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At least 415 records · Page 23

Screening and Brief Interventions for Alcohol Use During Pregnancy: Practices Among US Primary Care Clinicians, DocStyles 2019

Alcohol use during pregnancy can cause birth defects and developmental disabilities. From 2018 through 2020, 13.5% of pregnant women reported current drinking. The US Preventive Services Task Force recommends evidence-based tools (eg, AUDIT-C and SASQ) for implementing screening and brief interventions to reduce excessive alcohol use among adults, including pregnant people, for whom any alcohol use is considered excessive. We used DocStyles 2019 data to conduct a cross-sectional analysis to examine current screening and brief intervention practices that primary care clinicians conduct among pregnant patients; clinicians’ confidence levels in conducting screening, brief interventions, and referral to treatment; and the documentation of brief interventions in the medical record. A total of 1,500 US adult medicine clinicians completed the entire survey. Among the respondents who conduct screening (N = 1,373) and brief interventions (N = 1,357) in their practice, nearly all reported implementing screening (94.6%) and brief interventions (94.9%) with their pregnant patients for alcohol use, but fewer than half felt confident about conducting their screening practices (46.5%). Two-thirds (64%) reported using a tool that met the criteria recommended by the US Preventive Services Task Force (USPSTF). Over half documented brief interventions in electronic health record notes (51.7%) or designated space (50.7%). Pregnancy presents a unique opportunity for clinicians to incorporate screening into routine obstetric care and encourage behavior change among patients. Most providers reported always screening their pregnant patients for alcohol use, but fewer used evidence-based USPSTF-recommended screening tools. Increased clinician confidence in screening and brief intervention, the use of standardized screening tools tailored to pregnant people, and maximal use of electronic health record technology may enhance the benefits of their application to alcohol use, which ultimately can reduce adverse outcomes associated with alcohol use during pregnancy.

60 APPLIED LIFE SCIENCES↗

Failure analysis of solid rocket apogee motors

The analysis followed five selected motors through initial design, development, test, qualification, manufacture, and final flight reports. An audit was conducted at the manufacturing plants to complement the literature search with firsthand observations of the current philosophies and practices that affect reliability of the motors. A second literature search emphasized acquisition of spacecraft and satellite data bearing on solid motor reliability. It was concluded that present practices at the plants yield highly reliable flight hardware. Reliability can be further improved by new developments of aft-end bonding and initiator/igniter nondestructive test methods, a safe/arm device, and an insulation formulation. Minimum diagnostic instrumentation is recommended for all motor flights. Surplus motors should be used in margin testing. Criteria should be established for pressure and zone curing. The motor contractor should be represented at launch. New design analyses should be made of stretched motors and spacecraft/motor pairs.

Martin, P. J.↗

Logic design for dynamic and interactive recovery.

Recovery in a fault-tolerant computer means the continuation of system operation with data integrity after an error occurs. This paper delineates two parallel concepts embodied in the hardware and software functions required for recovery; detection, diagnosis, and reconfiguration for hardware, data integrity, checkpointing, and restart for the software. The hardware relies on the recovery variable set, checking circuits, and diagnostics, and the software relies on the recovery information set, audit, and reconstruct routines, to characterize the system state and assist in recovery when required. Of particular utility is a handware unit, the recovery control unit, which serves as an interface between error detection and software recovery programs in the supervisor and provides dynamic interactive recovery.

Carter, W. C.↗

A distributed data base management capability for the deep space network

The Configuration Control and Audit Assembly (CCA) is reported that has been designed to provide a distributed data base management capability for the DSN. The CCA utilizes capabilities provided by the DSN standard minicomputer and the DSN standard nonreal time high level management oriented programming language, MBASIC. The characteristics of the CCA for the first phase of implementation are described.

Bryan, A. I.↗

Intermodal transfer in temporal discrimination

This study determined if training for accuracy in temporal discrimination would transfer across sensory modalities. A fractionation method was used in which subjects bisected the durations of acoustic and visual signals at three standard intervals (6, 12, and 18 sec). Absolute error was the performance index. Half of the subjects were trained with acoustic stimuli and then tested in vision; the remainder were trained in vision and tested in audition. Similar negatively accelerated acquisition functions were noted for both modalities. Positive intermodal transfer, characterized by symmetry across modalities, was obtained at all standard durations. The results were considered to provide support for the notion that a common mechanism underlies temporal discriminations in different sensory systems.

Warm, J. S.↗

FORTRAN tools

An integrated set of FORTRAN tools that are commercially available is described. The basic purpose of various tools is summarized and their economic impact highlighted. The areas addressed by these tools include: code auditing, error detection, program portability, program instrumentation, documentation, clerical aids, and quality assurance.

Presser, L.↗

Standardized development of computer software. Part 2: Standards

This monograph contains standards for software development and engineering. The book sets forth rules for design, specification, coding, testing, documentation, and quality assurance audits of software; it also contains detailed outlines for the documentation to be produced.

Tausworthe, R. C.↗

Experimental investigation of a 0.15 scale model of a conformal variable-ramp inlet for the F-16 airplane

A 0.15 scale model of a proposed conformal variable-ramp inlet for the Multirole Fighter was tested from Mach 0.8 to 2.2 at a wide range of angles of attack and sideslip. Inlet ramp angle was varied to optimize ramp angle as a function of engine airflow, Mach number, angle of attack, and angle of sideslip. Several inlet configuration options were investigated to study their effects on inlet operation and to establish the final flight configuration. These variations were cowl sidewall cutback, cowl lip bluntness, boundary layer bleed, and first-ramp leading edge shape. Diagnostic and engine face instrumentation were used to evaluate inlet operation at various inlet stations and at the inlet/engine interface. Pressure recovery and stability of the inlet were satisfactory for the proposed application. On the basis of an engine stability audit of the worst-case instantaneous distortion patterns, no inlet/engine compatibility problems are expected for normal operations.

Hawkins, J. E.↗

NASA Metrology and Calibration, 1980

The proceedings of the fourth annual NASA Metrology and Calibration Workshop are presented. This workshop covered (1) review and assessment of NASA metrology and calibration activities by NASA Headquarters, (2) results of audits by the Office of Inspector General, (3) review of a proposed NASA Equipment Management System, (4) current and planned field center activities, (5) National Bureau of Standards (NBS) calibration services for NASA, (6) review of NBS's Precision Measurement and Test Equipment Project activities, (7) NASA instrument loan pool operations at two centers, (8) mobile cart calibration systems at two centers, (9) calibration intervals and decals, (10) NASA Calibration Capabilities Catalog, and (11) development of plans and objectives for FY 1981. Several papers in this proceedings are slide presentations only.

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Data Quality: 1979 Southeastern Virginia Urban Plume Study (SEV-UPS): Surface and Airborne studies

The SEV-UPS field study conducted during August 1979 involved the coordinated air quality data collection efforts of three different organizations operating a total of four aircraft and 12 ground stations. Incorporated into plans for that program were numerous quality assurance activities designed to identify potential hazards for data quality in time for their correction and to take data to allow assessment of the consistency of the data from different stations. The purpose of this study was to document QA procedures that were performed by participating agencies and revise data from all platforms for mutual compatibility. For the latter effort, cases were identified on 21 occasions on seven different days where two or more monitoring systems were operating in the same location at nearly the same time. Data from the systems involved were tabulated in 200 m altitude segments, averaged and compared to detect any bias between measurements made from different systems. The results of these comparisons along with the results of independent performance audits are presented.

White, J. H.↗

The effect of the charge exchange source on the velocity and 'temperature' distributions and their anisotropies in the earth's exosphere

The velocity distribution of atomic hydrogen in the earth's exosphere is calculated as a function of altitude and direction taking into account both the classic exobase source and the higher-altitude plasmaspheric charge exchange source. Calculations are performed on the basis of a Monte Carlo technique in which random ballistic trajectories of individual atoms are traced through a three-dimensional grid of audit zones, at which relative concentrations and momentum or energy fluxes are obtained. In the case of the classical exobase source alone, the slope of the velocity distribution is constant only for the upward radial velocity component and increases dramatically with altitude for the incoming radial and transverse velocity components, resulting in a temperature decrease. The charge exchange source, which produces the satellite hydrogen component and the hot ballistic and escape components of the exosphere, is found to enhance the wings of the velocity distributions, however this effect is not sufficient to overcome the temperature decreases at altitudes above one earth radius. The resulting global model of the hydrogen exosphere may be used as a realistic basis for radiative transfer calculations.

Hodges, R. R., Jr.↗

Energy consumption analysis of the Venus Deep Space Station (DSS-13)

This report continues the energy consumption analysis and verification study of the tracking stations of the Goldstone Deep Space Communications Complex, and presents an audit of the Venus Deep Space Station (DSS 13). Due to the non-continuous radioastronomy research and development operations at the station, estimations of energy usage were employed in the energy consumption simulation of both the 9-meter and 26-meter antenna buildings. A 17.9% decrease in station energy consumption was experienced over the 1979-1981 years under study. A comparison of the ECP computer simulations and the station's main watt-hour meter readings showed good agreement.

Hayes, N. V.↗

Managers Handbook for Software Development

Methods and aids for the management of software development projects are presented. The recommendations are based on analyses and experiences with flight dynamics software development. The management aspects of organizing the project, producing a development plan, estimation costs, scheduling, staffing, preparing deliverable documents, using management tools, monitoring the project, conducting reviews, auditing, testing, and certifying are described.

Agresti, W.↗

Artificial intelligence - New tools for aerospace project managers

Artificial Intelligence (AI) is currently being used for business-oriented, money-making applications, such as medical diagnosis, computer system configuration, and geological exploration. The present paper has the objective to assess new AI tools and techniques which will be available to assist aerospace managers in the accomplishment of their tasks. A study conducted by Brown and Cheeseman (1983) indicates that AI will be employed in all traditional management areas, taking into account goal setting, decision making, policy formulation, evaluation, planning, budgeting, auditing, personnel management, training, legal affairs, and procurement. Artificial intelligence/expert systems are discussed, giving attention to the three primary areas concerned with intelligent robots, natural language interfaces, and expert systems. Aspects of information retrieval are also considered along with the decision support system, and expert systems for project planning and scheduling.

Moja, D. C.↗

Post-Challenger evaluation of space shuttle risk assessment and management

As the shock of the Space Shuttle Challenger accident began to subside, NASA initiated a wide range of actions designed to ensure greater safety in various aspects of the Shuttle system and an improved focus on safety throughout the National Space Transportation System (NSTS) Program. Certain specific features of the NASA safety process are examined: the Critical Items List (CIL) and the NASA review of the Shuttle primary and backup units whose failure might result in the loss of life, the Shuttle vehicle, or the mission; the failure modes and effects analyses (FMEA); and the hazard analysis and their review. The conception of modern risk management, including the essential element of objective risk assessment is described and it is contrasted with NASA's safety process in general terms. The discussion, findings, and recommendations regarding particular aspects of the NASA STS safety assurance process are reported. The 11 subsections each deal with a different aspect of the process. The main lessons learned by SCRHAAC in the course of the audit are summarized.

Source record↗

Nuclear reactor power as applied to a space-based radar mission

The SP-100 Project was established to develop and demonstrate feasibility of a space reactor power system (SRPS) at power levels of 10's of kilowatts to a megawatt. To help determine systems requirements for the SRPS, a mission and spacecraft were examined which utilize this power system for a space-based radar to observe moving objects. Aspects of the mission and spacecraft bearing on the power system were the primary objectives of this study; performance of the radar itself was not within the scope. The study was carried out by the Systems Design Audit Team of the SP-100 Project.

Jaffe, L.↗