Unique Address Research Articles

Nutrition Screening and Assessment in Hospitalized Patients

Background: The Joint Commission has mandated universal screening and assessment of hospitalized patients for malnutrition since 1995. Although various validated and nonvalidated tools are available, implementation of this mandate has not been well characterized. We report results of a survey of hospital-based professionals in the United States describing their perspective on the current range of nutrition screening and assessment practices as well as associated gaps in knowledge. Methods and Materials: Data from a 2012-2013 cross-sectional, web-based survey targeting members of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), the Academy of Medical-Surgical Nurses, and the Society of Hospital Medicine were collected with non-hospital-based members excluded. Descriptive statistical analysis was performed. Results: Survey data from 1777 unique email addresses are included in this report. A majority of respondents were dietitians, nearly half were A.S.P.E.N. members, and 69.4% reported caring for a mix of adult and pediatric patients. Most respondents answered affirmatively about nutrition screening being performed in alignment with The Joint Commission mandate, but only 50% were familiar with the 2012 Consensus Statement from the Academy of Nutrition and Dietetics/A.S.P.E.N. on adult malnutrition. In most cases, nurses were primarily responsible for nutrition screening, while dietitians had primary responsibility for assessment. No one specific assessment tool or International Classification of Diseases, Ninth Revision code was identified as being used a majority of the time in assessing or coding a patient for malnutrition. Conclusions: The survey findings affirmed compliance with accreditation standards in completing a nutrition screen within 24 hours of admission, and most hospitals appear to have a process to perform a nutrition assessment once a screen is completed. However, there is considerable heterogeneity in both use of tools and mechanisms for coding capture. Opportunities exist to improve education around nutrition screening and assessment and to identify ideal practices for these processes in hospitalized patients.

A Secure IPv6 Address Configuration Protocol for Vehicular Networks

This paper proposes a secure address configuration protocol for IPv6-based vehicular networks. In this protocol, the network architecture is proposed. In this architecture, a vehicle obtains a unique address from a neighbor vehicle or an access point without DAD, and a leaving vehicle's address space can be automatically reclaimed for reassignment. Based on this architecture, the address configuration algorithm is presented. In this algorithm, an access point or a vehicle owns the unique address space and assigns a unique address to a neighbor vehicle without DAD, so the address configuration cost and delay are lowered. The identification of a vehicle can be authenticated, so the security is achieved. This paper evaluates the performance of this protocol. The data results show that this protocol effectively improves the address configuration performance.

Distributed network configuration in large-scale low power wireless networks

One of key issues in the construction of a large-scale wireless sensor network (WSN) is how to securely allocate a unique address to each node in an energy-efficient manner. However, conventional network configuration mechanisms may suffer from energy inefficiency and/or addressing failure problem when applied to the construction of large-scale WSNs. In this paper, we consider the construction of a large-scale WSN by means of distributed addressing operation. We design a network configuration mechanism that allows each router to have its own addressing space for unique address allocation to its child nodes. We also design a node type selection (i.e., router or end device) algorithm that can allow the whole deployment area to be covered by using a less number of routers (i.e., lower energy consumption) than conventional ones. The proposed mechanism provides at least a neighboring router for each node, enabling to support the network connectivity in a distributed manner. Finally, the performance of the proposed scheme is evaluated by computer simulation, showing significant performance improvement over conventional schemes when applied to the construction of a large-scale WSN.

Distributed Addressing Protocol for Node Auto configuration in Ad Hoc Networks using Bloom Filters

The importance of wireless ad hoc networks in community and commercial connectivity cannot be underestimated in view of the benefits associated with such networks. An ad hoc network must assemble itself from any devices that happen to be nearby, and adapt as devices move in and out of wireless range. High levels of self-organization will minimize the need for manual configuration. However, efficiently providing unique addresses in ad hoc networks is still an open research question. The goal of this paper was to develop algorithms for address auto-configuration. The paper addresses the following among other problems: Achieving high levels of address uniqueness without compromising on latency and communication overhead. The proposed protocol uses bloom filters to reduce the storage overhead and remove communication overhead.

Cleft lip-cleft palate in Zimbabwe: estimating the distribution of the surgical burden of disease using geographic information systems.

To evaluate the prevalence and unmet need for cleft lip-cleft palate reconstructive surgery by using incidence. Our hypotheses were that the age of presentation to screening clinics will decrease between 2006 and 2012, and the geospatial distribution of cases will expand to a more rural catchment area. Longitudinal cross-sectional/geospatial distribution study. An online, secure database was created from intake forms for children with cleft lip-cleft palate (N=604) in Zimbabwe (2006-2012). Univariate analysis was completed. A linear regression model was fitted to test the time trend of a child's age at the time of presentation. Unique patient addresses (n=411) were matched. Maps presenting cleft diagnosis and presentation year were created with geographic information systems (GIS) software. The median age of presentation was greater for isolated cleft palate (4.2 years, n=106) than isolated cleft lip (1.5 years, n=251) and cleft lip-cleft palate (2.0 years, n=175). Cleft lip cases were mostly left sided with equal gender distribution. The overall age of presentation remained stable (P=.83). The age of children with isolated cleft palate decreased by 0.8 years per surgical trip (P=.01), suggesting the prevalence of unrepaired cleft palate is decreasing due to local and visiting surgeons. The catchment area extended to a less populous area, but clustered around Harare and Bulawayo. This study gives Zimbabwe-specific evidence that supports reports of the persistent burden of disease requiring attention. The GIS software provided data for the primary needs assessment, which will direct communication to healthcare providers and prospective patients outside of the current catchment area. 3

A Quantum Monadological Solution to the Measurement, Consciousness and Qualia Problems

The measurement, consciousness and qualia problematics are intertwined: all hinge on the failure to “deconstruct” world, consciousness and qualia. Physical reality is quantum at all scales, whereas world is dis-closed in parallel at unique addresses: thrown existence is monadological. Two categories of solution to the measurement problem are distinguished and analyzed: spontaneous decoherence theories and selection by match theories. A new interpretation of the Schrӧdinger wave function as representing the quantum brain’s “self-tuning” is proposed. Quantum neurophilosophy and neuroquantology within the framework of thermofield brain dynamics support an integrated solution to measurement, consciousness and qualia problems.

The transponder data recorder: Implementation and first results

The secondary surveillance radar (SSR), that is an evolution of the military identification friend-or-foe systems, is widely used by air traffic control service providers to localize and identify co-operating aircraft equipped with a standard transponder [1]. The ground SSR installation transmits interrogations, from a rotating, narrow azimuthal beam antenna. The airborne transponders, once they have received an interrogation, transmit at a 1,090-MHz carrier a reply signal containing the requested data, i.e., identity (mode A reply) or fight level (mode C reply). Azimuth and range of the aircraft are measured by the interrogator, based on the delay of the reply and on the antenna pointing angle. The current SSR standard is based on the use of selective interrogations and replies and is called mode S: to reduce the interferences, the mode S protocol is based on a message format that includes the unique address of the aircraft. The airborne segment of the SSR is composed of the transponder and a pair of antennas on top and on the bottom of the fuselage. As the aircraft antennas are omnidirectional, many ground stations can receive the replies. This allowed the development of multilateration (MLAT) systems for the aircraft localization based on 1,090-MHz signals [2]. A typical MLAT system is composed of a distributed network of 1,090-MHz sensors, an interconnecting facility, and a central processor for the fusion of the sensor data. The data fusion relies on the estimation of the signals arrival time at the different stations and on hyperbolic localization. To identify the emitters, the processing is done with mode A replies or mode S replies that contain the emitter identity. A transponder with mode S capability can also transmit a particular downlink format message, called squitter, containing the aircraft's unique address and other information. The squitter signals are not elicited by the SSR interrogation, but they are spontaneously emitted at pseudoperiodical intervals. They are the basis of the automatic dependent surveillance-broadcast (ADS-B) concept [3]: the ADS-B OUT function periodically transmits information (identity, position, state, etc.) about the aircraft, and the ADS-B IN function receives the messages from nearby traffic. On the airborne side, the ADS-B OUT broadcasts data with onboard equipment using the squitter signals. The airborne ADS-B IN equipment provides to the pilot the traffic scenario, receiving the messages from ground and nearby aircraft ADS-B OUT. Moreover, the ADS-B IN can receive other ground services: the traffic information services-broadcast (TIS-B) and the fight information services-broadcast (FIS-B) [3]. Airport vehicles can be equipped with an ADS-B OUT, a simplified, nonflyable device transmitting 1,090-MHz squitter signals containing the identity and the position. As a matter of fact, there are various users of the 1,090-MHz channel: 1) SSR transponder replies (modes A, C, S); 2) ADS-B OUT messages; 3) MLAT systems with interrogation capability; and 4) TIS-B.

Authentication and Secure Robot Communication

In many cases robots are connected wirelessly with a file server and often with one another, either directly, or via the file server. The network connections form a subnet where the router has the static IP address visible to the outside world and the server along with the robots form a subnet with local IP addresses. Often however, each robot has its own static IP address. In addition, each robot has a NIC card and a unique NIC address, as well as other hardware identifiers depending on the functionality and complexity of the robot. The non-electronic part of the robot hardware usually represents mature technology that has been understood for a long time. The electronic hardware has evolved to the point that the embedded software can provide the needed intelligence for the robot to perform sophisticated tasks previously performed by one or more human beings. However, in previous research emphasis has been placed on the tasks performed by the robots, neglecting any security issues or liabilities that may arise due to lack of security. In this paper, we provide an algorithm for secure key management, and secure communication in an insecure wireless and noisy environment in which the robots operate.

Materials, Measurement, and Error: Comparative Class Data and Scientific Argumentation via a Cloud-based Application

ABSTRACTThe Next Generation Science Standards make scientific discourse a vital part of the classroom and arguing with evidence needs to become a common practice for students. Analysis and interpretation of data are an integral part as well. We present an approach using 21st-century technology combined with collection of laboratory data that is suitable for middle school through college. In an experiment using common nuts and bolts first semester chemistry students form six groups and determine a bolt mass indirectly. They collect mass data; then enter the data into an online form that compiles the data into a spreadsheet in Google Drive, a free cloud-based application. Once all the groups have submitted their data, they access the spreadsheet online and start an emulated online discussion in the laboratory as if the groups were globally dispersed using the chat feature available in Google Drive. Each group is identified by a group number having a unique group email address so there is a semi-anonymous sense among the members that allows for a fairly free discussion among students.

Introduction: (Mis)Leading

This special issue of the Iowa Journal of Cultural Studies marries together two of the most important aspects of graduate student development - conference participation and publication. To celebrate the high standard of scholarship produced by graduate students at not only the University of Iowa but also schools around the nation, the Journal created a special issue specifically for scholars who present at the Craft Critique Culture Conference. This conference, hosted by the English department graduate students at the University of Iowa, offers graduate students the unique opportunity to present research as well as creative writing and art. This issue is the first time the three have come together, and it is an exemplar of the high quality work graduate students generate.The Craft Critique Culture Conference is in its fifteenth year as a graduate student-run organization. It has a long tradition of creative, innovative conference themes as well as attracting brilliant senior scholars to participate as keynote speakers. The 2014 CCC collected together presenters under the theme Mis-Leading and brought Dr. Marah Gubar to Iowa. Dr. Gubar, herself an enthusiastic supporter of graduate student work, offered a unique keynote address that worked through the complexities and rewards of forging new paths in scholarship, a path she called the third way. Her talk encouraged young scholars to trust their instincts about the texts they work with and their personal reactions to scholarship they read. It is in those reactions, she argued, that one can find something different and new to bring to the conversation. In the spirit of her talk, Journal editors took to the conference panels to identify strong papers that create new ways in scholarship.Following the theme of the conference, the articles collected here each illustrate a new way of considering literature, historical events, or contemporary culture that illuminate complexities, demonstrate misleading assumptions, and engage third ways. For example, Justin Cosner engages with the misleading representations of religious faith in Charles Brockden-Brown's Wieland, arguing that the text illuminates a larger critique of the impulse to assert religious certainty and totalizing rational understanding of the world in nineteenth-century America. Turning to more contemporary literature, Faith Avery's discussion of Toni Morrison's Tar Baby argues for the misleading nature of selfishness throughout the novel. Avery argues that Morrison's readers are asked to question whether selfishness in the name of individuality is akin to selling in the case of the novel's protagonist, Jadine. Avery points out how this misleading contradiction allows Morrison to direct ethical examination in the novel toward issues of racial and cultural re-appropriation. Together, these articles present the importance of questioning typical or mainstream critical narratives as each demonstrates the way scholarship can redirected from misleading understandings of both literature and culture. …

Advanced mobility handover for mobile IPv6 based wireless networks.

We propose an Advanced Mobility Handover scheme (AMH) in this paper for seamless mobility in MIPv6-based wireless networks. In the proposed scheme, the mobile node utilizes a unique home IPv6 address developed to maintain communication with other corresponding nodes without a care-of-address during the roaming process. The IPv6 address for each MN during the first round of AMH process is uniquely identified by HA using the developed MN-ID field as a global permanent, which is identifying uniquely the IPv6 address of MN. Moreover, a temporary MN-ID is generated by access point each time an MN is associated with a particular AP and temporarily saved in a developed table inside the AP. When employing the AMH scheme, the handover process in the network layer is performed prior to its default time. That is, the mobility handover process in the network layer is tackled by a trigger developed AMH message to the next access point. Thus, a mobile node keeps communicating with the current access point while the network layer handover is executed by the next access point. The mathematical analyses and simulation results show that the proposed scheme performs better as compared with the existing approaches.

Real-Time Prediction of Arterial Roadway Travel Times Using Data Collected by Bluetooth Detectors

Bluetooth detectors are gaining in popularity as a cost-effective technology for acquiring travel time data. The sensors, which identify and record the unique media access control address of Bluetooth-enabled devices, can measure travel time when a device passes through the detection zone of two consecutive Bluetooth detectors. As with other automatic vehicle identification technologies (e.g., toll tags, automatic license plate recognition systems), there is a time lag because the travel time cannot be acquired until the vehicle has passed the downstream detector location. The increasing desire for accurate and timely traveler information and the desire for proactive traffic control present a need for accurate prediction of near-future travel times along roadway corridors. A significant body of literature has focused on this problem for freeways, but little effort has been directed toward signalized arterials. This paper presents a data-driven model for predicting near-future travel times on signalized arterials in real time by using data acquired from Bluetooth detectors. The model uses the k nearest neighbor pattern recognition technique to identify historical data from which an understanding of the near-future traffic patterns can be extracted. Unlike previous efforts, an objective approach was used to determine the variables to include in the k nearest neighbor feature vector and the optimal model parameters. The calibrated model was evaluated through application to a set of field data obtained from Bluetooth detectors deployed on a signalized arterial. The model provides performance improvements of approximately 20% over a benchmark model.

A scheme for connecting vehicular networks to the Internet

AbstractThis paper proposes a scheme for connecting vehicular networks to the Internet protocol version 6‐based Internet. In this scheme, the architecture based on road domains is proposed in order to reduce the mobility handover frequency. Based on this architecture, the distributed address configuration algorithm for vehicular networks is proposed. In this algorithm, a vehicle obtains a unique address from the nearest access point (AP) without duplicate address detection. Based on this architecture, the routing algorithm based on the geographical position is proposed. The routing algorithm is performed in the link layer, and a vehicle achieves the communication with the Internet via the nearest AP. As a result, the communication delay is shortened. In this scheme, a vehicle is always identified by its home address, and during the mobility process, it does not need to be configured with a care‐of address. Therefore, the packet loss caused by the address change is avoided. Moreover, during the mobility handover process, a vehicle can receive the data from the same AP, so the packet loss rate is substantially reduced. This paper evaluates the performance of the proposed scheme, and the data results show that this scheme shortens the communication delay and lowers the packet loss. Copyright © 2013 John Wiley & Sons, Ltd.

Air pollution and all-cause mortality in the Netherlands

Background: Health effects of (particulate) air pollution are well-known and have a large impact on the burden of disease from environmental factors. While effects from exposure to short-time variations in air pollution levels are documented extensively, there is a scientific need for studies that add to our knowledge on health effects from long-term exposure. Aims: To assess the association between chronic exposure to air pollution and mortality using a national cohort consisting of all 7 million Dutch addresses (15.5 million inhabitants on 1 January 2004) with individual mortality and confounder information. Methods: We linked air pollution data to mortality data for 7,014,082 unique addresses. Exposure data were based on two different data sources: PM10 and NO2 data were calculated based on LUR-models for 2001 and PM10, PM2.5, NO2 data were calculated based on dispersion models for 2009. Baseline confounder statistics on age, gender, marital status, country of origin and standardised household income for the year 2001 were obtained from Statistics Netherlands for all inhabitants of age over 20 who had not changed address in the previous 5 years (~ 8 million inhabitants). Mortality data for a follow-up period of 7 years were regressed on air pollution estimates, adjusted for confounders at the individual level using Cox’proportional hazard models. Results: All exposure measures were statistically significant associated with total mortality and were, adjusted for IQR, of the same magnitude. Hazard Rates per 10 ug/m3 increase were 1.10 (LUR), 1.14 for PM10, 1.16 for PM2.5 and 1.05 (LUR), 1.04 for NO2. Conclusion: Our results confirm earlier observations that chronic exposure to (traffic- related) air pollution, indicated by PM10, PM2.5 or NO2, is associated with total mortality. The study-design assures sufficient statistical power to further elaborate sub-group cause-specific mortality, morbidity and component-specific air pollution relationships. Latest developments on the data-analysis will be presented at the meeting.

The Rapid Vertical Handover for Efficient IPv6 Mobility Support in Heterogeneous Wireless Networks

The management techniques employed for Fast Mobile Internet Protocol version 6 (FMIPv6) and Media Independent Handover services between different wireless technologies are very important for completing the handover operations with the least possible delay. In the FMIPv6 technique, when a mobile node (MN) moves to another network, it needs to perform vertical handover (VHO) operations. These operations have a severe impact on the handover latency. In this article, we propose an enhanced network layer mechanism that is used to support fast handover for VHO. We introduce a new idea for the access router discovery method and propose a rapid VHO algorithm accordingly. Our proposal of a rapid VHO algorithm, a previous access router (pAR), rapidly provides a unique Ipv6 address instead of a new access router (nAR) for MNs. The binding updates to both the home agent and the correspondent node are performed from the pAR. We can observe from the results that by optimizing the network layer, the rapid VHO algorithm rapidly presents unique Ipv6 addresses for MNs with a minimum handover latency and packet loss even at high-speed movements. Finally, we presented an analytical model which shows that by enabling the access router discovery method and enhancing the network layer mechanism, an MN can perform fast handover processes with low handover latency compared with the FMIPv6 technique.

Area Efficient ROM-Embedded SRAM Cache

There are many important applications, such as math function evaluation, digital signal processing, and built-in self-test, whose implementations can be faster and simpler if we can have large on-chip “tables” stored as read-only memories (ROMs). We show that conventional de facto standard 6T and 8T static random access memory (SRAM) bit cells can embed ROM data without area overhead or performance degradation on the bit cells. Just by adding an extra wordline (WL) and connecting the WL to selected access transistor of the bit cell (based on whether a 0 or 1 is to be stored as ROM data in that location), the bit cell can work both in the SRAM mode and in the ROM mode. In the proposed ROM-embedded SRAM, during SRAM operations, ROM data is not available. To retrieve the ROM data, special write steps associated with proper via connections load ROM data into the SRAM array. The ROM data is read by conventional load instruction with unique virtual address space assigned to the data. This allows the ROM-embedded cache (R-cache) to bypass tag arrays and translation look-aside buffers, leading to fast ROM operations. We show example applications to illustrate how the R-cache can lead to low-cost logic testing and faster evaluation of mathematical functions.

Application of Motion Detection Algorithm in Patient Monitoring System

The paper proposes a smart, reliable and robust algorithm for motion detection, tracking and activity analysis. Background subtraction is considered intelligent algorithms for the same. Mount the web camera focused to the patient. PC should have a unique external Internet IP Address. Android mobile phone should be GPRS enabled. GSM technology is used for sending SMS. It is a client-server technology wherein client captures the images, checks for motion if any, discards the packets until motion is detected. Use background subtraction algorithm to check the motion. The surveillance camera does not move and has a capture of the static background it is facing. It uses image subtraction to determine object motion. It provides more reliable information about moving object, but it is so sensitivity to the dynamic changes such as lighting. Once motion is detected, camera stops monitoring further motion. Instead, it starts capturing the video. Simultaneously, SMS alert is sent to the responsible doctors and also alerting the medical staff with audio speaker in the hospital. Java mail API is used to mail the captured video to the entered e-mail IDs. Once the doctor demands for video, socket is established between the PC and the mobile phone and video (series of images) are streamed to the doctors mobile phone. Save live video of first few seconds at the server end for future use. Activate alert at the remote end.

A tree-based address configuration for a MANET

This paper proposes an address configuration scheme for a MANET. In this paper, the tree-based architecture and the algorithm of constructing a MANET are presented. In this architecture, a proxy node can assign a unique address for neighbor new nodes, so the address configuration task is distributed around all proxy nodes. The transmission of control packets is controlled within one-hop scope, so the cost is reduced and the delay is shortened. Through this architecture, the address resources released by failed nodes can be automatically reclaimed for reuse, so a proxy node has always the sufficient address space for assignment. In order to ensure the uniqueness of a node’s address, the paper also proposes the MANET merging and partitioning algorithms. Finally, this paper evaluates the performance metrics of both the proposed scheme and the existing schemes, and the results show that the proposed scheme reduces the address configuration cost and shortens the address configuration delay.

Wireless Sensor Networks and the Internet of Things

It is estimated that mobile internet devices that can act as sensors will outnumber humans this year (2013), and by 2015, there will be about 15 billion internet-connected devices. Related applications are thriving in commercial, civic, and scientific operations that involve sensors, web, and services, leading by both academic societies and industry companies. It is commonly accepted that the next generation of internet is becoming the “Internet ofThings (IoT)”which is a worldwide network of interconnected objects and their virtual representations uniquely addressable based on standard communication protocols. Identified by a unique address, any object including computers, mobile phones, RFID tagged devices, and especially Wireless Sensor Networks (WSN) will be able to dynamically join the network, collaborate, and cooperate efficiently to achieve different tasks. With all these objects in the world equipped with tiny identifying devices, daily life on earth would undergo a big transformation. To achieve this vision, there is a need for scalable and interoperable networking systems to support the challenging requirements for future internet and web: secure, reliable, energy-efficient and cost-effective large-scale sensor networks, machine-to-machine communications, and information networking architectures suitable for low end devices through to high end consumers. The purpose of this special issue thus is to report on the recent and original advances on WSN and IoT that are to be innovative to open the new era of the Internet ofThings. From the many submissions we received, a number of exciting manuscripts stood out for their relevance and technical significance.These accepted papers touched upon threeWSN and IoT areas: IoT network infrastructure, related hardware design, and IoT protocols. A. Asensio et al. discussed the wireless sensor node architecture hardware design criterion based on energy analysis according to the specific requirements of an application. C. Liu et al. proposed a novelWSNauthentication scheme based on the quadratic residues theory, which uses themaster key to achieve simple symmetric cryptographic primitives and authentication operation for aims of great resistance against the attacks and low energy consumption. F. T. Lin proposed a method to tackle the dying nodes as well as the cost, specifically a holes healing scheme. C. Xu proposes a novel Vehicular Network-based CMT solution based on a CMT disorder analytic model which can effectively and accurately evaluate the degree of out-of-order data. S. Yin proposed two digital calibration and compensation techniques for low-power wireless multiband transceiver to adjust the VCO’s tuning curves in the frequency synthesizer and eliminate the DC offset voltage in the intermediate frequency pathway. J. Zhang proposed an energy-efficient distributed algorithm for virtual backbone construction with cellular structure WSN, which combines optimal coverage theory based on cellular structure and energy consumption model for different kinds of sensor nodes to achieve the construction and rotation of backbone in multiple rounds. By compiling these papers we hope to enrich our readers and researchers with latest innovative ideas with respect to the future Wireless Sensor Network and Internet of Things.

Providing cancer survivorship care plans for Spanish language speakers: Overall use and satisfaction patterns.

e20671 Background: Cancer survivorship care plans may be communication aides to assist healthcare providers and empower survivors. A paucity of information exists regarding the provision of survivorship care plans to the Spanish speaking population. Methods: The LIVESTRONG Care Plan is an Internet-based tool for creation of survivorship care plans, originally launched in 5/07. It is available at www.livestrongcareplan.org, and via OncoLink, a cancer information website based at the University of Pennsylvania, serving over 3.9 million pages/ month to 185,000 unique IP addresses. A direct link on the homepage directs users to the Spanish version. All information is provided and translated by oncology nurses and physicians. Results: Since launch of the tool, 293 Spanish care plans have been created (1% of total care plans). Care plans in Spanish have been created by survivors in 78% of cases, and healthcare providers in 22%. This differs from the entire user population, in which use by HCP approaches 50% (p=< 0.001). Spanish-speaking users are 52% female, and 82% Latino/a, and less likely from the US (60% vs 87% , p=0.02), also being from Mexico (15%), Spain (10%), Chile (9%), Puerto Rico (5%) and Venezuela (3%). Spanish users were most often survivors of breast (20%) GU (33%) and GI (20%) cancers (vs general population 50%, p = 0.03; 10%, p = 0.04; 11%, p = 0.03, respectively). Only 8% of Spanish-speaking users report having received previous survivorship information vs 13% in the overall group (p=0.07). All users (100%) of the Spanish version rate experience and satisfaction with the care plan as “very good” or “excellent.” Average time for completion of Spanish plans was 9:28 min. Conclusions: Most users of the Spanish plan are survivors who have not received this information before, from the US and several Central/South American countries. They are highly satisfied with the information provided. Healthcare providers are proportionally less likely to use the Spanish version of the plan than survivors are.