BEE-spoke-data/govdocs1-by-extension huggingface dataset:
# Presentation: 645358

## Complete analysis of Run 4 (AuAu 200 and 62 GeV)
Analyse Run 5 (CuCu 200 and 62 GeV) and Run 7
Include PiD in the analysis (exclude leptons, select hadrons)
Analysis of the pp and dAu runs 
Study of the Pt dependence of the signal
Study of the systematic (jet, resonances, detector response, space charge, etc)
Monte Carlo study of the detector response
Flow study

- Analyse Run 5 (CuCu 200 and 62 GeV) and Run 7
- Include PiD in the analysis (exclude leptons, select hadrons)
- Analysis of the pp and dAu runs
- Study of the Pt dependence of the signal
- Study of the systematic (jet, resonances, detector response, space charge, etc)
- Monte Carlo study of the detector response
- Flow study

- Plan to Study the CP Violation
# Presentation: 132548

## OREGON’S APPROACH TO PRESCRIPTION DRUGS

- John Santa, M.D.
- Administrator
- Office of Oregon Health Policy and Research

**Notes:**
“Santa intro slide”

## Principles

- Focus on health not health services
- Negotiate for value
- Represent the population
- Insist on a functional marketplace

**Notes:**
“principles”

## Creating a Functional Market

- Focus on specific classes
- Provide credible, public, evidence-based review of comparative effectiveness within the class
- Purchase with the evidence in mind
- Communicate the evidence
- Compassion/Discipline

**Notes:**
“market”

## Dollar Market Share

**Months-1/00 to 6/02**

**$/Mon**

**Notes:**
“chart”

## First Four Classes

**1. PPIs/heartburn**—”no significant demonstrable differences among them”
**2. Long-acting opioids**—”insufficient evidence to draw any conclusions about the comparative effectiveness”
**3. Statins/cholesterol lowering**-”evidence supports the ability of lovastatin, pravastatin and simvastatin to improve coronary heart disease clinical outcomes.”
**4. NSAIDs**—”no evidence to demonstrate a significant difference in efficacy among COX-2 inhibitors, COX-2 preferential NSAIDs, and non-selective NSAIDs.”
- PPI: Proton Pump Inhibitor                NSAID: non-steroidal anti-inflammatory drugs

**Notes:**
“4classes”

## Individual Flexibility-Emerging Continuum

- Physician driven exception process
- Information driven prior authorization
- Reference or tiered copayments
- Guideline driven prior authorization (hopefully evidence-based)

**Notes:**
“flexibility”

## Purchasing Strategy

- Play your game not theirs—evidence vs. marketing, price vs. rebates, remove/expose conflict of interest
- Challenge the industry to compete/disclose
- Challenge physicians to do “the right thing”
- Provide incentives to patients and doctors that promote competition
- Duck, bob and weave

**Notes:**
“purchasing”

## Other Options

- “Preferred Pharmacies”
- Tiered copayments for optional populations
- Collaborative purchasing
- Disease management

**Notes:**
“options”

## Next Steps 

- States collaborate on evidence-based reviews—reduce costs, speed the process, updates, share findings
- Encourage the use of AHRQ Evidence-based Practice Centers, Cochrane Collaborative groups
- Communicate the evidence

**Notes:**
“steps”

## More Information 

- Records of process at _[www.ohpr.state.or.us](http://www.ohpr.state.or.us/)_
- Reports at oregonrx.org
- Email comments/questions to _[rxhelp@state.or.us](mailto:rxhelp@state.or.us)_
- State officials call John Santa at
-    (503) 378-2422 x401

**Notes:**
“moreinfo?”
# Presentation: 706959

## Financing VaccinesState/Territorial/Urban Grantee Perspective 

- Claire Hannan, MPH
- Executive Director, Association of Immunization Managers (AIM)

## Association of Immunization Managers (AIM)

- Established in 1999
- 64 state, city and territorial immunization projects funded by CDC/NIP
- AIM members responsible for implementing VFC and 317 grant programs

## Vaccine Financing Status Quo Problematic

- Shortage of 317 funds
- Funding not keeping pace with costs, new vaccines
- Two-tier system

## IOM Recommendations

- Recognize and address current problems
- Include adults
- High cost, need for legislation – low probability for implementation
- Concern about impact on public health role – public/private provider relationship nurtured by VFC

## AIM Principles

- Every child has a right to be vaccinated in a medical home
- Immunization insurance coverage must be provided for all children
- Full funding must be provided for Section 317
- Success of VFC must be maintained

## Financing alternatives

- Expansion of VFC to all under- and uninsured in all settings
- Insurance mandate (national first dollar coverage)
- Universal federal purchase

## Thank you

***Association of Immunization Managers***
***1275 K Street, NW Suite 800***
***Washington, D.C. 20005***
***Phone 202-715-1676  Fax 202-371-9797***
# Presentation: 751025

## Suspicious Activity Report by Casinos & Card Clubs Filing Trend

***Total SARs: 622***

**Suspicious Activity Report by Casinos & Card Clubs Filing Trend**
**State of New York**
**For the Period August 1, 1996 through December 31, 2007**

## Suspicious Activities Reported by Casinos & Card Clubs

**Suspicious Activities Reported by Casinos & Card Clubs**
**State of New York**
**For the Period August 1, 1996 through December 31, 2007**

- Note:  The pie chart does not include those categories of suspicious activity for which data queries returned no results (i.e., no filers reported these activities).
- An individual SAR-C may cite more than one suspicious activity.  Hence, the number of activities detailed here exceeds the total number of SARs.

## Suspicious Activity Report by Casinos & Card Clubs Filing Trendby Type of Gaming EstablishmentState of New YorkFor the Period January 1, 2000 through December 31, 2007

## Suspicious Activity Report by Casinos & Card Clubs

**Geographic Reporting Locations**
**State of New York**
**For the Period January 1, 2007 through December 31, 2007**

**Note: Statistics based on Casino Address**

- Verona

- Hogansburg

- Nichols
# Presentation: 691096

## Abramson Cancer Center

**University of Pennsylvania**
**David A. Fenstermacher, Ph.D.**
**Director, Biomedical Informatics**
- _[dfenster@mail.med.upenn.edu](mailto:dfenster@mail.med.upenn.edu)_
**215-746-8680**

## Workspace

**caBIG Clinical Trial Management**
**Systems Workspace**

## 		Data Availability

- Cancer Center Clinical Trials Data Management
- 	• FileMaker Pro - current
- 	• Oracle Clinical - future
- 	• over 200 clinical trials per year
- 	• patient and protocol specific
- 	• management systems
- 		• data from in-house systems that can be
- 		converted and used for assessing newly
- 		developed tools

## 			Tools Required

- Protocol specific/patient specific system
- 	• to track patient activities and outcomes for a particular
- 	trial
- 2. Management Oversight System
- 	• number of active/inactive by reporting period
- 	• patients accrual by trial/protocol
- 	• trial approval
- 		• IRB
- 		• CTSRMC
- 		• audit dates
- 	• NCI Summary 4 format

## Tools Evaluation

**Review by cancer center clinical trials staff, using existing data sets**
**Selected clinical trials facilitators**
**Biomedical Informatics Facility**

## Systems Integration

**ACC Biomedical Informatics Facility**
- Systems analysis, database administration,
- programming support, technical support

## End User Testing

- Server
- Available to load and run software locally
- Web-based portal for workspace adopters to share testing functionality and ideas
- Identified user base for clinical trials
- Bug reporting and tracking into searchable database

## Software Validation

**Coordinated by Biomedical Informatics Facility, which will implement bug reporting tools.  De-bugging for specifically reported problems.**

## Interactions with Workspace Developers

- Web-based portal for idea exchange
- Teleconferencing
- caBIG workspace meetings
- Site visits
- Direct interactions facilitated by Biomedical Informatics Facility
# Presentation: 549175

## NREL Energy Analysis ForumMarket Outlook for Wind

- James H. Caldwell Jr.
- American Wind Energy Association
- August 13, 2001

## NREL Energy Analysis ForumWind Energy Projects, Nameplate MW Capacity

**Region****	****   On-Line      In-Development****	****     Economic Potential**
**	****	****	****	****	****	**_**@$2 gas**__**	**_**	**_**@$4gas**_
**West****	****       1800****	****	****3000****	****	****35,000****	****	****200,000**
**Midwest****	****        610****	****	****  700****	****	****    400****	****	****350,000**
**East****	****          35****	****	****  225****	****	****    500****	****	****    7,000**
**Texas****	****        200****	****	****  900****	****	****    --****	****	****  40,000**
**South****	****            **_**2**__**	**__**	**__**    20**__**	**__**	**__**   100**__**	**__**	**__**      600**_
**Total****	****        2647****	****4800****	****	****36,000****	****	****600,000**

## NREL Energy Analysis Forum

- What Wind Needs
- Flexible near-real time scheduling
- Penalty free imbalance settlement in liquid spot market
- Long term non-firm transmission at volumetric pricing
- Other market structure features common to needs of other resources
- No pancaking
- Robust secondary market in transmission rights
- Network transmission access fees paid by load
**Robust regional least cost planning process**

## NREL Energy Analysis Forum

- Current Environment
- Rigid scheduling protocols with strong deviation penalties
- Imbalance settlements in dysfunctional “markets” or punitive cost based penalties
- Order 888 balkanization/pro-forma tariff as gospel
- Inflexibility of the “balanced schedule” and “firming services”
- Bias towards commodity strips and firm unit sales
- No short term transmission rights. No flexibility on partial resale
- No planning process

## NREL Energy Analysis Forum

**Forecasting**
- Real time (0-6 hrs): “smart persistence.”
- Near term (6-72 hrs): “smart climatology.”
- If forecast both of above with ~ 80% accuracy @ 95% confidence, then most of intermittency problem is mitigated.
- Load shape issues remain.

## NREL Energy Analysis Forum

- What wind wants
- Recognition as an economically viable generating resource with certain characteristics that need to be accommodated by the grid just like all other generation resources
- Quick, complete, universal implementation of FERC Order 2000
- RTO “Function 9” to offer tariffed imbalance service for as available resources
- Public support for coordinated output forecasting research and data collection
- Support for temporary exemptions/special treatment pending maturation of wholesale markets
- Support for least cost long term transmission planning
- Public financing of major regional transmission infrastructure

## NREL Energy Analysis Forum

- Specific Upcoming RTO Issues
- CA ISO Tariff Revisions – July 27 Board Meeting
- RTO West Imbalance penalties
- MISO Imbalance penalties
- BPA/WAPA concurrence
# Presentation: 674032

## MTAC #107 Update

- November 1, 2006
- Washington DC

## Progress

- Goal
- To provide key visibility points for parcels and obtain pre-notification for all parcel drops to support improved workload management
- August
- Discussed the overall goal of the MTAC #107 workgroup
- Identified several USPS stakeholders
- Identified several Parcel stakeholders, including Clarke American, Pitney Bowes, endicia and Newgistics
- Discussed the need for additional corporate volunteers to ensure a balanced work group

- © 2006 Accenture. All rights reserved.

## Progress

- September
- Discussed and reviewed the objectives for the group
- Develop an approach
- to provide visibility for Parcels
- to allow Parcel mailers to provide pre-notification of origin entry and dropship eVS mailings
- to utilize existing barcodes, such as the Surface Visibility mailer barcode and the parcel tracking barcode (i.e., UCC 128)
- Size, height and width of barcode for different Parcel sizes
- Provide insight into technology changes of key applications, such as APPS and *PostalOne!* TM
- Investigate possibilities to integrate eDropShip and eVS processes
- Identified additional Parcel Industry stakeholders
- Quebecor World,  Cornerstone Shipping, abol Software, BMG Columbia House and Ridgway

- © 2006 Accenture. All rights reserved.

## Progress

- October
- Provided a high level overview of FAST/ Surface Visibility, Intelligent Mail and Barcode Technology, eVS and how these systems interact with one another
- Communicated that FAST should be viewed as a system that integrates with Surface Visibility to provide key visibility points and serve as the key entry point to the USPS mail system
- FAST should not be looked as a replacement for DSAS
- Indicated that USPS is committed to providing rating systems to encourage:
- Mailers to provide accurate advance notification of incoming mail and
- USPS facility personnel to provide improved customer service
- USPS communicated that it will Investigate if ePayment postage can be done with uniquely identified pallets to reduce verification cost

- © 2006 Accenture. All rights reserved.

## Next Steps

- Provide overview of Product Tracking System (PTS)
- Discuss integration of eVS/FAST/Surface Visibility
- Discuss APPS
- Meet in early December 2006

- © 2006 Accenture. All rights reserved.
# Presentation: 113852

## Subtropical Depression #10 

**Briefing #6**
**10 am - 9/21/07**

## Summary

**Well defined low off FL panhandle this morning has been classified as a depression**
***Expected to strengthen to a tropical storm later today***
**Should track just offshore to an eventual landfall over SE Louisiana or coastal MS late Saturday**
**Primary threats for our area appear to be tornadoes and localized heavy rainfall**

## Current Situation

**Depression centered around 29.2N, 85.5W at 10 am CDT**
**Maximum sustained winds 30 mph with gusts to 40 mph**
**Moving NW at 8 mph, more of a turn to the W later today**

- L

## Track

## Intensity

**Positives for intensification**
***Very warm Gulf waters; depending on track, ***
***Forecast weak wind shear over Gulf***

**Negatives for development/ intensification**
***Proximity to land, and only about 36 more hours over water***
***Dry air over the northern/eastern Gulf of Mexico***

***At the present time, a minimal to moderate tropical storm is forecast. Intensity greater than a tropical storm does not appear likely at this time.***

## Potential Impacts

**Based on making landfall as a minimal to moderate tropical storm**
**Timeframe:  Saturday/Saturday Night**
**Location:  South of I-20, increasing risk closer to Highway 84 corridor**
***Primary risk:  Tornadoes ***
***Secondary risk:  Localized heavy rain***
***Wind is the least risk – gusts to tropical storm force possible in the Hwy 84 corridor from Brookhaven east; wind gusts of 25 to 35 mph across south Mississippi***

## Points to Take

**System now classified as a depression**
**Should make landfall sometime late Saturday in southeast Louisiana or coastal Mississippi**
**Primary impacts for our area would be a risk of tornadoes and localized heavy rainfall south of Interstate 20**
# Presentation: 871179

## 	We pioneered development of ultrafast spectroscopy at high magnetic fields, which helped create a user facility at the National High Magnetic Field Lab (NHMFL) in Tallahasse, FL. Focusing on quantum wells in high magnetic fields, we were able to provide the first demonstration of superfluorescence bursts from quantum wells, where ultrafast excitation and high magnetic field impose macroscopic coherence on magneto-plasma. Additionally, we performed time-resolved experiments probing the dynamics of superfluorescence emissions, which provided evidence for pulse-like emission from quantum wells. 

**	****We pioneered development of ultrafast spectroscopy at high magnetic fields, which helped create a user facility at the National High Magnetic Field Lab (NHMFL) in Tallahasse, FL. Focusing on quantum wells in high magnetic fields, we were able to provide the first demonstration of superfluorescence bursts from quantum wells, where ultrafast excitation and high magnetic field impose macroscopic coherence on magneto-plasma. Additionally, we performed time-resolved experiments probing the dynamics of superfluorescence emissions, which provided evidence for pulse-like emission from quantum wells. **
**	****We also have performed extensive CW and time-resolved magneto-spectroscopy of various forms of ZnO (bulk, epilayers, and nanorods). **
***ITR funding supports two Ph.D. students:***
*** ******1) Xiaoming Wang, Ph.D. Sept. 2007. ***
***2) Jinho Lee, Ph.D. expected Jan. 2008.***

- Y. D. Jho, et al., Phys. Rev. Lett. **96**, 237401.
- Y. D. Jho, et al., J. Mod. Optics **53**, 2325-2335 (2006).
- Y. D. Jho, et al., cond-mat/0607022
- X. Wang, et al., *Ultrafast Phenomena XV, *to appear.

**ITR: Collaborative Research: **
**Optical Control in Semiconductors for Spintronics **
**and Quantum Information Processing**
**J. Kono; Rice University; DMR 0325474**
**L. Sham; U California San Diego; DMR 0325599**
**C. Stanton; U Florida; DMR 0325499**

- ITR Task III: Quantum Control in Quantum
- Wells and Dots
- University of Flordia

**Notes:**
	The application of strong laser fields to explore quantum optical phenomena has played a major role in our understanding of the interaction of light with atomic systems. In particular, superfluorescence (SF) is one of most exotic cooperative phenomena known in quantum optics. The University of Florida, in conjunction with the National High Magnetic Field Laboratory in Tallahassee, has helped create a user facility pioneering ultrafast spectroscopy at high magnetic fields to help study this exotic phenomena. An example of our facilities is depicted in the upper left picture, where one can see the  view of the experiment in Cell 5 from the top of the magnet platform.  The laser is in the adjacent room (cell 3) and the black tarp covers an optical table with routing optics.  Much of our research focuses on studying quantum wells and various forms of ZnO in high magnetic fields. In the upper right figure, the field dependent emission from an InGaAs multi-quantum well sample pumped by intense 780 nm, 150 fs pulses in a high magnetic field is shown.
# Presentation: 056142

## Screens from ProFAA Demonstration

- December 5, 2006

## ProFAA Computer ProgramBasic Index Display

- December 5, 2006

## ProFAA Computer ProgramZoomed Display

*ProFAA Computer Program**Zoomed Display*

- December 5, 2006

## ProFAA Computer ProgramRight-Click Straightedge Detail

*ProFAA Computer Program**Right-Click Straightedge Detail*

- December 5, 2006

## ProFAA Computer ProgramRight-Click Straightedge Detail

*ProFAA Computer Program**Right-Click Straightedge Detail*

- December 5, 2006

## ProFAA Computer ProgramIndex Values Over Sections

*ProFAA Computer Program**Index Values Over Sections*

- December 5, 2006

## ProFAA Computer ProgramIndex Values Over Sections

*ProFAA Computer Program**Index Values Over Sections*

- December 5, 2006

## ProFAA Computer ProgramProbability Distribution Function

*ProFAA Computer Program**Probability Distribution Function*

- December 5, 2006

## ProFAA Computer ProgramInput / Output Options

*ProFAA Computer Program**Input / Output Options*

- December 5, 2006

## ProFAA Computer ProgramAircraft Simulation Display

*ProFAA Computer Program**Aircraft Simulation Display*

- December 5, 2006

## Includes damping forces due to:
Velocity squared hydraulic damping.
Strut seal Coulomb friction.
Strut bearing Coulomb friction due to strut inclination.
Two-to-one breakaway-to-sliding friction.
All wheels lumped into one equivalent wheel.
Unsprung mass is ignored.
Gas compression spring.
Linear tire spring with linear damping.

- Velocity squared hydraulic damping.
- Strut seal Coulomb friction.
- Strut bearing Coulomb friction due to strut inclination.
- Two-to-one breakaway-to-sliding friction.
- All wheels lumped into one equivalent wheel.
- Unsprung mass is ignored.
- Gas compression spring.
- Linear tire spring with linear damping.

*ProFAA Computer Program**Strut Model*

- December 5, 2006

## ProFAA Computer ProgramSimulation – Zero Coulomb Friction

*ProFAA Computer Program**Simulation – Zero Coulomb Friction*

- December 5, 2006

## ProFAA Computer Program Simulation – 4 x Coulomb Friction

*ProFAA Computer Program** Simulation – 4 **x** Coulomb Friction*

- December 5, 2006

## ProFAA Computer ProgramEffects of Coulomb Friction

*ProFAA Computer Program**Effects of Coulomb Friction*

- Nose Gear Strut Dynamic Coefficient

- Main Gear Strut Dynamic Coefficient

- December 5, 2006
# Presentation: 400891

## Basic Research Needs for Advanced Energy Systems

- 4. Advanced Actinide Fuels

- Speakers:
- Robin Grimes, Imperial - microstructure.
- Jim Tulenko, U of Florida – Overview.
- Marius Stan, LANL - Phase relationships.
- Roger Stoller, ORNL - Possible PRDs.
- Kemal Pasamehmetoglu - Fuel performance.
- Ted Besmann, ORNL - Thermodynamics.

## Basic Research Needs for Advanced Energy Systems

- Rudy Konings, ITU Karlsruhe
- Art Motta, Penn State
- Roger Stoller, ORNL

- 4. Advanced Actinide Fuels

## Identify and describe 3 – 5 priority research directions (associated with actinide fuels) where revolutionary basic research advances are needed for more effective utilization of nuclear energy.

*... **but we have a balancing act because the basic research must be clearly practically applicable.*

## Key time lines for deliverables:

- Mon 15:45	- electronic versions of presentations to Greg
- Mon 17:45	- identify priority research directions (PRDs)
- Mon 21:00	- agree on 3-5 one sentence PRDs (written)
- Tue 10:00	- last changes to PRD sentences
- Tue 10:00	- have prepared one view graph for each PRD
*Tue 10:30**	**- present PRDs : we have 20 minutes*
- Tue	afternoon – work on executive summary etc.
*Wed 10:00**	**- present closing session presentation*

## Issues Common to all Fuels:

- What do we want?
- Aim for as high a burn-up as reasonably achievable
- Good structural and chemical stability at high temperature and under irradiation
- Effective cladding behaviour and interaction
- Fuel that transitions to technologies (reprocessing) required to close the fuel cycle
- Compatibility with an acceptable eventual disposal route
- Fuel that is more proliferation resistant
- For some, transuranic to uranium ratios as high as 50:50
- Fabrication process as simple as possible

## Issues Common to all Fuels:

- What do we want?
- Optimise thermal conductivity
- Retain fission products, minor actinides and Pu
- Grain structure
- Pore distribution
- Fission product distributions
- Second phase formation
- Stoichiometry

## Electron microscope image of UO2 intergranular fracture surfaces showing grain boundaries with five metal particles located at bubbles.

- Ref: Nicoll *et al.* J. Nucl. Mat., 240 (1997) 185.

- Electron microscope image of UO2 intergranular fracture surfaces showing grain boundaries with five metal particles located at bubbles.

- 4. Advanced Actinide Fuels

## This is achieved by understanding the processes that occur during the Microstructural Evolution.

- This is achieved by understanding the processes that occur during the *Microstructural Evolution.*
- How can we predict the evolution of the microstructure of irradiated fuel and the fission product distribution as a function of thermal history, and burn-up and irradiation?
- note: not empirical...ie.how it came to be that way (to enable a predictive capacity).
# Presentation: 680706

## Electronic Data Interchange(EDI)

**Integrated Federal Employees’ Compensation System**

- November 28, 2007

## Electronic CA-1 and CA-2 and EDI

- What is EDI?
- Why EDI?
- Where is EDI Used?
- Electronic CA-1 and CA-2
- The OWCP Implementation Convention (IC)
- The OWCP Electronic Case Create System Overview
- Some Third Party Service Agencies
- Comments/Questions?

- Electronic Data Interchange (EDI)

## What is EDI?

- EDI is the computer-to-computer exchange of business documents.

- Electronic Data Interchange (EDI)

## Why EDI?

- Data accuracy – _*No manual re-keying of data*_.
- Faster processing times, easy to implement and easy to maintain.
- Case number notification within _***48 hours***_.
- No need to mail or fax CA1/CA2 forms to OWCP.
- Cost savings

- Electronic Data Interchange (EDI)

## Electronic CA-1 and CA-2

*EDI, the computer-to-computer exchange of CA1/CA2 for a case number* *allows for OWCP to*:

**Transmits EDI Case data today**

**responds**
**with an EDI case number**
**24-48 hours later**

- Electronic Data Interchange (EDI)

## The OWCP Implementation Convention (IC)

- The participating agency is provided with copies of the OWCP Implementation Convention (IC) which contains guidelines for the following transaction data sets:
- 148 is used to submit the Federal Workers’ Compensation report of Injury and/or illness (CA1/CA2)
- 824 is used to return the Case Number assigned to each 148 report.
- 997 is used to acknowledge receipt of the 148 and 824
- Depending on any error that may occur it will be return to the submitting agency inside the one of the following transaction data sets:
- 824 Failure to comply with the 148 IC.
- 997 Failure to comply with the standard syntax.

- Electronic Data Interchange (EDI)

## The OWCP Electronic Case Create System Overview

- Agency

- Sends 148
- CA-1/CA-2

- OWCP

- Agency

- OWCP

- Acknowledges
-  Receipt
- 997

- Step 1

- Step 2

- Agency

- Step 3

- OWCP

- Sends
- 824 Case
- Number

- Step 4

- Agency

- OWCP

- Acknowledges
-  Receipt
- 997

- Electronic Data Interchange (EDI)

## SomeThird Party Service Agencies

- U.S. Department of Veteran Affairs
- Rocco DiFronzo
- 512-326-6695
- rocco.difronzo@mail.va.gov
- U.S. Department of Transportation
- Margaret Ike and Steve Michaliscka
- 405-0954-0801
- Department of Defense
-  John Wyatt
- 703-696-1228
- john.wyatt@cpms.osd.mil

- Electronic Data Interchange (EDI)

## Comments/Questions?

- Electronic Data Interchange (EDI)
# Presentation: 438029

## ICCPUD Panel: CDC Alcohol Activities

- Bob Brewer, MD, MSPH
- Alcohol Team Leader
- National Center for Chronic Disease Prevention & Health Promotion/CDC

## Background

- Excessive alcohol consumption (e.g., underage and binge drinking) is related to a number of health and social problems that are addressed by CDC programs.
- Some CDC programs focus exclusively on alcohol issues (e.g., Fetal Alcohol Syndrome Prevention Team and Alcohol Team).
- Many CDC programs assess alcohol consumption as part of their other program activities.

## Examples of CDC Programs that Address Alcohol

- National Center for Chronic Disease Prevention and Health Promotion
- Alcohol Team
- Division of Adolescent and School Health
- Adverse Childhood Experiences Study
- Risk Factor Surveys (e.g., BRFSS & YRBS)
- National Center for Injury Prevention and Control
- Motor Vehicle Team
- Acute Care Team

## Examples of CDC Programs that Address Alcohol

- National Center for Health Marketing
- Community Guide Branch
- National Center on Birth Defects and Developmental Disabilities
- Fetal Alcohol Syndrome Prevention Team
- National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
- Division of HIV prevention

## CDC Alcohol & Public Health Interest Group

- Increase awareness of alcohol as a public health problem.
- Provide a forum for exchanging information on alcohol and public health.
- Improve the usefulness of data systems for monitoring alcohol consumption.
- Identify research needs and support capacity building in states.
- Foster collaboration on alcohol projects across CDC programs

## Inventory of CDC Alcohol Activities

- Initial survey to identify CDC Divisions that are addressing alcohol.
- Follow-up survey to more specifically characterize these alcohol activities.
- Help set priorities for the Interest Group.
- Complement the ICCPUD inventory of underage drinking activities.

## Summary

- Alcohol is increasingly recognized as an important public health priority at CDC.
- Many CDC programs are currently involved in addressing alcohol to some extent.
- Alcohol activities at CDC tend to be diffuse and compartmentalized.
- Improved intra- and inter-agency collaboration is needed to facilitate the prevention of excessive alcohol consumption and related harms.

## Contact Information

- Bob Brewer, MD, MSPH
- Alcohol Team
- National Center for Chronic Disease Prevention & Health Promotion/CDC
- E-mail: bbrewer1@cdc.gov
- _[www.cdc.gov/alcohol](http://www.cdc.gov/alcohol)__ _
# Presentation: 905970

## Production ideas for vendor investigation

- Cooling channels, fillets
- Machining oriented (1-2)
- Brazing oriented
- Hybrid

- Buncher β=0.0728

## Cooling channels

- _Water-brazing-vacuum_ sections can be avoided by inserting steel pipes through channels
- Outlets through endwalls: easier fabrication, difficult dismount of endwalls
- Vanes containing channels can be designed on outside of cylinder (confirmed by thermal simulation)
- Easy dismount of endwalls

- Machined from solid

- Brazed/welded on

## Fillets

- May be added almost anywhere without need of simulation except on high field areas (Spokes)
- Purpose is to make machining easier
- Fillets used: 5mm

## Critical machining

- Spoke smallest section: 10mm
- Drift Tube fillets

## Machining oriented 1

- Machine cavity in two slices (identical)
- Create spoke and vanes machining each slice from both sides
- Connect the two slices
- Braze along circumference of cylinder through vanes1
- Machine & connect endwalls and pipes
- Braze Dtubes on walls1 or machine from solid
- Braze walls1 and pipes2 on cylinder
- Pros:
- Matching parts
- Not difficult brazing operations
- Cons:
- Ports to be machined and welded over section
- Difficult machining waste

## Machining oriented 2

- Machine cavity from solid
- Create spokes and vanes
- Fabricate endwalls
- Machine from solid or braze on drift tubes
- Pros:
- Not difficult brazing operations
- No water-brazing-vacuum sections
- Cons:
- Difficult and long machining waste

- 10.85mm

## Brazing oriented

- Machine whole cylinder from solid
- Create vanes and channels
- Braze Rf, Vacuum and cooling ports1
- Machine spokes
- Braze Dtubes and spokes together1
- Braze spokes on vanes2
- Machine endwalls
- Braze Dtubes on walls1 or machine from solid
- Braze walls on cylinder3
- Pros:
- Easier machining of spokes
- Easier machining of cylinder
- Batch production (selection of best parts)
- Cons:
- Apparently difficult brazing of drift tubes
- Vanes need additional machining for later brazing

## Hybrid

- Machine cylinder from solid
- create vanes
- Create endwall with drift tube
- Machine spokes from solid
- Braze 2 spokes on vanes
- Braze other endwall on cylinder
- Pros:
- Reduced use of brazing (1-2 steps)
- Batch production of spokes
- Movable spokes
- Cons:
- Difficult machining of spokes
- Difficult positioning of spokes for brazing

## Coming next

- Selection of type of fabrication
- Technical drawings for vendors
# Presentation: 094219

## large Indian breadrootPediomelum  esculentum  (Pursh) Rydb.  Synonym:  Psolera  esculeuta Pursh.Other common names; Indian breadroot, breadroot, prairie turnip, prairie potato, prairie apple, wild turnip, pomme blanche, pommede prairie, tipsin, tipsinna.

**Medicinally:**
- The roots and leaves have a mild, stimulating, bitter taste.  A tea was used to treat sore throats, chest problems and gastroenteritis.
- A chewed root was applied to fractures, sprains and earaches.
- It was often used to treat equine ailments.

**Food:**
- This plant was an important food.  The root forms an enlargement, or turnip, several inches below the soil surface.  It is about the size of an egg.  The Indians dug the roots up in June or July.  The harvest had to occur after the vegetative tops dried down but before they could be blown loose.  Digging beneath the hard prairie soil without a shovel was not easy.  The roots were peeled and eaten raw or were cooked by boiling or roasting.  Dried roots, a winter food supply, were often pounded into a starchy meal.  The Lewis and Clark expedition documented buying ‘breadroot’ frequently on the journey to the Pacific coast.  Settlers traveling west with wagon trains would often barter for this plant with the tribes.  Although this was a common plant on the prairie and easily identifiable the homesteaders did not know what it looked like and would drive right over it.

- Photo courtesy of:  Bonnie Heidel, DOI,  USGS.  *Prairie Wildflowers and Grasses of North Dakota*. Northern Prairie Wildlife Research Center.

- Slide developed by Pat Broyles, Soil Conservationist, Manhattan, KS. PMC.  USDA is an equal opportunity employer.
# Presentation: 106757

## What is SciDAC?

**“****Scientific Discovery through Advanced Computing”**
- New DOE program started in October 2001
- Total budget ~ $70M/year
- Duration ~ 5 years
**Three types of activities**
- Science Applications
- Global Climate
- Accelerator Technology, Fusion, Astrophysics
- Integrated Software Infrastructure Centers (ISICs)
- Performance, Adaptive grids, ...
- National Collaboratories and Networking
- Earth System Grid, ...

## SciDAC Global Climate Projects

## SciDAC CCSM Collaborative Development

**Cooperative initiative on CCSM development**
- 6 DOE labs (ANL, LANL, LBNL, LLNL, ORNL, PNNL), NASA/DAO, and NCAR
- DOE PIs: Bob Malone (LANL) and John Drake (ORNL)
- Coordinate with SSC, WGs, CCSM team, NASA ESMF
**Focus is on**
- Model extensibility, component interchangeability
- Portability
- Across range of current architectures
- Adaptable to foreseeable future directions
- Performance
- Dynamical cores
- Spatial gradients imply interprocessor communications

## Slide 4

## Examples of Generic Development Activities

- Software engineering
- Requirements and design documents for each component model
- Rigorous review of code and proposed changes (CRBs)
- Suite of tests to be applied before changes are incorporated
- Conform to CCSM software development guidelines
- Documentation
- Keep design document  and user documentation up to date
- Maintain compatibility with
- CCSM plans, SSC guidelines, WG objectives
- NASA HPCC Earth System Modeling Framework (ESMF)
- Common Component Architecture (CCA)
- Issues
- Object-oriented approach?
- Can it be done in Fortran90?
- If prefer C++,  must solve language interoperability problem

## Examples of Model Development Activities

- Atmospheric model
- Continues work of CHAMMPions and ACPI Avant Garde
- Improved parallelism, cache utilization, data structures, modularity
- Higher resolution (T85, T170)
- Add atmospheric chemistry, sub-grid precipitation parameterization
- Coupler
- Model Coupling Toolkit (MCT)
- Supports both synchronous and asynchronous coupling modes
- Designed for compatibility with ESMF and CCA
- Ocean model
- Improved parallelism, cache utilization, data structures, modularity
- Hybrid z-isopycnal vertical coordinate with ALE remapping (HYPOP)
- Monotone incremental remapping horizontal advection/transport
- Add biogeochemistry
- Sea ice model
- Monotone incremental remapping horizontal advection/transport

## Mechanisms for Coordinating Activities

**Weekly teleconference calls (each Monday)**
- Pick topic(s) in advance
- Currently announced only to institutional PIs
**Monthly Access Grid meetings**
- Pick topic(s) in advance
- Currently announced only to institutional PIs
- Can easily enlarge audience
**Detailed task lists**
- Who is doing what when?
- Currently primarily limited to SciDAC activities
- Need to integrate SciDAC and NCAR activities
**Active SciDAC participation in CCSM Working Groups**
# Presentation: 075458

## Organizational Factors Influencing Patient Safety/Quality in Medical Group Practices

- John E. Kralewski, Ph.D.
- University of Minnesota

## Some Findings from 20+ Studies Over the Past 10 Years

- Basic model includes
- Incentives
- Organizational structure
- Culture
- Will focus on four outcome studies and then two projects designed to better understand those studies

## Four Studies Designed to Determine What Makes a Difference

- Prescription drug errors
- PPPSA performance
- PMPM costs and patient satisfaction
- Physician payment amount and quality

## What Did We Find?

- Drug Errors
- 27.7% of prescriptions had errors
- 12.9% if over/under dose left out
- More prescriptions/patient – more errors
- Rural – more errors
- Monitor chronic illness – fewer errors
- Electronic drug prompts – fewer prescriptions
- Quality culture – fewer errors
- Cohesive culture – fewer errors
- Physician payment methods – no influence
- Practice size and complexity – no influence

## What Did We Find?

- PPPSA
- Six patient safety domains
- 380 practices – range 12% to 63%
- Medium practice size – high performance
- EHRs influence Rx records and renewals
- Proportion of revenue from Medicare and Medicaid has negative effect on drug management, but positive on informing patients of rights and encouraging patients to share safety concerns

## What Did We Find?

- Patient Satisfaction and Costs
- PMPM costs do not influence satisfaction
- Cohessive culture – nurse practitioners increase satisfaction; larger practices lower satisfaction
- Physician payment, workload, specialty mix, physician age had no influence on satisfaction

## What Did We Find?

- Physician Payment and Quality
- The amount paid to medical practices for services has no influence on quality as measured by claims data

## What Did We Find?

- Overall
- EHRs have less influence than expected
- Physician payment (method and amount) has less influence than expected
- Culture is important but hard to change
- Practice size is an important factor, complexity unclear
- Physician characteristics influence costs but not quality
# Presentation: 151425

## Clinical Trial Design Issues

**Phill Price MD**

## Contraceptive Drug Development 

- Phase 1
- Phase 2
- Phase 3
- Phase 4

## Phase 1

- Safety
- Tolerability
- Pharmacokinetics
- Drug interactions

## Phase 2 

- Ovulation suppression
- Dose finding
- Preliminary predictive (efficacy) information and some safety data

## Phase 3 (Safety & Efficacy) 

- Type of Trial
- Trial Size
- Entry Criteria
- Study Procedures
- Efficacy
- Safety Evaluation
- Cycle Control
- Discontinuation

## Type of Trial (Phase 3) 

- Open labeled historical control
- Active control
-  not basis of approval for presently marketed drugs

## Trial Size (Phase 3) 

- New Molecular Entity (NME)
- 20,000 28-day cycles (or equivalent) within first year of treatment
- 400 women completing thirteen
-    28-day cycles (or equivalent)

## Trial Size (Phase 3) 

- Non-NME
- 10,000 28-day cycles (or equivalent)
- 	within first year of treatment
- 200 women completing thirteen
-    28-day cycles (or equivalent)

## Entry Criteria (Phase 3) 

- Sexually active and not using any other form of contraception on a regular basis
- Age
- BMI
- Smoking
- Percentage of switchers vs. fresh starts
- Labeled contraindications (are typical exclusions)
- Other exclusions

## Variability in Entry Criteria (Phase 3)

- Age *(18- 50, majority less than age 35)*
- BMI *(generally less than 35 kg/m**2**)*
- Smoking
- Switchers vs. fresh starts
- Other exclusions
- family history of VTE
- adverse bleeding patterns with prior hormonal contraceptive use

## Study Procedures (Phase 3) 

- Standard entry procedures
- Pregnancy testing
- frequency
- urine vs. serum
- central lab vs. home

## Study Procedures (Phase 3) 

- Diary (paper vs. electronic)
- pill use
- bleeding/ spotting data collection
- use of back-up contraception
- sexual activity
- Criteria for protocol driven termination
- Subject satisfaction data
- Use of Patient Reported Outcome (PRO) Instrument

## Study Evaluation 

- Efficacy
- Cycle-control
- Discontinuation rates
- Safety

## Efficacy 

- Efficacy based upon “on-treatment” pregnancies
- From start of study drug through end of study drug administration +14 days
- Failure rate assessment
- Pearl Index (point estimate + 95% confidence interval)
- Life Table method

## Efficacy 

- Failure types
- method failure
- user failure
- Study population for efficacy analysis
- no back-up contraception
- sexual activity
- age (equal to or less than 35 years)

## Cycle control 

- Definitions and analysis vary

## Discontinuation 

- Protocol driven termination
- Patient withdrawal

## Limitation of Phase 3 trials for assessment of product safety

- Further investigation in Phase 4
# Presentation: 763857

**DEVELOPING AN INTERFACE TO THE AFSM 100 AUTOMATED INDUCTION PROCESS **
**MTAC WORKGROUP #96 **
**AUGUST 18, 2005**

## AFSM-ai PROGRAM

**Integrate Flat Mail Preparation Operation into the AFSM 100**
**Automate the Induction and Feeding of Prepped Flats into the Feeder/Transport System**
**Preproduction Machine Installed at Southern MD P&DC**
**First Article Test – Pittsburgh PA P&DC **

## AFSM-ai MOVIE

## MTAC WORK GROUP #96

**Explore and Develop Innovative Mail Preparation Techniques to Optimize AFSM-ai**
**Drive Down Costs in the End-to-End Process**
**Industry Work Group Leader – Mike Winn, RR Donnelley**
**USPS Work Group Leader – Dave Williams, Processing Operations**

## WORK GROUP CONTACTS

**Michael J. Winn**
**R.R. Donnelley**
**216 Greenfield Road**
**Lancaster, PA 17601-5817**
**mike.winn@rrd.com**
**(717) 291-9040**
**David Williams**
**US Postal Service**
**475 L’Enfant Plaza SW Room 7631**
**Washington, DC 20260-2814**
**(202) 268-4305**
**david.e.williams@usps.gov**
# Presentation: 708076

## Fontenelle Working Group Meeting 

**Fontenelle Working Group Meeting **
**August 18, 2004**

## Fontenelle Working Group Meeting August 2004

- Live Capacity 			345,000 	AF
- _Capacity on 8/9/04__	__	__325,034__	__AF_
- Available Space		  19,966	AF
- Reservoir Elev. (Max)	6506.00	feet
- _Elevation on 8/9/04__	__	__6503.40__	__feet_
- Elevation below (Max)	      2.60	feet
- 10 Day Average Inflow	     1163	cfs
- 10 Day Average Release	     1640	cfs

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

**Fontenelle Working Group Meeting August 2004**

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004

## Fontenelle Working Group Meeting August 2004
# Presentation: 765182

## Project Enhance(formerly Senior Wellness Project)EnhanceFitness 

**Project Enhance**(formerly Senior Wellness Project)EnhanceFitness** **

**Senior Services**
- 2208 Second Avenue
- Seattle, WA 98121
- www.seniorservices.org
- Susan Snyder, DirectorProject Enhance
- www.projectenhance.org

## Project Enhance Ensemble

**Project Enhance Ensemble**

**EnhanceFitness**(formerly Lifetime Fitness Program)**E****nhance Wellness**(formerly Health Enhancement Program)

## Project Enhance Ensemble

**Project Enhance Ensemble**

**Community** health promotion programs designed for older adults**Evidence-based** – proven to get measurable improvements in health and well-being of older adults**Powerful partnerships****Award-winning**

- EnhanceFitness Beginnings

- 1994 RCT – UW, GHC, Senior ServicesSignificant Improvement in physical functioning, socialization, and decreased depression and painOriginally developed to transition participants from class to doing exercises at home

- EnhanceFitness Intervention

- Group exercise class, with exercises that: 	increase strength, 		flexibility, 					balance and 				aerobic capacityOne hour 3 X week Certified fitness instructors Participant and program level outcome data collected, analyzed, distributed

- EnhanceFitness Attributes

- Strong partnership:	GHC, UW and Senior ServicesSenior fitness benefit for GHC Medicare members2003 NCOA Award for 1 of 10 Best PA Programs for Older Adults in the NationContinually refined and tested

- EnhanceFitness Sites

**A Participants Testimonial**

- “This program is my lifeline. I came here on the recommendation of physical therapy while undergoing treatment for knee problems, a broken ankle and arthritis. The improvement has been remarkable. I can once again walk 2 or 3 miles with no difficulty....in fact, I am in better shape than some of my friends who are 15 years younger.”-----Doris M., age 69

**Hmong/Laotian EnhanceFitness Site**

- -----Antonio P., age 74

## Project Enhance Contact

**Project Enhance Contact**

- Susan Snyder, Director206.727.6297susans@seniorservices.org _[www.projectenhance.org](http://www.projectenhance.org/)_
# Presentation: 753850

## Low Cost, High Performance CryogenicHeat ExchangerCreare, Inc.Hanover, NH

**ACCOMPLISHMENTS**
- Construction and facrication methods enable small size, light weight, and high performance compared to state-of-the-art heat exchangers.
- Design models predict that a multi-moldule RFHX can achieve a thermal effectiveness of 0.99 with a mass of only 2.5 kg and a fractional pressure drop of only 6 percent.
**GOVERNMENT SCIENCE/APPLICATIONS**
- Phase III funding from GSFC and the Air Force Research Lab for the development of the RFHX to provide high-performance recuperative heat exchangers for future turbo-Brayton cryocoolers.
- Air Force has sponsored development of high-capacity recuperators based on RFHX technology to provide compact cryogenic coolers for air separation in large transport aircraft and to supply liquid oxygen for medevac units.
- JSC providing funding using RFHX technology for service in the advanced Trace Contaminant Control System (TCCS) and Thermal Control System (TCS) for the International Space Station.
- Developing RFHX using advanced materials that meets the requirements for sensor cooling in the NASA Next Generation Space Telescope (NGST).

**S****mall**
**B****usiness**
**I****nnovation**
**R****esearch**

- 1994 Phase II, SS5-048; 10/10/00

**COMMERCIALIZATION**
- Additional applications include cryocoolers for reconnaissance and missile defense systems, oxygen generating systems for medical and aircraft applications, laboratory and industrial-scale cryogenic refrigeration and liquefacation systems, and oxygen generating systems for field hospitals..

**Goddard Space Flight Center**

**INNOVATION**
- Developed lightweight, compact Radial Flow Heat Exchanger (RFHX) for space and aircraft cryocooler applications.

- Points of Contact:
- 	-  NASA - Mike Krainak; 301-286-2646
- 	-  Creare, Inc. - Mike Izenson; 603-643-3800

***Radial Flow Heat Exchanger***