived from repeatedly to practices that opportunistic diminishing the value that is given to the evaluation, in addition to the decrease in team work. A model is presented to measure the perception of service quality by students of the Technological Institute of Celaya, as part of the system of quality control, based on the theoretical support of several authors who have developed this topic (SERVQUAL and SERPERF an instrument adapted to the student area of the institution called SERQUALITC is generated. The paper presents the areas or departments to assess and the convenient size, the number of items used by size and Likert scale, the validation study instrument is mentioned. Finally, it is presented the model that poses a global vision of quality measurement process including corrective action services that enable continuous improvement.

  9. Quality Assurance Peer Review Chart Rounds in 2011: A Survey of Academic Institutions in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, Yaacov Richard, E-mail: yaacovla@gmail.com [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Whiton, Michal A. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Skagit Valley Hospital Regional Cancer Care Center, Mt. Vernon, Washington (United States); Symon, Zvi [Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Wuthrick, Evan J. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Ohio State University, Columbus, Ohio (United States); Doyle, Laura; Harrison, Amy S.; Dicker, Adam P. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States)

    2012-11-01

    Purpose: In light of concerns regarding the quality of radiation treatment delivery, we surveyed the practice of quality assurance peer review chart rounds at American academic institutions. Methods and Materials: An anonymous web-based survey was sent to the chief resident of each institution across the United States. Results: The response rate was 80% (57/71). The median amount of time spent per patient was 2.7 minutes (range, 0.6-14.4). The mean attendance by senior physicians and residents was 73% and 93%, respectively. A physicist was consistently present at peer review rounds in 66% of departments. There was a close association between attendance by senior physicians and departmental organization: in departments with protected time policies, good attendance was 81% vs. 31% without protected time (p = 0.001), and in departments that documented attendance, attending presence was 69% vs. 29% in departments without documentation (p < 0.05). More than 80% of institutions peer review all external beam therapy courses; however, rates were much lower for other modalities (radiosurgery 58%, brachytherapy 40%-47%). Patient history, chart documentation, and dose prescription were always peer reviewed in >75% of institutions, whereas dosimetric details (beams, wedges), isodose coverage, intensity-modulated radiation therapy constraints, and dose-volume histograms were always peer reviewed in 63%, 59%, 42%, and 50% of cases, respectively. Chart rounds led to both minor (defined as a small multileaf collimator change/repeated port film) and major (change to dose prescription or replan with dosimetry) treatment changes. Whereas at the majority of institutions changes were rare (<10% of cases), 39% and 11% of institutions reported that minor and major changes, respectively, were made to more than 10% of cases. Conclusion: The implementation of peer review chart rounds seems inconsistent across American academic institutions. Brachytherapy and radiosurgical procedures are

  10. Erving Goffman's asylums and institutional culture in the mid-twentieth-century United States.

    Science.gov (United States)

    Gambino, Matthew

    2013-01-01

    Sociologist Erving Goffman based his seminal work Asylums (1961) on a year of field research at St. Elizabeths Hospital in Washington, DC. Goffman described the mental hospital as a "total institution," in which regimentation dominated every aspect of daily life and patients were denied even the most basic means of self-expression; rather than promote recovery, such conditions produced the sorts of disordered behavior for which men and women were ostensibly admitted. A closer look at the changes transforming St. Elizabeths around the time of Goffman's research reveals a far richer portrait of institutional culture. Group therapy, psychodrama, art and dance therapy, patient newspapers, and patient self-government-each of which debuted at the hospital in the 1940s and 1950s-provided novel opportunities for men and women to make themselves heard and to take their fate into their own hands. While these initiatives did not reach all of the patients at St. Elizabeths, surviving documentation suggests that those who participated found their involvement rewarding and empowering. Goffman explicitly set out to describe "the social world of the hospital inmate." His failure to appreciate fully the capacities of his subjects, however, appears to have led him to underestimate the importance of these developments.

  11. Relationship between Training Programs being Offered in State and Federal Penal Institutions and the Unfilled Job Openings in the Major Occupations in the United States.

    Science.gov (United States)

    Torrence, John Thomas

    Excluding military installations, training programs in state and federal penal institutions were surveyed, through a mailed checklist, to test the hypotheses that (1) training programs in penal institutions were not related to the unfilled job openings by major occupations in the United States, and (2) that training programs reported would have a…

  12. Institutional Governance in Higher Education: Public Policy in France, Sweden and the United Kingdom. Yale Higher Education Research Group Working Paper.

    Science.gov (United States)

    Premfors, Rune

    Major public policies for institutional governance in France, Sweden, and the United Kingdom over the past two decades are reviewed, and factors that may account for differences in policy developments in the three countries are considered. In France and (although only recently) in Sweden, politics have aimed at increasing institutional autonomy in…

  13. The United States Government Interagency Process and the Failure of Institution Building in Iraq

    Science.gov (United States)

    2008-06-12

    LTG Martin Dempsey, to make the case for an increase in the investment by the United States Government (USG) in the development of a self-sufficient...the exception of 5 Feil , Scott R. “The Failure of Incrementalism: Interagency Coordination Challenges and Responses.” In The Interagency and...society invested in establishing a stable democratic, and economically viable Iraq.” (SIGIR-06-045, 2007) 35 Interview, Scott Feil , 27 November 2007. 22

  14. 75 FR 77629 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Science.gov (United States)

    2010-12-13

    ... multidisciplinary, and emphasizes scientific research methodology, and may involve collaboration among institutions... mentorship or guidance, and opportunities for scientific collaboration with qualified researchers at the host... bibliography, or the letters of support. However, the page limit does apply to all of the application...

  15. The provision of mobile centric services in Higher Educational Institutions: A case of lecturer readiness

    CSIR Research Space (South Africa)

    Chipangura, B

    2014-10-01

    Full Text Available In South Africa, the potential of mobile phones as tools that facilitates inclusive information access and interaction at Higher Educational Institutions (HEIs)has not been fully realized. A number of factors could be attributed to the slow growth...

  16. 12 CFR 303.222 - Service at another insured depository institution.

    Science.gov (United States)

    2010-01-01

    ... RULES OF PRACTICE FILING PROCEDURES Section 19 of the FDI Act (Consent to Service of Persons Convicted... case of a person who has already been approved by the FDIC under this subpart or section 19 of the...

  17. Institutional, Individual, and Socio-Cultural Domains of Partnerships: A Typology of USDA Forest Service Recreation Partners

    Science.gov (United States)

    Seekamp, Erin; Cerveny, Lee K.; McCreary, Allie

    2011-09-01

    Federal land management agencies, such as the USDA Forest Service, have expanded the role of recreation partners reflecting constrained growth in appropriations and broader societal trends towards civic environmental governance. Partnerships with individual volunteers, service groups, commercial outfitters, and other government agencies provide the USDA Forest Service with the resources necessary to complete projects and meet goals under fiscal constraints. Existing partnership typologies typically focus on collaborative or strategic alliances and highlight organizational dimensions (e.g., structure and process) defined by researchers. This paper presents a partner typology constructed from USDA Forest Service partnership practitioners' conceptualizations of 35 common partner types. Multidimensional scaling of data from unconstrained pile sorts identified 3 distinct cultural dimensions of recreation partners—specifically, partnership character, partner impact, and partner motivations—that represent institutional, individual, and socio-cultural cognitive domains. A hierarchical agglomerative cluster analysis provides further insight into the various domains of agency personnel's conceptualizations. While three dimensions with high reliability (RSQ = 0.83) and corresponding hierarchical clusters illustrate commonality between agency personnel's partnership suppositions, this study also reveals variance in personnel's familiarity and affinity for specific partnership types. This real-world perspective on partner types highlights that agency practitioners not only make strategic choices when selecting and cultivating partnerships to accomplish critical task, but also elect to work with partners for the primary purpose of providing public service and fostering land stewardship.

  18. [Social medicine service of undergraduate medicine students in the Hospitalary Donation Coordination area of the Mexican Institute of Social Security].

    Science.gov (United States)

    Maya-Álvarez, Jorge Arturo; Lechuga-García, Rafael; Querevalú-Murillo, Walter

    2012-01-01

    The cadaveric or donor-related transplant is a worldwide priority program. In Mexico, the human hospitalary resources primarily assigned to issues about donation and transplant are scarce. In our country, recent legal changes permit that undergraduate medicine students under University linking programs can be integrated in activities that guarantee a social profit, for example, the hospitalary donation coordination of the Mexican Institute of Social Security. This is a proposal with a legal framework, based in experiences of the Barcelona Provincial Hospital Clínic, that integrate undergraduate medicine students as monitors in the Hospitalary Donation Coordination area of the Mexican Institute of Social Security who are available 24 hours. During this social service stage, undergraduate medical students can benefit their community by optimizing potential for transplants via hospital organ donations.

  19. Review of paediatric cardiology services in district general hospitals in the United Kingdom.

    Science.gov (United States)

    Andrews, Hannah; Singh, Yogen

    2016-03-01

    Following the Safe and Sustainable review of Paediatric Services in 2012/2013, National Health Service England recommended that local paediatric cardiology services should be provided by specially trained paediatricians with expertise in cardiology in all non-specialist hospitals. To understand the variation in local paediatric cardiology services provided across district general hospitals in the United Kingdom. An internet-based questionnaire was sent out via the Paediatrician with Expertise in Cardiology Special Interest Group and the Neonatologists with Interest in Cardiology and Haemodynamics contact databases and the National Health Service directory. Non-responders were followed-up via telephone. The response rate was 80% (141 of 177 hospitals), and paediatricians with expertise in cardiology were available in 68% of those. Local cardiology clinics led by paediatricians with expertise in cardiology were provided in 96 hospitals (68%), whereas specialist outreach clinics were held in 123 centres (87%). A total of 11 hospitals provided neither specialist outreach clinics nor any local cardiology clinics led by paediatricians with expertise in cardiology. Paediatric echocardiography services were provided in 83% of the hospitals, 12-lead electrocardiogram in 96%, Holter electrocardiogram in 91%, and exercise testing in only 47% of the responding hospitals. Telemedicine facilities were established in only 52% of the centres, where sharing echocardiogram images via picture archiving and communication system was used most commonly. There has been a substantial increase in the availability of paediatricians with expertise in cardiology since 2008. Most of the hospitals are well-supported by specialist cardiology centres via outreach clinics; however, there remains significant variation in the local paediatric cardiology services provided across district general hospitals in the United Kingdom.

  20. The IAASB - the International Auditing and Assurance Standards Board - the Influence of Institutional Aspects on International Harmonization Concept of Auditing Services

    National Research Council Canada - National Science Library

    Ladislav Kareš; Petra Krišková

    2008-01-01

    .... The authors of the article mention on importance and tasks of the institution - the IAASB - The International Auditing and Assurance Standards Board, by compiling of strategy of auditing services...

  1. Health tourism trends in the United Kingdom: Are they net exporters of health services?

    OpenAIRE

    Pagán-Rodríguez, Ricardo

    2016-01-01

    The study investigates the inbound and outbound health tourism in the United Kingdom (UK) to determine if the UK can be considered as a net exporter of health services. Although there is an increasing number of studies analysing the phenomenon of health tourism, little empirical data are available. This paper contributes to reducing this gap by providing reliable data on health tourism flows for the British case. Using microdata drawn from the International Passenger Survey (IPS) for the peri...

  2. The Role of Organizational Culture in the Leadership of United States Air Force Services Squadrons

    Science.gov (United States)

    1988-01-01

    The purpose of this monograph is to examine the role organizational culture plays in the leadership of United States Air Force (USAF) Services...squadrons. While some might argue that the study of organizational culture is a somewhat vague notion, there is significant theory and findings to show...determine the link between organizational culture and financial performance as indicated by Standard and Poor’s financial ratios. In summarizing his

  3. 26 CFR 301.6103(l)(14)-1 - Disclosure of return information to United States Customs Service.

    Science.gov (United States)

    2010-04-01

    ... employees of the United States Customs Service return information (as defined by section 6103(b)) with.... Disclosure of return information by officers or employees of the Internal Revenue Service as provided by.... (f) Use by Customs Service. Return information disclosed under this section may be used by the...

  4. Addressing Adolescent Depression in Schools: Evaluation of an In-Service Training for School Staff in the United States

    Science.gov (United States)

    Valdez, Carmen R.; Budge, Stephanie L.

    2012-01-01

    This study evaluated an adolescent depression in-service training for school staff in the United States. A total of 252 school staff (e.g., teachers, principals, counselors) completed assessments prior to and following the in-service and a subsample of these staff participated in focus groups following the in-service and three months later.…

  5. A process for instituting best practice in the intensive care unit

    Directory of Open Access Journals (Sweden)

    George Elisabeth

    2008-01-01

    Full Text Available Goals of health care are patient safety and quality patient outcomes. Evidence based practice (EBP is viewed as a tool to achieve these goals. Health care providers strive to base practice on evidence, but the literature identifies numerous challenges to implementing and sustaining EBP in nursing. An initial focus is developing an organizational culture that supports the process for nursing and EBP. An innovative strategy to promote a culture of EBP was implemented in a tertiary center with 152 critical care beds and numerous specialty units with diverse patient populations. A multi-disciplinary committee was developed with the goal to use evidence to improve the care in the critical care population. EBP projects were identified from a literature review. This innovative approach resulted in improved patient outcomes and also provided a method to educate staff on EBP. The committee members have become advocates for EBP and serve as innovators for change to incorporate evidence into decision making for patient care on their units.

  6. Is the United States Supreme Court an Undemocratic Institution? An Outsider’s Perspective

    Directory of Open Access Journals (Sweden)

    Łukasz Machaj

    2011-12-01

    Full Text Available The United States Supreme Court has often been accused of engaging in judicial activism, of subverting legislatures’ will and of undermining the basic principles of the democratic system. This article maintains that such charges are generally unfounded. The author claims that the Supreme Court’s detractors ignore five fundamental issues. First, they misunderstand the very nature and basic rules of a constitutional democracy. Second, they tend to ignore the role played by constitutions in general and the American Constitution in particular in social reality, effectively forgetting the reasons for the latter’s hallowed place in the United States national psyche. Third, they ignore the presence of political factors (and even partisan calculations in the process of appointments to the U.S. Supreme Court. Fourth, they misconceive the realities of the process of legal reasoning and of constitutional interpretation. Fifth, they underestimate or even fail to recognize the influence of public opinion on the basic trends of judicial decision-making.

  7. Institutional violence and quality of service in obstetrics are associated with postpartum depression

    Science.gov (United States)

    de Souza, Karina Junqueira; Rattner, Daphne; Gubert, Muriel Bauermann

    2017-01-01

    ABSTRACT OBJECTIVE To investigate the association between institutional violence in obstetrics and postpartum depression (PP depression) and the potential effect of race, age, and educational level in this outcome. METHODS This is a cross-sectional study about the health care conditions for the maternal and child population of the Federal District, Brazil, carried out in 2011. The study has used a probabilistic sample of 432 women, whose children were aged up to three months, stratified by clusters. Indicators of institutional violence and demographic characteristics have been used in a logistic regression model to estimate the probability of occurrence of postpartum depression. RESULTS The model has identified a high prevalence of postpartum depression, being it higher among non-white women and adolescent females, besides having a strong positive association between the several indicators of obstetric violence and postpartum depression. Positive interactions on a multiplicative scale have also been observed between: violence by negligence by health care professionals and race and age; physical violence from health care professionals and age; and, verbal violence from health care professionals and race. CONCLUSIONS The indicators adopted to reflect institutional violence in obstetric care are positively associated with postpartum depression, which calls for a reflection on the need to make the health care protocols adequate to the precepts of the Brazilian humanization of childbirth care policies and changes in the obstetric care model. PMID:28746574

  8. The Influence Of Policy Implementation From The Change Of Institutional Status Toward Quality Of Patient Service In Hospital

    Directory of Open Access Journals (Sweden)

    Dadang Kusnadi

    2015-08-01

    Full Text Available Abstract Fenomenon and comunity problem in goverment hospital management not aware to wont and need public. Silent safety and consumen satisfaction is fenomenon lack quallity care. Goal this research goal for analysis about influence of policy implementation of hospital change institution status to the quality of patien service in Hospital. Kind of reserch is the quantity desain on approach the eksplanatory survey research analysis regresi linier multipel with analysis method validitas product moment pearson exam and reliability exam is alpha cronbach technique to hypotesis exam is path analysis and statistic exam t. Datum transformation is Skala Likert with measurement the method succesive interval. The population one thausand seventh two person with sample technique stratified random sampling the instrument research is quesioner and interview patien on caunter imforman. The result of assuming research that it is anticipated that implementation of change policy of institution status of hospital X there is significant influence to quality of service of patient Y is 66.31 and the other factor e is 33.69. In the implementation factor is significant to positif influence to quality service is communication X1 is 049 human resources X2 is 025 disposition X3 is 032 and structure birocratic X4 is 033. The conculsion from four factor independen variable X is the implementation of policy to quality service patient Y to influence and can receive in knowledge. To concept the development in implementation of policy need culture job factor because every product policy to contac direct with the community as to basic public policy.

  9. Comparative Institutional Diagnosis of Civil Service Systems: Summary of 17 Country Evaluations

    OpenAIRE

    2003-01-01

    The present work summarizes a set of reports which have had the aim of diagnosing the civil service systems of seventeen countries: Argentina, Barbados, Bolivia, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Guatemala, Jamaica, Mexico, Nicaragua, Paraguay, Peru, Trinidad and Tobago, Uruguay and Venezuela.

  10. Institutional Effectiveness Assessment Process, 1993-94. Executive Summary. Hospitality and Service Occupations Division, Cosmetology Department.

    Science.gov (United States)

    South Seattle Community Coll., Washington.

    A study was conducted to evaluate student and student employer satisfaction with the services provided by the South Seattle Community College (SSCC) Cosmetology Department. Specifically, the study gathered data related to four outcomes: that students receive an educational experience allowing them to meet their goals; that former and current…

  11. Institutional Branding: A Content Analysis of Public Service Announcements from American Universities

    Science.gov (United States)

    Clayton, Michael J.; Cavanagh, Kevin V.; Hettche, Matt

    2012-01-01

    American universities receive millions of dollars worth of media exposure every year via Public Service Announcements (PSAs) broadcast during their respective school's athletic competitions. This research explores the message strategies and executional devices used by NCAA FBS (National Collegiate Athletic Association Football Bowl Subdivision)…

  12. Networked reliability: institutional fragmentation and the reliability of service provision in critical infrastructures

    NARCIS (Netherlands)

    De Bruijne, M.L.C.

    2006-01-01

    Critical Infrastructures are the arteries and veins of Western, urbanized societies. The services and products provided by these large-scale, complex systems are considered essential. However, in recent years, more and more new problems seem to crop op after these infrastructures were opened up to m

  13. 45 CFR 234.130 - Assistance in the form of institutional services in intermediate care facilities.

    Science.gov (United States)

    2010-10-01

    ... FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES FINANCIAL ASSISTANCE TO INDIVIDUALS § 234.130 Assistance... distinct parts. In a facility having distinct parts devoted to skilled nursing home care and intermediate... of care and treatment which a hospital or skilled nursing home (as that term is employed in title XIX...

  14. College and University Dining Services Administrators' Intention to Adopt Sustainable Practices: Results from US Institutions

    Science.gov (United States)

    Chen, Chao-Jung; Gregoire, Mary B.; Arendt, Susan; Shelley, Mack C.

    2011-01-01

    Purpose: The purpose of this paper is to examine college and university dining services administrators' (CUDSAs) intention to adopt sustainable practices. Design/methodology/approach: The theory of planned behavior (TPB) including constructs of subjective norm (SN), attitude, perceived behavior control, and personal norm (PN), formed the…

  15. Service quality in healthcare institutions: establishing the gaps for policy action.

    Science.gov (United States)

    Abuosi, Aaron A; Atinga, Roger A

    2013-01-01

    The authors seek to examine two key issues: to assess patients' hospital service quality perceptions and expectation using SERVQUAL; and to outline the distinct concepts used to assess patient perceptions. Questionnaires were administered to 250 patients on admission and follow-up visits. The 22 paired SERVQUAL expectation and perception items were adopted. Repeated t-measures and factor analysis with Varimax rotation were used to analyse data. Results showed that patient expectations were not being met during medical treatment. Perceived service quality was rated lower than expectations for all variables. The mean difference between perceptions and expectations was statistically significant. Contrary to the SERVQUAL five-factor model, four service-quality factors were identified in the study. Findings have practical implications for hospital managers who should consider stepping up staffing levels backed by client-centred training programmes to help clinicians deliver care to patients' expectations. Limited studies are tailored towards patients' service-quality perception and expectation in Ghanaian hospitals. The findings therefore provide valuable information for policy and practice.

  16. Privilege, power, and public health programs: a student perspective on deconstructing institutional racism in community service learning.

    Science.gov (United States)

    Taboada, Arianna

    2011-01-01

    The Association of Schools of Public Health has identified "diversity and culture" as 1 of 7 crosscutting competencies that public health students are expected to achieve. This competency is traditionally incorporated into the curriculum through a community service-learning (CSL) component that aims to expose students to racial/ethnic health disparities. However, this model of CSL is problematic because although students are directly engaging with community members, it does not ensure long-term sustainable changes or benefits for the host community. Moreover, academic institutions have developed significant critiques of traditional CSL models where white middle-class students engage with low-income clients and communities of color, potentially reinforcing Eurocentric power and privilege. As such, public health programs require a shift in both pedagogy and curricula that more directly addresses underlying institutional racism in health disparities. Consistent with the principles of public health, a social justice framework is imperative in teaching cultural competency and should facilitate discussion of racial injustice and privilege in the students' own lives. This brief presents an autobiographical personal narrative of my experiences with CSL as a racial/ethnic minority student in a California graduate school of public health. Although autoethnography is inherently limited, this brief highlights my observations of the limitations of the service-learning model to adequately educate students on the intersection of racism and health outcomes. In addition, the brief includes suggestions for creating inclusive curricula that critically examine issues of privilege, oppression, and power dynamics related to race/ethnicity.

  17. Description of physiotherapy services in a mental health institution in Nigeria

    OpenAIRE

    C. A. Gbiri; A. O. Akinpelu; Odole, A.C.

    2011-01-01

    Physiotherapy  has  long  been  recognised  as  adjunct  to  drug therapy in the management of individuals with mental illness. however, little evidence existed on the utilization of physiotherapy in mental health especially in developing worlds.This study reviewed the utilization of physiotherapy in a Mental health  Institution in lagos, nigeria and determined its contribution to quality of  patient-care in the hospital.This study involved review of clients’ activity profile and patients’ re...

  18. Commercial and Institutional Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Fruergaard, Thilde

    2011-01-01

    is handled in the municipal waste system, where information is easily accessible. An important part of commercial and institutional waste is packaging waste, and enterprises with large quantities of clean paper, cardboard and plastic waste may have their own facilities for baling and storing their waste......Commercial and institutional waste is primarily from retail (stores), hotels, restaurants, health care (except health risk waste), banks, insurance companies, education, retirement homes, public services and transport. Within some of these sectors, e.g. retail and restaurants, large variations...... are found in terms of which products and services are offered. Available data on unit generation rates and material composition as well as determining factors are discussed in this chapter. The characterizing of commercial and institutional waste is faced with the problem that often only a part of the waste...

  19. Economic benefits of using a dose dispensing system at hospital units of the Mexican Institute of Social Security.

    Directory of Open Access Journals (Sweden)

    Rocío Ofelia-Uc Coyoc

    2014-05-01

    Full Text Available Objective. To estimate the potential economic benefits at The Mexican Institute of Social Security (IMSS per its abbreviation in spanish according to the drug expenditure of using drug dispensing system, based on literature information. Materials and methods. A systematic review was performed to identify savings from drugs and reduction of medication errors. The total and mean health expenditure by level of medical attention was calculated using the dispensed collective prescriptions at IMSS during 2009. Three savings scenarios were applied. Results. The total drug savings were in a range of 870.49 Mexican million pesos to 4050.05 Mexican million pesos. Reductions of medication errors can contribute with additional savings up to 3455.56 Mexican million pesos. Conclusion. The drug dispensing system unit generates savings opportunities at the second and third level of attention. The maximum economic benefit was observed in the last level.

  20. Collaboration between the US Forest Service and the USDA Agricultural Research Service on the complementary conservation of crop wild relatives in the United States

    Science.gov (United States)

    Two USDA agencies, the Forest Service (USFS) and the Agricultural Research Service (USDA-ARS) are cooperating on the complementary conservation of crop wild relatives (CWR) native to the United States. The USFS manages 193 million acres of National Forest System lands in 43 states and provides suppo...

  1. Information sharing between the National Health Service and criminal justice system in the United Kingdom.

    Science.gov (United States)

    Lennox, Charlotte; Mason, Julie; McDonnell, Sharon; Shaw, Jenny; Senior, Jane

    2012-09-01

    Offenders with mental health problems often have complex and interrelated needs which separately challenge the criminal justice system (CJS) and National Health Service (NHS) in the United Kingdom (U.K.). Consequently, interagency collaboration and timely information sharing are essential. This study focused on the sharing of information about people with mental health problems in contact with the CJS. Questionnaires were distributed to a range of health and criminal justice personnel. The results showed that there was a mismatch between what service user information criminal justice agencies felt they needed and what was routinely received. Prison Service staff received more information (between 15% and 37%) from health agencies than the police (between 6% and 22%). Health professionals received most of the information they needed from criminal justice agencies (between 55% and 85%). Sharing service user information was impeded by incompatible computer systems and restrictions due to data protection/confidentiality requirements. In the U.K., recent governmental publications have highlighted the importance of information sharing; however there remains a clear mismatch between what health related information about service users criminal justice agencies need, and what is actually received. Better guidance is required to encourage and empower people to share.

  2. [Direct service costs of diabetes mellitus hospitalisations in the Mexican Institute of Social Security].

    Science.gov (United States)

    Salas-Zapata, Leonardo; Palacio-Mejía, Lina Sofía; Aracena-Genao, Belkis; Hernández-Ávila, Juan Eugenio; Nieto-López, Emmanuel Salvador

    2016-08-02

    To estimate the direct costs related to hospitalizations for diabetes mellitus and its complications in the Mexican Institute of Social Security METHODS: The hospital care costs of patients with diabetes mellitus using diagnosis-related groups in the IMSS (Mexican Institute of Social Security) and the hospital discharges from the corresponding E10-E14 codes for diabetes mellitus were estimated between 2008-2013. Costs were grouped according to demographic characteristics and main condition, and were estimated in US dollars in 2013. 411,302 diabetes mellitus discharges were recorded, representing a cost of $1,563 million. 52.44% of hospital discharges were men and 77.26% were for type 2 diabetes mellitus. The biggest cost was attributed to peripheral circulatory complications (34.84%) and people from 45-64 years of age (47.1%). Discharges decreased by 3.84% and total costs by 1.75% in the period analysed. The complications that caused the biggest cost variations were ketoacidosis (50.7%), ophthalmic (22.6%) and circulatory (18.81%). Hospital care for diabetes mellitus represents an important financial challenge for the IMSS. The increase in the frequency of hospitalisations in the productive age group, which affects society as a whole, is an even bigger challenge, and suggests the need to strengthen monitoring of diabetics in order to prevent complications that require hospital care. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  3. A legal framework to enable sharing of Clinical Decision Support knowledge and services across institutional boundaries.

    Science.gov (United States)

    Hongsermeier, Tonya; Maviglia, Saverio; Tsurikova, Lana; Bogaty, Dan; Rocha, Roberto A; Goldberg, Howard; Meltzer, Seth; Middleton, Blackford

    2011-01-01

    The goal of the CDS Consortium (CDSC) is to assess, define, demonstrate, and evaluate best practices for knowledge management and clinical decision support in healthcare information technology at scale - across multiple ambulatory care settings and Electronic Health Record technology platforms. In the course of the CDSC research effort, it became evident that a sound legal foundation was required for knowledge sharing and clinical decision support services in order to address data sharing, intellectual property, accountability, and liability concerns. This paper outlines the framework utilized for developing agreements in support of sharing, accessing, and publishing content via the CDSC Knowledge Management Portal as well as an agreement in support of deployment and consumption of CDSC developed web services in the context of a research project under IRB oversight.

  4. Applicability of the Maturity Model for IT Service Outsourcing in Higher Education Institutions

    Directory of Open Access Journals (Sweden)

    Victoriano Valencia García

    2014-08-01

    Full Text Available Outsourcing is a strategic option which complements IT services provided internally in organizations. This study proposes the applicability of a new holistic maturity model based on standards ISO/IEC 20000 and ISO/IEC 38500, and the frameworks and best practices of ITIL and COBIT, with a specific focus on IT outsourcing. This model allows independent validation and practical application in the field of higher education. In addition, this study allows to achieve an effective transition to a model of good governance and management of outsourced IT services which, aligned with the core business of universities, affect the effectiveness and efficiency of its management, optimizes its value and minimizes risks.

  5. Multidisciplinary Service Utilization Pattern by Advanced Head and Neck Cancer Patients: A Single Institution Study

    Science.gov (United States)

    Junn, Jacqueline C.; Kim, Irene A.; Zahurak, Marianna L.; Tan, Marietta; Fan, Katherine Y.; Lake, Spencer T.; Zaboli, David; Messing, Barbara P.; Ulmer, Karen; Harrer, Karen B.; Gold, Dorothy; Ryniak, Keri L.; Zinreich, Eva S.; Tang, Mei; Levine, Marshall A.; Blanco, Ray G.; Saunders, John R.; Califano, Joseph A.; Ha, Patrick K.

    2012-01-01

    Purpose. To analyze the patterns and associations of adjunctive service visits by head and neck cancer patients receiving primary, concurrent chemoradiation therapy. Methods. Retrospective chart review of patients receiving adjunctive support during a uniform chemoradiation regimen for stages III-IV head and neck squamous cell carcinoma. Univariate and multivariate models for each outcome were obtained from simple and multivariate linear regression analyses. Results. Fifty-two consecutive patients were assessed. Female gender, single marital status, and nonprivate insurance were factors associated with an increased number of social work visits. In a multivariate analysis, female gender and marital status were related to increased social work services. Female gender and stage IV disease were significant for increased nursing visits. In a multivariate analysis for nursing visits, living greater than 20 miles between home and hospital was a negative predictive factor. Conclusion. Treatment of advanced stage head and neck cancer with concurrent chemoradiation warrants a multidisciplinary approach. Female gender, single marital status, and stage IV disease were correlated with increased utilization of social work and nursing services. Distance over 20 miles from the center was a negative factor. This information may help guide the treatment team to allocate resources for the comprehensive care of patients. PMID:23118755

  6. Multidisciplinary Service Utilization Pattern by Advanced Head and Neck Cancer Patients: A Single Institution Study

    Directory of Open Access Journals (Sweden)

    Jacqueline C. Junn

    2012-01-01

    Full Text Available Purpose. To analyze the patterns and associations of adjunctive service visits by head and neck cancer patients receiving primary, concurrent chemoradiation therapy. Methods. Retrospective chart review of patients receiving adjunctive support during a uniform chemoradiation regimen for stages III-IV head and neck squamous cell carcinoma. Univariate and multivariate models for each outcome were obtained from simple and multivariate linear regression analyses. Results. Fifty-two consecutive patients were assessed. Female gender, single marital status, and nonprivate insurance were factors associated with an increased number of social work visits. In a multivariate analysis, female gender and marital status were related to increased social work services. Female gender and stage IV disease were significant for increased nursing visits. In a multivariate analysis for nursing visits, living greater than 20 miles between home and hospital was a negative predictive factor. Conclusion. Treatment of advanced stage head and neck cancer with concurrent chemoradiation warrants a multidisciplinary approach. Female gender, single marital status, and stage IV disease were correlated with increased utilization of social work and nursing services. Distance over 20 miles from the center was a negative factor. This information may help guide the treatment team to allocate resources for the comprehensive care of patients.

  7. C. Wright Mills's Friendly Critique of Service Learning and an Innovative Response: Cross-Institutional Collaborations for Community-Based Research

    Science.gov (United States)

    Marullo, Sam; Moayedi, Roxanna; Cooke, Deanna

    2009-01-01

    C. Wright Mills would be a friendly critic of service learning, acknowledging its benefits for providing students with experiential learning opportunities to connect personal troubles with social issues. Yet he would be critical of service-learning practices that perpetuate institutional power inequalities and that do not advance the social change…

  8. Fuzzy Failure Analysis: A New Approach to Service Quality Analysis in Higher Education Institutions (Case Study: Vali-e-asr University of Rafsanjan-Iran)

    Science.gov (United States)

    Takalo, Salim Karimi; Abadi, Ali Reza Naser Sadr; Vesal, Seyed Mahdi; Mirzaei, Amir; Nawaser, Khaled

    2013-01-01

    In recent years, concurrent with steep increase in the growth of higher education institutions, improving of educational service quality with an emphasis on students' satisfaction has become an important issue. The present study is going to use the Failure Mode and Effect Analysis (FMEA) in order to evaluate the quality of educational services in…

  9. [Medical entomology for the Armed services: preliminary results from the medical entomology unit].

    Science.gov (United States)

    Pages, F; Girod, R

    2004-01-01

    Vector-borne diseases constitutes a threat to the operational capability of armed forces personnel operating outside or stationed overseas. To take this risk into account, the French armed forces medical corps created a medical entomology unit in 2003. The primary function of this unit is to monitor the entomological status of French military bases in sub-Saharan Africa (identification of vectors, study of vector behavior, and measurement of resistance to insecticides) as a means of maintaining an effective vector-control strategy. The French medical entomology unit takes part in the Impact Vector project aimed at evaluating the vector-borne disease risks for troops in combat situations, contributes its expertise to the investigation of epidemic disease, and participates in the development of a global strategy for vector-control for the armed services. To improve understanding and control of vector-borne disease risks, the unit provides basic training in medical entomology to army physicians, veterinarians, and pharmacists as well as to others involved in control programs. The purpose of this article is to present the results of the unit's first activities: investigation of a malaria epidemic that occurred in Ivory Coast in 2003, measurement of malaria exposure over a 4-month period in a combat group on duty in rural Africa, and initial evaluation of control techniques (spraying around living quarters and use of insecticide-impregnated battle dress).

  10. Physician Satisfaction With Clinical Laboratory Services: A College of American Pathologists Q-Probes Study of 81 Institutions.

    Science.gov (United States)

    McCall, Shannon J; Souers, Rhona J; Blond, Barbara; Massie, Larry

    2016-10-01

    -Assessment of customer satisfaction is a vital component of the laboratory quality improvement program. -To survey the level of physician satisfaction with hospital clinical laboratory services. -Participating institutions provided demographic information and survey results of physician satisfaction, with specific features of clinical laboratory services individually rated on a scale of 5 (excellent) to 1 (poor). -Eighty-one institutions submitted 2425 surveys. The median overall satisfaction score was 4.2 (10th percentile, 3.6; 90th percentile, 4.6). Of the 16 surveyed areas receiving the highest percentage of excellent/good ratings (combined scores of 4 and 5), quality of results was highest along with test menu adequacy, staff courtesy, and overall satisfaction. Of the 4 categories receiving the lowest percentage values of excellent/good ratings, 3 were related to turnaround time for inpatient "STAT" (tests performed immediately), outpatient STAT, and esoteric tests. The fourth was a new category presented in this survey: ease of electronic order entry. Here, 11.4% (241 of 2121) of physicians assigned below-average (2) or poor (1) scores. The 5 categories deemed most important to physicians included quality of results, turnaround times for inpatient STAT, routine, and outpatient STAT tests, and clinical report format. Overall satisfaction as measured by physician willingness to recommend their laboratory to another physician remains high at 94.5% (2160 of 2286 respondents). -There is a continued trend of high physician satisfaction and loyalty with clinical laboratory services. Physician dissatisfaction with ease of electronic order entry represents a new challenge. Test turnaround times are persistent areas of dissatisfaction, representing areas for improvement.

  11. [Barriers and challenges of the functional healthcare risk management units in hospitals of Madrid health service].

    Science.gov (United States)

    Pardo-Hernández, A; Navarro-Royo, C; Arguedas-Sanz, R; Albeniz-Lizarraga, C; Morón-Merchante, J

    2014-01-01

    To identify the barriers and challenges for the effective development of risk management units in hospitals of the Madrid Health Service. Descriptive cross-sectional study aimed at the management teams and members of the functional units of 31 hospitals in the Madrid Health Service. A self-administered questionnaire requesting answers in free text was used, identifying up to five barriers and challenges, and their prioritization by awarding from 1-5 points according to their importance. A discourse analysis was then conducted, grouping common themes and sorting them according to their score. The overall response rate was 94%. The most frequently identified barriers were lack of time (21%), inadequate safety culture (13%), lack of publication of their activities (10%), and lack of training (10%). The most important challenge was developing the training (18%), followed by improving the culture (17%), communication of safety activities (11%), and achieve leadership from the managers of the services (11%). According to the study conditions, the main identified barrier identified was the lack of available time, and the principal challenge found was promoting a proactive learning culture. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

  12. [Status of bacteriological services in tuberculosis institutions of the RSFSR and prospects of their improvement].

    Science.gov (United States)

    Dolzhanskiĭ, V M

    1989-01-01

    Organization of the work of bacteriological laboratories in tuberculosis institutions of the RSFSR is discussed in regard to the aspects of their lawful status, functions and activity results. It was shown with extensive materials (from more than 30 administrative territories) that systemic bacteriological examination of the groups of high tuberculosis risk markedly lowered the number of the sources of tubercle bacilli isolation not registered in tuberculosis dispensaries. Patients with urogenital pathology were found to be frequent sources of tubercle bacilli isolation. It was recommended to decrease the number of assays for drug resistance of the isolates, to perform them only by clinical indications and to change the investigation procedure by testing mainly the resistance of tubercle bacilli.

  13. Web services-based access to local clinical trial databases: a standards initiative of the Association of American Cancer Institutes.

    Science.gov (United States)

    Stahl, Douglas C; Evans, Richard M; Afrin, Lawrence B; DeTeresa, Richard M; Ko, Dave; Mitchell, Kevin

    2003-01-01

    Electronic discovery of the clinical trials being performed at a specific research center is a challenging task, which presently requires manual review of the center's locally maintained databases or web pages of protocol listings. Near real-time automated discovery of available trials would increase the efficiency and effectiveness of clinical trial searching, and would facilitate the development of new services for information providers and consumers. Automated discovery efforts to date have been hindered by issues such as disparate database schemas, vocabularies, and insufficient standards for easy intersystem exchange of high-level data, but adequate infrastructure now exists that make possible the development of applications for near real-time automated discovery of trials. This paper describes the current state (design and implementation) of the Web Services Specification for Publication and Discovery of Clinical Trials as developed by the Technology Task Force of the Association of American Cancer Institutes. The paper then briefly discusses a prototype web service-based application that implements the specification. Directions for evolution of this specification are also discussed.

  14. In Service to the Nation: Air Force Research Institute Strategic Concept for 2018-2023

    Science.gov (United States)

    2009-01-01

    Secretary of the Air Force Peter B. Teets, in testimony before Con- gress, 25 February 2004, defined ORS as a means “to create a more re- sponsive, reliable...Icarus Syndrome . Vision Donald Rumsfeld, during his first turn as Secretary of Defense (1970s), said the United States needed “a well-protected, second...post-Cold War era. Theory and Doctrine The bread and butter function of the Air Force, strategic bombing, had long declined, though it had not been

  15. Comparative analysis of the expected demands for nursing care services among older people from urban, rural, and institutional environments

    Directory of Open Access Journals (Sweden)

    Borowiak E

    2015-02-01

    Full Text Available Ewa Borowiak,1,2,* Joanna Kostka,3,* Tomasz Kostka1 1Department of Geriatrics, Medical University of Lodz, Poland; 2Institute of Nursing, Medical University of Lodz, Poland; 3Department of Physical Medicine, Medical University of Lodz, Poland *These authors contributed equally to this work Background: Demand for nursing and social services may vary depending on the socio-demographic variables, health status, receipt of formal and informal care provided, and place of residence. Objectives: To conduct a comparative analysis of the expectations of older people from urban, rural, and institutional environments concerning nursing care with respect to the care provided and elements of a comprehensive geriatric assessment. Material and methods: The study comprised 2,627 individuals above the age of 65 years living in urban (n=935 and rural (n=812 areas as well as nursing homes (n=880. Results: Family care was most often expected both in urban (56.6% and rural (54.7% environments, followed by care provided simultaneously by a family and nurse (urban – 18.8%; rural – 26.1% and realized only by a nurse (urban – 24.6%; rural – 19.2%. Not surprisingly, nursing home residents most commonly expected nursing care (57.5% but 33.1% preferred care provided by family or friends and neighbors. In the whole cohort of people living in the home environment (n=1,718, those living with family demonstrated willingness to use primarily care implemented by the family (62.0%, while respondents living alone more often expected nursing services (30.3%. In the logistic regression model, among the respondents living in the city, only the form of care already received determined the expectations for nursing care. Among the respondents living in the county, the presence of musculoskeletal disorders, better nutritional status, and current care provided by family decreased expectations for nursing care. Higher cognitive functioning, symptoms of depression, and living alone

  16. Differences Among Older Adults In The Types Of Dental Services Used In The United States

    Science.gov (United States)

    Manski, Richard J.; Hyde, Jody Schimmel; Chen, Haiyan; Moeller, John F.

    2016-01-01

    Objective The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services. Methods The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals in the U.S. aged 55 years and older. We analyze these data and explore patterns of service use by key characteristics before modeling the relationship between service use type and those characteristics. Results The most commonly used service category was fillings, inlays or bonding, reported by 43.6 percent of those with any utilization. Just over one-third of those with any utilization reported a visit for a crown, implant or prosthesis, and one-quarter reported a gum treatment or tooth extraction. The strongest consistent predictors of use type are denture, dentate, and oral health status along with dental insurance coverage and wealth. Conclusions Our results provide insight into the need for public policies to address inequalities in access to dental services among an older US population. Our findings that showed lower income, less wealthy elderly with poor oral health are more likely to not use any dental services rather than using only preventive dental care, and that cost prevents most non-users who say they need dental care from going to the dentist, suggest a serious access problem and one that ultimately produces even worse oral health and expensive major procedures for this population in the future. PMID:27284127

  17. Fitness for service evaluation of a horizontal gas separator in a compressing unit

    Energy Technology Data Exchange (ETDEWEB)

    Seijas, A.; Ledezma, M. [INTEVEP S.A., Los Teques (Venezuela)

    1996-12-01

    An automatic ultrasonic inspection of a horizontal separator revealed cracking in various structural welds of the shell wall. The pressure vessel has been working in a gas compressing unit for several years. A review of the operation history (including fluids, pressure and temperature) indicated the cracking was probably associated with hydrogen induced cracking (HIC). To assure mechanical integrity a Fitness for Service Assessment was conducted based on fracture mechanics procedures. Using the fitness-for-service document and the computer software of the Materials Properties Council (MPC), limiting flaw size curves were obtained. The cracks were evaluated to determine their effect in the structural integrity of the pressure vessel, and to define the inspection program for the future.

  18. Unit-level voluntary turnover rates and customer service quality: implications of group cohesiveness, newcomer concentration, and size.

    Science.gov (United States)

    Hausknecht, John P; Trevor, Charlie O; Howard, Michael J

    2009-07-01

    Despite substantial growth in the service industry and emerging work on turnover consequences, little research examines how unit-level turnover rates affect essential customer-related outcomes. The authors propose an operational disruption framework to explain why voluntary turnover impairs customers' service quality perceptions. On the basis of a sample of 75 work units and data from 5,631 employee surveys, 59,602 customer surveys, and organizational records, results indicate that unit-level voluntary turnover rates are negatively related to service quality perceptions. The authors also examine potential boundary conditions related to the disruption framework. Of 3 moderators studied (group cohesiveness, group size, and newcomer concentration), results show that turnover's negative effects on service quality are more pronounced in larger units and in those with a greater concentration of newcomers.

  19. The Effects of Korean Medical Service Quality and Satisfaction on Revisit Intention of the United Arab Emirates Government Sponsored Patients

    National Research Council Canada - National Science Library

    Seoyoung Lee; Eun-Kyung Kim

    2017-01-01

    The purpose of this study was to investigate medical service quality, satisfaction and to examine factors influencing hospital revisit intention of the United Arab Emirates government sponsored patients in Korea...

  20. [Hygienic quality of meat used in institutional food services: university cafeterias in Ouagadougou (Burkina Faso)].

    Science.gov (United States)

    Ilboudo, A J; Savadogo, A; Barro, N; Ouedraogo, M; Traore, A S

    2009-01-01

    This present study was conducted to assess the hygienic quality of meals served in three cafeterias at the national university in Ouagadougou and the compliance of kitchen staff with good hygiene practices. Microbiological analyses assessed the hygienic quality of the raw meat and of meat-based meals. The results showed poor hygiene practices by food handlers along the food chain. These observations were confirmed by the identification of salmonella, coliform and staphylococcal bacteria in raw meat and cooked meals. Overall, 60% of the raw meat samples were unsatisfactory for aerobic mesophilic flora and 6.6% for salmonella. For the cooked meat meals, on the other hand, 45% of the samples were satisfactory for aerobic mesophilic flora, 100% for salmonella, 93.3% for fecal thermotolerant coliforms and 96.6% for staphylococci. These results showed poor hygiene in the handling of raw meat, but a clear improvement in hygienic quality after cooking. Raising the awareness of cafeteria staff about compliance with hygiene rules appears primordial. Moreover improvement of the food environment, the kitchen equipment, and organization as well as the introduction of a cleaning-disinfection programme would make it possible to provide more hygienic meals in these institutional facilities.

  1. Variations among Institutional Review Board Reviews in a Multisite Health Services Research Study

    Science.gov (United States)

    Dziak, Kathleen; Anderson, Roger; Sevick, Mary Ann; Weisman, Carol S; Levine, Douglas W; Scholle, Sarah Hudson

    2005-01-01

    Objective To document the Institutional Review Board (IRB) review process and to explore the impact of different patient notification procedures. Data Sources/Study Setting Review of IRB application and correspondence records prospectively collected during a multisite study of health care quality involving telephone interviews of 3,000 participants across 15 primary care sites. Study Design Records were reviewed to ascertain: (1) the type of IRB review conducted, (2) the number of days from submission to approval of the IRB application, (3) whether the IRB required patient notification and/or consent prior to the release of names, and (4) patient participation rates. Data Collection/Extraction Methods The study coordinating center prepared a common study protocol for IRB submission and assisted sites with submission. The application, correspondence with the IRB, consent script, and patient letters were collected, reviewed, coded, and analyzed. Principal Findings IRBs at the 15 sites and survey center varied in the type of IRB required and the number of days from submission to approval (range of 5–172 days). Four sites required patient notification in advance of the study; 2–11 percent of patients refused in opt-out sites and 37 percent in the single opt-in site. Participation among contacted patients did not appear to be related to patient notification procedures. Conclusions Variations in IRB requirements can affect response rates and sample generalizability. PMID:15663713

  2. Final priorities; Rehabilitation Services Administration--Capacity Building Program for Traditionally Underserved Populations--vocational rehabilitation training institute for the preparation of personnel in American Indian Vocation Rehabilitation Services projects. Final priorities.

    Science.gov (United States)

    2014-08-14

    The Assistant Secretary for Special Education and Rehabilitative Services announces two priorities under the Capacity Building Program for Traditionally Underserved Populations administered by the Rehabilitation Services Administration (RSA). The Assistant Secretary may use one or more of these priorities for competitions in fiscal year (FY) 2014 and later years. Priority 1 establishes a new vocational rehabilitation (VR) training institute for the preparation of personnel in American Indian Vocational Rehabilitation Services (AIVRS) projects (the Institute). Priority 2 requires a partnership between a four-year institution of higher education (IHE) and a two-year community college or tribal college. This partnership is designed to successfully implement the VR training Institute established in Priority 1. In addition, the partnership agreement required under Priority 2 provides a brief description of how the partnership will be managed, the partners' roles and responsibilities and a strategy for sustaining the partnership after the Federal investment ends.

  3. Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries.

    Science.gov (United States)

    Bolin, Kristian; Lindgren, Anna; Lindgren, Björn; Lundborg, Petter

    2009-03-01

    We analysed the relative importance of individual versus institutional factors in explaining variations in the utilisation of physician services among the 50+ in ten European countries. The importance of the latter was investigated, distinguishing between organisational (explicit) and cultural (implicit) institutional factors, by analysing the influence of supply side factors, such as physician density and physician reimbursement, and demand side factors, such as co-payment and gate-keeping, while controlling for a number of individual characteristics, using cross-national individual-level data from SHARE. Individual differences in health status accounted for about 50% of the between-country variation in physician visits, while the organisational and cultural factors considered each accounted for about 15% of the variation. The organisational variables showed the expected signs, with higher physician density being associated with more visits and higher co-payment, gate-keeping, and salary reimbursement being associated with less visits. When analysing specialist visits separately, however, organisational and cultural factors played a greater role, each accounting for about 30% of the between-country variation, whereas individual health differences only accounted for 11% of the variation.

  4. Developing Indicators of Service Quality Provided for Cardiovascular Patients Hospitalized in Cardiac Care Unit

    Directory of Open Access Journals (Sweden)

    Saber Azami-Aghdash

    2013-03-01

    Full Text Available Introduction: Cardiovascular diseases are among the most prevalent chronic diseases leading to high degrees of mortality and morbidity worldwide and in Iran. The aim of the current study was to determine and develop appropriate indicators for evaluating provided service quality for cardiovascular patients admitted to Cardiac Care Units (CCU in Iran. Methods: In order to determine the indicators for evaluating provided service quality, a four-stage process including reviewing systematic review articles in premier bibliographic databases, interview, performing two rounds of Delphi technique, and holding experts panel by attendance of experts in different fields was adopted. Finally, after recognizing relevant indicators in resources, these indicators were finalized during various stages using ideas of 27 experts in different fields. Results: Among 2800 found articles in the text reviewing phase, 21 articles, which had completely mentioned relevant indicators, were studied and 48 related indicators were extracted. After two interviews with a cardiologist and an epidemiologist, 32 items of the indicators were omitted and replaced by 27 indicators coping with the conditions of Iranian hospitals. Finally, 43 indicators were added into the Delphi phase and after 2 rounds of Delphi with 18 specialists, 7 cases were excluded due to their low scores of applicability. In the experts’ panel stage, 6 items were also omitted and 10 new indicators were developed to replace them. Eventually, 40 indicators were finalized. Conclusion: In this study, some proper indicators for evaluating provided service quality for CCU admissions in Iran were determined. Considering the informative richness of these indicators, they can be used by managers, policy makers, health service providers, and also insurance agencies in order to improve the quality of services, decisions, and policies.

  5. 5 CFR 315.609 - Appointment based on service in United States positions of the Panama Canal Commission.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Appointment based on service in United States positions of the Panama Canal Commission. 315.609 Section 315.609 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CAREER AND CAREER-CONDITIONAL EMPLOYMENT Career or Career-Conditional Appointment Under...

  6. A Comparative Study of Pre-Service Education for Preschool Teachers in China and the United States

    Science.gov (United States)

    Gong, Xin; Wang, Pengcheng

    2017-01-01

    This study provides a comparative analysis of the pre-service education system for preschool educators in China and the United States. Based on collected data and materials (literature, policy documents, and statistical data), we compare two areas of pre-service training: (1) the formal system; (2) the informal system. In the formal system, most…

  7. The pattern of performance management of community service learning empowerment in improving the entrepreneurship on the graduation candidate of Vocational Technology Education Institution

    Science.gov (United States)

    Hadromi

    2017-03-01

    The purpose of this research is to evaluate the pattern of performance management of Community Service Empowerment Learning-Universitas Negeri Semarang in improving the entrepreneurship of the graduate candidate of Vocational Technology Education Institution. This evaluation research uses Context Evaluation, Input evaluation, Process evaluation and Product evaluation method (CIPP) to evaluate the performance management of Community Service of Empowerment Learning-Universitas Negeri Semarang. The location of research was in Kandri Subdistrict-Indonesia. The subject of research is the Kandri Subdistrict community, especially the groups of the youth, students, subdistrict organizers, community organization, and culinery and handicraft industry, as well as the students who join the program of Community Service of Empowerment Learning-Universitas Negeri Semarang. The object of research is the pattern of perfomance management of Community Service Empowerment Learning-Universitas Negeri Semarang in improving the entrepreneurship of the graduation candidate of Vocational Technology Education Institution. The research result shows the pattern of Community Service Empowerment Learning-Universitas Negeri Semarang is able to improve the enterpreneurship of graduate candidate of Vocational Technology Education Institution. The pattern of Community Service Empowerment Community-Universitas Negeri Semarang which is Education for Sustainable Development (ESD)in the field of education, training, and assistance continuously can grasp and develop competency and balance mindset of students including triple bottom line which mutually connectedamong the sectors of social, economic, cultural, and environment so that it can increase the entrerpreneurship on the graduates candidate of Vocational Technology Education Institution

  8. The concept of extending the service life of the VVER-440-based power units at the Novovoronezh nuclear power plant

    Science.gov (United States)

    Asmolov, V. G.; Povarov, V. P.; Vitkovskii, S. L.; Berkovich, V. Ya.; Chetverikov, A. E.; Mozul', I. A.; Semchenkov, Yu. M.; Suslov, A. I.

    2014-02-01

    Basic statements of the Concept of Extending the Service Life of the VVER-440-Based Power Units at the Novovoronezh NPP beyond 45 years are considered. This topic is raised in connection with the fact that that in December 2016 and in December 2017 the extended service lives of Units 3 and 4 at this NPP will expire. The adopted concept of repeatedly extending the service life of the Novovoronezh NPP Unit 4 implies fitting the power unit with additional reactor core cooling systems with a view to extend the (ultimate) design-basis accidents (which have hitherto been adopted to be a loss of coolant accident involving a leak of reactor coolant through a break with a nominal diameter of 100 mm) to a reactor coolant leak equivalent to rupture of the main reactor coolant pipeline. The modified Unit 4 will also use the safety systems of Unit 3 that is going to be decommissioned. Preliminary calculated assessments of the new design-basis accident scenario involving rupture of the reactor coolant pipeline in Unit 4 fitted with a new configuration of safety systems confirmed the correctness of the adopted concept of repeatedly extending the service life of Unit 4.

  9. Water quality in water lines of dental units in the public dental health service in Göteborg, Sweden.

    Science.gov (United States)

    Dahlén, Gunnar; Alenäs-Jarl, Elna; Hjort, Gunilla

    2009-01-01

    Presence of bacteria in high levels in the water lines of dental units is well known. The extent of this problem is however less well studied.This study was conducted to evaluate the water quality of all dental units within the Public Dental Health Service (Folktandvården, FTV) of the city of Göteborg, Sweden. 405 dental units in 35 clinics were tested.The evaluation included both "fast growing" (2 days incubation) and "slow growing" (7 days incubation) bacteria in 50 ml water sample from the units. The presence of potential pathogens, e.g., coliforms, Pseudomonas spp and Legionella pneumophila were also examined. Of the 405 dental units, 303 (75%) did not have acceptable (desinfection of all units of the Public Dental Health Service is needed.

  10. Poor linkages in maternal health care services-evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia.

    Science.gov (United States)

    Melaku, Yohannes Adama; Weldearegawi, Berhe; Tesfay, Fisaha Haile; Abera, Semaw Ferede; Abraham, Loko; Aregay, Alemseged; Ashebir, Yemane; Eshetu, Friehiwot; Haile, Ashenafi; Lakew, Yihunie; Kinsman, John

    2014-12-19

    Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity.

  11. Cracking the nut of service-learning in nursing at a higher educational institution.

    Science.gov (United States)

    Julie, Hester; Adejumo, Oluyinka A; Frantz, Jose M

    2015-03-20

    The readiness of academics to engage in the service-learning (SL) institutionalisation process is not accentuated in research on SL institutionalisation in South Africa. The argument has been advanced that SL scholarship and willingness of key stakeholders are crucial for SL institutionalisation at the academic programme level. The research focus of the study being reported here was on readiness of respondents to embed SL in the curricula of the nursing programme. This study used a quantitative, exploratory and descriptive design. A self-administered structured questionnaire was used to collect data from a stratified sample comprising 34 respondents. The data were analysed for descriptive statistics using SPSS 19. The demographic profile of the respondents indicated that 31 (66%) were between 31 and 50 years old; 36 (75.16%) had a minimum of 10 years' nursing experience; 19 (39.6%) had a master's degree, two (4.2%) had a doctorate; and 29 (60.4%) had been employed by the school for a maximum of five years. The results indicated that the nurse educators were in need of SL capacity-building because 9 (18.8%) had limited or no knowledge of SL and 24 (50%) confused SL with other forms of community engagement activities. However, only 15 (33%) of the clinical supervisors and 13 (27%) of the lecturers indicated a willingness to participate in such a programme. The school was not ready to embed SL in the academic programme because of a lack of SL scholarship and willingness to remediate the identified theory-practice gaps.

  12. Cracking the nut of service-learning in nursing at a higher educational institution

    Directory of Open Access Journals (Sweden)

    Hester Julie

    2015-02-01

    Full Text Available Background: The readiness of academics to engage in the service-learning (SL institutionalisation process is not accentuated in research on SL institutionalisation in South Africa. The argument has been advanced that SL scholarship and willingness of key stakeholders are crucial for SL institutionalisation at the academic programme level.Aim: The research focus of the study being reported here was on readiness of respondents to embed SL in the curricula of the nursing programme.Method: This study used a quantitative, exploratory and descriptive design. A self-administered structured questionnaire was used to collect data from a stratified sample comprising 34 respondents. The data were analysed for descriptive statistics using SPSS 19.Results: The demographic profile of the respondents indicated that 31 (66% were between 31 and 50 years old; 36 (75.16% had a minimum of 10 years’ nursing experience; 19 (39.6% had a master’s degree, two (4.2% had a doctorate; and 29 (60.4% had been employed by the school for a maximum of five years. The results indicated that the nurse educators were in need of SL capacity-building because 9 (18.8% had limited or no knowledge of SL and 24 (50% confused SL with other forms of community engagement activities. However, only 15 (33% of the clinical supervisors and 13 (27% of the lecturers indicated a willingness to participate in such a programme.Conclusion: The school was not ready to embed SL in the academic programme because of a lack of SL scholarship and willingness to remediate the identified theory–practice gaps.

  13. Preventing and controlling foodborne disease in commercial and institutional food service settings: a systematic review of published intervention studies.

    Science.gov (United States)

    Viator, Catherine; Blitstein, Jonathan; Brophy, Jenna E; Fraser, Angela

    2015-02-01

    This study reviews the current literature on behavioral and environmental food safety interventions conducted in commercial and institutional food service settings. A systematic search of the published literature yielded 268 candidate articles, from which a set of 23 articles reporting intervention outcomes was retained for evaluation. A categorization of measured outcomes is reported; studies addressed multiple outcomes ranging from knowledge, attitudes, and behavior of personal hygiene and food safety to management practices and disease rates and outbreaks. This study also investigates the quality of reported research methods used to evaluate the effectiveness of the interventions, using a nine-point quality index adapted by the authors. The observed scores suggest that there are opportunities to improve the design and reporting of research in the field of foodborne disease prevention as it applies to food safety interventions that target the food service industry. The aim is to aid researchers in this area to design higher quality studies and to produce clearer and more useful reports of their research. In turn, this can help to create a more complete evidence base that can be used to continually improve interventions in this domain.

  14. Factors associated with the utilization of institutional and home birth services among women in Ethiopia: A scoping review

    Directory of Open Access Journals (Sweden)

    Bronwyn Lapp

    2016-12-01

    Full Text Available Objective: To examine the factors associated with the use of institutional delivery and home birth services among women in Ethiopia. Methods: Fifteen peer-reviewed, primary research articles published between 2011 and 2015 were selected for this scoping review. The articles included case-control, cross-sectional, and retrospective follow-up studies conducted in Ethiopia. Results: Findings were categorized with use of content and factorial analysis. The data in this scoping review revealed a significant inequality in skilled care use among Ethiopian women with differences in economic status, education, residence, autonomy in decision making, parity, and antenatal care attendance. Conclusion: Sociodemographic, accessibility, and obstetric factors are key determinants of skilled care utilization. Strategies and policy changes to address maternal health service use should aim to improve economic status, facilitate higher education, increase access to care, promote the empowerment of women, and enhance antenatal care initiatives. Additional research should be conducted to evaluate the influence of the media and culture on skilled care utilization, since few studies have examined these factors.

  15. Design and implementation of interface units for high speed fiber optics local area networks and broadband integrated services digital networks

    Science.gov (United States)

    Tobagi, Fouad A.; Dalgic, Ismail; Pang, Joseph

    1990-01-01

    The design and implementation of interface units for high speed Fiber Optic Local Area Networks and Broadband Integrated Services Digital Networks are discussed. During the last years, a number of network adapters that are designed to support high speed communications have emerged. This approach to the design of a high speed network interface unit was to implement package processing functions in hardware, using VLSI technology. The VLSI hardware implementation of a buffer management unit, which is required in such architectures, is described.

  16. Improving access to competitive employment for service users in forensic psychiatric units.

    Science.gov (United States)

    Beck, Charlotte; Wernham, Connie

    2014-01-01

    Employment has been proven to be an effective recovery tool and therapeutic intervention for those with severe and enduring mental health conditions. Aside from monetary reward, employment is a means of structuring time and provides a sense of worth and achievement, which enhances self-esteem and confidence. A social identity is developed through employment, encouraging social support and increasing social networks. Securing employment can bring about improved quality of life and positive change in one's social circumstances; therefore it can reduce symptoms associated with mental illness and potentially prevent re-offending, as the individual develops a sense of independence, self-efficacy, and value. Barriers to employment exist for forensic mental health service users and therefore it is imperative that employment needs are addressed at the earliest possible stage in recovery. An evaluation of employment activities across two forensic mental health units revealed a lack of appropriate employment opportunities for service users, and those roles available were not implemented in line with recommended best practice. In response to this issue several enterprises were established to offer opportunities for service users to engage in meaningful employment and develop skills that a future employer would value. Each enterprise responds to a business need within the units to ensure sustainability of services. The enterprises are essentially micro-businesses with social objectives whose surpluses are reinvested for the purpose of increasing opportunities for service users. The enterprises are underpinned by the philosophy of the Individual Placement and Support (IPS) model; empirical evidence suggests that the IPS model is the most effective intervention, based on the 'place then train' philosophy. The model recommends a focus upon rapid job search to achieve competitive employment for those who want to work; opportunities sourced should be consistent with individual

  17. Projected land-use change impacts on ecosystem services in the United States.

    Science.gov (United States)

    Lawler, Joshua J; Lewis, David J; Nelson, Erik; Plantinga, Andrew J; Polasky, Stephen; Withey, John C; Helmers, David P; Martinuzzi, Sebastián; Pennington, Derric; Radeloff, Volker C

    2014-05-20

    Providing food, timber, energy, housing, and other goods and services, while maintaining ecosystem functions and biodiversity that underpin their sustainable supply, is one of the great challenges of our time. Understanding the drivers of land-use change and how policies can alter land-use change will be critical to meeting this challenge. Here we project land-use change in the contiguous United States to 2051 under two plausible baseline trajectories of economic conditions to illustrate how differences in underlying market forces can have large impacts on land-use with cascading effects on ecosystem services and wildlife habitat. We project a large increase in croplands (28.2 million ha) under a scenario with high crop demand mirroring conditions starting in 2007, compared with a loss of cropland (11.2 million ha) mirroring conditions in the 1990s. Projected land-use changes result in increases in carbon storage, timber production, food production from increased yields, and >10% decreases in habitat for 25% of modeled species. We also analyze policy alternatives designed to encourage forest cover and natural landscapes and reduce urban expansion. Although these policy scenarios modify baseline land-use patterns, they do not reverse powerful underlying trends. Policy interventions need to be aggressive to significantly alter underlying land-use change trends and shift the trajectory of ecosystem service provision.

  18. Primary language spoken at home and children's dental service utilization in the United States.

    Science.gov (United States)

    Noyce, Matthew; Szabo, Aniko; Pajewski, Nicholas M; Jackson, Scott; Bradley, T Gerard; Okunseri, Christopher

    2009-01-01

    Language barriers have been well documented as a contributing factor to disparities in the receipt of medical services, especially for Hispanic children. However, there is a paucity of information on the effect of language barriers on children's dental service utilization. We examined the association of primary language spoken at home with the receipt of preventive and routine dental care for children in the United States. We analyzed data from the Medical Expenditure Panel Survey (2002-2004), which contains data on 21,049 children weighted to represent 75.8 million children nationally. Among children aged 1-18 years, 13 percent spoke a language other than English at home. Whites, females, children between the ages of 7 and 12 years, and those whose parents spoke English at home had the highest marginal rates of preventive and routine dental visits. However, the large marginal effect of language, even among Hispanics, was not significant after adjusting for other covariates. Parental education and having a primary provider were the strongest predictors of preventive and routine dental visits. Children that did not speak English at home were less likely to receive preventive or routine dental care. However, after adjusting for other socio-economic factors, our study suggests that language barriers may not play as pronounced a role in the receipt of dental care as that documented for medical services.

  19. Strategies business of the unit providing services of virtual training – unipanamericana compensar.

    Directory of Open Access Journals (Sweden)

    Jenny Marcela Cardona Bedoya

    2015-03-01

    Full Text Available This article presents the results of processes thesis of "Master in Management and Marketing Management and Global New Markets" for the University Camilo José Cela. The data collection is done through an exploratory research and the study of business unit Unit Providing Services of Virtual Training Unipanamericana - Compensate. Considering secondary sources we identified: 1 The most important in the world and in Colombia at the level of new technologies, 2 The development trends of the array Mic Mac establishes the relationship between trends and portfolio of the business unit. And 3 Identify the growth of applications and the impact of E-learning. The collection and analysis of information on the qualitative method developed through interviews, aiming to identify trends that impact the marketing plan. In the analysis were found four trends that impact the line of business: The joint educational levels, The new educational experiences, Changes in learning models and Strengthening education systems. These trends were explored in an evaluative context, to identify new technologies that are necessary for professional development.   

  20. Personal and Professional Numeracy: A Unit for Pre-Service Teachers at the University of Tasmania

    Directory of Open Access Journals (Sweden)

    Jane M. Watson

    2011-01-01

    Full Text Available This paper addresses issues associated with the development of a unit preparing pre-service teachers to be quantitatively literate in three respects. These issues surround (i the need to be aware of numeracy demands across the curriculum, (ii the need to model numerate behavior in all interactions of teachers, and (iii the need to be able to interpret and use system data provided from local and national testing programs. The context for the unit described is Australia, where a national testing program for literacy and numeracy requires teachers to analyze extensive data on their students, a national curriculum requires teachers of all subjects and levels to encompass literacy and numeracy in their teaching, and national standards for the teaching profession are being progressively introduced to set and assess teachers’ proficiency across their careers. The unit consists of 12 topics covered in lectures and tutorial material, which was offered to over 800 students in External and On-campus modes in 2010.

  1. Patient protection in radiotherapy (Radio neurosurgery National Service of the Social Security Mexican Institute); Proteccion del paciente en radioterapia (Servicio Nacional de Radioneurocirugia del IMSS)

    Energy Technology Data Exchange (ETDEWEB)

    Espiritu R, R. [Centro Medico Nacional de Occidente, IMSS, Servicio Nacional de Radioneurocirugia, Belisario Dominguez 735, Sector Libertad, 44340 Guadalajara, Jalisco (Mexico)

    2008-12-15

    The perspective of patient protection at the Radio neurosurgery National Service of the Social Security Mexican Institute is divided into three parts: the testing program for equipment acceptance, an assurance quality program based on periodic tests, an also other assurance quality based on tests during the application. Among the technical aspects that influence in the equipment acceptance tests, it is the collimation type, the characteristics of the lineal accelerator, the platform for planning and the network type. In the case of the collimation system and the accelerator characteristics, we consider the manufacturer's specifications and requirements of Mexican Official Standard NOM-033-NUCL-1999, {sup T}echnical Specifications for the Teletherapy Units Operation, Linear Accelerators{sup .} Planning for the platform takes into account the manufacturer's specifications. In the case of computed tomography as well as review the calibration according to manufacturer's specifications should be considered the standard NOM-229-SSA1-2002. In the case of the linear accelerator must be the radiological characterization of radiation beam as part of this, the absolute dose determination. As for the periodic tests is verified the dose constancy, as well as the flattening and symmetry of X-rays beam. There are also tests battery with daily, monthly and yearly frequencies, which make up the assurance quality program. (Author)

  2. How to operate an Energy Advisory Service. Volume II. New York Institute of Technology Energy Information Center and Referral Service resource material. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Spak, G.T.

    1978-06-01

    The NYIT Energy Information Center is a comprehensive information service covering every aspect of energy conservation and related technology, including conservation programs and practices, alternative energy systems, energy legislation, and public policy development in the United States and abroad. Materials in the Center can be located through a Card Catalog System and a Vertical File System. The Card Catalog System has entries which organize books and other printed materials according to authors/titles and according to the subject headings developed by the Library of Congress. The Vertical System contains pamphlets, newsclips, reprints, studies, announcements, product specifications and other ephemeral literature, and is organized according to subject headings based on the emerging vocabulary of the energy literature. The key to vertical file resources is the Thesaurus of Descriptors which is given. The Thesaurus includes all subject headings found in the Vertical File as well as other cross referenced terms likely to come to mind when seeking information on a specific energy area.

  3. Multiple trends of tertiarization: A comparative input–output analysis of the service sector expansion between Brazil and United States

    Directory of Open Access Journals (Sweden)

    Kênia Barreiro de Souza

    2016-05-01

    Full Text Available The service sector expansion has shown to be a multiple trend process, producing distinct sectorial compositions. The present paper aims to make a comparison between two large economies in different stages of development with an extensive service sector (Brazil and United States, by focusing on final and intermediary demand changes and sectorial productivity as well. Input–output matrices for Brazil and United States were used and two applications were carried out: structural decomposition analysis and total factor productivity. Main results are as follows. Firstly, the growth in services was fostered by several factors, among which household consumption assumes an important role for both countries. Second, inter-industrial linkages play a major role only for United States. Thirdly, there is now evidence of cost disease for Brazil. Finally, productivity is lower in Brazil, nonetheless labor productivity increased above the average in some service sectors.

  4. National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

    Science.gov (United States)

    Tardy, A. O.; Corcus, I.; Guirguis, K.

    2015-12-01

    The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the

  5. The organizational social context of mental health services and clinician attitudes toward evidence-based practice: a United States national study

    Directory of Open Access Journals (Sweden)

    Aarons Gregory A

    2012-06-01

    Full Text Available Abstract Background Evidence-based practices have not been routinely adopted in community mental health organizations despite the support of scientific evidence and in some cases even legislative or regulatory action. We examined the association of clinician attitudes toward evidence-based practice with organizational culture, climate, and other characteristics in a nationally representative sample of mental health organizations in the United States. Methods In-person, group-administered surveys were conducted with a sample of 1,112 mental health service providers in a nationwide sample of 100 mental health service institutions in 26 states in the United States. The study examines these associations with a two-level Hierarchical Linear Modeling (HLM analysis of responses to the Evidence-Based Practice Attitude Scale (EBPAS at the individual clinician level as a function of the Organizational Social Context (OSC measure at the organizational level, controlling for other organization and clinician characteristics. Results We found that more proficient organizational cultures and more engaged and less stressful organizational climates were associated with positive clinician attitudes toward adopting evidence-based practice. Conclusions The findings suggest that organizational intervention strategies for improving the organizational social context of mental health services may contribute to the success of evidence-based practice dissemination and implementation efforts by influencing clinician attitudes.

  6. Dental service mix among working-age adults in the United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Macek, Mark D; Brown, Erwin; Carper, Kelly V; Cohen, Leonard A; Vargas, Clemencia

    2014-01-01

    In the United States, health-care costs are increasing while state and federal budgets contract. In order to establish a baseline and provide data for alternative oral health workforce models, this report describes the types of dental procedures received by US working-age adults in 2009 and looks at trends since 1999. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Surveys. The primary outcome variable represented the types of dental procedures undergone during a dental visit in the preceding year. Descriptive variables included dental insurance coverage and income. Analysis was restricted to adults aged 21-64 years. In 2009, diagnostic and preventive procedures accounted for >75 percent of all dental services received by working-age adults. Those with public insurance and those who were uninsured, as well as those with lower income, were less likely to receive these services than their peers. Between 1999 and 2009, small but statistically significant increases in the proportion of preventive and diagnostic procedures received occurred in the nation. The likelihood that a preventive service would be received during a visit also increased during this period, while the probability that a restorative procedure would be undergone went down. Preventive-type procedures represented the vast majority of dental services received by working-age adults in 2009. Between 1999 and 2009, receipt of preventive-type procedures generally increased while receipt of surgical-type procedures decreased. These findings emphasize the health-promoting role of the dental team and provide a baseline for the measurement of future trends. Published 2013. This article has been contributed to by U.S. Government employees and their work is in the public domain in the US.

  7. Drug use and service utilization among Hispanics in the United States.

    Science.gov (United States)

    Mancini, Michael A; Salas-Wright, Christopher P; Vaughn, Michael G

    2015-11-01

    To examine illicit drug use and service utilization patterns of US-born and foreign-born Hispanics in the United States. Hispanic respondents 18 years and older in the NESARC were categorized as being of Mexican (n = 3,556), Puerto Rican (n = 785), Cuban (n = 346), Central American (n = 513), or South American (n = 381) origin. We examined lifetime prevalence of drug use and substance abuse treatment utilization patterns for US-born and Hispanic immigrants across subgroups. Lifetime prevalence of drug use was greater among US-born Hispanics than Hispanic immigrants after controlling for age, gender, income, education, urbanicity, parental history of drug use problems and lifetime DSM-IV mood/anxiety disorders. Both US-born and immigrant Hispanic drug users were less likely than non-Hispanic white drug users to have utilized any form of substance abuse treatment (US-born AOR = 0.89, immigrant AOR = 0.64) and more likely to have utilized family or social services (US-born AOR = 1.17, immigrant AOR = 1.19). Compared to US-born Hispanic drug users, Hispanic immigrant drug users were less likely to have used any form of substance abuse treatment (AOR = 0.81) and were more likely to have utilized family or social services (AOR = 1.22). Strategies to increase engagement and retention of Hispanic drug users in substance abuse treatment include increasing access to linguistically and culturally competent programs that address unmet family and social needs. Further studies examining differences in drug use and service utilization patterns within Hispanic subgroups are needed.

  8. National Park Service - SRI - Soil Survey Geographic (SSURGO) for National Park Service Units (A-C TEST)

    Data.gov (United States)

    National Park Service, Department of the Interior — This data set was developed in conjunction with the U.S. Department of Agriculture, Natural Resources Conservation Service, and meets the standards and...

  9. Language Anxiety: A Case Study of the Perceptions and Experiences of Students of English as a Foreign Language in a Higher Education Institution in the United Arab Emirates

    Science.gov (United States)

    Lababidi, Rola Ahmed

    2016-01-01

    This case study explores and investigates the perceptions and experiences of foreign language anxiety (FLA) among students of English as a Foreign Language in a Higher Education Institution in the United Arab Emirates. The first phase explored the scope and severity of language anxiety among all Foundation level male students at a college in the…

  10. Future Utilization of the Continuing Education Unit in Conferences, Institutes, Short Courses, Workshops, Seminars, and Special Training Programs Within the Southern Association of Colleges and Schools.

    Science.gov (United States)

    Rhodes, John A., Jr.

    The study forecasts the utilization of the Continuing Education Unit (CEU) in conferences, institutes, short courses, workshops, seminars, and special training programs within the Southern Association of Colleges and Schools. (A CEU is defined as 10 contact hours of participation in an organized continuing education experience.) The methodology…

  11. Supply and demand for long-term care services from the perspective of leaders of health care institutions1

    Science.gov (United States)

    Samoliński, Bolesław

    2015-01-01

    Introduction Poland's transition into the stage of intensive population aging imposes changes in demand for different forms of care (including long-term). The proportion of dependent persons (requiring care) in the population continues to increase. The number of people aged 80 and above (in 2013 – 1.48 million) will double by 2050 and reach 3.54 million. The research objective was to gain knowledge on the supply and demand of different institutionalized forms of care services from the healthcare system perspective. Material and methods A computer-assisted personal interview (CAPI) survey was carried out on a Poland-wide quota sample of health care and nursing centres operating within the healthcare system. The respondent group consisted of 96 directors of health care facilities. Results In the opinion of more than a half of surveyed directors, supply of health care and nursing centres in their region is insufficient in terms of the needs of both patients and elderly people. In the context of patients, the deficit is observed primarily in health care and treatment centres, long-term nursing care and health care institutions, whereas for the elderly people the main concern is availability of nursing care, day care or social aid centres. More than half of surveyed institutions admit patients requiring care on an ongoing basis; however, in the case of health care and treatment centres more than a year-long waiting time proved to be a frequent phenomenon. In the opinion of the surveyed directors, the key factors influencing the number of available places and waiting time are insufficient financing and personnel deficit. Conclusions Introduction of multiple changes to the operation of the care system in Poland is necessary in order to improve its availability, effectiveness and quality. Achievement of this objective requires implementation of a cohesive and integrated system dedicated to monitoring and diagnosing both the supply and demand for different forms of care

  12. THE CHANGING ROLE OF PRIVATE, NONPROFIT ORGANIZATIONS IN THE DEVELOPMENT AND DELIVERY OF HUMAN SERVICES IN THE UNITED STATES.

    Science.gov (United States)

    Norris-Tirrell, Dorothy

    2014-01-01

    With diverse missions and multiple service provision strategies, nonprofit human services organizations have worked individually and collaboratively to create responses to social problems throughout the history of United States. This article highlights the important historic roots of the sector in understanding the scope and breadth of nonprofit human service organizations today. Challenges influencing this set of organizations, including the competing values of contracting out versus collaboration and the push-pull of grassroots or community-based versus professionalized orientations, are discussed. The article closes with important questions for nonprofit leaders and policymakers about the role of government in the human services arena.

  13. Patterns of admissions in an acute medical unit: priorities for service development and education.

    Science.gov (United States)

    James, Natalie J; Hussain, Rumana; Moonie, Alasdair; Richardson, Donald; Waring, W Stephen

    2012-01-01

    An Acute Medical Unit has recently been established at York Hospital. The present study sought to characterise the case mix of acutely unwell medical patients to allow identification of priorities for ongoing service development and to assess educational opportunities for trainees in the region. Data were collected for 16001 admission episodes between January 2010 and April 2011 inclusive. These allowed characterisation of the case mix, and identified key priorities where clinical pathway do not yet exist, namely heart failure, urinary tract infection, and acute diarrhoea. Good educational opportunities exist for most aspects of the Acute Medicine curriculum; several weaknesses were identified, and trainees might address these by undertaking a specific period of specialty training in endocrinology and neurology.

  14. United Kingdom. The supply of gas storage services; Gran Bretagna: i servizi di stoccaggio del gas

    Energy Technology Data Exchange (ETDEWEB)

    Alviani, F. [Law and Economics Consulting Group, London (United Kingdom)

    1999-09-01

    This article investigates BG Storage monopoly position in the supply of gas storage services. The company is currently thought by the regulator to be exploiting its monopoly power to price in discriminatory way. The analysis, however, shows that unsold storage capacity depend on the current over capacity in the United Kingdom gas market, more than on the abuse od market power. [Italian] Questo articolo analizza la posizione di monopolio di BG Storage nell'offerta di servizi di stoccaggio del gas. Dall'analisi emerge che la capacita' di stoccaggio invenduta potrebbe dipendere piu' dalla situazione di sovracapacita' del mercato del gas inglese che dall'abuso di posizione dominante, di cui la compagnia e' accusata.

  15. Strengthening Integrated Care Through Population-Focused Primary Care Services: International Experiences Outside the United States.

    Science.gov (United States)

    Loewenson, Rene; Simpson, Sarah

    2017-03-20

    Many high- and middle-income countries (HMICs) are experiencing a burden of comorbidity and chronic diseases. Together with increasing patient expectations, this burden is raising demand for population health-oriented innovation in health care. Using desk review and country case studies, we examine strategies applied in HMICs outside the United States to address these challenges, with a focus on and use of a new framework for analyzing primary care (PC). The article outlines how a population health approach has been supported by focusing assessment on and clustering services around social groups and multimorbidity, with support for community roles. It presents ways in which early first contact and continuity of PC, PC coordination of referral, multidisciplinary team approaches, investment in PC competencies, and specific payment and incentive models have all supported comprehensive approaches. These experiences locate PC as a site of innovation, where information technology and peer-to-peer learning networks support learning from practice.

  16. Comparative analysis of the expected demands for nursing care services among older people from urban, rural, and institutional environments

    Science.gov (United States)

    Borowiak, Ewa; Kostka, Joanna; Kostka, Tomasz

    2015-01-01

    Background Demand for nursing and social services may vary depending on the socio-demographic variables, health status, receipt of formal and informal care provided, and place of residence. Objectives To conduct a comparative analysis of the expectations of older people from urban, rural, and institutional environments concerning nursing care with respect to the care provided and elements of a comprehensive geriatric assessment. Material and methods The study comprised 2,627 individuals above the age of 65 years living in urban (n=935) and rural (n=812) areas as well as nursing homes (n=880). Results Family care was most often expected both in urban (56.6%) and rural (54.7%) environments, followed by care provided simultaneously by a family and nurse (urban – 18.8%; rural – 26.1%) and realized only by a nurse (urban – 24.6%; rural – 19.2%). Not surprisingly, nursing home residents most commonly expected nursing care (57.5%) but 33.1% preferred care provided by family or friends and neighbors. In the whole cohort of people living in the home environment (n=1,718), those living with family demonstrated willingness to use primarily care implemented by the family (62.0%), while respondents living alone more often expected nursing services (30.3%). In the logistic regression model, among the respondents living in the city, only the form of care already received determined the expectations for nursing care. Among the respondents living in the county, the presence of musculoskeletal disorders, better nutritional status, and current care provided by family decreased expectations for nursing care. Higher cognitive functioning, symptoms of depression, and living alone increased the willingness to obtain nursing care. Conclusion Older inhabitants of urban areas, rural areas, and those residing in institutions have different expectations for individual nursing care. Nearly 45% of seniors living in the community expect to obtain nursing care, while only 1.6% do not

  17. Restraining good practice: Reviewing evidence of the effects of restraint from the perspective of service users and mental health professionals in the United Kingdom (UK).

    Science.gov (United States)

    Cusack, P; McAndrew, S; Cusack, F; Warne, T

    2016-01-01

    Safeguarding, balancing the concept of risk with the need for public protection and its implication for the lives of individuals, is an important facet of contemporary mental health care. Integral to safeguarding is the protection of human rights; the right to live free from torture, inhuman, or degrading treatment, and having the right to liberty, security, respect, and privacy. Professionals are required to recognise all of these rights when delivering care to vulnerable people. In the United Kingdom (UK) there has been growing public concern regarding abusive practices in institutions, with a number of unacceptable methods of restraint being identified as a feature of care, particularly in mental health care. In keeping with the service user movement, and following a review of the literature, this paper discusses the evidence regarding restraint from the perspectives of service users and professionals within mental health services and considers the implications for future practice and research. In reviewing the literature, findings revealed that restraint can be a form of abuse, it's inappropriate use often being a consequence of fear, neglect, and lack of using de-escalation techniques. Using restraint in this way can have negative implications for the well-being of service users and mental health professionals alike.

  18. Managing acute medical admissions: a survey of acute medical services and medical assessment and planning units in New Zealand.

    Science.gov (United States)

    Providence, C; Gommans, J; Burns, A

    2012-01-01

    To determine the current provision of acute medical services, including the development of medical assessment and planning units (MAPUs), by district health boards (DHBs) throughout New Zealand (NZ). A questionnaire-based survey about organisation of acute medical services and establishment of MAPUs was sent to all 21 DHBs in NZ. All 21 DHBs responded. Seven DHBs serving 42% of the population have established MAPUs since 2003 and a further six have plans to do so over the next 3 years, potentially expanding service to 73% of the NZ population. All seven current MAPUs are in close proximity to and accept patients directly from emergency departments. Each MAPU has a documented target length of stay, four units have referral protocols, five provide guidelines for management of common medical emergencies and five routinely audit unit performance. Five MAPUs have cardiac monitored beds and isolation rooms. Rapid access is available to computed tomography scanning (six units), ultrasound (five) and echocardiography (four). Two units have no nominated physician leadership and two lack dedicated therapy resources. General physicians are involved in provision of acute medical services in 20 of 21 DHBs. Medical assessment and planning units have become an important component of acute medical service provision in NZ. The established units largely comply with Australasian recommendations, although important deficiencies exist. Training of physicians must combine the needs of acute medical patients and clinical roles of physicians within MAPUs with local DHB requirements for services to be most effective. © 2010 The Authors. Internal Medicine Journal © 2010 Royal Australasian College of Physicians.

  19. School mental health services: signpost for out-of-school service utilization in adolescents with mental disorders? A nationally representative United States cohort.

    Directory of Open Access Journals (Sweden)

    Marion Tegethoff

    Full Text Available BACKGROUND: School mental health services are important contact points for children and adolescents with mental disorders, but their ability to provide comprehensive treatment is limited. The main objective was to estimate in mentally disordered adolescents of a nationally representative United States cohort the role of school mental health services as guide to mental health care in different out-of-school service sectors. METHODS: Analyses are based on weighted data (N = 6483 from the United States National Comorbidity Survey Replication Adolescent Supplement (participants' age: 13-18 years. Lifetime DSM-IV mental disorders were assessed using the fully structured WHO CIDI interview, complemented by parent report. Adolescents and parents provided information on mental health service use across multiple sectors, based on the Service Assessment for Children and Adolescents. RESULTS: School mental health service use predicted subsequent out-of-school service utilization for mental disorders i in the medical specialty sector, in adolescents with affective (hazard ratio (HR = 3.01, confidence interval (CI = 1.77-5.12, anxiety (HR = 3.87, CI = 1.97-7.64, behavior (HR = 2.49, CI = 1.62-3.82, substance use (HR = 4.12, CI = 1.87-9.04, and eating (HR = 10.72, CI = 2.31-49.70 disorders, and any mental disorder (HR = 2.97, CI = 1.94-4.54, and ii in other service sectors, in adolescents with anxiety (HR = 3.15, CI = 2.17-4.56, behavior (HR = 1.99, CI = 1.29-3.06, and substance use (HR = 2.48, CI = 1.57-3.94 disorders, and any mental disorder (HR = 2.33, CI = 1.54-3.53, but iii not in the mental health specialty sector. CONCLUSIONS: Our findings indicate that in the United States, school mental health services may serve as guide to out-of-school service utilization for mental disorders especially in the medical specialty sector across various mental disorders, thereby

  20. The Effects of Korean Medical Service Quality and Satisfaction on Revisit Intention of the United Arab Emirates Government Sponsored Patients.

    Science.gov (United States)

    Lee, Seoyoung; Kim, Eun-Kyung

    2017-06-01

    The purpose of this study was to investigate medical service quality, satisfaction and to examine factors influencing hospital revisit intention of the United Arab Emirates government sponsored patients in Korea. A total of 152 UAE government sponsored patients who visited Korean hospitals participated in the questionnaire survey from August to November 2016. Stepwise multiple regression was used to identify the factors that affected the revisit intention of the participants. The mean scores of medical service quality, satisfaction, and revisit intention were 5.72 out of 7, 88.88 out of 100, 4.59 out of 5, respectively. Medical service quality and satisfaction, Medical service quality and revisit intention, satisfaction and revisit intention were positively correlated. Medical service of physician, visiting routes and responsiveness of medical service quality explained about 23.8% of revisit intention. There are needs for physicians to communicate with patients while ensuring sufficient consultation time based on excellent medical skills and nurses to respond immediately for the patients' needs through an empathic encounter in order to improve medical service quality and patient satisfaction so that to increase the revisit intention of the United Arab Emirates government sponsored patients. Further, it is necessary for the hospitals to have support plans for providing country specialized services in consideration of the UAE culture to ensure that physicians' and nurses' competencies are not undervalued by non-medical service elements such as interpreters and meals. Copyright © 2017. Published by Elsevier B.V.

  1. Lesbian, gay, bisexual, and transgender (LGBT) health services in the United States: Origins, evolution, and contemporary landscape.

    Science.gov (United States)

    Martos, Alexander J; Wilson, Patrick A; Meyer, Ilan H

    2017-01-01

    LGBT community organizations in the United States have been providing health services since at least the 1970s. However, available explanations for the origins of LGBT health services do not sufficiently explain why health in particular has been so closely and consistently linked to LGBT activism. Little is also known regarding how LGBT health services may have evolved over time with the growing scientific understanding of LGBT health needs. This study begins with a review of the early intersections of sexuality and health that led to an LGBT health movement in the United States, as well as the evolution of LGBT health services over time. Informed by this, an asset map displaying the location and types of services provided by "LGBT community health centers" today in relation to the population density of LGBT people was explored. An online search of LGBT community health centers was conducted between September-December, 2015. Organizational details, including physical addresses and the services provided, were confirmed via an online database of federally-registered non-profit organizations and organizational websites. The locations and types of services provided were analyzed and presented alongside county-level census data of same-sex households using geographic information system (GIS) software ArcGIS for Desktop. LGBT community health centers are concentrated within urban hubs and coastal states, and are more likely to be present in areas with a high density of same-sex couples. LGBT community health centers do not operate in 13 states. The most common health services provided are wellness programs, HIV/STI services, and counseling services. LGBT community health centers have adapted over time to meet the needs of LGBT people. However, significant gaps in service remain in the United States, and LGBT community health centers may require significant transformations going forward in order to continue serving LGBT people.

  2. Lesbian, gay, bisexual, and transgender (LGBT) health services in the United States: Origins, evolution, and contemporary landscape

    Science.gov (United States)

    Wilson, Patrick A.; Meyer, Ilan H.

    2017-01-01

    Background LGBT community organizations in the United States have been providing health services since at least the 1970s. However, available explanations for the origins of LGBT health services do not sufficiently explain why health in particular has been so closely and consistently linked to LGBT activism. Little is also known regarding how LGBT health services may have evolved over time with the growing scientific understanding of LGBT health needs. Methods This study begins with a review of the early intersections of sexuality and health that led to an LGBT health movement in the United States, as well as the evolution of LGBT health services over time. Informed by this, an asset map displaying the location and types of services provided by “LGBT community health centers” today in relation to the population density of LGBT people was explored. An online search of LGBT community health centers was conducted between September–December, 2015. Organizational details, including physical addresses and the services provided, were confirmed via an online database of federally-registered non-profit organizations and organizational websites. The locations and types of services provided were analyzed and presented alongside county-level census data of same-sex households using geographic information system (GIS) software ArcGIS for Desktop. Findings LGBT community health centers are concentrated within urban hubs and coastal states, and are more likely to be present in areas with a high density of same-sex couples. LGBT community health centers do not operate in 13 states. The most common health services provided are wellness programs, HIV/STI services, and counseling services. Conclusions LGBT community health centers have adapted over time to meet the needs of LGBT people. However, significant gaps in service remain in the United States, and LGBT community health centers may require significant transformations going forward in order to continue serving LGBT people

  3. 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 hospital mortality rates were higher at larger hospitals, but no significant differences were found when mortality was risk adjusted. There was an association between nurse workload with mortality rate for selected conditions (r: 0.25; P = 0.009). Safety committee and multidisciplinary ward rounds were also associated with outcomes. We have not found any association between complexity and intra-hospital mortality. There is an association between some management indicators with intra-hospital mortality and the length of stay. Better disease-specific outcomes adjustments and a larger number of IMUs in the sample may provide more insights about the association between management of IMUs with healthcare outcomes.

  4. Relation between safe use of medicines and Clinical Pharmacy Services at Pediatric Intensive Care Units

    Science.gov (United States)

    Okumura, Lucas Miyake; da Silva, Daniella Matsubara; Comarella, Larissa

    2016-01-01

    Abstract Objective: Clinical Pharmacy Services (CPS) are considered standard of care and is endorsed by the Joint Commission International, the American Academy of Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single experiences have been discreetly arising and the importance of these services to children and adolescents care has led to interesting results, but certainly are under reported. This short report aims to discuss the effect of implementing a bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU). Methods: This is a cross-sectional study conducted in a 12 bed PICU community hospital, from Campo Largo/Brazil. Subjects with<18 years old admitted to PICU were included for descriptive analysis if received a CPS intervention. Results: Of 53 patients accompanied, we detected 141 preventable drug-related problems (DRPs) which were solved within clinicians (89% acceptance of all interventions). The most common interventions performed to improve drug therapy included: preventing incompatible intravenous solutions (21%) and a composite of inadequate doses (17% due to low, high and non-optimized doses). Among the top ten medications associated with DRPs, five were antimicrobials. By analyzing the correlation between DRPs and PICU length of stay, we found that 74% of all variations on length of stay were associated with the number of DRPs. Conclusions: Adverse drug reactions due to avoidable DRPs can be prevented by CPS in a multifaceted collaboration with other health care professionals, who should attempt to use active and evidence-based strategies to reduce morbidity related to medications. PMID:27578187

  5. Economist intelligence unit democracy index in relation to health services accessibility: a regression analysis.

    Science.gov (United States)

    Walker, Mary Ellen; Anonson, June; Szafron, Michael

    2015-01-01

    The relationship between political environment and health services accessibility (HSA) has not been the focus of any specific studies. The purpose of this study was to address this gap in the literature by examining the relationship between political environment and HSA. This relationship that HSA indicators (physicians, nurses and hospital beds per 10 000 people) has with political environment was analyzed with multiple least-squares regression using the components of democracy (electoral processes and pluralism, functioning of government, political participation, political culture, and civil liberties). The components of democracy were represented by the 2011 Economist Intelligence Unit Democracy Index (EIUDI) sub-scores. The EIUDI sub-scores and the HSA indicators were evaluated for significant relationships with multiple least-squares regression. While controlling for a country's geographic location and level of democracy, we found that two components of a nation's political environment: functioning of government and political participation, and their interaction had significant relationships with the three HSA indicators. These study findings are of significance to health professionals because they examine the political contexts in which citizens access health services, they come from research that is the first of its kind, and they help explain the effect political environment has on health. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. Spanish Version of the National Institutes of Health Stroke Scale: Awareness and Use in United States. A Survey Study.

    Science.gov (United States)

    Villalobos, Enrique; Barnes, Scott R; Qureshi, Ihtesham A; Cruz-Flores, Salvador; Maud, Alberto; Rodriguez, Gustavo J

    2017-01-01

    To investigate the awareness and the use of Spanish version of National Institutes of Health Stroke Scale (NIHSS) throughout the United States (US) by regions using a web-based survey. A survey targeting physicians from two specialties that regularly manage acute stroke patients was conducted from February to August of 2015. Academic centers from the Accreditation Council for Graduate Medical Education online directory belonging to emergency medicine (EM) and neurology residency programs were identified. The questionnaire was composed of ten questions separated into three different groups. The responses received from the programs were separated by specialty and grouped into different regions in the US for comparison. Out of 230 residency-invited programs, we received a total of 73 responses, 35 from EM and 26 responses from neurology residency programs. In addition, 12 respondents were categorized as unknown recipients. The South region had the highest response rate with 30.3%. There was no significant difference in the responses by region if Puerto Rico was not analyzed. Interviewees reported a substantial percentage of Spanish-speaking patients reported across the regions and more than 75% of the programs report lack of knowledge of the Spanish version of the NIHSS and/or the use of it. There may be a need to increase awareness and to promote the use of the Spanish version of the NIHSS. Spanish-speaking population in the US may be inaccurately assessed for acute stroke and could impact the outcomes. Larger population studies should be conducted to confirm our findings. Dr. Villalobos and Dr. Barnes are involved in formulating the study concept and design; Dr. Rodriguez and Dr. Maud are involved in manuscript writing; Dr. Qureshi is involved in statistical analysis of the data; Dr. Cruz-Flores is involved in critical revision of the manuscript. Dr. Villalobos reports no disclosure; Dr. Barnes reports no disclosure; Dr. Qureshi reports no disclosure; Dr. Cruz

  7. Community pharmacists' use of language-access services in the United States.

    Science.gov (United States)

    Feichtl, Maria Maniscalco; Clauson, Kevin A; Alkhateeb, Fadi M; Jamass, Daniel S; Polen, Hyla H

    2011-01-01

    To examine community pharmacists' use of language-access services (LASs) in the United States. Cross-sectional study. United States from January to February 2009. 1,000 pharmacists (500 community chain and 500 community independent pharmacists). Mailed survey. Use, availability, and characterization of written translation and verbal interpretation LASs, along with perceived barriers for LASs. 296 surveys were completed, yielding an adjusted response rate of 30.0%. Computer software was used more often for translation LASs (57.4%) compared with pharmacists using on-site personnel (38.4%). Almost one-half of all pharmacies (49.8%) that possessed LAS capacity failed to notify patients of their availability. Many respondents indicated that they never used translation (40.9%) or interpretation (39.8%) in their pharmacies. The most commonly cited barrier for use of LASs by community pharmacists was potential inaccuracies in translation/interpretation (52.1%). Lack of time (25.1%) was frequently cited for failing to use LASs. Community pharmacists are not consistently or optimally using LASs in daily practice. Failure to use LASs can result in poorer outcomes for patients with limited English proficiency. Developing means to navigate work station-related barriers to LASs may yield improved patient care. Incorporation of professional continuing educational programs, automated LAS kiosks, natural language processing, and social media solutions merit exploration in addressing these challenges.

  8. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates.

    Science.gov (United States)

    Hamidi, Samer

    2015-01-01

    A national health account (NHA) provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD). The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union) of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA). In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE). Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita), compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of NHA data into policy is suggested for future researchers.

  9. Financing the Civic Energy Sector:How financial institutions affect ownership models in Germany and the United Kingdom

    OpenAIRE

    Hall, Stephen; Foxon, Timothy J.; Bolton, Ronan

    2016-01-01

    This paper examines the relations between financinginstitutions and more local ownership structures for energy provision.This research defines municipal and civil society structures involved inenergy provision as the 'Civic Energy Sector'. It argues that thefinancial institutions of nations are key enabling institutions for thissector to contribute to a low carbon energy transition. The path ofdevelopment of these financial institutions helps to shape the ownershipstructures and technology ch...

  10. Toxocariasis in children attending a Public Health Service Pneumology Unit in Paraná State, Brazil

    Directory of Open Access Journals (Sweden)

    Edson V. Guilherme

    2013-06-01

    Full Text Available The enzyme-linked immunosorbent assay (ELISA is the most widely used tool to detect anti-Toxocara IgG antibodies for both serodiagnostic and seroepidemiological surveys on human toxocariasis. In the last eight years a high prevalence of toxocariasis (32.2-56.0% has been reported in children attending public health units from municipalities in the state of Paraná, Brazil. Therefore, the aim of this work was to compare the frequency found among the general child population with that of children attending a public pneumology service in Maringá, Paraná, Brazil and describe the laboratorial, clinical and epidemiological findings. The research was conducted at the Consórcio Público Intermunicipal de Saúde do Setentrião Paranaense (CISAMUSEP from July 2009 to July 2010 among children aged between one and 15 years. From a total of 167 children studied, only 4.2% (7/167 tested positive for anti-Toxocara spp. IgG antibodies and presented mild eosinophilia (2/7, increased serum IgE levels (6/7 and a positive allergy test for mites (5/7. The presence of pets (dogs or cats at home did not correlate with the seroprevalence. In conclusion, cases of toxocariasis involving the respiratory tract are rare in children attending a public health pneumology unit in the northwestern region of Paraná State, despite the high prevalence of this type of toxocariasis among the infantile population attending Basic Health Units in the same geographical area.

  11. Toxocariasis in children attending a Public Health Service Pneumology Unit in Paraná State, Brazil.

    Science.gov (United States)

    Guilherme, Edson V; Marchioro, Ariella A; Araujo, Silvana M; Falavigna, Dina Lúcia Morais; Adami, Carolina; Falavigna-Guilherme, Gustavo; Rubinsky-Elefant, Guita; Falavigna-Guilherme, Ana Lucia

    2013-01-01

    The enzyme-linked immunosorbent assay (ELISA) is the most widely used tool to detect anti-Toxocara IgG antibodies for both serodiagnostic and seroepidemiological surveys on human toxocariasis. In the last eight years a high prevalence of toxocariasis (32.2-56.0%) has been reported in children attending public health units from municipalities in the state of Paraná, Brazil. Therefore, the aim of this work was to compare the frequency found among the general child population with that of children attending a public pneumology service in Maringá, Paraná, Brazil and describe the laboratorial, clinical and epidemiological findings. The research was conducted at the Consórcio Público Intermunicipal de Saúde do Setentrião Paranaense (CISAMUSEP) from July 2009 to July 2010 among children aged between one and 15 years. From a total of 167 children studied, only 4.2% (7/167) tested positive for anti-Toxocara spp. IgG antibodies and presented mild eosinophilia (2/7), increased serum IgE levels (6/7) and a positive allergy test for mites (5/7). The presence of pets (dogs or cats) at home did not correlate with the seroprevalence. In conclusion, cases of toxocariasis involving the respiratory tract are rare in children attending a public health pneumology unit in the northwestern region of Paraná State, despite the high prevalence of this type of toxocariasis among the infantile population attending Basic Health Units in the same geographical area.

  12. Occupational Risk Factors and Health Problems Faced by Nurses that Working Dialysis Unit and Nephrology Service

    Directory of Open Access Journals (Sweden)

    Mehtap Curcani

    2009-08-01

    Full Text Available AIM: This study is carried out descriptively with the aim of determining occupational risks the nurses working in dialysis units and nephrology services. METHOD: 47 nurses working in dialysis and nephrology units of the hospitals in Erzurum were included in the study content. In the collection of the data, questionnaire form prepared in the light of literature and including the preventions taken by nurses themselves or their organizations against the professional risks they faced, or personal problems the nurses experienced, professional risk or professional-personal features was used. RESULTS: In the result of the study, it was detected that 48.9% of the nurses was at 28-32 age group, and that 38.3% of the nurses graduated from nursing higher school, and that 72.3% of the nurses worked in dialysis unit. It was found out that while practicing their professions, the nurses expressed that infection risk (97.9%, stress (83%, verbal abuse (80.9%, psychiatric trauma (66%, allergic substance (63.8%, the noise (36.2%, and physical abuse (23.4% were the risk factors they raced in working medium .In the health problem seen in the nurses, in the first row is lumbago. CONCLUSION: In the result of the study, it was found out that while practicing their professions, the nurses expressed that infection risk was the highest rate among the risk factors they raced in working medium and, in the health problem seen in the nurses, in the first row is lumbago and that the nurses and organizations’ attempts which will reduce the risks were not sufficient. [TAF Prev Med Bull 2009; 8(4.000: 339-344

  13. The Wright Institute Sanctuary Project: Development and Proposed Evaluation of a Graduate Training Program Providing Clinical Services to Asylum Seekers in the Bay Area

    Science.gov (United States)

    Padilla, Brenda Lisa

    2012-01-01

    This study highlights the development of a graduate training program at The Wright Institute in Berkeley, CA, which provides assessment services for undocumented immigrants seeking asylum. This program focuses on the needs of a general asylum seeking population, with a specific relevance to some of the populations that may be served in the…

  14. The Wright Institute Sanctuary Project: Development and Proposed Evaluation of a Graduate Training Program Providing Clinical Services to Asylum Seekers in the Bay Area

    Science.gov (United States)

    Padilla, Brenda Lisa

    2012-01-01

    This study highlights the development of a graduate training program at The Wright Institute in Berkeley, CA, which provides assessment services for undocumented immigrants seeking asylum. This program focuses on the needs of a general asylum seeking population, with a specific relevance to some of the populations that may be served in the…

  15. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Hamidi S

    2015-02-01

    Full Text Available Samer Hamidi School of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates Introduction: A national health account (NHA provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD. Methods: The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA. Results: In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE. Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita, compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. Conclusion: The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of

  16. The Cost of Health Service Waste Management of (HSWM: A Case Study of Intensive Care Unit of Infectious Diseases at a Public Hospital in São Paulo.

    Directory of Open Access Journals (Sweden)

    Chennyfer Dobbins Paes da Rosa

    2015-08-01

    Full Text Available The Health Service Waste Management is a set of technical and legal procedures for waste management in any type of health facilities. It is known about the limited resources, so reducing environmental costs can contribute to the management of hospital costs. The objective was to estimate the cost of the phases of HSWM to the Intensive Care Unit for public service. Data collecting was done through a script of questions and observations on site at the Emilio Ribas Infectious Diseases Institute in Sao Paulo. The ABC costing method was used. The most costly step was wrapping (40.68%, followed by segregation (40.17%, which is justified by both being associated with health workers’ salaries. The daily cost of the management of health care waste from segregation to final disposal in the ICU was R$ 4,288.81 a day, being R$ 314.80/bed-patient/day. To know the cost of an activity allows for the analysis of strategies for price negotiation. Health care waste is little remembered when pricing a daily ICU, many managers believe this value to be irrelevant; but< if not measured, it may bring losses to the institution.

  17. National Institute of Standards and Technology measurement service of the optical properties of biomedical phantoms: current status

    Science.gov (United States)

    Lemaillet, Paul; Cooksey, Catherine C.; Levine, Zachary H.; Pintar, Adam L.; Hwang, Jeeseong; Allen, David W.

    2016-03-01

    The National Institute of Standards and Technology (NIST) has maintained scales for reflectance and transmittance over several decades. The scales are primarily intended for regular transmittance, mirrors, and solid surface scattering diffusers. The rapidly growing area of optical medical imaging needs a scale for volume scattering of diffuse materials that are used to mimic the optical properties of tissue. Such materials are used as phantoms to evaluate and validate instruments under development intended for clinical use. To address this need, a double-integrating sphere based instrument has been installed to measure the optical properties of tissue-mimicking phantoms. The basic system and methods have been described in previous papers. An important attribute in establishing a viable calibration service is the estimation of measurement uncertainties. The use of custom models and comparisons with other established scales enabled uncertainty measurements. Here, we describe the continuation of those efforts to advance the understanding of the uncertainties through two independent measurements: the bidirectional reflectance distribution function and the bidirectional transmittance distribution function of a commercially available solid biomedical phantom. A Monte Carlo-based model is used and the resulting optical properties are compared to the values provided by the phantom manufacturer.

  18. Can Provincial Universities Be Global Institutions? Rethinking the Institution as the Unit of Analysis in the Study of Globalization and Higher Education

    Science.gov (United States)

    Jones, Glen A.

    2008-01-01

    The author argues that greater attention should be paid to different levels of authority in the study of globalization and higher education, especially the understructure or disciplinary units. Using Marginson and Rhoades' concept of "Glonacal," he argues that universities operate on local, national, and global dimensions, but also that the…

  19. Funding priorities in animal reproduction at the United States Department of Agriculture's Cooperative State Research, Education, and Extension Service.

    Science.gov (United States)

    Mirando, Mark A; Hamernik, Debora L

    2006-03-01

    The National Research Initiative (NRI) Competitive Grants Program is the U.S. Department of Agriculture's major competitive grants program and is administered by the Cooperative State Research, Education, and Extension Service (CSREES). Since its inception in 1991, the NRI has funded competitive grants in the discipline of animal reproduction. Previously, this program provided funding for a broad range of projects encompassing almost every subdiscipline in reproductive biology of farm animals, including aquatic species important to the aquaculture industry. During fiscal year 2004, the NRI Animal Reproduction Program narrowed the focus of funding priorities to the topics of infertility, basic mechanisms regulating fertility, cryopreservation of gametes, reducing the postpartum interval to conception, and sterilization methods or development of monosex populations. In response to a directive to further narrow the focus of funding priorities for fiscal year 2005 and beyond, CSREES conducted a Stakeholder Workshop on Funding Priorities in Animal Reproduction at the 37th Annual Meeting of the Society for the Study of Reproduction in Vancouver, Canada. More than 75 stakeholder scientists from a cross section of federal, public, and private institutions from across the United States participated in the workshop and provided recommendations to CSREES for future NRI-funding priorities in Animal Reproduction. The recommendations provided by stakeholders included continuing efforts to focus funding priorities into fewer high-impact areas relevant to animal agriculture and aquaculture. Recommendations also included movement back toward subdisciplines of animal reproduction that cut across all applicable species. The three funding priorities that consistently emerged as recommendations from the workshop participants were 1) gonadal function and production of gametes, 2) pituitary-hypothalamic function, and 3) embryo and conceptus development, including interaction between the

  20. The Institutional Challenges of Payment for Ecosystem Service Program in China: A Review of the Effectiveness and Implementation of Sloping Land Conversion Program

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    Cheng Chen

    2015-05-01

    Full Text Available This study is an overview of the effectiveness and institutional challenges of China’s Sloping Land Conversion Program (SLCP. The SLCP is the Chinese government’s largest Payment for Ecosystem Services (PES program and one of the largest PES programs in the world. From an institutional perspective, the SLCP is particularly interesting because it represents a hybrid governance type that includes both voluntary and hierarchical (top-down elements rather than traditional command-and-control approach. Our analysis is based on a literature review that encompasses 164 international scientific articles. To identify institutional challenges, we linked the results regarding the effectiveness of the program to its institutional aspects. Our SLCP case study highlights the dependence of the effectiveness of a governmental PES program on the specific regulatory institutional setting and the particular actors involved. Our results show that some institutional challenges undermine the anticipated advantages of PES (local participation and eventually reshape the program outcomes through implementation process, particularly in cases of hybrid governance structures in which institutional requirements are as important as the design of the specific financial incentives. The collaboration between relevant government actors at different hierarchical levels, and specifically the motivations and interests of the government actors responsible for the implementation on the ground, play crucial roles. The SLCP can be an important milestone in environmental policy in China and the world, if more innovative elements of a theoretically ideal PES—such as local flexibility and self-interest (or at least the acceptance of the service providers supplying the relevant ecosystem services can be strengthened. The environmental goals can be achieved in combination with greater self-interest of the applicable government actors on all hierarchical levels.

  1. Multiracial Student Services Come of Age: The State of Multiracial Student Services in Higher Education in the United States

    Science.gov (United States)

    Wong, Michael Paul A.; Buckner, Joshua

    2008-01-01

    This article provides insight into the recent appearance of multiracial student services in U.S. higher education by presenting a review of current practice within student affairs administration. The authors begin by discussing the historical and social context for multiracial student services within prevailing approaches to multicultural identity…

  2. Flipped Classroom Implementation: A Case Report of Two Higher Education Institutions in the United States and Australia

    Science.gov (United States)

    McLaughlin, Jacqueline E.; White, Paul J.; Khanova, Julia; Yuriev, Elizabeth

    2016-01-01

    This case report explored the implementation of flipped classrooms at two higher education institutions. Experiences and publications from the institutions were used to identify and describe common themes, including successes and challenges encountered along with potential solutions to common misalignments, particularly as related to…

  3. Hispanic Presidents and Chancellors of Institutions of Higher Education in the United States in 2001 and 2006

    Science.gov (United States)

    de los Santos, Alfredo G., Jr.; Vega, Irene I.

    2008-01-01

    This manuscript examines the number of Hispanic individuals who serve as presidents or chancellor and the type of institutions they serve. In 2001, only 13 states had institutions in which the president or chancellor was Latina/o. By 2006, that number had increased to 22. Both in 2001 and 2006, 61% of all Latina/o CEOs served in associate's degree…

  4. Public service obligations for air transport in the United States and Europe: Connectivity effects and value for money

    OpenAIRE

    Wittman, Michael; Allroggen, Florian; Malina, Robert

    2016-01-01

    Public service obligations (PSOs) are used by governments in many countries, including the United States and 11 countries in Europe, to mandate a minimum level of commercial air transportation service, especially for small or rural communities. This paper analyzes PSOs in these 12 countries for the year 2010 using the recently proposed Global Connectivity Index to measure direct and indirect market access and a novel subsidy database covering 90% of PSO movements in these countries to assess ...

  5. Secondary Measures of Access to Abortion Services in the United States, 2011 and 2012: Gestational Age Limits, Cost, and Harassment

    OpenAIRE

    Jerman, Jenna; Jones, Rachel K.

    2014-01-01

    Background Aspects of U.S. clinical abortion service provision such as gestational age limits, charges for abortion services, and anti-abortion harassment can impact the accessibility of abortion; this study documents changes in these measures between 2008 and 2012. Methods In 2012 and 2013, we surveyed all known abortion-providing facilities in the United States (n = 1,720). This study summarizes information obtained about gestational age limits, charges, and exposure to anti-abortion harass...

  6. Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United States.

    Science.gov (United States)

    Kamali, Amanda; Jamieson, Denise J; Kpaduwa, Julius; Schrier, Sarah; Kim, Moon; Green, Nicole M; Ströher, Ute; Muehlenbachs, Atis; Bell, Michael; Rollin, Pierre E; Mascola, Laurene

    2016-07-01

    Many of the survivors of the 2014-2015 epidemic of Ebola virus disease (EVD) in western Africa were women of childbearing age. Limited clinical and laboratory data exist that describe these women's pregnancies and outcomes. We report the case of an EVD survivor who became pregnant and delivered her child in the United States, and we discuss implications of this case for infection control practices in obstetric services. Hospitals in the United States must be prepared to care for EVD survivors.

  7. Utilization of preventive care services and their effect on cardiovascular outcomes in the United States

    Directory of Open Access Journals (Sweden)

    Varun Vaidya

    2011-01-01

    Full Text Available Varun Vaidya, Gautam Partha, Jennifer HowePharmacy Health Care Administration, Department of Pharmacy Practice, University of Toledo College of Pharmacy, Toledo, OH, USAObjective: To describe and analyze utilization of preventive care services and their effect on cardiovascular outcomes in the United States.Methods: Data from the 2007 Medical Expenditure Panel Survey (MEPS were used to analyze utilization of preventive care services and their effect on cardiovascular outcomes. Recommendations by the Seventh Report of the Joint Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and the National Cholesterol Education Program were used to determine appropriate levels of preventive care utilization. Utilization of blood pressure screening and cholesterol checkup services were used as the dependent variable, while age, gender, race, ethnicity, insurance status, and perceived health status were used as independent variables. Since guidelines differ for people with elevated blood pressure, respondents with elevated blood pressure were identified in the MEPS database by self-reported diagnosis. Descriptive statistics were used to describe the population, while a multivariate logistic regression model was built to predict odds of utilizing appropriate levels of preventive services.Results: Total number of adult respondents for which data were available for blood pressure checkup and cholesterol checkup was 20,523 and 15,784, respectively. Overall, MEPS respondents were found to adhere to guideline recommendations for preventive care utilization. Multivariate logistic regression showed that odds of utilization of preventive care services were higher for elderly patients (age >65 years for blood pressure (odds ratio [OR] = 2.39, 95% confidence interval [CI]: 1.92–2.97 and cholesterol (OR = 3.05, 95% CI: 2.18–4.27 preventive services compared with younger population (age 18–54 years. Males had much lower odds of

  8. Unit cost of healthcare services at 200-bed public hospitals in Myanmar: what plays an important role of hospital budgeting?

    Science.gov (United States)

    Than, Thet Mon; Saw, Yu Mon; Khaing, Moe; Win, Ei Mon; Cho, Su Myat; Kariya, Tetsuyoshi; Yamamoto, Eiko; Hamajima, Nobuyuki

    2017-09-19

    Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective. The study also analyzed the cost structure of the hospitals to allocate and manage the budgets appropriately. A hospital-based cross-sectional study was conducted at 200-bed Magway Teaching Hospital (MTH) and Pyinmanar General Hospital (PMN GH), in Myanmar, for the financial year 2015-2016. The step-down costing method was applied to calculate unit cost per inpatient day and per outpatient visit. The costs were calculated by using Microsoft Excel 2010. The unit costs per inpatient day varied largely from unit to unit in both hospitals. At PMN GH, unit cost per inpatient day was 28,374 Kyats (27.60 USD) for pediatric unit and 1,961,806 Kyats (1908.37 USD) for ear, nose, and throat unit. At MTH, the unit costs per inpatient day were 19,704 Kyats (19.17 USD) for medicine unit and 168,835 Kyats (164.24 USD) for eye unit. The unit cost of outpatient visit was 14,882 Kyats (14.48 USD) at PMN GH, while 23,059 Kyats (22.43 USD) at MTH. Regarding cost structure, medicines and medical supplies was the largest component at MTH, and the equipment was the largest component at PMN GH. The surgery unit of MTH and the eye unit of PMN GH consumed most of the total cost of the hospitals. The unit costs were influenced by the utilization of hospital services by the patients, the efficiency of available resources, type of medical services provided, and medical practice of the physicians. The cost structures variation was also found between MTH and PMN GH. The findings provided the basic information regarding the healthcare cost of public hospitals which can apply the efficient utilization of the

  9. Spanish Version of the National Institutes of Health Stroke Scale: Awareness and Use in United States. A Survey Study

    Science.gov (United States)

    Villalobos, Enrique; Barnes, Scott R.; Qureshi, Ihtesham A.; Cruz-Flores, Salvador; Maud, Alberto; Rodriguez, Gustavo J.

    2017-01-01

    Objective To investigate the awareness and the use of Spanish version of National Institutes of Health Stroke Scale (NIHSS) throughout the United States (US) by regions using a web-based survey. Methods A survey targeting physicians from two specialties that regularly manage acute stroke patients was conducted from February to August of 2015. Academic centers from the Accreditation Council for Graduate Medical Education online directory belonging to emergency medicine (EM) and neurology residency programs were identified. The questionnaire was composed of ten questions separated into three different groups. The responses received from the programs were separated by specialty and grouped into different regions in the US for comparison. Results Out of 230 residency-invited programs, we received a total of 73 responses, 35 from EM and 26 responses from neurology residency programs. In addition, 12 respondents were categorized as unknown recipients. The South region had the highest response rate with 30.3%. There was no significant difference in the responses by region if Puerto Rico was not analyzed. Interviewees reported a substantial percentage of Spanish-speaking patients reported across the regions and more than 75% of the programs report lack of knowledge of the Spanish version of the NIHSS and/or the use of it. Conclusion There may be a need to increase awareness and to promote the use of the Spanish version of the NIHSS. Spanish-speaking population in the US may be inaccurately assessed for acute stroke and could impact the outcomes. Larger population studies should be conducted to confirm our findings. Author contributions Dr. Villalobos and Dr. Barnes are involved in formulating the study concept and design; Dr. Rodriguez and Dr. Maud are involved in manuscript writing; Dr. Qureshi is involved in statistical analysis of the data; Dr. Cruz-Flores is involved in critical revision of the manuscript. Disclosures Dr. Villalobos reports no disclosure; Dr. Barnes

  10. Relation between safe use of medicines and Clinical Pharmacy Services at Pediatric Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Lucas Miyake Okumura

    Full Text Available Abstract Objective: Clinical Pharmacy Services (CPS are considered standard of care and is endorsed by the Joint Commission International, the American Academy of Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single experiences have been discreetly arising and the importance of these services to children and adolescents care has led to interesting results, but certainly are under reported. This short report aims to discuss the effect of implementing a bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU. Methods: This is a cross-sectional study conducted in a 12 bed PICU community hospital, from Campo Largo/Brazil. Subjects with<18 years old admitted to PICU were included for descriptive analysis if received a CPS intervention. Results: Of 53 patients accompanied, we detected 141 preventable drug-related problems (DRPs which were solved within clinicians (89% acceptance of all interventions. The most common interventions performed to improve drug therapy included: preventing incompatible intravenous solutions (21% and a composite of inadequate doses (17% due to low, high and non-optimized doses. Among the top ten medications associated with DRPs, five were antimicrobials. By analyzing the correlation between DRPs and PICU length of stay, we found that 74% of all variations on length of stay were associated with the number of DRPs. Conclusions: Adverse drug reactions due to avoidable DRPs can be prevented by CPS in a multifaceted collaboration with other health care professionals, who should attempt to use active and evidence-based strategies to reduce morbidity related to medications.

  11. Updated Value of Service Reliability Estimates for Electric Utility Customers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, Michael [Nexant Inc., Burlington, MA (United States); Schellenberg, Josh [Nexant Inc., Burlington, MA (United States); Blundell, Marshall [Nexant Inc., Burlington, MA (United States)

    2015-01-01

    This report updates the 2009 meta-analysis that provides estimates of the value of service reliability for electricity customers in the United States (U.S.). The meta-dataset now includes 34 different datasets from surveys fielded by 10 different utility companies between 1989 and 2012. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods, it was possible to integrate their results into a single meta-dataset describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the U.S. for industrial, commercial, and residential customers. This report focuses on the backwards stepwise selection process that was used to develop the final revised model for all customer classes. Across customer classes, the revised customer interruption cost model has improved significantly because it incorporates more data and does not include the many extraneous variables that were in the original specification from the 2009 meta-analysis. The backwards stepwise selection process led to a more parsimonious model that only included key variables, while still achieving comparable out-of-sample predictive performance. In turn, users of interruption cost estimation tools such as the Interruption Cost Estimate (ICE) Calculator will have less customer characteristics information to provide and the associated inputs page will be far less cumbersome. The upcoming new version of the ICE Calculator is anticipated to be released in 2015.

  12. Rapid Deployment of International Tele-Intensive Care Unit Services in War-Torn Syria.

    Science.gov (United States)

    Moughrabieh, Anas; Weinert, Craig

    2016-02-01

    The conflict in Syria has created the largest humanitarian emergency of the twenty-first century. The 4-year Syrian conflict has destroyed hospitals and severely reduced the capacity of intensive care units (ICUs) and on-site intensivists. The crisis has triggered attempts from abroad to support the medical care of severely injured and acutely ill civilians inside Syria, including application of telemedicine. Within the United States, tele-ICU programs have been operating for more than a decade, albeit with high start-up costs and generally long development times. With the benefit of lessons drawn from those domestic models, the Syria Tele-ICU program was launched in December 2012 to manage the care of ICU patients in parts of Syria by using inexpensive, off-the-shelf video cameras, free social media applications, and a volunteer network of Arabic-speaking intensivists in North America and Europe. Within 1 year, 90 patients per month in three ICUs were receiving tele-ICU services. At the end of 2015, a network of approximately 20 participating intensivists was providing clinical decision support 24 hours per day to five civilian ICUs in Syria. The volunteer clinicians manage patients at a distance of more than 6,000 miles, separated by seven or eight time zones between North America and Syria. The program is implementing a cloud-based electronic medical record for physician documentation and a medication administration record for nurses. There are virtual chat rooms for patient rounds, radiology review, and trainee teaching. The early success of the program shows how a small number of committed physicians can use inexpensive equipment spawned by the Internet revolution to support from afar civilian health care delivery in a high-conflict country.

  13. Organization of acute stroke services in Poland - Polish Stroke Unit Network development.

    Science.gov (United States)

    Sarzyńska-Długosz, Iwona; Skowrońska, Marta; Członkowska, Anna

    2013-01-01

    According to the recommendations of stroke organizations, every stroke patient should be treated in a specialized stroke unit (SU). We aimed to evaluate the development of the SU network in Poland during the past decade. In Poland, stroke is treated mainly by neurologists. A questionnaire evaluating structure and staff of neurological departments was sent to all neurological departments in 2003, 2005 and 2007. In 2010, we collected data based on information from the National Health Fund. We divided departments into categories: with a comprehensive SU, with a primary SU unit, and departments without an SU. Primary SUs were further divided into class A SUs (fulfilling criteria of the National Programme of Prevention and Treatment of Stroke Experts - eligible for thrombolysis), class B (conditionally fulfilling criteria), and class C (not fulfilling criteria). Final analyses included 87.4% of departments (194/222) in 2003, 85.5% of departments (188/220) in 2005, and 83.1% of departments (182/219) in 2007. According to the above-mentioned classification there were 20 class A SUs in 2003, 58 in 2005 and 5 comprehensive and 51 class A SUs in 2007. In 2012, based on information from the National Health Fund there were 150 SUs, all fulfilling criteria for thrombolysis, 9 of them comprehensive SUs. The SU network in Poland is developing dynamically but thrombolysis and endovascular procedures are done too rarely. Now it is necessary to improve quality of stroke services and to make organizational changes in the in-hospital stroke pathways as well as to organize continuous education of medical staff.

  14. Dr Julia King CBE FREng, Chief Executive Designate, Institute of Physics (United Kingdom), visiting the NA48 experiment.

    CERN Document Server

    Patrice Loïez

    2002-01-01

    Photo 02: Visiting the NA48 experiment, Dr Julia King, Chief Executive Designate, Institute of Physics (Britain and Ireland) (right) with A. Ceccucci and K. Peach. Photo 05: Visiting the NA48 experiment, Dr Julia King, Chief Executive Designate, Institute of Physics (Britain and Ireland) (centre) with A. Ceccucci and C. Lazzeroni. Photo 08: Visiting the NA48 experiment, Dr Julia King, Chief Executive Designate, Institute of Physics (Britain and Ireland) (second from left) with (left to right) R. Barlow, J. Wood, N. McCubbin, K. Peach, A. Ceccucci, C. Lazzeroni, M. Patel and D. Munday.

  15. Drug information service awareness program and its impact on characteristics of inquiries at DIS unit in Malaysian public hospital

    Directory of Open Access Journals (Sweden)

    Aida Azlina Ali

    2013-01-01

    Full Text Available Objectives : To study the Drug Information Service (DIS awareness program organized by a DIS unit in Malaysian hospital through utilization of provided services by the healthcare professionals, allied healthcare providers, patients and the public, and to identify the characteristics of inquiries received. Materials and Methods : An awareness program to promote the services of the DIS unit was held throughout the month of March in 2010. Drug information queries forms that have been documented six months prior to (September 2009-February 2010 and six months after (April-September 2010 the awareness program were collected and assessed. Mean monthly inquiries volumes pre- and post-program were compared to evaluate the effectiveness of the program. Types of information requestors, inquiries, reference sources, and drug class information were identified and evaluated. Results: A total of 747 drug information queries forms were received during the study period. The mean total utilization of the DIS unit services after (63.67 ± 18.24 the DIS awareness program was increased but not significant (P < 0.05 when compared to records before (60.83 ± 21.49 the program. Majority of the DIS service users were the pharmacist (67.5%, followed by the doctors (24.9%. Most inquiries were regarding the dosage and route of administration of drugs (61.4%. The most frequently referred sources of information were the Micromedex and the Internet (37.3%. The most common inquiries were related to the anti-infective agents (37.8%. Conclusion: Provision of sufficient and accurate drug information to the healthcare professionals, patients, and the public is crucial to ensure optimization of therapy. The utilization of services provided by the DIS unit should be supported. Frequent DIS awareness program should be undertaken to promote and encourage the use of services.

  16. Proactive screening for health needs in United Way’s 2-1-1 information and referral service

    Science.gov (United States)

    Eddens, Katherine S.; Kreuter, Matthew W.

    2011-01-01

    Cancer disproportionately affects the underserved. United Way 2-1-1 is an information and referral system that links underserved populations to community services. This study explores the feasibility of integrating proactive screening and referral to health services into 2-1-1. A cancer risk assessment was administered to callers (n=297), measuring their need for six cancer control services. A subset of respondents was randomized to receive generic or tailored referrals to needed services. Nearly all participants (85%) needed at least one of the services. Those who received tailored referrals were more likely to make appointments. Future research will explore approaches to address and eliminate health disparities through 2-1-1. PMID:21566702

  17. 75 FR 60810 - Indian Entities Recognized and Eligible To Receive Services From the United States Bureau of...

    Science.gov (United States)

    2010-10-01

    ..., Washington Coyote Valley Band of Pomo Indians of California Crow Tribe of Montana Crow Creek Sioux Tribe of... Bureau of Indian Affairs Indian Entities Recognized and Eligible To Receive Services From the United States Bureau of Indian Affairs AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice. SUMMARY: This...

  18. 78 FR 26384 - Indian Entities Recognized and Eligible To Receive Services From the United States Bureau of...

    Science.gov (United States)

    2013-05-06

    ... Coushatta Tribe of Louisiana Cow Creek Band of Umpqua Tribe of Indians (previously listed as the Cow Creek... Bureau of Indian Affairs Indian Entities Recognized and Eligible To Receive Services From the United States Bureau of Indian Affairs AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice. SUMMARY: This...

  19. 22 CFR 40.82 - Alien who departed the United States to avoid service in the armed forces.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Alien who departed the United States to avoid service in the armed forces. 40.82 Section 40.82 Foreign Relations DEPARTMENT OF STATE VISAS REGULATIONS PERTAINING TO BOTH NONIMMIGRANTS AND IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Ineligible for Citizenship. § 40.82...

  20. Assessment of Service Delivery in Guidance and Counselling Units in Selected Secondary Schools in Eldoret Municipality, Kenya

    Science.gov (United States)

    Owino, Elizabeth Akinyi

    2015-01-01

    This paper assesses the type of services delivered by the existing Guidance and Counselling units in secondary schools in Kenya based on a survey conducted in Eldoret Municipality in Uasin Gishu County, Kenya. The study adopted an ex-post facto research design the target population being all secondary schools in the Municipality where a sample was…

  1. Treatments and outcomes of peritoneal surface tumors through a centralized national service (United kingdom).

    Science.gov (United States)

    Rout, S; Renehan, A G; Parkinson, M F; Saunders, M P; Fulford, P E; Wilson, M S; O'Dwyer, S T

    2009-10-01

    Treatment of peritoneal surface malignancies with combined cytoreductive surgery and heated intraperitoneal chemotherapy may improve oncologic outcome. To better define treatment pathways, five-year results in patients referred to one of two centralized national treatment centers in the United Kingdom were analyzed. A prospective database of patients referred to the Manchester Peritoneal Tumor Service, established in 2002, was analyzed. Outcomes were evaluated using Kaplan-Meier life tables and Cox models. Two hundred seventy-eight patients (median age, 56.9 (range, 16-86) years) were considered by a dedicated multidisciplinary team and tracked on seven clinical pathways. Among the 118 surgically treated, the most common diagnosis was pseudomyxoma peritonei (101 patients, 86%). Major complications occurred in 11 patients (9%); there was no 30-day mortality. Where complete cytoreduction was achieved, three-year and five-year tumor-related survival rates were 94% and 86%, respectively. In the Cox model, incompleteness of cytoreduction (P = 0.001) and high-grade tumor (P < 0.0001) were independent prognosticators of poor outcome. The establishment of a national treatment center has allowed refinement of techniques to achieve internationally recognized results. Having achieved low levels of morbidity and mortality in the treatment of mainly pseudomyxoma peritonei of appendiceal origin, the technique of cytoreductive surgery and heated intraperitoneal chemotherapy may be considered for peritoneal carcinomatosis of colorectal origin.

  2. Deriving Hydrological Response Units (HRUs using a Web Processing Service implementation based on GRASS GIS

    Directory of Open Access Journals (Sweden)

    Christian Schwartze

    2009-04-01

    Full Text Available QGIS releases equal to or newer than 0.7 can easily connected to GRASS GIS by means of a toolbox that provides a wide range of standard GRASS modules you can launch – albeit only on data coming from GRASS. This QGIS plugin is expandable through XML configurations describing the assignment of options and inputs for a certain module. But how about embedding a precise workflow where the several processes don’t consist of a single GRASS module by force? Especially for a sequence of dependent tasks it makes sense to merge relevant GRASS functionality into an own and encapsulated QGIS extension. Its architecture and development is tested and combined with the Web Processing Service (WPS for remote execution using the concept of hydrological response units (HRUs as an example. The results of this assay may be suitable for discussing and planning other wizard-like geoprocessing plugins in QGIS that also should make use of an additional GRASS server.

  3. U.S. Forest Service Leads Climate Change Adaptation in the Western United States

    Science.gov (United States)

    Halofsky, J.; Peterson, D. L.

    2014-12-01

    Effective climate change engagement on public lands is characterized by (1) an enduring science-management partnership, (2) involvement of key stakeholders, (3) consideration of broad landscapes with multiple landowners, (4) science-based, peer-reviewed assessments of sensitivity of natural resources to climate change, (5) adaptation strategies and tactics developed by resource managers, (6) leadership and a workforce motivated to implement climate-smart practices in resource planning and project management. Using this approach, the U.S. Forest Service, in partnership with other organizations, has developed climate change vulnerability assessments and adaptation plans for diverse ecosystems and multiple resources in national forests and other lands in the western United States, although implementation (step 6) has been slow in some cases. Hundreds of meetings, strategies, plans, and panels have focused on climate change adaptation over the past decade, but only direct engagement between scientists and resource managers (less research, less planning, more action) has resulted in substantive outcomes and increased organizational capacity for climate-smart management.

  4. 「服務科學」背景下圖書情報機構的服務創新 Applying “Service Science” to Service Innovation in Library and Information Institutions

    Directory of Open Access Journals (Sweden)

    Shaohua He

    2008-03-01

    Full Text Available IBM所得出之SSME(Services Sciences, Management, and Engineering)實為圖書情報機構的創新服務。服務是一種創造與獲取價值的人與人之間的互動。服務科學與服務創新是兩個不同的概念,卻具有緊密的聯繫。服務科學包含了服務創新,而服務創新是「服務科學」的一個重要內容,也是實現「服務科學」的一個重要途徑。因此,在「服務科學」的背景下,傳統的服務創新方式已難以滿足用戶的需求。圖書情報機構要實現「以人為中心」,就要實現體驗型服務和專業化服務;而要實現「創造價值」,則需要實現創新型服務。最後,文章以上海圖書館為實例,對圖書情報機構實現服務創新進行了解釋說明。SSME (Service Sciences, Management, and Engineering, a concept created by IBM, is essentially the same as service innovation for library and information institutions. When service is provided, it brings interaction between people, in which value is created and acquired. “Service science” and “service innovation” are two different concepts, but are closely related to each other. Service science includes service innovation; on the other hand, service innovation is one of the important concepts of service science and it also is an important way of realizing service science. Under the notion of service science, the old methods of traditional service can no longer meet the needs of the user. Therefore, library and information institutions should provide experience service and professional service to realize the people-centered service and implement innovation service to create value. In the end of this paper, the example of Shanghai Library is given to illustrate the viewpoints of the authors.

  5. Institutional Delivery Service Utilization among Women from Rural Districts of Wolaita and Dawro Zones, Southern Ethiopia; a Community Based Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Mihiretu Alemayehu Arba

    Full Text Available The highest number of maternal deaths occur during labour, delivery and the first day after delivery highlighting the critical need for good quality care during this period. Therefore, for the strategies of institutional delivery to be effective, it is essential to understand the factors that influence individual and household factors to utilize skilled birth attendance and institutions for delivery. This study was aimed to assess factors affecting the utilization of institutional delivery service of women in rural districts of Wolaita and Dawro Zones.A community based cross-sectional study was done among mothers who gave birth within the past one year preceding the survey in Wolaita and Dawro Zones, from February 01 -April 30, 2015 by using a three stage sampling technique. Initially, 6 districts were selected randomly from the total of 17 eligible districts. Then, 2 kebele from each district was selected randomly cumulating a total of 12 clusters. Finally, study participants were selected from each cluster by using systematic sampling technique. Accordingly, 957 mothers were included in the survey. Data was collected by using a pretested interviewer administered structured questionnaire. The questionnaire was prepared by including socio-demographic variables and variables of maternal health service utilization factors. Data was entered using Epi-data version 1.4.4.0 and exported to SPSS version 20 for analysis. Bivariate and multiple logistic regressions were applied to identify candidate and predictor variables respectively.Only 38% of study participants delivered the index child at health facility. Husband's educational status, wealth index, average distance from nearest health facility, wanted pregnancy, agreement to follow post-natal care, problem faced during delivery, birth order, preference of health professional for ante-natal care and maternity care were predictors of institutional delivery.The use of institutional delivery service is

  6. 29 CFR 36.210 - Military and merchant marine educational institutions.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Military and merchant marine educational institutions. 36... merchant marine educational institutions. These Title IX regulations do not apply to an educational institution whose primary purpose is the training of individuals for a military service of the United...

  7. Factors Associated With Use of ASAM Criteria and Service Provision in a National Sample of Outpatient Substance Abuse Treatment Units.

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey A; Friedmann, Peter D; Lee, I-Heng

    2009-09-01

    Standardized patient placement criteria such as those developed by the American Society of Addiction Medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units' provision of related services. This study examined these issues in the context of a national survey of outpatient substance abuse treatment units. Regressions using 2005 data revealed that both public and private managed care were associated with a greater likelihood of using American Society of Addiction Medicine criteria to develop client treatment plans. However, only public managed care was associated with a greater likelihood of offering more resource-intensive services. Associations between client population severity and resource-intensive service provision were sparse but positive.

  8. Comparative Review of Selected Educational Policies of 1st and 2nd Cycle Institutions in Ghana and Burkina Faso, and That of United Kingdom and United States

    Science.gov (United States)

    Kumi, Asamoah Moses; Seidu, Abarichie Adamu

    2017-01-01

    This article examines some selected Educational Policies of First and Second Cycle Institutions in Ghana and Burkina Faso, in comparison with that of the UK and US. The purpose of the study is to itemise the commonalities and differences in Educational Policies of both developed (UK and US) and developing countries (Ghana and Burkina Faso) in…

  9. Clinical pharmacy services, pharmacy staffing, and adverse drug reactions in United States hospitals.

    Science.gov (United States)

    Bond, C A; Raehl, Cynthia L

    2006-06-01

    Adverse drug reactions (ADRs) were examined in 1,960,059 hospitalized Medicare patients in 584 United States hospitals in 1998. A database was constructed from the MedPAR database and the National Clinical Pharmacy Services survey. The 584 hospitals were selected because they provided specific information on 14 clinical pharmacy services and on pharmacy staffing; they also had functional ADR reporting systems. The study population consisted of 35,193 Medicare patients who experienced an ADR (rate of 1.8%). Of the 14 clinical pharmacy services, 12 were associated with reduced ADR rates. The most significant reductions occurred in hospitals offering pharmacist-provided admission drug histories (odds ratio [OR] 1.864, 95% confidence interval [CI] 1.765-1.968), drug protocol management (OR 1.365, 95% CI 1.335-1.395), and ADR management (OR 1.360, 95% CI 1.328-1.392). Multivariate analysis, performed to further evaluate these findings, showed that nine variables were associated with ADR rate: pharmacist-provided in-service education (slope -0.469, p=0.018), drug information (slope -0.488, p=0.005), ADR management (slope -0.424, p=0.021), drug protocol management (slope -0.732, p=0.002), participation on the total parenteral nutrition team (slope 0.384, p=0.04), participation on the cardiopulmonary resuscitation team (slope -0.506, p=0.008), medical round participation (slope -0.422, p=0.037), admission drug histories (slope -0.712, p=0.008), and increased clinical pharmacist staffing (slope -4.345, p=0.009). As clinical pharmacist staffing increased from the 20th to the 100th percentile (from 0.93+/-0.77/100 to 5.16+/-4.11/100 occupied beds), ADRs decreased by 47.88%. In hospitals without pharmacist-provided ADR management, the following increases were noted: mean number of ADRs/100 admissions by 34.90% (OR 1.360, 95% CI 1.328-1.392), length of stay 13.64% (Mann-Whitney U test [U]=11047367, p=0.017), death rate 53.64% (OR 1.574, 95% CI 1.423-1.731), total Medicare

  10. Human heredity and politics: A comparative institutional study of the Eugenics Record Office at Cold Spring Harbor (United States), the Kaiser Wilhelm Institute for Anthropology, Human Heredity, and Eugenics (Germany), and the Maxim Gorky Medical Genetics Institute (USSR).

    Science.gov (United States)

    Adams, Mark B; Allen, Garland E; Weiss, Sheila Faith

    2005-01-01

    Despite the fact that much has been written in recent years about the science of heredity under the Third Reich, there is as yet no satisfying analysis of two central questions: What, if anything, was peculiarly "Nazi" about human genetics under National Socialism? How, under whatever set of causes, did at least some of Germany's most well-known and leading biomedical practioners become engaged in entgrenzte Wissenschaft (science without moral boundaries)? This paper attempts to provide some answers to these two questions comparing three institutes that studied eugenics and human heredity in the 1920s and 1930s: the Eugenics Record Office at Cold Spring Harbor, New York, directed by Charles B. Davenport; the Kaiser Wilhelm Institute for Anthropology, Human Heredity and Eugenics, in Berlin, directed by Eugen Fischer; and the Maxim Gorky Medical Genetics Institute in Moscow, directed by Solomon G. Levit. The institutes are compared on the basis of the kind and quality of their research in eugenics and medical genetics, organizational structure, leadership, patronage (private or state), and the economic-social-political context in which they functioned.

  11. Student-Led Services in a Hospital Aged Care Temporary Stay Unit: Sustaining Student Placement Capacity and Physiotherapy Service Provisions

    Science.gov (United States)

    Nicole, Madelyn; Fairbrother, Michele; Nagarajan, Srivalli Vilapakkam; Blackford, Julia; Sheepway, Lyndal; Penman, Merrolee; McAllister, Lindy

    2015-01-01

    Through a collaborative university-hospital partnership, a student-led service model (SLS-model) was implemented to increase student placement capacity within a physiotherapy department of a 150 bed Sydney hospital. This study investigates the perceived barriers and enablers to increasing student placement capacity through student-led services…

  12. The contribution of quality to health services. Application of the quality management system ISO 9001:2008 in Intensive Care Unit of the General Hospital of Larissa

    Directory of Open Access Journals (Sweden)

    Dimitrios Patsios

    2014-10-01

    Full Text Available In our country there have been many efforts in recent years to introduce laws that lead to the introduction of the concept of quality in the field of public hospitals. The implementation of health quality systems contributes to health care improvement, while the assessment of quality services is a basic tool in quality management. Purpose: The purpose of the study was to describe the benefits that can be gained by a public institute of health when a quality model is applied. Material and methods: This paper focus on the application of the ISO 9001:2008 standard in the Intensive Care Unit of the General Hospital of Larissa during the years 2010-2012. The results and benefits of its implementation, recorded by measuring satisfaction of the relatives of the patients. The questionnaire Family Satisfaction with Care in the Intensive Care Unit (FS-ICU 24 and quality indicators were applied. The study sample was all the relatives of the patients hospitalized in ICU during 2010-2012. Descriptive statistics was performed. Results: Quality indicators were considerably improved after ISO implementation with SMR falling to 35% in 2012 (from 58% in 2007, thus being one of the lowest in Greece and below European ICU’s SMR mean value. Over 80% of patients’ relatives answered that Nursing and Medical care was “excellent” and over 10% characterized it as “very good”. Family members’ total satisfaction surpassed 90%. Medical and Nursing care were highly appreciated by family members (very positive attitude expressed by over 90% of participants and satisfaction from nursing services approaches 100%. Conclusion: The implementation of quality systems in healthcare organizations is not easy and has many dimensions. However, it offers competitive advantage, improves the efficiency and effectiveness of the health care service providers and substantially contributes to the improvement of the delivered heath care.

  13. Influence of the quality of fitness and sports activities of educational institutions for the purchase of indirect services consumers

    Directory of Open Access Journals (Sweden)

    Gylnaz Ageeva

    2014-04-01

    Full Text Available The function of the service quality is a formal description of the of perception's dependence. The people get satisfaction from compliance level of expectation level of perception of a product or service. If the result meets the expectations of the consumer, it's advertising the good and services.

  14. The Currency of Gender: Student and Institutional Responses to the First Gender Unit in an Australian Journalism Program

    Science.gov (United States)

    North, Louise

    2015-01-01

    This paper reports on the development and implementation of the first unit in an Australian university undergraduate journalism program to specifically examine the gendered nature of both news content and production processes. The paper outlines why such a unit is important to addressing entrenched industry bias, the core content, and student and…

  15. A novel approach for evaluating the impact of fixed variables on photovoltaic (PV) solar installations using enhanced meta data analysis among higher education institutions in the United States

    Science.gov (United States)

    De Hoyos, Diane N.

    The global demand for electric energy has continuously increased over the last few decades. Some mature, alternative generation methods are wind, power, photovoltaic panels, biogas and fuel cells. In order to find alternative sources of energy to aid in the reduction of our nation's dependency on non-renewable fuels, energy sources include the use of solar energy panels. The intent of these initiatives is to provide substantial energy savings and reduce dependence on the electrical grid and net metering savings during the peak energy-use hours. The focus of this study explores and provides a clearer picture of the adoption of solar photovoltaic technology in institutions of higher education. It examines the impact of different variables associated with a photovoltaic installation in an institutions of higher education in the United States on the production generations for universities. Secondary data was used with permission from the Advancement of Suitability in Higher Education (AASHE). A multiple regression analysis was performed to determine the impact of different variables on the energy generation production. A Meta Data transformation analysis offered a deeper investigation into the impact of the variables on the photovoltaic installations. Although a review of a significant number of journal articles, dissertations and thesis in the area of photovoltaic solar installations are available, there were limited studies of actual institutions of higher education with the significant volume of institutions. However a study where the database included a significant number of data variables is unique and provides a researcher the opportunity to investigate different facets of a solar installation. The data of the installations ranges from 1993-2015. Included in this observation are the researcher's experience both in the procurement industry and as a team member of a solar institution of higher education in the southern portion of the United States.

  16. US Forest Service Historical Woodland Density of the Conterminous United States, 1873

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www that includes polygons with a minimum of 40 acres of woodlands per square mile as depicted in William H. Brewer’s 1873 map of woodland...

  17. Meeting Report: Institute for Social Security and Services for State Workers (ISSSTE) on Acute Lymphoblastic Leukaemia, Mexico City, Mexico, 3rd to 4th October 2016

    OpenAIRE

    Alvarado Ibarra Martha; Aguilar Andrade Carolina; Báez Islas Pamela Elena; Cervantes Sánchez Israel; Chávez Aguilar Lénica Anahí; Choque Condori Diana Ingrith; de la Rosa Cano María Luisa; Espitia Ríos María Flores Villegas Luz Victoria; García Camacho Alinka Socorro; Gómez Rosas Patricia; Grimaldo Gómez Flavio Adrián; Hernández Ruiz Eleazar; Loera Fragoso Sergio José; Mena Zepeda Verónica; Merino Pasaye, Laura Elizabeth

    2017-01-01

    From October 3 to 4, 2016, the fourth meeting of haematologists who belonged to the institute for social security and services for state workers (ISSSTE) was held, the meeting was held in Mexico City, Mexico. Attending this working meeting, medical fellows of the specialty of Haematology and Paediatric Haematology, as well as attached doctors of both specialties that work in different hospitals in Mexico City and the rest of the country, the purpose of the attendees to this consensus was disc...

  18. 77 FR 53233 - Renewable Energy and Related Services: Recent Developments

    Science.gov (United States)

    2012-08-31

    ... COMMISSION Renewable Energy and Related Services: Recent Developments AGENCY: United States International... (Commission) instituted investigation No. 332-534, Renewable Energy and Related Services: Recent Developments... services, and a second on renewable energy and related services, and deliver the reports in 8 and 11...

  19. Training, their influence on the quality of services. An experience in the unit "Coffee Express" of Fomento.

    Directory of Open Access Journals (Sweden)

    Tania Ivón Sosa Ibarra

    2012-03-01

    Full Text Available Achieving quality of service is a necessity in this highly competitive and turbulent world, one of the elements that influence it is training. This research was designed and implemented a training procedure to improve the quality of services in a cafeteria of Development, were detected with the training needs of their staff to plan and implement actions that will raise the skills of workers. Surveys were conducted to determine the state of opinion of internal and external clients implemented before and after the procedure and to evaluate the quality of service received from the selected attributes to the application of Delphi method experts. The unit has made progress recognized and improved economic indicators becoming a reference center in the municipality, which shows that is possible to provide quality services from training workers.

  20. [Hygiene and Infection Prevention in Medical Institutions, Kindergartens and Schools - Statutory Basis, Infection Control Practice and Experiences of the Public Health Services].

    Science.gov (United States)

    Heudorf, U

    2015-07-01

    Infection prevention is one of the main tasks of the public health services. The "Protection against infection act" places all medical institutions and facilities for children (kindergartens and schools) under the obligation to assume responsibility and to cooperate. Duties of the institutions are described, and public health services are obliged to perform hygiene control visits.Regarding medical institutions, the guidelines of the German Commission on Hospital Hygiene and Infection Control have to be observed, and the counties were obliged to publish hygiene enactments. Subsequently, good improvements in hygiene management in medical institutions were achieved. In schools, however, severe hygienic problems (i.e. sanitary hygiene, indoor air hygiene) are detected, without any improvement - obviously due to a missing sense of responsibility in the school community. Causes for poor behaviour prevention (hand hygiene, ventilation) and missing situational prevention (i.e. cleaning) are discussed. Without reversion to the obviously needed but nearly forgotten subject school hygiene, obligatory guidelines and the assuming of responsibility, permanent improvements cannot be achieved. © Georg Thieme Verlag KG Stuttgart · New York.

  1. Taking stock: payments for forest ecosystem services in the United States

    Science.gov (United States)

    D Evan Mercer; David Cooley; Katherine Hamilton

    2011-01-01

    Forests provide a variety of critical services to human societies, including carbon sequestration, water purification, and habitat for millions of species. Because landowners have traditionally not been paid for the services their land provides to society, financial incentives are usually too low to sustain production of services at optimal levels. To remedy this, a...

  2. Transforming a Traditional Inquiry-Based Science Unit into a STEM Unit for Elementary Pre-service Teachers: A View from the Trenches

    Science.gov (United States)

    Schmidt, Matthew; Fulton, Lori

    2016-04-01

    The need to prepare students with twenty-first-century skills through STEM-related teaching is strong, especially at the elementary level. However, most teacher education preparation programs do not focus on STEM education. In an attempt to provide an exemplary model of a STEM unit, we used a rapid prototyping approach to transform an inquiry-based unit on moon phases into one that integrated technology in a meaningful manner to develop technological literacy and scientific concepts for pre-service teachers (PSTs). Using qualitative case study methodology, we describe lessons learned related to the development and implementation of a STEM unit in an undergraduate elementary methods course, focusing on the impact the inquiry model had on PSTs' perceptions of inquiry-based science instruction and how the integration of technology impacted their learning experience. Using field notes and survey data, we uncovered three overarching themes. First, we found that PSTs held absolutist beliefs and had a need for instruction on inquiry-based learning and teaching. Second, we determined that explicit examples of effective and ineffective technology use are needed to help PSTs develop an understanding of meaningful technology integration. Finally, the rapid prototyping approach resulted in a successful modification of the unit, but caused the usability of our digital instructional materials to suffer. Our findings suggest that while inquiry-based STEM units can be implemented in existing programs, creating and testing these prototypes requires significant effort to meet PSTs' learning needs, and that iterating designs is essential to successful implementation.

  3. [A new joint approach to drug management: clinical pharmacy services and risk management unit].

    Science.gov (United States)

    Schwartz, Vardit; Kravitz, Martine Szyper

    2015-04-01

    According to the "To Err is Human" report, medication-related errors are common in medicine and may have several and different effects. Clinical Pharmacy is a leading worldwide established pharmacy service which has been improving the quality of care for the last 30 years. The accumulated experience shows improved quality of care, improved patient safety and economic benefit. These understandings led to the definition and expansion of the Clinical Pharmacist Intervention Program and a joint project with the Risk Management Unit was created. A characterization process was conducted, parameters were defined for monitoring and surveillance and interventions were devised. The relevant data requiring pharmacist intervention was defined (e.g., dose adjustments, contraindications, side-effects); a report was devised, based on the patient's electronic medical record; daily follow-up included analysis, stratification, quantification and understanding of the different types of pharmacist interventions. The pharmacist interventions were summed up and assessed for performance and quality control. Between March 2013 and February 2014 the medical records of 14,499 patients were examined in our hospital Only in 16% of the records an active pharmacist intervention was performed, according to the parameters defined. Interventions for potentially high risk events such as therapeutic duplication, drug administration in spite of contraindication and in spite of documented allergy were very rare, less than 2% of all the pharmacist interventions. This joint venture, which is based on an existing platform, reflects an up-to-date view of an important facet of the clinical work performed at the hospital, helps identify trends, potential failures and vulnerabilities with regard to medication treatment and allows the formulation of intervention programs to improve the quality and safety of drug therapy.

  4. Interpersonal influence among public health leaders in the United States Department of Health and Human Services

    Directory of Open Access Journals (Sweden)

    Jenine K. Harris

    2012-02-01

    Full Text Available Background. In public health, interpersonal influence has been identified as an important factor in the spread of health information, and in understanding and changing health behaviors. However, little is known about influence in public health leadership. Influence is important in leadership settings, where public health professionals contribute to national policy and practice agendas. Drawing on social theory and recent advances in statistical network modeling, we examined influence in a network of tobacco control leaders at the United States Department of Health and Human Services (DHHS. Design and Methods. Fifty-four tobacco control leaders across all 11 agencies in the DHHS were identified; 49 (91% responded to a web-based survey. Participants were asked about communication with other tobacco control leaders, who influenced their work, and general job characteristics. Exponential random graph modeling was used to develop a network model of influence accounting for characteristics of individuals, their relationships, and global network structures. Results. Higher job ranks, more experience in tobacco control, and more time devoted to tobacco control each week increased the likelihood of influence nomination, as did more frequent communication between network members. Being in the same agency and working the same number of hours per week were positively associated with mutual influence nominations. Controlling for these characteristics, the network also exhibited patterns associated with influential clusters of network members. Conclusions. Findings from this unique study provide a perspective on influence within a government agency that both helps to understand decision-making and also can serve to inform organizational efforts that allow for more effective structuring of leadership.

  5. Performance evaluation of services quality in higher education institutions using modified SERVQUAL approach with grey analytic hierarchy process (G-AHP and multilevel grey evaluation

    Directory of Open Access Journals (Sweden)

    Mohsen Zareinejad

    2014-04-01

    Full Text Available In today’s climate of fierce competition, there is a necessity to pay especial attention on customer demands either in manufacturing or service sector. Managers in service sector are under pressure in terms of environmental factors, they focus on customers’ satisfaction and this has led to the continuous improvement in the performance of service organizations. Meanwhile, customers’ expectations should be properly understood and measured. There have been various efforts to measure the quality of services using the SERVQUAL model. In this study, we try to investigate the concepts and factors influencing the quality of services according to modified SERVQUAL model and then utilize the proposed model of Grey Analytic Hierarchy Process (G-AHP and Multilevel Grey Evaluation in order to evaluate the quality of services in the framework of Grey Systems Theory (GST. In order to propose our method, we will conduct a case study of the performance of service quality in higher education institutions of Isfahan-Iran.

  6. Confucius Institute Programming in the United States: Language Ideology, Hegemony, and the Making of Chinese Culture in University Classes

    Science.gov (United States)

    Stambach, Amy

    2015-01-01

    This article explores how Confucius Institute teachers and U.S. students use language to index qualities of Chinese people and culture. The study draws on the model of "linguistic fact" to argue that students' and teachers' contextualized use of language occurs in relation to their different yet naturalized assumptions about a commonly…

  7. Confucius Institute Programming in the United States: Language Ideology, Hegemony, and the Making of Chinese Culture in University Classes

    Science.gov (United States)

    Stambach, Amy

    2015-01-01

    This article explores how Confucius Institute teachers and U.S. students use language to index qualities of Chinese people and culture. The study draws on the model of "linguistic fact" to argue that students' and teachers' contextualized use of language occurs in relation to their different yet naturalized assumptions about a commonly…

  8. Legal, Institutional, and Economic Indicators of Forest Conservation and Sustainable Management: Review of Information Available for the United States

    Science.gov (United States)

    Paul V. Ellefson; Calder M. Hibbard; Michael A. Kilgore; James E. Granskog

    2005-01-01

    This review looks at the Nation’s legal, institutional, and economic capacity to promote forest conservation and sustainable resource management. It focuses on 20 indicators of Criterion Seven of the so-called Montreal Process and involves an extensive search and synthesis of information from a variety of sources. It identifies ways to fill information gaps and improve...

  9. Intercultural Competence in a Cohort of Freshmen at a Faith-Based Institution in the Southeast United States

    Science.gov (United States)

    Castles, Jason Ford

    2012-01-01

    Previous studies assessed the intercultural competence of groups of individuals including primary and secondary school teachers, students that have studied abroad, and students enrolled in a specific course at an institution. However, few, if any, studies have investigated the intercultural competence of a cohort of freshmen at the university…

  10. Combining Event- and Variable-Centred Approaches to Institution-Facing Learning Analytics at the Unit of Study Level

    Science.gov (United States)

    Kelly, Nick; Montenegro, Maximiliano; Gonzalez, Carlos; Clasing, Paula; Sandoval, Augusto; Jara, Magdalena; Saurina, Elvira; Alarcón, Rosa

    2017-01-01

    Purpose: The purpose of this paper is to demonstrate the utility of combining event-centred and variable-centred approaches when analysing big data for higher education institutions. It uses a large, university-wide data set to demonstrate the methodology for this analysis by using the case study method. It presents empirical findings about…

  11. Adaptation to Sea Level Rise in Coastal Units of the National Park Service (Invited)

    Science.gov (United States)

    Beavers, R. L.

    2010-12-01

    83 National Park Service (NPS) units contain nearly 12,000 miles of coastal, estuarine and Great Lakes shoreline and their associated resources. Iconic natural features exist along active shorelines in NPS units, including, e.g., Cape Cod, Padre Island, Hawaii Volcanoes, and the Everglades. Iconic cultural resources managed by NPS include the Cape Hatteras Lighthouse, Fort Sumter, the Golden Gate, and heiaus and fish traps along the coast of Hawaii. Impacts anticipated from sea level rise include inundation and flooding of beaches and low lying marshes, shoreline erosion of coastal areas, and saltwater intrusion into the water table. These impacts and other coastal hazards will threaten park beaches, marshes, and other resources and values; alter the viability of coastal roads; and require the NPS to re-evaluate the financial, safety, and environmental implications of maintaining current projects and implementing future projects in ocean and coastal parks in the context of sea level rise. Coastal erosion will increase as sea levels rise. Barrier islands along the coast of Louisiana and North Carolina may have already passed the threshold for maintaining island integrity in any scenario of sea level rise (U.S. Climate Change Science Program Synthesis and Assessment Program Report 4.1). Consequently, sea level rise is expected to hasten the disappearance of historic coastal villages, coastal wetlands, forests, and beaches, and threaten coastal roads, homes, and businesses. While sea level is rising in most coastal parks, some parks are experiencing lower water levels due to isostatic rebound and lower lake levels. NPS funded a Coastal Vulnerability Project to evaluate the physical and geologic factors affecting 25 coastal parks. The USGS Open File Reports for each park are available at http://woodshole.er.usgs.gov/project-pages/. These reports were designed to inform park planning efforts. NPS conducted a Storm Vulnerability Project to provide ocean and coastal

  12. Geographical Dynamics of Environmental Service Firms at Metropolitan and National Scales in the United States: The Case of Pittsburgh, Pennsylvania

    Directory of Open Access Journals (Sweden)

    James T. Hathaway

    2012-01-01

    Full Text Available A close look at Pittsburgh’s environmental service firms in recent decades provides insight into the locational dynamics and trends of the United States environmental industry and insight into forces underlying this broad ranging sector of the economy. For my purposes, I place environmental services into two categories of producer services: professional services (e.g., environmental consulting or engineering and environmental contractors (e.g., remediation, emergency response while the third category lies in the realm of consumer services: operation and maintenance services (e.g., waste collection, treatment and disposal. I will provide portraits of these businesses by describing their revenues, employment, labor characteristics, clientele, and overall nature. My sources of information include trade publications and business databases, census data, content from firm websites, and personal interviews. I use a political economy perspective 1 to illuminate the forces affecting the locational dynamics and evolution of environmental service firms at metropolitan, national, and global scales and 2 to see what an analysis of environmental firms can contribute to debates on such processes as agglomeration and dispersal, outsourcing, the changing regulatory environment, and the “greening” of industry. Large manufacturing job declines have stimulated a move in the Pittsburgh area toward the environmental sector, but some environmental service industries have had turbulent trajectories. Pittsburgh’s environmental service firms have benefited from the region’s long history of struggling with environmental issues and by national trends including the public sector’s retreat from the provision of services and the “greening” of industry.

  13. Endangered Species on Military Training Lands: Cooperation Between the Military Services and the United States Fish and Wildlife Service

    Science.gov (United States)

    1994-06-17

    that interbreeds when mature. Excluded is any species of the Class Insecta determined to constitute a pest whose protection would present ?n overwhelming...species are important sources of medicinal drugs. At least a quarter of all prescription drugs in the United States come from wild plants.3 1 3. Human... Medicinal Uses of Plants: Protection under the Endangered Species Act, 103d Congress, 1st Session, Nov. 9, 1992; James B. Hudson, Antiviral Compounds from

  14. Dental Health Services Research Unit celebrates 30 years: Report of conference to mark the 30th anniversary of the Dental Health Services Research Unit (DHSRU) at Dundee, held on 1st December 2008.

    Science.gov (United States)

    Eaton, Kenneth A; Pitts, Nigel B

    2009-04-01

    Over the years, several members of the staff of the Dental Health Services Research Unit (DHSRU) at Dundee have published papers in Primary Dental Care. Furthermore, its Director, Professor Nigel Pitts, together with Drs Jan Clarkson and Gail Topping have co-edited a number of the Faculty of General Dental Practice (UK)'s standards manuals and contributed to others. It had been suggested to the Unit by several parties that, having been in funded existence for some 30 years, it would be appropriate to mark this anniversary with a conference to explore 'Dental Health Services Research: After 30 years, what was the impact, what have we learned and where are we going?' So, following a range of consultations, the conference was convened at the West Park Conference Centre in Dundee with a mixed audience representing both dental research and dental practice.

  15. Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation".

    NARCIS (Netherlands)

    Thorne, K.; Hutchings, H.A.; Elwyn, G.

    2008-01-01

    BACKGROUND: The availability of routinely collected service-related endoscopy data from NHS endoscopy units has never been quantified. METHODS: This retrospective observational study asked 19 endoscopy units to submit copies of all in-house, service-related endoscopy data that had been routinely

  16. 独立、中立、多元--美国卡托研究所%Independent, Neutral and Pluralistic--the Cato Institute in the United States

    Institute of Scientific and Technical Information of China (English)

    李倩雅

    2016-01-01

    Editor's note:Cato Institute is a public policy institute in the United States, and also a think-tank which is committed to individual liberty, limited government, free markets and the principle of peace. In the University of Pennsylvania’s《2013 Global Go To Think Tanks Report》on top think-tank ranking of education policy, the Cato Institute ranked the second, and in 2014 the fourth. In the Think Tank Performance Index of the Center for Global Development in US, it is ranked the ifrst. The ranking is determined by performance indicators, such as:media inlfuence, academic references, Internet use and so on. Scholars of the Cato Institute conduct independent, nonpartisan and extensive studies on policy issues. Through literature and interview method and other ways, our special correspondent gives his description of the general running of the Think Tank and the research focus on several issues, in order to help the construction and development of an education think-tank in China.

  17. Defining and Measuring the Success of Services Contracts in the United States Navy

    Science.gov (United States)

    2012-12-06

    PMBOK Project Management Body of Knowledge PMI Project Management Institute R&D Research and Development SPAWAR Space and Naval Warfare...Project Management Institute (PMI) Project Management Body of Knowledge ( PMBOK ; 2008) defines project life cycle as a collection of generally sequential...a systematic program management approach and are vital to project success. The PMI PMBOK (2008) identifies five project management process groups

  18. HUMAN DEVELOPMENT FOR STAFF INVOLVED IN INSTITUTIONS FROM TERTIARY HEALTH CARE: HEALTH SERVICES AND LABOR WELFARE MEDELLIN, COLOMBIA, 2007

    National Research Council Canada - National Science Library

    Gladys Irene, Arboleda Posada

    2011-01-01

    The study describes the conditions of human development according to labor welfare and satisfaction with healthcare services from staff employed with an indefinite term contract before January 1997...

  19. Transparent Institutions

    Directory of Open Access Journals (Sweden)

    Javier Fombona

    2011-04-01

    Full Text Available The objective of this project is to create sets of media-based imagery that illustrate the internal workings of public institutions to the common citizen. This is an important need in countries that are seeking to open up their public and private institutions and bring them closer to their users. Method: There is a clear need to carry out proposals that tackle organizational lack of transparency; to this end, through an interdisciplinary approach, we propose the creation of a freeaccess Web-based portal that shows the interior of the institutions at hand, learning institutions to start with, this scope will be broadened later to institutions of health and public safety. The project chooses and shows a core selection of features capable of becoming international models for each kind of institutions, elementary schools in this phase. These features are shown in short videos, depicting every core element found: installations, governing bodies, documentation, samples of learning and teaching methodologies in use, etc. Results: the propossed project succeeds in getting institutions closer to their users. It has been developed in Spain, and translated to other Latin-American countries and the United States.

  20. Transparent Institutions

    Directory of Open Access Journals (Sweden)

    Javier Fombona

    2011-04-01

    Full Text Available The objective of this project is to create sets of media-based imagery that illustrate the internal workings of public institutions to the common citizen. This is an important need in countries that are seeking to open up their public and private institutions and bring them closer to their users. Method: There is a clear need to carry out proposals that tackle organizational lack of transparency; to this end, through an interdisciplinary approach, we propose the creation of a freeaccess Web-based portal that shows the interior of the institutions at hand, learning institutions to start with, this scope will be broadened later to institutions of health and public safety. The project chooses and shows a core selection of features capable of becoming international models for each kind of institutions, elementary schools in this phase. These features are shown in short videos, depicting every core element found: installations, governing bodies, documentation, samples of learning and teaching methodologies in use, etc. Results: the propossed project succeeds in getting institutions closer to their users. It has been developed in Spain, and translated to other Latin-American countries and the United States.

  1. Institutional evolution of a community-based programme for malaria control through larval source management in Dar es Salaam, United Republic of Tanzania.

    Science.gov (United States)

    Chaki, Prosper P; Kannady, Khadija; Mtasiwa, Deo; Tanner, Marcel; Mshinda, Hassan; Kelly, Ann H; Killeen, Gerry F

    2014-06-25

    Community-based service delivery is vital to the effectiveness, affordability and sustainability of vector control generally, and to labour-intensive larval source management (LSM) programmes in particular. The institutional evolution of a city-level, community-based LSM programme over 14 years in urban Dar es Salaam, Tanzania, illustrates how operational research projects can contribute to public health governance and to the establishment of sustainable service delivery programmes. Implementation, management and governance of this LSM programme is framed within a nested set of spatially-defined relationships between mosquitoes, residents, government and research institutions that build upward from neighbourhood to city and national scales. The clear hierarchical structure associated with vertical, centralized management of decentralized, community-based service delivery, as well as increasingly clear differentiation of partner roles and responsibilities across several spatial scales, contributed to the evolution and subsequent growth of the programme. The UMCP was based on the principle of an integrated operational research project that evolved over time as the City Council gradually took more responsibility for management. The central role of Dar es Salaam's City Council in coordinating LSM implementation enabled that flexibility; the institutionalization of management and planning in local administrative structures enhanced community-mobilization and funding possibilities at national and international levels. Ultimately, the high degree of program ownership by the City Council and three municipalities, coupled with catalytic donor funding and technical support from expert overseas partners have enabled establishment of a sustainable, internally-funded programme implemented by the National Ministry of Health and Social Welfare and supported by national research and training institutes.

  2. Systematic analysis of funding awarded for viral hepatitis-related research to institutions in the United Kingdom, 1997-2010

    OpenAIRE

    Head, M.G.; Fitchett, J.R.; G. S. Cooke; Foster, G R; Atun, R

    2015-01-01

    Viral hepatitis is responsible for great health, social and economic burden both globally and in the UK. This study aimed to assess the research funding awarded to UK institutions for viral hepatitis research and the relationship of funded research to clinical and public health burden of viral hepatitis. Databases and websites were systematically searched for information on infectious disease research studies funded for the period 1997–2010. Studies specifically related to viral hepatitis res...

  3. Automatic tea service machine with instantaneous cooling unit; Shunkan reikyaku kiko tosai jido kyuchaki

    Energy Technology Data Exchange (ETDEWEB)

    Sato, T.; Nishiyama, A. [Fuji Denki Reiki Co. Ltd., Tokyo (Japan)

    1999-08-10

    The market of automatic tea service machines demands sanitation, reduction in time required for pouring tea, feeding the material, cleaning the inside of the machine, the maintenance and service of the machine, and excellent design. To meet these demands, Fuji Electric has changed the former configuration and components for functions and has developed a new series of instantaneous automatic tea service machines based on a new concept. This paper outlines the advantages of the instantaneous cooling tank and improvements in handling. (author)

  4. Listing of United States companies that supply goods and services for geothermal explorers, developers and producers internationally

    Energy Technology Data Exchange (ETDEWEB)

    1987-08-01

    This List is composed solely of US companies with major offices within the United States. All of the companies listed are involved in selling geothermally related goods and services internationally, or have the proven capability to do so. Each specific listing includes the company name, the name or title of the key contact person, address, telephone and if available a facsimile machine or telex number.

  5. POSSIBLE APPROACHES TO IMPROVEMENT OF INSTITUTIONAL TOOLS OF THE QUALITY MANAGEMENT SYSTEM IN THE SPHERE OF HOUSING AND COMMUNAL SERVICES

    Directory of Open Access Journals (Sweden)

    Tamara Nigmatovna Nerovnja

    2013-11-01

    Full Text Available The purpose of the article is to study the main criteria and system of monitoring the quality of housing and communal services.In the course of the research the main factors forming the quality of providing housing and municipal services, such, as quality of housing and degree of its wear, quality of the materials used in the course of rendering repair housing and municipal services, qualification of the personnel are revealed. In the article, criteria of quality for housing and municipal services are systematized, and the analysis of possibility of application of the international quality management system at the enterprises of a housing and municipal complex is carried out.The possibility of applying the rating system in the practice of managing the system of housing and municipal services by the local authorities is considered.By the results of the research it is possible to draw the following conclusions: for scientists  there is a necessity of further development of economic mechanisms for the use of modern methods and instruments of quality management of utility services; for local authorities – to control and timely focus on the consumer (population  in terms  of the use and implementation of the principles of the international standard of quality in relation to housing and communal services, and the rating  in order to improve the quality of rendered services.DOI: http://dx.doi.org/10.12731/2218-7405-2013-7-40

  6. Integrating Interview Methodology to Analyze Inter-Institutional Comparisons of Service-Learning within the Carnegie Community Engagement Classification Framework

    Science.gov (United States)

    Plante, Jarrad D.; Cox, Thomas D.

    2016-01-01

    Service-learning has a longstanding history in higher education in and includes three main tenets: academic learning, meaningful community service, and civic learning. The Carnegie Foundation for the Advancement of Teaching created an elective classification system called the Carnegie Community Engagement Classification for higher education…

  7. The Effects of Different Teaching, Research, and Service Emphases on Individual and Organizational Outcomes in Higher Education Institutions

    Science.gov (United States)

    Terpstra, David E.; Honoree, Andre L.

    2009-01-01

    The authors investigated the relative emphasis that educators give to teaching, research, and service in the business discipline and 4 other academic disciplines. The authors also investigated the effects of different faculty activity emphases on faculty teaching effectiveness, research performance, service levels, job and pay satisfaction,…

  8. 26 CFR 31.3401(a)(8)(B)-1 - Remuneration for services performed in possession of the United States (other than Puerto Rico...

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Remuneration for services performed in... TAX AT SOURCE Collection of Income Tax at Source § 31.3401(a)(8)(B)-1 Remuneration for services...) Remuneration paid for services for an employer (other than the United States or any agency thereof)...

  9. 26 CFR 31.3401(a)(8)(C)-1 - Remuneration for services performed in Puerto Rico by citizen of the United States.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Remuneration for services performed in Puerto... Source § 31.3401(a)(8)(C)-1 Remuneration for services performed in Puerto Rico by citizen of the United States. (a) Remuneration paid for services performed within Puerto Rico for an employer (other than...

  10. [Smoking among students at the School of Health and Social Development and the Health Service Institute in Senegal].

    Science.gov (United States)

    Touré, N O; Dia Kane, Y; Diatta, A; Ndiaye, E M; Thiam, K; Mbaye, F B R; Hane, A A

    2009-01-01

    We have undertaken a transverse study of smoking among students at the National School of Health and Social Development (ENDSS) and the Health Service Institute (ISS) in Senegal. 683 out of 1142 students were questioned. 609 (89%) replied, of whom 313 (52%) were at the ENDSS and 293 (48%) at the ISS. Senior technical students were most strongly represented at 37.8%, followed by student nurses (27.4%) and midwifery students (23.3%). There were more women (n=378) than men with a sex ratio of 0.61. The average age of the population was 27.5 +/- 6.8 years (range 15 to 58). The average age was 26.2 +/- 5.6 years in the women and 29.6 +/- 8 in the men. The group aged 25-34 was significantly the most affected in both men and women (p=0.0000). The population comprised 502 non-smokers (82.4%), 62 ex-smokers (10.2%) and 45 smokers (7.4%).We found variable alcohol consumption in 119 subjects (19.2%) and 5 students admitted using cannabis. The 62 ex-smokers made up 10.2% of the population. The average age was 31.4 years. 25 ex-smokers (40.3%) drank alcohol, with a sex ratio of 1.95. The reasons for stopping smoking were illness and guilt in 27.4% of cases respectively, economic in 24.2%, medical statements on the effects of smoking on health in 17.7% and personal wishes in only 11.3%. The smokers, numbering 45 (7.4%), had an average age of 27.6 +/- 6.6 years with a sex ratio of 2 (p=0.00000). The age of starting smoking was 20.7 +/- 4.2 years for the women and 19.9 +/- 2.9 years for the men. The latter had smoked for an average of 9.2 years. Cigarettes were used by the great majority of smokers. It was associated with alcohol consumption in 35.6% and cannabis in 11.1% of cases. In the men the motives for starting smoking were stress (60%), pleasure (55.2%) and social influence (53.3%). By contrast, among the women, the two main reasons were stress and fashion in 60% (p=0.04). Our students smoked mostly in public places and in their homes. 34 smokers (75.6%) wished to stop (p=0

  11. Unmet Needs for Ancillary Services Among Hispanics/Latinos Receiving HIV Medical Care - United States, 2013-2014.

    Science.gov (United States)

    Korhonen, Lauren C; DeGroote, Nicholas P; Shouse, R Luke; Valleroy, Linda A; Prejean, Joseph; Bradley, Heather

    2016-10-14

    The prevalence of diagnosed human immunodeficiency virus (HIV) infection in Hispanics/Latinos in the United States is more than twice as high as the prevalence among non-Hispanic whites (1). Services that support retention in HIV medical care and assist with day-to-day living, referred to here as ancillary services, help persons living with HIV access HIV medical care, adhere to HIV treatment, and attain HIV viral suppression. The needs for these ancillary services among Hispanics/Latinos are not well described (2). To obtain nationally representative estimates of and reasons for unmet needs for such services among Hispanic/Latino adults receiving outpatient HIV medical care during 2013-2014, CDC analyzed data from the Medical Monitoring Project (MMP). The analysis found that Hispanics/Latinos in all age and sexual orientation/behavior subgroups reported substantial unmet needs, including 24% needing dental care, 21% needing eye or vision care, 15% needing food and nutrition services, and 9% needing transportation assistance. Addressing unmet needs for ancillary services among Hispanics/Latinos living with HIV might help increase access to HIV care, improve health outcomes, and reduce health disparities.

  12. Implementation of the Defense Business Operations Fund (DBOF) Policies and Unit Costing in the Air Force Institute of Technology (AFIT)

    Science.gov (United States)

    1993-09-01

    a bussines . The "fee for service" program may enable part of the DOD perform better, but other parts of DOD cannot use the program effectively. You...research or class development. What makes AFRT different from MIT, Harvard , or Yale? 3.1. 1 agree. 0 4. In the era of defense drawdown, the DOD may

  13. 75 FR 63445 - Vessel Monitoring Systems; Approved Mobile Transmitting Units and Communications Service...

    Science.gov (United States)

    2010-10-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE.../Iridium Service is a dual mode GSM/GPRS and Iridium platform to ensure that connections are highly... customer service purposes, that the vessel owner keep for his or her records (and that Stratos Global or...

  14. Family Planning Services Available to Migratory Farm Workers in the United States.

    Science.gov (United States)

    Planned Parenthood--World Population, Austin, TX. Southwest Region.

    The directory is intended to serve those working at providing migrant workers with family planning services. Covering 46 states, it lists agencies and their addresses, schedules, appropriate contacts, and birth control methods available and fees charged (if any). The directory should be of particular help in providing a continuity of service to…

  15. Status of Family Support Services and Spending in the United States.

    Science.gov (United States)

    Parish, Susan L.; Braddock, David; Hemp, Richard; Rizzolo, Mary C.

    2000-01-01

    Analysis of data on family support services and spending for individuals with developmental disabilities presents information on cash subsidy payments, respite care, and other family support. A graph shows U.S. spending for family support, 1986-1998. Additional tables break down subsidy spending for family support services by state in 1998 and…

  16. Non-Psychiatric Services Provided in a Mental Health Unit in a County Jail.

    Science.gov (United States)

    Young, Diane S.

    2002-01-01

    Examines mental health service provision by social workers in a county jail through a retrospective review of 359 mentally ill jail inmates' health and mental health records. Of the non-psychiatric, mental health services provided beyond initial assessment, housing placement evaluations and follow-up sessions were the most frequent. Suggestions…

  17. Jane Addams and the Origins of Service-Learning Practice in the United States

    Science.gov (United States)

    Daynes, Gary; Longo, Nicholas V.

    2004-01-01

    This article uses primary and secondary research on educational, social, and political theory in the late 19th and early 20th centuries to argue that the history of service-learning must be revised to include Jane Addams' pioneering work. A full consideration of Addams significantly revises understanding the origins of service-learning, suggesting…

  18. How to Share Korean Language and Culture with Pre-Service Teachers in the United States

    Science.gov (United States)

    Park, Yong Joon; Yang, Youjin

    2013-01-01

    Many teacher educators believe that pre-service teachers should be aware of their future classroom environment including students who have linguistically and culturally diverse backgrounds. This paper is a description of how two teacher educators helped pre-service teachers develop their multicultural awareness in preparation for careers in Early…

  19. The impact of chaplaincy services in selected hospitals in the eastern United States.

    Science.gov (United States)

    Parkum, K H

    1985-09-01

    Surveys a stratified sample of patients in six different hospitals and compares their perceptions of hospital chaplaincy and other pastoral care efforts with related hospital services. Reports the presence of a strong impact of pastoral care services and discusses these findings from the perspective of a theory of expressive and instrumental social orientations as explicated by the sociologist Talcott Parsons.

  20. 8 CFR 319.3 - Surviving spouses of United States citizens who died during a period of honorable service in an...

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Surviving spouses of United States citizens... Surviving spouses of United States citizens who died during a period of honorable service in an active duty... section 319(d) of the Act, the surviving spouse of a United States citizen must: (1) Establish that his...