Data Report: 2016 Indiana Physician Licensure Survey

The Bowen Center for Health Workforce Research and Policy, formerly called the Bowen Research Center, has a rich history of collecting, analyzing, and disseminating health workforce data and research for the State of Indiana. These health workforce data are important to informing health workforce policy and planning efforts through the State. Although the health workforce is comprised of a myriad of health professionals, the physician workforce may be regarded as the backbone of the healthcare system, which makes collecting and disseminating timely data on the supply and distribution of Indiana’s physician workforce critical to informing any health workforce policy or planning efforts. The 2016 Indiana Physician Licensure Survey Data Report presents key information and data collected from the physician re-licensure survey administered by the Indiana Professional Licensing Agency (IPLA) during physicians’ biennial license renewal. As of 2015, 26,536 physicians were licensed to practice in the State of Indiana. Of these, 10,057 physicians reported having an Indiana practice address. The majority of Indiana physicians reported having only one practice location in the state. Consistent with national trends, Indiana’s physicians are concentrated in populous, urban areas. In addition to understanding the geographic distribution of this workforce, practice characteristics are critical to determining capacity at the community level. A total of 6,285 (62%) physicians reported working 37 hours or more per week in direct patient care. Furthermore, roughly 52% of the physician workforce reported not offering a sliding fee scale. Also, 8.5% of Indiana physicians reported not accepting Medicaid. This report details important demographic and practice characteristics for the physician workforce. The report also examines these data for the primary care physician workforce and the psychiatric workforce. The 2015 Indiana Physician Licensure Survey Data Report presents a snapshot of data on the physician workforce in order to provide stakeholders with information needed to improve the quality and accessibility of health care for Indiana residents through policy making, workforce development, and resource allocation

Data Report: 2015 Indiana Nursing Licensure Survey

The mission of the Bowen Center for Health Workforce Research and Policy is to improve population health by contributing to informed health workforce policy through data management, community engagement, and original research. The Bowen Center has a rich history of collecting, analyzing, and disseminating health workforce data and research for the State of Indiana. These health workforce data are important to informing health workforce policy and planning efforts throughout Indiana. The nursing workforce represents the largest segment of the health workforce and works in a variety of settings to fulfill direct patient care, coordination of care, administrative and research roles.1 In fact, in 2015 Indiana had nearly 104,000 registered nurses (RNs) renew their professional license. Furthermore, as the number of medical students choosing to specialize in primary care decreases, the number of advanced practice nurses (APNs) has more than doubled over the past 20 years.2 Understanding the supply and distribution of the RN and APN workforce is critical to understand their capacity to meet healthcare needs and improve population health. The data presented in this report provides a snapshot of key demographic and practice characteristics for the RN workforce

O. D. Edwards, Arnold O. Morgan, Decker S. Womack and Dean Gano to Gov. Ross Barnett, 28 September 1962

Senders state that for every border patrolman sent to carry out Bobby\u27s order they will send another Texan to face him. Message was forwarded to Jackson, MS.https://egrove.olemiss.edu/west_union_gov/1065/thumbnail.jp

Air traffic management evaluation tool

Methods for evaluating and implementing air traffic management tools and approaches for managing and avoiding an air traffic incident before the incident occurs. A first system receives parameters for flight plan configurations (e.g., initial fuel carried, flight route, flight route segments followed, flight altitude for a given flight route segment, aircraft velocity for each flight route segment, flight route ascent rate, flight route descent route, flight departure site, flight departure time, flight arrival time, flight destination site and/or alternate flight destination site), flight plan schedule, expected weather along each flight route segment, aircraft specifics, airspace (altitude) bounds for each flight route segment, navigational aids available. The invention provides flight plan routing and direct routing or wind optimal routing, using great circle navigation and spherical Earth geometry. The invention provides for aircraft dynamics effects, such as wind effects at each altitude, altitude changes, airspeed changes and aircraft turns to provide predictions of aircraft trajectory (and, optionally, aircraft fuel use). A second system provides several aviation applications using the first system. Several classes of potential incidents are analyzed and averted, by appropriate change en route of one or more parameters in the flight plan configuration, as provided by a conflict detection and resolution module and/or traffic flow management modules. These applications include conflict detection and resolution, miles-in trail or minutes-in-trail aircraft separation, flight arrival management, flight re-routing, weather prediction and analysis and interpolation of weather variables based upon sparse measurements. The invention combines these features to provide an aircraft monitoring system and an aircraft user system that interact and negotiate changes with each other

Application of the base catalyzed decomposition process to treatment of PCB-contaminated insulation and other materials associated with US Navy vessels. Final report

The BCD process was applied to dechlorination of two types of PCB-contaminated materials generated from Navy vessel decommissioning activities at Puget Sound Naval Shipyard: insulation of wool felt impregnated with PCB, and PCB-containing paint chips/debris from removal of paint from metal surfaces. The BCD process is a two-stage, low-temperature chemical dehalogenation process. In Stage 1, the materials are mixed with sodium bicarbonate and heated to 350 C. The volatilized halogenated contaminants (eg, PCBs, dioxins, furans), which are collected in a small volume of particulates and granular activated carbon, are decomposed by the liquid-phase reaction (Stage 2) in a stirred-tank reactor, using a high-boiling-point hydrocarbon oil as the reaction medium, with addition of a hydrogen donor, a base (NaOH), and a catalyst. The tests showed that treating wool felt insulation and paint chip wastes with Stage 2 on a large scale is feasible, but compared with current disposal costs for PCB-contaminated materials, using Stage 2 would not be economical at this time. For paint chips generated from shot/sand blasting, the solid-phase BCD process (Stage 1) should be considered, if paint removal activities are accelerated in the future

Host investment into symbiosis varies among genotypes of the legume Acmispon strigosus, but host sanctions are uniform.

Efficient host control predicts the extirpation of ineffective symbionts, but they are nonetheless widespread in nature. We tested three hypotheses for the maintenance of symbiotic variation in rhizobia that associate with a native legume: partner mismatch between host and symbiont, such that symbiont effectiveness varies with host genotype; resource satiation, whereby extrinsic sources of nutrients relax host control; and variation in host control among host genotypes. We inoculated Acmispon strigosus from six populations with three Bradyrhizobium strains that vary in symbiotic effectiveness on sympatric hosts. We measured proxies of host and symbiont fitness in single- and co-inoculations under fertilization treatments of zero added nitrogen (N) and near-growth-saturating N. We examined two components of host control: 'host investment' into nodule size during single- and co-inoculations, and 'host sanctions' against less effective strains during co-inoculations. The Bradyrhizobium strains displayed conserved growth effects on hosts, and host control did not decline under experimental fertilization. Host sanctions were robust in all hosts, but host lines from different populations varied significantly in measures of host investment in both single- and co-inoculation experiments. Variation in host investment could promote variation in symbiotic effectiveness and prevent the extinction of ineffective Bradyrhizobium from natural populations

Particle Size (Sieving) and Enthalpy (Acid Calorimetry) Analysis of Single-Pull K East Basin Floor and Pit Sludges

This report presents the results of particle size analyses and calorimetry testing performed on selected single-pull sludge samples collected from the Hanford K East Basin between December 1998 and June 1999. The samples were collected as isolated cores predominantly from areas that had not been previously sampled (e.g., North Loadout Pit, Dummy Elevator Pit, Tech View Pit), or from areas in which the sludge composition had been altered since the last sampling (e.g., Weasel Pit). Particle size analyses were performed by washing wet sludge samples through a series of four sieves with openings of 250, 500, 1410, and 4000 {micro}m. The loaded sieves were weighed before and after drying to obtain wet and dry particle size distributions. Knowledge of the particle size distribution is needed to design and predict the performance of the systems that will be used to retrieve, transport, and recover sludge. Also, sieving provides an opportunity to observe the components in the sludge. For example, during sieving of the sludge sample from the North Loadout Pit, significant quantities of organic ion exchange beads were observed. The uranium metal content and the particle size of the uranium metal in the K Basin sludge will largely determine the chemical reactivity of the sludge. In turn, the designs for the sludge handling and storage systems must be compatible with the reactivity of the sludge. Therefore, acid calorimetry was performed to estimate the uranium metal content of the sludge. For this testing, sludge samples were dissolved in nitric acid within a calibrated adiabatic calorimeter. The resulting dissolution enthalpy data were then used to discriminate between metallic uranium ({minus}3750 J/g in nitric acid) and uranium oxide ({minus}394 J/g in nitric acid). Results from this testing showed that the single-pull sludge samples contained little or no uranium metal

Dual imaging gold nanoplatforms for targeted radiotheranostics

Gold nanoparticles (AuNPs) are interesting for the design of new cancer theranostic tools, mainly due to their biocompatibility, easy molecular vectorization, and good biological half-life. Herein, we report a gold nanoparticle platform as a bimodal imaging probe, capable of coordinating Gd3+ for Magnetic Resonance Imaging (MRI) and 67Ga3+ for Single Photon Emission Computed Tomography (SPECT) imaging. Our AuNPs carry a bombesin analogue with anity towards the gastrin releasing peptide receptor (GRPr), overexpressed in a variety of human cancer cells, namely PC3 prostate cancer cells. The potential of these multimodal imaging nanoconstructs was thoroughly investigated by the assessment of their magnetic properties, in vitro cellular uptake, biodistribution, and radiosensitisation assays. The relaxometric properties predict a potential T1-and T2-MRI application. The promising in vitro cellular uptake of 67Ga/Gd-based bombesin containing particles was confirmed through biodistribution studies in tumor bearing mice, indicating their integrity and ability to target the GRPr. Radiosensitization studies revealed the therapeutic potential of the nanoparticles. Moreover, the DOTA chelating unit moiety versatility gives a high theranostic potential through the coordination of other therapeutically interesting radiometals. Altogether, our nanoparticles are interesting nanomaterial for theranostic application and as bimodal T1-and T2-MRI / SPECT imaging probes.This research was funded by FCT (Portuguese Foundation for Science and Technology), grant numbers EXCL/QEQ-MED/0233/2012, UID/Multi/04349/2013 and PTDC/MED-QUI/29649/2017. CFGCG and MMCAC thank FCT and FEDER through the COMPETE Program for funding the CQC (UID/QUI/00313/2013 and PEst-OE/QUI/UI0313/2014). P.L-L. thanks Ministry of Economy, Industry and Competitiviy for SAF2017-83043-R, and Comunity of Madrid, FEDER and FSE for S2017/BMD-368

Evaluation of the Magnesium Hydroxide Treatment Process for Stabilizing PFP Plutonium/Nitric Acid Solutions

This document summarizes an evaluation of the magnesium hydroxide [Mg(OH)2] process to be used at the Hanford Plutonium Finishing Plant (PFP) for stabilizing plutonium/nitric acid solutions to meet the goal of stabilizing the plutonium in an oxide form suitable for storage under DOE-STD-3013-99. During the treatment process, nitric acid solutions bearing plutonium nitrate are neutralized with Mg(OH)2 in an air sparge reactor. The resulting slurry, containing plutonium hydroxide, is filtered and calcined. The process evaluation included a literature review and extensive laboratory- and bench-scale testing. The testing was conducted using cerium as a surrogate for plutonium to identify and quantify the effects of key processing variables on processing time (primarily neutralization and filtration time) and calcined product properties