WorldWideScience

Sample records for united services agency

  1. DIRECTORY OF SERVICES, 40 AGENCIES UNDER ONE TENT.

    Science.gov (United States)

    United Fund of El Paso County, TX.

    FORTY ORGANIZATIONS CONNECTED WITH THE EL PASO UNITED FUND ARE LISTED WITH DESCRIPTIONS OF THE SERVICES RENDERED BY EACH, THE NAME OF THE PERSON IN CHARGE AND THE PHONE NUMBER. TWELVE AGENCIES SUPPORTED BY THE TEXAS UNITED FUND ARE ALSO LISTED WITH THE NOTATION THAT THEY OPERATE ON A STATEWIDE OR NATIONAL LEVEL, AND EXCEPT FOR USO, REQUIRE NO…

  2. Food Procurement by USDA's Farm Service Agency

    OpenAIRE

    MacDonald, James M.; Handy, Charles R.; Plato, Gerald E.

    1998-01-01

    USDA's Farm Service Agency (FSA) purchases food products for distribution through several of the Department's food assistance programs. This report describes FSA purchase methods and compares them to procurement strategies used by other Federal agencies and by private sector firms. It summarizes the principal policy issues faced by FSA in designing procurement strategies. And it uses a detailed statistical analysis to compare FSA prices to those realized in the private sector, and to identify...

  3. 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...

  4. 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;…

  5. Cooperative Educational Service Agencies: The Wisconsin Experience.

    Science.gov (United States)

    Harmon, Judson A.; Bowles, B. Dean

    This paper gives a brief historical account of Wisconsin's Cooperative Educational Service Agencies (CESA's) and the need for changes, outlines some of the recommendations of a CESA fact-finding task force, and describes the current transition period. The first section describes the background and legislative history of the CESA, followed by an…

  6. EnviroAtlas - Acres of USDA Farm Service Agency Conservation Reserve Program land by 12-Digit HUC for the Conterminous United States.

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset shows the acres of land enrolled in the US Department of Agriculture (USDA)'s Conservation Reserve Program (CRP). The CRP is administered by...

  7. 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...

  8. 77 FR 6122 - Providing Refurbishment Services to Federal Agencies

    Science.gov (United States)

    2012-02-07

    ... best to make cost-effective refurbishment services available to Federal agencies to extend the useful.... General Services Administration. ACTION: Notice. SUMMARY: In accordance with the National Strategy for... certifications ought to be considered, and how best to build Federal contracts for such services....

  9. 76 FR 78739 - Agency Information Collection (Payment and Reimbursement for Emergency Services for Non Service...

    Science.gov (United States)

    2011-12-19

    ... AFFAIRS Agency Information Collection (Payment and Reimbursement for Emergency Services for Non Service... Reimbursement for Emergency Services for Non Service-Connected Conditions in Non-VA Facilities, 38 U.S.C. 1725... CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810...

  10. 31 CFR 0.302 - Service with other Federal agencies.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Service with other Federal agencies. 0.302 Section 0.302 Money and Finance: Treasury Office of the Secretary of the Treasury DEPARTMENT OF THE TREASURY EMPLOYEE RULES OF CONDUCT Special Government Employees § 0.302 Service with...

  11. 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...

  12. 76 FR 4322 - Availability of the Fiscal Year 2009 Missile Defense Agency Services Contracts Inventory Pursuant...

    Science.gov (United States)

    2011-01-25

    ... of the Secretary Availability of the Fiscal Year 2009 Missile Defense Agency Services Contracts... United States Code as amended by the National Defense Authorization Act for Fiscal Year 2008 (NDAA 08... Procurement and Acquisition Policy, Office of Strategic Sourcing (DPAP/SS) will make available to the public...

  13. 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...

  14. Organizational capacity of nonprofit social service agencies.

    Science.gov (United States)

    Paynter, Sharon; Berner, Marueen

    2014-01-01

    The U.S. social safety net is formed by governmental and nonprofit organizations, which are trying to respond to record levels of need. This is especially true for local level organizations, such as food pantries. The organizational capacity literature has not covered front-line, local, mostly volunteer and low resource organizations in the same depth as larger ones. This analysis is a consideration of whether grassroots nonprofit organizations have the ability to be a strong component of the social safety net. Based on the literature on organizational capacity, a model is developed to examine how service delivery at the local level is affected by organizational capacity. Surprisingly, we find few of the characteristics previously identified as important are statistically significant in this study. Even when so, the material effect is negligible. Current organizational capacity research may apply to larger nonprofits, but not to the tens of thousands of small community nonprofits, a significant limitation to the research to date.

  15. Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency.

    Science.gov (United States)

    Harrison, Lindsay

    2012-01-01

    Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. Copyright © Taylor & Francis Group, LLC

  16. Students' expectation toward service of recruiment agencies in Vietnam

    OpenAIRE

    Tran, Hanh

    2010-01-01

    The objective of the thesis was to explore the expectations of students studying abroad to recruitment agencies in Vietnam. The study aims at recommend the right service for recruit-ment agencies offer to students to find a job and explore the culture obstacles for their career development when return home. The study originated from author’s own experience when finding an internship in Vietnam. The theoretical framework is based on relevant areas of theories of recruitment process, na-...

  17. Predictive Analytics for City Agencies: Lessons from Children's Services.

    Science.gov (United States)

    Shroff, Ravi

    2017-08-22

    Many municipal agencies maintain detailed and comprehensive electronic records of their interactions with citizens. These data, in combination with machine learning and statistical techniques, offer the promise of better decision making, and more efficient and equitable service delivery. However, a data scientist employed by an agency to implement these techniques faces numerous and varied choices that cumulatively can have significant real-world consequences. The data scientist, who may be the only person at an agency equipped to understand the technical complexity of a predictive algorithm, therefore, bears a good deal of responsibility in making judgments. In this perspective, I use a concrete example from my experience of working with New York City's Administration for Children's Services to illustrate the social and technical tradeoffs that can result from choices made in each step of data analysis. Three themes underlie these tradeoffs: the importance of frequent communication between the data scientist, agency leadership, and domain experts; the agency's resources and organizational constraints; and the necessity of an ethical framework to evaluate salient costs and benefits. These themes inform specific recommendations that I provide to guide agencies that employ data scientists and rely on their work in designing, testing, and implementing predictive algorithms.

  18. Board power and organizational effectiveness among human service agencies.

    Science.gov (United States)

    Provan, K G

    1980-06-01

    This study examines the importance of an externally powerful board of directors to the effectiveness (ability to attract scarce resources) of 46 human service agencies operating within the same community. Traditional assumptions regarding the importance of a powerful board were supported when effectiveness was operationalized using static measures of funding but were not supported when dynamic measures were used.

  19. 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.

  20. Career opportunities for college graduates with the Agricultural Research Service Agency of the U.S. Department of Agriculture

    Science.gov (United States)

    The Agricultural Research Service is the principal scientific research agency of the U.S. Department of Agriculture. This agency employs more than 7,600 people working at various locations in the United States and U.S. territories. Careers for new scientists span a variety of disciplines such as c...

  1. Coordination between Child Welfare Agencies and Mental Health Service Providers, Children's Service Use, and Outcomes

    Science.gov (United States)

    Bai, Yu; Wells, Rebecca; Hillemeier, Marianne M.

    2009-01-01

    Objective: Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by…

  2. 77 FR 33808 - Agency Information Collection; Activity Under OMB Review: Airline Service Quality Performance...

    Science.gov (United States)

    2012-06-07

    ...: Airline Service Quality Performance--Part 234 AGENCY: Research & Innovative Technology Administration... Desk Officer. SUPPLEMENTARY INFORMATION: OMB Approval No. 2138-0041 Title: Airline Service Quality...

  3. 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.

  4. Prehospital electronic patient care report systems: early experiences from emergency medical services agency leaders.

    Directory of Open Access Journals (Sweden)

    Adam B Landman

    Full Text Available BACKGROUND: As the United States embraces electronic health records (EHRs, improved emergency medical services (EMS information systems are also a priority; however, little is known about the experiences of EMS agencies as they adopt and implement electronic patient care report (e-PCR systems. We sought to characterize motivations for adoption of e-PCR systems, challenges associated with adoption and implementation, and emerging implementation strategies. METHODS: We conducted a qualitative study using semi-structured in-depth interviews with EMS agency leaders. Participants were recruited through a web-based survey of National Association of EMS Physicians (NAEMSP members, a didactic session at the 2010 NAEMSP Annual Meeting, and snowball sampling. Interviews lasted approximately 30 minutes, were recorded and professionally transcribed. Analysis was conducted by a five-person team, employing the constant comparative method to identify recurrent themes. RESULTS: Twenty-three interviewees represented 20 EMS agencies from the United States and Canada; 14 EMS agencies were currently using e-PCR systems. The primary reason for adoption was the potential for e-PCR systems to support quality assurance efforts. Challenges to e-PCR system adoption included those common to any health information technology project, as well as challenges unique to the prehospital setting, including: fear of increased ambulance run times leading to decreased ambulance availability, difficulty integrating with existing hospital information systems, and unfunded mandates requiring adoption of e-PCR systems. Three recurring strategies emerged to improve e-PCR system adoption and implementation: 1 identify creative funding sources; 2 leverage regional health information organizations; and 3 build internal information technology capacity. CONCLUSION: EMS agencies are highly motivated to adopt e-PCR systems to support quality assurance efforts; however, adoption and

  5. 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,...

  6. 75 FR 14183 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2010-03-24

    ... of Community Oriented Policing Services; Agency Information Collection Activities: Proposed... Policing Services (COPS) will be submitting the following information collection request to the Office of..., Department of Justice Office of Community Oriented Policing Services, 1100 Vermont Avenue, NW., Washington...

  7. 75 FR 30061 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2010-05-28

    ... of Community Oriented Policing Services; Agency Information Collection Activities: Proposed... Policing Services (COPS) has submitted the following information collection request to the Office of... Community Oriented Policing Services, 1100 Vermont Avenue, NW., Washington, DC 20530. Written comments and...

  8. 75 FR 75697 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2010-12-06

    ... of Community Oriented Policing Services; Agency Information Collection Activities: Revision of a... Oriented Policing Services (COPS), has submitted the following information collection request to the Office..., please contact Ashley Hoornstra, Department of Justice Office of Community Oriented Policing Services...

  9. Service User Involvement in UK Social Service Agencies and Social Work Education

    Science.gov (United States)

    Goossen, Carolyn; Austin, Michael J.

    2017-01-01

    Forming partnerships with service users became a requirement for social work education programs in the United Kingdom as of 2003, leading to the development of innovative approaches to social work education that involve service users as experts who are helping to teach the future generation of social workers. This article examines the perceptions…

  10. Service User Involvement in UK Social Service Agencies and Social Work Education

    Science.gov (United States)

    Goossen, Carolyn; Austin, Michael J.

    2017-01-01

    Forming partnerships with service users became a requirement for social work education programs in the United Kingdom as of 2003, leading to the development of innovative approaches to social work education that involve service users as experts who are helping to teach the future generation of social workers. This article examines the perceptions…

  11. 41 CFR 302-3.419 - For what property will my agency pay property management services?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false For what property will my agency pay property management services? 302-3.419 Section 302-3.419 Public Contracts and Property....419 For what property will my agency pay property management services? Your agency will only pay for...

  12. 41 CFR 302-3.420 - How long will my agency pay for property management services?

    Science.gov (United States)

    2010-07-01

    ... pay for property management services? 302-3.420 Section 302-3.420 Public Contracts and Property....420 How long will my agency pay for property management services? Your agency will pay for property management services for the duration of your TCS. ...

  13. 75 FR 28858 - Agency Information Collection (Service Data Manual) Activities Under OMB Review

    Science.gov (United States)

    2010-05-24

    ... AFFAIRS Agency Information Collection (Service Data Manual) Activities Under OMB Review AGENCY: Office of.... FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Enterprise Records Service....'' SUPPLEMENTARY INFORMATION: Title: Veterans Affairs Acquisition Regulation (VAAR) Clause 852.211-70, Service...

  14. The IS Services Agency of Wittenheim sets the pace in numerical radiography; L'agence IS Services de Wittenheim a la pointe de la radiographie numerique

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2006-03-15

    Small by its size with only 5 workers, the IS Services Agency of Wittenheim (Alsace) is however ultra specialized in nondestructive testing, and particularly with the new technology of the numerical radiography. (O.M.)

  15. 76 FR 59664 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2011-09-27

    ... Service (SES) performance appraisals and make recommendations to the Director, DCAA, regarding final... this notice. FOR FURTHER INFORMATION CONTACT: Sandra L. Burrell, Chief, Human Resources Management... of the Secretary Membership of the Defense Contract Audit Agency Senior Executive Service...

  16. 77 FR 39344 - Agency Information Collection (Application for Accreditation as Service Organization...

    Science.gov (United States)

    2012-07-02

    ... AFFAIRS Agency Information Collection (Application for Accreditation as Service Organization....'' SUPPLEMENTARY INFORMATION: Titles: Application for Accreditation as Service Organization Representative, VA Form... submitted the collection of information abstracted below to the Office of Management and Budget (OMB) for...

  17. 75 FR 41920 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Science.gov (United States)

    2010-07-19

    ...; Airline Service Quality Performance--Part 234 AGENCY: Research & Innovative Technology Administration... INFORMATION: OMB Approval No. 2138-0041 Title: Airline Service Quality Performance--Part 234. Form No.: BTS...

  18. Guided reflection: a participatory evaluation and planning process to promote recovery in mental health services agencies.

    Science.gov (United States)

    Jacobson, Nora; Greenley, Dianne; Breedlove, Lynn; Roschke, Ruth; Koberstein, Jen

    2003-01-01

    This brief report describes a participatory evaluation and planning process--a "guided reflection"--that mental health services agencies can use to examine the state of recovery awareness and implementation in their organizations. The process revolves around structured small group discussions, identification of agency strengths and weaknesses, and the formation of an agency "recovery action team" to set priorities and plan for change.

  19. 75 FR 43944 - Membership of the Defense Logistics Agency (DLA) Senior Executive Service (SES) Performance...

    Science.gov (United States)

    2010-07-27

    ... Defense Logistics Agency Membership of the Defense Logistics Agency (DLA) Senior Executive Service (SES... performance awards and other actions related to management of the SES cadre. DATES: Effective Date: September 16, 2010. ADDRESSES: Defense Logistics Agency, 8725 John J. Kingman Road, Suite 2533, Fort...

  20. 75 FR 58417 - Agency Information Collection Activities: Application-Alternative Inspection Services (SENTRI...

    Science.gov (United States)

    2010-09-24

    ... SECURITY U.S. Customs and Border Protection Agency Information Collection Activities: Application-- Alternative Inspection Services (SENTRI Application and FAST Commercial Driver Application) AGENCY: U.S.... Customs and Border Protection (CBP) encourages the general public and affected Federal agencies to...

  1. Organizational development structure: improvements for service agencies aiding women of abuse.

    Science.gov (United States)

    Haeseler, Lisa Ann

    2013-01-01

    Through this article the author explains how systems-based structures provide enhanced care for women of domestic violence abuse via intra-agency and inter-agency initiatives. Qualitative data was collected through interviews with eight leaders of four different agencies that were included in this case study. Organizational development models of service agencies aiding women were investigated. Results indicate that systems-based structures are the most beneficial organizational design to enhance services to abused women, as they require simultaneous, complex, and multifaceted care. This ideal structure best provides women with comprehensive, collaborative, and effective care when agencies cooperate to meet women's diverse needs.

  2. Critical Considerations in Becoming Literacy Educators: Pre-Service Teachers Rehearsing Agency and Negotiating Risk

    Science.gov (United States)

    Ticknor, Anne Swenson

    2015-01-01

    This article looks closely at the talk of two pre-service teachers over time to examine how they used language as a way of rehearsing their evolving agency as literacy educators. Drawing on critical sociocultural theory, I use Agency Tracing to highlight how pre-service teachers' agentic actions are not isolated phenomena but ones developed and…

  3. Critical Considerations in Becoming Literacy Educators: Pre-Service Teachers Rehearsing Agency and Negotiating Risk

    Science.gov (United States)

    Ticknor, Anne Swenson

    2015-01-01

    This article looks closely at the talk of two pre-service teachers over time to examine how they used language as a way of rehearsing their evolving agency as literacy educators. Drawing on critical sociocultural theory, I use Agency Tracing to highlight how pre-service teachers' agentic actions are not isolated phenomena but ones developed and…

  4. 78 FR 44191 - Agency Information Collection (Service Data Manual) Activities Under OMB Review

    Science.gov (United States)

    2013-07-23

    ... AFFAIRS Agency Information Collection (Service Data Manual) Activities Under OMB Review AGENCY: Office of... FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Crystal Rennie, Enterprise Records Service... Acquisition and Materiel Management, Department of Veterans Affairs, will submit the collection of...

  5. Violence prevention in the ED: linkage of the ED to a social service agency.

    Science.gov (United States)

    Zun, Leslie S; Downey, La Vonne; Rosen, Jodi

    2003-10-01

    Interpersonal violence continues to be a problem in the United States, most prominent in the inner-city minority young persons population. The medical approach of "treat 'em and street 'em" philosophy has led to foregoing the psychosocial needs of injured young persons. This study describes a program to link young persons who are victims of interpersonal violence to a healthcare system and a social service agency in an effort to meet their psychosocial needs. An unvalidated screening tool was developed by a team consisting of an EP, social worker, and public health scientist to determine the young victims' psychosocial needs. Patients aged 10 to 24 years who were victims of interpersonal violence (excluding child abuse, sexual assault, and domestic violence) were randomly assigned in the study. The control group was given a list of services and the treatment group received an assessment, case management, and referral to appropriate resources. The study site was a community, teaching level 1 trauma center. The study was approved by the institutional review board. Numbers of referrals in both groups were counted and compared using SPSS (version 10, Chicago, IL). One hundred eighty-eight victims of interpersonal violence were enrolled. A total of 82.5% were male, 65.4% were African American and 31.4% were Hispanic. At the end of 6 months, 78 of the 96 young persons (81.3%) in the treatment group made one or more contacts with their case manager and made use of social service, healthcare, and other referrals. Education (21.6%), job readiness (19.1%), and mental health (11.9%) were the most frequently used services. Nine of the 92 (9.8%) in the control group used services; most of these referrals were for social services (7 of 9 respondents) and the others were healthcare-related. The difference in utilization of services between the treatment and the control groups were found to be significant different (95% confidence interval, 1.41-1.55, significance =.00), and there

  6. 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.

  7. 42 CFR 456.6 - Review by State medical agency of appropriateness and quality of services.

    Science.gov (United States)

    2010-10-01

    ... and quality of services. 456.6 Section 456.6 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Provisions § 456.6 Review by State medical agency of appropriateness and quality of services. (a) The... professional health personnel of the appropriateness and quality of Medicaid services. (b) The purpose of this...

  8. 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,...

  9. 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....

  10. Subscription Agencies: A New Look at an Old Service.

    Science.gov (United States)

    Basch, N. Bernard; Warner, Alice Sizer

    1988-01-01

    Provides a historical overview of subscription agencies and describes the current situation. The largest companies are identified and issues for the future--computers and integrated systems, pricing, budgeting, optical technology, and printing technology--are discussed. (MES)

  11. 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...

  12. 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.

  13. 78 FR 60303 - Agency Information Collection Activities: Online Survey of Web Services Employers; New...

    Science.gov (United States)

    2013-10-01

    ... of Web Services Employers; New Information Collection ACTION: 30-Day Notice. SUMMARY: The Department... collection. (2) Title of the Form/Collection: Online Survey of Web Services Employers. (3) Agency form number... USCIS obtains data on the E-Verify Program Web Services. Gaining an understanding of the Web...

  14. 78 FR 66953 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2013-11-07

    ... of Community Oriented Policing Services; Agency Information Collection Activities: Revision of a... ACTION: 60-Day notice. The Department of Justice (DOJ) Office of Community Oriented Policing Services... Ouellette, Department of Justice Office of Community Oriented Policing Services, 145 N Street NE...

  15. 75 FR 77904 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2010-12-14

    ... of Community Oriented Policing Services; Agency Information Collection Activities: Extension of a... Policing Services (COPS) will be submitting the following information collection request to the Office of... Ashley Hoornstra, Department of Justice Office of Community Oriented Policing Services, 145 N Street, NE...

  16. The Relationship between State Lead Agency and Enrollment into Early Intervention Services

    Science.gov (United States)

    Twardzik, Erica; MacDonald, Megan; Dixon-Ibarra, Alicia

    2017-01-01

    Services offered through Part C of the Individuals With Disabilities Education Improvement Act improve cognitive, behavioral, and physical skills for children less than 3 years old at risk for or with a disability. However, there are low enrollment rates into services. Various Lead Agencies oversee services through Part C, and states determine…

  17. 76 FR 29783 - Agency Information Collection: Comment Request; The State of Ecosystem Services Implementation...

    Science.gov (United States)

    2011-05-23

    ... Geological Survey Agency Information Collection: Comment Request; The State of Ecosystem Services... (ICR) for a new collection of information: The State of Ecosystem Services Implementation Survey. This...). SUPPLEMENTARY INFORMATION: I. Abstract Ecosystem goods and services are defined by ecologists as the biophysical...

  18. 75 FR 21716 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Science.gov (United States)

    2010-04-26

    ...; Airline Service Quality Performance--Part 234 AGENCY: Research and Innovative Technology Administration... monitor the quality of air service that major air carriers are providing the flying public. The Federal... and returned. SUPPLEMENTARY INFORMATION: OMB Approval No. 2138-0041. Title: Airline Service Quality...

  19. 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...

  20. 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,...

  1. Developing world class commissioning competencies in care services in England: the role of the service improvement agency.

    Science.gov (United States)

    Cornes, Michelle; Manthorpe, Jill; Huxley, Peter; Waddington, Paul; Stevens, Martin; Evans, Sherrill

    2010-05-01

    This article provides an insight into the support needs of health and social care commissioners seeking to develop world class commissioning competencies and the role of service improvement agencies in meeting these needs. Reporting findings from the evaluation of one service improvement agency based in England, we focus on the 'improvement supports' (the products and services) that were delivered by the 'Care Services Improvement Partnership' through its 'Better Commissioning Programme'. In-depth interviews were carried out with 25 care commissioners (n = 25) exploring how the Programme was used in their day to day work, its perceived value and limitations. Given the lack of employer-led training and induction we conclude that service improvement agencies play an important role in developing commissioners' skills and competencies. However, we suggest that achieving world class commissioning may depend on a more fundamental rethink of commissioning organisations' approaches to learning and development.

  2. Abuses in Federal Student Aid Programs, Hearing Before the Permanent SubCommittee on Investigations of the Committee on Governmental Affairs. United States Senate, One Hundred First Congress, Second Session, Part 3: Lenders, Guarantee Agencies, Loan Servicers, and the Secondary Market (September 25, 26, 1990).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

    The congressional hearing report scrutinized the role of banks, guarantee agencies, student loan secondary markets, and loan servicers in the operation of federal student aid programs. Program weaknesses which have contributed towards to abuse and fraudulent practices of federally backed student loans were identified. Witnesses included officials…

  3. 75 FR 57906 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2010-09-23

    ... appraisals and make recommendations to the Director, DCAA, regarding final performance ratings and... INFORMATION CONTACT: Sandra L. Burrell, Chief, Human Resources Management Division, Defense Contract Audit... of the Secretary Membership of the Defense Contract Audit Agency Senior Executive Service...

  4. School-Linked Services for At-Risk Youth and Their Families: Trends in State Agencies.

    Science.gov (United States)

    Pollard, Joyce S.; Rood, Magdalena M.

    This paper examines the delivery of social and human services to school-aged children and their families through some form of coordination with the local school. A questionnaire was completed by representatives of 55 state agencies in Arkansas, Louisiana, New Mexico, Oklahoma, and Texas. Respondents reported that their agencies provided 88…

  5. 75 FR 38821 - Agency Information Collection Activities: Application-Alternative Inspection Services (SENTRI...

    Science.gov (United States)

    2010-07-06

    ... Doc No: 2010-16314] DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection Agency Information Collection Activities: Application-- Alternative Inspection Services (SENTRI Application and FAST Commercial Driver Application) AGENCY: U.S. Customs and Border Protection, Department of Homeland...

  6. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Science.gov (United States)

    2010-07-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20... What issues must Federal agencies consider in providing site planning and landscape design services? In providing site planning and design services, Federal agencies must— (a) Make the site planning and...

  7. 41 CFR 302-3.421 - What are the income tax consequences when my agency pays for property management services?

    Science.gov (United States)

    2010-07-01

    ... consequences when my agency pays for property management services? 302-3.421 Section 302-3.421 Public Contracts... § 302-3.421 What are the income tax consequences when my agency pays for property management services? When your agency pays for property management services: (a) You will be taxed on the amount of property...

  8. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Power Plants

    Data.gov (United States)

    Department of Homeland Security — This GIS dataset contains data on wastewater treatment plants, based on EPA's Facility Registry Service (FRS) and NPDES, along with Clean Watersheds Needs Survey...

  9. The Implementation of Integrated One-Stop Service at Licensing Service Agency in Order to Improve Licensing Service to Society (Case Study On Business License Service At Investment And Integrated Licensing Service Agency (IILSA Of Pasuruan City

    Directory of Open Access Journals (Sweden)

    Priyani Dini Pramita

    2014-10-01

    Full Text Available This study discusses about the implementation of integrated one-stop licensing services related to service of SIUP, conducted by the Investment and Integrated Licensing Service Agency (IILSA in Pasuruan City. In general there are any issues related to License for business activities, namely: the complicated procedures, high costs and legal uncertainty. To overcome this problem the government issued Permendagri number 24 of 2006 about Guidelines for the Implementation of One Stop Services. The focus of this study discusses the implementation of an integrated one-stop service, based on the rules associated with seeing some of the following elements: (1 executing actor (2 communication (3 resources (4 bureaucratic structure (5 the target group. This research used descriptive method with qualitative research approach. Activity of data analysis in this study consisted of data reduction, display and verification of data. The result of this research can be said that the implementation is done by IILSA of Pasuruan city has been good although there are a few things that need to be improved related to the internet connection is still an obstacle in the implementation of the operational in the delivery service for SIUP and also the lack of facilities and infrastructure available. Keywords: IILSA of Pasuruan City, Licensing Service, SIUP (Business License, Improve Service, The Implementation.

  10. How Does Community Service Promote Prosocial Behavior? Examining the Role of Agency and Ideology Experience

    Science.gov (United States)

    Christoph, Gabriela; Gniewosz, Burkhard; Reinders, Heinz

    2014-01-01

    This study examines community service effects on adolescents' prosocial behaviors as mediated through experiences made during service. Based on theoretical assumptions by Youniss and Yates, we suggest that personal agency experiences and being confronted with situations that can challenge the own world views (ideology experiences) serve as…

  11. How Does Community Service Promote Prosocial Behavior? Examining the Role of Agency and Ideology Experience

    Science.gov (United States)

    Christoph, Gabriela; Gniewosz, Burkhard; Reinders, Heinz

    2014-01-01

    This study examines community service effects on adolescents' prosocial behaviors as mediated through experiences made during service. Based on theoretical assumptions by Youniss and Yates, we suggest that personal agency experiences and being confronted with situations that can challenge the own world views (ideology experiences) serve as…

  12. Financing Community Services for Persons with Disabilities: State Agency and Community Provider Perspectives.

    Science.gov (United States)

    Hemp, Richard

    1992-01-01

    This serial issue summarizes findings from a survey of 20 state mental retardation and developmental disabilities agencies and 93 community based providers on developing and financing community services. The survey queried respondents concerning: (1) which models or strategies for financing community services have been most effective; (2) what…

  13. 76 FR 5207 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Science.gov (United States)

    2011-01-28

    ... of Community Oriented Policing Services; Agency Information Collection Activities: Revision to a... Review: Community Policing Self-Assessment (CP-SAT). The Department of Justice (DOJ) Office of Community Oriented Policing Services (COPS) will be submitting the following information collection request to the...

  14. 29 CFR 553.104 - Private individuals who volunteer services to public agencies.

    Science.gov (United States)

    2010-07-01

    ..., DEPARTMENT OF LABOR REGULATIONS APPLICATION OF THE FAIR LABOR STANDARDS ACT TO EMPLOYEES OF STATE AND LOCAL... and not employees of such public agencies if their hours of service are provided with no promise... basis when so motivated include helping out in a sheltered workshop or providing personal services...

  15. 76 FR 27382 - Agency Information Collection Activity (VBA Loan Guaranty Service Lender Satisfaction Survey...

    Science.gov (United States)

    2011-05-11

    ... AFFAIRS Agency Information Collection Activity (VBA Loan Guaranty Service Lender Satisfaction Survey...) Loan Guaranty Service Lender Satisfaction Survey. OMB Control Number: 2900-0711. Type of Review...' satisfaction with the VA's processes and to make improvements to the program to better serve the needs...

  16. 77 FR 18306 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance

    Science.gov (United States)

    2012-03-27

    ...; Airline Service Quality Performance AGENCY: Research & Innovative Technology Administration (RITA), Bureau.... SUPPLEMENTARY INFORMATION: OMB Approval No. 2138-0041. Title: Airline Service Quality Performance Reports--Part...-Baggage Reports'' pursuant to 14 CFR 234.4 and 234.6. These reports are used to monitor the quality of air...

  17. 41 CFR 102-82.25 - What are Executive agencies' responsibilities concerning the procurement of utility services?

    Science.gov (United States)

    2010-07-01

    ... agencies' responsibilities concerning the procurement of utility services? 102-82.25 Section 102-82.25...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 82-UTILITY SERVICES Utility Services § 102-82.25 What are Executive agencies' responsibilities concerning the procurement of utility services? Executive...

  18. Quality management as knowledge sharing: experiences of the Napa County Health and Human Services Agency.

    Science.gov (United States)

    Harrison, Lindsay

    2012-01-01

    Lacking a coordinated effort in utilizing data and tracking program outcomes, one agency developed a Quality Management (QM) division to facilitate and manage more effective data use. To support this process, the agency sought to develop a collective, agency-wide understanding and investment in improving and measuring client outcomes. Similarly, the agency also focused efforts on creating a culture of transparency and accountability, with goals of improving service, increasing agency integrity, meeting regulatory compliance, and engaging in effective risk management. Operationalizing the QM initiative involved developing procedures, systems, and guidelines that would facilitate the generation of reliable and accurate data that could be used to inform program change and decision-making. This case study describes this agency's experience in successfully creating and implementing a QM initiative aimed at engaging in greater knowledge sharing.

  19. 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.

  20. 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.

  1. Defense Logistics Agency Disposition Services Afghanistan Disposal Process Needed Improvement

    Science.gov (United States)

    2013-11-08

    quantity, demilitarization ( DEMIL ) code, and national stock number. The inspection of property decides the course for further processing. The...generating activity is expected to obtain the correct DEMIL code from the Inventory Control Point and enter that code on the Disposal Turn-In Document1... DEMIL code, supply condition code, and unit price. Figure 1. Property Staged at DLA DS Bagram Introduction DODIG-2014-007 │ 3 Disposition Guidance

  2. Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East.

    Science.gov (United States)

    Santoro, A; Abu-Rmeileh, N; Khader, A; Seita, A; McKee, M

    2016-09-25

    Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred approach, with delivery by multidisciplinary family health teams supported by updated technical advice. An inclusive clinical information system, termed e-Health, was implemented to collect a wide range of health information, with a focus on continuity of treatment. UNRWA was able to bring about these wide-ranging changes within its existing resources, reallocating finances, reforming its payment mechanisms, and modernizing its drug-procurement policies. While specific components of UNRWA's primary healthcare reform are showing promising results, additional efforts are needed to empower patients further and to strengthen involvement of the community.

  3. Naloxone Administration for Suspected Opioid Overdose: An Expanded Scope of Practice by a Basic Life Support Collegiate-Based Emergency Medical Services Agency

    Science.gov (United States)

    Jeffery, Ryan M.; Dickinson, Laura; Ng, Nicholas D.; DeGeorge, Lindsey M.; Nable, Jose V.

    2017-01-01

    Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer…

  4. 36 CFR 1235.18 - How do agencies transfer records to the National Archives of the United States?

    Science.gov (United States)

    2010-07-01

    ... records to the National Archives of the United States? 1235.18 Section 1235.18 Parks, Forests, and Public... NATIONAL ARCHIVES OF THE UNITED STATES General Transfer Requirements § 1235.18 How do agencies transfer records to the National Archives of the United States? Agencies transfer records by submitting a signed...

  5. 36 CFR 1235.10 - What records do agencies transfer to the National Archives of the United States?

    Science.gov (United States)

    2010-07-01

    ... transfer to the National Archives of the United States? 1235.10 Section 1235.10 Parks, Forests, and Public... NATIONAL ARCHIVES OF THE UNITED STATES General Transfer Requirements § 1235.10 What records do agencies transfer to the National Archives of the United States? Agencies must transfer to the National Archives......

  6. 27 CFR 31.46 - Sales by agencies and instrumentalities of the United States.

    Science.gov (United States)

    2010-04-01

    ... United States, including post exchanges, ship's stores, ship's service stores, and commissaries, or any... instrumentality, that sells, or offers for sale, distilled spirits, wines, or beer must comply with...

  7. [Intra-Agency Agreement Documents : Rocky Mountain Arsenal & Wyoming Cooperative Fish & Wildlife Unit : 1994-1996

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In June 1994 a Committee consisting of Dr. Stanley Anderson, Chair, Wyoming Cooperative Fish and Wildlife Research Unit, Dr. David Bowden, Statistician, Colorado...

  8. 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...

  9. 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...

  10. 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...

  11. Savings estimates for the United States Environmental Protection Agency?s ENERGY STAR voluntary product labeling program

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, Marla Christine; Sanchez, Marla Christine; Brown, Richard; Homan, Gregory; Webber, Carrie

    2008-06-03

    ENERGY STAR is a voluntary energy efficiency-labeling program operated jointly by the United States Department of Energy and the United States Environmental Protection Agency (US EPA). Since the program inception in 1992, ENERGY STAR has become a leading international brand for energy efficient products. ENERGY STAR's central role in the development of regional, national, and international energy programs necessitates an open process whereby its program achievements to date as well as projected future savings are shared with committed stakeholders. Through 2006, US EPA?S ENERGY STAR labeled products saved 4.8 EJ of primary energy and avoided 82 Tg C equivalent. We project that US EPA?S ENERGY STAR labeled products will save 12.8 EJ and avoid 203 Tg C equivalent over the period 2007-2015. A sensitivity analysis examining two key inputs (carbon factor and ENERGY STAR unit sales) bounds the best estimate of carbon avoided between 54 Tg C and 107 Tg C (1993 to 2006) and between 132 Tg C and 278 Tg C (2007 to 2015).

  12. 19 CFR 10.104 - Temporary importation entries for United States Government agencies.

    Science.gov (United States)

    2010-04-01

    ... Government agencies. 10.104 Section 10.104 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. General Provisions United States Government Importations § 10.104 Temporary importation entries for...

  13. 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.

  14. 41 CFR 302-15.5 - Is my agency required to authorize payment for property management services?

    Science.gov (United States)

    2010-07-01

    ... authorize payment for property management services? 302-15.5 Section 302-15.5 Public Contracts and Property...-ALLOWANCE FOR PROPERTY MANAGEMENT SERVICES General Rules for the Employee § 302-15.5 Is my agency required to authorize payment for property management services? No, your agency is not required to authorize...

  15. THE AGENCY RELATIONS AS A BASIS OF AN INSTITUTIONALIZATION OF THE MARKET OF THE STATE SERVICES IN RUSSIA

    Directory of Open Access Journals (Sweden)

    N. I. Larionova

    2012-01-01

    Full Text Available In article the approach of provision of the state services on the basis of the agency relations is considered. Benefits of the agency relations in public administration in foreign countries are analyzed. The possible role of the state and participants of the market in creation of the agency relations on provision of the state services is studied. Possible risks of the agency relations in public administration are provided.

  16. 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.

  17. Intangibles Factors and Quality Assessment of the Service Received in Travel Agencies

    Directory of Open Access Journals (Sweden)

    Cristina Esteban Alberdi

    2004-12-01

    Full Text Available Adaptation of travel agencies to the standards of the New Economy is leading to a trend towards restructuring the sector aimed at finding new competitive strategies. The growing importance of intangible assets in achieving such strategies has motivated this study, which has tried to identify those intangible factors, present in the provision of the service, that have a direct relationship with the client's perception of a differentiation in the service received.

  18. 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)...

  19. 41 CFR 60-3.10 - Employment agencies and employment services.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Employment agencies and employment services. 60-3.10 Section 60-3.10 Public Contracts and Property Management Other Provisions Relating to Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS, EQUAL EMPLOYMENT...

  20. 75 FR 20578 - Availability of the Fiscal Year 2008 Defense Threat Reduction Agency Services Contracts Inventory

    Science.gov (United States)

    2010-04-20

    ... of the Secretary Availability of the Fiscal Year 2008 Defense Threat Reduction Agency Services... Defense Authorization Act for Fiscal Year 2008 (NDAA 08) section 807, the Director of DTRA and the Office of the Director, Defense Procurement and Acquisition Policy, Office of Strategic Sourcing (DPAP/SS...

  1. 78 FR 70414 - Agency Information Collection (Supportive Services for Veteran Families (SSVF) Program...

    Science.gov (United States)

    2013-11-25

    ... AFFAIRS Agency Information Collection (Supportive Services for Veteran Families (SSVF) Program..., Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of... information collection and its expected cost and burden and includes the actual data collection...

  2. 77 FR 38395 - Agency Information Collection (Appointment of Veterans Service Organization/or Individuals as...

    Science.gov (United States)

    2012-06-27

    ... AFFAIRS Agency Information Collection (Appointment of Veterans Service Organization/or Individuals as... of Veterans Affairs, will submit the collection of information abstracted below to the Office of... information collection and its expected cost and burden; it includes the actual data collection instrument...

  3. 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.

  4. 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...

  5. 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...

  6. Children, Agency and Violence: In and beyond the United Nations study on violence against children

    OpenAIRE

    Natasha Blanchet-Cohen

    2009-01-01

    This paper examines the role of child agency as it relates to child protection. The focus arises from recognition that child protection approaches can be ineffective, and even counterproductive, when local context is not given sufficient attention (Bissell et al., 2007). The prevailing child protection models - child rescue, social services and medical models - commonly neglect local community assets, including the role of children themselves. Yet in many cases these assets may play a critica...

  7. 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

  8. 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

  9. Measuring the Quality of Travel Agencies E - Service Application: Proposed A Model

    Directory of Open Access Journals (Sweden)

    Ali Turan Bayram

    2015-09-01

    Full Text Available This study has been handled to a two dimensional e-service quality measurements, based on e-service quality measurement models in the literatüre, according to changing consumer demands. E-service quality models has been composed from two factors and seven sub-factors belong to these two factors, in mind to be associated with perceived quality on pre-puchase and post-purchase process. The aim of this study has been identified as developing a two dimensional model for travel agencies by putting out e- service quality dimensions. With the context of study questionnaire form was experimentedto 163 people and factor analysis was made with the aim of identifying sub-dimensions and in this factors. At the result of study, a model has been proposed a model for measuring the quality of travel agencies’ e-service application

  10. Physician extender services in family planning agencies: issues in Medicaid reimbursement.

    Science.gov (United States)

    Mondy, L W; Lutz, D B; Heartwell, S F; Zetzman, M R

    1986-01-01

    The US Social Security Amendments of 1972 mandated the inclusion of family planning services in state Medicaid plans, authorized 90% of reimbursements for family planning care, and imposed financial penalties for failure to provide these services to Medicaid-eligible clients. On the other hand, many states have retrictive policies regarding Medicaid reimbursements to family planning agencies for services provided by physician extenders (e.g.s nurse practitioners and physician assistants). There is concern that such restrictions greatly reduce accessibility to family planning services. Reasons that hae been suggested as causes of such restrictive policies include physician concern over loss of income, the uncertain status of physician extenders in some states, a fear that this step will lead to a demand for reiimbursement for the services of other allied health care providers such as social workers, and concern that care for the indigent will lead to an expensive increase in state reimbursement for family planning services. However, a review of relevant federal law and regulations indicates that Medicaid reimbursement for services provided to eligible patients by physician extenders has never been prohibited or discouraged. Physician supervision is required in reimbursement cases, but this does not mean that a physician must be on the premises while services are delivered. The Medicaid program actually allows significant latitude in establishing administrative policies and procedures. Rather, problems faced by family planning agencies in receiving Medicaid reimbursements for physician extenders' services are due to restrictions in state laws and staff misinterpretations of policy. Research has demonstrated that physcian extenders can contribute significantly to cost effectiveness, while providing types of care in localities such as rural areas that physicians tend to avoid. Given the importance of family planning services to Medicaid-eligible clients, unwarranted

  11. Cooperative Educational Service Agencies: The CESA Coordinators' Perspective. Information Series Volume 6, Number 2. Bulletin No. 7229.

    Science.gov (United States)

    Stefonek, Tom

    This booklet summarizes results of a study on the role and activities of Cooperative Educational Service Agencies (CESAs) in Wisconsin. CESAs are regional voluntary educational service agencies established in 1965 to serve local Wisconsin school districts. Data for the study were gathered through interviews with the 19 CESA coordinators during the…

  12. 41 CFR 102-76.25 - What standards must Federal agencies meet in providing architectural and interior design services?

    Science.gov (United States)

    2010-07-01

    ... Federal agencies meet in providing architectural and interior design services? 102-76.25 Section 102-76.25...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 76-DESIGN AND CONSTRUCTION Design and Construction § 102-76.25 What standards must Federal agencies meet in providing architectural and interior design services...

  13. 76 FR 62341 - Agency Information Collection Activities: Proposed Collection; Comment Request-School Foodservice...

    Science.gov (United States)

    2011-10-07

    ..., contact John Endahl, Senior Program Analyst, Office of Research and Analysis, Food and Nutrition Service... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--School Foodservice Indirect Cost Study AGENCY: Food and Nutrition Service (FNS), United...

  14. Using the structure of social networks to map inter-agency relationships in public health services.

    Science.gov (United States)

    West, Robert M; House, Allan O; Keen, Justin; Ward, Vicky L

    2015-11-01

    This article investigates network governance in the context of health and wellbeing services in England, focussing on relationships between managers in a range of services. There are three aims, namely to investigate, (i) the configurations of networks, (ii) the stability of network relationships over time and, (iii) the balance between formal and informal ties that underpin inter-agency relationships. Latent position cluster network models were used to characterise relationships. Managers were asked two questions, both designed to characterise informal relationships. The resulting networks differed substantially from one another in membership. Managers described networks of relationships that spanned organisational boundaries, and that changed substantially over time. The findings suggest that inter-agency co-ordination depends more on informal than on formal relationships.

  15. 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...

  16. Electronic Government In Democratic Public Service In One Door Integrated Permit Handling Services Agency In The City Of Samarinda

    Directory of Open Access Journals (Sweden)

    Iman Surya

    2015-01-01

    Full Text Available ABSTRACT Electronic government needs to carry out in a fundamental public services of democracy. But in practice BPPTSP one door integrated permit service board of Samarinda not able to perform the activities. The aim of this research described analyzing electronic government and public services in a democracy. The methodology used in this research using descriptive qualitative approach the study was on the one door integrated permit service of Samarinda respondents in Samarinda the mayor head of Samarinda the citizen private group of government agencies and interests. Then variable measured in electronic government includes support capacity value and public services including democratic information consultancy and participation. The results of research shows that the variables measured having a deficiency and inability in accommodate aspirations built between citizens and the government in developing electronic democratic government. It is influenced by the absence of elements of liaison which is justice diversity and access electronic between government and public services that make democratic BPPTSP the inability of the city of Samarinda to make changes in depth in an effort to build and create a public being communicative with citizens.

  17. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Science.gov (United States)

    2010-07-01

    ... self-service booking tool once ETS is available within my agency? 301-50.7 Section 301-50.7 Public... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS...

  18. 36 CFR 1235.12 - When must agencies transfer records to the National Archives of the United States?

    Science.gov (United States)

    2010-07-01

    ... records to the National Archives of the United States? 1235.12 Section 1235.12 Parks, Forests, and Public... NATIONAL ARCHIVES OF THE UNITED STATES General Transfer Requirements § 1235.12 When must agencies transfer records to the National Archives of the United States? Permanent records must be transferred to...

  19. 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...

  20. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self-Assessment Evaluations - Redacted

    Science.gov (United States)

    2016-12-20

    from reoccurring. In another example, for the March 30, 2015, self-assessment protocol “CPU [ central processing units ]/Laptops,”23 CDD Tucson personnel...the protocol required CDD personnel to review 23 Protocol ensures that CDD received only central processing units /laptops that had properly prepared...features from DoD property. 2 DLA Disposition Services operates three Centralized Demilitarization Divisions; the Tucson, Arizona, location processed

  1. 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.

  2. 41 CFR 302-3.418 - Will my agency pay for property management services when I am authorized a TCS?

    Science.gov (United States)

    2010-07-01

    ... property management services when I am authorized a TCS? 302-3.418 Section 302-3.418 Public Contracts and... § 302-3.418 Will my agency pay for property management services when I am authorized a TCS? Yes, your... services company, if you so choose. The term “property management services” refers to a program provided by...

  3. Project FIND: a profile of a community-based senior services agency.

    Science.gov (United States)

    Lockwood, Andrée

    2007-01-01

    Project FIND has been providing innovative supportive housing, nutrition, and social support to homeless and low- and moderate-income seniors on New York City's West Side since 1967. This article profiles this nonprofit, community-based agency, which was established to meet the needs of the frail and isolated elderly, and has continued to grow and evolve in response to changing demographics, neighborhood gentrification, and needs of both the homeless as well as the active "younger old." The article describes creative programming that has distinguished Project FIND's response to seniors' needs beyond basic housing and nutrition. It also explores what it takes to successfully provide senior services using limited resources and examines challenges for the future both nationally and for the agency.

  4. Working together for global health goals: The United States Agency for International Development and faith-based organizations

    Directory of Open Access Journals (Sweden)

    Clydette L Powell

    2014-01-01

    Full Text Available For many years, and before the term “FBO” was used for faith-based organizations, the United States Agency for International Development (USAID has supported the work of FBOs in global health and development. The Agency has long recognized the impact of FBOs within that development space, because these organizations are often well positioned to reach the hard-to-reach and to go the last mile because of their strong ties to the community. Moreover, FBOs deliver a substantial percentage of the health services in some developing countries. Faith partners, whether Catholic, Protestant, Buddhist, Hindu, Muslim, or other, have an important role to play as implementers in global health and to support global efforts towards achieving the Millennium Development Goals (MDGs in health. In addition, partnerships at national and international levels are key to the success of US Presidential Initiatives in the developing world, such as President’s Emergency Plan for AIDS Relief (PEPFAR and President’s Malaria Initiative (PMI. FBOs also have an important voice in policy and strategy formulation. Among other international donors, USAID support has been of great importance to the work of FBOs, thereby helping host nations to achieve goals in ending preventable child and maternal deaths, improving communicable disease control and prevention, and by supporting the construction and renovation of hospitals and health facilities where service delivery is most needed. The development literature is replete with examples of the work of FBOs made possible through access to resources. This paper focuses on some of the work supported by USAID in global health initiatives in order to reach complementary goals and achieve significant public health advances. Given the vastness of the topic, not all the global health initiatives involving FBOs supported by USAID are included here; the reader is encouraged to access the USAID website and USAID implementing partners for

  5. Building Service Delivery Networks: Partnership Evolution Among Children’s Behavioral Health Agencies in Response to New Funding

    Science.gov (United States)

    Bunger, Alicia C.; Doogan, Nathan J.; Cao, Yiwen

    2014-01-01

    Meeting the complex needs of youth with behavioral health problems requires a coordinated network of community-based agencies. Although fiscal scarcity or retrenchment can limit coordinated services, munificence can stimulate service delivery partnerships as agencies expand programs, hire staff, and spend more time coordinating services. This study examines the 2-year evolution of referral and staff expertise sharing networks in response to substantial new funding for services within a regional network of children’s mental health organizations. Quantitative network survey data were collected from directors of 22 nonprofit organizations that receive funding from a county government-based behavioral health service fund. Both referral and staff expertise sharing networks changed over time, but results of a stochastic actor-oriented model of network dynamics suggest the nature of this change varies for these networks. Agencies with higher numbers of referral and staff expertise sharing partners tend to maintain these ties and/or develop new relationships over the 2 years. Agencies tend to refer to agencies they trust, but trust was not associated with staff expertise sharing ties. However, agencies maintain or form staff expertise sharing ties with referral partners, or with organizations that provide similar services. In addition, agencies tend to reciprocate staff expertise sharing, but not referrals. Findings suggest that during periods of resource munificence and service expansion, behavioral health organizations build service delivery partnerships in complex ways that build upon prior collaborative history and coordinate services among similar types of providers. Referral partnerships can pave the way for future information sharing relationships. PMID:25574359

  6. 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...

  7. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    Science.gov (United States)

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children.

  8. 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.

  9. 41 CFR 102-85.190 - Can GSA Rent be adjusted when standard levels of service are performed by other customer agencies?

    Science.gov (United States)

    2010-07-01

    ... when standard levels of service are performed by other customer agencies? 102-85.190 Section 102-85.190... perform or contract for such services must be obtained in advance by the customer agency from the... of Service § 102-85.190 Can GSA Rent be adjusted when standard levels of service are performed by...

  10. 41 CFR 301-50.5 - What is my liability if I do not use my agency's TMS or the E-Gov Travel Service, and an...

    Science.gov (United States)

    2010-07-01

    ... I do not use my agency's TMS or the E-Gov Travel Service, and an exception has not been approved... REIMBURSEMENT 50-ARRANGING FOR TRAVEL SERVICES § 301-50.5 What is my liability if I do not use my agency's TMS... resulting from the failure to use the TMS or E-Gov Travel Service, including service fees,...

  11. 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...

  12. 76 FR 16376 - Agency Information Collection Activities: Proposed Collection; Comment Request-Nutrition...

    Science.gov (United States)

    2011-03-23

    ... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Nutrition Assistance in Farmers' Markets: Understanding Current Operations AGENCY: Food and Nutrition Service (FNS), United States Department of Agriculture (USDA). ACTION: Notice. SUMMARY:...

  13. 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...

  14. New Public Management or Mismanagement? The Case of Public Service Agency of Indonesia

    Directory of Open Access Journals (Sweden)

    JIN-WOOK CHOI

    2016-02-01

    Full Text Available In line with the new public management (NPM, a public service agency (PSA is considered as an alternative to replace the government-led public service delivery in a more efficient and effective way. At the same time, a PSA mechanism can deliver public service with better quality. To meet these ends, a PSA is granted with operational flexibility and autonomy particularly in managing finance and personnel. However, the PSA system has not yielded the expected benefits in Indonesia. On the contrary, PSAs have been regarded to cause financial burdens to the Government of Indonesia. This paper explores the current conditions of three key institutional bases of PSAs in Indonesia including PSA governance, financial management and performance management. The notable challenges related to the three dimensions in the Indonesia’s PSAs include the weak PSA governance structure, and an inappropriate balance between flexibility and autonomy on the one hand and accountability and performance on the other in managing a PSA. Focusing on these challenges, this paper draws the following policy suggestions for Indonesia to improve the efficient operation of the PSA system: rebuild the PSA governance on a firm and clear legal base, absorb diverse stakeholders and outside experts in the PSA governance decision-making; monitor and evaluate the PSA’s financial flexibility and autonomy through vigilant internal and external monitoring mechanisms; redesign performance appraisal to set up right appraisal structure, process, and performance criteria; and link the results of performance appraisal to relevant rewards and punishment.

  15. Does caregiver participation in decision making within child welfare agencies influence children's primary and mental health care service use?

    Science.gov (United States)

    Jolles, M P; Wells, R

    2017-03-01

    Many children in contact with child welfare agencies do not receive needed health services. These agencies have used participatory decision making (PDM) practices as a way to increase families' use of recommended services. However, we lack evidence of whether caregiver participation in PDM increases children's use of health services. This study uses a national sample of children involved with child welfare to compare their health service use between those children serve through a PDM practice and those who did not experience it. Cross-sectional analyses using the 2009-2010 National Survey of Child and Adolescent Well-Being. Propensity score analysis accounted for observed selection bias. PDM practice was measured as whether the caregiver was included in decision-making during service planning meetings. Health service use was measured as child's receipt of any primary or mental health care services in the past year. Primary health care need was measured using standardized measures and caseworker report. The sample was comprised of children ages 2-17 with primary or mental health needs in contact with a child welfare agency. In the unmatched sample of 1,358 children, 14% were served through a PDM service practice, and 12% had a primary health care and 37% a mental health need. Families served through PDM were also reported by caseworkers as more cooperative during the child welfare investigation, and with fewer reports of domestic violence and agency re-referrals (P children received services compared with 40% for non-PDM children (P = 0.004). Group differences were not significant for mental health services. Lower-risk families were more likely to be served through PDM which was positively associated with child use of primary health services. Inclusion of caregivers in decision making may not be sufficient to overcome barriers to children's mental health service use. © 2016 John Wiley & Sons Ltd.

  16. 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

  17. 20 CFR 411.390 - What does a State VR agency do if a beneficiary to whom it is already providing services has a...

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What does a State VR agency do if a... VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? If a beneficiary who is receiving services from the State VR agency under an existing...

  18. Fraud Prevention A Study In Regional Public Service Agency BLUD For Hospital In Malang Regency Indonesia

    Directory of Open Access Journals (Sweden)

    Koenta Adji Koerniawan

    2015-08-01

    Full Text Available This study aims to understand the effect of management perceptions in Regional Public Service Agency BLUD for Hospital in Malang regency Indonesia on the role of the Independent Auditor and their understanding towards Good Governance the General Audit Engagement and its implications for the prevention of corruption. This research is quantitative which placed latent variables General Audit Engagements as intervening variables. Partial Least Square PLS is used to confirm the model created in order to explain the relationship between variables. The results show that the perception of BLUD hospital management on the role of independent auditors and their understanding of good governance to give effect to the implementation of the audit engagement and the implications for the prevention of fraud in BLUDs hospital. This is consistent with the theory of auditing and fraud prevention concepts. JEL Classification M420 K420

  19. 5 CFR 919.910 - Agency.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Agency. 919.910 Section 919.910 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 919.910 Agency. Agency means any United...

  20. 75 FR 23308 - Excepted Service

    Science.gov (United States)

    2010-05-03

    ..., United States Citizenship and Immigration Services. Effective March 10, 2010. DMGS00848 Special Assistant... General Counsel. Effective March 31, 2010. Environmental Protection Agency EPGS10005 Associate...

  1. 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)…

  2. Regional and forest-level estimates of carbon stored in harvested wood products from the United States Forest Service Northern Region, 1906-2010

    Science.gov (United States)

    N. Anderson; J. Young; K. Stockmann; K. Skog; S. Healey; D. Loeffler; J.G. Jones; J. Morrison

    2013-01-01

    Global forests capture and store significant amounts of CO2 through photosynthesis. When carbon is removed from forests through harvest, a portion of the harvested carbon is stored in wood products, often for many decades. The United States Forest Service (USFS) and other agencies are interested in accurately accounting for carbon flux associated with harvested wood...

  3. 41 CFR 302-15.13 - What are the income tax consequences when my agency pays for my property management services?

    Science.gov (United States)

    2010-07-01

    ... consequences when my agency pays for my property management services? 302-15.13 Section 302-15.13 Public... TRANSACTION ALLOWANCES 15-ALLOWANCE FOR PROPERTY MANAGEMENT SERVICES General Rules for the Employee § 302-15.13 What are the income tax consequences when my agency pays for my property management services? When...

  4. 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...

  5. 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,…

  6. 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,…

  7. EnviroAtlas - Dasymetric Population in the Conterminous United States Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service supports research and online mapping activities related to EnviroAtlas (https://www.epa.gov/enviroatlas). This EnviroAtlas dataset...

  8. EnviroAtlas - Potentially Restorable Wetlands on Agricultural Land - Contiguous United States Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service supports research and online mapping activities related to EnviroAtlas (https://www.epa.gov/enviroatlas). The EnviroAtlas Potentially...

  9. EnviroAtlas - Potentially Restorable Wetlands in the Conterminous United States Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service supports research and online mapping activities related to EnviroAtlas (https://www.epa.gov/enviroatlas). This EnviroAtlas dataset shows...

  10. EnviroAtlas - Potential Wetland Areas - Contiguous United States Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service supports research and online mapping activities related to EnviroAtlas (https://www.epa.gov/enviroatlas). The EnviroAtlas Potential...

  11. EnviroAtlas - Rare Ecosystems in the Conterminous United States Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service supports research and online mapping activities related to EnviroAtlas (https://www.epa.gov/enviroatlas). This EnviroAtlas dataset...

  12. 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.

  13. Policies and practices in the delivery of HIV services in correctional agencies and facilities: results from a multisite survey.

    Science.gov (United States)

    Belenko, Steven; Hiller, Matthew; Visher, Christy; Copenhaver, Michael; O'Connell, Daniel; Burdon, William; Pankow, Jennifer; Clarke, Jennifer; Oser, Carrie

    2013-10-01

    HIV risk is disproportionately high among incarcerated individuals. Corrections agencies have been slow to implement evidence-based guidelines and interventions for HIV prevention, testing, and treatment. The emerging field of implementation science focuses on organizational interventions to facilitate adoption and implementation of evidence-based practices. A survey of correctional agency partners from the Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) revealed that HIV policies and practices in prevention, detection, and medical care varied widely, with some corrections agencies and facilities closely matching national guidelines and/or implementing evidence-based interventions. Others, principally attributed to limited resources, had numerous gaps in delivery of best HIV service practices. A brief overview is provided of a new CJ-DATS cooperative research protocol, informed by the survey findings, to test an organization-level intervention to reduce HIV service delivery gaps in corrections.

  14. Approaching the Next Millennium: Educational Service Agencies in the 1990s. ESA Study Series: Report No. II.

    Science.gov (United States)

    Stephens, E. Robert; Turner, Walter G.

    State-endorsed education service agency (ESA) type organizations are found in 26 state school systems, 23 of which have a complete statewide network serving all local districts. These organizations promote collaboration among local school districts in substate regions or serve as a conduit for implementation of state initiatives. This report…

  15. An Innovative Method for Evaluating Strategic Goals in a Public Agency: Conservation Leadership in the U.S. Forest Service

    Science.gov (United States)

    David N. Bengston; David P. Fan

    1999-01-01

    This article presents an innovative methodology for evaluating strategic planning goals in a public agency. Computer-coded content analysis was used to evaluate attitudes expressed in about 28,000 on-line news media stories about the U.S. Department of Agriculture Forest Service and its strategic goal of conservation leadership. Three dimensions of conservation...

  16. Service Quality Robust Design by the Integration of Taguchi Experiments and SERVQUAL Approach in a Travel Agency

    Directory of Open Access Journals (Sweden)

    nassibeh janatyan

    2012-02-01

    Full Text Available The main purpose of this research is to address how robust design of service quality dimensions can be obtained. Service Quality Robust Design has been conducted by the integration of Taguchi Design of Experiments and SERVQUAL approach in Iran Travel Agency. Five basic dimensions of service quality, i.e. reliability, responsiveness, assurance, empathy, tangibles and price have been assumed as control factors. Response factor has been defined as two alternatives i the sum of customer expectations, and ii the sum of service quality gaps. In this investigation assumed that noise factor is not existed. The advantage of this paper is to improve the average and standard deviation simultaneously. Signal to noise ratio has been computed and the desired mix of the levels of service quality dimensions has been addressed. The main findings of this research includes the desired mix of the levels of service quality dimensions based on the sum of customer expectations and the desired mix of the levels of service quality dimensions based on the sum of service quality gaps. Comparing the two sets of findings helps the agency to analyze the cost of attracting new customers or retaining regular customers.

  17. 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.

  18. 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.

  19. 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.

  20. Services for persons with dementia and their families: a survey of information and referral agencies in Michigan.

    Science.gov (United States)

    Shope, J T; Holmes, S B; Sharpe, P A; Goodman, C; Izenson, S; Gilman, S; Foster, N L

    1993-08-01

    In planning a statewide Dementia Program, Michigan agencies (N = 244) providing geriatric information and referral (I&R) were surveyed to determine service availability, families' needs, and problems providing I&R for persons with dementia and their families. Home-delivered meals, nursing and social work assessments were considered more available. Medical assessment, however, was considered "very available" by only 60%. Respite and adult day care were least available and most needed. Least was known about autopsy and financial services. For several services, non-urban areas reported less availability than urban areas. With additional information and training, existing agencies could provide more available and extensive I&R for persons with dementia and their families, forming a statewide network.

  1. The Impact of Service Quality on Customer Behavioral Loyalty in the Case of Travel Agencies from Romania

    Directory of Open Access Journals (Sweden)

    Ovidiu I. Moisescu

    2014-11-01

    Full Text Available Even though the concept of loyalty has been a key issue in tourism destination marketing for the last decades, the issue of customer loyalty in the case of travel agencies seems to be less emphasized in the specialized literature. The current research is part of a larger study directed at analyzing the impact of corporate social responsibility (CSR on customer loyalty. Improving service quality is a fundamental part of the social responsibility of tourism businesses, while creating, maintaining and increasing customer loyalty is essential for the sustainability of these businesses. Starting from these assertions, the current paper tries to reveal certain correlations and to identify a model that depicts the impact of travel agencies’ service quality on their customers’ loyalty. In order to accomplish these goals, an online survey has been conducted among a sample of 286 Romanians which travelled using the services of a travel agency. In order to evaluate service quality, the SERVPERF assessment procedure was adapted to the case of travel agencies, using items related to tangibles (physical facilities, equipment and appearance of personnel, reliability (ability to perform the promised service dependably and accurately, responsiveness (willingness to help customers and provide prompt service, assurance (knowledge and courtesy of employees and their ability to inspire trust and confidence - including competence, courtesy, credibility and security, and empathy (caring and individualized attention that the firm provides to its customers - including access, communication, understanding the customer. In what concerns customer loyalty, the paper focuses on its behavioral facet, namely on the recommendations effectively made regarding certain travel agencies. In the proposed model, the scores regarding perceptions (SERVPERF were approached as independent variables, while behavioral loyalty was depicted as dependent variable.

  2. 20 CFR 411.375 - Does a State VR agency continue to provide services under the requirements of the State plan...

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Does a State VR agency continue to provide... Rehabilitation Agencies' Participation Participation in the Ticket to Work Program § 411.375 Does a State VR.... The State VR agency must continue to provide services under the requirements of the State plan...

  3. 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…

  4. Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

    Directory of Open Access Journals (Sweden)

    Karien Jooste

    2013-01-01

    Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

  5. Organized Crime and Drug Enforcement Task Force. Hearing before the Committee on the Judiciary. United States Senate, Ninety-Eighth Congress, First Session on the Organized Crime and Drug Enforcement Task Force in the Mid-Atlantic Region Which Would Coordinate Government Agencies, Including U.S. Attorneys, the FBI, DEA, Customs Service, BATF, and the IRS. Dover, Delaware.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on the Judiciary.

    This document presents testimony and proceedings from the Congressional hearings on organized crime and drug enforcement in the Mid-Atlantic region, and government efforts to solve these problems. Opening statements are presented from Senators Strom Thurmond and Joseph Biden. Testimony is also presented from the United States attorneys for the…

  6. 41 CFR 301-10.421 - How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy...

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy transportation driver? 301-10.421 Section 301... tip to a taxi, shuttle service, or courtesy transportation driver? An amount which your agency...

  7. 20 CFR 411.385 - What does a State VR agency do if a beneficiary who is eligible for VR services has a ticket that...

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What does a State VR agency do if a beneficiary who is eligible for VR services has a ticket that is available for assignment or reassignment? 411... a State VR agency do if a beneficiary who is eligible for VR services has a ticket that is available...

  8. 25 CFR 20.508 - What must the social services agency do when a child is placed in foster care, residential care...

    Science.gov (United States)

    2010-04-01

    ... placed in foster care, residential care or guardianship home? 20.508 Section 20.508 Indians BUREAU OF... PROGRAMS Child Assistance Foster Care § 20.508 What must the social services agency do when a child is placed in foster care, residential care or guardianship home? The social services agency must make...

  9. 75 FR 19986 - Revision of Agency Information Collection for Financial Assistance and Social Services

    Science.gov (United States)

    2010-04-16

    ... the information collection, titled ``Financial Assistance & Social Services, 25 CFR 20.'' The... part 20 to eligible Indians when comparable financial assistance or social services either are not... application form was revised to include all Financial Assistance and Social Service components...

  10. 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...

  11. Activity Theory: A Framework for Understanding Multi-Agency Working and Engaging Service Users in Change

    Science.gov (United States)

    Greenhouse, Paul Michael

    2013-01-01

    This article discusses the quality of professional relationships between educational psychologists (EPs) and other professionals who work around children, young people and their families as part of a multi-agency team (MAT). The perceived barriers to, and facilitators of, effective multi-agency working are explored in relation to their potential…

  12. 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...

  13. 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…

  14. 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…

  15. 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...

  16. Agency as an Organizational Choice for Public Services Optimization. Past, Present and Future in a Spain in Crisis

    Directory of Open Access Journals (Sweden)

    Alejandra Boto

    2015-06-01

    Full Text Available In the current global crises situation, it is essential to contemplate the administrative organization in terms of efficiency, effectiveness and rationality. A remodeling of the public sector is imperative and to do so requires a type of organizational engineering, which is able to optimize control over public expenses and the provision of essential services. This work looks at an agency’s potential for such a mission, and particularly employs the perspective of the Spanish State Agencies. This paper begins by abstractly addressing the polymorphic and polysemic phenomenon of agencies from a Comparative Law perspective and then moves on to analyze the specific background of state agencies in Spain and their present and future situation.

  17. Object/Shape Recognition Technology: An Assessment of the Feasibility of Implementation at Defense Logistics Agency Disposition Services

    Science.gov (United States)

    2015-02-25

    IV.  ANALYSIS OF THE CURRENT PROPERTY PROCESS AT DEFENSE LOGISTICS AGENCY DISPOSITION SERVICES AND MATURITY ASSESSMENT OF OBJECT/SHAPE RECOGNITION...implement full automation with optical sorting and data mining that included sensors, laser, object/shape recognition technology on conveyor belt...the current state of object/shape recognition technology and assess the feasibility of implementing it at DLA DS. C. RESEARCH QUESTIONS, SCOPE AND

  18. Listen to me, too! Lessons from involving children with complex healthcare needs in research about multi-agency services.

    Science.gov (United States)

    Watson, D; Abbott, D; Townsley, R

    2007-01-01

    Children with complex healthcare needs are often excluded, both from active involvement in research projects and from direct consultation in services. During a 3-year research study into multi-agency services for children with complex healthcare needs, the authors involved children in a number of innovative ways and endeavoured to discover what impact, if any, multi-agency working made to them. The researchers 'spent time' with 18 children with complex healthcare needs. They used a variety of methods to engage with the children in a meaningful way. More than half of the children had no verbal communication, so it was necessary in some cases to work with an advocate, usually the parent, to aid the process. Children with complex healthcare needs can take part in research as long as the research is set up sensitively and flexibly. In terms of the impact of multi-agency working, the authors concluded significant advances had been achieved for this group: almost all the children were living at home and attending school. However, there were significant gaps in addressing children's human rights in relation to communication, independence and relationships. In addition, many of the children had very little effective direct consultation with the multi-agency services. There are significant advances in involving disabled children in research and in service delivery, but there is still some way to go in involving those with complex healthcare needs. The challenges are considerable, but the benefits far outweigh these, not least being the value that parents, carers and the children themselves place upon being listened to.

  19. United States Arms Control and Disarmament Agency. Ninth Annual Report to Congress.

    Science.gov (United States)

    Arms Control and Disarmament Agency, Washington, DC.

    This annual report surveys activities of the Arms Control and Disarmament Agency (ACDA) and summarizes disarmament developments for the calendar year 1968. An act of Congress states that ACDA must have such a position within the Government that it can provide the President, the Secretary of State, other officials of the executive branch, and the…

  20. 22 CFR 126.4 - Shipments by or for United States Government agencies.

    Science.gov (United States)

    2010-04-01

    ..., lease, loan or cooperative project under the Arms Export Control Act or a sale, lease or loan under the...) The export or temporary import is pursuant to a contract with, or written direction by, an agency of...) A license is not required for the temporary import, or temporary export, of any defense...

  1. 29 CFR 790.19 - “Agency of the United States.”

    Science.gov (United States)

    2010-07-01

    ... the statutes with the real power to act for the Government—those who actually have the power to act as... Federal agency, and not a minor official thereof. I, therefore, feel that the legitimate interest of labor... authority vested with power to issue or adopt regulations, orders, rulings, approvals,...

  2. United States Department of Defense: Agency Financial Report Fiscal Year 2014

    Science.gov (United States)

    2014-01-01

    relationships between the USMC and partner nations. Photo by Mass Communication Specialist Seaman Patrick Dionne U.S. Department of Defense Agency...the year, and the relationship between the budgetary resources and the outlays made against them. In accordance with Federal statutes and...102 Note 23 Funds from Dedicated Collections ............................................................. 103 Note 24 Fiduciary

  3. 77 FR 5012 - Environmental Protection Agency, Department of Health and Human Services and Department of...

    Science.gov (United States)

    2012-02-01

    ... production in plants (such as cry genes). EPA grants experimental use permits for field testing and... office of Animal and Plant Health Inspection Service/Biotechnology Regulatory Services (APHIS/BRS) and...

  4. 76 FR 15993 - Revision of Agency Information Collection for Financial Assistance and Social Services

    Science.gov (United States)

    2011-03-22

    ... Budget a revision to the information collection, titled ``Financial Assistance & Social Services, 25 CFR... OMB Control Number: 1076-0017. Title: Financial Assistance and Social Services, 25 CFR 20. Brief.... Respondents: Individual Indians seeking financial assistance or social services from BIA. Number...

  5. How Personality Traits and Job Satisfaction Influence Service Quality in Housing Agencies

    Science.gov (United States)

    Robinson, Donna E.

    2010-01-01

    Human service organizations are intended to stabilize low-income families and promote self-sufficiency by providing much needed services and benefits. Recipients, however, often do not get everything they need in terms of either benefits or service quality. Understandably, clients want the help they are entitled to and promised from providers who…

  6. How Personality Traits and Job Satisfaction Influence Service Quality in Housing Agencies

    Science.gov (United States)

    Robinson, Donna E.

    2010-01-01

    Human service organizations are intended to stabilize low-income families and promote self-sufficiency by providing much needed services and benefits. Recipients, however, often do not get everything they need in terms of either benefits or service quality. Understandably, clients want the help they are entitled to and promised from providers who…

  7. 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.

  8. Family Therapy and Young Abusers : Experiences from the multi-agency treatment service TVERS in Vest-Agder County, Norway

    Directory of Open Access Journals (Sweden)

    Siri Søftestad

    2015-03-01

    Full Text Available This article focuses on young abusers participating in a treatment program for families where one or more children have experienced child sexual abuse and/or have abused other children. TVERS is a multiprofessional team where the treatment is performed within a frame of control ,“care and control hand in hand”. Three trained family therapists from three different agencies come together and form the therapy. The caseworker from the child care protection service (Children`s Service becomes a part of the TVERS-team during their therapeutic work with the young abuser and his family. The therapists are given access to all reports and documents from the police, the court and medical services. The caseworker can follow up the family between appointments as well as initiate child protection procedures if necessary. The article describes our experience of working with families where the son in the family has abused other children outside or inside their own family.

  9. "The extension service is not an integration agency": the idea of race in the Cooperative Extension Service.

    Science.gov (United States)

    Harris, Carmen V

    2008-01-01

    This article is an institutional history of the development of race policy within the federal Cooperative Extension Service. It demonstrates that the popular belief in African-American inferiority and pragmatic political compromises aimed at creating a bureaucracy serving the nation's agricultural constituency and ensuring its longevity, led to a conscious marginalization of African-American interests within the program. Federal extension officials not only tolerated, but actively supported, discrimination within the southern the southern branches of the service. African-American leadership protested against the adverse effects of racial policies in the Extension Service from the very beginning. While there were some limited positive gains in the number of staff and availability of services for rural African-Americans, these changes did not challenge the suzerainty of whites over the program. In the post-World War II era -- especially after 1950 -- African-Americans confronted white extension leadership. Extension officials hid behind a bureaucratic façade and a flawed interpretation of the federal-state cooperative agreement to delay institutional restructuring. Political appointees pushed the service toward policies of racial justice; however, extension leadership continued to move slowly on fundamental transformation. As a result, the adjustments did not lead to a fundamental re-thinking of race policy in the service and ultimately contributed to the disappearance of the African-American extension force to a significant degree.

  10. A sense of agency: An ethnographic exploration of being awake during mechanical ventilation in the intensive care unit.

    Science.gov (United States)

    Laerkner, Eva; Egerod, Ingrid; Olesen, Finn; Hansen, Helle Ploug

    2017-06-30

    There is a current trend towards lighter or no sedation of mechanically ventilated patients in the intensive care unit. The advantages of less sedation have been demonstrated as shorter duration of mechanical ventilation and reduced length of stay in the intensive care unit and hospital. Non-sedated patients are more awake during mechanical ventilation, but little is known about how this affects the intensive care patient. To explore patients' experiences of being awake during critical illness and mechanical ventilation in the intensive care unit. The study was based on Interpretive Description, an applied inductive, qualitative approach with an ethnographic exploration of the patient experience. A longitudinal perspective was obtained through 13 months of fieldwork followed by two patient interviews after intensive care and after hospital discharge. Data were analyzed using thematic analysis. The fieldwork was conducted in two intensive care units at a university hospital in Denmark, where the no sedation strategy for mechanically ventilated patients was implemented. Twenty-eight patients were observed in the intensive care unit. Twenty patients, who had been awake for most of the time on mechanical ventilation, were interviewed during the first week after discharge from intensive care. Thirteen of these patients were interviewed again two to four months after discharge. Three themes were identified: "A sense of agency", "The familiar in the unfamiliar situation" and "Awareness of surrounding activities". Patients had the ability to interact from the first days of critical illness and a sense of agency was expressed through initiating, directing and participating in communication and other activities. Patients appreciated competent and compassionate nurses who were attentive and involved them as individual persons. Initiatives to enhance familiar aspects such as relatives, personal items and care, continuity and closeness of nurses contributed to the patients

  11. 制造公司服务创新与服务代理关系研究%Relationship between Service Innovation of Manufacturing Enterprise and Service Agency

    Institute of Scientific and Technical Information of China (English)

    李俊

    2015-01-01

    The constant improvement of the core competitiveness of manufacturing enterprises not only should rely on technological innovation of product, but also should have continuous service innovation. How to obtain knowledge and information about the service innovation is an important problem faced by manufacturing enterprises. This paper studies the service agency who plays an important role in the services innovation of manufacturing enterprise. Service agency is not only the important source of knowledge innovation, but also is the bridge of manufacturing enterprises to enter the various heterogeneous social network. By establishing relationships with service agency, it enables the enterprises to obtain a variety of heterogeneous information, promotes the product-service innovation restructuring, while reduce the knowledge integration costs in innovative search of manufacturing enterprises and improve the reliability of knowledge acquisition.%制造企业核心竞争力的不断提升,不仅要依靠产品技术创新,更要有持续的服务创新,如何获得服务创新的知识和信息是制造企业面临的重要难题。本文研究了在制造企业服务创新中发挥重要作用的服务中介。服务中介不仅是重要的创新知识源,同时还是制造企业进入各种异质性社会网络的桥梁。通过与服务中介建立关系,能够使企业获得各种异质性信息,促进产品———服务的创新重组,同时能降低制造企业创新搜索中的知识整合成本,提高知识获取的可靠性。

  12. Hospice Agencies

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of all Hospice Agencies that have been certified by Medicare. The list includes addresses, phone numbers, and date of original CMS certification, as well as...

  13. 77 FR 326 - Agency Information Collection (Application for United States Flag for Burial Purposes): Activity...

    Science.gov (United States)

    2012-01-04

    .... 2900-0013'' in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records... 21-2008 is used to determine a family member or friend of a deceased veteran eligibility for issuance.... Denise McLamb, Program Analyst, Enterprise Records Service. BILLING CODE 8320-01-P...

  14. 75 FR 52065 - Agency Information Collection (Loan Service Report) Activity Under OMB Review

    Science.gov (United States)

    2010-08-24

    ... correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department...-0443 or e-mail denise.mclamb@va.gov . Please refer to ``OMB Control No. 2900-0249'' in any... direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. BILLING CODE...

  15. 76 FR 54001 - Agency Information Collection (Election To Apply Selected Reserve Services to either Montgomery...

    Science.gov (United States)

    2011-08-30

    ... any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B...-0966 or e-mail denise.mclamb@va.gov . Please refer to ``OMB Control No. 2900-0594.'' SUPPLEMENTARY... direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. BILLING CODE...

  16. Linking Schools with Human Service Agencies. ERIC/CUE Digest No. 62.

    Science.gov (United States)

    Ascher, Carol

    A number of factors put pressure on schools to work more closely with health, social service, and other youth-serving institutions but poor communications, program redundancies, fear for job security, and concerns about parent and community support for controversial services inhibit close collaboration. Recent successful collaborative school,…

  17. 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...

  18. 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...

  19. A 27-locus STR assay to meet all United States and European law enforcement agency standards.

    Science.gov (United States)

    Schumm, James W; Gutierrez-Mateo, Cristina; Tan, Eugene; Selden, Richard

    2013-11-01

    Different national and international agencies have selected specific STR sets for forensic database use. To enhance database comparison across national and international borders, a 27-locus multiplex system was developed comprising all 15 STR loci of the European standard set, the current 13 STR loci of the CODIS core, the proposed 22 STR loci of the expanded CODIS core, 4 additional commonly used STR loci, and the amelogenin locus. Development required iterative primer design to resolve primer-related artifacts, amplicon sizing, and locus-to-locus balance issues. The 19.5-min assay incorporated newly developed six-dye chemistry analyzed using a novel microfluidic electrophoresis instrument capable of simultaneous detection and discrimination of 8 or more fluorescent dyes. The 27-locus multiplex offers the potential for a new international STR standard permitting laboratories in any jurisdiction to use a single reaction to determine profiles for loci they typically generate plus an expanded common STR profiling set of global interest.

  20. 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...

  1. 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...

  2. Educating Aging Service Agency Staff About Discussing End-of-Life Wishes.

    Science.gov (United States)

    Flowers, Kimberlie; Howe, Judith L

    2015-01-01

    Seventy-five percent of Americans support the idea of Advance Directives (ADs) but less than 20% complete one, resulting in increased hospitalization costs, unwanted treatment, and difficult family decisions. Engaging community resources for public education may be effective for increasing understanding and completion of ADs. This project focused on workers in an agency serving older adults. A training program was developed with the goal of increasing their understanding of the process and benefits of Health Care Proxies (HCPs) and ADs through hands-on experience, increasing relevant skills and willingness to discuss with consumers, and to implement an agency protocol increasing documentation of HCPs for consumers. After a small proof-of-concept pilot, all staff members were asked to participate in the educational program. The pilot program delivery found increased staff knowledge as well as motivation to complete HCPs among the staff themselves and their own families. This program resulted in increased staff knowledge of EOL documents, willingness to engage in EOL discussions, and an increase in documented HCPs. This program has relevance for workers in other agencies as they engage older consumers to encourage completion of ADs. This experiential approach to staff education increased their understanding and willingness to initiate EOL discussion with consumers.

  3. nowCOAST's Map Service for Map Overlays of Federal Agencies Administrative Regions

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Map Information: This nowCOAST map service provides maps depicting the administrative boundaries of NOAA/NWS and some of its federal partners including FAA, USCG,...

  4. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Wastewater Treatment Plants

    Data.gov (United States)

    Department of Homeland Security — This GIS dataset contains data on wastewater treatment plants, based on EPA's Facility Registry Service (FRS) and NPDES, along with Clean Watersheds Needs Survey...

  5. 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…

  6. 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...

  7. 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

  8. 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…

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. Advertising Agencies

    DEFF Research Database (Denmark)

    Moeran, Brian

    2015-01-01

    for their clients, the advertisers, who are in search of customers for their goods and services. Agencies thus mediate between three different but interlocking social groups: industry, media, and consumers. The history of advertising is largely the history of the advertising agencies that have served the needs......Advertising agencies are the most significant organizations in the development of advertising and marketing worldwide. An advertising agency is an independent service company, composed of business, marketing and creative people, who develop, prepare, and place advertising in advertising media...... of these three groups. They link industry and media by creating new forms for messages about products and services; industry and consumers by developing comprehensive communications campaigns and providing information thereon; and media and consumers by conducting audience research to enable market segmentation...

  14. 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.

  15. 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.

  16. Total cylindrospermopsins, microcystins/nodularins, and saxitoxins data for the 2007 United States Environmental Protection Agency National Lake Assessment

    Science.gov (United States)

    Loftin, Keith A.; Dietze, Julie E.; Meyer, Michael T.; Graham, Jennifer L.; Maksimowicz, Megan M.; Toyne, Kathryn D.

    2016-05-26

    Phytoplankton communities in freshwater lakes, ponds, and reservoirs may be dominated by cyanobacteria (also called blue-green algae) under certain environmental conditions. Cyanobacteria may cause a range of water-quality impairments, including the potential for toxin production. Cyanobacteria toxins (cyanotoxins) may adversely impact human and ecological health. Microcystins are considered to be one of the most commonly found classes of cyanotoxins in freshwater ecosystems, and as such were selected as a recreational indicator of water quality for the 2007 United States Environmental Protection Agency (EPA) National Lakes Assessment. However, much less is known about the occurrence of other classes of cyanotoxins in fresh surface water such as anatoxins, cylindrospermopsins, nodularins, and saxitoxins.

  17. 78 FR 14298 - Public Availability of Environmental Protection Agency FY 2012 Service Contract Inventory

    Science.gov (United States)

    2013-03-05

    ... on service contract actions over $25,000 ] that were made in FY 2012. The information is organized by... developed in accordance with guidance issued by the Office of Management and Budget's Office of Federal... Management, Headquarters Procurement Operations Division (3803R), Business Analysis and Strategic...

  18. Integrating an HTLV-III Screening Program into a Community Based Family Health Service Agency.

    Science.gov (United States)

    Klausmeier, Walter W.; Henshaw, Beverly

    Acquired Immune Deficiency Syndrome (AIDS) has become one of the most serious epidemic disease problems in recent years. In 1985 the Public Health Service recommended establishment of test sites where individuals might be tested for Human T Lymphotropic Virus III (HTLV-III) antibody. An HTLV-III antibody screening program was integrated into a…

  19. 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.

  20. Defense Logistics Agency Disposition Services as a Supply Source: A DoD-Wide Opportunity

    Science.gov (United States)

    2013-07-01

    Inventory USMC Requisitions Nomenclature Unit Price 8465011150026 235 2032 Canteen , Water $5.08 5660002701510 1139 1800 Post, Fence, Metal $6.75...7503 500 Cover, Water Canteen $5.85 8465011178699 460 498 Bag, Duffel $22.90 5310012349416 3598 470 Washer, Flat $0.01 2590015762424 329 274 Cutter

  1. US Forest Service Administrative Forest Boundaries

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting all the National Forest System lands administered by an unit. These areas encompasse private lands, other governmental agency...

  2. United Nations/European Space Agency Workshops on Basic Space Science

    Science.gov (United States)

    Haubold, H. J.; Ocampo, A.; Torres, S.; Wamsteker, W.

    1995-01-01

    In 1958, the United Nations (UN) formally recognized a new potential for international cooperation by establishing an ad hoc Committee on the Peaceful Uses of Outer Space (COPUOS). A year later the Committee became a permanent body, and by 1983 membership had expanded to 53 states, with more than half of the members coming from the developing world. In 1970, COPUOS established the UN Program on Space Applications in order to strengthen cooperation in space science and technology between non-industrialized and industrialized countries. In the last few years, the UN and its COPUOS have paid increasing attention to education and research in space science and technology, including basic space science. In 1991 the UN, in cooperation with ESA, initiated the organization of annual Workshops in Basic Space Science for developing countries. These Workshops are designed to be held in one of the following major regions: Asia and the Pacific, Latin America and the Caribbean, Africa, Western Asia, and Europe. Accordingly, Basic Space Science Workshops have already been held in India (1991), Costa Rica andColombia (1992), and Nigeria (1993). The fourth Workshop was held from 27 June to 1 July 1994 at the Cairo University, in Egypt, for Western Asia.

  3. United Nations/European Space Agency Workshops on Basic Space Science

    Science.gov (United States)

    Haubold, H. J.; Ocampo, A.; Torres, S.; Wamsteker, W.

    1995-02-01

    In 1958, the United Nations (UN) formally recognized a new potential for international cooperation by establishing an ad hoc Committee on the Peaceful Uses of Outer Space (COPUOS). A year later the Committee became a permanent body, and by 1983 membership had expanded to 53 states, with more than half of the members coming from the developing world. In 1970, COPUOS established the UN Program on Space Applications in order to strengthen cooperation in space science and technology between non-industrialized and industrialized countries. In the last few years, the UN and its COPUOS have paid increasing attention to education and research in space science and technology, including basic space science. In 1991 the UN, in cooperation with ESA, initiated the organization of annual Workshops in Basic Space Science for developing countries. These Workshops are designed to be held in one of the following major regions: Asia and the Pacific, Latin America and the Caribbean, Africa, Western Asia, and Europe. Accordingly, Basic Space Science Workshops have already been held in India (1991), Costa Rica and Colombia (1992), and Nigeria (1993). The fourth Workshop was held from 27 June to 1 July 1994 at the Cairo University, in Egypt, for Western Asia.

  4. 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...

  5. 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...

  6. 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

  7. Financial and Legal Characteristics of Cross-Jurisdictional Shared Service Agreements Between Local Public Health Agencies.

    Science.gov (United States)

    Watts, Theresa; Zahner, Susan; Mrochek, Tracy

    2017-03-01

    Cross-jurisdictional sharing is a resource management strategy increasingly being used by local health departments to provide essential and mandated public health services. Cross-jurisdictional shared service agreements (CJSSAs) are the legal documents that govern cross-jurisdictional sharing arrangements. Information on the financial and legal characteristics of CJSSAs is limited. This study described the financial and legal elements of a set of formal, written CJSSAs in one state to offer guidance to practitioners on how to structure the financial and legal elements in CJSSAs. CJSSAs, which included a written statement about the financial commitment governed by the agreement (n = 63), were analyzed. Data collection occurred through 2 structured data extraction tools and structured telephone interviews conducted with local and tribal health department directors. Descriptive statistics of all variables and a single predictor linear regression were performed. The higher population partner to the CJSSA more often provided the public health service and received payment (n = 41; 65%). Financial statements were found to vary by CJSSA characteristic. CJSSAs were more likely to be legally complete when a legal counsel was involved in creating them (odds ratio = 2.74; 95% confidence interval, 2.19-3.29; P ≤ .001). Yet, only 2 (3%) of the CJSSAs described all the legal elements and were considered legally complete. Clearly identifying and including necessary fiscal and legal elements when creating and managing CJSSAs may strengthen agreements and reduce local health department legal and fiscal vulnerabilities. Local health department capacity for planning, coordination, budgeting, management, and evaluation is essential when creating CJSSA. Careful consideration of cost-sharing and consulting with legal counsel could strengthen the CJSSA.

  8. 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.

  9. Urine drug testing for social service agencies in Nova Scotia, Canada.

    Science.gov (United States)

    Fraser, A D

    1998-01-01

    In Nova Scotia Canada, governmental authorities expressed concern in the late 1980s about the adverse effects of drug use by parents on the welfare of their children. Since 1991, parents with a history of drug abuse may be required to submit to urine drug and alcohol testing when ordered by the Family Courts of this province. The objective of this paper is to present this drug testing program and the results of drug testing on 125 clients from 1994-1996. Urine specimens were collected in the parents' residence by a nurse and transferred directly to the laboratory by the collector or a courier. Specimens were screened by immunoassay and TLC followed by GC-MS confirmation. Results were sent directly to the social worker. In the 3,613 urine specimens analyzed, 50.2% of specimens were negative, 45.6% were positive for one or more drug/metabolite and 4.2% of specimens were dilute (creatinine Drug testing has been considered a success by these agencies since testing provides an objective indication of recent drug use and the overall prevalence of drug use in this drug abusing population has reduced from 100% to < 50%.

  10. Analytical approaches used in stream benthic macroinvertebrate biomonitoring programs of State agencies in the United States

    Science.gov (United States)

    Carter, James L.; Resh, Vincent H.

    2013-01-01

    Biomonitoring programs based on benthic macroinvertebrates are well-established worldwide. Their value, however, depends on the appropriateness of the analytical techniques used. All United States State, benthic macroinvertebrate biomonitoring programs were surveyed regarding the purposes of their programs, quality-assurance and quality-control procedures used, habitat and water-chemistry data collected, treatment of macroinvertebrate data prior to analysis, statistical methods used, and data-storage considerations. State regulatory mandates (59 percent of programs), biotic index development (17 percent), and Federal requirements (15 percent) were the most frequently reported purposes of State programs, with the specific tasks of satisfying the requirements for 305b/303d reports (89 percent), establishment and monitoring of total maximum daily loads, and developing biocriteria being the purposes most often mentioned. Most states establish reference sites (81 percent), but classify them using State-specific methods. The most often used technique for determining the appropriateness of a reference site was Best Professional Judgment (86 percent of these states). Macroinvertebrate samples are almost always collected by using a D-frame net, and duplicate samples are collected from approximately 10 percent of sites for quality assurance and quality control purposes. Most programs have macroinvertebrate samples processed by contractors (53 percent) and have identifications confirmed by a second taxonomist (85 percent). All States collect habitat data, with most using the Rapid Bioassessment Protocol visual-assessment approach, which requires ~1 h/site. Dissolved oxygen, pH, and conductivity are measured in more than 90 percent of programs. Wide variation exists in which taxa are excluded from analyses and the level of taxonomic resolution used. Species traits, such as functional feeding groups, are commonly used (96 percent), as are tolerance values for organic pollution

  11. 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.

  12. EnviroAtlas - Reptile Biodiversity Ecosystem Services Metrics by 12-digit HUC for the Conterminous United States

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset contains biodiversity metrics reflecting ecosystem services or other aspects of biodiversity for reptile species, based on the number of...

  13. 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)

  14. Buying time II: an economic evaluation of a joint NHS/Social Services residential rehabilitation unit for older people on discharge from hospital.

    Science.gov (United States)

    Ellis, Annie; Trappes-Lomax, Tessa; Fox, Mary; Taylor, Rod; Power, Michael; Stead, Jonathan; Bainbridge, Ian

    2006-03-01

    The study's aim was to investigate the cost-effectiveness of an NHS/Social Services short-term residential rehabilitation unit (a form of intermediate care) for older people on discharge from community hospital compared with 'usual' community services. An economic evaluation was conducted alongside a prospective controlled trial, which explored the effectiveness of a rehabilitation unit in a practice setting. The aim of the unit was to help individuals regain independence. A matched control group went home from hospital with the health/social care services they would ordinarily receive. The research was conducted in two matched geographical areas in Devon: one with a rehabilitation unit, one without. Participants were recruited from January 1999 to October 2000 in 10 community hospitals and their eligibility determined using the unit's strict inclusion/exclusion criteria, including 55 years or older and likely to benefit from a short-term rehabilitation programme: potential to improve, realistic, achievable goals, motivation to participate. Ninety-four people were recruited to the intervention and 112 to the control group. Details were collated of the NHS and Social Services resources participants used over a 12-month follow-up. The cost of the resource use was compared between those who went to the unit and those who went straight home. Overall, costs were very similar between the two groups. Aggregated mean NHS/Social Services costs for the 12 months of follow-up were pound 8542.28 for the intervention group and pound 8510.68 for the control. However, there was a clear 'seesaw' effect between the NHS and Social Services: the cost of the unit option fell more heavily on Social Services (pound 5011.56, whereas pound 3530.72 to the NHS), the community option more so on the NHS (pound 5146.74, whereas pound 3363.94 to Social Services). This suggests that residential rehabilitation for older people is no more cost-effective over a year after discharge from community

  15. The medical officer of health, the social worker, and the problem family, 1943 to 1968: the case of family service units.

    Science.gov (United States)

    Starkey, P

    1998-12-01

    It has sometimes been assumed that the Report of the Seebohm Committee on the Local Authority and Allied Personal Social Services of 1968 and subsequent Local Authority (Social Services) Reorganization signalled a reduction in the influence of Medical Officers of Health in the care of poor and disorganized families and an increase in that of social workers. This article considers the role of Medical Officers of Health in the care of such families in the period after the Second World War, and their relationship with one of the key voluntary social work agencies in the field, Pacifist Service Units/Family Service Units. By examining the shift in responsibility from public health doctors to social workers and using the Bristol Family Service Unit as a case study, it argues that in many areas the Children and Young Persons Act of 1963 was used formally to transfer responsibility for such families to the Children's Departments and that the process was complete before the Seebohm Committee reported in 1968. It also suggests that those families in difficulty who remained the responsibility of the Public Health Department, and who were thought to have increased in number during the course of the 1960s, presented health visitors and public health doctors with a different range of problems, although they continued to be labelled problem families.

  16. The Potential Linkage between Emergency Medical Services Systems and Health Systems Agencies to Civil Defense Related Health and Medical Care Plans and Operations.

    Science.gov (United States)

    1980-07-01

    Objective 10 B. Study Methodology 10 IV. E 7SS/HSA LINKAGE TO CIVIL DEFEN SE 13 V. HEALTH AND MEDICAL PLANNING FUNCIONS 31 A. Primarily Non-Health...Department Responsibilities 31 B. Primarily Health Department Responsibilities 41 VI. DISASTER MEDICAL PLANNING IN THE SAN FRANCISCO BAY AREA 62 VII...Agency B-i APPENDIX C - State Emergency Health Service Planning Functions: Potential Agency Input C-i APPENDIX D - San Francisco Bay Area Planning D

  17. Medical Services: Ophthalmic Services

    Science.gov (United States)

    2007-11-02

    Atlan- tic Treaty Organization (NATO) nations and of other officially rec- ognized foreign military personnel at military installations within the...representatives of religious groups, celebrities, and enter- tainers; representatives of the United Service Organization( USO ), other social agencies, and...from DOD, or from one of the military depart- ments, to visit military commands overseas. b. Dependents of USO oversea area executives, club directors

  18. [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.

  19. 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.

  20. 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.

  1. [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.

  2. 76 FR 51343 - United States Standards for Grades of Grapefruit Juice

    Science.gov (United States)

    2011-08-18

    ...; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service United States Standards for Grades of Grapefruit Juice AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice and request for comments. SUMMARY: The Agricultural Marketing Service (AMS), prior to undertaking research and other work associated...

  3. 76 FR 53875 - United States Standards for Grades of Cultivated Ginseng

    Science.gov (United States)

    2011-08-30

    ...; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service United States Standards for Grades of Cultivated Ginseng AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice. SUMMARY: The Agricultural Marketing... Programs, Agricultural Marketing Service, U.S. Department of Agriculture, National Training and...

  4. United States of America activities relative to the International Atomic Energy Agency (IAEA) initiative: Records management for deep geologic repositories

    Energy Technology Data Exchange (ETDEWEB)

    Warner, P.J.

    1997-03-01

    The International Atomic Energy Agency (IAEA) has conducted consultant and advisory meetings to prepare a Technical Document which is intended to provide guidance to all IAEA Member States (otherwise known as countries) that are currently planning, designing, constructing or operating a deep or near surface geological repository for the storage and protection of vitrified high-level radioactive waste, spent fuel waste and TRU-waste (transuranic). Eleven countries of the international community are presently in various stages of siting, designing, or constructing deep geologic repositories. Member States of the IAEA have determined that the principle safety of such completed and operation sites must not rely solely on long term institutional arrangements for the retention of information. It is believed that repository siting, design, operation and postoperation information should be gathered, managed and retained in a manner that will provide information to future societies over a very long period of time. The radionuclide life is 10,000 years thus the retention of information must outlive current societies, languages, and be continually migrated to new technology to assure retrieval. This presentation will provide an overview of the status of consideration and implementation of these issues within the United States efforts relative to deep geologic repository projects.

  5. 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.

  6. 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.

  7. 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…

  8. 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...

  9. 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...

  10. 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…

  11. 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...

  12. Land Management Agencies: Restoring Fish Passage Through Culverts on Forest Service and BLM Lands in Oregon and Washington Could Take Decades

    Science.gov (United States)

    2001-11-01

    2,645 4,805 $331,042 aAccording to the Forest Service, the Umpqua , Wallow-Whitman, and Colville national forests did not provide estimates because...Action 20 Agency Comments 20 Appendix I Barrier Culvert Information by Bureau of Land Management District Office and National Forest 22 Bureau of Land...of public lands, managed by 9 regional offices that are responsible for supervising the operations of 155 national forests . BLM and the Forest Service

  13. Consumers' and workers' perspectives about consumer-directed services in the United States.

    Science.gov (United States)

    Swaine, Jamie G; Parish, Susan L; Igdalsky, Leah; Powell, Robyn M

    2016-07-01

    Consumer direction is a service delivery model that shifts decision-making from agencies to the individuals they serve. Using government funding, consumers hire, supervise, and schedule their own staff and maintain control over the delivery of their services. This study sought to understand the process of consumer direction as well as the experiences and perspectives of both the consumers and employees. The study also sought to better understand if and how consumer direction allows the consumer to direct his or her life, the impact consumer direction may have on the individual's health and health care, and how employment in consumer directed programs impacts the workers providing direct care services. This qualitative study included interviews with consumers (N = 20) and workers (N = 15) in Virginia, a southern state in the US. Semi-structured phone interviews were conducted by one member of the research team and transcribed and coded for themes by the research team using grounded theory methodology. Consumers reported greater control over their services and increased access to health care, compared to what they previously received with traditional services. Conversely, consumers reported challenges in managing their staff and fulfilling the role of an employer. Employees reported a lack of training prior to starting their jobs, as well as an inability to live off on low hourly wages. Still, the majority of employees reported job satisfaction and fulfillment. Policymakers should expand and strengthen the consumer directed program. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. 78 FR 61446 - Schedule of Charges Outside the United States

    Science.gov (United States)

    2013-10-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Schedule of Charges Outside the United States AGENCY: Federal Aviation... for services of FAA Flight Standards Aviation Safety Inspectors outside the United States....

  15. 77 FR 60005 - Schedule of Charges Outside the United States

    Science.gov (United States)

    2012-10-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Schedule of Charges Outside the United States AGENCY: Federal Aviation... of charges for services of FAA Flight Standards Aviation Safety Inspectors outside the United...

  16. Policies and Practices in the Delivery of HIV Services in Correctional Agencies and Facilities: Results from a Multi-Site Survey

    Science.gov (United States)

    Belenko, Steven; Hiller, Matthew; Visher, Christy; Copenhaver, Michael; O’Connell, Daniel; Burdon, William; Pankow, Jennifer; Clarke, Jennifer; Oser, Carrie

    2013-01-01

    HIV risk is disproportionately high among incarcerated individuals. Corrections agencies have been slow to implement evidence-based guidelines and interventions for HIV prevention, testing, and treatment. The emerging field of implementation science focuses on organizational interventions to facilitate adoption and implementation of evidence-based practices. A survey of among CJ-DATS correctional agency partners revealed that HIV policies and practices in prevention, detection and medical care varied widely, with some corrections agencies and facilities closely matching national guidelines and/or implementing evidence-based interventions. Others, principally attributed to limited resources, had numerous gaps in delivery of best HIV service practices. A brief overview is provided of a new CJ-DATS cooperative research protocol, informed by the survey findings, to test an organization-level intervention to reduce HIV service delivery gaps in corrections. PMID:24078624

  17. The Impact of Child-Care Subsidies on Child Development: Evidence from Geographic Variation in the Distance to Social Service Agencies

    Science.gov (United States)

    Herbst, Chris M.; Tekin, Erdal

    2016-01-01

    In this paper, we examine the impact of U.S. child-care subsidies on the cognitive and behavioral development of children in low-income female-headed families. We identify the effect of subsidy receipt by exploiting geographic variation in the distance that families must travel from home to reach the nearest social service agency that administers…

  18. Testimony before the Subcommittee on Labor, Health and Human Services, Education and Related Agencies, Committee on Appropriations, U.S. House of Representatives

    Science.gov (United States)

    Uhalde, Raymond J.

    2011-01-01

    On April 7, 2011, Jobs for the Future (JFF) Policy Vice President Raymond Uhalde testified before the U.S. House Subcommittee on Labor, Health and Human Services, Education and Related Agencies about the success of workforce development projects for youth and adults funded by the Workforce Investment Act (WIA) and the importance of sustaining…

  19. 50 CFR 402.07 - Designation of lead agency.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Designation of lead agency. 402.07 Section 402.07 Wildlife and Fisheries JOINT REGULATIONS (UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT... COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED General § 402.07 Designation of lead agency. When...

  20. Enforcement of alcohol-impaired driving laws in the United States: a national survey of state and local agencies.

    Science.gov (United States)

    Erickson, Darin J; Farbakhsh, Kian; Toomey, Traci L; Lenk, Kathleen M; Jones-Webb, Rhonda; Nelson, Toben F

    2015-01-01

    Enforcement of alcohol-impaired driving laws is an important component of efforts to prevent alcohol-involved motor vehicle fatalities. Little is known about the use of drinking-driving enforcement strategies by state and local law enforcement agencies or whether the use of strategies differs by agency and jurisdiction characteristics. We conducted two national surveys, with state patrol agencies (n = 48) and with a sample of local law enforcement agencies (n = 1,082) selected according to state and jurisdiction population size. We examined 3 primary enforcement strategies (sobriety checkpoints, saturation patrols, and enforcement of open container laws) and tested whether use of these strategies differed by jurisdiction and agency characteristics across state and local law enforcement agencies Most state patrol agencies reported conducting sobriety checkpoints (72.9%) and saturation patrols (95.8%), whereas less than half (43.8%) reported enforcing open container laws. In contrast, a lower proportion of local law enforcement agencies reported using these alcohol-impaired driving enforcement strategies (41.5, 62.7, and 41.1%, respectively). Sobriety checkpoint enforcement was more common in states in the dry South region (vs. wet and moderate regions). Among local law enforcement agencies, agencies with a full-time alcohol enforcement officer and agencies located in areas where drinking-driving was perceived to be very common (vs. not/somewhat common) were more likely to conduct multiple types of impaired driving enforcement. Recommended enforcement strategies to detect and prevent alcohol-impaired driving are employed in some jurisdictions and underutilized in others. Future research should explore the relationship of enforcement with drinking and driving behavior and alcohol-involved motor vehicle fatalities.

  1. Mining Available Data from the United States Environmental Protection Agency to Support Rapid Life Cycle Inventory Modeling of Chemical Manufacturing.

    Science.gov (United States)

    Cashman, Sarah A; Meyer, David E; Edelen, Ashley N; Ingwersen, Wesley W; Abraham, John P; Barrett, William M; Gonzalez, Michael A; Randall, Paul M; Ruiz-Mercado, Gerardo; Smith, Raymond L

    2016-09-06

    Demands for quick and accurate life cycle assessments create a need for methods to rapidly generate reliable life cycle inventories (LCI). Data mining is a suitable tool for this purpose, especially given the large amount of available governmental data. These data are typically applied to LCIs on a case-by-case basis. As linked open data becomes more prevalent, it may be possible to automate LCI using data mining by establishing a reproducible approach for identifying, extracting, and processing the data. This work proposes a method for standardizing and eventually automating the discovery and use of publicly available data at the United States Environmental Protection Agency for chemical-manufacturing LCI. The method is developed using a case study of acetic acid. The data quality and gap analyses for the generated inventory found that the selected data sources can provide information with equal or better reliability and representativeness on air, water, hazardous waste, on-site energy usage, and production volumes but with key data gaps including material inputs, water usage, purchased electricity, and transportation requirements. A comparison of the generated LCI with existing data revealed that the data mining inventory is in reasonable agreement with existing data and may provide a more-comprehensive inventory of air emissions and water discharges. The case study highlighted challenges for current data management practices that must be overcome to successfully automate the method using semantic technology. Benefits of the method are that the openly available data can be compiled in a standardized and transparent approach that supports potential automation with flexibility to incorporate new data sources as needed.

  2. Home Health Care Agencies

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of all Home Health Agencies that have been registered with Medicare. The list includes addresses, phone numbers, and quality measure ratings for each agency.

  3. Guaranteed Student Loans. Better Criteria Needed for Financing Guarantee Agencies. United States General Accounting Office Report to the Congress.

    Science.gov (United States)

    Comptroller General of the U.S., Washington, DC.

    The financing of guarantee agencies under the U.S. Department of Education's Guaranteed Student Loan Program was reviewed to determine whether, in the aggregate, the agencies are accumulating, retaining, and using reserve funds in accordance with legislative requirements and federal regulations. It was found that reserves exceed the risks…

  4. 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.

  5. 78 FR 26394 - Renewable Energy and Related Services: Recent Developments

    Science.gov (United States)

    2013-05-06

    ... From the Federal Register Online via the Government Publishing Office INTERNATIONAL TRADE COMMISSION Renewable Energy and Related Services: Recent Developments AGENCY: United States International..., Renewable Energy and Related Services: Recent Developments. DATES: April 15, 2013: Receipt of the...

  6. EnviroAtlas - Ecosystem Services Market-Based Programs Web Service, U.S., 2016, Forest Trends' Ecosystem Marketplace

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service contains layers depicting market-based programs and projects addressing ecosystem services protection in the United States. Layers...

  7. 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...

  8. 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

  9. 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...

  10. 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.…

  11. Service Agencies for People: Evolution Logic and Its Dilemma%为民服务代理:演化逻辑及其困境

    Institute of Scientific and Technical Information of China (English)

    雷尚清; 刘蕾

    2012-01-01

    为民服务代理是当前地方政府提供公共服务的方式之一。一些文献对此进行了研究,但没有回答:为民服务代理的生成逻辑和制度基础是什么;为什么为民服务代理表现出强烈的政府主导色彩。以解释中国地方政府的组织机构、任务实现、激励、控制、变革等理论为基础,本文提出:为民服务代理是基层政府综合权衡各种因素后的理性选择结果;借助纵向的科层体系和政府间竞争,为民服务代理实现了在基层政府和全国的扩张,目标管理制和责任监控机制又进一步强化了该制度的存在。为民服务代理既有优点,也蕴含着困境。%Service Agencies for people is one of the service delivery ways used by local governments. The existing literatures did not answer following questions: what are the generation logic and institutional basis of service agency, and why did public service agency show a strong government--led feature? Based on the theories explaining local government be- haviors, this article concludes that service agency is a rational choice made by the grass--roots government. With ver- tical bureaucratic system and intergovernmental competition, service agency expands to the system of grassroots gov- ernment at all levels as well as many parts of China. Target management system and responsibility controlling mecha- nism are to further expand the existence meaning of this system. In general, the service agency systems have both ad- vantages and difficulties.

  12. Staff Acquisition -- Agencies

    Data.gov (United States)

    Office of Personnel Management — Job vacancy and organizational information from customer agencies sufficient to provide requested services: examining, strategic staffing, recruitment and branding,...

  13. 41 CFR 102-79.80 - May Executive agencies assess fees for antenna placements against telecommunication service...

    Science.gov (United States)

    2010-07-01

    ... assess fees for antenna placements against telecommunication service providers for antenna site outleases... antenna placements against telecommunication service providers for antenna site outleases on major..., upon approval from GSA, may charge fees based on market value to telecommunication service providers...

  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. [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).

  16. 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.

  17. 41 CFR 302-15.12 - If my agency is paying for property management services under this part and my service agreement...

    Science.gov (United States)

    2010-07-01

    ... for property management services under this part and my service agreement expires, what must I do to ensure that payment for property management services continues? 302-15.12 Section 302-15.12 Public... TRANSACTION ALLOWANCES 15-ALLOWANCE FOR PROPERTY MANAGEMENT SERVICES General Rules for the Employee § 302-15...

  18. [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.

  19. 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

  20. 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.

  1. Workshop approach for developing climate change adaptation strategies and actions for natural resource management agencies in the United States

    Science.gov (United States)

    Jessica E. Halofsky; David L Peterson; Michael J. Furniss; Linda A. Joyce; Constance I. Millar; Ronald P. Neilson

    2011-01-01

    Concrete ways to adapt to climate change are needed to help land-management agencies take steps to incorporate climate change into management and take advantage of opportunities to balance the negative effects of climate change. Because the development of adaptation tools and strategies is at an early stage, it is important that ideas and strategies are disseminated...

  2. Towards an e-Model for the enhancement of service rendering by SMMEs supporting agencies in South Africa

    CSIR Research Space (South Africa)

    Ngassam, EK

    2009-05-01

    Full Text Available by various supporting agencies in order to contribute to the sustainability and growth of small businesses. A plausible operationalisation of such a model may impact positively on socio-economic development through income generation, eradication...

  3. 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.

  4. 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...

  5. [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.

  6. Mandatory Class 1 Federal Areas Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This web service contains the following layers: Mandatory Class 1 Federal Area polygons and Mandatory Class 1 Federal Area labels in the United States. The polygon...

  7. 77 FR 20353 - United States Warehouse Act; Export Food Aid Commodities Licensing Agreement

    Science.gov (United States)

    2012-04-04

    ...; ] DEPARTMENT OF AGRICULTURE Farm Service Agency United States Warehouse Act; Export Food Aid Commodities... agreement offered by the Farm Service Agency (FSA) under the United States Warehouse Act (USWA... voluntary program. Warehouse operators that apply for USWA licensing agree to be licensed, comply with...

  8. 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...

  9. 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…

  10. 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.

  11. 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.

  12. 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.

  13. 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

  14. 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.

  15. 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.

  16. 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.   

  17. 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.

  18. 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.

  19. Scientific integrity resource guide: Efforts by federal agencies, foundations, nonprofit organizations, professional societies, and academia in the United States.

    Science.gov (United States)

    Kretser, Alison; Murphy, Delia; Dwyer, Johanna

    2017-01-02

    Scientific integrity is at the forefront of the scientific research enterprise. This paper provides an overview of key existing efforts on scientific integrity by federal agencies, foundations, nonprofit organizations, professional societies, and academia from 1989 to April 2016. It serves as a resource for the scientific community on scientific integrity work and helps to identify areas in which more action is needed. Overall, there is tremendous activity in this area and there are clear linkages among the efforts of the five sectors. All the same, scientific integrity needs to remain visible in the scientific community and evolve along with new research paradigms. High priority in instilling these values falls upon all stakeholders.

  20. 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.

  1. 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.

  2. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Science.gov (United States)

    2010-04-01

    ... agency or person has filed for bankruptcy; and (9) Descriptions of any businesses or activities that are... for a Federal criminal background check of any such individual. (5) Descriptions of any businesses or... by § 96.35 within thirty business days of learning of the change. ...

  3. Knowledge capture and the retirement of the director of finance: succession planning in the San Mateo County Human Services Agency.

    Science.gov (United States)

    Winship, Kathy

    2012-01-01

    Concern over the impending retirement of several top-level managers led a county agency to engage in efforts aimed at more efficient succession management. Administrators developed plans to prevent the loss of invaluable knowledge and wisdom accompanying retirement of experienced agency leaders. The agency's Director of Finance (DoF) was one of the first key figures projected to retire, and a succession plan was implemented to transfer his knowledge for use after his departure. The knowledge transfer process involved three stages, including: (1) employing the DoF as teacher, having him develop curricula and conduct trainings; (2) engaging the DoF as mentor, allowing an existing staff member and the DoF's successor to shadow and be coached by the DoF; and (3) developing a knowledge management system that could be used after the DoF departed. This case study describes the knowledge transfer process and experiences shared by the DoF and this agency.

  4. 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...

  5. 75 FR 38078 - Manufacturing and Services' Manufacture America Initiative and Events

    Science.gov (United States)

    2010-07-01

    ... International Trade Administration Manufacturing and Services' Manufacture America Initiative and Events ACTION... manufacturing. SUMMARY: The International Trade Administration's Manufacturing and Services Unit is launching a... government agencies as well as universities. To address these challenges, the Manufacturing and...

  6. 77 FR 27612 - Modifications to Definition of United States Property

    Science.gov (United States)

    2012-05-11

    ... Internal Revenue Service 26 CFR Part 1 RIN 1545-BK11 Modifications to Definition of United States Property... or clearing agency do not constitute United States property. These regulations affect United States...)) that invests certain earnings and profits in United States property (U.S. property) ``on the...

  7. 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.

  8. Centers for independent living and secondary transition collaboration: characteristics for enhanced service delivery for adolescents in the United States.

    Science.gov (United States)

    Plotner, Anthony J; Shogren, Karrie A; Shaw, Leslie A; VanHorn Stinnett, Chelsea; Seo, Hyojeong

    2017-06-01

    Research involving secondary transition practices indicates a growing implementation of interagency collaboration to maximize service delivery to support students transitioning from school to adult life. Centers for Independent Living (CILs) are often excluded from collaborative partnerships and denied the opportunity to contribute as a valued stakeholder in the transition process. A total of 189 CIL professionals representing represented 38 states completed the online survey to (a) identify to what degree does the factor structure of Thompson's Collaboration Survey holds for CIL professionals and (b) explore what specific CIL professional and agency characteristics predict greater collaboration between CILs and local education agencies (LEAs). Additionally (c) researchers sought to determine the degrees to which greater self-reported collaboration predicts more frequent transition services provided to transition-age youth by CIL professionals. Results indicated that the factor structure proposed by Thompson was confirmed in a sample of CIL professionals. None of the agency or individual characteristics (i.e., number of high schools partnered with, number of students served, amount of training in transition services, and importance of collaboration between high schools and agencies for transition) predicted greater collaboration with LEAS. When analyzing the effects of degree of collaboration on the services provided, high ratings on three of the five collaborative dimensions predicted a higher likelihood of providing services to transition-age youth. This study suggests that more training and experience of CIL professionals does not necessarily lead to greater collaboration. Additionally, the findings suggest that collaborative team structure is more important than social capital collaborative dimensions in leading to frequent services from CILs to transition-age youth. Implications for rehabilitation Extant literature suggests that secondary transition

  9. 76 FR 48905 - United States Government Inter-Agency Anti-Counterfeiting Working Group: Request for Public...

    Science.gov (United States)

    2011-08-09

    ... Comments Regarding Strategy to Eliminate Counterfeit Products from the United States Government Supply... significant effort to eliminate counterfeit products from the U.S. Government supply chain. In June 2010, Vice... counterfeit products entering the U.S. Government supply chain and for curbing their entry into that supply...

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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

  15. 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.

  16. 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.

  17. 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

  18. 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.

  19. 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

  20. 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.

  1. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Emergency Response (ER) Risk Management Plan (RMP) Facilities - Oil and Hazardous Materials

    Data.gov (United States)

    Department of Homeland Security — The purpose of this web feature service is to provide users with access to integrated facility information from FRS, limited to the subset of facilities that link to...

  2. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Emergency Response (ER) Toxic Release Inventory (TRI) Facilities - Oil and Hazardous Materials

    Data.gov (United States)

    Department of Homeland Security — The purpose of this web feature service is to provide users with access to integrated facility information from FRS, limited to the subset of facilities that link to...

  3. 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...

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. 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

  10. 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…

  11. Analysis of the United States Marine Corps’ Utilization of Defense Logistics Agency Disposition Services as a Source of Supply

    Science.gov (United States)

    2011-12-03

    purchased items needed for the unit’s day-to-day operations, such as digital cameras, commercial tactical clothing and eyewear, plasma televisions, lawn...1095015216087 477 263 Bayonet, Knife $116.18 8465014783009 5010 240 Strap, Webbing $6.62 8415012968878 424 186 Vest, Tactical Load Carrying

  12. Analysis of the United States Marine Corps Utilization of Defense Logistics Agency Disposition Services as a Source of Supply

    Science.gov (United States)

    2011-12-01

    clothing and eyewear, plasma televisions, lawn equipment, and so forth. These items could potentially be sourced from DDS on a free-issue basis...Vehicle Mounted $14.28 1095015216087 477 263 Bayonet, Knife $116.18 8465014783009 5010 240 Strap, Webbing $6.62 8415012968878 424 186 Vest

  13. 75 FR 79022 - Agency Information Collection Activities: Proposed Collection; Comments Requested

    Science.gov (United States)

    2010-12-17

    ... the U.S. Customs Service to allow these articles entry into the United States. (5) An estimate of the... Bureau of Alcohol, Tobacco, Firearms, and Explosives Agency Information Collection Activities: Proposed... obtain comments from the public and affected agencies. This proposed information collection...

  14. 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 ...

  15. 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...

  16. A minority research and education information service: Design, develop, pilot test, and implement on-line access for historically black colleges and universities and government agencies

    Energy Technology Data Exchange (ETDEWEB)

    Rodman, J.A.

    1992-01-01

    This Annual Status Report describes the design, development and implementation of the Minority On-Line Information Service (MOLIS) project by Federal Information Exchange, Inc. for the period of April 1, 1991 to March 31, 1992. Summary information detailing developments prior to this reporting period will also be included to establish a comprehensive perspective of the project. The goal of the MOLIS project, was to develop, design, pilot test on-line access to current information on minority colleges and universities and federal minority opportunities. Federal Information Exchange, Inc. (FIE), a diversified information services company recognized by researchers and educators as a leader in the field of information delivery services, was awarded a 5 year small business research grant to develop and implement MOLIS. Since April 29, 1991, the inauguration of its on-line service, MOLIS has provided current information on 138 Black and Hispanic colleges and universities -- including faculty and student profiles, financial data, research centers and equipment information, pre-college and education programs, emerging capabilities, enrollment data, administrative personnel data, and current events -- as well as minority opportunities from 8 participating federal agencies.

  17. 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.

  18. Use of quality measures for Medicaid behavioral health services by state agencies: implications for health care reform.

    Science.gov (United States)

    Seibert, Julie; Fields, Suzanne; Fullerton, Catherine Anne; Mark, Tami L; Malkani, Sabrina; Walsh, Christine; Ehrlich, Emily; Imshaug, Melina; Tabrizi, Maryam

    2015-06-01

    The structure-process-outcome quality framework espoused by Donabedian provides a conceptual way to examine and prioritize behavioral health quality measures used by states. This report presents an environmental scan of the quality measures and satisfaction surveys that state Medicaid managed care and behavioral health agencies used prior to Medicaid expansion in 2014. Data were collected by reviewing online documents related to Medicaid managed care contracts for behavioral health, quality strategies, quality improvement plans, quality and performance indicators data, annual outcomes reports, performance measure specification manuals, legislative reports, and Medicaid waiver requests for proposals. Information was publicly available for 29 states. Most states relied on process measures, along with some structure and outcome measures. Although all states reported on at least one process measure of behavioral health quality, 52% of states did not use any outcomes measures and 48% of states had no structure measures. A majority of the states (69%) used behavioral health measures from the National Committee for Quality Assurance's Healthcare Effectiveness Data and Information Set, and all but one state in the sample (97%) used consumer experience-of-care surveys. Many states supplemented these data with locally developed behavioral health indicators that rely on administrative and nonadministrative data. State Medicaid agencies are using nationally recognized as well as local measures to assess quality of behavioral health care. Findings indicate a need for additional nationally endorsed measures in the area of substance use disorders and treatment outcomes.

  19. 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

  20. 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

  1. 41 CFR 102-73.15 - What real estate acquisition and related services may Federal agencies provide?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What real estate... REGULATION REAL PROPERTY 73-REAL ESTATE ACQUISITION General Provisions § 102-73.15 What real estate... provide real estate acquisition and related services, including leasing (with or without purchase options...

  2. 42 CFR 401.133 - Availability of official reports on providers and suppliers of services, State agencies...

    Science.gov (United States)

    2010-10-01

    ... entered into under section 1864 of the Social Security Act and furnished to CMS, which relate to a State... of the report by CMS. (See § 401.130(b)(17)) for places where statements of deficiencies, reports, and pertinent written statements will be available.) (b) CMS reports on providers of services....

  3. Vulnerability and Agency: Beyond an Irreconcilable Dichotomy for Social Service Providers Working with Young Refugees in the UK

    Science.gov (United States)

    O'Higgins, Aoife

    2012-01-01

    Many young refugees face significant difficulties in securing support from social services providers. This study invited 21 young refugees aged 16 to 21 to take part in focus groups and follow-up interviews about their experiences of accessing this support. The findings reveal that young refugees may deliberately conform to expectations about…

  4. 77 FR 76512 - Renewal of Agency Information Collection for Electric Service Data for the Operation of Power...

    Science.gov (United States)

    2012-12-28

    ...In compliance with the Paperwork Reduction Act of 1995, the Acting Assistant Secretary--Indian Affairs is submitting to the Office of Management and Budget (OMB) a request for renewal of the collection of information for Electrical Service Application, 25 CFR 175, authorized by OMB Control Number 1076-0021. This information collection expires December 31,...

  5. 77 FR 50156 - Renewal of Agency Information Collection for Water Delivery and Electric Service Data for the...

    Science.gov (United States)

    2012-08-20

    ...In compliance with the Paperwork Reduction Act of 1995, the Acting Assistant Secretary--Indian Affairs is seeking comments on the renewal of Office of Management and Budget (OMB) approval for the collection of information for Electrical Service Application, 25 CFR part 175, authorized by OMB Control Number 1076-0021 and Water Request, 25 CFR part 171, authorized by OMB Control Number......

  6. Coordinated Early Intervening Services: Programs in Local Education Agencies that Are Required to Reserve IDEA Funds. inForum

    Science.gov (United States)

    Burdette, Paula; Sopko, Kimberly Moherek

    2010-01-01

    Disproportionate representation of children from diverse racial and ethnic backgrounds in special education has been a longstanding concern that the 2004 reauthorization of the Individuals with Disabilities Education Act (IDEA) sought to address. The IDEA contains new requirements related to the provision of early intervening services designed to…

  7. Coordinated Early Intervening Services: Programs in Local Education Agencies that Are Required to Reserve IDEA Funds. inForum

    Science.gov (United States)

    Burdette, Paula; Sopko, Kimberly Moherek

    2010-01-01

    Disproportionate representation of children from diverse racial and ethnic backgrounds in special education has been a longstanding concern that the 2004 reauthorization of the Individuals with Disabilities Education Act (IDEA) sought to address. The IDEA contains new requirements related to the provision of early intervening services designed to…

  8. Vulnerability and Agency: Beyond an Irreconcilable Dichotomy for Social Service Providers Working with Young Refugees in the UK

    Science.gov (United States)

    O'Higgins, Aoife

    2012-01-01

    Many young refugees face significant difficulties in securing support from social services providers. This study invited 21 young refugees aged 16 to 21 to take part in focus groups and follow-up interviews about their experiences of accessing this support. The findings reveal that young refugees may deliberately conform to expectations about…

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. CSAIO – a progressive tool at the service of staff associations of international organizations and European agencies

    CERN Document Server

    Staff Association

    2016-01-01

    Every year in autumn, a two-day CSAIO (Conference of Staff Associations of International Organizations) conference is organized for staff associations of international organizations based mainly in Europe, as well as European agencies. Creation, objectives and progress CSAIO, created by the staff associations of CERN and OECD in 2000, invites about 30 staff associations to share their experiences and ideas to better identify the expectations and aspirations of a personnel evolving at the heart of international and European organizations. Over time, the preparation of the conference has evolved to better accommodate the requests of the staff representatives coming from different horizons. For two years, there has been an initiative to institutionalize the informal follow-up, during the first half-day of the conference, of themes discussed the previous year. This follow-up allows participants to share their experience on the implementation and impacts of certain propositions as reflected in their organizations ...

  14. 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.

  15. 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

  16. Reducing patient wait times and improving resource utilization at British Columbia Cancer Agency's ambulatory care unit through simulation.

    Science.gov (United States)

    Santibáñez, Pablo; Chow, Vincent S; French, John; Puterman, Martin L; Tyldesley, Scott

    2009-12-01

    We consider an ambulatory care unit (ACU) in a large cancer centre, where operational and resource utilization challenges led to overcrowding, excessive delays, and concerns regarding safety of critical patient care duties. We use simulation to analyze the simultaneous impact of operations, scheduling, and resource allocation on patient wait time, clinic overtime, and resource utilization. The impact of these factors has been studied before, but usually in isolation. Further, our model considers multiple clinics operating concurrently, and includes the extra burden of training residents and medical students during patient consults. Through scenario analyses we found that the best outcomes were obtained when not one but multiple changes were implemented simultaneously. We developed configurations that achieve a reduction of up to 70% in patient wait times and 25% in physical space requirements, with the same appointment volume. The key findings of the study are the importance of on time clinic start, the need for improved patient scheduling; and the potential improvements from allocating examination rooms flexibly and dynamically among individual clinics within each of the oncology programs. These findings are currently being evaluated for implementation by senior management.

  17. 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...

  18. 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…

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. Disparity between state fish consumption advisory systems for methylmercury and US Environmental Protection Agency recommendations: A case study of the south central United States.

    Science.gov (United States)

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

    2016-01-01

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

  4. 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

  5. EnviroAtlas - Farm Service Land Rental Rates by County for the United States

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas data set depicts estimates for mean cash rent paid for land by farmers, sorted by county for irrigated cropland, non-irrigated cropland, and pasture...

  6. 76 FR 29245 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2011-05-20

    ...--New--Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health... Diabetes is one of the most common chronic diseases among children in the United States. When diabetes... HUMAN SERVICES Centers for Disease Control and Prevention Agency Forms Undergoing Paperwork...

  7. 77 FR 6774 - United States Standards for Grades of Eggplant

    Science.gov (United States)

    2012-02-09

    ... Agricultural Marketing Service United States Standards for Grades of Eggplant AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice. SUMMARY: The Agricultural Marketing Service (AMS), of the Department of... the industry. As a result, AMS has noted the current grade standards do not have provisions for mixed...

  8. 77 FR 6772 - United States Standards for Grades of Cauliflower

    Science.gov (United States)

    2012-02-09

    ...; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service United States Standards for Grades of Cauliflower AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice. SUMMARY: The Agricultural Marketing Service.... In addition, AMS proposes to permit mixed color packs, heads less than 4 inches in diameter, and to...

  9. 78 FR 63158 - United States Standards for Grades of Okra

    Science.gov (United States)

    2013-10-23

    ...; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service United States Standards for Grades of Okra AGENCY: Agricultural Marketing Service, USDA. ACTION: Final notice. SUMMARY: The Agricultural Marketing Service (AMS... INFORMATION: Section 203(c) of the Agricultural Marketing Act of 1946 (7 U.S.C. 1621-1627), as...

  10. 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…

  11. 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...

  12. 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.

  13. 77 FR 27669 - Modifications to Definition of United States Property

    Science.gov (United States)

    2012-05-11

    ... Internal Revenue Service 26 CFR Part 1 RIN 1545-BK10 Modifications to Definition of United States Property... clearing agency do not constitute United States property. The text of the temporary regulations also serves... Federal Register establish an exception to the definition of United States property (within the meaning...

  14. 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...

  15. 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.

  16. [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.

  17. 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

  18. 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.

  19. 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.

  20. 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

  1. 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.

  2. 77 FR 2573 - International Product Change-Global Plus 1C and 2C Negotiated Service Agreements

    Science.gov (United States)

    2012-01-18

    ... International Product Change--Global Plus 1C and 2C Negotiated Service Agreements AGENCY: Postal Service TM... Regulatory Commission to add Global Plus 1C and 2C Negotiated Service Agreements to the Competitive Products... of United States Postal Service to Add Global Plus 1C and 2C Negotiated Service Agreements to the...

  3. 76 FR 13972 - United States Warehouse Act; Export Food Aid Commodities Licensing Agreement

    Science.gov (United States)

    2011-03-15

    ... Farm Service Agency United States Warehouse Act; Export Food Aid Commodities Licensing Agreement AGENCY... warehouse licenses may be issued under the United States ] Warehouse Act (USWA). Through this notice, FSA is... licenses for agricultural products include grain, cotton, nuts, cottonseed, and dry beans....

  4. 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

  5. 77 FR 51750 - United States Standards for Grades of Grapefruit Juice

    Science.gov (United States)

    2012-08-27

    ... Agricultural Marketing Service United States Standards for Grades of Grapefruit Juice AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice. SUMMARY: The Agricultural Marketing Service (AMS) of the Department..., Processed Products Division, Fruit and Vegetable Program, Agricultural Marketing Service, U.S. Department...

  6. Salmon research cruises of five vessels operated by the fish and wildlife service in the North Pacific and Bering Sea during the 1956 season

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The United States Fish and Wildlife Service as a research agency of the International North Pacific Fisheries Commission, is engaged in a study to determine the...

  7. 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)

  8. Internet-facilitated commercial sexual exploitation of children: findings from a nationally representative sample of law enforcement agencies in the United States.

    Science.gov (United States)

    Mitchell, Kimberly J; Jones, Lisa M; Finkelhor, David; Wolak, Janis

    2011-03-01

    This article explores the variety of ways in which the Internet is used to facilitate the commercial sexual exploitation of children (CSEC) and provides national incidence estimates for the number of arrests involving such technology-facilitated crimes in 2006. The National Juvenile Online Victimization Study is a nationally representative longitudinal study of more than 2,500 local, county, state, and federal law enforcement agencies across the United States. The current article utilizes Wave 2 data, which surveyed arrests in 2006 for Internet-related sex crimes against minors. Detailed data were collected via telephone interviews with investigators about 1,051 individual arrest cases. Findings show that an estimated 569 arrests for Internet-facilitated commercial sexual exploitation of children (IF-CSEC) occurred in the United States in 2006. Offenders in IF-CSEC cases fell into two main categories: (1) those who used the Internet to purchase or sell access to identified children for sexual purposes including child pornography (CP) production (36% of cases), and (2) those who used the Internet to purchase or sell CP images they possessed but did not produce (64% of cases). Offenders attempting to profit from child sexual exploitation were more likely than those who were purchasing to have (a) prior arrests for sexual and nonsexual offenses, (b) a history of violence, (c) produced CP, (d) joined forces with other offenders, and (e) involved female offenders. Although the number of arrests for IF-CSEC crimes is relatively small, the victims of these crimes are a high-risk subgroup of youth, and the offenders who try to profit from these crimes are particularly concerning from a child welfare perspective.

  9. 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.

  10. 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...

  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. 75 FR 47823 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, OMB No...

    Science.gov (United States)

    2010-08-09

    ... Services Customer Satisfaction Survey AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice; 30... Title: Federal Emergency Management Agency Housing Inspection Services Customer Satisfaction Survey... Inspection Services Customer Satisfaction Survey. Abstract: FEMA Housing Inspection Services contracts...

  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. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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.

  19. 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...

  20. Service configuration, unit characteristics and variation in intervention rates in a national sample of obstetric units in England: an exploratory analysis.

    Science.gov (United States)

    Rowe, Rachel E; Townend, John; Brocklehurst, Peter; Knight, Marian; Macfarlane, Alison; McCourt, Christine; Newburn, Mary; Redshaw, Maggie; Sandall, Jane; Silverton, Louise; Hollowell, Jennifer

    2014-05-29

    To explore whether service configuration and obstetric unit (OU) characteristics explain variation in OU intervention rates in 'low-risk' women. Ecological study using funnel plots to explore unit-level variations in adjusted intervention rates and simple linear regression, stratified by parity, to investigate possible associations between unit characteristics/configuration and adjusted intervention rates in planned OU births. Characteristics considered: OU size, presence of an alongside midwifery unit (AMU), proportion of births in the National Health Service (NHS) trust planned in midwifery units or at home and midwifery 'under' staffing. 36 OUs in England. 'Low-risk' women with a 'term' pregnancy planning vaginal birth in a stratified, random sample of 36 OUs. Adjusted rates of intrapartum caesarean section, instrumental delivery and two composite measures capturing birth without intervention ('straightforward' and 'normal' birth). Funnel plots showed unexplained variation in adjusted intervention rates. In NHS trusts where proportionately more non-OU births were planned, adjusted intrapartum caesarean section rates in the planned OU births were significantly higher (nulliparous: R(2)=31.8%, coefficient=0.31, p=0.02; multiparous: R(2)=43.2%, coefficient=0.23, p=0.01), and for multiparous women, rates of 'straightforward' (R(2)=26.3%, coefficient=-0.22, p=0.01) and 'normal' birth (R(2)=17.5%, coefficient=0.24, p=0.01) were lower. The size of the OU (number of births), midwifery 'under' staffing levels (the proportion of shifts where there were more women than midwives) and the presence of an AMU were associated with significant variation in some interventions. Trusts with greater provision of non-OU intrapartum care may have higher intervention rates in planned 'low-risk' OU births, but at a trust level this is likely to be more than offset by lower intervention rates in planned non-OU births. Further research using high quality data on unit characteristics and

  1. Infertility service use in the United States: data from the National Survey of Family Growth, 1982-2010.

    Science.gov (United States)

    Chandra, Anjani; Copen, Casey E; Stephen, Elizabeth Hervey

    2014-01-22

    This report presents nationally representative estimates and trends for infertility service use among women aged 15-44 and 25-44 in the United States in 1982-2010. While greater detail on types of infertility service is shown for women, basic data on types of infertility service use, as reported by men aged 25-44, are also presented. Data for this report come primarily from the 2006-2010 National Survey of Family Growth (NSFG), consisting of 22,682 interviews with men and women aged 15-44, conducted from June 2006 through June 2010. The response rate for females in the 2006-2010 NSFG was 78%, and for males was 75%. Selected trends are shown based on prior NSFG cycles. Twelve percent of women aged 15-44 in 2006-2010 (7.3 million women), or their husbands or partners, had ever used infertility services. Among women aged 25-44, 17% (6.9 million) had ever used any infertility service, a significant decrease from 20% in 1995. Thirty-eight percent of nulliparous women with current fertility problems in 2006-2010 had ever used infertility services, significantly less than 56% of such women in 1982. In all survey years, ever-use of medical help to get pregnant was highest among older and nulliparous women, non-Hispanic white women, women with current fertility problems, and women with higher levels of education and household income. The most commonly used infertility services among women aged 25-44 in 2006-2010 were advice, testing, medical help to prevent miscarriage, and ovulation drugs. Ever-use of infertility services was reported by 9.4% of men aged 25-44 in 2006-2010, similar to levels seen in 2002. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  2. Diplomatic agency

    DEFF Research Database (Denmark)

    Adler-Nissen, Rebecca

    2016-01-01

    diplomatic agency has been conceptualized in International Relations theory (English School, game theory, Foreign Policy Analysis, constructivism, practice theory, post-positivism) before presenting and exemplifying major and overlapping types of diplomatic agency, including communication, negotiation......, it discusses how diplomatic agency is linked to conceptions of diplomatic representation and legitimacy in its actual, functional and symbolic forms....

  3. A minority research and education information service: Design, develop, pilot test, and implement on-line access for historically black colleges and universities and government agencies. Annual status report, September 28, 1992--September 27, 1993

    Energy Technology Data Exchange (ETDEWEB)

    Rodman, J.A.

    1993-08-01

    The goal of the MOLIS project was to develop, design, and pilot test on-line access to current information on minority colleges and universities as well as federal minority opportunities. Federal Information Exchange, Inc. (FIE), a diversified information services company recognized by researchers and educators as a leader in the field of information delivery services, was awarded a 5 year small business research grant to develop and implement MOLIS. Since going on-line on April 29, 1991, MOLIS has provided current information on 138 Black and Hispanic colleges and universities -- including faculty and student profiles, financial data, research centers and equipment information, precollege and education programs, emerging capabilities, enrollment data, administrative personnel data, and current events -- as well as minority opportunities from participating federal agencies. Six federal agencies are currently participating in MOLIS, including: Agency for International Development; Department of Commerce; Department of Energy; Department of Housing and Urban Development; National Aeronautics and Space Administration; and National Science Foundation.

  4. Representation of Reptile Biodiversity and Ecosystem Services within the Protected Areas of the Conterminous United States

    Science.gov (United States)

    A focus for resource management, conservation planning, and environmental decision analysis has been mapping and quantifying biodiversity and ecosystem services. The challange has been to integrate ecology with economics to better understand the effects of human policies and acti...

  5. US Forest Service Public and Private Forest Ownership Contiguous United States

    Data.gov (United States)

    US Forest Service, Department of Agriculture — The data are designed for strategic analyses at a national or regional scale which require spatially explicit information regarding the extent, distribution, and...

  6. U.S. Forest Service Tribal Lands Ceded to the United States

    Data.gov (United States)

    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...

  7. Representation of Reptile Biodiversity and Ecosystem Services within the Protected Areas of the Conterminous United States

    Science.gov (United States)

    A focus for resource management, conservation planning, and environmental decision analysis has been mapping and quantifying biodiversity and ecosystem services. The challange has been to integrate ecology with economics to better understand the effects of human policies and acti...

  8. E-Procurement System Technology: An Analysis in Electronic Procurement Service Unit (LPSE of Kepulauan Riau Province

    Directory of Open Access Journals (Sweden)

    Rendra Setyadiharja

    2014-12-01

    Full Text Available The practice of corruption always exist in public goods and service procurement in Indonesia. The Government efforts in reducing this case are doing new breakthrough like creating new system of service and goods procurement in an electronic way, usually called E-Procurement. After being instructed by Presidential Regulation number 54, year of 2010, the Local Government must use the E-Procurement System in the process of goods and service procurement, including Kepulauan Riau Province. This Research aims to analyzed the implementation of e-procurement system that had been adopted by Kepulauan Riau Province at year 2008. This research is not just for viewing the implementation of e-procurement system technically, but also to see how the influence of political process to the implementation of e-procurement. The Methodology used in this research is mix-method. This research are conducted in LPSE Kepulauan Riau Province, Procurement Service Unit (ULP and also the vendors that supplies service and goods, that had been using the system. The results of this research are clearly stated that even the system of e-procurement of Kepulauan Riau Province are effective, and the political process is a factor which influencing the implementation of e-procurement.Keywords : E-Procurement, E-Procurement Implementation, Political Process, Principal Influence, Agent Influence. 

  9. Community Extreme Tonnage User Service (CETUS): A 5000 Ton Open Research Facility in the United States

    Science.gov (United States)

    Danielson, L.; Righter, K.; McCubbin, F.

    2016-01-01

    Large sample volume 5000 ton multi-anvil presses have contributed to the exploration of deep Earth and planetary interiors, synthesis of ultra-hard and other novel materials, and serve as a sample complement to pressure and temperature regimes already attainable by diamond anvil cell experiments. However, no such facility exists on the North American continent. We propose the establishment of an open user facility for COMPRES members and the entire research community, with the unique capability of a 5000 ton (or more) press, supported by a host of extant co-located experimental and analytical laboratories and research staff. We offer wide range of complementary and/or preparatory experimental options. Any required synthesis of materials or follow up experiments can be carried out controlled atmosphere furnaces, piston cylinders, multi-anvil, or experimental impact apparatus. Additionally, our division houses two machine shops that would facilitate any modification or custom work necessary for development of CETUS, one for general fabrication and one located specifically within our experimental facilities. We also have a general sample preparation laboratory, specifically for experimental samples, that allows users to quickly and easily prepare samples for ebeam analyses and more. A service we can offer to COMPRES community members in general, and CETUS visiting users specifically, is a multitude of analytical instrumentation literally steps away from the experimental laboratories. This year we will be pursuing site funding of our laboratories through NASA's Planetary Science Directorate, which should result in substantial cost savings to all visiting users, and supports our mission of interagency cooperation for the enhancement of science for all (see companion PSAMS abstract). The PI is in a unique position as an employee of Jacobs Technology to draw funding from multiple sources, including those from industry and commerce. We submitted a Planetary Major Equipment

  10. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates

    OpenAIRE

    Hamidi S

    2015-01-01

    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 Duba...

  11. 78 FR 45896 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trimester Closure...

    Science.gov (United States)

    2013-07-30

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-XC782 Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trimester Closure for the Common Pool Fishery AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration...

  12. 76 FR 39313 - Fisheries of the Northeastern United States; Atlantic Mackerel, Squid, and Butterfish Fisheries...

    Science.gov (United States)

    2011-07-06

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-XA523 Fisheries of the Northeastern United States; Atlantic Mackerel, Squid, and Butterfish Fisheries; Closure of the Directed Butterfish Fishery AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and...

  13. 78 FR 51131 - Fisheries of the Northeastern United States; Atlantic Coastal Fisheries Cooperative Management...

    Science.gov (United States)

    2013-08-20

    ... National Oceanic and Atmospheric Administration 50 CFR Part 697 RIN 0648-BD45 Fisheries of the Northeastern United States; Atlantic Coastal Fisheries Cooperative Management Act Provisions; American Lobster Fishery AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration...

  14. 78 FR 76759 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trimester Closure...

    Science.gov (United States)

    2013-12-19

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-XD024 Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trimester Closure for the Common Pool Fishery AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration...

  15. 77 FR 58969 - Fisheries of the Northeastern United States; Bluefish Fishery; Quota Transfer

    Science.gov (United States)

    2012-09-25

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-XC235 Fisheries of the Northeastern United States; Bluefish Fishery; Quota Transfer AGENCY: National Marine Fisheries Service (NMFS..., 2012. FOR FURTHER INFORMATION CONTACT: Carly Bari, Fishery Management Specialist,...

  16. 76 FR 74009 - Fisheries of the Northeastern United States; Bluefish Fishery; Quota Transfer

    Science.gov (United States)

    2011-11-30

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-XA825 Fisheries of the Northeastern United States; Bluefish Fishery; Quota Transfer AGENCY: National Marine Fisheries Service (NMFS...: Carly Bari, Fishery Management Specialist, (978) 281-9224. SUPPLEMENTARY INFORMATION:...

  17. Child mortality estimation 2013: an overview of updates in estimation methods by the United Nations Inter-agency Group for Child Mortality Estimation.

    Directory of Open Access Journals (Sweden)

    Leontine Alkema

    Full Text Available BACKGROUND: In September 2013, the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME published an update of the estimates of the under-five mortality rate (U5MR and under-five deaths for all countries. Compared to the UN IGME estimates published in 2012, updated data inputs and a new method for estimating the U5MR were used. METHODS: We summarize the new U5MR estimation method, which is a Bayesian B-spline Bias-reduction model, and highlight differences with the previously used method. Differences in UN IGME U5MR estimates as published in 2012 and those published in 2013 are presented and decomposed into differences due to the updated database and differences due to the new estimation method to explain and motivate changes in estimates. FINDINGS: Compared to the previously used method, the new UN IGME estimation method is based on a different trend fitting method that can track (recent changes in U5MR more closely. The new method provides U5MR estimates that account for data quality issues. Resulting differences in U5MR point estimates between the UN IGME 2012 and 2013 publications are small for the majority of countries but greater than 10 deaths per 1,000 live births for 33 countries in 2011 and 19 countries in 1990. These differences can be explained by the updated database used, the curve fitting method as well as accounting for data quality issues. Changes in the number of deaths were less than 10% on the global level and for the majority of MDG regions. CONCLUSIONS: The 2013 UN IGME estimates provide the most recent assessment of levels and trends in U5MR based on all available data and an improved estimation method that allows for closer-to-real-time monitoring of changes in the U5MR and takes account of data quality issues.

  18. Child Mortality Estimation 2013: An Overview of Updates in Estimation Methods by the United Nations Inter-Agency Group for Child Mortality Estimation

    Science.gov (United States)

    Alkema, Leontine; New, Jin Rou; Pedersen, Jon; You, Danzhen

    2014-01-01

    Background In September 2013, the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME) published an update of the estimates of the under-five mortality rate (U5MR) and under-five deaths for all countries. Compared to the UN IGME estimates published in 2012, updated data inputs and a new method for estimating the U5MR were used. Methods We summarize the new U5MR estimation method, which is a Bayesian B-spline Bias-reduction model, and highlight differences with the previously used method. Differences in UN IGME U5MR estimates as published in 2012 and those published in 2013 are presented and decomposed into differences due to the updated database and differences due to the new estimation method to explain and motivate changes in estimates. Findings Compared to the previously used method, the new UN IGME estimation method is based on a different trend fitting method that can track (recent) changes in U5MR more closely. The new method provides U5MR estimates that account for data quality issues. Resulting differences in U5MR point estimates between the UN IGME 2012 and 2013 publications are small for the majority of countries but greater than 10 deaths per 1,000 live births for 33 countries in 2011 and 19 countries in 1990. These differences can be explained by the updated database used, the curve fitting method as well as accounting for data quality issues. Changes in the number of deaths were less than 10% on the global level and for the majority of MDG regions. Conclusions The 2013 UN IGME estimates provide the most recent assessment of levels and trends in U5MR based on all available data and an improved estimation method that allows for closer-to-real-time monitoring of changes in the U5MR and takes account of data quality issues. PMID:25013954

  19. Dental service mix among older adults aged 65 and over, United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Cohen, Leonard A; Brown, Erwin; Carper, Kelly V; Vargas, Clemencia; Macek, Mark D

    2014-01-01

    The oral health of older Americans will assume increasing importance because of their increasing numbers and the evolving connections between oral health and general health. To establish a baseline and provide data for oral health workforce models, this report describes the types of dental procedures received by US adults 65 years and older in 2009 and looks at trends since 1999. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Survey. The primary outcome variable represented the types of dental procedures that were received during a dental visit in the preceding year. Descriptive variables included dental insurance and poverty status. Analysis was restricted to adults aged 65 and over. In 2009, diagnostic and preventive procedures accounted for almost three-quarters of all services. Compared with services received by those with private insurance, there were significantly fewer diagnostic and endodontic procedures among those with public coverage. Between 1999 and 2009, the proportion of preventive services significantly increased, whereas the proportion of restorative and endodontic services significantly decreased. Also, the likelihood of receiving preventive procedures increased, whereas the probability of receiving restorative or endodontic services decreased. Findings point to a shift in the mix of dental services received by older adults during the two periods. The predominance of diagnostic and preventive procedures has important access and workforce implications. An expanded role for dental hygienists in helping to meet the oral health needs of older adults is possible given a hygienist's current scope of practice. Published 2014. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.

  20. Successful business process design. Business plan development for the occupational health services unit.

    Science.gov (United States)

    Kalina, C M; Fitko, J

    1997-02-01

    1. The occupational health nurse is often mandated by management to validate health services offered and programs developed for employees as valuable to the business and company mission. 2. The business plan of the occupational health service is a working document, changing as needs of the client/customer and internal and external business and socio-economic environment evolve. 3. Alignment with and support of the company mission, goals, and objectives is another method of proving good occupational health is good business. 4. Business planning is a basic business tool the wise and prudent occupational health nurse can use in proving good occupational health is vital to the success of a company.

  1. 75 FR 6883 - Temporary Agricultural Employment of H-2A Aliens in the United States

    Science.gov (United States)

    2010-02-12

    ... Temporary Agricultural Employment of H-2A Aliens in the United States; Final Rule #0;#0;Federal Register... Temporary Agricultural Employment of H-2A Aliens in the United States AGENCY: Employment and Training... services involved in the petition; and (B) The employment of the alien in such labor or services will not...

  2. 75 FR 22551 - United States Standards for Grades of Frozen Blueberries

    Science.gov (United States)

    2010-04-29

    ..., Agricultural Research Service and the other from the American Frozen Food Institute. Both commenters stated... Agricultural Marketing Service United States Standards for Grades of Frozen Blueberries AGENCY: Agricultural... proposed revision to the United States Standards for Grades of Frozen Blueberries. After considering...

  3. Teacher agency:

    DEFF Research Database (Denmark)

    Robinson, Sarah; Priestley, Mark; Biesta, Gert

    2015-01-01

    The concept of teacher agency has emerged in recent literature as an alternative means of understanding how teachers might enact practice and engage with policy (e.g. Lasky, 2005; Leander & Osbourne, 2008; Ketelaar et al., 2012; Priestley, Biesta & Robinson, 2013). But what is agency? Agency...... remains an inexact and poorly conceptualised construct in much of the literature, where it is often not clear whether the term refers to an individual capacity of teachers to act agentically or to an emergent ‘ecological’ phenomenon dependent upon the quality of individuals’ engagement...... with their environments (Biesta & Tedder, 2007). In this chapter, we outline the latter conception of agency, developing a conceptual model for teacher agency that emphasizes the temporal and relational dimension of the achievement of agency. Why does this matter? Recent curriculum policy in many countries heralds a [re...

  4. 76 FR 1593 - Information Collection; Measurement Service Records

    Science.gov (United States)

    2011-01-11

    ... Farm Service Agency Information Collection; Measurement Service Records AGENCY: Farm Service Agency... Management and Budget, Washington, DC 20503. FOR FURTHER INFORMATION CONTACT: Joe Lewis, USDA, Farm Service... . SUPPLEMENTARY INFORMATION: Description of Information Collection Title: Measurement Service Records. OMB...

  5. Service data acquisition and onboard control for “GRIS-BD” unit in “GRIS” space experiment

    Science.gov (United States)

    Glyanenko, A. S.; Lupar, E. E.; Trofimov, Yu A.; Faradzhaev, R. M.; Yurov, V. N.

    2017-01-01

    Problems of onboard space scientific devices control, collecting auxiliary service information about working capacity, conditions of experiment carrying out and preliminary data processing for real time calibration and stabilizing of operational parameters are actual for any space devices. In this paper we describe and discuss service data acquisition and onboard control for “GRIS-BD” unit in “GRIS” space experiment onboard ISS. This system provides temperature measurements in different equipment parts (in power supplies, on scintillation crystals for energy ranges correction, etc.), precision thresholds measurements in discrimination circuits, status different switching on/off (in real time), precision control detector parameters by high-voltage regulation, fine thresholds changing (analog regulation), different switching on/off (in real time), statistical analysis of data flows and change of operation modes of the device.

  6. Community Service Learning as Democratic Education in South Africa and the United States.

    Science.gov (United States)

    Mendel-Reyes, Meta; Weinstein, Jeremy

    1996-01-01

    Describes development of the first community service-learning program for democratic education in South Africa, based on the Swarthmore College (Pennsylvania) Democracy Education Project at a black high school near Capetown (South Africa). Notes that successful transposition of the model requires recognition of complex historical and cultural…

  7. 78 FR 2627 - Fees for Official Inspection and Official Weighing Services Under the United States Grain...

    Science.gov (United States)

    2013-01-14

    ... ``Vomitoxin Qualitative'' and ``Vomitoxin Quantitative'' fees with one fee, ``All other Mycotoxins,'' in order... replace the ``Vomitoxin Qualitative'' and ``Vomitoxin Quantitative'' fees with one fee, ``All other... Services, including a comparison of the costs and revenues associated with official inspection and weighing...

  8. Valuation of Ecosystem Services from Wetlands Mitigation in the United States

    Directory of Open Access Journals (Sweden)

    Naveen Adusumilli

    2015-03-01

    Full Text Available Section 404 of the U.S. Clean Water Act includes most wetlands in its jurisdiction and requires wetland mitigation to compensate for permitted wetland losses. These mitigation wetlands can provide ecosystem services similar to original wetlands if properly constructed. Improvement of wetland monitoring requirements coupled with economic assessment is critical for effective implementation of the mitigation policy. The economic assessment when left out of evaluation of mitigation policy could result in mitigation wetlands being given too little weight in policy decisions. Under the assumption that mitigation requirements reported in the Army Corps permit files represent actual wetland creation, ecosystem services value is estimated using a wetland benefit‑function transfer approach. Wetland mitigation requirements during 2010–2012 recorded in the Army Corps permit files is used for the analysis. The results indicate that cumulative ecosystem services value per acre per year is in the range of $5000 to $70,000, which translates to a nationwide annual aggregate benefit of $2.7 billion. Given the history of the ecosystem services not fully captured nor adequately quantified, the current analysis is an initial step in understanding the value of wetland mitigation.

  9. Estimated Value of Service Reliability for Electric Utility Customers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, M.J.; Mercurio, Matthew; Schellenberg, Josh

    2009-06-01

    Information on the value of reliable electricity service can be used to assess the economic efficiency of investments in generation, transmission and distribution systems, to strategically target investments to customer segments that receive the most benefit from system improvements, and to numerically quantify the risk associated with different operating, planning and investment strategies. This paper summarizes research designed to provide estimates of the value of service reliability for electricity customers in the US. These estimates were obtained by analyzing the results from 28 customer value of service reliability studies conducted by 10 major US electric utilities over the 16 year period from 1989 to 2005. 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-database 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 US for industrial, commercial, and residential customers. Estimated interruption costs for different types of customers and of different duration are provided. Finally, additional research and development designed to expand the usefulness of this powerful database and analysis are suggested.

  10. 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

  11. System Analysis of Library and Information Services to the Spanish Speaking Community of the United States.

    Science.gov (United States)

    Cabello-Argandona, Roberto; Haro, Roberto Peter

    This study focuses on factors contributing to the low level of effectiveness of library and information services to the Spanish speaking community as reported in the literature. It analyzes, using an open system approach, models developed by public and academic libraries to serve the Spanish speaking population. Problems contributing to the…

  12. Design and analysis of health products and services: An example at a specialized COPD unit.

    Science.gov (United States)

    Domingo, Christian; Rubio, Vicente Ortún

    2008-01-01

    Health care demands have increased dramatically in recent decades. With the introduction of major changes in the management of health problems, health care costs have spiralled. Today, in the interests of cost control, medicine is geared towards outpatient care whenever possible.In this process, the medical community has been obliged to adapt its traditional criteria to the dictates of national economies. Today the criteria for the organization and evaluation of the health services are based on the concepts of efficacy, effectiveness and efficiency. This has led to the emergence of a new discipline for the design and evaluation of medical service production, known as servuction, an amalgam of "service" and "production". The organigram of a new health product should include the problems the program faces and the steps proposed to overcome these problems. The concept of evaluation can be divided into two categories: administrative evaluation, and evaluative research. Avedis Donabedian was one of the founders of evaluative research, based on an easy-to-remember triad: structure-process-results. In the final evaluation of a new health care model, the innovations it provides must be considered.In this article we describe the stages involved in the design of a new health product and correlate them with the types of evaluation that should be applied at each point in the process. Our discussion addresses general aspects of servuction, but also focuses on the design of a particular service, created to care for patients with severe COPD.

  13. Use of Microcomputers in Air Weather Service Units for Administrative, Managerial and Technical Activities

    Science.gov (United States)

    1984-04-01

    20 Softwre ............................................... 62 Officem Auomaiontins the.Busiess.Worl...but professional and managerial staff as well1 ... (9:2) The General Services Administration was even more specific when * it defined office automation...Conquests for the Computer," Nation’s Business, Vol. 70, No. 6 (June 1982): pp. 67-76. Spindle, Les. "Computerizing Your Office," Radio -Electronics, Vol

  14. Implementation of a large-scale hospital information infrastructure for multi-unit health-care services.

    Science.gov (United States)

    Yoo, Sun K; Kim, Dong Keun; Kim, Jung C; Park, Youn Jung; Chang, Byung Chul

    2008-01-01

    With the increase in demand for high quality medical services, the need for an innovative hospital information system has become essential. An improved system has been implemented in all hospital units of the Yonsei University Health System. Interoperability between multi-units required appropriate hardware infrastructure and software architecture. This large-scale hospital information system encompassed PACS (Picture Archiving and Communications Systems), EMR (Electronic Medical Records) and ERP (Enterprise Resource Planning). It involved two tertiary hospitals and 50 community hospitals. The monthly data production rate by the integrated hospital information system is about 1.8 TByte and the total quantity of data produced so far is about 60 TByte. Large scale information exchange and sharing will be particularly useful for telemedicine applications.

  15. Perspectives of Cardiac Care Unit Nursing Staff about Developing Hospice Services in Iran for Terminally ill Cardiovascular Patients: A Qualitative Study

    National Research Council Canada - National Science Library

    Azami-Aghdash, Saber; Ghojazadeh, Morteza; Naghavi-Behzad, Mohammad; Imani, Shahin; Aghaei, Mir Hossein

    2015-01-01

    The present study was conducted aiming to determine the points of view of cardiac care units' nursing staff about designing and providing Hospice services in Iran for cardiovascular patients in the final stages of life...

  16. Forensic examination of ink by high-performance thin layer chromatography--the United States Secret Service Digital Ink Library.

    Science.gov (United States)

    Neumann, Cedric; Ramotowski, Robert; Genessay, Thibault

    2011-05-13

    Forensic examinations of ink have been performed since the beginning of the 20th century. Since the 1960s, the International Ink Library, maintained by the United States Secret Service, has supported those analyses. Until 2009, the search and identification of inks were essentially performed manually. This paper describes the results of a project designed to improve ink samples' analytical and search processes. The project focused on the development of improved standardization procedures to ensure the best possible reproducibility between analyses run on different HPTLC plates. The successful implementation of this new calibration method enabled the development of mathematical algorithms and of a software package to complement the existing ink library.

  17. Avenues and barriers to access of services for immigrant elders: state and local policies for OAA units on aging.

    Science.gov (United States)

    Okafor, Maria C

    2009-07-01

    The diversification and aging of the US population has been at the root of many political and policy debates in recent years. Of particular interest has been the place of immigrants in an aging society, and what rights these immigrants are entitled to. The objective of this article is to describe the current avenues and barriers to access of services for immigrant elders and examine potential solutions for reform. The article begins with a historical overview of the policy issue, followed by the current status of the issue in the United States and suggestions for reform.

  18. EnviroAtlas - Housing in the Conterminous U.S. Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service includes maps that illustrate the number and density of housing units. Housing density and the proximity of housing to employment can...

  19. US EPA 2012 Air Quality Fused Surface for the Conterminous U.S. Map Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This web service contains a polygon layer that depicts fused air quality predictions for 2012 for census tracts in the conterminous United States. Fused air quality...

  20. 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

  1. Climate change impacts on freshwater fish, coral reefs, and related ecosystem services in the United States

    Science.gov (United States)

    We analyzed the potential physical and economic impacts of climate change on freshwater fisheries and coral reefs in the United States, examining a reference scenario and two policy scenarios that limit global greenhouse gas (GHG) emissions. We modeled shifts in suitable habitat ...

  2. A synoptic survey of ecosystem services from headwater catchments in the United States

    Science.gov (United States)

    Brian H. Hill; Randall K. Kolka; Frank H. McCormick; Matthew A. Starry

    2014-01-01

    Ecosystem production functions for water supply, climate regulation, and water purification were estimated for 568 headwater streams and their catchments. Results are reported for nine USA ecoregions. Headwater streams represented 74-80% of total catchment stream length. Water supply per unit catchment area was highest in the Northern Appalachian Mountains ecoregion...

  3. Coordinator(a) de Servicios Clinicos. Parte I (Unidad I-IV). Parte II (Unidad V-VI). Guia. Documento de Trabajo (Clinical Services Coordinator. Part I. Units I-IV. Part II. Units V-VI. Guide. Working Document).

    Science.gov (United States)

    Puerto Rico State Dept. of Education, Hato Rey. Area for Vocational and Technical Education.

    This guide is intended for instructing secondary students in the occupation of clinical services coordinator in a hospital. The first part contains four units on the following subjects: the occupation of clinical services coordinator; interpersonal relationships; ethical/legal aspects; and communications (telephone, intercom, and others). For each…

  4. Coordinator(a) de Servicios Clinicos. Parte I (Unidad I-IV). Parte II (Unidad V-VI). Guia. Documento de Trabajo (Clinical Services Coordinator. Part I. Units I-IV. Part II. Units V-VI. Guide. Working Document).

    Science.gov (United States)

    Puerto Rico State Dept. of Education, Hato Rey. Area for Vocational and Technical Education.

    This guide is intended for instructing secondary students in the occupation of clinical services coordinator in a hospital. The first part contains four units on the following subjects: the occupation of clinical services coordinator; interpersonal relationships; ethical/legal aspects; and communications (telephone, intercom, and others). For each…

  5. 75 FR 57410 - Address Correction Notices for Letters and Flats Qualifying for Full-Service Intelligent Mail and...

    Science.gov (United States)

    2010-09-21

    ... Changes to Move Update Standards AGENCY: Postal Service. TM ACTION: Proposed rule. SUMMARY: The Postal Service is proposing to revise Mailing Standards of the United States Postal Service, Domestic Mail Manual... From the Federal Register Online via the Government Publishing Office POSTAL SERVICE 39 CFR Part...

  6. Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review

    National Research Council Canada - National Science Library

    Akl, Elie A; El-Jardali, Fadi; Bou Karroum, Lama; El-Eid, Jamale; Brax, Hneine; Akik, Chaza; Osman, Mona; Hassan, Ghayda; Itani, Mira; Farha, Aida; Pottie, Kevin; Oliver, Sandy

    2015-01-01

    .... The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing...

  7. 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.

  8. The Department of Defense Critical Technologies Plan for the Committees on Armed Services United States Congress

    Science.gov (United States)

    1991-05-01

    suppression algorithms Passive * Demonstrate imaging IR * Demonstrate dual band 150 seekers seekers for multipla missions seekers supporting ATR...Program (TrCP) also provides exchange mechi i:, ms through a number of activities in conventional weapons. All of the Services have a number of data and...of 0 Prototyp garner"t and and blolig" aWM degradation enz ms to cloh fibeta and equipment finishos whkih equipmnent surfacesw% c~atiy degrade agenits

  9. Peer-Delivered Recovery Support Services for Addictions in the United States: A Systematic Review.

    Science.gov (United States)

    Bassuk, Ellen L; Hanson, Justine; Greene, R Neil; Richard, Molly; Laudet, Alexandre

    2016-04-01

    This systematic review identifies, appraises, and summarizes the evidence on the effectiveness of peer-delivered recovery support services for people in recovery from alcohol and drug addiction. Nine studies met criteria for inclusion in the review. They were assessed for quality and outcomes including substance use and recovery-related factors. Despite significant methodological limitations found in the included studies, the body of evidence suggests salutary effects on participants. Current limitations and recommendations for future research are discussed.

  10. "The study on surgical services for the United States": a valid prescription for American surgery?

    Science.gov (United States)

    Hughes, E F; Lewit, E M; Pauly, M V

    1977-01-01

    The overall approach of SOSSUS to the study of surgical services, the interpretation of findings, and policy recommendations are rightly called into question. But singular concern with the consequences of monopolistic control by the profession is no substitute for analysis of the dynamics among demand, production, and supply of surgery. Any delivery system--and many models are feasible--involving consumers, providers, and payers is a market in which multidimensional behavior must be anticipated.

  11. 75 FR 22707 - United States Standards for Grades of Potatoes

    Science.gov (United States)

    2010-04-30

    ... mixed or specialty pack would reflect current marketing practices. Upon further evaluation, AMS also...; ] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 51 United States Standards for Grades of Potatoes AGENCY: Agricultural Marketing Service, USDA. ACTION: Proposed rule. SUMMARY: This proposed rule...

  12. 78 FR 283 - United States Standards for Grades of Eggplant

    Science.gov (United States)

    2013-01-03

    ... gathered, AMS believes that permitting mixed colors and/or type packs will facilitate the marketing of...: 2012-31611] DEPARTMENT OF AGRICULTURE Agricultural Marketing Service [Doc. Number FV-11-0052] United States Standards for Grades of Eggplant AGENCY: Agricultural Marketing Service, USDA. ACTION: Final...

  13. Design and Analysis of Health Products and Services: An Example at a Specialized COPD Unit

    Science.gov (United States)

    Domingo, Christian; Rubio, Vicente Ortún

    2008-01-01

    Health care demands have increased dramatically in recent decades. With the introduction of major changes in the management of health problems, health care costs have spiralled. Today, in the interests of cost control, medicine is geared towards outpatient care whenever possible. In this process, the medical community has been obliged to adapt its traditional criteria to the dictates of national economies. Today the criteria for the organization and evaluation of the health services are based on the concepts of efficacy, effectiveness and efficiency. This has led to the emergence of a new discipline for the design and evaluation of medical service production, known as servuction, an amalgam of “service” and “production”. The organigram of a new health product should include the problems the program faces and the steps proposed to overcome these problems. The concept of evaluation can be divided into two categories: administrative evaluation, and evaluative research. Avedis Donabedian was one of the founders of evaluative research, based on an easy-to-remember triad: structure-process-results. In the final evaluation of a new health care model, the innovations it provides must be considered. In this article we describe the stages involved in the design of a new health product and correlate them with the types of evaluation that should be applied at each point in the process. Our discussion addresses general aspects of servuction, but also focuses on the design of a particular service, created to care for patients with severe COPD. PMID:19340319

  14. Knowledge of Abortion Laws and Services Among Low-Income Women in Three United States Cities.

    Science.gov (United States)

    Lara, Diana; Holt, Kelsey; Peña, Melanie; Grossman, Daniel

    2015-12-01

    Low-income women and women of color are disproportionately affected by unintended pregnancy. Lack of knowledge of abortion laws and services is one of several factors likely to hinder access to services, though little research has documented knowledge in this population. Survey with convenience sample of 1,262 women attending primary care or full-scope Ob/Gyn clinics serving low-income populations in three large cities and multivariable analyses with four knowledge outcomes. Among all participants, 53% were first-generation immigrants, 25% identified the correct gestational age limit, 41% identified state parental consent laws, 67% knew partner consent is not required, and 55% knew where to obtain abortion services. In multivariable analysis, first-generation immigrants and primarily Spanish speakers were significantly less likely than higher-generation or primarily English speakers to display correct knowledge. Design and evaluation of strategies to improve knowledge about abortion, particularly among migrant women and non-primary English speakers, is needed.

  15. Planning, Designing, Building, and Moving a Large Volume Maternity Service to a New Labor and Birth Unit.

    Science.gov (United States)

    Thompson, Heather; Legorreta, Kimberly; Maher, Mary Ann; Lavin, Melanie M

    Our health system recognized the need to update facility space and associated technology for the labor and birth unit within our large volume perinatal service to improve the patient experience, and enhance safety, quality of care, and staff satisfaction. When an organization decides to invest $30 million dollars in a construction project such as a new labor and birth unit, many factors and considerations are involved. Financial support, planning, design, and construction phases of building a new unit are complex and therefore require strong interdisciplinary collaboration, leadership, and project management. The new labor and birth unit required nearly 3 years of planning, designing, and construction. Patient and family preferences were elicited through consumer focus groups. Multiple meetings with the administrative and nursing leadership teams, staff nurses, nurse midwives, and physicians were held to generate ideas for improvement in the new space. Involving frontline clinicians and childbearing women in the process was critical to success. The labor and birth unit moved to a new patient tower in a space that was doubled in square footage and geographically now on three separate floors. In the 6 months prior to the move, many efforts were made in our community to share our new space. The marketing strategy was very detailed and creative with ongoing input from the nursing leadership team. The nursing staff was involved in every step along the way. It was critical to have champions as workflow teams emerged. We hosted simulation drills and tested scenarios with new workflows. Move day was rehearsed with representatives of all members of the perinatal team participating. These efforts ultimately resulted in a move time of ~5 hours. Birth volumes increased 7% within the first 6 months. After 3 years in our new space, our birth volumes have risen nearly 15% and are still growing. Key processes and roles responsible for a successful build, efficient and safe move

  16. Agency Theory

    DEFF Research Database (Denmark)

    Linder, Stefan; Foss, Nicolai Juul

    Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting and informational conditions, the theory addresses problems of ex...... agency theory to enjoy considerable scientific impact on social science; however, it has also attracted considerable criticism....

  17. 5 CFR 330.602 - Agency plans.

    Science.gov (United States)

    2010-01-01

    ... PLACEMENT (GENERAL) Agency Career Transition Assistance Plans (CTAP) for Local Surplus and Displaced Employees § 330.602 Agency plans. (a) Each agency will establish a Career Transition Assistance Plan (CTAP.... An agency plan will include: (1) Policies to provide career transition services to all surplus...

  18. Innovative, precise, and descriptive terms for group crisis support services: a United Nations initiative.

    Science.gov (United States)

    Mitchell, Jeffrey T

    2007-01-01

    Terminology borrowed from other disciplines for use in crisis intervention is inadvertently open to misinterpretation and misrepresentation. Misconceptions about terminology are most common when terms are transmitted across social, cultural, national, language, and attitudinal boundaries. Critical Incident Stress Management, which is a subset of crisis intervention, encountered that exact problem with three of its terms: demobilization, defusing, and Critical Incident Stress Debriefing. Several flawed studies based on misinterpretations of the meaning of these terms have appeared in the literature. The studies may have stimulated some practitioners of crisis intervention to incorrectly conclude that those interventions were ineffective. Professionals within the Critical Incident Stress Management Unit of the Department of Safety and Security of the United Nations suggested alternative and augmented terminology to reduce the potential for further misinterpretations of Critical Incident Stress Management procedures.

  19. 76 FR 4393 - Discover Financial Services Negotiated Service Agreement

    Science.gov (United States)

    2011-01-25

    ... Discover Financial Services Negotiated Service Agreement AGENCY: Postal Regulatory Commission. ACTION... Financial Services negotiated service agreement to the market dominant product list. This notice addresses... 3020, et seq., to add a Discover Financial Services (DFS) negotiated service agreement to the...

  20. 75 FR 95 - Endorsement and Payment of Checks Drawn on the United States Treasury

    Science.gov (United States)

    2010-01-04

    ...] [FR Doc No: E9-31166] DEPARTMENT OF THE TREASURY Fiscal Service 31 CFR Part 240 RIN 1510-AB25 Endorsement and Payment of Checks Drawn on the United States Treasury AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice of proposed rulemaking, with request for comment. SUMMARY:...

  1. 78 FR 45907 - United States Standards for Grades of Frozen Vegetables

    Science.gov (United States)

    2013-07-30

    ... Agricultural Marketing Service United States Standards for Grades of Frozen Vegetables AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice. SUMMARY: The Agricultural Marketing Service (AMS) of the Department... greens with turnips, and frozen mixed vegetables. DATES: Effective Date: August 29, 2013. FOR FURTHER...

  2. Emergency Medical Services Public Health Implications and Interim Guidance for the Ebola Virus in the United States

    Directory of Open Access Journals (Sweden)

    Christopher E. McCoy

    2014-11-01

    Full Text Available The 25th known outbreak of the Ebola Virus Disease (EVD is now a global public health emergency and the World Health Organization (WHO has declared the epidemic to be a Public Health Emergency of International Concern (PHEIC. Since the first cases of the West African epidemic were reported in March 2014, there has been an increase in infection rates of over 13,000% over a 6-month period. The Ebola virus has now arrived in the United States and public health professionals, doctors, hospitals, Emergency Medial Services Administrators, Medical Directors, and policy makers have been working with haste to develop strategies to prevent the disease from reaching epidemic proportions. Prehospital care providers (emergency medical technicians and paramedics and medical first responders (including but not limited to firefighters and law enforcement are the healthcare systems front lines when it comes to first medical contact with patients outside of the hospital setting. Risk of contracting Ebola can be particularly high in this population of first responders if the appropriate precautions are not implemented. This article provides a brief clinical overview of the Ebola Virus Disease and provides a comprehensive summary of the Center for Disease Control and Prevention’s Interim Guidance for Emergency Medical Services (EMS Systems and 9-1-1 Public Safety Answering Points (PSAPS for Management of Patients with Known of Suspected Ebola Virus Disease in the United States. [West J Emerg Med. 2014;15(7:-0.

  3. Forecasts of forest conditions in regions of the United States under future scenarios: a technical document supporting the Forest Service 2012 RPA Assessment

    Science.gov (United States)

    David N. Wear; Robert Huggett; Ruhong Li; Benjamin Perryman; Shan Liu

    2013-01-01

    The 626 million acres of forests in the conterminous United States represent significant reserves of biodiversity and terrestrial carbon and provide substantial flows of highly valued ecosystem services, including timber products, watershed protection benefits, and recreation. This report describes forecasts of forest conditions for the conterminous United States in...

  4. Transformation of the multidisciplinary diabetic foot clinic into a multidisciplinary diabetic foot day unit: results from a service evaluation.

    Science.gov (United States)

    Manu, Chris A; Mustafa, Omar G; Bates, Maureen; Vivian, Gill; Mulholland, Nicola; Elias, David; Huang, Dean Y; Deane, Colin; Cavale, Naveen; Kavarthapu, Venu; Rashid, Hisham; Edmonds, Michael

    2014-09-01

    The natural history of the diabetic foot is aggressive and complex. To counteract this, we describe the transformation of a Multidisciplinary Diabetic Foot Clinic into a Multidisciplinary Diabetic Foot Day Unit, which delivers an emergency open access system for patients, with a "one-stop," same day service in which investigations are performed, results reviewed and treatment implemented. It also provides joint clinics with vascular, orthopaedic, and plastic surgeons and specialized clinics for casting of complex neuropathic feet and for the administration of intravenous or intramuscular antibiotics on the same day. The aim was to document these increasingly wide-ranging facilities by undertaking a retrospective evaluation over a 6-week period, with analysis of notes, investigations, and an anonymous patient satisfaction survey. The clinic was visited by 597 patients who attended in 1076 appointments, of which 112 (10.4%) were emergency visits; these patients attended the clinic without a booked appointment but via an open access policy, 93 of whom were known to the clinic, but 19 were new self-referred patients to the service. Furthermore, 197 (18%) were seen in a Joint Vascular Diabetic Foot Clinic and 98 (9%) were seen in a Joint Orthopaedic Plastic Diabetic Foot Clinic, 570 (53%) were seen in an Active Ulcer Clinic and 97 (9%) in a Total Contact Casting Clinic. Forty-five percent of patients were prescribed antibiotics, including 188 (76%) as oral and 45(18%) as intravenous antibiotics and 15(6%) as intramuscular injections. Of the 1076 appointments, 150 (14%) patients were in the foot clinic for more than 4 hours. Sixty (10%) patients were reviewed 4 or more times over the 6-week period. Only 22 (2%) were admitted to hospital. Of the 125 survey responders, 98% were satisfied with this service, which has evolved from a Diabetic Foot Clinic into a Multidisciplinary Diabetic Foot Day Unit.

  5. Use of Transnational Services to Prevent Treatment Interruption in Tuberculosis-Infected Persons Who Leave the United States

    Science.gov (United States)

    Garnick, Deborah W.; Zuroweste, Edward; Razavi, Moaven; Shepard, Donald S.

    2016-01-01

    A major problem resulting from interrupted tuberculosis (TB) treatment is the development of drug-resistant TB, including multidrug-resistant TB (MDR TB), a more deadly and costly-to-treat form of the disease. Global health systems are not equipped to diagnose and treat the current burden of MDR TB. TB-infected foreign visitors and temporary US residents who leave the country during treatment can experience treatment interruption and, thus, are at greater risk for drug-resistant TB. Using epidemiologic and demographic data, we estimated TB incidence among this group, as well as the proportion of patients referred to transnational care–continuity and management services during relocation; each year, ≈2,827 visitors and temporary residents are at risk for TB treatment interruption, 222 (8%) of whom are referred for transnational services. Scale up of transnational services for persons at high risk for treatment interruption is possible and encouraged because of potential health gains and reductions in healthcare costs for the United States and receiving countries. PMID:26886720

  6. Use of Transnational Services to Prevent Treatment Interruption in Tuberculosis-Infected Persons Who Leave the United States.

    Science.gov (United States)

    Tschampl, Cynthia A; Garnick, Deborah W; Zuroweste, Edward; Razavi, Moaven; Shepard, Donald S

    2016-03-01

    A major problem resulting from interrupted tuberculosis (TB) treatment is the development of drug-resistant TB, including multidrug-resistant TB (MDR TB), a more deadly and costly-to-treat form of the disease. Global health systems are not equipped to diagnose and treat the current burden of MDR TB. TB-infected foreign visitors and temporary US residents who leave the country during treatment can experience treatment interruption and, thus, are at greater risk for drug-resistant TB. Using epidemiologic and demographic data, we estimated TB incidence among this group, as well as the proportion of patients referred to transnational care-continuity and management services during relocation; each year, ≈2,827 visitors and temporary residents are at risk for TB treatment interruption, 222 (8%) of whom are referred for transnational services. Scale up of transnational services for persons at high risk for treatment interruption is possible and encouraged because of potential health gains and reductions in healthcare costs for the United States and receiving countries.

  7. 78 FR 53426 - United States Travel and Tourism Advisory Board Charter Renewal

    Science.gov (United States)

    2013-08-29

    ... International Trade Administration United States Travel and Tourism Advisory Board Charter Renewal AGENCY... Services Administration, renewed the Charter for the United States Travel and Tourism Advisory Board on August 19, 2013. DATES: The Charter for the United States Travel and Tourism Advisory Board was...

  8. 75 FR 22363 - United States Standards for Grades of Olive Oil and Olive-Pomace Oil

    Science.gov (United States)

    2010-04-28

    ... Agricultural Marketing Service United States Standards for Grades of Olive Oil and Olive-Pomace Oil AGENCY... Department of Agriculture (USDA) is revising the United States Standards for Grades of Olive Oil. This... the grades of olive oil and olive-pomace oil commonly accepted in the United States and abroad....

  9. Power in the National Health Service: a case study of a unit considering NHS Trust status.

    Science.gov (United States)

    Peck, E

    1991-07-01

    There are a number of theoretical frameworks which aim to provide a language for understanding and discussing the nature of power and influence in organisational decision making. One of the most recent and comprehensive frameworks is that developed by Mintzberg. Following a resumé of the most pertinent sections of Mintzberg's framework, this paper uses it to investigate the power relationships in an NHS Mental Health Unit (MHU) considering NHS Trust status. This investigation reveals some important conclusions about the nature of power in the NHS but also explores some of the limitations of the framework as a descriptive and predictive tool.

  10. A Location-Based Service Using Geometric Location Methods to Unite Mobile Users

    Directory of Open Access Journals (Sweden)

    Wen-Chen Hu

    2016-02-01

    Full Text Available Since the introduction of iPhone in 2007, many location-based services (LBSs have been created and new LBSs are found every day. This research proposes yet another LBS, which is practical and was not found before to the best of authors' knowledge. The problem is described as follows. It happens all the times while several groups of people are traveling towards a destination, they lose contact from each other on the way. This research tries to have the groups travel as closely as possible until they reach the destination. It uses a method of minimum covering ellipses to find whether the groups are separated by more than a threshold/distance. If they are, the system will find a convenient rendezvous for all groups by using a method of geometric median. After meeting at the rendezvous, the groups reset the service and continue their journey. By using this LBS, travelers do not need to worry about losing connections with others. This method can also be applied to the problem of finding a convenient meeting place for mobile users.

  11. Agency Theory

    DEFF Research Database (Denmark)

    Linder, Stefan; Foss, Nicolai Juul

    2015-01-01

    Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting, and informational conditions, the theory addresses problems of ex ...... agency theory to enjoy considerable scientific impact on social science; however, it has also attracted considerable criticism.......Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting, and informational conditions, the theory addresses problems of ex...

  12. Agency Theory

    DEFF Research Database (Denmark)

    Linder, Stefan; Foss, Nicolai Juul

    Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting and informational conditions, the theory addresses problems of ex a...... agency theory to enjoy considerable scientific impact on social science; however, it has also attracted considerable criticism.......Agency theory studies the problems and solutions linked to delegation of tasks from principals to agents in the context of conflicting interests between the parties. Beginning from clear assumptions about rationality, contracting and informational conditions, the theory addresses problems of ex...

  13. Agency employment

    OpenAIRE

    Tomčíková, Ilona

    2012-01-01

    - Agency Employment For my thesis topic, I have chosen "Agency Employment". It's a relatively young institute, which was incorporated into our legal system only on October 1st, 2004. I believe that Agency Employment topic can be always considered current and positive, because it allows us to flexibly react to the needs of the job market. Since the topic is very broad, the goal of this paper is not a detailed analysis of all aspects of this institute, but only a few of them that I consider to ...

  14. Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"

    Directory of Open Access Journals (Sweden)

    Hutchings Hayley A

    2008-01-01

    Full Text Available Abstract 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 collected by the unit – Referral numbers, Activity, Number of patients waiting and Number of lost slots. Nine of the endoscopy units had previously participated in the Modernising Endoscopy Services (MES project during 2003 to redesign their endoscopy services. These MES sites had access to additional funding and data collection software. The other ten (Control sites had modernised independently. All data was requested in two phases and corresponded to eight specific time points between January 2003 and April 2006. Results Only eight of 19 endoscopy units submitted routinely collected, service-related data. Another site's data was collected specifically for the study. A further two units claimed to routinely collect service-related data but did not submit any to the study. The remaining eight did not collect any service-related endoscopy data routinely and liaised with their Trust for data. Of the eight sites submitting service-related data, only three were MES project sites. Of these three, the data variables collected were limited and none collected the complete set of endoscopy data variables requested. Of the other five sites, two collected all four endoscopy data types. Data for the three MES project sites went back as far as January 2003, whilst the five Control sites were only able to submit data from December 2003 onwards. Conclusion There was a lack of service-related endoscopy data routinely collected by the study sites, especially those who had participated in the MES project. Without this data, NHS endoscopy services cannot have a true understanding of their services, cannot identify problems and cannot measure the impact of any

  15. Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology

    Science.gov (United States)

    Jonny; Nasution, Januar

    2013-06-01

    Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.

  16. Implementation of unit-based interventions to improve teamwork and patient safety on a medical service.

    Science.gov (United States)

    O'Leary, Kevin J; Creden, Amanda J; Slade, Maureen E; Landler, Matthew P; Kulkarni, Nita; Lee, Jungwha; Vozenilek, John A; Pfeifer, Pamela; Eller, Susan; Wayne, Diane B; Williams, Mark V

    2015-01-01

    In a prior study involving 2 medical units, Structured Interdisciplinary Rounds (SIDRs) improved teamwork and reduced adverse events (AEs). SIDR was implemented on 5 additional units, and a pre- versus postintervention comparison was performed. SIDR combined a structured format for communication with daily interprofessional meetings. Teamwork was assessed using the Safety Attitudes Questionnaire (score range = 0-100), and AEs were identified using queries of information systems confirmed by 2 physician researchers. Paired analyses for 82 professionals completing surveys both pre and post implementation revealed improved teamwork (mean 76.8 ± 14.3 vs 80.5 ± 11.6; P = .02), which was driven mainly by nurses (76.4 ± 14.1 vs 80.8 ± 10.4; P = .009). The AE rate was similar across study periods (3.90 vs 4.07 per 100 patient days; adjusted IRR = 1.08; P = .60). SIDR improved teamwork yet did not reduce AEs. Higher baseline teamwork scores and lower AE rates than the prior study may reflect a positive cultural shift that began prior to the current study. © The Author(s) 2014.

  17. State Library Agency Survey (SLAA) 2008

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  18. State Library Agency Survey (SLAA) 2002

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  19. State Library Agency Survey (SLAA) 2007

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  20. State Library Agency Survey (SLAA) 2009

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  1. State Library Agency Survey (SLAA) 2000

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  2. State Library Agency Survey (SLAA) 1994

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  3. State Library Agency Survey (SLAA) 2004

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  4. State Library Agency Survey (SLAA) 2003

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  5. State Library Agency Survey (SLAA) 2005

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  6. State Library Agency Survey (SLAA) 1999

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  7. State Library Agency Survey (SLAA) 1998

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  8. State Library Agency Survey (SLAA) 1995

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  9. State Library Agency Survey (SLAA) 1996

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  10. State Library Agency Survey (SLAA) 2001

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  11. State Library Agency Survey (SLAA) 1997

    Data.gov (United States)

    Institute of Museum and Library Services — The State Library Agency Survey (SLAA) provides descriptive data about state library agencies for all fifty states and the District of Columbia. A state library...

  12. CTS United States experiments. A progress report

    Science.gov (United States)

    Robbins, W. H.; Donoughe, P. L.

    1976-01-01

    The results are presented of the United States experiments activity to date. Wide segments of the population are involved in the Experiments Program including the scientific community, other government agencies, industry, and the education and health entities. The experiments are associated with both technological objectives and the demonstration of new community and social services via satellite.

  13. EnviroAtlas - Bird National Biodiversity Ecosystem Services Metrics by 12-digit HUC for the Conterminous United States

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset was produced by a joint effort of New Mexico State University (NMSU), the U.S. Environmental Protection Agency (EPA), and the U.S. Geological Survey...

  14. Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit.

    Science.gov (United States)

    Tea, Christine; Ellison, Michael; Feghali, Fadia

    2008-01-01

    Customer service and patient satisfaction have become increasingly important in the healthcare industry. Given limited resources and a myriad of choices, on which facets of patient satisfaction should healthcare providers focus? An analysis of 40,000 observations across 4 hospitals found 1 important intervention: timely staff responsiveness. Using the Plan-Do-Check-Act (PDCA) quality methodology, the goal was set to improve staff responsiveness to orthopaedic patient needs and requests, thus improving patient satisfaction. A model to improve staff responsiveness was systematically developed and implemented. The I Care Rounding model places the emphasis on proactively meeting patient needs through hourly rounding, rather than caregivers providing care in a reactionary mode. After full implementation, positive improvement was demonstrated.

  15. Factors associated with collaboration among agencies serving children with complex chronic conditions.

    Science.gov (United States)

    Nageswaran, Savithri; Golden, Shannon L; Easterling, Douglas; O'Shea, T Michael; Hansen, William B; Ip, Edward H

    2013-11-01

    Our objective was to identify agency-level factors that increase collaborative relationships between agencies that serve children with complex chronic conditions (CCC). We hypothesized that an agency will collaborate with more partners in the network if the agency had a coordinator and participated in a community coalition. We surveyed representatives of 63 agencies that serve children with CCC in Forsyth County, North Carolina about their agencies' collaborations with other agencies. We used social network analytical methods and exponential random graph analysis to identify factors associated with collaboration among agencies. The unit of analysis was the collaborative tie (n = 3,658) between agencies in the network. Agencies participating in a community coalition were 1.5 times more likely to report collaboration than agencies that did not participate in a coalition. Presence of a coordinator in an agency was not associated with the number of collaborative relationships. Agencies in existence for a longer duration (≥11 vs. ≤10 years; adjusted odds ratio (aOR): 2.1) and those with a higher proportion of CCC clientele (aOR: 2.1 and 1.6 for 11-30 % and ≥31 % compared to ≤10 %) had greater collaboration. Care coordination agencies and pediatric practices reported more collaborative relationships than subspecialty clinics, home-health agencies, durable medical equipment companies, educational programs and family-support services. Collaborative relationships between agencies that serve children with CCC are increased by coalition participation, longer existence and higher CCC clientele. Future studies should evaluate whether interventions to improve collaborations among agencies will improve clinical outcomes of children with CCC.

  16. Transformative Agency

    DEFF Research Database (Denmark)

    Majgaard, Klaus

    The purpose of this paper is to enhance the conceptual understanding of the mediatory relationship between paradoxes on an organizational and an individual level. It presents a concept of agency that comprises and mediates between a structural and individual pole. The constitution of this agency ...... is achieved through narrative activity that oscillates between the poles and transforms paradoxes through the configuration of plots and metaphors. Empirical cases are introduced in order to illustrate the implications of this understanding....

  17. 78 FR 41128 - Market Test of International Merchandise Return Service

    Science.gov (United States)

    2013-07-09

    ... Market Test of International Merchandise Return Service AGENCY: Postal Regulatory Commission. ACTION... United States Postal Service of Market Test of Experimental Product--International Merchandise Return... returns as an important part of ] international shipping. Id. It concludes that the IMRS-NPR market test...

  18. THE ROLE OF ECONOMIC EFFICIENCY OF ACCOMMODATION UNITS IN DETERMINATION OF PURCHASE INTENTIONS OF TOURIST SERVICES

    Directory of Open Access Journals (Sweden)

    Simona Cristina Martin

    2014-11-01

    Full Text Available The indicators of demand distribution for various types of accommodation provide information regarding changing tourist preferences for different ways of tourist accommodation. Appreciation of economic efficiency for hotels activity is done through quantitative results obtained in accommodation units. For this purpose it uses, currently, a partial or synthetic indicators system. Taking into account the fact that, in appreciation of hotel business, it must start from the premise that it may not be fully reflected only in terms of economic results, but also through social results, appear obvious the need to maintain costs at a level that satisfies both requirements at the same time. Achieving superior social-financial indicators, remains one of the main goals also in hotel activities, but do not be overlooked the fact that it is necessary that these indicators must be obtained by ensuring a higher level of satisfaction of consumers requirements. Only simultaneous achievement of these two objectives can provide raising efficiency in accommodation sector.

  19. Towards evidence-based, GIS-driven national spatial health information infrastructure and surveillance services in the United Kingdom.

    Science.gov (United States)

    Boulos, Maged N Kamel

    2004-01-28

    The term "Geographic Information Systems" (GIS) has been added to MeSH in 2003, a step reflecting the importance and growing use of GIS in health and healthcare research and practices. GIS have much more to offer than the obvious digital cartography (map) functions. From a community health perspective, GIS could potentially act as powerful evidence-based practice tools for early problem detection and solving. When properly used, GIS can: inform and educate (professionals and the public); empower decision-making at all levels; help in planning and tweaking clinically and cost-effective actions, in predicting outcomes before making any financial commitments and ascribing priorities in a climate of finite resources; change practices; and continually monitor and analyse changes, as well as sentinel events. Yet despite all these potentials for GIS, they remain under-utilised in the UK National Health Service (NHS). This paper has the following objectives: (1) to illustrate with practical, real-world scenarios and examples from the literature the different GIS methods and uses to improve community health and healthcare practices, e.g., for improving hospital bed availability, in community health and bioterrorism surveillance services, and in the latest SARS outbreak; (2) to discuss challenges and problems currently hindering the wide-scale adoption of GIS across the NHS; and (3) to identify the most important requirements and ingredients for addressing these challenges, and realising GIS potential within the NHS, guided by related initiatives worldwide. The ultimate goal is to illuminate the road towards implementing a comprehensive national, multi-agency spatio-temporal health information infrastructure functioning proactively in real time. The concepts and principles presented in this paper can be also applied in other countries, and on regional (e.g., European Union) and global levels.

  20. Towards evidence-based, GIS-driven national spatial health information infrastructure and surveillance services in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Boulos Maged

    2004-01-01

    Full Text Available Abstract The term "Geographic Information Systems" (GIS has been added to MeSH in 2003, a step reflecting the importance and growing use of GIS in health and healthcare research and practices. GIS have much more to offer than the obvious digital cartography (map functions. From a community health perspective, GIS could potentially act as powerful evidence-based practice tools for early problem detection and solving. When properly used, GIS can: inform and educate (professionals and the public; empower decision-making at all levels; help in planning and tweaking clinically and cost-effective actions, in predicting outcomes before making any financial commitments and ascribing priorities in a climate of finite resources; change practices; and continually monitor and analyse changes, as well as sentinel events. Yet despite all these potentials for GIS, they remain under-utilised in the UK National Health Service (NHS. This paper has the following objectives: (1 to illustrate with practical, real-world scenarios and examples from the literature the different GIS methods and uses to improve community health and healthcare practices, e.g., for improving hospital bed availability, in community health and bioterrorism surveillance services, and in the latest SARS outbreak; (2 to discuss challenges and problems currently hindering the wide-scale adoption of GIS across the NHS; and (3 to identify the most important requirements and ingredients for addressing these challenges, and realising GIS potential within the NHS, guided by related initiatives worldwide. The ultimate goal is to illuminate the road towards implementing a comprehensive national, multi-agency spatio-temporal health information infrastructure functioning proactively in real time. The concepts and principles presented in this paper can be also applied in other countries, and on regional (e.g., European Union and global levels.