Science.gov

Sample records for home port facilities

  1. 46 CFR 340.6 - Port facilities and services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Port facilities and services. 340.6 Section 340.6... AND ALLOCATION OF SHIPPING SERVICES, CONTAINERS AND CHASSIS, AND PORT FACILITIES AND SERVICES FOR NATIONAL SECURITY AND NATIONAL DEFENSE RELATED OPERATIONS § 340.6 Port facilities and services. (a) When...

  2. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Federal control of port facilities. Sec. 3 Section 3 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec....

  3. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A port or terminal which receives oceangoing tankers, or any other oceangoing ship of 400 gross tons or...

  4. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2014-07-01 2013-07-01 true Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  5. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2013-07-01 2013-07-01 false Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  6. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2012-07-01 2011-07-01 true Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  7. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2011-07-01 2011-07-01 false Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  8. Spatial and Temporal Effects of Port Facilities Expansion on the Surface Area of Shallow Coral Reefs

    NASA Astrophysics Data System (ADS)

    Valadez-Rocha, V.; Ortiz-Lozano, L.

    2013-07-01

    There is a close relationship between ports and reef areas, mainly because reefs provide protection to vessels against extreme weather events like storms and hurricanes. This historical relationship has generated severe impacts on reef ecosystems. In order to identify the main impacts from the construction of port facilities in shallow coral reef areas, we analyzed and described the effects of land reclamation and coastal structure construction associated to port growth throughout a century in the Sistema Arrecifal Veracruzano National Park, Mexico. We used aerial photographs and maps of the nineteenth and early twentieth century to assess the impacts caused by port expansion activities on shallow coral reefs. Three types of impacts were identified: (a) direct reef area loss caused by landfills and perpendicular coastal structures construction leading to the loss of nearly 50 % of the fringing reef near to the port; (b) fragmentation in short- and medium-term scale, which affects two fringing reefs, and (c) long-term modification of coastal dynamics leading to sedimentation and loss of a complete reef area. On the eve of a new expansion of Veracruz Port, we used the New Port Project Plan, long-shore net drift geomorphic indicators and the port impact typology from the 100-year period assessment to evaluate a possible future scenario. The scenario describes how the new expansion project will repeat the three types of impacts affecting a whole reef area, which is currently part of the National Park.

  9. Spatial and temporal effects of port facilities expansion on the surface area of shallow coral reefs.

    PubMed

    Valadez-Rocha, V; Ortiz-Lozano, L

    2013-07-01

    There is a close relationship between ports and reef areas, mainly because reefs provide protection to vessels against extreme weather events like storms and hurricanes. This historical relationship has generated severe impacts on reef ecosystems. In order to identify the main impacts from the construction of port facilities in shallow coral reef areas, we analyzed and described the effects of land reclamation and coastal structure construction associated to port growth throughout a century in the Sistema Arrecifal Veracruzano National Park, Mexico. We used aerial photographs and maps of the nineteenth and early twentieth century to assess the impacts caused by port expansion activities on shallow coral reefs. Three types of impacts were identified: (a) direct reef area loss caused by landfills and perpendicular coastal structures construction leading to the loss of nearly 50 % of the fringing reef near to the port; (b) fragmentation in short- and medium-term scale, which affects two fringing reefs, and (c) long-term modification of coastal dynamics leading to sedimentation and loss of a complete reef area. On the eve of a new expansion of Veracruz Port, we used the New Port Project Plan, long-shore net drift geomorphic indicators and the port impact typology from the 100-year period assessment to evaluate a possible future scenario. The scenario describes how the new expansion project will repeat the three types of impacts affecting a whole reef area, which is currently part of the National Park. PMID:23754090

  10. 76 FR 18347 - Removal of the List of Ports of Embarkation and Export Inspection Facilities From the Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... Register (75 FR 56914-56916, Docket No. APHIS-2009-0078) a proposal\\1\\ to amend the live animal export... rulemaking, those ports and facilities will be listed on the Internet rather than in the regulations, thus... a result of this rulemaking, those ports and facilities will henceforth be listed on the...

  11. Development of an Integrated Leachate Treatment Solution for the Port Granby Waste Management Facility - 12429

    SciTech Connect

    Conroy, Kevin W.; Vandergaast, Gerald

    2012-07-01

    The Port Granby Project (the Project) is located near the north shore of Lake Ontario in the Municipality of Clarington, Ontario, Canada. The Project consists of relocating approximately 450,000 m{sup 3} of historic Low-Level Radioactive Waste (LLRW) and contaminated soil from the existing Port Granby Waste Management Facility (WMF) to a proposed Long-Term Waste Management Facility (LTWMF) located adjacent to the WMF. The LTWMF will include an engineered waste containment facility, a Wastewater Treatment Plant (WTP), and other ancillary facilities. A series of bench- and pilot-scale test programs have been conducted to identify preferred treatment processes to be incorporated into the WTP to treat wastewater generated during the construction, closure and post-closure periods at the WMF/LTWMF. (authors)

  12. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Development of public port or industrial facilities. 644.424 Section 644.424 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL PROPERTY REAL ESTATE HANDBOOK Disposal Disposal of Fee-Owned Real Property and Easement Interests § 644.424 Development of...

  13. 9 CFR 91.14 - Ports of embarkation and export inspection facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... citations affecting § 91.14, see the List of CFR Sections Affected, which appears in the Finding Aids... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Ports of embarkation and export inspection facilities. 91.14 Section 91.14 Animals and Animal Products ANIMAL AND PLANT HEALTH...

  14. 78 FR 7334 - Port Authority Access to Facility Vulnerability Assessments and the Integration of Security Systems

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ...This notice requests comments from facility owners and operators, State and local law enforcement agencies, port authorities, relevant security industry participants, and all other interested members of the public regarding how to best implement Section 822 of the Coast Guard Authorization Act of 2010. In particular, this notice discusses the Coast Guard's preliminary thoughts on how owners or......

  15. Overview of United States coal export terminals. [Includes description of present coal port terminal facilities

    SciTech Connect

    Not Available

    1980-09-01

    Existing coal export ports in the United States are in general not designed to the standards compatible with the current state of the art. The United States has a current coal export capacity in the order of 83 million tons per year. This could be increased to 138 million tons per year through a process of modernization and expansion which would take about six to eight years for full realization. Even if this expansion program took place it would not result in an overall coal export system that was economically competitive due to the fact that our export terminals are generally outmoded and cannot accommodate the large vessels engaged in the world coal trade and which can be accommodated at the major coal destination ports in Europe and Japan. In order for the United States to achieve an economically competitive posture in the world coal trade, new ports that will handle 150,000 to 250,000 DWT ships are needed. The new terminals must be designed to receive coal efficiently and minimize the demurrage costs for both railcars on the delivery side and ships on the load out side. There are port sites available in the US which could be developed to effectively handle the increased requirements. Each major new port could easily be designed to handle 20 to 50 million tons per year at ultimate capacity subject to the availability of coal from the source at a reasonable cost. New port construction is needed to satisfy the projected demand at a reasonable cost and to provide for the obsolescence of existing facilities. Decisions are needed now so that the ports will be operating 20 years from now and serve as replacements for present facilities which are becoming obsolete. The government of the United States can and must play a major role if success is to be achieved.

  16. Facilities and Equipment for Home Economics Education: Consumer and Homemaking, Occupational Home Economics.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Education, Columbia. Home Economics Education Section.

    Suggestions and recommendations presented in this guide are intended to provide teachers, administrators, and architects who plan and equip home economics departments with the objectives and an overview of home economics education programs so that functional facilities will be designed. The first section, consumer and homemaking education, lists…

  17. Design of the Long-term Waste Management Facility for Historic LLRW Port Hope Project - 13322

    SciTech Connect

    Campbell, Don; Barton, David; Case, Glenn

    2013-07-01

    The Municipality of Port Hope is located on the northern shores of Lake Ontario approximately 100 km east of Toronto, Ontario, Canada. Starting in the 1930's, radium and later uranium processing by Eldorado Gold Mines Limited (subsequently Eldorado Nuclear Limited) (Eldorado) at their refinery in Port Hope resulted in the generation of process residues and wastes that were disposed of indiscriminately throughout the Municipality until about the mid-1950's. These process residues contained radium (Ra- 226), uranium, arsenic and other contaminants. Between 1944 and 1988, Eldorado was a Federal Crown Corporation, and as such, the Canadian Federal Government has assumed responsibility for the clean-up and long-term management of the historic waste produced by Eldorado during this period. The Port Hope Project involves the construction and development of a new long-term waste management facility (LTWMF), and the remediation and transfer of the historic wastes located within the Municipality of Port Hope to the new LTWMF. The new LTWMF will consist of an engineered above-ground containment mound designed to contain and isolate the wastes from the surrounding environment for the next several hundred years. The design of the engineered containment mound consists of a primary and secondary composite base liner system and composite final cover system, made up of both natural materials (e.g., compacted clay, granular materials) and synthetic materials (e.g., geo-synthetic clay liner, geo-membrane, geo-textiles). The engineered containment mound will cover an area of approximately 13 hectares and will contain the estimated 1.2 million cubic metres of waste that will be generated from the remedial activities within Port Hope. The LTWMF will also include infrastructure and support facilities such as access roads, administrative offices, laboratory, equipment and personnel decontamination facilities, waste water treatment plant and other ancillary facilities. Preliminary

  18. Environmental risk analysis of oil handling facilities in port areas. Application to Tarragona harbor (NE Spain).

    PubMed

    Valdor, Paloma F; Gómez, Aina G; Puente, Araceli

    2015-01-15

    Diffuse pollution from oil spills is a widespread problem in port areas (as a result of fuel supply, navigation and loading/unloading activities). This article presents a method to assess the environmental risk of oil handling facilities in port areas. The method is based on (i) identification of environmental hazards, (ii) characterization of meteorological and oceanographic conditions, (iii) characterization of environmental risk scenarios, and (iv) assessment of environmental risk. The procedure has been tested by application to the Tarragona harbor. The results show that the method is capable of representing (i) specific local pollution cases (i.e., discriminating between products and quantities released by a discharge source), (ii) oceanographic and meteorological conditions (selecting a representative subset data), and (iii) potentially affected areas in probabilistic terms. Accordingly, it can inform the design of monitoring plans to study and control the environmental impact of these facilities, as well as the design of contingency plans. PMID:25487087

  19. A demonstration of a low cost approach to security at shipping facilities and ports

    NASA Astrophysics Data System (ADS)

    Huck, Robert C.; Al Akkoumi, Mouhammad K.; Herath, Ruchira W.; Sluss, James J., Jr.; Radhakrishnan, Sridhar; Landers, Thomas L.

    2010-04-01

    Government funding for the security at shipping facilities and ports is limited so there is a need for low cost scalable security systems. With over 20 million sea, truck, and rail containers entering the United States every year, these facilities pose a large risk to security. Securing these facilities and monitoring the variety of traffic that enter and leave is a major task. To accomplish this, the authors have developed and fielded a low cost fully distributed building block approach to port security at the inland Port of Catoosa in Oklahoma. Based on prior work accomplished in the design and fielding of an intelligent transportation system in the United States, functional building blocks, (e.g. Network, Camera, Sensor, Display, and Operator Console blocks) can be assembled, mixed and matched, and scaled to provide a comprehensive security system. The following functions are demonstrated and scaled through analysis and demonstration: Barge tracking, credential checking, container inventory, vehicle tracking, and situational awareness. The concept behind this research is "any operator on any console can control any device at any time."

  20. DOE ZERH Case Study: Clifton View Homes, Marine Drive and Port Hadlcok, Coupeville and Port Hadlock WA

    SciTech Connect

    none,

    2015-09-01

    Case study of two DOE 2015 Housing Innovation Award winning custom homes in the marine climate that got HERS 39 and 38 without PV or HERS 2-12 and -9 with PV, with 6.5” SIP walls and 10.25” SIP roof; 11.75 ICF around slab, R-20 rigid foam under slab; radiant floor heat and passive design; air-to-water heatpump, fresh air intake with fan, triple-pane windows, 100% LED.

  1. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Return to home skilled nursing facility. 422.133....133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled nursing facility if...

  2. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Return to home skilled nursing facility. 422.133....133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled nursing facility if...

  3. Retrofit of an Engineered Glove-port to a Los Alamos National Laboratory's Plutonium Facility Glovebox

    SciTech Connect

    Rael, P.E.D.; Cournoyer, M.E.Ph.D.; Chunglo, S.D.; Vigil, T.J.; Schreiber, P.E.S.

    2008-07-01

    At the Los Alamos National Laboratory's Plutonium Facility (TA-55), various isotopes of plutonium along with other actinides are routinely handled such that the spread of radiological contamination and excursions of contaminants into the operator's breathing zone are prevented through the use of a variety of gloveboxes (the glovebox coupled with adequate negativity providing primary confinement). The current technique for changing glovebox gloves are the weakest part of this engineering control. 1300 pairs of gloves are replaced each year at TA-55, generating approximately 500 m{sup 3}/yr of transuranic (TRU) waste and Low Level Waste (LLW) waste that represents an annual disposal cost of about 4 million dollars. By retrofitting the LANL 8'' glove-port ring, a modern 'Push-Through' technology is utilized. This 'Push-Through' technology allows relatively fast glove changes to be done by operators with much less training and experience and without breaching containment. A dramatic reduction in waste is realized; exposure of the worker to residual contamination reduced, and the number of breaches due to installation issues is eliminated. In the following presentation, the evolution of the 'Push- Through' technology, the features of the glove-port retrofit, and waste savings are discussed. (author)

  4. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Return to home skilled nursing facility. 422.133... Protections § 422.133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled...

  5. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Return to home skilled nursing facility. 422.133... Protections § 422.133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled...

  6. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Return to home skilled nursing facility. 422.133... Protections § 422.133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled...

  7. 75 FR 17644 - Update to NFPA 101, Life Safety Code, for State Home Facilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-07

    ... AFFAIRS 38 CFR Part 51 RIN 2900-AN59 Update to NFPA 101, Life Safety Code, for State Home Facilities... Affairs (VA) proposes to update one of its regulations so that State home facilities that receive a per diem for providing nursing home care to eligible Veterans will be required to meet certain...

  8. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  9. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  10. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  11. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  12. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  13. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Services of residents in skilled nursing facilities... SETTINGS Services of Residents § 415.204 Services of residents in skilled nursing facilities and home... nursing facility. Payment to a participating skilled nursing facility may include the cost of services...

  14. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Services of residents in skilled nursing facilities... SETTINGS Services of Residents § 415.204 Services of residents in skilled nursing facilities and home... nursing facility. Payment to a participating skilled nursing facility may include the cost of services...

  15. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Services of residents in skilled nursing facilities... SETTINGS Services of Residents § 415.204 Services of residents in skilled nursing facilities and home... nursing facility. Payment to a participating skilled nursing facility may include the cost of services...

  16. Neutron transport study of a beam port based dynamic neutron radiography facility

    NASA Astrophysics Data System (ADS)

    Khaial, Anas M.

    Neutron radiography has the ability to differentiate between gas and liquid in two-phase flow due both to the density difference and the high neutron scattering probability of hydrogen. Previous studies have used dynamic neutron radiography -- in both real-time and high-speed -- for air-water, steam-water and gas-liquid metal two-phase flow measurements. Radiography with thermal neutrons is straightforward and efficient as thermal neutrons are easier to detect with relatively higher efficiency and can be easily extracted from nuclear reactor beam ports. The quality of images obtained using neutron radiography and the imaging speed depend on the neutron beam intensity at the imaging plane. A high quality neutron beam, with thermal neutron intensity greater than 3.0x 10 6 n/cm2-s and a collimation ratio greater than 100 at the imaging plane, is required for effective dynamic neutron radiography up to 2000 frames per second. The primary objectives of this work are: (1) to optimize a neutron radiography facility for dynamic neutron radiography applications and (2) to investigate a new technique for three-dimensional neutron radiography using information obtained from neutron scattering. In this work, neutron transport analysis and experimental validation of a dynamic neutron radiography facility is studied with consideration of real-time and high-speed neutron radiography requirements. A beam port based dynamic neutron radiography facility, for a target thermal neutron flux of 1.0x107 n/cm2-s, has been analyzed, constructed and experimentally verified at the McMaster Nuclear Reactor. The neutron source strength at the beam tube entrance is evaluated experimentally by measuring the thermal and fast neutron fluxes using copper activation flux-mapping technique. The development of different facility components, such as beam tube liner, gamma ray filter, beam shutter and biological shield, is achieved analytically using neutron attenuation and divergence theories. Monte

  17. Geothermal greenhouse heating facilities for the Klamath County Nursing Home, Klamath Falls, Oregon

    NASA Astrophysics Data System (ADS)

    1982-02-01

    The Klamath County Nursing Home, located in Klamath Falls, Oregon, was constructed in 1976. The building of 55,654 square feet currently houses care facilities for approximately 120 persons. During the initial planning for the nursing home, the present site was selected primarily on the basis of its geothermal resource. This resource currently provides space and domestic hot water heating for the nursing home, Merle West Medical Center and the Oregon Institute of Technology. The feasibility of installing a geothermal heating system in a planned greenhouse for the nursing home is explored. The greenhouse system would be tied directly to the existing hot water heating system for the nursing home.

  18. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Services of residents in skilled nursing facilities... Services of Residents § 415.204 Services of residents in skilled nursing facilities and home health...' services furnished in the following settings that meet the specified requirements: (1) Skilled...

  19. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Services of residents in skilled nursing facilities... Services of Residents § 415.204 Services of residents in skilled nursing facilities and home health...' services furnished in the following settings that meet the specified requirements: (1) Skilled...

  20. An Examination of Special Focus Facility Nursing Homes

    ERIC Educational Resources Information Center

    Castle, Nicholas G.; Engberg, John

    2010-01-01

    Purpose: Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality…

  1. Code JEF Facilities Engineering Home Page for the Internet

    NASA Technical Reports Server (NTRS)

    Mahaffey, Valerie A.; Harrison, Marla J. (Technical Monitor)

    1995-01-01

    There are always many activities going on in JEF. We work on and manage the Construction of Facilities (C of F) projects at NASA-Ames. We are constantly designing or analyzing a new facility or project, or a modification to an existing facility. Every day we answer numerous questions about engineering policy, codes and standards, we attend design reviews, we count dollars and we make sure that everything at the Center is designed and built according to good engineering judgment. In addition, we study literature and attend conferences to make sure that we keep current on new legislation and standards.

  2. Facility Service Environments, Staffing, and Psychosocial Care in Nursing Homes

    PubMed Central

    Zhang, Ning Jackie; Gammonley, Denise; Paek, Seung Chun; Frahm, Kathryn

    2008-01-01

    Using 2003 Online Survey Certification and Reporting (OSCAR) data for Medicare and Medicaid certified facilities (N=14, 184) and multinomial logistic regression this study investigated if (1) psychosocial care quality was better in facilities where State requirements for qualified social services staffing exceeded Federal minimum regulations and (2) facility service environments are associated with psychosocial care quality. For-profit status and higher percentage of Medicaid residents are associated with lower quality. Staffing, market demand, and market competition are associated with better quality. Psychosocial care quality is more associated with payer status and market forces and less with regulatory requirements. PMID:19361113

  3. Geothermal greenhouse-heating facilities for the Klamath County Nursing Home, Klamath Falls, Oregon

    SciTech Connect

    Not Available

    1982-02-01

    The Klamath County Nursing Home, located in Klamath Falls, Oregon, was constructed in 1976. The building of 55,654 square feet currently houses care facilities for approximately 120 persons. During the initial planning for the Nursing Home, the present site was selected primarily on the basis of its geothermal resource. This resource (approx. 190/sup 0/F) currently provides space and domestic hot water heating for the Nursing Home, Merle West Medical Center and the Oregon Institute of Technology. The feasibility of installing a geothermal heating system in a planned greenhouse for the Nursing Home is explored. The greenhouse system would be tied directly to the existing hot water heating system for the Nursing Home.

  4. Suicide Risk in Nursing Homes and Assisted Living Facilities: 2003–2011

    PubMed Central

    Lohman, Matthew; Leslie, Marc; Powell, Virginia

    2015-01-01

    Objectives. We investigated the epidemiology of suicide among adults aged 50 years and older in nursing homes and assisted living facilities and whether anticipating transitioning into long-term care (LTC) is a risk factor for suicide. Methods. Data come from the Virginia Violent Death Reporting System (2003–2011). We matched locations of suicides (n = 3453) against publicly available resource registries of nursing homes (n = 285) and assisted living facilities (n = 548). We examined individual and organizational correlates of suicide by logistic regression. We identified decedents anticipating entry into LTC through qualitative text analysis. Results. Incidence of suicide was 14.16 per 100 000 in nursing homes and 15.66 in the community. Better performance on Nursing Home Compare quality metrics was associated with higher odds of suicide in nursing homes (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.21, 3.14). Larger facility size was associated with higher suicide risk in assisted living facilities (OR = 1.01; 95% CI = 1.00, 1.01). Text narratives identified 38 decedents anticipating transitioning into LTC and 16 whose loved one recently transitioned or resided in LTC. Conclusions. LTC may be an important point of engagement in suicide prevention. PMID:25973805

  5. Facility characteristics as independent prognostic factors of nursing home-acquired pneumonia

    PubMed Central

    Lim, Che Wan; Choi, Younghoon; An, Chang Hyeok; Park, Sang Joon; Hwang, Hee-Jin; Chung, Jae Ho; Min, Joo-Won

    2016-01-01

    Background/Aims: Recently, the incidence of nursing home-acquired pneumonia (NHAP) has been increasing and is now the leading cause of death among nursing home residents. This study was performed to identify risk factors associated with NHAP mortality, focusing on facility characteristics. Methods: Data on all patients ≥ 70 years of age admitted with newly diagnosed pneumonia were reviewed. To compare the quality of care in nursing facilities, the following three groups were defined: patients who acquired pneumonia in the community, care homes, and care hospitals. In these patients, 90-day mortality was compared. Results: Survival analyses were performed in 282 patients with pneumonia. In the analyses, 90-day mortality was higher in patients in care homes (12.2%, 40.3%, and 19.6% in community, care homes, and care hospitals, respectively). Among the 118 NHAP patients, residence in a care home, structural lung diseases, treatment with inappropriate antimicrobial agents for accompanying infections, and a high pneumonia severity index score were risk factors associated with higher 90-day mortality. However, infection by potentially drug-resistant pathogens was not important. Conclusions: Unfavorable institutional factors in care homes are important prognostic factors for NHAP. PMID:26837007

  6. Relationship between Familiarity, Attitudes and Preferences: Assisted Living Facilities as Compared to Nursing Homes

    ERIC Educational Resources Information Center

    Imamoglu, Cagri; Imamoglu, E. Olcay

    2006-01-01

    In this paper, the authors aim to (a) explore attitudes toward and preferences for living in the newly emerging place type of assisted living facilities in comparison to nursing homes, and (b) assess the possible impact of familiarity on those attitudes and preferences. Ninety-eight respondents (with a mean age of 62) were surveyed. Respondents…

  7. Consumer Satisfaction in Long-Term Care: State Initiatives in Nursing Homes and Assisted Living Facilities

    ERIC Educational Resources Information Center

    Lowe, Timothy J.; Lucas, Judith A.; Castle, Nicholas G.; Robinson, Joanne P.; Crystal, Stephen

    2003-01-01

    Purpose: We report the results of a survey of state initiatives that measure resident satisfaction in nursing homes and assisted living facilities, and we describe several model programs for legislators and public administrators contemplating the initiation of their own state programs. Design and Methods: Data on state initiatives and programs…

  8. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the design... Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR part 51. These materials, incorporated by... all State home facilities. 59.130 Section 59.130 Pensions, Bonuses, and Veterans' Relief DEPARTMENT...

  9. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the design... materials was approved by the Director of the Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR... all State home facilities. 59.130 Section 59.130 Pensions, Bonuses, and Veterans' Relief DEPARTMENT...

  10. Development of an x-ray irradiation port for biomedical applications at the CUEBIT facility

    NASA Astrophysics Data System (ADS)

    Medlin, D.; Heffron, W.; Siegel, A.; Wilson, K.; Klingenberger, A.; Gall, A.; Rusin, M.; Dean, D.; Takacs, E.

    2015-01-01

    Because of the importance of x-ray interactions in modern medicine, efforts must be made to combine the fields of biology and physics. This paper reviews the development of an x-ray irradiation port that allows us to study the interaction of x-rays generated by highly charged ions with biological material, such as stem and cancer cells. Our goal is to better understand these interactions in order to improve the techniques of x-ray therapy by narrowing and specifically selecting the range of radiation energies applied. Using the Clemson University Electron Beam Ion Trap (CUEBIT), the generation of quasi-monochromatic x- rays from highly charged ions is possible. In order to maintain the integrity of the cells being studied, the cell culture needs to be oriented horizontally during the irradiation process. This poses a problem, as the highly charged ion beam generated at the CUEBIT is also oriented horizontally. Therefore, we have designed a system that employs a quadrupole bender that directs the ion beam vertically, which allows for the production of x-rays directly under the cell culture. The experimental station consists of a vacuum chamber that attaches to the end of the beam line. This chamber houses the quadrupole bender, a beryllium window for generating x-rays, and the interface between the beryllium window and the cell culture. X-rays must transmit through the bottom of a flask before they interact with the cells. Hence, we implement a procedure to replace the bottom of the flask with a thin layer of Mylar, allowing x-rays to penetrate through easily. We will use this system to study the effects of monochromatic x- rays on stem cells, cancer cells, and their associated proteins.

  11. A comparison of noxious facilities` impacts for home owners versus renters

    SciTech Connect

    Clark, D.E. |; Nieves, L.A.

    1995-01-01

    The siting of noxious facilities, such as hazardous waste facilities, is often vigorously opposed by local residents, and thus it is now common for local residents to be compensated for the presence of the facility. One technique that has been employed to implicitly value noxious facilities is the intercity hedonic approach, which examines the wage and land rent premia between cities that result from the presence of the facility. However, most of the focus has been on the behavior of home owners as opposed to renters. Since these two groups of residents vary on numerous dimensions such as marital status, age, sex, and personal mobility, it would not be surprising to find different marginal valuations of local site characteristics. The authors use 1980 Census data to derive separate estimates for owners and renters of the implicit value placed on eight different types of noxious facilities. They find that renters and owners differ in their response to noxious facilities, although the differences are not systematic. Furthermore, the differences between owners and renters are not primarily due to differential mobility or socio-demographic factors. Controlling those factors decreases the differences between renters` and owners` implicit valuations of noxious facilities by less than 10%. Unmeasured differences between the two groups, such as tastes, risk aversion, or commitment to the community, must account for the remaining difference in valuations. These findings suggest that policymakers should separately consider the responses of owners and renters when estimating noxious facility impacts.

  12. Conflict resolution styles: a comparison of assisted living and nursing home facilities.

    PubMed

    Small, Jeff A; Montoro-Rodriguez, Julian

    2006-01-01

    In this exploratory study, the authors investigated how interpersonal conflict is resolved in assisted living and nursing home facilities. In particular, the authors examined whether conflict resolution styles differed between type of facility and between residents and staff in each type of facility. Four focus groups were conducted--two with residents and two with staff from each type of facility. The focus groups centered on discussing the occurrence of conflict and how each participant handled it. Discourse analysis was employed to identify participants' use of three styles of conflict resolution: controlling, solution-oriented, and non-confrontational. The results indicate that staff in each care context showed a preference for the solution-oriented approach. Residents in each setting reported equal use of the non-confrontational and solution-oriented styles. The findings suggest that preferred conflict resolution styles may vary more as a function of the role of each communicator than the context of the care setting. PMID:16475464

  13. A comparison of wandering behavior in nursing homes and assisted living facilities.

    PubMed

    Beattie, Elizabeth R A; Song, JunAh; LaGore, Shane

    2005-01-01

    Wandering, a challenging behavior associated with dementia, affects many residents of long-term care facilities and can result in elopement, injury, and death. Most studies of wandering have taken place in nursing homes (NH). Expansion of the long-term care sector over the last 2 decades has resulted in a surge in options such as assisted living facilities (ALF). This study compared wandering behavior of residents (N = 108) in 21 long-term care facilities (15 NH, 6 ALF). Staff used the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) to quantify wandering. While there were some differences in demographic variables (i.e., race, motor ability) between NH and ALF participants, no significant differences were found in either RAWS-NH overall or any of the 6 subscale scores. This suggests that the expression of wandering is similar in long-term care residents across all dimensions of the RAWS-NH regardless of facility type. Findings are of concern for those involved in the safe management and protection of residents at risk for wandering, particularly in long-term care facilities with underregulated staffing and training requirements. PMID:16025697

  14. Multidrug resistant bacteria isolated from cockroaches in long-term care facilities and nursing homes.

    PubMed

    Pai, Hsiu-Hua

    2013-01-01

    Residents in long-term care facilities and nursing homes have a relative higher risk for infections. The nocturnal and filthy habits of cockroaches may be ideal disseminators of pathogenic microorganisms in these institutions. This study was designed to determine the infestation and vector potential of cockroaches under this institutional environment. Cockroaches were collected from 69 long-term care facilities and nursing homes in Kaohsiung City. Risk factors related to cockroach infestation were determined by questionnaire survey. In addition, bacteria were isolated and identified from the alimentary tract and external surface of these insects. Antibiotic resistances of these microorganisms were then determined. Cockroach infestation was found in 45 (65.2%) institutions and 558 cockroaches (119 Periplaneta americana and 439 Blattella germanica) were collected. A significant association was found between cockroach infestation and indoor environmental sanitation. From 250 adult cockroaches, 38 species of gram-negative bacteria, 20 species of glucose non-fermenter bacilli and 6 species of gram-positive bacteria were isolated. Moreover, antibiotic resistances were found among the bacteria isolated. These findings indicate that cockroaches have the potential in transmitting pathogenic bacteria with multidrug resistances in long-term care facilities and nursing homes. PMID:22960645

  15. Central venous catheters - ports

    MedlinePlus

    Central venous catheter - subcutaneous; Port-a-Cath; InfusaPort; PasPort; Subclavian port; Medi - port; Central venous line - port ... catheter is attached to a device called a port that will be under your skin. The port ...

  16. A Facility Specialist Model for Improving Retention of Nursing Home Staff: Results from a Randomized, Controlled Study

    ERIC Educational Resources Information Center

    Pillemer, Karl; Meador, Rhoda; Henderson, Charles, Jr.; Robison, Julie; Hegeman, Carol; Graham, Edwin; Schultz, Leslie

    2008-01-01

    Purpose: This article reports on a randomized, controlled intervention study designed to reduce employee turnover by creating a retention specialist position in nursing homes. Design and Methods: We collected data three times over a 1-year period in 30 nursing homes, sampled in stratified random manner from facilities in New York State and…

  17. Reasons rural Laotians choose home deliveries over delivery at health facilities: a qualitative study

    PubMed Central

    2012-01-01

    Background Maternal mortality among poor rural women in the Lao People’s Democratic Republic (Lao PDR) is among the highest in Southeast Asia, in part because only 15% give birth at health facilities. This study explored why women and their families prefer home deliveries to deliveries at health facilities. Methods A qualitative study was conducted from December 2008 to February 2009 in two provinces of Lao PDR. Data was collected through eight focus group discussions (FGD) as well as through in-depth interviews with 12 mothers who delivered at home during the last year, eight husbands and eight grandmothers, involving a total of 71 respondents. Content analysis was used to analyze the FGD and interview transcripts. Results Obstacles to giving birth at health facilities included: (1) Distance to the health facilities and difficulties and costs of getting there; (2) Attitudes, quality of care, and care practices at the health facilities, including a horizontal birth position, episiotomies, lack of privacy, and the presence of male staff; (3) The wish to have family members nearby and the need for women to be close to their other children and the housework; and (4) The wish to follow traditional birth practices such as giving birth in a squatting position and lying on a “hot bed” after delivery. The decision about where to give birth was commonly made by the woman’s husband, mother, mother-in-law or other relatives in consultation with the woman herself. Conclusion This study suggests that the preference in rural Laos for giving birth at home is due to convenience, cost, comfort and tradition. In order to assure safer births and reduce rural Lao PDR’s high maternal mortality rate, health centers could consider accommodating the wishes and traditional practices of many rural Laotians: allowing family in the birthing rooms; allowing traditional practices; and improving attitudes among staff. Traditional birth attendants, women, and their families could be

  18. Utilization of Acute Care among Patients with ESRD Discharged Home from Skilled Nursing Facilities

    PubMed Central

    Toles, Mark; Massing, Mark; Jackson, Eric; Peacock-Hinton, Sharon; O’Hare, Ann M.; Colón-Emeric, Cathleen

    2015-01-01

    Background and objectives Older adults with ESRD often receive care in skilled nursing facilities (SNFs) after an acute hospitalization; however, little is known about acute care use after SNF discharge to home. Design, setting, participants, & measurements This study used Medicare claims for North and South Carolina to identify patients with ESRD who were discharged home from a SNF between January 1, 2010 and August 31, 2011. Nursing Home Compare data were used to ascertain SNF characteristics. The primary outcome was time from SNF discharge to first acute care use (hospitalization or emergency department visit) within 30 days. Cox proportional hazards models were used to identify patient and facility characteristics associated with the outcome. Results Among 1223 patients with ESRD discharged home from a SNF after an acute hospitalization, 531 (43%) had at least one rehospitalization or emergency department visit within 30 days. The median time to first acute care use was 37 days. Characteristics associated with a shorter time to acute care use were black race (hazard ratio [HR], 1.25; 95% confidence interval [95% CI], 1.04 to 1.51), dual Medicare-Medicaid coverage (HR, 1.24; 95% CI, 1.03 to 1.50), higher Charlson comorbidity score (HR, 1.07; 95% CI, 1.01 to 1.12), number of hospitalizations during the 90 days before SNF admission (HR, 1.12; 95% CI, 1.03 to 1.22), and index hospital discharge diagnoses of cellulitis, abscess, and/or skin ulcer (HR, 2.59; 95% CI, 1.36 to 4.45). Home health use after SNF discharge was associated with a lower rate of acute care use (HR, 0.72; 95% CI, 0.59 to 0.87). There were no statistically significant associations between SNF characteristics and time to first acute care use. Conclusions Almost one in every two older adults with ESRD discharged home after a post–acute SNF stay used acute care services within 30 days of discharge. Strategies to reduce acute care utilization in these patients are needed. PMID:25649158

  19. Shrapnel impact probability and diagnostic port failure analysis for LLNL`s explosives testing contained firing facility (CFF)

    SciTech Connect

    Price, D. E., LLNL

    1998-05-22

    Lawrence Livermore National Laboratory` s (LLNL) Contained Firing Facility (CFF) is a facility to be constructed for explosives testing of up to 60 kg of explosives at LLNL` s Site 300 Explosives Test Site. The CFF will be a large, rectangular, reinforced concrete firing chamber, lined with steel for shrapnel protection. The CFF will contain several glass ports for cameras, lasers, and other diagnostic equipment to be used for data collection during planned explosives detonations. Glass is used due to the need for the greatest possible optical clarity. This study was performed during the CFF final design stage to determine probabilities and consequences (bounding and best estimate) of impact of shrapnel, due to concerns about the possible effects of rebounding shrapnel on these glass diagnostic ports. We developed a customized version of the Persistence of Vision{trademark} Ray-Tracer (POV-Ray{trademark}) version 3.02 code for the Macintosh TM Operating System (MacOS{trademark}). POV-Ray creates three- dimensional, very high quality (photo-realistic) images with realistic reflections, shading, textures, perspective, and other effects using a rendering technique called ray-tracing. It reads a text file that describes the objects and lighting in a scene and generates an image of that scene from the viewpoint of a camera, also described in the text file. The customized code (POV-Ray Shrapnel Tracker, V3.02 - Custom Build) generates fragment trajectory paths at user designated angle intervals in three dimensions, tracks these trajectory paths through any complex three-dimensional space, and outputs detailed data for each ray as requested by the user, including trajectory source location, initial direction of each trajectory, vector data for each surface/trajectory interaction, and any impacts with designated model target surfaces during any trajectory segment (direct path or reflected paths). This allows determination of the three-dimensional trajectory of each

  20. A comparison of noxious facilities` impacts for home owners versus renters

    SciTech Connect

    Clark, D.E. |; Nieves, L.A.

    1996-09-01

    The siting of noxious facilities, such as hazardous waste facilities, is often vigorously opposed by local residents. As a result, one would expect people`s residential and employment choices to reflect a desire to avoid proximity to such facilities. Ibis behavior would in turn affect labor and housing prices. One technique that has been employed to implicitly value impacts of noxious facilities is the intercity hedonic approach, which examines the wage and land rent differentials among cities that result from environmental amenities and disamenities. However, most of the research focus has been on the behavioral response of home owners as opposed to renters. Since these two groups of residents vary on numerous dimensions such as marital status, age, sex, and personal mobility, it would not be surprising to find different marginal valuations of local site characteristics. We use 1980 Census data to derive separate estimates for owners and renters of the implicit value placed on eight different types of noxious facilities. Although the magnitude of the responses of renters and owners to noxious facilities and other environmental characteristics varies, the signs are generally consistent. The differences in values between owners and renters are not primarily due to differential mobility or sociodemographic factors. Controlling those factors decreases the differences between renters` and owners` implicit valuations by less than 10%. Unmeasured differences in characteristics between the two groups, such as tastes, risk aversion, or commitment to the community, must account for the remaining difference in valuations. These findings suggest that policymakers should separately consider the responses of owners and renters when estimating noxious facility impacts.

  1. 75 FR 42071 - Taking and Importing Marine Mammals; Operations of a Liquified Natural Gas Port Facility in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-20

    ... harassment authorization for this activity pursuant to section 101(a)(5)(D) of the MMPA (74 FR 45613... Gateway's LNG Port construction and operations on March 13, 2007 (72 FR 11328). Description of Marine.... A notice of availability was published by MARAD on October 26, 2006 (71 FR 62657). The Final...

  2. PORT II

    NASA Technical Reports Server (NTRS)

    Muniz, Beau

    2009-01-01

    One unique project that the Prototype lab worked on was PORT I (Post-landing Orion Recovery Test). PORT is designed to test and develop the system and components needed to recover the Orion capsule once it splashes down in the ocean. PORT II is designated as a follow up to PORT I that will utilize a mock up pressure vessel that is spatially compar able to the final Orion capsule.

  3. They Are Called Nursing Homes for a Reason: RN Staffing in Long-Term Care Facilities.

    PubMed

    Harden, J Taylor; Burger, Sarah Greene

    2015-12-01

    According to the Centers for Medicare and Medicaid Services (CMS), the Consolidated Medicare and Medicaid regulations have not been systematically reviewed and updated since 1991. Existing regulations require that, with certain exceptions, an RN provide services in a facility for 8 consecutive hours per day, 7 days per week; licensed practical nurses (LPNs) 24 hours per day; and sufficient staff to meet residents' needs. The requirements to determine "sufficient" staff remain undefined by CMS. Several national organizations support RN staffing 24 hours per day each day of the week (24/7). These organizations provided evidence refuting CMS' position that it does not have sufficient information at this time to require a specific number of staff or hours of nursing care per resident. Consideration should be given to the Institute of Medicine recommendation affrming the need for and requiring the presence of at least one RN within every nursing home facility at all times. Currently, there is a bill in the House of Representatives that supports 24/7 RN coverage in nursing homes, which must become both bipartisan and bicameral to be passed. PMID:26594951

  4. Healthcare worker influenza vaccination in Oregon nursing homes: correlates of facility characteristics

    PubMed Central

    Campbell, Lauren J.; Li, Qinghua; Li, Yue

    2014-01-01

    Objectives Nursing home (NH) employee influenza vaccination is associated with reductions in morbidity and mortality among residents. Little is known regarding associations between NH characteristics and employee influenza vaccination rates (EVRs). This study identifies NH characteristics that may be associated with EVRs. Design Data on employee vaccination rates and programs were gathered from Office for Oregon Health Policy and Research reports for three influenza seasons from 2009–2012 and merged with Online Survey, Certification, and Reporting files, from which facility characteristics were obtained. Market controls were obtained from the 2010 Area Health Resource File. Multivariate linear and logistic regression were used to model relationships between facility characteristics and EVR per facility per year, whether formal education for employees was conducted, and whether 2010, 2015, and 2020 Healthy People targets were met. Setting Oregon nursing homes from 2009–2012. Participants NHs reporting sufficient data to calculate an EVR were included. Based on information obtained from 2009–10, 2010–11, and 2011–12 surveys, EVRs were calculated for 113/140, 129/141, and 137/140 (81%, 91%, and 98% of) NHs, respectively. Measurements Dependent variables were EVR per facility per year, whether formal education for employees was conducted, and whether 2010, 2015, and 2020 Healthy People targets were met. Independent variables included facility characteristics and market controls. Results On average, chain-affiliated NHs had 9% higher EVRs (P=0.01) and 73% higher odds of achieving 60% EVR (2010 target, P=0.05) than free-standing NHs. For-profit NHs had, on average, 8% lower EVRs (P=0.04) than not-for-profit NHs. Surprisingly, a 10% increase in proportion of Medicaid residents was associated with a 2% increase in EVR (P=0.01) and higher odds of achieving 60% (OR=1.20, P=0.004) and 70% (2015 target, OR=1.14, P=0.05) EVR. Conclusion Given that NHs generally have

  5. Home health care

    MedlinePlus

    ... Skilled nursing - home health; Skilled nursing - home care; Physical therapy - at home; Occupational therapy - at home; Discharge - home ... being in the hospital, skilled nursing center, or rehabilitation facility. You should probably be able to go ...

  6. Hepatitis B outbreak associated with a home health care agency serving multiple assisted living facilities in Texas, 2008-2010.

    PubMed

    Zheteyeva, Yenlik A; Tosh, Pritish; Patel, Priti R; Martinez, Diana; Kilborn, Cindy; Awosika-Olumo, Debo; Khuwaja, Salma; Ibrahim, Syed; Ryder, Anthony; Tohme, Rania A; Khudyakov, Yury; Thai, Hong; Drobeniuc, Jan; Heseltine, Gary; Guh, Alice Y

    2014-01-01

    We investigated a multifacility outbreak of acute hepatitis B virus infection involving 21 residents across 10 assisted living facilities in Texas during the period January 2008 through July 2010. Epidemiologic and laboratory data suggested that these infections belonged to a single outbreak. The only common exposure was receipt of assisted monitoring of blood glucose from the same home health care agency. Improved infection control oversight and training of assisted living facility and home health care agency personnel providing assisted monitoring of blood glucose is needed. PMID:24176604

  7. Relationships between Physical Activity and the Proximity of Exercise Facilities and Home Exercise Equipment Used by Undergraduate University Students.

    ERIC Educational Resources Information Center

    Reed, Julian A.; Phillips, D. Allen

    2005-01-01

    The authors used stratified random sampling procedures to investigate the relationships among physical activity (PA), the proximity of exercise facilities, and the quantity of home exercise equipment in a sample of 411 undergraduates. To examine the data they collected from the modified Godin Leisure-Time Exercise Questionnaire and the Home…

  8. Using water wisely: New, affordable, and essential water conservation practices for facility and home hemodialysis.

    PubMed

    Agar, John W M; Simmonds, Rosemary E; Knight, Richard; Somerville, Christine A

    2009-01-01

    Despite a global focus on resource conservation, most hemodialysis (HD) services still wastefully or ignorantly discard reverse osmosis (R/O) "reject water" (RW) to the sewer. However, an R/O system is producing the highly purified water necessary for dialysis, it rejects any remaining dissolved salts from water already prefiltered through charcoal and sand filters in a high-volume effluent known as RW. Although the RW generated by most R/O systems lies well within globally accepted potable water criteria, it is legally "unacceptable" for drinking. Consequently, despite being extremely high-grade gray water, under current dialysis practices, it is thoughtlessly "lost-to-drain." Most current HD service designs neither specify nor routinely include RW-saving methodology, despite its simplicity and affordability. Since 2006, we have operated several locally designed, simple, cheap, and effective RW collection and distribution systems in our in-center, satellite, and home HD services. All our RW water is now recycled for gray-water use in our hospital, in the community, and at home, a practice that is widely appreciated by our local health service and our community and is an acknowledged lead example of scarce resource conservation. Reject water has sustained local sporting facilities and gardens previously threatened by indefinite closure under our regional endemic local drought conditions. As global water resources come under increasing pressure, we believe that a far more responsible attitude to RW recycling and conservation should be mandated for all new and existing HD services, regardless of country or region. PMID:19210275

  9. Intake port

    DOEpatents

    Mendler, Edward Charles

    2005-02-01

    The volumetric efficiency and power of internal combustion engines is improved with an intake port having an intake nozzle, a venturi, and a surge chamber. The venturi is located almost halfway upstream the intake port between the intake valves and the intake plenum enabling the venturi throat diameter to be exceptionally small for providing an exceptionally high ram velocity and an exceptionally long and in turn high efficiency diffuser flowing into the surge chamber. The intake port includes an exceptionally large surge chamber volume for blow down of the intake air into the working cylinder of the engine.

  10. Take-home lead exposure among children with relatives employed at a battery recycling facility - Puerto Rico, 2011.

    PubMed

    2012-11-30

    The recycling of lead has increased during the past 20 years, with more workers and their families potentially being exposed to lead from recycling facilities, including facilities that recycle lead-acid batteries. During November 2010-May 2011, four voluntary blood lead screening clinics for children of employees of a battery recycling facility in Puerto Rico were conducted. A total of 227 persons from 78 families had blood lead tests. Among 68 children aged <6 years, 11 (16%) had confirmed blood lead levels (BLLs) ≥10 µg/dL, the BLL at which CDC recommended individual intervention to reduce BLLs in 2010, and 39 (57%) children aged <6 years had venous or capillary BLLs ≥5 µg/dL, the reference value for elevated BLLs in children established by CDC in 2012. To determine whether take-home lead exposure contributed to the children's BLLs of ≥10 µg/dL, vehicle and household environmental samples were collected and analyzed. Eighty-five percent of vehicle dust samples and 49% of home dust samples exceeded the U.S. Environmental Protection Agency (EPA) level of concern of ≥40 µg/ft² (430.6 µg/m²) [corrected]. EPA began clean-up of employee homes and vehicles, focusing first on homes with children with BLLs ≥10 µg/dL. EPA also required that the company set up shower facilities, shoe washes, and clean changing areas at the battery recycling facility. Lastly, CDC assigned a case manager to provide education, environmental follow-up, and case management of all children with BLLs ≥5 µg/dL. On average, children's BLLs have decreased 9.9 µg/dL since being enrolled in case management. PMID:23190570

  11. Home-Based and Facility-Based Directly Observed Therapy of Tuberculosis Treatment under Programmatic Conditions in Urban Tanzania

    PubMed Central

    Hella, Jerry; Maroa, Thomas; Kisandu, Shadrack; Chiryamkubi, Magreth; Said, Khadija; Mhalu, Grace; Mkopi, Abdallah; Mutayoba, Beatrice; Reither, Klaus; Gagneux, Sébastien; Fenner, Lukas

    2016-01-01

    Introduction Decentralization of Directly Observed Treatment (DOT) for tuberculosis (TB) to the community (home-based DOT) has improved the coverage of TB treatment and reduced the burden to the health care facilities (facility-based DOT). We aimed to compare TB treatment outcomes in home-based and facility-based DOT under programmatic conditions in an urban setting with a high TB burden. Methodology A retrospective analysis of a cohort of adult TB patients (≥15 years) routinely notified between 2010 and 2013 in two representative TB sub-districts in the Temeke district, Dar es Salaam, Tanzania. We assessed differences in treatment outcomes by calculating Risk Ratios (RRs). We used logistic regression to assess the association between DOT and treatment outcomes. Results Data of 4,835 adult TB patients were analyzed, with a median age of 35 years, 2,943 (60.9%) were men and TB/HIV co-infection prevalence of 39.9%. A total of 3,593 (74.3%) patients were treated under home-based DOT. Patients on home-based DOT were more likely to die compared to patients on facility-based DOT (RR 2.04, 95% Confidence Interval [95% CI]: 1.52–2.73), and more likely to complete TB treatment (RR 1.14, 95% CI: 1.06–1.23), but less likely to have a successful treatment outcome (RR 0.94, 95% CI: 0.92–0.97). Home-based DOT was preferred by women (adjusted Odds Ratio [aOR] 1.55, 95% CI: 1.34–1.80, p<0.001), older people (aOR 1.01 for each year increase, 95% CI: 1.00–1.02, p = 0.001) and patients with extra-pulmonary TB (aOR 1.45, 95% CI: 1.16–1.81, p = 0.001), but less frequently by patients on a retreatment regimen (aOR 0.12, 95% CI: 0.08–0.19, p<0.001). Conclusions/significance TB patients under home-based DOT had more frequently risk factors of death such as older age, HIV infection and sputum smear-negative TB, and had higher mortality compared to patients under facility-based DOT. Further operational research is needed to monitor the implementation of DOT under

  12. Risk of Venous Thromboembolism in Patients Nursed at Home or in Long-Term Care Residential Facilities

    PubMed Central

    Arpaia, Guido; Ambrogi, Federico; Penza, Maristella; Ianes, Aladar Bruno; Serras, Alessandra; Boracchi, Patrizia; Cimminiello, Claudio

    2011-01-01

    Background. This study investigated the prevalence of and impact of risk factors for deep venous thrombosis (DVT) in patients with chronic diseases, bedridden or with greatly limited mobility, cared for at home or in long-term residential facilities. Methods. We enrolled 221 chronically ill patients, all over 18 years old, markedly or totally immobile, at home or in long-term care facilities. They were screened at the bedside by simplified compression ultrasound. Results. The prevalence of asymptomatic proximal DVT was 18% (95% CI 13–24%); there were no cases of symptomatic DVT or pulmonary embolism. The best model with at most four risk factors included: previous VTE, time of onset of reduced mobility, long-term residential care as opposed to home care and causes of reduced mobility. The risk of DVT for patients with reduced mobility due to cognitive impairment was about half that of patients with cognitive impairment/dementia. Conclusions. This is a first estimate of the prevalence of DVT among bedridden or low-mobility patients. Some of the risk factors that came to light, such as home care as opposed to long-term residential care and cognitive deficit as causes of reduced mobility, are not among those usually observed in acutely ill patients. PMID:21748017

  13. 33 CFR 158.330 - Ports and terminals: Equipment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Ports and terminals: Equipment... Certifying That a Port's or Terminal's Facilities Are Adequate for Receiving NLS Residue § 158.330 Ports and terminals: Equipment. Each port and terminal except ship repair yards, in order to pass the inspection...

  14. The Impact of Special Focus Facility Nursing Homes on Market Quality

    ERIC Educational Resources Information Center

    Castle, Nicholas G.; Sonon, Kristen; Antonova, Jenya

    2010-01-01

    Purpose: Special Focus Facilities (SFFs) are nursing facilities designated by the Centers for Medicare & Medicaid Services to be of chronic poor quality. Relatively few nursing facilities are included in this initiative. The purpose of this research was to examine whether nursing facilities included in the 2007 SFF initiative subsequently…

  15. 76 FR 11339 - Update to NFPA 101, Life Safety Code, for State Home Facilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ..., Incorporation by reference, Mental health programs, Nursing homes, Reporting and recordkeeping requirements....) SUPPLEMENTARY INFORMATION: In a document published in the Federal Register on April 7, 2010 (75 FR 17644),...

  16. Region 2 Port-area Investigation of Emissions Reduction (R2PIER)

    EPA Science Inventory

    Background Region 2 is home to the Port of New York and New Jersey (Port), the largest marine port on the East Coast and third largest in the nation. The Port is a concentrated source of diesel pollution, as more than 3 million containers move each year on diesel-powered ships, ...

  17. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of a State home must be designed, constructed, equipped, and maintained to protect the health and..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the design... design and construct the project to provide sufficient space and equipment in dining, health...

  18. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of a State home must be designed, constructed, equipped, and maintained to protect the health and..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the design... design and construct the project to provide sufficient space and equipment in dining, health...

  19. Rural-Urban Differences in End-of-Life Nursing Home Care: Facility and Environmental Factors

    ERIC Educational Resources Information Center

    Temkin-Greener, Helena; Zheng, Nan Tracy; Mukamel, Dana B.

    2012-01-01

    Purpose of the study: This study examines urban-rural differences in end-of-life (EOL) quality of care provided to nursing home (NH) residents. Data and Methods: We constructed 3 risk-adjusted EOL quality measures (QMs) for long-term decedent residents: in-hospital death, hospice referral before death, and presence of severe pain. We used…

  20. Sports Facilities, Shopping Centers or Homes: What Locations are Important for Adults' Physical Activity? A Cross-Sectional Study.

    PubMed

    Jansen, Marijke; Ettema, Dick; Pierik, Frank; Dijst, Martin

    2016-03-01

    Physical activity (PA) is influenced by the built environment. However, little is known about the types of built environment where adults spend their time, and at what levels of PA they engage in those environments. Understanding the effect of the built environment on PA requires insight into PA behavior at different types of locations (e.g., home, work, shopping centers, and sports facilities). Therefore, this study describes where adults aged 45-65 years were active with moderate-to-vigorous intensity (MVPA), and examines associations of socio-demographic factors and neighborhood with MVPA at these locations. Participants' (N = 308) PA was measured for seven days using accelerometers and GPS-devices. Adults spent most minutes of MVPA at home and work. Highest MVPA-ratios of total time spent at a location were achieved in sports facilities and during transport. Neighborhood characteristics and socio-demographic factors such as work status, health status and household structure, had significant effects on MVPA at various locations and on total MVPA. Understanding PA behavior at various locations may provide insights that allow professionals in different domains (e.g., health, landscaping, urban planning) to develop strategies to stimulate PA. PMID:26959041

  1. Sports Facilities, Shopping Centers or Homes: What Locations are Important for Adults’ Physical Activity? A Cross-Sectional Study

    PubMed Central

    Jansen, Marijke; Ettema, Dick; Pierik, Frank; Dijst, Martin

    2016-01-01

    Physical activity (PA) is influenced by the built environment. However, little is known about the types of built environment where adults spend their time, and at what levels of PA they engage in those environments. Understanding the effect of the built environment on PA requires insight into PA behavior at different types of locations (e.g., home, work, shopping centers, and sports facilities). Therefore, this study describes where adults aged 45–65 years were active with moderate-to-vigorous intensity (MVPA), and examines associations of socio-demographic factors and neighborhood with MVPA at these locations. Participants’ (N = 308) PA was measured for seven days using accelerometers and GPS-devices. Adults spent most minutes of MVPA at home and work. Highest MVPA-ratios of total time spent at a location were achieved in sports facilities and during transport. Neighborhood characteristics and socio-demographic factors such as work status, health status and household structure, had significant effects on MVPA at various locations and on total MVPA. Understanding PA behavior at various locations may provide insights that allow professionals in different domains (e.g., health, landscaping, urban planning) to develop strategies to stimulate PA. PMID:26959041

  2. Satisfaction with Massachusetts nursing home care was generally high during 2005-09, with some variability across facilities.

    PubMed

    Li, Yue; Cai, Xueya; Ye, Zhiqiu; Glance, Laurent G; Harrington, Charlene; Mukamel, Dana B

    2013-08-01

    Since 2005 Massachusetts has publicly reported results from biennial surveys of satisfaction with nursing homes, completed by responsible parties for residents, to promote consumer-centered care. Our analysis of the results from 2005, 2007, and 2009 revealed generally high satisfaction with care, which remained stable over time. On a scale of 1 to 5 (from very dissatisfied to very satisfied), average satisfaction with overall care was 4.22-4.31, and satisfaction that overall residents' needs were met was 4.09-4.16. Around 90 percent of respondents would recommend the facility. Satisfaction ratings varied considerably across facilities, with higher scores associated with higher nursing staffing levels, fewer deficiency citations, and nonprofit or government ownership. Scores for six domains of care were, in general, closely associated with satisfaction scores. However, family members seemed less satisfied with the physical and social activities available to residents and with the food and meals served than with such attributes as the physical environment. Our findings suggest that including the consumer's perspective would improve the Centers for Medicare and Medicaid Services' current nursing home reporting efforts. However, refinements may be necessary to detect the impact of consumer reporting on the quality of patient-centered care. PMID:23918486

  3. U.S. Offshore Wind Port Readiness

    SciTech Connect

    C. Elkinton, A. Blatiak, H. Ameen

    2013-10-13

    This study will aid decision-makers in making informed decisions regarding the choice of ports for specific offshore projects, and the types of investments that would be required to make individual port facilities suitable to serve offshore wind manufacturing, installation and/or operations.

  4. PortSim - A Port Security Simulation and Visualization Tool

    SciTech Connect

    Koch, Daniel B

    2007-01-01

    Around the world, there is great concern about the movement of threat materials using seaport shipping containers. The benefits of early detection of weapons of mass destruction is obvious. However, the inspection process needs to be conducted in such a way as to not unreasonably impede normal commerce. Prior to actual deployment of new detection systems, policies, or procedures, it is useful to construct an operational and economic model of the port facility and to run simulations to gage the impact. Using a simulation model beforehand aids decision makers in evaluating trade-offs. PortSim was developed at ORNL by the author to allow a user to investigate a number of parameters in order to see the impact on port operations and cost. It consolidates a conceptual operations model, cost information, policy and procedures database, a real-time data acquisition capability, and information flow tracking and provides a visualization of port operations in a geospatial environment. This paper describes the use of PortSim to simulate and visualize a typical port.

  5. Robotics for port security

    NASA Astrophysics Data System (ADS)

    Smuda, William; Freiburger, Lonnie A.; Gerhart, Grant R.; Mallon, Lawrence

    2004-09-01

    The capacity through the use of robots with on board visual, NBC and HAZMAT sensors to rapidly and continuously screen convoys and staged exposed assets would be a force multiplier and measurably improve base and force protection at both inbound and outbound DOD and commercial facilities. This paper chronicles our experiment with the ODIS robot at the Ports of Los Angeles (POLA) and Long Beach (POLB) in July of 2003. POLA & POLB are responsible for moving over 30% of the United States trade goods. Queues of 54" container trucks routinely exceed 100 trucks, extending for over a mile from the port entrances. Spotted equipment and convoys at staging areas are a high visibility and value assets to a terrorist incident. The POLA/POLB scenario is also representative of TRANSCOM operations at the port of Basra during current operation in Iraq. The California Highway Patrol is responsible for physically inspecting these vehicles for roadworthiness and contraband, a dangerous and dirty job. We will also discuss the use of ODIS robots for this task.

  6. Port-Wine Stain

    MedlinePlus

    ... and rashes clinical tools newsletter | contact Share | Port-Wine Stain A parent's guide for infants and babies ... a three-month-old infant with a port-wine stain. Overview A port-wine stain is a ...

  7. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  8. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  9. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  10. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  11. Investigation of Childhood Lead Poisoning from Parental Take-Home Exposure from an Electronic Scrap Recycling Facility — Ohio, 2012.

    PubMed

    Newman, Nick; Jones, Camille; Page, Elena; Ceballos, Diana; Oza, Aalok

    2015-07-17

    Lead affects the developing nervous system of children, and no safe blood lead level (BLL) in children has been identified. Elevated BLLs in childhood are associated with hyperactivity, attention problems, conduct problems, and impairment in cognition. Young children are at higher risk for environmental lead exposure from putting their hands or contaminated objects in their mouth. Although deteriorating lead paint in pre-1979 housing is the most common source of lead exposure in children, data indicate that ≥30% of children with elevated BLLs were exposed through a source other than paint. Take-home contamination occurs when lead dust is transferred from the workplace on employees' skin, clothing, shoes, and other personal items to their car and home. Recycling of used electronics (e-scrap) is a relatively recent source of exposure to developmental neurotoxicants, including lead. In 2010, the Cincinnati Health Department and Cincinnati Children's Hospital Pediatric Environmental Health Specialty Unit (PEHSU) investigated two cases of childhood lead poisoning in a single family. In 2012, CDC's National Institute for Occupational Safety and Health (NIOSH) learned about the lead poisonings during an evaluation of the e-scrap recycling facility where the father of the two children with lead poisoning worked. This report summarizes the case investigation. Pediatricians should ask about parents' occupations and hobbies that might involve lead when evaluating elevated BLLs in children, in routine lead screening questionnaires, and in evaluating children with signs or symptoms of lead exposure. PMID:26182192

  12. 76 FR 14652 - Port Barre Investments, L.L.C.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-17

    ... Energy Regulatory Commission Port Barre Investments, L.L.C.; Notice of Application Take notice that on March 4, 2011, Port Barre Investments, L.L.C. (Bobcat) filed in Docket No. CP11-124-000 an application... pipeline facilities. \\1\\ Port Barre Investments, L.L.C., 126 FERC ] 61,240 (2009). \\2\\ Port...

  13. Governance and management of a deepwater port: a case study

    SciTech Connect

    Olcott, E.S.

    1985-10-01

    A deepwater port is many things to many people. Clearly, the Port of Rotterdam, the largest port in the world, is a deepwater port with its 75 feet of water, more than $1.5 billion invested in facilities and its annual volume of more than 280 million metric tons of cargo in a broad commodity mix. Bantry Bay in Ireland, a major import petroleum and trans-shipment facility for Britain and the European continent, is a deepwater port. So also is the Louisiana Offshore Oil Port (LOOP), comprised of a single-point mooring buoy and sophisticated petroleum distribution system, located in deep water off the Gulf coast of the US. And so is the Port of Seattle a deepwater port, located in the natural deep water of Puget Sound. Deep drafts ports abound in Japan where as many as nine ports have been developed with water depths in excess of 55 feet. The multi-purpose port and industrial island located in Delaware Bay, the case study being scrutinized in this article would also be a deepwater port. The author takes no position in this article on the feasibility of the enterprise. A number of models or options are reviewed on how this project might be organized, managed, and governed if a decision were made to move forward with such an undertaking. 15 references, 2 figures.

  14. Increasing Access to Prevention of Postpartum Hemorrhage Interventions for Births in Health Facilities and at Home in Four Districts of Rwanda.

    PubMed

    Dao, Blami; Ngabo, Fidele; Zoungrana, Jeremie; Rawlins, Barbara; Mukarugwiro, Beata; Musoni, Pascal; Favero, Rachel; MacDowell, Juliet; Eugene, Kanyamanza

    2015-12-01

    To assess coverage, acceptability, and feasibility of a program to prevent postpartum hemorrhage (PPH) at community and facility levels, a study was conducted in 60 health facilities and their catchment areas in four districts in Rwanda. A total of 220 skilled birth attendants at these facilities were trained to provide active management of the third stage of labor and 1994 community health workers (ASMs) were trained to distribute misoprostol at home births. A total of 4,074 pregnant women were enrolled in the program (20.5% of estimated deliveries). Overall uterotonic coverage was 82.5%: 85% of women who delivered at a facility received a uterotonic to prevent PPH; 76% of women reached at home at the time of birth by an ASM ingested misoprostol--a 44.3% coverage rate. Administration of misoprostol at the time of birth for home births achieved moderate uterotonic coverage. Advancing the distribution of misoprostol through antenatal care services could further increase coverage. PMID:27337854

  15. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Criteria for Reception Facilities: Oily Mixtures § 158.210 Ports and terminals loading crude oil. The reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... the oceangoing tankers loading crude oil at the port or terminal that do not have clean ballast...

  16. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Criteria for Reception Facilities: Oily Mixtures § 158.210 Ports and terminals loading crude oil. The reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... the oceangoing tankers loading crude oil at the port or terminal that do not have clean ballast...

  17. Port-wine stain

    MedlinePlus

    A port-wine stain is a birthmark in which swollen blood vessels create a reddish-purplish discoloration of the skin. ... Port-wine stains occur in about 3 out of 1,000 people. In rare cases, port-wine stains are ...

  18. National Nursing Home Survey

    Cancer.gov

    The National Nursing Home Survey provides includes characteristics such as size of nursing home facilities, ownership, Medicare/Medicaid certification, occupancy rate, number of days of care provided, and expenses.

  19. The Potential for Biomass District Energy Production in Port Graham, Alaska

    SciTech Connect

    Charles Sink, Chugachmiut; Keeryanne Leroux, EERC

    2008-05-08

    This project was a collaboration between The Energy & Environmental Research Center (EERC) and Chugachmiut – A Tribal organization Serving the Chugach Native People of Alaska and funded by the U.S. Department of Energy (DOE) Tribal Energy Program. It was conducted to determine the economic and technical feasibility for implementing a biomass energy system to service the Chugachmiut community of Port Graham, Alaska. The Port Graham tribe has been investigating opportunities to reduce energy costs and reliance on energy imports and support subsistence. The dramatic rise in the prices of petroleum fuels have been a hardship to the village of Port Graham, located on the Kenai Peninsula of Alaska. The Port Graham Village Council views the forest timber surrounding the village and the established salmon industry as potential resources for providing biomass energy power to the facilities in their community. Benefits of implementing a biomass fuel include reduced energy costs, energy independence, economic development, and environmental improvement. Fish oil–diesel blended fuel and indoor wood boilers are the most economical and technically viable options for biomass energy in the village of Port Graham. Sufficient regional biomass resources allow up to 50% in annual heating savings to the user, displacing up to 70% current diesel imports, with a simple payback of less than 3 years for an estimated capital investment under $300,000. Distributive energy options are also economically viable and would displace all imported diesel, albeit offering less savings potential and requiring greater capital. These include a large-scale wood combustion system to provide heat to the entire village, a wood gasification system for cogeneration of heat and power, and moderate outdoor wood furnaces providing heat to 3–4 homes or community buildings per furnace. Coordination of biomass procurement and delivery, ensuring resource reliability and technology acceptance, and arbitrating

  20. Entry/Exit Port testing, test report

    SciTech Connect

    Winkelman, R.H.

    1993-05-01

    The Waste Receiving and Processing Module I (WRAP-1) facility must have the ability to allow 55-gallon drums to enter and exit glovebox enclosures. An Entry/Exit Port (Appendix 1, Figure 1), designed by United Engineers and Constructors (UE&C), is one method chosen for drum transfer. The Entry/Exit Port is to be used for entry of 55-gallon drums into both process entry gloveboxes, exit of 55-gallon drum waste pucks from the low-level waste (LLW) glovebox, and loadout of waste from the restricted waste management glovebox. The Entry/Exit Port relies on capture velocity air flow and a neoprene seal to provide alpha confinement when the Port is in the open and closed positions, respectively. Since the glovebox is in a slight vacuum, air flow is directed into the glovebox through the space between the overpack drum and glovebox floor. The air flow is to direct any airborne contamination into the glovebox. A neoprene seal is used to seal the Port door to the glovebox floor, thus maintaining confinement in the closed position. Entry/Exit Port testing took place February 17, 1993, through April 14, 1993, in the 305 building of Westinghouse Hanford Company. Testing was performed in accordance with the Entry/Exit Port Testing Test Plan, document number WHC-SD-WO26-TP-005. A prototype Entry/Exit Port built at the Hanford Site was tested using fluorescent paint pigment and smoke candles as simulant contaminants. This test report is an interim test report. Further developmental testing is required to test modifications made to the Port as the original design of the Port did not provide complete confinement during all stages of operation.

  1. Tsunami currents in ports.

    PubMed

    Borrero, Jose C; Lynett, Patrick J; Kalligeris, Nikos

    2015-10-28

    Tsunami-induced currents present an obvious hazard to maritime activities and ports in particular. The historical record is replete with accounts from ship captains and harbour masters describing their fateful encounters with currents and surges caused by these destructive waves. Despite the well-known hazard, only since the trans-oceanic tsunamis of the early twenty-first century (2004, 2010 and 2011) have coastal and port engineering practitioners begun to develop port-specific warning and response products that accurately assess the effects of tsunami-induced currents in addition to overland flooding and inundation. The hazard from strong currents induced by far-field tsunami remains an underappreciated risk in the port and maritime community. In this paper, we will discuss the history of tsunami current observations in ports, look into the current state of the art in port tsunami hazard assessment and discuss future research trends. PMID:26392622

  2. 75 FR 17859 - Grants to States for Construction or Acquisition of State Home Facilities-Update of Authorized Beds

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... devices, Medical research, Mental health programs, Nursing homes, Reporting and recordkeeping requirements... Register on July 10, 2009 (74 FR 33192), VA proposed to amend its regulations at 38 CFR part 59...

  3. Home Economics.

    ERIC Educational Resources Information Center

    Ontario Dept. of Education, Toronto. School Planning and Building Research Section.

    This presentation of suggested layouts and specifications for home economics facilities has been prepared to be of service to school boards, architects, teachers, and administrators who are planning new schools or making renovations to existing structures. Room layouts are shown for a foods and nutrition room, or the foods and nutrition area of a…

  4. Resident-to-Resident Aggression in Long-Term Care Facilities: Insights from Focus Groups of Nursing Home Residents and Staff

    PubMed Central

    Rosen, Tony; Lachs, Mark S.; Bharucha, Ashok J.; Stevens, Scott M.; Teresi, Jeanne A.; Nebres, Flor; Pillemer, Karl

    2009-01-01

    OBJECTIVES To more fully characterize the spectrum of RRA. DESIGN A focus group study of nursing home staff members and residents who could reliably self-report. SETTING A large urban, not-for-profit long-term care facility in New York City PARTICIPANTS 7 residents and 96 staff members from multiple clinical and non-clinical occupational groups. MEASUREMENTS 16 focus groups were conducted. Content was analyzed with nVivo 7 software for qualitative data. RESULTS 35 different types of physical, verbal and sexual RRA were described, with screaming and/or yelling being the most common. Calling out and making noise were the most frequent of 29 antecedents identified as instigating episodes of RRA. RRA was most frequent in dining and residents’ rooms, and in the afternoon, though it occurred regularly throughout the facility at all times. While no proven strategies exist to manage RRA, staff described 25 self-initiated techniques to address the issue. CONCLUSION RRA is a ubiquitous phenomenon in nursing home settings with important consequences for affected individuals and facilities. Further epidemiologic research is necessary to more fully describe the phenomenon and identify risk factors and preventative strategies. PMID:18637979

  5. Development of the alternate entry port for the ATF

    SciTech Connect

    Parsa, Z.

    1993-05-01

    We discussed a second entry port for the Accelerator Test Facility (ATF) injection system at Brookhaven National Laboratory, which consists of a photocathode rf gun and a straight - ahead beamline directly into the 50 MeV linac. The proposed second entry port should improve the beam quality and lower the emittance needed for FEL (Free Electron Laser), and laser - acceleration experiments. A discussion on the laser driven high brightness photoelectrons through the primary entry port (a low energy 180 degrees achromatic double bend transport line) now in operation, and a beam analysis for the proposed secondary port is also given.

  6. Health Facilities: New York State's Oversight of Nursing Homes and Hospitals. Report to the Honorable Bill Green, House of Representatives.

    ERIC Educational Resources Information Center

    General Accounting Office, New York, NY. Regional Office.

    At the request of Congressman William Green, the General Accounting Office (GAO) evaluated the validity of allegations about deficiencies in the New York State Department of Health's nursing home and hospital inspection processes for certification for participation in the Medicare and Medicaid programs. Health Care Financing Administration and…

  7. Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities.

    PubMed

    Horikawa, Akira; Miyakoshi, Naohisa; Shimada, Yoichi; Kodama, Hiroyuki

    2014-01-01

    With the population and proportion of the elderly increasing each year, difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL) in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score (focusing on patients' walking ability) was significant for those living at home than for those living in facilities. In addition, patients with dementia were divided into the following two categories: an early-rising group, comprising patients who were able to use a wheelchair within 48 hours of their operation; and a late-rising group, who did not start using a wheelchair until more than 48 hours after surgery. The ADL scores for the two groups were compared. Although the preoperative ADL scores were not significantly different between the two groups, postoperative ADL scores were significantly higher in the early-rising group than in the late-rising group, especially in patients who had undergone hemiarthroplasty. These data suggest that ADL in dementia patients following hip fracture depends on the surgical procedure performed and whether they are late or early risers after surgery. PMID:25378917

  8. [Single Port Thoracic Surgery and Reduced Port Thoracic Surgery].

    PubMed

    Onodera, Ken; Noda, Masafumi

    2016-07-01

    Single port thoracic surgery, reduced port surgery and needlescopic surgery attract attention as one of the minimally invasive surgery in thoracic surgery recently. Single port thoracic surgery was advocated by Rocco in 2004, it was reported usefulness of single port thoracic surgery for primary spontaneous pneumothorax. The surgical procedure as single (or reduced) port thoracic surgery is roughly divided into the following. One is operated with instruments inserted from the single extended incision, and the other is operated with instruments punctured without extending incision. It is not generally complicated procedures in single port thoracic surgery. Primary spontaneous pneumothorax and biopsy for lung and pleura are considered the surgical indication for single (or reduced) port surgery. It is revealed that single port surgery for primary spontaneous pneumothorax is less invasive than conventional surgery. Single port and reduced port thoracic surgery will spread furthermore in the future. PMID:27440029

  9. Multiple-port valve

    DOEpatents

    Doody, Thomas J.

    1978-08-22

    A multiple-port valve assembly is designed to direct flow from a primary conduit into any one of a plurality of secondary conduits as well as to direct a reverse flow. The valve includes two mating hemispherical sockets that rotatably receive a spherical valve plug. The valve plug is attached to the primary conduit and includes diverging passageways from that conduit to a plurality of ports. Each of the ports is alignable wih one or more of a plurality of secondary conduits fitted into one of the hemispherical sockets. The other hemispherical socket includes a slot for the primary conduit such that the conduit's motion along that slot with rotation of the spherical plug about various axes will position the valve-plug ports in respect to the secondary conduits.

  10. Port-wine stain

    MedlinePlus

    ... wine stains, including freezing, surgery, radiation, and tattooing. Laser therapy is most successful in eliminating port-wine stains. ... Prognosis) Stains on the face respond better to laser therapy than those on the arms, legs, or middle ...

  11. Depth-discrete sampling port

    DOEpatents

    Pemberton, Bradley E.; May, Christopher P.; Rossabi, Joseph; Riha, Brian D.; Nichols, Ralph L.

    1998-07-07

    A sampling port is provided which has threaded ends for incorporating the port into a length of subsurface pipe. The port defines an internal receptacle which is in communication with subsurface fluids through a series of fine filtering slits. The receptacle is in further communication through a bore with a fitting carrying a length of tubing there which samples are transported to the surface. Each port further defines an additional bore through which tubing, cables, or similar components of adjacent ports may pass.

  12. Depth-discrete sampling port

    DOEpatents

    Pemberton, Bradley E.; May, Christopher P.; Rossabi, Joseph; Riha, Brian D.; Nichols, Ralph L.

    1999-01-01

    A sampling port is provided which has threaded ends for incorporating the port into a length of subsurface pipe. The port defines an internal receptacle which is in communication with subsurface fluids through a series of fine filtering slits. The receptacle is in further communication through a bore with a fitting carrying a length of tubing there which samples are transported to the surface. Each port further defines an additional bore through which tubing, cables, or similar components of adjacent ports may pass.

  13. 75 FR 47899 - Bayside Savings Bank, Port St. Joe, FL; Notice of Appointment of Receiver

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... Office of Thrift Supervision Bayside Savings Bank, Port St. Joe, FL; Notice of Appointment of Receiver Notice is hereby given that, pursuant to the authority contained in section 5(d)(2) of the Home Owners... as sole Receiver for Bayside Savings Bank, Port St. Joe, Florida, (OTS No. 17957) on July 30,...

  14. A building block approach to security at shipping ports

    NASA Astrophysics Data System (ADS)

    Huck, Robert C.; Al-Akkoumi, Mouhammad K.; Shammaa, Samer; Sluss, James J., Jr.; Radhakrishnan, Sridhar; Landers, Thomas L.

    2009-09-01

    With over 360 ports of entry and 20 million sea, truck, and rail containers entering the United States every year, port facilities pose a large risk to security. Securing these ports and monitoring the variety of traffic that enter and leave is a major task. To accomplish this, the authors propose a fully distributed building block approach to port security. Based on prior work accomplished in the design and fielding of an intelligent transportation system in the United States, building blocks can be assembled, mixed and matched, and scaled to provide a comprehensive security system. Network blocks, surveillance blocks, sensor blocks, and display blocks will be developed and demonstrated in the lab, and at an inland port. The following functions will be demonstrated and scaled through analysis and demonstration: Barge tracking, credential checking, container inventory, vehicle tracking, and situational awareness. The concept behind this research is "any operator on any console can control any device at any time."

  15. Nursing staff's actions during older residents’ transition into long-term care facility in a nursing home in rural Norway

    PubMed Central

    Eika, Marianne; Espnes, Geir Arild; Hvalvik, Sigrun

    2014-01-01

    Working in long-term care units poses particular staff challenges as these facilities are expected to provide services for seriously ill residents and give help in a homelike atmosphere. Licensed and unlicensed personnel work together in these surroundings, and their contributions may ease or inhibit a smooth transition for recently admitted residents. The aim of the study was to describe and explore different nursing staff's actions during the initial transition period for older people into a long-term care facility. Participant observation periods were undertaken following staff during 10 new residents’ admissions and their first week in the facility. In addition 16 interviews of different staff categories and reading of written documents were carried out. The findings show great variations of the staff's actions during the older residents’ initial transition period. Characteristics of their actions were (1) in the preparation period: “actions of sharing, sorting out, and ignoring information”; (2) on admission day: “actions of involvement and ignorance”; and (3) in the initial period: “targeted and random actions,” “actions influenced by embedded knowledge,” and “actions influenced by local transparency.” PMID:25301634

  16. 51. Port elevation, in port. Note reduced turtle deck due ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    51. Port elevation, in port. Note reduced turtle deck due to quarters expansion. - U.S. Coast Guard Cutter WHITE SUMAC, U.S. Coast Guard 8th District Base, 4640 Urquhart Street, New Orleans, Orleans Parish, LA

  17. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Outstanding Port Security Card Applications. 125.55 Section 125.55 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) WATERFRONT FACILITIES IDENTIFICATION CREDENTIALS FOR PERSONS REQUIRING ACCESS TO WATERFRONT FACILITIES OR VESSELS §...

  18. Factors Associated with Expenditures for Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) Services for Persons with Intellectual and Developmental Disabilities

    ERIC Educational Resources Information Center

    Lakin, K. Charlie; Doljanac, Robert; Byun, Soo-Yong; Stancliffe, Roger J.; Taub, Sarah; Chiri, Giuseppina

    2008-01-01

    This article examines expenditures for a random sample of 1,421 adult Home and Community Based Services (HCBS) and Intermediate Care Facility/Mental Retardation (ICF/MR) recipients in 4 states. The article documents variations in expenditures for individuals with different characteristics and service needs and, controlling for individual…

  19. Port-Wine Stains

    MedlinePlus

    ... upsetting for kids, especially if they're large, dark, or on the face. And any birthmark can take a toll on a child's self-confidence, no matter how large or small the mark might be. The good news is that lasers (highly concentrated light energy) can make many kids' port-wine stains much ...

  20. ROCKET PORT CLOSURE

    DOEpatents

    Mattingly, J.T.

    1963-02-12

    This invention provides a simple pressure-actuated closure whereby windowless observation ports are opened to the atmosphere at preselected altitudes. The closure comprises a disk which seals a windowless observation port in rocket hull. An evacuated instrument compartment is affixed to the rocket hull adjacent the inner surface of the disk, while the outer disk surface is exposed to the atmosphere through which the rocket is traveling. The pressure differential between the evacuated instrument compartment and the relatively high pressure external atmosphere forces the disk against the edge of the observation port, thereby effecting a tight seai. The instrument compartment is evacuated to a pressure equal to the atmospheric pressure existing at the altitude at which it is desiretl that the closure should open. When the rocket reaches this preselected altitude, the inwardly directed atmospheric force on the disk is just equaled by the residual air pressure force within the instrument compartment. Consequently, the closure disk falls away and uncovers the open observation port. The separation of the disk from the rocket hull actuates a switch which energizes the mechanism of a detecting instrument disposed within the instrument compartment. (AE C)

  1. Skilled nursing and rehabilitation facilities - choosing

    MedlinePlus

    ... to go to a skilled nursing or rehabilitation facility . Skilled nursing facilities provide care for people who are not yet ... themselves at home. After your stay at the facility, you may be able to return home and ...

  2. Port and Harbor Security

    SciTech Connect

    Saito, T; Guthmuller, H; DeWeert, M

    2004-12-15

    Port and Harbor Security is a daunting task to which optics and photonics offers significant solutions. We are pleased to report that the 2005 Defense and Security Symposium (DSS, Orlando, FL) will include reports on active and passive photonic systems operating from both airborne and subsurface platforms. In addition to imaging techniques, there are various photonic applications, such as total internal reflection fluorescence (TIRF), which can be used to ''sniff'' for traces of explosives or contaminants in marine. These non-imaging technologies are beyond the scope of this article, but will also be represented at DSS 2005. We encourage colleagues to join our technical group to help us to make our ports and harbors safer and more secure.

  3. Constipation and Laxative Use among Nursing Home Patients: Prevalence and Associations Derived from the Residents Assessment Instrument for Long-Term Care Facilities (interRAI LTCF)

    PubMed Central

    Blekken, Lene Elisabeth; Nakrem, Sigrid; Vinsnes, Anne Guttormsen; Mørkved, Siv; Gjeilo, Kari Hanne

    2016-01-01

    Introduction. Constipation is a common, bothersome, and potentially dangerous condition among nursing home (NH) patients. Between 50 and 74% of NH patients use laxatives. Objective. To study prevalence and associations of laxative use and constipation using the comprehensive Norwegian version of the Resident Assessment Instrument for Long-Term Care Facilities. Methods. Cross-sectional study. Patients from 20 NH units were included. Logistic regression was used to analyze the results. Data collected in NHs might be clustered. Consequently, the multivariable models were tested against a mixed effects regression model to investigate variance both on the level of patients and on the level of NH units. Results. In all, 261 patients were included. The prevalence of constipation was 23.4%, and 67.1% used laxatives regularly. Balance problems, urinary incontinence, hypothyroidism, and Parkinson's disease were associated with constipation. Reduced ability to communicate and number of drugs were associated with laxative use. Antidementia-drugs and being involved in activities 1/3 to 2/3 of daytime were protective factors for laxative use. Mixed effects analyses identified variance on the level of NH units as nonsignificant. Conclusion. Constipation and laxative use are common. Variance is mainly explained by different patient characteristics/health deficiencies. Hence, patients might benefit from individualized care to compensate for deficiencies. PMID:26884751

  4. ITER Port Interspace Pressure Calculations

    SciTech Connect

    Carbajo, Juan J; Van Hove, Walter A

    2016-01-01

    The ITER Vacuum Vessel (VV) is equipped with 54 access ports. Each of these ports has an opening in the bioshield that communicates with a dedicated port cell. During Tokamak operation, the bioshield opening must be closed with a concrete plug to shield the radiation coming from the plasma. This port plug separates the port cell into a Port Interspace (between VV closure lid and Port Plug) on the inner side and the Port Cell on the outer side. This paper presents calculations of pressures and temperatures in the ITER (Ref. 1) Port Interspace after a double-ended guillotine break (DEGB) of a pipe of the Tokamak Cooling Water System (TCWS) with high temperature water. It is assumed that this DEGB occurs during the worst possible conditions, which are during water baking operation, with water at a temperature of 523 K (250 C) and at a pressure of 4.4 MPa. These conditions are more severe than during normal Tokamak operation, with the water at 398 K (125 C) and 2 MPa. Two computer codes are employed in these calculations: RELAP5-3D Version 4.2.1 (Ref. 2) to calculate the blowdown releases from the pipe break, and MELCOR, Version 1.8.6 (Ref. 3) to calculate the pressures and temperatures in the Port Interspace. A sensitivity study has been performed to optimize some flow areas.

  5. Introduction to the Delaware River Port Authority's Smart Bridges initiative

    NASA Astrophysics Data System (ADS)

    Box, Robert A.; McCullough, Patrick J.; Bistline, Robert S.

    2000-06-01

    The Delaware River Port Authority, whose mission is to manage, plan and construct transportation facilities and provide transportation services to maximize the safe and efficient movement of people and freight within the Delaware River Valley, located in southwestern Pennsylvania and southern New Jersey, is a self-financing, bi-state Authority, formed by a compact between the Commonwealth of Pennsylvania and the State of New Jersey and approved by the Congress of the United States. The Delaware River Port Authority is firmly committed to the strategic and integrated use of advanced transportation technology to improve traffic flow, operational efficiency and safety on DRPA's four bridges. To this end, the Delaware River Port Authority has initiated a program, appropriately named 'Smart Bridges.' The Delaware River Port Authority has recognized that this type of program is essential to the advancement of the DRPA's mission as an efficient, customer- friendly transportation and regional development agency. Under the Smart Bridges program the Delaware River Port Authority is introducing new technology into its aging infrastructure and transportation systems to ensure that the facilities continue to serve the region into the 21st century and beyond. Initiatives introduced under this program include EZ Pass, video surveillance systems, computerized traffic control systems and partnering with local universities to investigate the application of various innovative technologies to assist in the maintenance of the bridge facilities.

  6. Multi-port valve

    DOEpatents

    Lewin, K.F.

    1997-04-15

    A multi-port valve is described for regulating, as a function of ambient air having varying wind velocity and wind direction in an open-field control area, the distribution of a fluid, particularly carbon dioxide (CO{sub 2}) gas, in a fluid distribution system so that the control area remains generally at an elevated fluid concentration or level of said fluid. The multi-port valve generally includes a multi-port housing having a plurality of outlets there through disposed in a first pattern of outlets and at least one second pattern of outlets, and a movable plate having a plurality of apertures extending there through disposed in a first pattern of apertures and at least one second pattern of apertures. The first pattern of apertures being alignable with the first pattern of outlets and the at least one second pattern of apertures being alignable with the second pattern of outlets. The first pattern of apertures has a predetermined orientation with the at least one second pattern of apertures. For an open-field control area subject to ambient wind having a low velocity from any direction, the movable plate is positioned to equally distribute the supply of fluid in a fluid distribution system to the open-field control area. For an open-field control area subject to ambient wind having a high velocity from a given direction, the movable plate is positioned to generally distribute a supply of fluid in a fluid distribution system to that portion of the open-field control area located upwind. 7 figs.

  7. Multi-port valve

    DOEpatents

    Lewin, Keith F.

    1997-04-15

    A multi-port valve for regulating, as a function of ambient air having varying wind velocity and wind direction in an open-field control area, the distribution of a fluid, particularly carbon dioxide (CO.sub.2) gas, in a fluid distribution system so that the control area remains generally at an elevated fluid concentration or level of said fluid. The multi-port valve generally includes a multi-port housing having a plurality of outlets therethrough disposed in a first pattern of outlets and at least one second pattern of outlets, and a movable plate having a plurality of apertures extending therethrough disposed in a first pattern of apertures and at least one second pattern of apertures. The first pattern of apertures being alignable with the first pattern of outlets and the at least one second pattern of apertures being alignable with the second pattern of outlets. The first pattern of apertures has a predetermined orientation with the at least one second pattern of apertures. For an open-field control area subject to ambient wind having a low velocity from any direction, the movable plate is positioned to equally distribute the supply of fluid in a fluid distribution system to the open-field control area. For an open-field control area subject to ambient wind having a high velocity from a given direction, the movable plate is positioned to generally distribute a supply of fluid in a fluid distribution system to that portion of the open-field control area located upwind.

  8. Four port circulator

    NASA Astrophysics Data System (ADS)

    Oress, V. V.; Naumov, I. A.; Stolyarov, A. K.

    1981-12-01

    The circulator is a waveguide slotted bridge, at the center of which, along the axis of symmetry, is a set of toroidal ferrites arranged on a dielectric sleeve. As a result of this design, the overall dimensions of the circulator are reduced and the tuning of the circulator is simplified. An experimental model of a four port circulator was constructed in the 3-cm range of waves, with the direct losses of not over 1 dB and decouplings of not less than 19 dB in all the channels.

  9. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  10. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  11. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  12. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  13. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  14. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  15. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  16. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  17. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  18. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  19. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  20. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  1. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  2. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  3. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  4. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  5. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  6. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  7. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  8. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  9. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  10. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  11. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  12. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  13. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  14. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  15. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  16. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  17. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  18. 33 CFR 149.325 - What emergency communications equipment must be on a manned deepwater port?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: DESIGN, CONSTRUCTION..., telephone, or other means of emergency communication with the shore, vessels, and facilities in the vicinity in the event the primary communications system outlined in § 149.140 fails. This...

  19. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  20. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  1. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  2. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  3. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  4. 33 CFR 165.761 - Security Zones; Port of Palm Beach, Port Everglades, Port of Miami, and Port of Key West, Florida.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zones; Port of Palm Beach, Port Everglades, Port of Miami, and Port of Key West, Florida. 165.761 Section 165.761 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS AND...

  5. 33 CFR 165.761 - Security Zones; Port of Palm Beach, Port Everglades, Port of Miami, and Port of Key West, Florida.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Security Zones; Port of Palm Beach, Port Everglades, Port of Miami, and Port of Key West, Florida. 165.761 Section 165.761 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS AND...

  6. Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

    PubMed Central

    Lukin, Bill; Fan, Li-jun; Zhao, Jing-zhou; Sun, Jian-dong; Dingle, Kaeleen; Purtill, Rhonda; Tapp, Sam; Hou, Xiang-yu

    2016-01-01

    BACKGROUND: Hospital emergency department (ED) use by patients from residential aged care facilities (RACFs) is not always appropriate, and this calls for interventions to avoid some unnecessary uses. This study aims to compare patterns of ED use by RACF patients with and without a Hospital in the Nursing Home (HiNH) program. METHODS: RACF patients presenting to EDs of a hospital with and a hospital without this program during pre- and post-intervention periods were included. Data on patient demographics and ED presentation characteristics were obtained from the Emergency Department Information System database, and were analysed by descriptive and comparative statistics. RESULTS: In both hospitals, most RACF residents presenting to EDs were aged between 75–94 years, female, triaged at scale 3 to 5, and transferred on weekdays and during working hours. Almost half of them were subsequently admitted to hospitals. In accordance with the ICD-10-AM diagnostic coding system, diagnoses that consistently ranked among the top three reasons for visiting the two hospitals before and after intervention included Chapter XIX: injury and poisoning and Chapter X: respiratory diseases. Associated with the intervention, significant decreases in the numbers of presentations per 1 000 RACF beds were identified among patients diagnosed with Chapter XI: digestive diseases [rate ratio (95%CI): 0.09 (0.04, 0.22); P<0.0001] and Chapter XXI: factors influencing health status and contact with health services [rate ratio (95%CI): 0.22 (0.07, 0.66); P=0.007]. CONCLUSION: The HiNH program may reduce the incidence of RACF residents visiting EDs for diagnoses of Chapter XI and Chapter XXI. PMID:27547277

  7. Substance Abuse Treatment Facility Locator

    MedlinePlus

    ... Health Services Locator Buprenorphine Physician Locator Find a Facility in Your State To locate the drug and ... Service . Privacy Policy . Home | About the Locator | Find Facilities Near You | Find Facilities by City, County, State ...

  8. 9. VIEW OF BAGIN BAGOUT PORT IN MODULE J, ASSOCIATED ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. VIEW OF BAG-IN BAG-OUT PORT IN MODULE J, ASSOCIATED WITH PLUTONIUM CASTING PROCESSES. (2/98) - Rocky Flats Plant, Plutonium Manufacturing Facility, North-central section of Plant, just south of Building 776/777, Golden, Jefferson County, CO

  9. An oblique view of the forward fuselage and port side ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    An oblique view of the forward fuselage and port side of the Orbiter Discovery while mounted atop the 76-wheeled orbiter transfer system as it is being rolled from the Orbiter Processing Facility to the Vehicle Assembly Building at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  10. The port side view of the Orbiter Discovery while mounted ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    The port side view of the Orbiter Discovery while mounted atop the 76-wheeled orbiter transfer system as it is being rolled from the Orbiter Processing Facility to the Vehicle Assembly Building at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  11. Tempered Water Lower Port Connector Structural Analysis Verification

    SciTech Connect

    CREA, B.A.

    2000-05-05

    Structural analysis of the lower port connection of the Tempered Water System of the Cold Vacuum Drying Facility was performed. Subsequent detailed design changes to enhance operability resulted in the need to re-evaluate the bases of the original analysis to verify its continued validity. This evaluation is contained in Appendix A of this report. The original evaluation is contained in Appendix B.

  12. Nursing Homes

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed ... physical health and/or mental disabilities. Is a Nursing Home Right for You? Almost half of all ...

  13. 78 FR 41190 - Deepwater Port License Application: Liberty Natural Gas LLC, Port Ambrose Deepwater Port

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ... Operations, telephone 202-366-9826. Correction In the Federal Register of June 24, 2013, in FR Doc. 2013-0363... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Maritime Administration Deepwater Port License Application: Liberty Natural Gas LLC, Port Ambrose...

  14. 78 FR 42588 - Deepwater Port License Application: Liberty Natural Gas LLC, Port Ambrose Deepwater Port

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... the Federal Register of June 24, 2013, in FR Doc. 2013-0363, on page 37878, in the second column... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF TRANSPORTATION Maritime Administration Deepwater Port License Application: Liberty Natural Gas LLC, Port...

  15. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  16. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  17. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  18. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  19. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  20. 33 CFR 160.109 - Waterfront facility safety.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Waterfront facility safety. 160.109 Section 160.109 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY PORTS AND WATERWAYS SAFETY-GENERAL Control of Vessel and Facility Operations § 160.109 Waterfront facility...

  1. 33 CFR 160.109 - Waterfront facility safety.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) PORTS AND WATERWAYS SAFETY PORTS AND WATERWAYS SAFETY-GENERAL Control of Vessel and Facility Operations § 160.109 Waterfront facility safety. (a) To prevent damage to, or the destruction of, any bridge... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Waterfront facility safety....

  2. 33 CFR 160.109 - Waterfront facility safety.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) PORTS AND WATERWAYS SAFETY PORTS AND WATERWAYS SAFETY-GENERAL Control of Vessel and Facility Operations § 160.109 Waterfront facility safety. (a) To prevent damage to, or the destruction of, any bridge... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Waterfront facility safety....

  3. 33 CFR 160.109 - Waterfront facility safety.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) PORTS AND WATERWAYS SAFETY PORTS AND WATERWAYS SAFETY-GENERAL Control of Vessel and Facility Operations § 160.109 Waterfront facility safety. (a) To prevent damage to, or the destruction of, any bridge... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Waterfront facility safety....

  4. 33 CFR 160.109 - Waterfront facility safety.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) PORTS AND WATERWAYS SAFETY PORTS AND WATERWAYS SAFETY-GENERAL Control of Vessel and Facility Operations § 160.109 Waterfront facility safety. (a) To prevent damage to, or the destruction of, any bridge... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Waterfront facility safety....

  5. Opportunistic Ports and Spaces of Exchange in Late Roman Cyprus

    NASA Astrophysics Data System (ADS)

    Leidwanger, Justin

    2013-12-01

    Ports served not only as interfaces between land and sea, but as central gathering spaces for economic and cultural exchange. Drawing on case studies from the eastern Mediterranean island of Cyprus, this paper situates opportunistic ports lacking built facilities within a broader socioeconomic context of diverse maritime communications, expanding rural settlement, and increased agricultural productivity during late antiquity. Though simple, these sites served as active agents in the development of new maritime networks as well as local markets throughout their hinterlands, adding flexibility and dynamism to the economic ties between city, countryside, and the wider late Roman world.

  6. General view looking aft along the port side of the ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    General view looking aft along the port side of the Orbiter Discovery into its payload bay. Note the Remote Manipulator System, Canadarm, in the foreground mounted on the port side longeron. The Remote Sensor Arm is mounted on the opposite, starboard, longeron. Also note the airlock and the protective covering over the docking mechanism. This image was taken in the Orbiter Processing Facility at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  7. Home Hemodialysis

    MedlinePlus

    ... Organizations​​ . (PDF, 345 KB)​​​​​ Alternate Language URL Home Hemodialysis Page Content On this page: What is home ... Points to Remember Clinical Trials What is home hemodialysis? Home hemodialysis is hemodialysis that a person can ...

  8. Responding to the 2015 CMS Proposed Rule Changes for LTC Facilities: A Call to Redouble Efforts to Prepare Students and Practitioners for Nursing Homes.

    PubMed

    Bern-Klug, Mercedes; Connolly, Robert; Downes, Deirdre; Galambos, Colleen; Kusmaul, Nancy; Kane, Rosalie; Hector, Paige; Beaulieu, Elise

    2016-01-01

    In July of 2015, the Federal Register published for public comment proposed rule changes for nursing homes certified to receive Medicare and/or Medicaid. If the final rules are similar to the proposed rules, they will represent the largest change in federal rules governing nursing homes since the Nursing Home Reform Act which was part of OBRA 1987. The proposed changes have the potential to enhance the quality of care and quality of life of nursing home residents. Many of the proposed changes would directly affect the practice of social work and would likely expand the role for nursing home social workers. This article discusses the role that members of the National Nursing Home Social Work Network (NNHSW Network) played in developing and submitting a response to CMS. The article provides the context for the publication of the proposed rules, describes the process used by the NNHSW Network to develop and build support for comments on these rules, and also includes the actual comments submitted to CMS. Social work education programs and continuing education programs throughout the country will continue to have an important role to play in helping to prepare social work students and practitioners for a career in long-term care. PMID:26913558

  9. Dural port therapy

    PubMed Central

    Farmer, John A.; Blum, Charles L.

    2002-01-01

    Abstract Introduction Dural port therapy (DPT) is a chiropractic procedure which can be used effectively with Sacro-Occipital Technique (SOT) procedures and which uses the sacrum as a lever to influence and balance the spine and cranium by way of the meningeal system. Discussion Rationale and research is presented to explain the basis behind DPT's method of affecting the craniospinal system and its relationship to the meninges. Though the procedure can be used with most conditions, DPT appears to be safe to use with osteoporotic conditions, fractured vertebrae, and other conditions where a “thrust” to the spine may be contraindicated. Basic methods of using DPT are presented along with alternative methods which can be applied when the basic methods are not sufficient. Conclusion DPT reduces sacral, spinal, and cranial dura meningeal tension, lesions, torque and stress, as well as dural sleeve vasomotor interference. The possibility that the doctor can influence the nervous system directly in such a powerful manner warrants further investigation. PMID:19674561

  10. Corpus Christi oil port eyed

    SciTech Connect

    Powers, M.B.

    1993-07-05

    The Port of Corpus Christi, Texas, with the support of several oil companies and the blessing of the US Coast Guard, plans to build a $600-million deepwater harbor to accommodate supertankers. The proposed port, Safeharbor, is touted as an environmentally sound solution to current risks associated with off-loading crude oil from very large tankers at shore ports. In a system called lightering, crude now is transferred from supertankers in deep water to smaller vessels that can negotiate shallow channels. While smaller tankers need only 45 ft of water, supertankers need 80 ft. Corpus Christi has the advantage of being closer to deep water than other Gulf ports, but nevertheless, half the proposed project's cost, $300 million, would be for dredging a 10-mile channel to deep water.

  11. Care homes. Home truths.

    PubMed

    Schneider, J; Netten, A; Mozley, C; Levin, E; Mann, A; Blizard, B; Topan, C; Abbey, A; Kharicha, K; Todd, C

    1998-01-15

    Proposed joint inspectorates of care homes open the way for health input into residential care. An investigation into quality-of-care measures concluded that health professionals should be included in inspectorate teams, particularly in view of the increasing dependency of residents. No association was shown between cost and quality, but higher costs were associated with short-term car provision. When costing residential care, the impact on community and primary healthcare services may need to be taken into account. PMID:10176463

  12. 50 CFR 14.12 - Designated ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 1 2010-10-01 2010-10-01 false Designated ports. 14.12 Section 14.12... IMPORTATION, EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.12 Designated ports. The following ports of entry are designated for the importation and...

  13. 46 CFR 28.555 - Freeing ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Freeing ports. 28.555 Section 28.555 Shipping COAST... VESSELS Stability § 28.555 Freeing ports. (a) Except as provided in paragraph (i) of this section, each decked vessel fitted with bulwarks must be fitted with freeing ports. (b) Freeing ports must be...

  14. 3D spatial information infrastructure: The case of Port Rotterdam

    NASA Astrophysics Data System (ADS)

    Zlatanova, S.; Beetz, J.

    2012-10-01

    The development and maintenance of the infrastructure, facilities, logistics and other assets of the Port of Rotterdam requires a broad spectrum of heterogeneous information. This information concerns features, which are spatially distributed above ground, underground, in the air and in the water. The data are managed in a variety of data models with varying levels of dimensionality, granularity, accuracy and up-to-dateness. Additionally increasing number of 3D design models is becoming available. This complexity of tasks and diversity of information challenges the Port authority to look for more advanced 3D solutions. This paper presents research in progress related to developing a 3D SII in support of information and process management within the Port of Rotterdam.

  15. 19 CFR 142.52 - Port-wide and multiple port acceptance of Line Release.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Port-wide and multiple port acceptance of Line... SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) ENTRY PROCESS Line Release § 142.52 Port-wide and multiple port acceptance of Line Release. (a) Port-wide processing. If a C-4 Code has been approved by the...

  16. Provider differences in use of implanted ports in older adults with cancer

    PubMed Central

    Lipitz-Snyderman, Allison; Elkin, Elena B.; Atoria, Coral L.; Sima, Camelia S.; Epstein, Andrew S.; Blinder, Victoria; Sepkowitz, Kent A.; Bach, Peter B.

    2016-01-01

    Background Identifying unwarranted variation in healthcare can highlight opportunities to reduce harm. One often discretionary process in oncology is use of implanted ports to administer intravenous chemotherapy. While there are benefits, ports carry risks. This study’s objective was to assess provider-driven variation in port use among cancer patients receiving chemotherapy. Research Design Retrospective assessment using population-based SEER-Medicare data to assess differences in port use across healthcare providers of older adults with cancer. Participants included over 18,000 patients ages 66 and older diagnosed with breast, colorectal, lung, or pancreatic cancer in 2005-2007, treated by approximately 2,900 providers. We identified port use for patients receiving treatment from hospital outpatient facilities versus physicians’ offices. Our main analysis assessed the likelihood of a patient receiving a port given port use by the provider’s last patient. For a sub-set of high-use providers, we examined individual provider-level variation by estimating the risk-adjusted likelihood of insertion. Results Patients receiving chemotherapy in hospital outpatient facilities were significantly less likely to receive a port than those treated in physicians’ offices, with adjusted odds ratios (AOR) varying from 0.50 to 0.75 across cancer sites. Implanting a port was associated with increased likelihood of port insertion in the provider’s next patient (AOR varied from 1.71 to 2.25). Significant between-provider variation was found among providers with at least 10 patients. Conclusions Our findings support the idea that there is provider-driven variation in the use of ports for chemotherapy administration. This variation highlights an opportunity to standardize practice and reduce unnecessary use. PMID:26035043

  17. An investigation at static conditions of nonaxisymmetric nozzle thrust reverser port geometry including effects of rounding and rotating the port corner

    NASA Technical Reports Server (NTRS)

    Arbiter, D. G.

    1985-01-01

    An investigation has been conducted in the static test facility of the Langley 16-Foot Transonic Tunnel to determine the effects of rounding and rotating the port corner of a nonaxisymmetric thrust reversing port. High pressure air was used to simulate jet exhaust at nozzle pressure ratios up to 6.0. The investigation indicates that using a rounded corner in the reverser port passage increases the discharge coefficient significantly compared to that of a sharp cornered thrust reversing port. Incorporating a rotating cylinder into the rounded corner reverser port passage provides no additional increase at cylinder revolutions per minute up to 10,000. (Revolutions per minute of 390,000 were necessary to achieve a surface velocity equal to the duct velocity.) Highest levels of discharge coefficient are obtained by providing a large, round, cylindrical surface in the port upstream wall. Locating the reverser port in a constant area duct results in higher discharge coefficients than locating the port in a convergent duct.

  18. A Cost-Effectiveness Analysis of a Home-Based HIV Counselling and Testing Intervention versus the Standard (Facility Based) HIV Testing Strategy in Rural South Africa

    PubMed Central

    Tabana, Hanani; Nkonki, Lungiswa; Hongoro, Charles; Doherty, Tanya; Ekström, Anna Mia; Naik, Reshma; Zembe-Mkabile, Wanga; Jackson, Debra; Thorson, Anna

    2015-01-01

    Introduction There is growing evidence concerning the acceptability and feasibility of home-based HIV testing. However, less is known about the cost-effectiveness of the approach yet it is a critical component to guide decisions about scaling up access to HIV testing. This study examined the cost-effectiveness of a home-based HIV testing intervention in rural South Africa. Methods Two alternatives: clinic and home-based HIV counselling and testing were compared. Costs were analysed from a provider’s perspective for the period of January to December 2010. The outcome, HIV counselling and testing (HCT) uptake was obtained from the Good Start home-based HIV counselling and testing (HBHCT) cluster randomised control trial undertaken in KwaZulu-Natal province. Cost-effectiveness was estimated for a target population of 22,099 versus 23,864 people for intervention and control communities respectively. Average costs were calculated as the cost per client tested, while cost-effectiveness was calculated as the cost per additional client tested through HBHCT. Results Based on effectiveness of 37% in the intervention (HBHCT) arm compared to 16% in control arm, home based testing costs US$29 compared to US$38 per person for clinic HCT. The incremental cost effectiveness per client tested using HBHCT was $19. Conclusions HBHCT was less costly and more effective. Home-based HCT could present a cost-effective alternative for rural ‘hard to reach’ populations depending on affordability by the health system, and should be considered as part of community outreach programs. PMID:26275059

  19. Home Care

    MedlinePlus

    ... Help Related Topics Assisted Living Community-Based Care Nursing Homes Related Video Join our e-newsletter! Aging & Health A to Z Home Care Basic Facts & Information Role of Health Care Professionals in Home Care Your physician is the leader ...

  20. Future Development of Nursing Home Quality Indicators

    ERIC Educational Resources Information Center

    Arling, Greg; Kane, Robert L.; Lewis, Teresa; Mueller, Christine

    2005-01-01

    Nursing home quality indicators have been developed over the past 10 years to quantify nursing home quality and to draw systematic comparisons between facilities. Although these indicators have been applied widely for nursing home regulation, quality improvement, and public reporting, researchers and stakeholders have raised concerns about their…

  1. Elementary Rehabilitation Nursing Care; a Manual for Nurses and Ancillary Workers in Nursing Homes, Hospitals, Convalescent Facilities, and Public Health Agencies. Public Health Service Publication No. 1436.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Public Health, Denver. Public Health Nursing Section.

    This guide for teacher and student use presents a comprehensive program of physical rehabilitation for aged and physically disabled patients. Developed by the Public Health Nursing Section, the manual was tested by state health department personnel and persons doing inservice teaching in their respective nursing homes. The program is designed to…

  2. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... oil. 158.210 Section 158.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND...

  3. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... oil. 158.210 Section 158.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND...

  4. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... oil. 158.210 Section 158.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND...

  5. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Captain of the Port Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) WATERFRONT FACILITIES IDENTIFICATION CREDENTIALS FOR PERSONS REQUIRING ACCESS TO WATERFRONT FACILITIES OR VESSELS § 125.13...

  6. Detail view of the port side of the payload bay ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Detail view of the port side of the payload bay of the Orbiter Discovery. This view shows Remote Manipulator System, Canadarm, sensors in the center of the image and a close-up view of a small segment of the orbiter's radiator panel. This photograph was taken in the Orbiter Processing Facility at the Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  7. The VisPort Project: Visualization of Port Logistics

    ERIC Educational Resources Information Center

    Katsioloudis, Petros J.; Watson, Ginger

    2011-01-01

    There is concern about the diminishing availability of skilled personnel that can operate in the wide variety of disciplines associated with port operations. Increasing cargo volume, combined with a shrinking workforce, could potentially create alarming situations in the future, hence the motivation to publicize to current students the breadth and…

  8. Testing the effectiveness of mobile home weatherization measures in a controlled environment: The SERI CMFERT (Collaborative Manufactured Buildings Facility for Energy Research and Training) Project

    SciTech Connect

    Judkoff, R.D.; Hancock, C.E.; Franconi, E.

    1990-03-01

    For several years the Solar Energy Research Institute has been testing the effectiveness of mobile home weatherization measures, with the support of the US DOE Office of State and Local Assistance Programs Weatherization Assistance Program, the DOE Office of Buildings and Community Systems, the seven states within the federal Weatherization Region 7, the Colorado Division of Housing, and the DOE Denver Support Office. During the winter of 1988--89, several weatherization measures were thermally tested on three mobile homes under controlled conditions inside a large environmental enclosure. The effects of each weatherization measure on conduction losses, infiltration losses, and combined furnace and duct-delivered heat efficiency were monitored. The retrofit options included air sealing, duct repair, furnace tune-up, interior storm panels, floor insulation, and roof insulation. The study demonstrated that cost-effective heating energy savings of about 20% to 50% are possible if weatherization techniques adapted to the special construction details in mobile homes are applied. 24 refs., 18 figs., 9 tabs.

  9. FDA Certified Mammography Facilities

    MedlinePlus

    ... Products Radiation-Emitting Products Home Radiation-Emitting Products Mammography Quality Standards Act and Program Consumer Information (MQSA) ... it Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on ...

  10. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes....

  11. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes....

  12. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes....

  13. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST... Port lights. (a) A vessel may have port lights below the bulkhead deck if— (1) It is greater than 150 gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if...

  14. SEDIMENT DECONTAMINATION WITH BENEFICIAL USE FOR THE PORT OF NEW YORK AND NEW JERSEY.

    SciTech Connect

    STERN,E.A.; JONES,K.W.; DOUGLAS,W.S.; FENG,H.; CLESCERI,N.L.; LODGE,J.L.

    2002-05-01

    Effective operation of the multi-state Port ofNew York/New Jersey (Port), which contributes $20 billion to the regional economy and generates nearly 250,000 jobs, is dependent on yearly navigational dredging of several million m{sup 3} of sediment for channel maintenance and deepening. Further dredging is required for remediation of environmentally sensitive areas. However, more stringent ocean placement testing regulations in the Port region have necessitated a search for other means of handling the most contaminated dredged materials. Here, we describe a dredged material decontamination program for the Port aimed at the creation of sediment decontamination facilities that produce a beneficial use product to obviate the need for ocean placement. These facilities, to be a viable component of an overall dredged material management plan, must be environmentally balanced and economically feasible with the predictable ability to process large volumes of dredged materials with rapid turn-around. Our program recognizes that the responsible management of contaminated dredged materials is a complex problem that requires the effective application and coordination of a variety of cross-cutting skills to make decontamination facilities a reality. Participants do not come from a single agency, but are ad hoc teams of scientists, engineers, regulators, port authorities and operators, technology development firms, federal/state/local governments, business interests and community groups, among others, who are brought together by the need to solve the complex problem of managing dredged material in the Port region.

  15. 7 CFR 354.1 - Overtime work at border ports, sea ports, and airports.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... quarantine under this chapter and subchapter D of chapter I, title 9 CFR, who requires the services of an... 7 Agriculture 5 2010-01-01 2010-01-01 false Overtime work at border ports, sea ports, and airports... EXPORTS; AND USER FEES § 354.1 Overtime work at border ports, sea ports, and airports. (a)(1) Any...

  16. Single port laparoscopic mesh rectopexy

    PubMed Central

    2016-01-01

    Introduction Traditionally, laparoscopic mesh rectopexy is performed with four ports, in an attempt to improve cosmetic results. Following laparoscopic mesh rectopexy there is a new operative technique called single-port laparoscopic mesh rectopexy. Aim To evaluate the single-port laparoscopic mesh rectopexy technique in control of rectal prolapse and the cosmesis and body image issues of this technique. Material and methods The study was conducted in El Fayoum University Hospital between July 2013 and November 2014 in elective surgery for symptomatic rectal prolapse with single-port laparoscopic mesh rectopexy on 10 patients. Results The study included 10 patients: 3 (30%) males and 7 (70%) females. Their ages ranged between 19 years and 60 years (mean: 40.3 ±6 years), and they all underwent laparoscopic mesh rectopexy. There were no conversions to open technique, nor injuries to the rectum or bowel, and there were no mortalities. Mean operative time was 120 min (range: 90–150 min), and mean hospital stay was 2 days (range: 1–3 days). Preoperatively, incontinence was seen in 5 (50%) patients and constipation in 4 (40%). Postoperatively, improvement in these symptoms was seen in 3 (60%) patients for incontinence and in 3 (75%) for constipation. Follow-up was done for 6 months and no recurrence was found with better cosmetic appearance for all patients. Conclusions Single-port laparoscopic mesh rectopexy is a safe procedure with good results as regards operative time, improvement in bowel function, morbidity, cost, and recurrence, and with better cosmetic appearance. PMID:27350840

  17. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 1 2010-10-01 2010-10-01 false Border ports. 14.16 Section 14.16 Wildlife..., EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.16 Border ports. (a) Except for wildlife requiring a permit pursuant to part 16, 17, 18, 21, or 23 of...

  18. 46 CFR 45.137 - Cargo ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Cargo ports. 45.137 Section 45.137 Shipping COAST GUARD....137 Cargo ports. (a) Unless otherwise authorized by the Commandant, the lower edge of any opening for... uppermost loadline. (b) The number of cargo ports in the sides of a ship must be— (1) No more than...

  19. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Port Directors. 120.24 Section 120.24 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  20. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Port Directors. 120.24 Section 120.24 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  1. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Port Directors. 120.24 Section 120.24 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  2. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Port Directors. 120.24 Section 120.24 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  3. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Port Directors. 120.24 Section 120.24 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  4. IV treatment at home

    MedlinePlus

    ... home; PICC line - home; Infusion therapy - home; Home health care - IV treatment ... Often, home health care nurses will come to your home to give you the medicine. Sometimes, a family member, a friend, or ...

  5. 77 FR 45719 - Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-01

    ... Diem for Adult Day Care of Veterans in State Homes): Comment Request AGENCY: Veterans Health... day health care facilities are providing high quality services to Veterans in State homes. DATES... nursing home and adult day health services care to Veterans. VA requires facilities providing nursing...

  6. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  7. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  8. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  9. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  10. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  11. 42 CFR 494.100 - Condition: Care at home.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Patient Care § 494.100 Condition: Care at home. A dialysis facility that is certified to provide services to home patients must ensure through its interdisciplinary team, that home dialysis services are at... part. (a) Standard: Training. The interdisciplinary team must oversee training of the home...

  12. 42 CFR 494.100 - Condition: Care at home.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Patient Care § 494.100 Condition: Care at home. A dialysis facility that is certified to provide services to home patients must ensure through its interdisciplinary team, that home dialysis services are at... part. (a) Standard: Training. The interdisciplinary team must oversee training of the home...

  13. 42 CFR 494.100 - Condition: Care at home.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Patient Care § 494.100 Condition: Care at home. A dialysis facility that is certified to provide services to home patients must ensure through its interdisciplinary team, that home dialysis services are at... part. (a) Standard: Training. The interdisciplinary team must oversee training of the home...

  14. 42 CFR 494.100 - Condition: Care at home.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Patient Care § 494.100 Condition: Care at home. A dialysis facility that is certified to provide services to home patients must ensure through its interdisciplinary team, that home dialysis services are at... part. (a) Standard: Training. The interdisciplinary team must oversee training of the home...

  15. 42 CFR 494.100 - Condition: Care at home.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Patient Care § 494.100 Condition: Care at home. A dialysis facility that is certified to provide services to home patients must ensure through its interdisciplinary team, that home dialysis services are at... part. (a) Standard: Training. The interdisciplinary team must oversee training of the home...

  16. Rurality and Nursing Home Quality: Evidence from the 2004 National Nursing Home Survey

    ERIC Educational Resources Information Center

    Kang, Yu; Meng, Hongdao; Miller, Nancy A.

    2011-01-01

    Purpose of the Study: To evaluate the impact of rural geographic location on nursing home quality of care in the United States. Design and Methods: The study used cross-sectional observational design. We obtained resident- and facility-level data from 12,507 residents in 1,174 nursing homes from the 2004 National Nursing Home Survey. We used…

  17. 78 FR 37878 - Deepwater Port License Application: Liberty Natural Gas LLC, Port Ambrose Deepwater Port

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... of Transportation Privacy Act Notice that appeared in the Federal Register on April 11, 2000 (65 FR... (LNG) Deepwater Port appears in the Federal Register on June 14, 2013, 78 FR 36014. The ``Summary of...-action'' alternative. Scoping Process Public scoping is an early and open process for identifying...

  18. 78 FR 46421 - Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... AFFAIRS Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per Diem for Adult Day Care of Veterans in State Homes): Comment Request AGENCY: Veterans Health... day health care facilities are providing high quality services to Veterans in State homes....

  19. Home Schooling.

    ERIC Educational Resources Information Center

    Gordon, William M.; And Others

    Cases that address the issue of home schooling are summarized in this report. Organized chronologically, each case description includes quoted material from the court ruling. Issues involve parent actions regarding compulsory student enrollment, parent qualifications for home teaching, student certification, church-state separation, constitutional…

  20. Halfway Home.

    ERIC Educational Resources Information Center

    Sandham, Jessica L.

    1998-01-01

    Describes the pros and cons of Alaska's unique Family Partnership Charter School, which oversees distribution of public funding to home-schooling families, offers support to help home-schooling parents meet district standards on their own terms, and monitors required purchase of teacher time and expenditures. A sidebar describes an Alaskan…

  1. Structure, process, and outcomes in skilled nursing facilities: understanding what happens to surgical patients when they cannot go home. A systematic review

    PubMed Central

    Hakkarainen, Timo W.; Ayoung-Chee, Patricia; Alfonso, Rafael; Arbabi, Saman; Flum, David R.

    2014-01-01

    Background The surgical population is aging, and greater numbers of surgical patients are being discharged to skilled nursing facilities. Post-acute care is a poorly understood but very important aspect of our healthcare system. Methods This systematic review examines the current body of literature surrounding the structural, process of care, and outcomes measurements for patients in skilled nursing facilities. English language articles published between 1998 and 2011 that purposed to examine nursing facility structure, process of care, and/or outcomes were included. Results & Conclusions Abstracts (2129) were screened and 102 articles were reviewed in full. Twenty-nine articles were included in the qualitative synthesis. The role of the care setting and care delivery in contributing to outcomes has not been well studied, and no strong conclusions can be made. This area of care currently represents a “black box” to practicing surgeons. An understanding of these factors maybe instrumental to determining future directions for research to maximize positive outcomes for these patients. PMID:25439223

  2. Port Development and Town Planning in North West England

    NASA Astrophysics Data System (ADS)

    Newman, Richard

    2013-12-01

    This paper examines the links between the development of harbour facilities and planned towns, especially in the head port area of Carlisle in North West England. Largely based on documentary research and field observation it examines the development of Whitehaven and other Atlantic ports it influenced in Cumberland, Westmorland and north Lancashire. It examines these developments in their international context and shows how they were initiated by local landowners to maximise the output of their estates and to enhance their personal prestige. Beginning in the seventeenth century the paper demonstrates how this tradition of town and harbour foundation continued on into the nineteenth century when it was adopted by corporate concerns, especially railway companies. The paper concludes by highlighting how harbour developments associated with town planning helped to urbanise and stimulate the economy of a previously under-developed area. Two maps identify the locations of the places discussed.

  3. Port Operational Marine Observing System

    NASA Astrophysics Data System (ADS)

    Palazov, A.; Stefanov, A.; Slabakova, V.; Marinova, V.

    2009-04-01

    The Port Operational Marine Observing System (POMOS) is a network of distributed sensors and centralized data collecting, processing and distributing unit. The system is designed to allow for the real-time assessment of weather and marine conditions throughout the major Bulgarian ports: Varna, Burgas and Balchik, supporting thereby Maritime administration to secure safety navigation in bays, canals and ports. Real-time information within harbors is obtained using various sensors placed at thirteen strategic locations to monitor the current state of the environment. The most important for navigation weather and sea-state parameters are measured: wind speed and direction, air temperature, relative humidity, atmospheric pressure, visibility, solar radiation, water temperature and salinity, sea level, currents speed and direction, mean wave's parameters. The system consist of: 11 weather stations (3 with extra solar radiation and 4 with extra visibility measurement), 9 water temperature and salinity sensors, 9 sea-level stations, two sea currents and waves stations and two canal currents stations. All sensors are connected to communication system which provides direct intranet access to the instruments. Every 15 minutes measured data is transmitted in real-time to the central collecting system, where data is collected, processed and stored in database. Database is triple secured to prevent data losses. Data collection system is double secured. Measuring system is secured against short power failure and instability. Special software is designed to collect, store, process and present environmental data and information on different user-friendly screens. Access to data and information is through internet/intranet with the help of browsers. Actual data from all measurements or from separate measuring place can be displayed on the computer screens as well as data for the last 24 hours. Historical data are available using report server for extracting data for selectable

  4. Location of an intermediate hub for port activities

    NASA Astrophysics Data System (ADS)

    Burciu, Ş.; Ştefănică, C.; Roşca, E.; Dragu, V.; Ruscă, F.

    2015-11-01

    An intermediate hub might increase the accessibility level of ports but also hinterland and so it can be considered more than a facility with a transhipment role. These hubs might lead to the development of other transport services and enhance their role in gathering and covering economic centres within hinterlands and also getting the part of logistic facility for the ports, with effects on port utilization and its connectivity to global economy. A new location for a hub terminal leads to reduced transport distances within hinterland, with decreased transport costs and external effects, so with gains in people's life quality. Because the production and distribution systems are relatively fixed on short and medium term and the location decisions are strategic and on long term, the logistic chains activities location models have to consider the uncertainties regarding the possible future situations. In most models, production costs are considered equal, the location problem reducing itself to a problem that aims to minimize the total transport costs, meaning the transport problem. The main objective of the paper is to locate a hub terminal that links the producers of cereals that are going to be exported by naval transportation with the Romanian fluvial-maritime ports (Galaţi, Brăila). GIS environment can be used to integrate and analyse a great amount of data and has the ability of using functions as location - allocation models necessary both to private and public sector, being able to determine the optimal location for services like factories, warehouses, logistic platforms and other public services.

  5. Home Hemodialysis

    MedlinePlus

    ... more flexible schedule and better health. More Flexible Schedule A person can choose the schedule for home ... treat. When prepared, this content included the most current information available. For updates or for questions about ...

  6. Home Modification

    MedlinePlus

    ... it is important to consider certain safety modifications. Adaptations such as those in the following list can ... The importance of a Consumer Perspective in Home Adaptation of Alzheimer’s Households” (Chapter 6 pp 91-112) ...

  7. Nursing Homes

    MedlinePlus

    ... up like a hospital. The staff provides medical care, as well as physical, speech and occupational therapy. ... relationships with residents. Some nursing homes have special care units for people with serious memory problems such ...

  8. The Medical Home

    MedlinePlus

    ... 5 Things to Know About Zika & Pregnancy The Medical Home KidsHealth > For Parents > The Medical Home Print ... home" for your child. What Does the Term "Medical Home" Mean? A medical home isn't a ...

  9. Assessment of Ports for Offshore Wind Development in the United States

    SciTech Connect

    Elkinton, Chris; Blatiak, Alicia; Ameen, Hafsa

    2014-03-21

    As offshore wind energy develops in the United States, port facilities will become strategic hubs in the offshore wind farm supply chain because all plant and transport logistics must transit through these facilities. Therefore, these facilities must provide suitable infrastructure to meet the specific requirements of the offshore wind industry. As a result, it is crucial that federal and state policy-makers and port authorities take effective action to position ports in the offshore wind value chain to take best advantage of their economic potential. The U.S. Department of Energy tasked the independent consultancy GL Garrad Hassan (GL GH) with carrying out a review of the current capability of U.S. ports to support offshore wind project development and an assessment of the challenges and opportunities related to upgrading this capability to support the growth of as many as 54 gigawatts of offshore wind installed in U.S. waters by 2030. The GL GH report and the open-access web-based Ports Assessment Tool resulting from this study will aid decision-makers in making informed decisions regarding the choice of ports for specific offshore projects, and the types of investments that would be required to make individual port facilities suitable to serve offshore wind manufacturing, installation and/or operations. The offshore wind industry in the United States is still in its infancy and this study finds that additional port facilities capable of supporting offshore wind projects are needed to meet the anticipated project build-out by 2030; however, no significant barriers exist to prevent the development of such facilities. Furthermore, significant port capabilities are in place today with purpose-build port infrastructure currently being built. While there are currently no offshore wind farms operating in the United States, much of the infrastructure critical to the success of such projects does exist, albeit in the service of other industries. This conclusion is based

  10. 19 CFR 4.89 - Vessels in foreign trade proceeding via domestic ports and touching at intermediate foreign ports.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ports and touching at intermediate foreign ports. 4.89 Section 4.89 Customs Duties U.S. CUSTOMS AND... touching at intermediate foreign ports. (a) A vessel proceeding from port to port in the United States in accordance with §§ 4.85, 4.86, or 4.87 may touch at an intermediate foreign port or ports to lade...