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.

    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

  9. 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.

  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. 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...

  13. 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......

  14. 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...

  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. 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...

  5. 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...

  6. 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...

  7. 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...

  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. 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…

  7. 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...

  8. 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...

  9. 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…

  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. 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…

  16. 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 ...

  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. 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.

  20. 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

  1. 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

  2. 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...

  3. 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.

  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. 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...

  17. 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...

  18. 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…

  19. 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

  20. 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

  1. 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

  2. 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, ...

  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. 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.

  18. 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 ...

  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. 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…

  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. 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

  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. 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 ...

  10. 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.

  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. 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…

  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. 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

  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 125.12 - 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...

  10. 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....

  11. 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....

  12. 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....

  13. 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....

  14. 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....

  15. 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....

  16. 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....

  17. 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...

  18. 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...

  19. 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....

  20. 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...

  1. 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...

  2. 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...

  3. 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...

  4. 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....

  5. 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...

  6. 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...

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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....

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  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. 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

  20. 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 ...

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  5. 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...

  6. 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...

  7. 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...

  8. 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 ...

  9. 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.

  10. 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

  11. 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

  12. 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

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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...

  19. 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...

  20. 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 ...

  1. 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...

  2. 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....

  3. 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....

  4. 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....

  5. 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....

  6. 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

  7. 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

  8. 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.

  9. 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

  10. 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

  11. 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.

  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. 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

  17. 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

  18. 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.

  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. 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.

  3. 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...

  4. 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...

  5. 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...

  6. 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...

  7. 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

  8. 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…

  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. 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 ...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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...

  19. 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...

  20. 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...

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  5. 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.

  6. 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...

  7. 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…

  8. 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

  9. 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...

  10. 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....

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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…

  19. 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…

  20. 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...

  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. 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 ...

  3. 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) ...

  4. 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 ...

  5. 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.

  6. 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

  7. 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 ...

  8. 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.

  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. Quality of life of residents with dementia in long-term care settings in the Netherlands and Belgium: design of a longitudinal comparative study in traditional nursing homes and small-scale living facilities

    PubMed Central

    2011-01-01

    Background The increase in the number of people with dementia will lead to greater demand for residential care. Currently, large nursing homes are trying to transform their traditional care for residents with dementia to a more home-like approach, by developing small-scale living facilities. It is often assumed that small-scale living will improve the quality of life of residents with dementia. However, little scientific evidence is currently available to test this. The following research question is addressed in this study: Which (combination of) changes in elements affects (different dimensions of) the quality of life of elderly residents with dementia in long-term care settings over the course of one year? Methods/design A longitudinal comparative study in traditional and small-scale long-term care settings, which follows a quasi-experimental design, will be carried out in Belgium and the Netherlands. To answer the research question, a model has been developed which incorporates relevant elements influencing quality of life in long-term care settings. Validated instruments will be used to evaluate the role of these elements, divided into environmental characteristics (country, type of ward, group size and nursing staff); basic personal characteristics (age, sex, cognitive decline, weight and activities of daily living); behavioural characteristics (behavioural problems and depression); behavioural interventions (use of restraints and use of psychotropic medication); and social interaction (social engagement and visiting frequency of relatives). The main outcome measure for residents in the model is quality of life. Data are collected at baseline, after six and twelve months, from residents living in either small-scale or traditional care settings. Discussion The results of this study will provide an insight into the determinants of quality of life for people with dementia living in traditional and small-scale long-term care settings in Belgium and the

  11. Snails home

    NASA Astrophysics Data System (ADS)

    Dunstan, D. J.; Hodgson, D. J.

    2014-06-01

    Many gardeners and horticulturalists seek non-chemical methods to control populations of snails. It has frequently been reported that snails that are marked and removed from a garden are later found in the garden again. This phenomenon is often cited as evidence for a homing instinct. We report a systematic study of the snail population in a small suburban garden, in which large numbers of snails were marked and removed over a period of about 6 months. While many returned, inferring a homing instinct from this evidence requires statistical modelling. Monte Carlo techniques demonstrate that movements of snails are better explained by drift under the influence of a homing instinct than by random diffusion. Maximum likelihood techniques infer the existence of two groups of snails in the garden: members of a larger population that show little affinity to the garden itself, and core members of a local garden population that regularly return to their home if removed. The data are strongly suggestive of a homing instinct, but also reveal that snail-throwing can work as a pest management strategy.

  12. 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...

  13. Ecological risks of home and personal care products in the riverine environment of a rural region in South China without domestic wastewater treatment facilities.

    PubMed

    Zhang, Nai-Sheng; Liu, You-sheng; Van den Brink, Paul J; Price, Oliver R; Ying, Guang-Guo

    2015-12-01

    Home and personal care products (HPCPs) including biocides, benzotriazoles (BTs) and ultraviolet (UV) filters are widely used in our daily life. After use, they are discharged with domestic wastewater into the receiving environment. This study investigated the occurrence of 29 representative HPCPs, including biocides, BTs and UV filters, in the riverine environment of a rural region of South China where no wastewater treatment plants were present, and assessed their potential ecological risks to aquatic organisms. The results showed the detection of 11 biocides and 4 BTs in surface water, and 9 biocides, 3 BTs and 4 UV filters in sediment. In surface water, methylparaben (MeP), triclocarban (TCC), and triclosan (TCS) were detected at all sites with median concentrations of 9.23 ng/L, 2.64 ng/L and 5.39 ng/L, respectively. However, the highest median concentrations were found for clotrimazole (CLOT), 5-methyl-1H-benzotriazole (MBT) and carbendazim (CARB) at 55.6 ng/L, 33.7 ng/L and 13.8 ng/L, respectively. In sediment, TCC, TCS, and UV-326 were detected with their maximum concentrations up to 353 ng/g, 155 ng/g, and 133 ng/g, respectively. The concentrations for those detected HPCPs in surface water and sediment were generally lower in the upper reach (rural area) of Sha River than in the lower reach of Sha River with close proximity to Dongjiang River (Pt-test<0.05), indicating other input sources of HPCPs in the lower reach. Biocides showed significantly higher levels in surface water in the wet season than in the dry and intermediate seasons. Preliminary risk assessment demonstrated that the majority of HPCPs monitored represented low risk in surface waters. There are potentially greater risks to aquatic organisms from the use of TCS and TCC in the wet season than in dry and intermediate seasons in surface waters. This preliminary assessment also indicates potential concerns associated with TCC, TCS, DEET, CARB, and CLOT in sediments, although additional data

  14. Testing and Analysis of Sensor Ports

    NASA Technical Reports Server (NTRS)

    Zhang, M.; Frendi, A.; Thompson, W.; Casiano, M. J.

    2016-01-01

    This Technical Publication summarizes the work focused on the testing and analysis of sensor ports. The tasks under this contract were divided into three areas: (1) Development of an Analytical Model, (2) Conducting a Set of Experiments, and (3) Obtaining Computational Solutions. Results from the experiment using both short and long sensor ports were obtained using harmonic, random, and frequency sweep plane acoustic waves. An amplification factor of the pressure signal between the port inlet and the back of the port is obtained and compared to models. Comparisons of model and experimental results showed very good agreement.

  15. Home Insulation

    NASA Technical Reports Server (NTRS)

    1994-01-01

    Under the Guaranteed Watt Savers (GWS) system, plans for a new home are computer analyzed for anticipated heat loss and gain. Specifications are specifically designed for each structure and a Smart- House Radiant Barrier is installed. Designed to reflect away 95% of the Sun's radiant energy, the radiant barrier is an adaptation of an aluminum shield used on Apollo spacecraft. On completion of a home, technicians using a machine, check for air tightness, by creating a vacuum in the house and computer calculations that measure the amount of air exchanged. A guarantee that only the specified number kilowatt hours will be used is then provided.

  16. 76 FR 52269 - Safety Zone; Port Huron Float Down, St. Clair River, Port Huron, MI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-22

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Port Huron Float Down, St. Clair River... establishing a temporary safety zone in the Captain of the Port Detroit Zone on the St. Clair River, Port Huron, Michigan. This safety zone is intended to restrict vessels from portions of the St. Clair River during...

  17. Nursing Home Checklist

    MedlinePlus

    Nursing home checklist Name of nursing home: ____________________________________________________ Address: ________________________________________________________________ Phone number: __________________________________________________________ Date of visit: _____________________________________________________________ Basic information Yes No Notes Is the nursing home Medicare certified? Is the nursing ...

  18. [Single port laparoscopic colostomy using the glove technique].

    PubMed

    Rodicio Miravalles, José L; Rodríguez García, José I; Llaneza Folgueras, Ana; Avilés García, Paulino; González González, Juan J

    2014-01-01

    The single port surgery with glove technique is a novel process, suitable to the present day economic and technological moment. Colostomies are surgical interventions suitable to its application. We describe the surgical method and outcome of patients who underwent colostomy by single port glove technique within the years 2011 and 2012, in two hospitals in Asturias, Spain. We carried out six sigmoid colostomies. Four patients had tumoral pathology, another a perineal necrotizing fasciitis, and the sixth, a patient with Crohn's disease and complex perianal fistulas. The average age of the patients, four men and two women, was 54 years (range 42-67 years). The average intervention time was 42 minutes (range 30-65 minutes). There were no complications during the surgery or in the postoperative period. In our facilities material expenditure was reduced to half as regards other conventional single port devices. The glove technique represents the most economic and least invasive approach for the surgical procedure of stomas, in our experience considered a simple, safe and easily reproducible technique. PMID:24918667

  19. Home Modifications

    MedlinePlus

    ... use, and flexible enough to be adapted for special needs. Back to top Evaluating Your Needs Before any changes are made to the home, evaluate your current and future needs room by room. Once you have explored all areas, make a list of potential problems and solutions. ...

  20. 33 CFR 165.T01-0542 - Safety Zones: Neptune Deepwater Port, Atlantic Ocean, Boston, MA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... facility or structure meeting the definition of deepwater port in 33 CFR 148.5. Support vessel means any vessel meeting the definition of support vessel in 33 CFR 148.5. (e) Regulations. (1) The general regulations contained in 33 CFR 165.23 apply. (2) In accordance with the general regulations entry into...

  1. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  2. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  3. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  4. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  5. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  6. Single port VATS: recent developments in Asia.

    PubMed

    Yu, Peter S Y; Capili, Freddie; Ng, Calvin S H

    2016-03-01

    Single port video-assisted thoracic surgery (VATS) is the most recent evolution in minimally invasive thoracic surgery. With increasing global popularity, the single port VATS approach has been adopted by experienced thoracic surgeons in many Asian countries. From initial experience of single port VATS lobectomy to the more complex sleeve resection procedures now forming part of daily practice in some Asia institutes, the region has been the proving ground for single port VATS approaches' feasibility and safety. In addition, certain technical refinements in single port VATS lung resection and lymph node dissection have also sprung from Asia. Novel equipment designed to facilitate single port VATS allowing further reduce access trauma are being realized by the partnership between surgeons and the industries. Advanced thoracoscopes and staplers that are narrower and more maneuverable are particularly important in the smaller habitus of patients from Asia. These and similar new generation equipment are being applied to single port VATS in novel ways. As dedicated thoracic surgeons in the region continue to striving for excellence, innovative ideas in single incision access including subxiphoid and embryonic natural-orifice transluminal endoscopic surgery (e-NOTES) have been explored. Adjunct techniques and technology used in association with single port VATS such as non-intubated surgery, hybrid operating room image guidance and electromagnetic navigational bronchoscopy are all in rapid development in Asia. PMID:27014478

  7. Single port VATS: recent developments in Asia

    PubMed Central

    Yu, Peter S.Y.; Capili, Freddie

    2016-01-01

    Single port video-assisted thoracic surgery (VATS) is the most recent evolution in minimally invasive thoracic surgery. With increasing global popularity, the single port VATS approach has been adopted by experienced thoracic surgeons in many Asian countries. From initial experience of single port VATS lobectomy to the more complex sleeve resection procedures now forming part of daily practice in some Asia institutes, the region has been the proving ground for single port VATS approaches’ feasibility and safety. In addition, certain technical refinements in single port VATS lung resection and lymph node dissection have also sprung from Asia. Novel equipment designed to facilitate single port VATS allowing further reduce access trauma are being realized by the partnership between surgeons and the industries. Advanced thoracoscopes and staplers that are narrower and more maneuverable are particularly important in the smaller habitus of patients from Asia. These and similar new generation equipment are being applied to single port VATS in novel ways. As dedicated thoracic surgeons in the region continue to striving for excellence, innovative ideas in single incision access including subxiphoid and embryonic natural-orifice transluminal endoscopic surgery (e-NOTES) have been explored. Adjunct techniques and technology used in association with single port VATS such as non-intubated surgery, hybrid operating room image guidance and electromagnetic navigational bronchoscopy are all in rapid development in Asia. PMID:27014478

  8. Single-port laparoscopy: Considerations in children

    PubMed Central

    Ponsky, Todd A; Krpata, David M

    2011-01-01

    As the quest to minimize scars from surgery continues, innovative methods of surgery, including single-port surgery, have come to the forefront. Here, we review considerations for surgery in children with particular attention to appendectomy and cholecystectomy. We discuss the future technologies that will aid in single-port surgery and how they apply to the paediatric population. PMID:21197252

  9. Far-Field Tsunami Hazard in New Zealand Ports

    NASA Astrophysics Data System (ADS)

    Borrero, Jose C.; Goring, Derek G.; Greer, S. Dougal; Power, William L.

    2015-03-01

    We present the results of a numerical modeling study investigating the effects of far-field tsunamis in New Zealand ports. Four sites (Marsden Point, Tauranga, Harbor, Port Taranaki and Lyttelton Harbor) were selected based on a combination of factors such as economic importance and the availability of historical and/or instrumental data. Numerical models were created using the ComMIT tsunami modeling tool and the Method Of Splitting Tsunami (MOST) hydrodynamic model. Comparison of model results to measured data from recent historical events showed that, for particular sites and events, the model correlated well with the timing and amplitude of the observed tsunami, and, in most cases, there was generally good agreement between the and modeled tsunami heights and current speeds. A sensitivity analysis for tsunami heights and current speeds was conducted using a suite of large ( M W 9) tsunamigenic earthquake sources situated at regular 15° intervals in azimuth along the Pacific Rim while another set of scenarios focused on regional tsunami sources in the Southwest Pacific. Model results were analyzed for tsunami heights and current speeds as a function of the source region. In terms of currents, the analysis identified where speeds were greatest and which source was responsible. Results suggested that tsunamis originating from Central America produced the strongest response in New Zealand. The modeling was also used to determine the timing and duration of potentially dangerous current speeds as well as minimum `safe depths' for vessel evacuation offshore. This study was motivated by the desire to reduce damage and operational losses via improved forecasting of far-field tsunamis at New Zealand ports. It is important that forecasts are accurate since tsunami damage to ships and facilities is expensive and can be mitigated given timely warnings and because preventable false alarms are also costly in terms of lost productivity. The modeling presented here will

  10. Contextual view of ILWU Hall, facing northwest with commercial port ...

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

    Contextual view of ILWU Hall, facing northwest with commercial port buildings visible in the background - International Longshoremen's & Warehousemen's Union Hall, Naval Civil Engineering Laboratory, Port Hueneme Road, Port Hueneme, Ventura County, CA

  11. Design and evaluation of candidate pressure ports for the HYFLITE experiment

    NASA Technical Reports Server (NTRS)

    Teter, John E., Jr.; Cleckner, Craig S.; Vontheumer, Alfred E.

    1994-01-01

    A concept for placing a pressure transducer directly in a shuttle type tile was developed at Langley Research Center. A 5 inch long quartz with a .020 inch inner diameter provides the thermal isolation necessary to allow 2800 F surface pressure measurements to be taken by pressure transducer rated at 250 F. The assembly is potted in place with RTV 560 in a piece of FRCI-12 thermal protection system insulation tile. The integrity of the thermal protection system is maintained even with the intrusion of the pressure port assembly and the pressure port does not disrupt the air flow across the lifting body. Approximately 200 of these pressure ports are to be used in each of the Hypersonic Flight Experiment (HYFLITE) flight tests. Initial vibroacoustic and aerothermal testing of the pressure port designs have been completed at Langley Research vibration laboratory and the 20 MWatt 2 x 9 turbulent duct facility at Ames Research Center. The performance of the pressure ports were found to be well within the required design limits for all cases. In addition, a failure mode in which the entire pressure port assembly was removed proved to be a begin case.

  12. Removal of Historic Low-Level Radioactive Sediment from the Port Hope Harbour - 13314

    SciTech Connect

    Kolberg, Mark; Case, Glenn; Ferguson Jones, Andrea

    2013-07-01

    At the Port Hope Harbour, located on the north shore of Lake Ontario, the presence of low-level radioactive sediment, resulting from a former radium and uranium refinery that operated alongside the Harbour, currently limits redevelopment and revitalization opportunities. These waste materials contain radium-226, uranium, arsenic and other contaminants. Several other on-land locations within the community of Port Hope are also affected by the low-level radioactive waste management practices of the past. The Port Hope Project is a community initiated undertaking that will result in the consolidation of an estimated 1.2 million cubic metres of the low-level radioactive waste from the various sites in Port Hope into a new engineered above ground long-term waste management facility. The remediation of the estimated 120,000 m{sup 3} of contaminated sediments from the Port Hope Harbour is one of the more challenging components of the Port Hope Project. Following a thorough review of various options, the proposed method of contaminated sediment removal is by dredging. The sediment from the dredge will then be pumped as a sediment-water slurry mixture into geo-synthetic containment tubes for dewatering. Due to the hard substrate below the contaminated sediment, the challenge has been to set performance standards in terms of low residual surface concentrations that are attainable in an operationally efficient manner. (authors)

  13. Two-port access versus four-port access laparoscopic ovarian cystectomy

    PubMed Central

    Choi, Won-Kyu; Kim, Jang-Kew; Yang, Jung-Bo; Ko, Young-Bok; Nam, Sang-Lyun

    2014-01-01

    Objective This study was conducted to compare the surgical outcomes between two-port access and four-port access laparoscopic ovarian cystectomy. Methods Four hundred and eighty nine patients who had received two-port access laparoscopic ovarian cystectomy (n=175) and four-port access laparoscopic ovarian cystectomy (n=314) in Chungnam National University Hospital from January 2009 to August 2012 were analyzed retrospectively. The data were compared between the bilaterality of the cysts and cyst diameter of less than 6 cm and 6 cm or more. Results There were no significant differences in patient's age, parity, body weight, body mass index and history of previous surgery between the two-port and four-port access laparoscopy group. Bilaterality of ovarian cysts was more in fourport access laparoscopy group (13.7% vs. 32.5%, P=0.000). There were no significant differences in operation time, hemoglobin change, hospital stay, adhesiolysis, transfusion, and insertion of hemo-vac between the two-port and four-port access laparoscopy group for size matched compare. However additional analgesics were more in four-port access laparoscopy group for unilateral ovarian cystectomy. Conclusion Two-port access laparoscopic surgery was feasible and safe for unilateral and bilateral ovarian cystectomy compare with four-port access laparoscopic surgery. PMID:25264528

  14. Integrated circuit test-port architecture and method and apparatus of test-port generation

    DOEpatents

    Teifel, John

    2016-04-12

    A method and apparatus are provided for generating RTL code for a test-port interface of an integrated circuit. In an embodiment, a test-port table is provided as input data. A computer automatically parses the test-port table into data structures and analyzes it to determine input, output, local, and output-enable port names. The computer generates address-detect and test-enable logic constructed from combinational functions. The computer generates one-hot multiplexer logic for at least some of the output ports. The one-hot multiplexer logic for each port is generated so as to enable the port to toggle between data signals and test signals. The computer then completes the generation of the RTL code.

  15. Home Health Care

    MedlinePlus

    ... Page Resize Text Printer Friendly Online Chat Home Health Care Home health care helps older adults live independently for as long ... need for long-term nursing home care. Home health care may include occupational and physical therapy, speech therapy, ...

  16. 33 CFR 165.809 - Security Zones; Port of Port Lavaca-Point Comfort, Point Comfort, TX and Port of Corpus Christi...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS AND LIMITED ACCESS AREAS Specific Regulated Navigation Areas and Limited Access Areas Eighth Coast Guard District § 165.809 Security Zones; Port of Port.... The Captain of the Port may be contacted via VHF Channel 16 or via telephone at (361) 888-3162 to...

  17. [Home Treatment].

    PubMed

    Widmann, F; Bachhuber, G; Riedelsheimer, A; Schiele, A; Ullrich, S; Kilian, R; Becker, T; Frasch, K

    2016-01-01

    Home Treatment (HT) means acute psychiatric treatment in the patient's usual environment. Conceptually, HT is to be differentiated from other home-based services: It is limited with regard to duration and multiprofessional (e. g. psychiatrist plus psychiatric nursing staff plus social worker); the "24/7"-accessibility is frequently provided by the corresponding background hospital infrastructure. Target group are acutely mentally ill persons with an indication to inpatient treatment, who are willing to cooperate, and absence of endangerment to self and others. In contrast to the Scandinavian and many Anglophone countries where nationwide HT services are delivered, there are not many HT sites in Germany so far. Consequently, empirical data concerning HT in Germany is scarce. In summary, international studies show equivalent effects on psychopathological measures compared to inpatient treatment, reductions with regard to inpatient days, higher patient satisfaction and a trend towards cost-effectivity. PMID:26878432

  18. Home Energy Score

    SciTech Connect

    2011-12-16

    The Home Energy Score allows a homeowner to compare her or his home's energy consumption to that of other homes, similar to a vehicle's mile-per-gallon rating. A home energy assessor will collect energy information during a brief home walk-through and then score that home on a scale of 1 to 10.

  19. Home Hemodialysis

    MedlinePlus

    ... 30 months, Medicare will become your primary insurance. Online information Dialysis Facility Compare—Find information about dialysis ... Register Now Series on Food & Weight Management - Grocery Shopping: Friend or Foe for Your Waistline? Tue, 09/ ...

  20. Polynuclear Aromatic Hydrocarbons in Port Valdez Shrimp and Sediment.

    PubMed

    Carls, Mark G; Holland, Larry; Pihl, Erik; Zaleski, Marilyn A; Moran, John; Rice, Stanley D

    2016-07-01

    Polynuclear aromatic hydrocarbons (PAHs) from oil were present in some shrimp from Port Valdez, site of a ballast water treatment facility at the Alyeska Alaska Marine Terminal (AMT). Low-level petrogenic PAH concentrations were generally restricted to shrimp eggs in the vicinity of the AMT and extended along the southern shore of Port Valdez to Anderson Bay. Eggs had greater lipid content than other tissues and thus were the most vulnerable biological compartment to hydrocarbon accumulation. Petrogenic hydrocarbons were not observed in shrimp muscle and cephalothoraxes; thus, these tissues do not pose a human health risk. Risk for children older than age 2 years and adults consuming eggs also was low except for two unusual samples (of 32), collected about 17 km west of the treatment facility. In general, PAH loads were consistent with local time series data in other species. We infer that the accumulation mechanism was dissolved uptake from water, consistent with passive sampler observations completed more than a decade earlier. Hydrocarbon levels in the majority of samples were below toxic thresholds. Total PAH accumulation was substantially greater in some pink shrimp than in other species, thus differences in habitat utilization (muddy vs. rocky substrate) are potentially important. PMID:27033098

  1. Rotary sequencing valve with flexible port plate

    DOEpatents

    Wagner, Glenn Paul

    2005-05-10

    Rotary sequencing valve comprising a rotor having a rotor face rotatable about an axis perpendicular to the rotor face, wherein the rotor face has a plurality of openings, one or more of which are disposed at a selected radial distance from the axis, and wherein the rotor includes at least one passage connecting at least one pair of the plurality of openings. The valve includes a flexible port plate having a first side and a second side, wherein the first side faces the rotor and engages the rotor such that the flexible port plate can be rotated coaxially by the rotor and can move axially with respect to the rotor, wherein the flexible port plate has a plurality of ports between the first and second sides, which ports are aligned with the openings in the rotor face. The valve also includes a stator having a stator face disposed coaxially with the rotor and the flexible port plate, wherein the second side of the flexible port plate is in sealable, slidable rotary contact with the stator face, wherein the stator face has a plurality of openings, some of which are disposed at the selected radial distance from the axis, and wherein the plurality of openings extend as passages through the stator. The valve may be used in pressure or temperature swing adsorption systems.

  2. Tsunami Hazard Assessment in New Zealand Ports and Harbors

    NASA Astrophysics Data System (ADS)

    Borrero, J. C.; Wotherspoon, L.; Power, W. L.; Goring, D.; Barberopoulou, A.; Melville, B.; Shamseldin, A.

    2012-12-01

    The New Zealand Ministry of Science and Innovation (MSI) has sponsored a 3-year collaborative project involving industry, government and university research groups to better assess and prepare for tsunami hazards in New Zealand ports and harbors. As an island nation, New Zealand is highly dependent on its maritime infrastructure for commercial and recreational interests. The recent tsunamis of 2009, 2010 and 2011 (Samoa, Chile and Japan) highlighted the vulnerability of New Zealand's marine infrastructure to strong currents generated by such far field events. These events also illustrated the extended duration of the effects from such tsunamis, with some of the strongest currents and highest water levels occurring many hours, if not days after the tsunami first arrival. In addition, New Zealand also sits astride the Tonga-Kermadec subduction zone, which given the events of recent years, cannot be underestimated as a major near field hazard. This presentation will discuss the modeling and research strategy that will be used to mitigate tsunami hazards in New Zealand ports and harbors. This will include a detailed time-series analysis (including Fourier and discrete Wavelet techniques) of water levels recorded throughout New Zealand form recent tsunami events (2009 Samoa, 2010 Chile and 2011 Japan). The information learned from these studies will guide detailed numerical modeling of tsunami induced currents at key New Zealand ports. The model results will then be used to guide a structural analysis of the relevant port structures in terms of hydrodynamic loads as well as mooring and impact loads due to vessel and/or debris. Ultimately the project will lead to an improvement in New Zealand's tsunami response plans by providing a decision making flow chart, targeted for marine facilities, to be used by emergency management officials during future tsunami events.Tsunami effects at Port Charles, New Zealand: (top) inundation into a neighborhood and (bottom left and right

  3. Public health assessment for State Marine of Port Arthur, Port Arthur, Jefferson County, Texas, Region 6, CERCLIS number TXD099801102. Final report

    SciTech Connect

    1999-07-30

    The State Marine of Port Arthur National Priorities List site, is a 17,197-acre former barge cleaning facility on a small peninsula in the northeastern part of Port Arthur, Jefferson County, Texas. The facility operated from 1974 until 1988. Barge cleaning operations at the site have resulted in the contamination of surface soil and sediment with polycyclic aromatic hydrocarbons and metals. The Agency for Toxic Substances and Disease Registry (ATSDR) reviewed available environmental information for the site and evaluated several potential exposure situations. These exposure situations include potential contact with site contaminants in surface water, sediment, surface soil, and groundwater. Although site-related contaminants have been found in several of these media, currently the contaminants on or off the site do not pose a public health threat. Based on available information, the authors have concluded that, overall, the State Marine site poses an indeterminate public health hazard.

  4. Multi-port valve assembly

    DOEpatents

    Guggenheim, S. Frederic

    1986-01-01

    A multi-port fluid valve apparatus is used to control the flow of fluids through a plurality of valves and includes a web, which preferably is a stainless steel endless belt. The belt has an aperture therethrough and is progressed, under motor drive and control, so that its aperture is moved from one valve mechanism to another. Each of the valve mechanisms comprises a pair of valve blocks which are held in fluid-tight relationship against the belt. Each valve block consists of a block having a bore through which the fluid flows, a first seal surrounding the bore and a second seal surrounding the first seal, with the distance between the first and second seals being greater than the size of the belt aperture. In order to open a valve, the motor progresses the belt aperture to where it is aligned with the two bores of a pair of valve blocks, such alignment permitting a flow of the fluid through the valve. The valve is closed by movement of the belt aperture and its replacement, within the pair of valve blocks, by a solid portion of the belt.

  5. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  6. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  7. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  8. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  9. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  10. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., animal semen, poultry, and hatching eggs see 9 CFR §§ 93.102, 93.203, 93.303, 93.403, 93.503, 93.703, and 93.805 and for designated ports of entry for certain purebred animals see 9 CFR §§ 151.1 through 151... ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND...

  11. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., animal semen, poultry, and hatching eggs see 9 CFR §§ 93.102, 93.203, 93.303, 93.403, 93.503, 93.703, and 93.805 and for designated ports of entry for certain purebred animals see 9 CFR §§ 151.1 through 151... ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND...

  12. Retinopathy of prematurity in port harcourt, Nigeria.

    PubMed

    Adio, Adedayo O; Ugwu, Rosemary O; Nwokocha, Chidi G; Eneh, Augusta U

    2014-01-01

    Purpose. With many preterm babies now surviving as a result of improvement in neonatal care in Nigeria, the incidence of visual impairment/blindness as a result of retinopathy of prematurity (ROP) may rise. We describe our findings after screening starts for the first time in a 15-year-old special care baby unit so as to establish the incidence and risk factors for developing ROP. Methods. A prospective study carried out at the Special Care Baby Unit (SCBU) and Pediatric Outpatient Clinics of the University of Port Harcourt Teaching Hospital between January 1 and October 31, 2012. Fifty-three preterm babies (of 550 neonates admitted within the study period) delivered before 32 completed weeks and weighing less than 1500 g were included in the study following informed consent and the main outcome measure was the development of any stage of ROP. Results. Mean gestational age at birth was 28.98 ± 1.38 weeks. Mean birth weight was 1411 ± 128 g. Out of 550 babies admitted at SCBU, 87 of 100 preterms survived with 53 included in study. Twenty-five (47.2%) had different degrees of ROP with prevalence found to be 47.2%. Prevalence was higher (75%) in babies weighing <1300 g and those delivered before 30-week gestation (58%). Twenty-one (84%) had stage 1 no plus disease and 3 (12%) had stage 2 no plus disease. Only 1 (4%) had threshold disease in Zone 1. None had disease at stage 4 or 5 or AP-ROP. Receiving supplemental oxygen (χ (2) = 6.17; P = 0.01), presence of sepsis (χ (2) = 7.47; P = 0.006), multiple blood transfusions (χ (2) = 5.11; P = 0.02), and delivery by caesarian section (χ (2) = 4.22; P = 0.04) were significantly associated with development of ROP. There were no significant differences with gender, apneic spells, jaundice, or phototherapy. Conclusions and Relevance. All live infants with ROP were noted to regress spontaneously in this study. Though it may not be cost effective to acquire treatment facilities at the moment (the only child with

  13. Retinopathy of Prematurity in Port Harcourt, Nigeria

    PubMed Central

    Adio, Adedayo O.; Ugwu, Rosemary O.; Nwokocha, Chidi G.; Eneh, Augusta U.

    2014-01-01

    Purpose. With many preterm babies now surviving as a result of improvement in neonatal care in Nigeria, the incidence of visual impairment/blindness as a result of retinopathy of prematurity (ROP) may rise. We describe our findings after screening starts for the first time in a 15-year-old special care baby unit so as to establish the incidence and risk factors for developing ROP. Methods. A prospective study carried out at the Special Care Baby Unit (SCBU) and Pediatric Outpatient Clinics of the University of Port Harcourt Teaching Hospital between January 1 and October 31, 2012. Fifty-three preterm babies (of 550 neonates admitted within the study period) delivered before 32 completed weeks and weighing less than 1500 g were included in the study following informed consent and the main outcome measure was the development of any stage of ROP. Results. Mean gestational age at birth was 28.98 ± 1.38 weeks. Mean birth weight was 1411 ± 128 g. Out of 550 babies admitted at SCBU, 87 of 100 preterms survived with 53 included in study. Twenty-five (47.2%) had different degrees of ROP with prevalence found to be 47.2%. Prevalence was higher (75%) in babies weighing <1300 g and those delivered before 30-week gestation (58%). Twenty-one (84%) had stage 1 no plus disease and 3 (12%) had stage 2 no plus disease. Only 1 (4%) had threshold disease in Zone 1. None had disease at stage 4 or 5 or AP-ROP. Receiving supplemental oxygen (χ2 = 6.17; P = 0.01), presence of sepsis (χ2 = 7.47; P = 0.006), multiple blood transfusions (χ2 = 5.11; P = 0.02), and delivery by caesarian section (χ2 = 4.22; P = 0.04) were significantly associated with development of ROP. There were no significant differences with gender, apneic spells, jaundice, or phototherapy. Conclusions and Relevance. All live infants with ROP were noted to regress spontaneously in this study. Though it may not be cost effective to acquire treatment facilities at the moment (the only child with treatable disease

  14. Rock Port Celebrates New Technology Center.

    ERIC Educational Resources Information Center

    Grones, Freda

    1997-01-01

    Discusses the advantages dome architecture gave to a new school technology center in Rock Port, Missouri. Advantages cover energy cost savings, lighting, storage space, aesthetics, accessibility, and convenience. (GR)

  15. Medi-Port Pilot Randomized Controlled Trial

    ClinicalTrials.gov

    2016-04-25

    Actively Undergoing Cancer Treatment; 4-9 Years of Age; At Least 1 Month From Diagnosis; Able to Speak and Understand English; Presenting to Clinic for at Least a 2nd Subcutaneous Port Needle Insertion

  16. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  17. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  18. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  19. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  20. Gas chromatograph injection port protective device

    NASA Technical Reports Server (NTRS)

    Robertson, M. D.; Welz, E. A.

    1969-01-01

    To prevent samples containing foreign matter from poisoning the gas chromatographic columns, a pre-filter insertion is placed in the injection port. The packing becomes a variable reactant, for example, acids are removed by using an alkaline liquid.

  1. 47 CFR 52.35 - Porting Intervals.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... “telecommunications carrier” includes an interconnected Voice over Internet Protocol (VoIP) provider as that term in... Administration Center (NPAC) Region in which the telephone number is being ported; and (3) The term...

  2. Ownership Conversions and Nursing Home Performance

    PubMed Central

    Grabowski, David C; Stevenson, David G

    2008-01-01

    Objective To examine the effects of ownership conversions on nursing home performance. Data Source Online Survey, Certification, and Reporting system data from 1993 to 2004, and the Minimum Data Set (MDS) facility reports from 1998 to 2004. Study Design Regression specification incorporating facility fixed effects, with terms to identify trends in the pre- and postconversion periods. Principal Findings The annual rate of nursing home conversions almost tripled between 1994 and 2004. Our regression results indicate converting facilities are generally different throughout the pre/postconversion years, suggesting little causal effect of ownership conversions on nursing home performance. Before and after conversion, nursing homes converting from nonprofit to for-profit status generally exhibit deterioration in their performance, while nursing homes converting from for-profit to nonprofit status generally exhibit improvement. Conclusions Policy makers have expressed concern regarding the implications of ownership conversions for nursing home performance. Our results imply that regulators and policy makers should not only monitor the outcomes of nursing home conversions, but also the targets of these conversions. PMID:18355255

  3. 33 CFR 80.1120 - Port Hueneme, CA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Port Hueneme, CA. 80.1120 Section... NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Coast § 80.1120 Port Hueneme, CA. (a) A line drawn from Port Hueneme East Jetty Light 4 to Port Hueneme West Jetty Light 3....

  4. 19 CFR 122.118 - Exportation from port of arrival.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Exportation from port of arrival. 122.118 Section... Exportation from port of arrival. (a) Application. Transit air cargo may be transferred for exportation from any port of arrival under this section. The port director may require any supervision necessary...

  5. 33 CFR 1.01-30 - Captains of the Port.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Captains of the Port. 1.01-30... GENERAL PROVISIONS Delegation of Authority § 1.01-30 Captains of the Port. Captains of the Port and their representatives enforce within their respective areas port safety and security and marine environmental...

  6. 77 FR 24656 - Extension of Port Limits of Indianapolis, IN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... SECURITY U.S. Customs and Border Protection 19 CFR Part 101 Extension of Port Limits of Indianapolis, IN.... Customs and Border Protection (CBP) is proposing to extend the geographical limits of the port of entry of... limits of the Indianapolis, Indiana, port of entry. CBP ports of entry are locations where CBP...

  7. 46 CFR Sec. 7 - Disbursements at foreign ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Disbursements at foreign ports. Sec. 7 Section 7... ports. Disbursement procedures at foreign ports may differ in the case of individual agents and in view of existing conditions. Disbursements at foreign ports shall be made by one of the following...

  8. 33 CFR 125.05 - Captain of the Port.

    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. 125.05... VESSELS § 125.05 Captain of the Port. The term Captain of the Port means the officer of the Coast Guard... immediate direction to Coast Guard law enforcement activities within the general proximity of the port...

  9. 33 CFR 6.01-3 - Captain of the Port.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Captain of the Port. 6.01-3... Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the command... Commander shall be Captain of the Port with respect to remaining areas in his District not assigned...

  10. EXPOSURE ASSESSMENT FACILITY CORE

    EPA Science Inventory

    The Exposure Assessment Facility Core will continue to collect environmental measures including personal and indoor air monitoring and repeat collection of dust samples from the home and biologic measures including urine and blood samples collected from the mother during pregn...

  11. Funding a Health Disparities Research Agenda: The Case of Medicare Home Health Care

    ERIC Educational Resources Information Center

    Davitt, Joan K.

    2014-01-01

    Medicare home health care provides critical skilled nursing and therapy services to patients in their homes, generally after a period in an inpatient facility or nursing home. Disparities in access to, or outcomes of, home health care can result in patient deterioration and increased cost to the Medicare program if patient care needs intensify.…

  12. Klonos: A Similarity Analysis Based Tool for Software Porting

    Energy Science and Technology Software Center (ESTSC)

    2014-07-30

    The Klonos is a compiler-based tool that can help users for scientific application porting. The tool is based on the similarity analysis with the help of the OpenUH compiler (a branch of Open64 compiler). This tool combines syntactic and cost-model-provided metrics clusters, which aggregate similar subroutines that can be ported similarity. The generated porting plan, which allows programmers and compilers to reuse porting experience as much as possible during the porting process.

  13. Effect of port corner geometry on the internal performance of a rotating-vane-type thrust reverser

    NASA Technical Reports Server (NTRS)

    Berrier, B. L.; Capone, F. J.

    1986-01-01

    An investigation has been conducted in the static-test facility of the Langley 16-Foot Transonic Tunnel to determine the effects of reverser port geometry on the internal performance of a nonaxisymmetric rotating-vane-type thrust reverser. Thrust reverser vane positions representing a spoiled-trust (partially deployed) position and a full-reverse-thrust (fully deployed) position were tested with each port geometry variable. The effects of upstream port corner radius and wall angle on internal performance were determined. In addition, the effect of the length of a simulated cooling liner (blunt-base step) near the reverser port entrance was investigated; five different lengths were tested. All tests were conducted with no external flows, and nozzle pressure ratio was varied from 1.2 to 5.0.

  14. Private Investment Purchase and Nursing Home Financial Health

    PubMed Central

    Cadigan, Rebecca Orfaly; Stevenson, David G; Caudry, Daryl J; Grabowski, David C

    2015-01-01

    Objective To explore the impact of nursing home acquisition by private investment firms on nursing home costs, revenue, and overall financial health. Data Sources Merged data from the Medicare Cost Reports and the Online Survey, Certification, and Reporting system for the period 1998–2010. Study Design Regression specification incorporating facility and time fixed effects. Principal Findings We found little impact on the financial health of nursing homes following purchase by private investment companies. However, our findings did suggest that private investment firms acquired nursing home chains in good financial health, possibly to derive profit from the company’s real estate holdings. Conclusions Private investment acquired facilities are an important feature of today’s nursing home sector. Although we did not observe a negative impact on the financial health of nursing homes, this development raises important issues about ownership oversight and transparency for the entire nursing home sector. PMID:25104476

  15. Genetics Home Reference

    MedlinePlus

    Skip Navigation Bar Home Current Issue Past Issues Genetics Home Reference Past Issues / Spring 2007 Table of ... of this page please turn Javascript on. The Genetics Home Reference (GHR) Web site — ghr.nlm.nih. ...

  16. Exercise at Home

    MedlinePlus

    ... Divisions Home Health Insights Exercise Exercise at Home Exercise at Home Make an Appointment Ask a Question ... with the movement and contact your provider. Posture Exercises Better posture means better breathing and movement. Axial ...

  17. Respiratory Home Health Care

    MedlinePlus

    ... Healthy Living > Living With Lung Disease > Respiratory Home Health Care Font: Aerosol Delivery Oxygen Resources Immunizations Pollution Nutrition ... Disease Articles written by Respiratory Experts Respiratory Home Health Care Respiratory care at home can contribute to improved ...

  18. Home Care Services

    MedlinePlus

    Home care is care that allows a person with special needs stay in their home. It might be for people who are getting ... chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with ...

  19. Assessing Resident Safety Culture in Nursing Homes: Using the Nursing Home Survey on Resident Safety

    PubMed Central

    Castle, Nicholas G.; Wagner, Laura M.; Perera, Subashan; Ferguson, Jamie C.; Handler, Steven M.

    2016-01-01

    Objectives To examine the overall responses of nursing home staff to a newly developed nursing home specific survey instrument to assess patient safety culture (PSC) and to examine whether nursing home staff (including Administrator / Manager, Licensed Nurse, Nurse Aide, Direct Care Staff, and Support Staff) differ in their PSC ratings. Methods Data were collected in late 2007 through early 2008 using a survey administered to staff in each of 40 nursing homes. In four of these nursing homes the responses of different staff were identified. The Nursing Home Survey on Patient Safety Culture (NHSPSC) was used to assess 12 domains of the PSC and identify differences in PSC perceptions between staff. Results For the 40 nursing homes in the sample, the overall facility response rate was 72%. For the four nursing homes of interest, the overall facility response rate was 68.9%. The aggregate NHSPSC scores, using all staff types for all survey items, show that most respondents report a poor PSC. However, Administrators / Managers had more positive scores than the other staff types (p<0.05) across most domains. Conclusions Staff in nursing homes generally agree that PSC is poor. This may have a significant impact on quality of care and quality of life for residents. PMID:22130345

  20. 78 FR 24069 - Safety Zone; 12th Annual Saltwater Classic; Port Canaveral Harbor; Port Canaveral, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    .... SUPPLEMENTARY INFORMATION: Table of Acronyms DHS Department of Homeland Security FR Federal Register NPRM Notice... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; 12th Annual Saltwater Classic; Port Canaveral Harbor; Port Canaveral, FL AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY:...

  1. Factors Associated with Increasing Nursing Home Closures

    PubMed Central

    Castle, Nicholas G; Engberg, John; Lave, Judith; Fisher, Andrew

    2009-01-01

    Purpose We determine the rate of nursing home closures for 7 years (1999–2005) and examine internal (e.g., quality), organizational (e.g., chain membership), and external (e.g., competition) factors associated with these closures. Design and Method The names of the closed facilities and dates of closure from state regulators in all 50 states were obtained. This information was linked to the Online Survey, Certification, and Reporting data, which contains information on internal, organizational, and market factors for almost all nursing homes in the United States. Results One thousand seven hundred and eighty-nine facilities closed over this time period (1999–2005). The average annual rate of closure was about 2 percent of facilities, but the rate of closure was found to be increasing. Nursing homes with higher rates of deficiency citations, hospital-based facilities, chain members, small bed size, and facilities located in markets with high levels of competition were more likely to close. High Medicaid occupancy rates were associated with a high likelihood of closure, especially for facilities with low Medicaid reimbursement rates. Implications As states actively debate about how to redistribute long-term care services/dollars, our findings show that they should be cognizant of the potential these decisions have for facilitating nursing home closures. PMID:19674434

  2. Nursing home prices and market structure: the effect of assisted living industry expansion.

    PubMed

    Bowblis, John R

    2014-01-01

    Since the 1990s, there has been substantial expansion of facility-based alternatives to nursing home care, such as assisted living facilities. This paper analyzes the relationship between expansion of the assisted living industry, nursing home market structure and nursing home private pay prices using a two-year panel of nursing homes in the State of Ohio. Fixed effect regressions suggest that the expansion of assisted living facilities are associated with increased nursing home concentration, but find no effect on private pay nursing home prices. This would be consistent with assisted livings reducing demand for nursing homes by delaying entry into a nursing home, though assisted livings are not direct competitors of nursing homes. PMID:23889775

  3. Home Kits, Home Visits, and More!

    ERIC Educational Resources Information Center

    Gorter-Reu, Maralee S.; Anderson, Jean Marie

    1998-01-01

    The Home Kit/Home Visit Program--designed for children needing reinforcement of basic concepts and knowledge of colors, shapes, numbers, letter recognition, and letter-sound correspondence--is proving successful in encouraging parent involvement in first-graders' learning of basic skills. Parents are provided with home learning kits to guide their…

  4. 19 CFR 4.86 - Intercoastal residue-cargo procedure; optional ports.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ports. 4.86 Section 4.86 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND... Intercoastal residue—cargo procedure; optional ports. (a) When a vessel arrives at an Atlantic or Pacific coast port from a foreign port or ports with residue cargo for delivery at a port or ports on the...

  5. Single Port Right Colectomy: Surgical Technique.

    PubMed

    Vîlcea, Ionuţ; Maggiori, Leon; Burcoş, Traean; Panis, Yves

    2016-01-01

    The single port laparoscopic method was first used in 1999 by Bresadola for cholecystectomy. Nearly a decade later, in 2008, the first single port right hemicolectomy was reported by Bucher and others in a case involving an ascending colon polyp (1,2). The continuous technological evolutional lows the first single port right hemicolectomy 17 years after the first laparoscopic hemicolectomy (1991) which was initially met with reluctance and after has gained a well-established place in the range of colorectal surgery (2). Single port access, as well as NOTES, provides, in comparison with the standard laparoscopic procedure, the aesthetic benefit, the decrease of postoperative pain and a shorter duration of hospitalization, while in terms of disadvantages, we could mention a longer surgery duration due to fewer opportunities of triangulation and vision (3,4). The reduction of postoperative pain plus the good aesthetic results with no significant increase of postoperative complications, already proved by retrospective studies, require confirmation by randomized studies envisaged by trial TRUE in France (5). Single port right hemicolectomy can be achieved with oncologic results similar to standard laparoscopic surgery, having very good postoperative results in terms of aesthetics and reduced postoperative pain (5,6,7). PMID:27604677

  6. A propensity matched comparison of effects between video assisted thoracoscopic single-port, two-port and three-port pulmonary resection on lung cancer

    PubMed Central

    Mu, Ju-Wei; Gao, Shu-Geng; Xue, Qi; Mao, You-Sheng; Wang, Da-Li; Zhao, Jun; Gao, Yu-Shun; Huang, Jin-Feng

    2016-01-01

    Background To summarize our experiences of single-port, two-port vs. three-port VATS pulmonary resection for lung cancer patients. Methods Data of consecutive 1,553 patients who underwent video assisted thoracoscopic surgery (VATS) pulmonary resection for lung cancer in the Department of Thoracic Surgery of Cancer Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College between November 2014 and January 2016 were prospectively collected and analyzed. A propensity-matched analysis was used to compare the short-term outcomes of lung cancer patients who received VATS single-port, two-port and three-port pulmonary resection. Results There were 716 males and 837 females. The mean age was 58.90 years (range, 25–82 years) and the conversion rate was 2.7% (42/1,553) in this cohort. After propensity score matching, there were 207 patients in single-port and two-port group, and 680 patients in three-port group. Propensity-matched analysis demonstrated that there were no significant differences in duration of operation (129 vs. 131 min, P=0.689), intra-operative blood loss (63 vs. 70 mL, P=0.175), number of dissected lymph nodes (12 vs. 13, P=0.074), total hospital expense (﹩9,928 vs. ﹩9,956, P=0.884) and cost of operation (﹩536 vs. ﹩535, P=0.879) between VATS single-port, two-port and conventional three-port pulmonary resection groups. There was no significant difference in the complication rate between two groups (5.3% vs. 4.7%, P=0.220). However, compared with three-port group, patients who underwent single port and two-port experienced shorter postoperative length of stay (6.24 vs. 5.61 d, P=0.033), shorter duration of chest tube (4.92 vs. 4.25 d, P=0.008), and decreased volume of drainage (926 vs. 791 d, P=0.003). Conclusions The short term outcomes between VATS single-port, two-port and conventional three-port groups for the surgical treatment of lung cancer were comparable. However, compared with three-port VATS pulmonary resection

  7. 41 CFR 102-5.90 - Should an agency consider whether to base a Government passenger carrier at a Government facility...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... consider whether to base a Government passenger carrier at a Government facility near the employee's home... Government facility near the employee's home or work rather than authorize the employee home-to-work... base a Government passenger carrier at a Government facility located near the employee's home or...

  8. 41 CFR 102-5.90 - Should an agency consider whether to base a Government passenger carrier at a Government facility...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... consider whether to base a Government passenger carrier at a Government facility near the employee's home... Government facility near the employee's home or work rather than authorize the employee home-to-work... base a Government passenger carrier at a Government facility located near the employee's home or...

  9. 41 CFR 102-5.90 - Should an agency consider whether to base a Government passenger carrier at a Government facility...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... consider whether to base a Government passenger carrier at a Government facility near the employee's home... Government facility near the employee's home or work rather than authorize the employee home-to-work... base a Government passenger carrier at a Government facility located near the employee's home or...

  10. 41 CFR 102-5.90 - Should an agency consider whether to base a Government passenger carrier at a Government facility...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... consider whether to base a Government passenger carrier at a Government facility near the employee's home... Government facility near the employee's home or work rather than authorize the employee home-to-work... base a Government passenger carrier at a Government facility located near the employee's home or...

  11. 41 CFR 102-5.90 - Should an agency consider whether to base a Government passenger carrier at a Government facility...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... consider whether to base a Government passenger carrier at a Government facility near the employee's home... Government facility near the employee's home or work rather than authorize the employee home-to-work... base a Government passenger carrier at a Government facility located near the employee's home or...

  12. AP@home: The Artificial Pancreas Is Now at Home.

    PubMed

    Heinemann, Lutz; Benesch, Carsten; DeVries, J Hans

    2016-07-01

    In the past years the development of an artificial pancreas (AP) has made great progress and many activities are ongoing in this area of research. The major step forward made in the last years was moving the evaluation of AP systems from highly controlled experimental conditions to daily life conditions at the home of patients with diabetes; this was also the aim of the European Union-funded AP@home project. Over a time period of 5 years a series of clinical studies were performed that culminated in 2 "final studies" during which an AP system was used by patients in their home environment for 2 or 3 months without supervision by a physician, living their normal lives. Two different versions of the AP system developed within this project were evaluated. A significant improvement in glycated hemoglobin was observed during closed-loop conditions despite the fact that during the control period the patients used the best currently available therapeutic option. In addition, a "single-port AP system" was developed within the project that combines continuous glucose monitoring and insulin infusion at a single tissue site. By using such a combined device the patients not only have to carry one less device around, the number of access points through the skin is also reduced from 2 to 1. In summary, close cooperation of 12 European partners, both academic centers and industry, enabled the development and evaluation of AP systems under daily life conditions. The next step is to develop these into products in cooperation with commercial partners. PMID:26888971

  13. General view of the middeck looking aft and port. In ...

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

    General view of the mid-deck looking aft and port. In this view you can clearly see the crew access hatch and the airlock hatch. The hose and ladder in the image are pieces of ground support equipment. The hose is part of the climate control apparatus used while orbiters are being processed. The ladder is used to access the inter-deck passage, leading to the flight deck, while the orbiter is in 1g (earth's gravity). A careful observer will notice a void in the wall near the base of the access ladder, this is the Waste Management Compartment with the Waste Management System, i.e. Space Potty, removed. This view 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

  14. Closeup view from the starboard side looking towards the port ...

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

    Close-up view from the starboard side looking towards the port side of the Orbiter Discovery looking at the airlock and payload bay. The docking ring has been removed from the airlock prior to this photo being taken. Note that the Orbiter Boom Sensor System is still attached while the Remote Manipulator System has been removed. Also note the suspended protective panels and walkways in place to protect the interior surfaces of the payload bay doors while in their open position. This view was taken from a service platform 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

  15. Porting salinas to the windows platform.

    SciTech Connect

    Reese, Garth M.; Wilson, Christopher Riley

    2006-06-01

    The ASC program has enabled significant development of high end engineering applications on massively parallel machines. There is a great benefit in providing these applications on the desktop of the analysts and designers, at least insofar as the small models may be run on these platforms, thus providing a tool set that spans the application needs. This effort documents the work of porting Salinas to the WINDOWS{trademark} platform. Selection of the tools required to compile, link, test and run Salinas in this environment is discussed. Significant problems encountered along the way are listed along with an estimation of the overall cost of the port. This report may serve as a baseline for streamlining further porting activities with other ASC codes.

  16. Laser treatment of port-wine stains

    PubMed Central

    Brightman, Lori A; Geronemus, Roy G; Reddy, Kavitha K

    2015-01-01

    Port-wine stains are a type of capillary malformation affecting 0.3% to 0.5% of the population. Port-wine stains present at birth as pink to erythematous patches on the skin and/or mucosa. Without treatment, the patches typically darken with age and may eventually develop nodular thickening or associated pyogenic granuloma. Laser and light treatments provide improvement through selective destruction of vasculature. A variety of vascular-selective lasers may be employed, with the pulsed dye laser being the most common and well studied. Early treatment produces more optimal results. Advances in imaging and laser treatment technologies demonstrate potential to further improve clinical outcomes. PMID:25624768

  17. Air Traffic Forecasting at the Port Authority of New York and New Jersey

    NASA Technical Reports Server (NTRS)

    Augustine, J. G.

    1972-01-01

    Procedures for conducting air traffic forecasts with specific application to the Port Authority of New York and New Jersey are discussed. The procedure relates air travel growth to detailed socio-economic and demographic characteristics of the U.S. population rather than to aggregate economic data such as Gross National Product, personal income, and industrial production. Charts are presented to show the relationship between various selected characteristics and the use of air transportation facilities.

  18. Effectiveness of Home Study.

    ERIC Educational Resources Information Center

    Diehl, Grover E.; And Others

    Home study has enjoyed a slow but steady growth in popularity and acceptance. The growth of independent home study may be attributed to both the realities of the present educational environment and the consistently positive results of the home study method. At least one researcher has suggested that the initially slow growth of home study may have…

  19. Industrial-hygiene walk-through survey report of Synpol, Inc. , Subsidiary of Uniroyal, Inc. , Port Neches, Texas

    SciTech Connect

    Fajen, J.M.; Ungers, L.J.

    1986-02-26

    A walk-through survey at Synpol, Inc., Port Neches, Texas in August, 1985 was conducted. The purpose of the survey was to determine the feasibility of including the facility in an in-depth survey of 1,3-butadiene exposure. Bulk samples of styrene-butadiene rubber and emulsion butadiene rubber were analyzed for residual 1,3-butadiene.

  20. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry... United States. If NMFS determines that the diversity of handling practices at certain ports at which...

  1. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry... United States. If NMFS determines that the diversity of handling practices at certain ports at which...

  2. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry... United States. If NMFS determines that the diversity of handling practices at certain ports at which...

  3. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry... United States. If NMFS determines that the diversity of handling practices at certain ports at which...

  4. Port wine stain on a child's face (image)

    MedlinePlus

    Port wine stains are always present at birth. In an infant, they are flat, pink, vascular lesions. Common locations ... may be present anywhere on the body. Port wine stains may appear in association with other syndromes.

  5. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 1 2011-10-01 2011-10-01 false Border ports. 14.16 Section 14.16 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND PLANTS IMPORTATION, EXPORTATION, AND TRANSPORTATION...

  6. Sewage Disposal in Port Harcourt, Nigeria.

    ERIC Educational Resources Information Center

    Ayotamuno, M. J.

    1993-01-01

    This survey of the Port Harcourt, Nigeria, sewage disposal system exemplifies sewage disposal in the developing world. Results reveal that some well-constructed and maintained drains, as well as many open drains and septic tanks, expose women and children to the possibility of direct contact with parasitic organisms and threaten water resources.…

  7. Velopharyngeal Port Status during Classical Singing

    ERIC Educational Resources Information Center

    Tanner, Kristine; Roy, Nelson; Merrill, Ray M.; Power, David

    2005-01-01

    Purpose: This investigation was undertaken to examine the status of the velopharyngeal (VP) port during classical singing. Method: Using aeromechanical instrumentation, nasal airflow (mL/s), oral pressure (cm H[subscript 2]O), and VP orifice area estimates (cm[squared]) were studied in 10 classically trained sopranos during singing and speaking.…

  8. 46 CFR 28.555 - Freeing ports.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... times the overall length of the vessel. (e) For a bulwark more than 4 feet (1.22 meters) in height, the... the following formula: i= 0.04q, (i= .04q, for metric units), where: i=increase in freeing port area, in square feet (square meters); h=bulwark height, in feet (meters); and q=length of bulwark...

  9. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Openings in the Side of a Vessel Below the Bulkhead or Weather Deck §...

  10. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Openings in the Side of a Vessel Below the Bulkhead or Weather Deck §...

  11. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Openings in the Side of a Vessel Below the Bulkhead or Weather Deck §...

  12. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... possession of plants, plant products, plant pests, soil, or other products or articles subject to this part... Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as may be named in permits or... the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT...

  13. NASA White Sands Test Facility Remote Hypervelocity Test Laboratory

    NASA Video Gallery

    Tour the NASA White Sands Test Facility's Remote Hypervelocity Test Laboratory in Las Cruces, New Mexico. To learn more about White Sands Test Facility, go to http://www.nasa.gov/centers/wstf/home/...

  14. Factors influencing the recommendation of nursing homes.

    PubMed

    Becker, B W; Kaldenberg, D O

    2000-01-01

    This article reviews and compares the perceptions of nursing homes by residents and their proxies (family, friends, etc.) and reports that residents tended to give higher ratings to services than do their proxies. The analysis attempts to determine why residents give higher marks, which group the facility should look to for feedback, and whether the ratings will help organize the strengths and weaknesses in the facility to produce positive word of mouth within the community. PMID:11209476

  15. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  16. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 2 2013-04-01 2013-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  17. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  18. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  19. 33 CFR 161.70 - Vessel Traffic Service Port Arthur.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Vessel Traffic Service Port... SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY VESSEL TRAFFIC MANAGEMENT Vessel Traffic Service and Vessel Movement Reporting System Areas and Reporting Points § 161.70 Vessel Traffic Service Port Arthur. (a)...

  20. 33 CFR 110.186 - Port Everglades, Florida.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Port Everglades, Florida. 110.186... ANCHORAGE REGULATIONS Anchorage Grounds § 110.186 Port Everglades, Florida. (a) The anchorage grounds. The... entrance to Port Everglades, is an area bounded by a line connecting points with the following...

  1. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  2. 46 CFR 67.119 - Hailing port designation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Hailing port designation. 67.119 Section 67.119 Shipping... DOCUMENTATION OF VESSELS Assignments and Designations Required for Vessel Documentation § 67.119 Hailing port... part, the owner of a vessel must designate a hailing port to be marked upon the vessel. (b) The...

  3. 27 CFR 28.262 - Delay in lading at port.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Delay in lading at port..., DEPARTMENT OF THE TREASURY LIQUORS EXPORTATION OF ALCOHOL Proceedings at Ports of Export § 28.262 Delay in lading at port. If, on arrival of a shipment withdrawn for export without payment of tax or free of...

  4. 46 CFR Sec. 6 - Disbursements at other domestic ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Disbursements at other domestic ports. Sec. 6 Section 6 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY PROCEDURAL... domestic ports. Disbursements at domestic ports other than the principal office of the agent for...

  5. 19 CFR 4.67 - Closed ports or places.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Closed ports or places. 4.67 Section 4.67 Customs... VESSELS IN FOREIGN AND DOMESTIC TRADES Foreign Clearances § 4.67 Closed ports or places. No foreign vessel shall be granted a clearance or permit to proceed to any port or place from which such vessels...

  6. 9 CFR 93.703 - Ports designated for importation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Ports designated for importation. 93...; REQUIREMENTS FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Miscellaneous Animals § 93.703 Ports designated..., except as provided in paragraph (b) of this section, only through the following ports: (1) Air and...

  7. 19 CFR 18.12 - Entry at port of destination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Entry at port of destination. 18.12 Section 18.12... § 18.12 Entry at port of destination. (a) Merchandise received under an immediate transportation... merchandise entered at a port of first arrival if not more than 6 months have elapsed from the date...

  8. 19 CFR 4.35 - Unlading outside port of entry.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Unlading outside port of entry. 4.35 Section 4.35... TREASURY VESSELS IN FOREIGN AND DOMESTIC TRADES Landing and Delivery of Cargo § 4.35 Unlading outside port of entry. (a) Upon written application from the interested party, the port director concerned, if...

  9. Experiences in porting NASTRAN (R) to non-traditional platforms

    NASA Technical Reports Server (NTRS)

    Davis, Gregory L.; Norton, Robert L.

    1991-01-01

    The 1990 UNIX version of NASTRAN was ported to two new platforms that are not supported by COSMIC: the Sun SPARC workstation and the Apple Macintosh using the A/UX version of UNIX. The experiences of the authers in porting NASTRAN is summarized here. Suggestions for users who might attempt similar ports are given.

  10. 19 CFR 12.5 - Shipment to other ports.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Dangerous Caustic Or Corrosive Substances § 12.5 Shipment to other ports. When imported merchandise, the subject of § 12.1, is shipped to another port for reconditioning or exportation, such shipment shall be... 19 Customs Duties 1 2010-04-01 2010-04-01 false Shipment to other ports. 12.5 Section 12.5...

  11. 19 CFR 146.2 - Port director as Board representative.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Port director as Board representative. 146.2...; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.2 Port director as Board representative. The appropriate port director shall be in charge of the zone as the representative of the Board....

  12. 75 FR 51243 - Trade Mission to the Port of Veracruz

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ... the port; --Digital signature systems; --Equipment for refrigerated warehouses; --Machinery/equipment... International Trade Administration Trade Mission to the Port of Veracruz AGENCY: International Trade... executive-led trade mission to the Port of Veracruz, Mexico, for December 6-9, 2010. This mission...

  13. 19 CFR 122.92 - Procedure at port of origin.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Procedure at port of origin. 122.92 Section 122.92... port of origin. (a) Forms required—(1) Customs Form 7512 or other document. Customs Form 7512 or other... Customs at the port of origin for merchandise for immediate transportation without appraisement....

  14. Medicaid Spenddown among Nursing Home Residents in Wisconsin.

    ERIC Educational Resources Information Center

    Arling, Greg; And Others

    1991-01-01

    Examined Medicaid spenddown among nursing home residents from 72 Wisconsin facilities. Found only small proportion of discharges had spent down to Medicaid eligibility, but this group's long stays contributed heavily to nursing home days. Estimated over 40 percent of those who spent down did so within six months, 58 percent within a year, and 76…

  15. 32 CFR 728.76 - Naval Home residents.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false Naval Home residents. 728.76 Section 728.76... FOR ELIGIBLE PERSONS AT NAVY MEDICAL DEPARTMENT FACILITIES Other Persons § 728.76 Naval Home residents. Provide necessary medical and dental care, both inpatient and outpatient, to residents of the Naval...

  16. 32 CFR 728.76 - Naval Home residents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Naval Home residents. 728.76 Section 728.76... FOR ELIGIBLE PERSONS AT NAVY MEDICAL DEPARTMENT FACILITIES Other Persons § 728.76 Naval Home residents. Provide necessary medical and dental care, both inpatient and outpatient, to residents of the Naval...

  17. Home care workers: injury prevention through risk factor reduction.

    PubMed

    Jarrell, R B

    1997-01-01

    Home health care professionals work in a nonstandard and unpredictable environment for which few controls are available. The professional must cope with a residence's existing access, cleanliness, facilities, and other occupants (including pets), among other factors, and these vary between homes. This chapter suggests interventions that can reduce risks to employees, patients, and family members. PMID:9353822

  18. Measuring End-of-Life Care Processes in Nursing Homes

    ERIC Educational Resources Information Center

    Temkin-Greener, Helena; Zheng, Nan; Norton, Sally A.; Quill, Timothy; Ladwig, Susan; Veazie, Peter

    2009-01-01

    Purpose: The objectives of this study were to develop measures of end-of-life (EOL) care processes in nursing homes and to validate the instrument for measuring them. Design and Methods: A survey of directors of nursing was conducted in 608 eligible nursing homes in New York State. Responses were obtained from 313 (51.5% response rate) facilities.…

  19. 32 CFR 728.76 - Naval Home residents.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false Naval Home residents. 728.76 Section 728.76... FOR ELIGIBLE PERSONS AT NAVY MEDICAL DEPARTMENT FACILITIES Other Persons § 728.76 Naval Home residents. Provide necessary medical and dental care, both inpatient and outpatient, to residents of the Naval...

  20. 77 FR 64386 - Agency Information Collection Activities (Per Diem for Nursing Home Care of Veterans in State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... AFFAIRS Agency Information Collection Activities (Per Diem for Nursing Home Care of Veterans in State Homes; Per Diem for Adult Day Care of Veterans in State Homes) Under OMB Review AGENCY: Veterans Health... day health services care to Veterans. VA requires facilities providing nursing home and adult...

  1. Commercial Fishing Port Development in North Florida. [Escambia, Bay, Gulf, Franklin, Wakulla, Nassau, and Duval Counties

    NASA Technical Reports Server (NTRS)

    Mathis, K. (Principal Investigator); Cato, J. C.; Degner, P. D.; Landrum, P. D.; Prochaska, F. J.

    1978-01-01

    The author has identified the following significant results. Seven major counties were examined: Escambia, Bay, Gulf, Franklin, Wakulla, Nassau, and Duval. Population and economic activity were reviewed, along with commercial fishing and port facilities. Recommendations for five northwest Florida counties were based on interpretation of aerial photographs, satellite imagery, an aerial survey site visit, and published data. Major needs in Pensacola included docking, ice supply, and net and engine repair services. Costs for additional docks, an ice plant, and gear storage were estimated at $3,658,600. Port users in Panama City identified additional docking and gear storage as primary needs, along with gear repair and a marine railway. Estimated costs for dock and gear storage were $2,860,000. Added docking, gear storage, and ice supply, as well as gear electronics and diesel repair were needed in Port St. Joe. Costs were calculated at $1,231,500. Franklin County has three ports (Apalachicola - $1,107,000 for docks and gear storage, Eastpoint - $420,000 for additional docks, and Carrabella - $2,824,100 for docks, gear storage, and ice plant).

  2. Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model

    PubMed Central

    Poudel, Saseem; Kurashima, Yo; Shichinohe, Toshiaki; Kitashiro, Shuji; Kanehira, Eiji; Hirano, Satoshi

    2016-01-01

    BACKGROUND: The use of various biological and non-biological simulators is playing an important role in training modern surgeons with laparoscopic skills. However, there have been few reports of the use of a fresh porcine cadaver model for training in laparoscopic surgical skills. The purpose of this study was to report on a surgical training seminar on reduced port surgery using a fresh cadaver porcine model and to assess its feasibility and efficacy. MATERIALS AND METHODS: The hands-on seminar had 10 fresh porcine cadaver models and two dry boxes. Each table was provided with a unique access port and devices used in reduced port surgery. Each group of 2 surgeons spent 30 min at each station, performing different tasks assisted by the instructor. The questionnaire survey was done immediately after the seminar and 8 months after the seminar. RESULTS: All the tasks were completed as planned. Both instructors and participants were highly satisfied with the seminar. There was a concern about the time allocated for the seminar. In the post-seminar survey, the participants felt that the number of reduced port surgeries performed by them had increased. CONCLUSION: The fresh cadaver porcine model requires no special animal facility and can be used for training in laparoscopic procedures. PMID:27279391

  3. A framework for assessing relative risks associated with multiple stressors in Port Valdez, Alaska

    SciTech Connect

    Wiegers, J.K.; Landis, W.G.; Mortensen, L.S.; Wilson, V.J.

    1995-12-31

    The purpose of this assessment is to develop a versatile process that will provide a mechanism for evaluating both present and future risks to this environment. Much of the regulatory and environmental interest in the port has centered around a Ballast Water Treatment facility that treats and discharges up to 30 mgd of oily ballast water brought in by crude oil tankers. However, six point discharges and other potential sources of pollution exist in the area. The authors have delineated eleven subareas in the port in order to identify the potential anthropogenic stressors, as well as the receptors that could be exposed to these stressors. Potential effects were then characterized for each exposure. Each component is ranked and integrated, resulting in a relative risk estimate in each subarea. Both the discernible risks, based on available data, and the data gaps are presented. Uncertainty is expressed as a range of high and low risk associated with each component. Results of the ranking indicate that hydrocarbons released through discharges, contaminated runoff and spills pose the most discernible risk to sediment quality and wildlife in the port. Undetermined, but potentially severe, risks to all ecological components include possible future oil spills, shoreline development, and the introduction of nonindigenous species. The final assessment provides a tool for current and future ecological monitoring efforts in the Port Valdez area.

  4. The Challenges Of Investigating And Remediating Port Hope's Small-Scale Urban Properties - 13115

    SciTech Connect

    Veen, Walter van; Case, Glenn; Benson, John; Herod, Judy; Yule, Adam

    2013-07-01

    An important component of the Port Hope Project, the larger of the two projects comprising the Port Hope Area Initiative (PHAI), is the investigation of all 4,800 properties in the Municipality of Port Hope for low level radioactive waste (LLRW) and the remediation of approximately 10% of these. Although the majority of the individual properties are not expected to involve technically sophisticated remediation programs, the large number of property owners and individually unique properties are expected to present significant logistic challenges that will require a high degree of planning, organization and communication. The protocol and lessons learned described will be of interest to those considering similar programs. Information presented herein is part of a series of papers presented by the PHAI Management Office (PHAI MO) at WM Symposium '13 describing the history of the Port Hope Project and current project status. Other papers prepared for WM Symposium '13 address the large-scale site cleanup and the construction of the long-term waste management facility (LTWMF) where all of the LLRW will be consolidated and managed within an engineered, above-ground mound. (authors)

  5. Home Energy Assessments

    SciTech Connect

    Dispenza, Jason

    2010-01-01

    A home energy assessment, also known as a home energy audit, is the first step to assess how much energy your home consumes and to evaluate what measures you can take to make your home more energy efficient. An assessment will show you problems that may, when corrected, save you significant amounts of money over time. This video shows some of the ways that a contractor may test your home during an assessment, and helps you understand how an assessment can help you move toward energy savings. Find out more at: http://www.energysavers.gov/your_home/energy_audits/index.cfm/mytopic=11160

  6. Home Energy Assessments

    ScienceCinema

    Dispenza, Jason

    2013-05-29

    A home energy assessment, also known as a home energy audit, is the first step to assess how much energy your home consumes and to evaluate what measures you can take to make your home more energy efficient. An assessment will show you problems that may, when corrected, save you significant amounts of money over time. This video shows some of the ways that a contractor may test your home during an assessment, and helps you understand how an assessment can help you move toward energy savings. Find out more at: http://www.energysavers.gov/your_home/energy_audits/index.cfm/mytopic=11160

  7. Home Away from Home: Acclimatization of Filipino Elderly from Being Home to a Sense of Being "at Home" in an Elderly Institution

    ERIC Educational Resources Information Center

    de Guzman, Allan B.; Guevara, Katrina Illyana J.; Guiang, Frances Jane B.; Gutierez, Anton Lorenzo I.; Habaluyas, Alayne S.; Hizon, Marc Alison P.; Idanan, Shalaine G.

    2012-01-01

    This grounded study examined the process of acclimatization or the process of changing perspectives of a person so as to get used to or feel "at home" among a select group of Filipino elderly in a nursing care facility. As institutionalization of the elderly is not typical in the Philippine context, varied responses were analyzed to understand the…

  8. Measuring Staff Turnover in Nursing Homes

    ERIC Educational Resources Information Center

    Castle, Nicholas G.

    2006-01-01

    Purpose: In this study the levels of staff turnover reported in the nursing home literature (1990-2003) are reviewed, as well as the definitions of turnover used in these prior studies. With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depending on how staff turnover is defined…

  9. 19 CFR 4.89 - Vessels in foreign trade proceeding via domestic ports and touching at intermediate foreign ports.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Vessels in foreign trade proceeding via domestic ports and touching at intermediate foreign ports. 4.89 Section 4.89 Customs Duties U.S. CUSTOMS AND... DOMESTIC TRADES Coastwise Procedure § 4.89 Vessels in foreign trade proceeding via domestic ports...

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

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Vessels in foreign trade proceeding via domestic ports and touching at intermediate foreign ports. 4.89 Section 4.89 Customs Duties U.S. CUSTOMS AND... DOMESTIC TRADES Coastwise Procedure § 4.89 Vessels in foreign trade proceeding via domestic ports...

  11. 19 CFR 4.89 - Vessels in foreign trade proceeding via domestic ports and touching at intermediate foreign ports.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Vessels in foreign trade proceeding via domestic ports and touching at intermediate foreign ports. 4.89 Section 4.89 Customs Duties U.S. CUSTOMS AND... DOMESTIC TRADES Coastwise Procedure § 4.89 Vessels in foreign trade proceeding via domestic ports...

  12. 78 FR 42587 - Deepwater Port License: Amendment of the Neptune LNG LLC Deepwater Port License and Temporary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... Maritime Administration Deepwater Port License: Amendment of the Neptune LNG LLC Deepwater Port License and Temporary Suspension of Operations at the Neptune LNG Deepwater Port AGENCY: Maritime Administration... Administration (MarAd) provides public notice of its decision to approve the request of Neptune LNG LLC...

  13. Catheter salvage in home infusion patients with central line-associated bloodstream infection.

    PubMed

    Caroff, Daniel A; Norris, Anne H; Keller, Sara; Vinnard, Christopher; Zeitler, Kristen E; Lukaszewicz, Jennifer; Zborowski, Kristine A; Linkin, Darren R

    2014-12-01

    In a retrospective study of home infusion patients with central line-associated bloodstream infection, use of a central venous port, cancer diagnosis, and absence of systemic inflammatory response syndrome were associated with use of catheter salvage. Relapse of infection was uncommon. PMID:25465266

  14. [Home and dwelling arrangements in old age].

    PubMed

    Dapp, Ulrike; von Renteln-Kruse, Wolfgang

    2015-10-01

    The increase of life expectancy provides the unique opportunity to participate actively in social life many years after retirement and upbringing of children. In Germany, over 80 % of the population 60 years and older are living independently in the community, and approximately 95 % stay in their own homes. On the other hand, the probability to suffer from diseases, frailty and impaired activities of daily life activities also rises with higher age. However, only on rare occasions older people in need of nursing care do like to give up their home voluntarily. Next to innovative forms of dwelling, home replacement, technical aids and us of information and communication technology (ICT), efforts to strengthen the older persons' independence of maintaining mobility in their home environment (life space) is emphasised in this article. The particular focus is on the use of preventative strategies and to support geriatric network facilities. PMID:26445251

  15. Low Back Pain in Port Machinery Operators

    NASA Astrophysics Data System (ADS)

    BOVENZI, M.; PINTO, I.; STACCHINI, N.

    2002-05-01

    The occurrence of several types of low back pain (LBP) was investigated by a standardized questionnaire in a group of 219 port machinery operators exposed to whole-body vibration (WBV) and postural load and in a control group of 85 maintenance workers employed at the same transport company. The group of port machinery operators included 85 straddle carrier drivers, 88 fork-lift truck drivers, and 46 crane operators. The vector sum of the frequency-weighted r.m.s. acceleration of vibration measured on the seatpan of port vehicles and machines averaged 0·90 m/s2 for fork-lift trucks, 0·48 m/s2 for straddle carriers, 0·53 m/s2 for mobile cranes, and 0·22 m/s2 for overhead cranes. The 12-month prevalence of low back symptoms (LBP, sciatic pain, treated LBP, sick leave due to LBP) was significantly greater in the fork-lift truck drivers than in the controls and the other two groups of port machinery operators. After adjusting for potential confounders, the prevalence of low back symptoms was found to increase with the increase of WBV exposure expressed as duration of exposure (driving years), equivalent vibration magnitude (m/s2), or cumulative vibration exposure (yr m2/s4). An excess risk for lumbar disc herniation was observed in the port machinery operators with prolonged driving experience. In both the controls and the port machinery operators, low back complaints were strongly associated with perceived postural load assessed in terms of frequency and/or duration of awkward postures at work. Multivariate analysis showed that vibration exposure and postural load were independent predictors of LBP. Even though the cross-sectional design of the present study does not permit firm conclusions on the relationship between WBV exposure and low back disorders, the findings of this investigation provide additional epidemiological evidence that seated WBV exposure combined with non-neutral trunk postures, as while driving, is associated with an increased risk of long

  16. 75 FR 25310 - Port Harbor Railroad, Inc.-Lease and Operation Exemption-Line of Tri-City Regional Port District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... Surface Transportation Board Port Harbor Railroad, Inc.--Lease and Operation Exemption--Line of Tri-City Regional Port District Port Harbor Railroad, Inc. (Port Harbor), a noncarrier, has filed a verified notice of exemption under 49 CFR 1150.31 to lease from Tri- City Regional Port District (Tri-City), and...

  17. Tsunami Run-up Heights at Imwon Port, Korea

    NASA Astrophysics Data System (ADS)

    Cho, Yong-Sik; Cho, Jeong-Seon

    2015-04-01

    Tsunami Run-up Heights at Imwon Port, Korea Yong-Sik Cho and Jeong-Seon Cho Department of Civil and Environmental Engineering, Hanyang University 222 Wangsimni-ro, Seongdong-gu, Seoul 133-791, Korea. The Eastern Coast of the Korean Peninsula has been attacked frequently by a number of tsunamis causing severe damages during this century. Among them, 1983 Central East Sea and 1993 Hokkaido Tsunami events were recorded as the most devastating events in Korea. More recently, the Great East Japan Tsunami had also attacked the Korean Peninsula. The Eastern Coast of the Korean Peninsula is the terminal place where tsunamis climb up inland after it generated along the western coast of Japan. The central part of the coast, in special, is worried as a tsunami danger zone because much tsunami energy is concentrated on by a topographic condition of this region. Recently, several coastal facilities including harbors and breakwaters are built and operated along the Eastern Coast of the Korean Peninsula. Furthermore, several nuclear power plants are already operating and several more units are now under construction. Residents who lived alongside the coast want free from unexpected danger, so the tsunami hazard mitigation becomes an important issue of coastal problems in Korea. Through the historical tsunami events, the Imwon Port is known as the place where most severe damage occurred, especially in 1983. An effective and economic way for the tsunami hazard mitigation planning is to construct inundation maps along the coast vulnerable to tsunami flooding. These maps should be built based on the historical tsunami events and the projected scenarios. For this purpose, an accurate estimation of tsunami run-up height and inundation process through the numerical model is needed. As a first step to tsunami mitigation program, the maximum run-up heights at the Imwon Port are computed and compared with field observed data. For this, tsunami run-up heights in this region were filed

  18. Detecting and Characterizing Semantic Inconsistencies in Ported Code

    NASA Technical Reports Server (NTRS)

    Ray, Baishakhi; Kim, Miryung; Person, Suzette J.; Rungta, Neha

    2013-01-01

    Adding similar features and bug fixes often requires porting program patches from reference implementations and adapting them to target implementations. Porting errors may result from faulty adaptations or inconsistent updates. This paper investigates (I) the types of porting errors found in practice, and (2) how to detect and characterize potential porting errors. Analyzing version histories, we define five categories of porting errors, including incorrect control- and data-flow, code redundancy, inconsistent identifier renamings, etc. Leveraging this categorization, we design a static control- and data-dependence analysis technique, SPA, to detect and characterize porting inconsistencies. Our evaluation on code from four open-source projects shows thai SPA can dell-oct porting inconsistencies with 65% to 73% precision and 90% recall, and identify inconsistency types with 58% to 63% precision and 92% to 100% recall. In a comparison with two existing error detection tools, SPA improves precision by 14 to 17 percentage points

  19. Scavenging a Piston-ported Two-stroke Cylinder

    NASA Technical Reports Server (NTRS)

    Rogowski, A R; Bouchard, C L

    1938-01-01

    An investigation was made with a specially designed engine to determine the scavenging characteristics of a large number of inlet-port shapes and arrangements and the optimum port arrangement and timing for this particular type of engine. A special cylinder construction permitted wide variations in timing for this particular type of engine. A special cylinder construction permitted wide variations in timing as well as in shape and arrangement of both the inlet and exhaust ports. The study of the effect of port shape combinations and timings on engine performance was made using illuminating gas as a fuel. Through variations in inlet-port arrangement and port timings, the value of the scavenging efficiency was increased from an original 44 percent to approximately 67 percent with a corresponding increase in power. With the optimum port arrangement and timing determined, a large number of performance runs were made under both spark-ignition and compression-ignition operation.

  20. Detecting and Characterizing Semantic Inconsistencies in Ported Code

    NASA Technical Reports Server (NTRS)

    Ray, Baishakhi; Kim, Miryung; Person,Suzette; Rungta, Neha

    2013-01-01

    Adding similar features and bug fixes often requires porting program patches from reference implementations and adapting them to target implementations. Porting errors may result from faulty adaptations or inconsistent updates. This paper investigates (1) the types of porting errors found in practice, and (2) how to detect and characterize potential porting errors. Analyzing version histories, we define five categories of porting errors, including incorrect control- and data-flow, code redundancy, inconsistent identifier renamings, etc. Leveraging this categorization, we design a static control- and data-dependence analysis technique, SPA, to detect and characterize porting inconsistencies. Our evaluation on code from four open-source projects shows that SPA can detect porting inconsistencies with 65% to 73% precision and 90% recall, and identify inconsistency types with 58% to 63% precision and 92% to 100% recall. In a comparison with two existing error detection tools, SPA improves precision by 14 to 17 percentage points.

  1. Alternatives to Nursing Homes

    MedlinePlus

    ... this website may not be available. Alternatives to nursing homes Before you make any decisions about long ... live and what help you may need. A nursing home may not be your only choice. Discharge ...

  2. Home health care

    MedlinePlus

    ... and exercises, wound care, and daily living. Home health care nurses can help manage problems with your wound, ... Centers for Medicare and Medicaid Services. Home health care: what it is and what to expect. ... ...

  3. Home Care Services

    MedlinePlus

    ... are chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with bathing, ... insurance will help cover the cost of certain home care services.

  4. Using oxygen at home

    MedlinePlus

    ... DO NOT use oil-based products, such as petroleum jelly (Vaseline). Ask your oxygen equipment provider about ... oxygen; Hypoxia - home oxygen; Hospice - home oxygen References American Thoracic Society. Why do I need oxygen therapy? ...

  5. Home Improvements Prevent Falls

    MedlinePlus

    ... on. Feature: Falls and Older Adults Home Improvements Prevent Falls Past Issues / Winter 2014 Table of Contents ... or home modification programs to help older people prevent falls. Check with your local health department, senior ...

  6. Falls in Nursing Homes

    MedlinePlus

    ... for health care providers. Learn More Falls in Nursing Homes Recommend on Facebook Tweet Share Compartir On ... 5 Why do falls occur more often in nursing homes? Falling can be a sign of other ...

  7. Home assessment and care.

    PubMed Central

    Ferrier, C.; Lysy, P.

    2000-01-01

    OBJECTIVE: To describe the scope of home care and to give practical advice for incorporating home visits into family practice. QUALITY OF EVIDENCE: Most of the literature is based on expert opinion, but there are some randomized trials and well done surveys. MAIN MESSAGE: Although physicians make fewer housecalls than they used to, home visiting is essential to providing good care to certain patients. An approach to evaluating patients and their home environments is presented. Management plans should be formulated in collaboration with home care teams. We offer practical advice for incorporating home visits into practice. CONCLUSION: Home visits can be a valuable and rewarding complement to family practice and are essential for the development of home care. PMID:11072585

  8. Nursing homes: The new frontier.

    PubMed

    Davis, Jane; Zuber, Kim

    2015-09-01

    As the population continues to age, we will see a larger percentage of end-stage CKD patients in nursing homes, both skilled and long-term facilities. This is a fragile population and will take buy-in from all practitioners to care for them. Even with the dietitian to manage a complicated and detailed menu, the social worker to manage the transportation and multiple issues with equipment, the therapy staff to protect against loss of ADLs, the recreational therapist to protect against loss of cognitive function and the medical staff (APs, nursing, physicians), this population will continue to present both challenges and opportunities. PMID:26521633

  9. Single port laparoscopic liver surgery: A minireview

    PubMed Central

    Karabicak, Ilhan; Karabulut, Kagan

    2016-01-01

    Nowadays, the trend is to perform surgeries with “scarless” incisions. In light of this, the single-port laparoscopic surgery (SPLS) technique is rapidly becoming widespread due to its lack of invasiveness and its cosmetic advantages, as the only entry point is usually hidden in the umbilicus. The interest in “scarless” liver resections did not grow as rapidly as the interest in other scarless surgeries. Hepatopancreatobiliary surgeons are reluctant to operate a malignant lesion through a narrow incision with limited exposure. There are concerns over adverse oncological outcomes for single-port laparoscopic liver resections (SPL-LR) for hepatocellular carcinoma or metastatic colorectal cancer. In addition, getting familiar with using the operating instruments through a narrow incision with limited exposure is very challenging. In this article, we reviewed the published literature to describe history, indications, contraindications, ideal patients for new beginners, technical difficulty, advantages, disadvantages, oncological concern and the future of SPL-LR. PMID:27358670

  10. Tsunami response system for ports in Korea

    NASA Astrophysics Data System (ADS)

    Cho, H.-R.; Cho, J.-S.; Cho, Y.-S.

    2015-03-01

    The tsunamis that have occurred in many places around the world over the past decade have taken a heavy toll on human lives and property. The eastern coast of the Korean Peninsula is not safe from tsunamis, particularly the eastern coastal areas, which have long sustained tsunami damage. The aim of this study was to mitigate the casualties and property damage on the east eastern coast by developing a proper tsunami response system for important ports and harbors with high population densities and high concentrations of key national industries. For study purposes, the government-managed major international trade ports and coastal harbors were selected and an effective tsunami response system was formulated based on field surveys and related literature.

  11. 38 CFR 17.192 - Approval of annexes and new facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., or relocation of a recognized home which is not on the same or contiguous grounds on which the parent facility is located. When a recognized State home establishes hospital care facilities which have not been... AFFAIRS MEDICAL Aid to States for Care of Veterans in State Homes § 17.192 Approval of annexes and...

  12. Laser Treatment of Port Wine Stains

    NASA Astrophysics Data System (ADS)

    Majaron, Boris; Nelson, J. Stuart

    Port wine stain (PWS), also called nevus flammeus, is a congenital, cutaneous vascular malformation involving post-capillary venules which produce a light pink to red to dark-red-violet discoloration of human skin [1]. PWS occurs in an estimated 3 children per 1000 live births, affecting males and females and all racial groups equally [2]. There appears to be no hereditary predilection for PWS within families. There are no known risk factors or ways to prevent PWS.

  13. 3D visualization of port simulation.

    SciTech Connect

    Horsthemke, W. H.; Macal, C. M.; Nevins, M. R.

    1999-06-14

    Affordable and realistic three dimensional visualization technology can be applied to large scale constructive simulations such as the port simulation model, PORTSIM. These visualization tools enhance the experienced planner's ability to form mental models of how seaport operations will unfold when the simulation model is implemented and executed. They also offer unique opportunities to train new planners not only in the use of the simulation model but on the layout and design of seaports. Simulation visualization capabilities are enhanced by borrowing from work on interface design, camera control, and data presentation. Using selective fidelity, the designers of these visualization systems can reduce their time and efforts by concentrating on those features which yield the most value for their simulation. Offering the user various observational tools allows the freedom to simply watch or engage in the simulation without getting lost. Identifying the underlying infrastructure or cargo items with labels can provide useful information at the risk of some visual clutter. The PortVis visualization expands the PORTSIM user base which can benefit from the results provided by this capability, especially in strategic planning, mission rehearsal, and training. Strategic planners will immediately reap the benefits of seeing the impact of increased throughput visually without keeping track of statistical data. Mission rehearsal and training users will have an effective training tool to supplement their operational training exercises which are limited in number because of their high costs. Having another effective training modality in this visualization system allows more training to take place and more personnel to gain an understanding of seaport operations. This simulation and visualization training can be accomplished at lower cost than would be possible for the operational training exercises alone. The application of PORTSIM and PortVis will lead to more efficient

  14. [Implantable venous access ports, nursing practices].

    PubMed

    Ourliac, Maryse; Dijols-Lécuyer, Isabelle

    2016-05-01

    Following the publication of national recommendations regarding the handling of implantable venous access ports, an observation audit was carried out in a hospital in 2013. This enabled an assessment of the existing system to be performed, current practices to be compared with the hospital's protocol and adapted corrective measures to be put in place. A further audit carried out in 2015 was particularly encouraging. PMID:27157553

  15. What Is Home Schooling?

    ERIC Educational Resources Information Center

    Ohio State Legislative Office of Education Oversight, Columbus.

    The Ohio Department of Education estimates that 15,000 children were being home-schooled in Ohio, based on a 1991 survey of school superintendents. This document presents an overview of home schooling and describes the nature and extent of home schooling in Ohio. Data are based on a review of literature, information received from national and…

  16. Home Schooling Goes Mainstream

    ERIC Educational Resources Information Center

    Gaither, Milton

    2009-01-01

    This article reports that while home schooling may have particular appeal to celebrities, over the last decade families of all kinds have embraced the practice for widely varying reasons: no longer is home schooling exclusive to Christian fundamentalism and the countercultural Left. Along with growing acceptance of home schooling nationally has…

  17. Healthy Homes Tools

    ERIC Educational Resources Information Center

    Peek, Gina; Lyon, Melinda; Russ, Randall

    2012-01-01

    Extension is focusing on healthy homes programming. Extension educators are not qualified to diagnose consumers' medical problems as they relate to housing. We cannot give medical advice. Instead, we can help educate consumers about home conditions that may affect their well-being. Extension educators need appropriate healthy homes tools to…

  18. Home Energy Savers' Workbook.

    ERIC Educational Resources Information Center

    Federal Energy Administration, Washington, DC.

    This workbook is intended as a guide for the homeowner in taking steps to reduce home energy costs. It allows the homeowner to identify procedures applicable to his/her home and then implement those procedures most cost-effective for the particular situation. It provides methods for estimating savings in home heating and cooling costs by taking…

  19. Home Schooling, What's That?

    ERIC Educational Resources Information Center

    Preiss, Jane S.

    Home schooling, the educational alternative in which parents (or guardians) assume the primary responsibility for the education of their children, when responsibly done, is legally protected by the United States Constitution; however, home educators face a conglomeration of regulations, statutes, and laws. Home schools are regulated by individual…

  20. School@Home.

    ERIC Educational Resources Information Center

    Hammons, Christopher W.

    2001-01-01

    Describes home schooling movement and argues home schooling is viable alternative to public education system. Discusses increase in home-schooled students applying to college, taking and performing well on college entrance exams (ACT and SAT), engaging in extracurricular activities, and succeeding in college. Addresses and refutes criticisms of…

  1. Schooling at Home.

    ERIC Educational Resources Information Center

    Long, Joyce Fleck

    2001-01-01

    Presents one family's experience with home schooling, explaining that no two home schools are alike, which is both a strength and a weakness of the movement. The paper discusses the parent's educational philosophy and the family's personal curriculum and pedagogical choices. It concludes by examining the growing trend in home schooling. (SM)

  2. Single Parent Adoptive Homes.

    ERIC Educational Resources Information Center

    Shireman, Joan F.

    1996-01-01

    Reviews research and reports on a longitudinal study of 15 single-parent adoptive homes over a 14-year period that demonstrated that these homes have the capacity to be successful adoptive placements. Identifies unique characteristics of single-parent adoptive homes, and notes the need for additional research to identify children for whom these…

  3. [Utility of Smartphone in Home Care Medicine - First Trial].

    PubMed

    Takeshige, Toshiyuki; Hirano, Chiho; Nakagawa, Midori; Yoshioka, Rentaro

    2015-12-01

    The use of video calls for home care can reduce anxiety and offer patients peace of mind. The most suitable terminals at facilities to support home care have been iPad Air and iPhone with FaceTime software. However, usage has been limited to specific terminals. In order to eliminate the need for special terminals and software, we have developed a program that has been customized to meet the needs of facilities using Web Real Time Communication(WebRTC)in cooperation with the University of Aizu. With this software, video calls can accommodate the large number of home care patients. PMID:26809398

  4. Underwater Calibration of Dome Port Pressure Housings

    NASA Astrophysics Data System (ADS)

    Nocerino, E.; Menna, F.; Fassi, F.; Remondino, F.

    2016-03-01

    Underwater photogrammetry using consumer grade photographic equipment can be feasible for different applications, e.g. archaeology, biology, industrial inspections, etc. The use of a camera underwater can be very different from its terrestrial use due to the optical phenomena involved. The presence of the water and camera pressure housing in front of the camera act as additional optical elements. Spherical dome ports are difficult to manufacture and consequently expensive but at the same time they are the most useful for underwater photogrammetry as they keep the main geometric characteristics of the lens unchanged. Nevertheless, the manufacturing and alignment of dome port pressure housing components can be the source of unexpected changes of radial and decentring distortion, source of systematic errors that can influence the final 3D measurements. The paper provides a brief introduction of underwater optical phenomena involved in underwater photography, then presents the main differences between flat and dome ports to finally discuss the effect of manufacturing on 3D measurements in two case studies.

  5. 78 FR 21262 - Grants to States for Construction or Acquisition of State Homes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... AFFAIRS 38 CFR Part 59 RIN 2900-AO60 Grants to States for Construction or Acquisition of State Homes... VA grants for the construction or acquisition of State home facilities that furnish domiciliary... Construction or Acquisition of State Homes.'' Copies of comments received will be available for...

  6. 76 FR 16354 - Per Diem Payments for the Care Provided to Eligible Veterans Evacuated From a State Home as a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... veteran receiving nursing home care, domiciliary care, and adult day health care in State home facilities... adult day health care facility are evacuated due to an emergency. The standards and procedures are similar, but because adult day health care facilities are non- residential, the rules can be...

  7. Dual-port laparoscopic abdominoperineal resection using the intended stoma site as the multichannel port.

    PubMed

    Ishikawa, Takahisa; Homma, Shigenori; Shibasaki, Susumu; Yoshida, Tadashi; Minagawa, Nozomi; Kawamura, Hideki; Takahashi, Norihiko; Taketomi, Akinobu

    2015-12-01

    We describe a novel minimally invasive procedure: dual-port laparoscopic abdominoperineal resection using a SILS port, and report our experience of using this to treat ten patients with lower rectal cancer. A SILS port was placed in the left lower quadrant at the intended colostomy site. A 5-mm trocar was inserted at the umbilicus at the subsequent drain site. Via a standard laparoscopic medial-to-lateral approach, the inferior mesenteric artery and vein were ligated and total mesorectal excision was performed. Via a perineal approach, the specimen was retrieved from the perineal wound, and a sigmoid colostomy was created at the site of the SILS port. Ten consecutive patients with lower rectal cancer at clinical stage T3 or lower underwent the procedure at our institution. The procedure was completed successfully in all patients, without any intraoperative problems and all postoperative outcomes were satisfactory. Thus, dual-port laparoscopic abdominoperineal resection can be performed safely and feasibly in selected patients. PMID:26220049

  8. Single port laparoscopic orchidopexy in children using surgical glove port and conventional rigid instruments

    PubMed Central

    Mahdi, Ben Dhaou; Mohamed, Jallouli; Hayet, Zitouni; Riadh, Mhiri

    2015-01-01

    Purpose We review the literature and describe our technique for laparoendoscopic single-site orchidopexy using a glove port and rigid instruments. We assessed the feasibility and outcomes of this procedure. Materials and Methods We retrospectively reviewed the case records of all children who had undergone laparoendoscopic single-site orchidopexy by use of a surgical glove port and conventional rigid instruments for a nonpalpable intraabdominal testis between January 2013 and September 2014. Results Data from a total of 20 patients were collected. The patients' mean age was 18 months. All cases had a nonpalpable unilateral undescended testis. Fourteen patients (70%) had an undescended testis on the right side and six patients (30%) had an undescended testis on the left side. Seventeen patients underwent primary orchidopexy. Three patients underwent single-port laparoscopic Fowler-Stephens orchidopexy for the first and the second stage. Average operating time was 57 minutes (range, 40 to 80 minutes). No patient was lost to follow-up. At follow-up, 2 testes were found to have retracted out of the scrotum and these were successfully dealt with in a second operation. One testis was hypoplastic in the scrotal pouch. There were no signs of umbilical hernia. Conclusions Single-port laparoscopic orchidopexy using a glove port and rigid instruments is technically feasible and safe for various nonpalpable intraabdominal testes. However, surgical experience and long-term follow-up are needed to confirm the superiority of this technique. PMID:26568797

  9. A model for analyzing the transshipment competition relationship between the port of Hong Kong and the port of Kaohsiung

    NASA Astrophysics Data System (ADS)

    Chou, Chien Chang

    2009-12-01

    The transshipment is an important issue in the current marine transportation. This paper constructed a mathematical programming model to elaborate the transshipment port selection for the shipping company. This model is tested by the data collected from the ports of Hong Kong and Kaohsiung. The results show that this model can be used to explain the transshipment competition relationship between the ports of Hong Kong and Kaohsiung well. A sensitivity analysis was also executed. The sensitivity analysis results showed that both the port of Hong Kong and Kaohsiung should decrease the charges of port and increase the efficiency of loading and discharging. Based on the sensitivity analysis results, some interesting conclusions and helpful suggestions were obtained for the managers of the ports of Hong Kong and Kaohsiung to improve their port management.

  10. A longitudinal analysis of nursing home outcomes.

    PubMed Central

    Porell, F; Caro, F G; Silva, A; Monane, M

    1998-01-01

    OBJECTIVE: To investigate resident and facility attributes associated with long-term care health outcomes in nursing homes. DATA SOURCES: Quarterly Management Minutes Questionnaire (MMQ) survey data for Medicaid case-mix reimbursement of nursing homes in Massachusetts from 1991 to 1994, for specification of outcomes and resident attributes. Facility attributes are specified from cost report data. STUDY DESIGN: Multivariate logistic and "state-dependence" regression models are estimated for survival, ADL functional status, incontinence status, and mental status outcomes from longitudinal residence histories of Medicaid residents spanning 3 to 36 months in length. Outcomes are specified to be a function of resident demographic and diagnostic attributes and facility-level operating and nurse staffing attributes. PRINCIPAL FINDINGS: The estimated parameters for resident demographic and diagnostic attributes showed a great deal of construct validity with respect to clinical expectations regarding risk factors for adverse outcomes. Few facility attributes were associated with outcomes generally, and none was significantly associated with all four outcomes. CONCLUSIONS: The absence of uniform associations between facility attributes and the various long-term care health outcomes studied suggests that strong facility performance on one health outcome may coexist with much weaker performance on other outcomes. This has implications for the aggregation of individual facility performance measures on multiple outcomes and the development of overall outcome performance measures. PMID:9776939

  11. The Roles and Functions of Medical Directors in Nursing Homes.

    PubMed

    Nanda, Aman

    2015-03-01

    The medical director is an important member of the healthcare team in a nursing home, and is responsible for overall coordination of care and for implementation of policies related to care of the residents in a nursing home. The residents in nursing homes are frail, medically complex, and have multiple disabilities. The medical director has an important leadership role in assisting nursing home administration in providing quality care that is consistent with current standards of care. This article provides an overview of roles and functions of the medical director, and suggests ways the medical director can be instrumental in achieving excellent care in today's nursing facilities. PMID:26056830

  12. Nurses take center stage in private duty home care.

    PubMed

    Brackett, Nicole

    2013-06-01

    The Affordable Care Act gives America's largest group of health care providers--nurses--a unique chance to lead in improving outcomes, increasing patient satisfaction, and lowering costs. Nurses' roles continue to grow in settings from hospitals and long-term care facilities to home health and hospice agencies. Nurses are also key players in private duty home care, where they serve as care coordinators for clients. Working directly with doctors, therapists, in-home caregivers, and families, nurses are critical in delivering quality, seamless in-home care. PMID:24069792

  13. Reassessment of seismically induced, tsunamigenic submarine slope failures in Port Valdez, Alaska, USA

    USGS Publications Warehouse

    Lee, H.J.; Haeussler, P.J.; Kayen, R.E.; Hampton, M.A.; Locat, Jacques; Suleimani, E.; Alexander, C.R.

    2007-01-01

    The M9.2 Alaska earthquake of 1964 caused major damage to the port facilities and town of Valdez, most of it the result of submarine landslide and the consequent tsunamis. Recent bathymetric multibeam surveys, high-resolution subbottom profiles, and dated sediment cores in Port Valdez supply new information about the morphology and character of the landslide deposits. A comparison of pre- and post-earthquake bathymetry provides an estimate of the net volume of landslide debris deposited in the basin and the volume of sediment removed from the source region. Landslide features include (1) large blocks (up to 40-m high) near the location of the greatest tsunamiwave runup (~50 m), (2) two debris lobes associated with the blocks, (3) a series of gullies, channels and talus, near the fjord-head delta and badly damaged old town of Valdez, and (4) the front of a debris lobe that flowed half-way down the fjord from the east end.

  14. Minimizing Ports During Robotic Partial Nephrectomy

    PubMed Central

    Argun, Omer Burak; Tufek, Ilter; Obek, Can; Tuna, Mustafa Bilal; Keskin, Selcuk; Kural, Ali Riza

    2016-01-01

    Background and Objective: Robotic upper urinary tract surgery is in most of the cases performed utilizing a standard 5 port configuration. Fewer ports can potentially produce a less invasive operation. Taking in consideration the above we report a novel technique for robot assisted laparoscopic partial nephrectomy utilizing fewer ports and we test its feasibility and safety profile. Methods: Data on 11 robot-assisted laparoscopic partial nephrectomies performed by using our technique from February 2015 through June 2015 were retrospectively analyzed. The robotic platform used was DaVinci Xi (Intuitive Surgical, Inc., Sunnyvale, California, USA) with a 3-arm setup. The AirSeal system (SurgiQuest, Milford, Connecticut, USA) was used as a port allowing simultaneous introduction of 2 instruments for the bedside surgeon, obviating the need for an additional (fourth) robotic arm. A long suction-and-irrigation device and atraumatic grasping forceps were used. Both instruments were introduced through the trocar of the AirSeal system, making simultaneous introduction and use possible. We preferred the long suction-and-irrigation device, because it minimizes collision of the instruments. Results: Mean age and BMI of the patients were 55 ±14.6 y and 29.18 ± 6.85, respectively. Seven tumors were on the right side and 4 were on the left. The mean size of the tumors was 32.45 mm (± 11.31). Surgical time was 132.2 minutes (±37.17), with an estimated blood loss and ischemia time of 103.63 mL (±65.92) and 16.72 minutes (±9.52), respectively. One patient had postoperative bleeding that was resolved without transfusion. The median hospitalization period was 3.9 d (±0.53). Loss of intra-abdominal pressure was not observed, and pressure was stable at 10 mm Hg. Conclusion: The AirSeal System and its valveless trocar eliminated the need for an additional port placement in our series. The technique is feasible, safe, and reproducible; therefore, it may be implemented in selected

  15. Strategy Guideline: Demonstration Home

    SciTech Connect

    Savage, C.; Hunt, A.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  16. Strategy Guideline. Demonstration Home

    SciTech Connect

    Hunt, A.; Savage, C.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  17. Radiological Interventions for Correction of Central Venous Port Catheter Migrations

    SciTech Connect

    Gebauer, Bernhard Teichgraeber, Ulf Karl; Podrabsky, Petr; Werk, Michael; Haenninen, Enrique Lopez; Felix, Roland

    2007-07-15

    Purpose. The purpose of this study was to evaluate radiological-interventional central venous port catheter corrections in migrated/malpositioned catheter tips. Materials and Methods. Thirty patients with migrated/malpositioned port catheter tips were included in this retrospective analysis. To visualize the catheter patency a contrast-enhanced port catheter series was performed, followed by transfemoral port catheter correction with various 5-F angiographic catheters (pigtail; Sos Omni), gooseneck snares, or combinations thereof. Results. One patient showed spontaneous reposition of the catheter tip. In 27 of 29 patients (93%), radiological-interventional port catheter correction was successful. In two patients port catheter malposition correction was not possible, because of the inability to catch either the catheter tip or the catheter in its course, possibly due to fibrin sheath formation with attachment of the catheter to the vessel wall. No disconnection or port catheter dysfunction was observed after correction. Conclusions. We conclude that in migrated catheter tips radiological-interventional port catheter correction is a minimally invasive alternative to port extraction and reimplantation. In patients with a fibrin sheath and/or thrombosis port catheter correction is often more challenging.

  18. Home media server content management

    NASA Astrophysics Data System (ADS)

    Tokmakoff, Andrew A.; van Vliet, Harry

    2001-07-01

    With the advent of set-top boxes, the convergence of TV (broadcasting) and PC (Internet) is set to enter the home environment. Currently, a great deal of activity is occurring in developing standards (TV-Anytime Forum) and devices (TiVo) for local storage on Home Media Servers (HMS). These devices lie at the heart of convergence of the triad: communications/networks - content/media - computing/software. Besides massive storage capacity and being a communications 'gateway', the home media server is characterised by the ability to handle metadata and software that provides an easy to use on-screen interface and intelligent search/content handling facilities. In this paper, we describe a research prototype HMS that is being developed within the GigaCE project at the Telematica Instituut . Our prototype demonstrates advanced search and retrieval (video browsing), adaptive user profiling and an innovative 3D component of the Electronic Program Guide (EPG) which represents online presence. We discuss the use of MPEG-7 for representing metadata, the use of MPEG-21 working draft standards for content identification, description and rights expression, and the use of HMS peer-to-peer content distribution approaches. Finally, we outline explorative user behaviour experiments that aim to investigate the effectiveness of the prototype HMS during development.

  19. Eldercare at Home: Choosing a Nursing Home

    MedlinePlus

    ... at home. Problems such as frequent incontinence, dangerous wandering, inability to sleep at night (a disrupted sleep - ... a security system to prevent confused residents from wandering out of the building? Are there accessible outdoor ...

  20. Recommended Ventilation Strategies for Energy-Efficient Production Homes

    SciTech Connect

    Roberson, J.; Brown, R.; Koomey, J.; Warner, J.; Greenberg, S.

    1998-12-01

    This report evaluates residential ventilation systems for the U.S. Environmental Protection Agency's (EPA's) ENERGY STAR{reg_sign} Homes program and recommends mechanical ventilation strategies for new, low-infiltration, energy-efficient, single-family, ENERGY STAR production (site-built tract) homes in four climates: cold, mixed (cold and hot), hot humid, and hot arid. Our group in the Energy Analysis Department at Lawrence Berkeley National Lab compared residential ventilation strategies in four climates according to three criteria: total annualized costs (the sum of annualized capital cost and annual operating cost), predominant indoor pressure induced by the ventilation system, and distribution of ventilation air within the home. The mechanical ventilation systems modeled deliver 0.35 air changes per hour continuously, regardless of actual infiltration or occupant window-opening behavior. Based on the assumptions and analysis described in this report, we recommend independently ducted multi-port supply ventilation in all climates except cold because this strategy provides the safety and health benefits of positive indoor pressure as well as the ability to dehumidify and filter ventilation air. In cold climates, we recommend that multi-port supply ventilation be balanced by a single-port exhaust ventilation fan, and that builders offer balanced heat-recovery ventilation to buyers as an optional upgrade. For builders who continue to install forced-air integrated supply ventilation, we recommend ensuring ducts are airtight or in conditioned space, installing a control that automatically operates the forced-air fan 15-20 minutes during each hour that the fan does not operate for heating or cooling, and offering ICM forced-air fans to home buyers as an upgrade.

  1. Home range and travels

    USGS Publications Warehouse

    Stickel, L.F.

    1968-01-01

    The concept of home range was expressed by Seton (1909) in the term 'home region,' which Burr (1940, 1943) clarified with a definition of home range and exemplified in a definitive study of Peromyscus in the field. Burt pointed out the ever-changing characteristics of home-range area and the consequent absence of boundaries in the usual sense--a finding verified by investigators thereafter. In the studies summarized in this paper, sizes of home ranges of Peromyscus varied within two magnitudes, approximately from 0.1 acre to ten acres, in 34 studies conducted in a variety of habitats from the seaside dunes of Florida to the Alaskan forests. Variation in sizes of home ranges was correlated with both environmental and physiological factors; with habitat it was conspicuous, both in the same and different regions. Food supply also was related to size of home range, both seasonally and in relation to habitat. Home ranges generally were smallest in winter and largest in spring, at the onset of the breeding season. Activity and size also were affected by changes in weather. Activity was least when temperatures were low and nights were bright. Effects of rainfall were variable. Sizes varied according to sex and age; young mice remained in the parents' range until they approached maturity, when they began to travel more widely. Adult males commonly had larger home ranges than females, although there were a number of exceptions. An inverse relationship between population density and size of home range was shown in several studies and probably is the usual relationship. A basic need for activity and exploration also appeared to influence size of home range. Behavior within the home range was discussed in terms of travel patterns, travels in relation to home sites and refuges, territory, and stability of size of home range. Travels within the home range consisted of repeated use of well-worn trails to sites of food, shelter, and refuge, plus more random exploratory travels

  2. Temperature dependent BRDF facility

    NASA Astrophysics Data System (ADS)

    Airola, Marc B.; Brown, Andrea M.; Hahn, Daniel V.; Thomas, Michael E.; Congdon, Elizabeth A.; Mehoke, Douglas S.

    2014-09-01

    Applications involving space based instrumentation and aerodynamically heated surfaces often require knowledge of the bi-directional reflectance distribution function (BRDF) of an exposed surface at high temperature. Addressing this need, the Johns Hopkins University Applied Physics Laboratory (JHU/APL) developed a BRDF facility that features a multiple-port vacuum chamber, multiple laser sources covering the spectral range from the longwave infrared to the ultraviolet, imaging pyrometry and laser heated samples. Laser heating eliminates stray light that would otherwise be seen from a furnace and requires minimal sample support structure, allowing low thermal conduction loss to be obtained, which is especially important at high temperatures. The goal is to measure the BRDF of ceramic-coated surfaces at temperatures in excess of 1000°C in a low background environment. Most ceramic samples are near blackbody in the longwave infrared, thus pyrometry using a LWIR camera can be very effective and accurate.

  3. Reduced port laparoscopic gastrectomy: a review, techniques, and perspective.

    PubMed

    Inaki, Noriyuki

    2015-02-01

    Reduced port laparoscopic surgery has been used increasingly. It is a concept that has grown out of the various efforts aimed at minimally invasive surgery, with SILS being the ultimate reduced port technique. Reduced port laparoscopic surgery has been used to perform sleeve gastrectomy in bariatric surgery and excision of benign gastric submucosal tumor, applications that generally do not require lymph node dissection or complicated reconstruction. It can be done safely, result in a permanent cure, and offer good cosmetic outcomes. Reduced port laparoscopic surgery for gastric cancer has a short history, and its usefulness has not yet been fully established. This review describes the present situation and challenges faced as well as standardized procedures and the future prospects of reduced port laparoscopic gastrectomy for gastric cancer, which my team performs almost daily. These aspects of reduced port laparoscopic surgery are presented in light of the literature. PMID:25496345

  4. Is multi-port ATE in your future

    NASA Astrophysics Data System (ADS)

    Monie, V.; Kovel, D. M.

    The history of ATE is surveyed, with attention given to significant technical advances made during the past few years. Multi-port testing is seen as a logical extension of engineering attempts to extract the maximum value for the ATE dollar invested. Particular attention is given to the economics of multi-port ATE. It is shown that the cost/throughput ratio of a dual-port test set is 40% greater than a single port test set. The benefits of increased test set availability and the associated logistics costs are stressed. The numerous economic benefits are matched by the technical advantages, which are also discussed in detail. Potential problems in a dual-port ATE are identified, and solutions are suggested. It is shown that a successful dual-port ATE is one that not only solves real-life testing problems but also solves problems of resource competition and allocation.

  5. Fire Safety in Nursing Facilities: Participant's Coursebook.

    ERIC Educational Resources Information Center

    Walker (Bonnie) and Associates, Inc., Crofton, MD.

    Fewer people die in nursing facility fires than in fires occurring in other places where older people live. Fire remains, however, a significant threat in nursing facilities. This book is centered around six "modules" that present a fire safety training program for managers and staff in nursing homes. These modules present the following…

  6. Device having two optical ports for switching applications

    DOEpatents

    Rosen, Ayre; Stabile, Paul J.

    1991-09-24

    A two-sided light-activatable semiconductor switch device having an optical port on each side thereof. The semiconductor device may be a p-i-n diode or of bulk intrinsic material. A two ported p-i-n diode, reverse-biased to "off" by a 1.3 kV dc power supply, conducted 192 A when activated by two 1 kW laser diode arrays, one for each optical port.

  7. 7 CFR 319.75-8 - Ports of entry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Ports of entry. 319.75-8 Section 319.75-8 Agriculture..., DEPARTMENT OF AGRICULTURE FOREIGN QUARANTINE NOTICES Khapra Beetle § 319.75-8 Ports of entry. Any restricted article shall be imported only at a port of entry identified in § 319.37-14 of this part and found by...

  8. 46 CFR 45.117 - Freeing port area: General.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Freeing port area: General. 45.117 Section 45.117... Conditions of Assignment § 45.117 Freeing port area: General. (a) Where bulwarks on the weather portins of... §§ 45.119 and 45.121 the minimum freeing port area in square feet on each side of the ship for each...

  9. 46 CFR 42.15-70 - Freeing ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Freeing ports. 42.15-70 Section 42.15-70 Shipping COAST... Conditions of Assignment of Freeboard § 42.15-70 Freeing ports. (a) Where bulwarks on the weather portions of... freeing port area (A) on each side of the vessel for each well on the freeboard deck shall be that...

  10. 19 CFR 18.22 - Procedure at port of exit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Procedure at port of exit. 18.22 Section 18.22... to Foreign Countries § 18.22 Procedure at port of exit. (a) If transfer is necessary, the procedure shall be as prescribed in § 18.3(d). (b) Upon the arrival at the port of exit of express shipments...

  11. 19 CFR 10.81 - Use in any port.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Use in any port. 10.81 Section 10.81 Customs....81 Use in any port. (a) Salt withdrawn under bond for use in curing fish on the shores of navigable waters may be used for such purpose at any port, but the evidence of use in such cases shall be...

  12. Compressor ported shroud for foil bearing cooling

    DOEpatents

    Elpern, David G.; McCabe, Niall; Gee, Mark

    2011-08-02

    A compressor ported shroud takes compressed air from the shroud of the compressor before it is completely compressed and delivers it to foil bearings. The compressed air has a lower pressure and temperature than compressed outlet air. The lower temperature of the air means that less air needs to be bled off from the compressor to cool the foil bearings. This increases the overall system efficiency due to the reduced mass flow requirements of the lower temperature air. By taking the air at a lower pressure, less work is lost compressing the bearing cooling air.

  13. Recent sedimentation, northeastern Port Valdez, Alaska

    NASA Astrophysics Data System (ADS)

    Palmer, Harold D.

    1981-09-01

    Sediments accumulating on the northeastern shore of Port Valdez, a fjord leading to Prince William Sound in southern Alaska, are derived from both deltaic and alluvial fan processes. The resulting thick wedge of Recent silts, sands, shells and gravels lies atop irregular ridges of local graywacke bedrock and scattered till deposits. Seismic reflection profiling augmented by soil borings indicates that rapid infilling and upbuilding has occurred at this site. Evidence of slumping suggests general instability of steep submarine slopes in an area characterized by strong earthquakes and large tidal ranges.

  14. Vapor port and groundwater sampling well

    DOEpatents

    Hubbell, Joel M.; Wylie, Allan H.

    1996-01-01

    A method and apparatus has been developed for combining groundwater monitoring wells with unsaturated-zone vapor sampling ports. The apparatus allows concurrent monitoring of both the unsaturated and the saturated zone from the same well at contaminated areas. The innovative well design allows for concurrent sampling of groundwater and volatile organic compounds (VOCs) in the vadose (unsaturated) zone from a single well, saving considerable time and money. The sample tubes are banded to the outer well casing during installation of the well casing.

  15. Vapor port and groundwater sampling well

    DOEpatents

    Hubbell, J.M.; Wylie, A.H.

    1996-01-09

    A method and apparatus have been developed for combining groundwater monitoring wells with unsaturated-zone vapor sampling ports. The apparatus allows concurrent monitoring of both the unsaturated and the saturated zone from the same well at contaminated areas. The innovative well design allows for concurrent sampling of groundwater and volatile organic compounds (VOCs) in the vadose (unsaturated) zone from a single well, saving considerable time and money. The sample tubes are banded to the outer well casing during installation of the well casing. 10 figs.

  16. Quad-Port Transceivers For A Dual-CRR LAN

    NASA Technical Reports Server (NTRS)

    Wiencko, Joseph A., Jr.; Mangus, Gary R.

    1991-01-01

    Quad-port fiber-optic transceivers demonstrated successfully as physical-layer interface units in WhisperNet - local-area network (LAN) of computers and other devices in communication with each other. Each node of Dual-CRR LAN contains quad-port transceiver serving four pairs of optical fibers. Quad-port transceiver consists of two dual-port transceivers and ancillary equipment in compact package. Transceiver serves as interface between optical fibers and external computing devices. Because of high reliability, availability and "fail-soft" nature, network well suited to military and critical commercial applications.

  17. 23. NORTH KEYSTONE OF PORTE COCHERE INSCRIBED 'MDCCCLII.' (1852) ...

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

    23. NORTH KEYSTONE OF PORTE COCHERE INSCRIBED 'MDCCCLII.' (1852) - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  18. 19. NORTH TOWER, PORTE COCHERE & FLAG TOWER, LOOKING SOUTHWEST ...

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

    19. NORTH TOWER, PORTE COCHERE & FLAG TOWER, LOOKING SOUTHWEST - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  19. 18. NORTH TOWER, PORTE COCHERE & FLAG TOWER, LOOKING SOUTHWEST ...

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

    18. NORTH TOWER, PORTE COCHERE & FLAG TOWER, LOOKING SOUTHWEST BY WEST - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  20. 25. EAST KEYSTONE OF PORTE COCHERE INSCRIBED 'G. CAMERON. BUILDER.' ...

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

    25. EAST KEYSTONE OF PORTE COCHERE INSCRIBED 'G. CAMERON. BUILDER.' - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  1. 24. WEST KEYSTONE OF PORTE COCHERE INSCRIBED 'J. RENWICK. JR. ...

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

    24. WEST KEYSTONE OF PORTE COCHERE INSCRIBED 'J. RENWICK. JR. ARCHITECT.' - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  2. A new glove port for single incision procedure

    PubMed Central

    Ko, Yoon Song; Yoon, Sam Youl; Han, Hyung Joon; Yim, Tae Wan

    2015-01-01

    Single-incision laparoscopic surgery has gained increasing attention due to its potential to improve the benefits of laparoscopic surgery. However, inconvenience remains for inexperienced surgeons during surgery when instruments conflict with each other, and a glove port is used hesitantly for such diagnosis related groups (DRG) because of its high cost. Authors made a new glove port by an odd surgical gloves and one wound protectors. This glove port is ease to make besides being convenient to us, and inexpensive. This new glove port has the benefit of easy utilization and cost effectiveness for surgeons performing single-incision laparoscopic surgery. PMID:26576410

  3. One, Two, or Three Ports in Laparoscopic Cholecystectomy?

    PubMed Central

    Justo-Janeiro, Jaime Manuel; Vincent, Gustavo Theurel; Vázquez de Lara, Fernando; de la Rosa Paredes, René; Orozco, Eduardo Prado; Vázquez de Lara, Luis G.

    2014-01-01

    Single-port laparoscopic cholecystectomy (LC) has been compared with 3- or 4-port LC. To our knowledge, there are no studies comparing the 3-, 2-, and 1-port techniques. Patients were randomized into 3 groups: LC 1-port using SILS, LC 2-port using a laparoscope with a working channel, and LC 3-port using the standard ports. Pain was evaluated at recovery, 4 hours, 24 hours, day 5, and day 8, using an analog visual scale. Homogenous groups in their demographic characteristics; all confirmed gallbladder lithiasis. At recovery, there was less pain in group 1 (P = 0.002); at 4 hours pain was similar in all groups (P = 0.899); at 24 hours there was less pain in groups 2 and 3 (P = 0.031); and at days 5 and 8 there was marginal (P = 0.053) and significant (P = 0.003) relevance. In terms of pain perception, LC performed through 1 port does not offer advantages when compared with 2 or 3 ports. More clinical trials are needed to confirm these data. PMID:25437581

  4. Peripheral Venous Access Ports: Outcomes Analysis in 109 Patients

    SciTech Connect

    Bodner, Leonard J.; Nosher, John L.; Patel, Kaushik M.; Siegel, Randall L.; Biswal, Rajiv; Gribbin, Christopher E.; Tokarz, Robert

    2000-03-15

    Purpose: To perform a retrospective outcomes analysis of central venous catheters with peripheral venous access ports, with comparison to published data.Methods: One hundred and twelve central venous catheters with peripherally placed access ports were placed under sonographic guidance in 109 patients over a 4-year period. Ports were placed for the administration of chemotherapy, hyperalimentation, long-term antibiotic therapy, gamma-globulin therapy, and frequent blood sampling. A vein in the upper arm was accessed in each case and the catheter was passed to the superior vena cava or right atrium. Povidone iodine skin preparation was used in the first 65 port insertions. A combination of Iodophor solution and povidone iodine solution was used in the last 47 port insertions. Forty patients received low-dose (1 mg) warfarin sodium beginning the day after port insertion. Three patients received higher doses of warfarin sodium for preexistent venous thrombosis. Catheter performance and complications were assessed and compared with published data.Results: Access into the basilic or brachial veins was obtained in all cases. Ports remained functional for a total of 28,936 patient days. The port functioned in 50% of patients until completion of therapy, or the patient's expiration. Ports were removed prior to completion of therapy in 18% of patients. Eleven patients (9.9% of ports placed) suffered an infectious complication (0.38 per thousand catheter-days)-in nine, at the port implantation site, in two along the catheter. In all 11 instances the port was removed. Port pocket infection in the early postoperative period occurred in three patients (4.7%) receiving a Betadine prep vs two patients (4.2%) receiving a standard O.R. prep. This difference was not statistically significant (p = 0.9). Venous thrombosis occurred in three patients (6.8%) receiving warfarin sodium and in two patients (3%) not receiving warfarin sodium. This difference was not statistically significant

  5. 19 CFR 101.3 - Customs service ports and ports of entry.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., see the List of CFR Sections Affected, which appears in the Finding Aids section of the printed volume...-126). California Andrade E.O. 4780, Dec. 13, 1927. Calexico Eureka Fresno Including territory...-Port Allen E.O. 4385, Feb. 25, 1926; including territory described in T.D. 56424. Idaho Boise Pub.L....

  6. 77 FR 49351 - Safety Zone; Port Huron Float-Down, St. Clair River, Port Huron, MI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-16

    ... Department of Homeland Security FR Federal Register NPRM Notice of Proposed Rulemaking A. Regulatory History... enforced a ] safety on August 21st (76 FR 52269). Consequently, not only is it impracticable and contrary... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Port Huron Float-Down, St. Clair...

  7. Facilitating home birth.

    PubMed

    Finigan, Valerie; Chadderton, Diane

    2015-06-01

    The birth of a baby is a family experience. However, in the United Kingdom birth often occurs outside the family environment, in hospital. Both home and hospital births have risks and benefits, but research shows that, for most women, it is as safe to give birth at home as it is in hospital. Women report home-birth to be satisfying with lowered risks of intervention and less likelihood of being separated from their family. It is also more cost effective for the National Health Service. Yet, whilst midwives are working hard to promote home birth as an option, it remains controversial. The aim of this paper is to raise awareness of the safety of home birth and the needs of women and midwives when a home birth is chosen. It provides an overview of care required and the role of the midwife in the ensuring care is woman-centred and personalised. PMID:26320334

  8. Electrochromic Window Demonstration at the Donna Land Port of Entry

    SciTech Connect

    Fernandes, Luis L.; Lee, Eleanor S.; Thanachareonkit, Anothai

    2015-05-01

    The U.S. General Services Administration (GSA) Public Buildings Service (PBS) has jurisdiction, custody or control over 105 land ports of entry throughout the United States, 35 of which are located along the southern border. At these facilities, one of the critical functions of windows is to provide border control personnel with direct visual contact with the surrounding environment. This also can be done through surveillance cameras, but the high value that U.S. Customs and Border Protection (CPB) officers place on direct visual contact can be encapsulated in the following statement by a senior officer regarding this project: “nothing replaces line of sight.” In sunny conditions, however, outdoor visibility can be severely compromised by glare, especially when the orb of the sun is in the field of view. This often leads to the deployment of operable shading devices, such as Venetian blinds. While these devices address the glare, they obstruct the view of the surroundings, negating the visual security benefits of the windows.

  9. Ozark Mountain solar home

    SciTech Connect

    Miller, B.

    1998-03-01

    If seeing is believing, Kyle and Christine Sarratt are believers. The couple has been living in their passive solar custom home for almost two years, long enough to see a steady stream of eye-opening utility bills and to experience the quality and comfort of energy-efficient design. Skeptical of solar homes at first, the Sarratts found an energy-conscious designer that showed them how they could realize their home-building dreams and live in greater comfort while spending less money. As Kyle says, {open_quotes}We knew almost nothing about solar design and weren`t looking for it, but when we realized we could get everything we wanted in a home and more, we were sold.{close_quotes} Now the couple is enjoying the great feeling of solar and wood heat in the winter, natural cooling in the summer and heating/cooling bills that average less than $20/month. The Sarratts` home overlooks a large lake near the town of Rogers, tucked up in the northwest corner of Arkansas. It is one of three completed homes out of 29 planned for the South Sun Estates subdivision, where homes are required by covenant to incorporate passive solar design principles. Orlo Stitt, owner of Stitt Energy Systems and developer of the subdivision, has been designing passive solar, energy-efficient homes for twenty years. His passive solar custom home development is the first in Arkansas.

  10. Assessing noise sources at synchrotron infrared ports

    PubMed Central

    Lerch, Ph.; Dumas, P.; Schilcher, T.; Nadji, A.; Luedeke, A.; Hubert, N.; Cassinari, L.; Boege, M.; Denard, J.-C.; Stingelin, L.; Nadolski, L.; Garvey, T.; Albert, S.; Gough, Ch.; Quack, M.; Wambach, J.; Dehler, M.; Filhol, J.-M.

    2012-01-01

    Today, the vast majority of electron storage rings delivering synchrotron radiation for general user operation offer a dedicated infrared port. There is growing interest expressed by various scientific communities to exploit the mid-IR emission in microspectroscopy, as well as the far infrared (also called THz) range for spectroscopy. Compared with a thermal (laboratory-based source), IR synchrotron radiation sources offer enhanced brilliance of about two to three orders of magnitude in the mid-IR energy range, and enhanced flux and brilliance in the far-IR energy range. Synchrotron radiation also has a unique combination of a broad wavelength band together with a well defined time structure. Thermal sources (globar, mercury filament) have excellent stability. Because the sampling rate of a typical IR Fourier-transform spectroscopy experiment is in the kHz range (depending on the bandwidth of the detector), instabilities of various origins present in synchrotron radiation sources play a crucial role. Noise recordings at two different IR ports located at the Swiss Light Source and SOLEIL (France), under conditions relevant to real experiments, are discussed. The lowest electron beam fluctuations detectable in IR spectra have been quantified and are shown to be much smaller than what is routinely recorded by beam-position monitors. PMID:22186638

  11. Reinforcement learning for port-hamiltonian systems.

    PubMed

    Sprangers, Olivier; Babuška, Robert; Nageshrao, Subramanya P; Lopes, Gabriel A D

    2015-05-01

    Passivity-based control (PBC) for port-Hamiltonian systems provides an intuitive way of achieving stabilization by rendering a system passive with respect to a desired storage function. However, in most instances the control law is obtained without any performance considerations and it has to be calculated by solving a complex partial differential equation (PDE). In order to address these issues we introduce a reinforcement learning (RL) approach into the energy-balancing passivity-based control (EB-PBC) method, which is a form of PBC in which the closed-loop energy is equal to the difference between the stored and supplied energies. We propose a technique to parameterize EB-PBC that preserves the systems's PDE matching conditions, does not require the specification of a global desired Hamiltonian, includes performance criteria, and is robust. The parameters of the control law are found by using actor-critic (AC) RL, enabling the search for near-optimal control policies satisfying a desired closed-loop energy landscape. The advantage is that the solutions learned can be interpreted in terms of energy shaping and damping injection, which makes it possible to numerically assess stability using passivity theory. From the RL perspective, our proposal allows for the class of port-Hamiltonian systems to be incorporated in the AC framework, speeding up the learning thanks to the resulting parameterization of the policy. The method has been successfully applied to the pendulum swing-up problem in simulations and real-life experiments. PMID:25167564

  12. An overview of San Francisco Bay PORTS

    USGS Publications Warehouse

    Cheng, Ralph T.; McKinnie, David; English, Chad; Smith, Richard E.

    1998-01-01

    The Physical Oceanographic Real-Time System (PORTS) provides observations of tides, tidal currents, and meteorological conditions in real-time. The San Francisco Bay PORTS (SFPORTS) is a decision support system to facilitate safe and efficient maritime commerce. In addition to real-time observations, SFPORTS includes a nowcast numerical model forming a San Francisco Bay marine nowcast system. SFPORTS data and nowcast numerical model results are made available to users through the World Wide Web (WWW). A brief overview of SFPORTS is presented, from the data flow originated at instrument sensors to final results delivered to end users on the WWW. A user-friendly interface for SFPORTS has been designed and implemented. Appropriate field data analysis, nowcast procedures, design and generation of graphics for WWW display of field data and nowcast results are presented and discussed. Furthermore, SFPORTS is designed to support hazardous materials spill prevention and response, and to serve as resources to scientists studying the health of San Francisco Bay ecosystem. The success (or failure) of the SFPORTS to serve the intended user community is determined by the effectiveness of the user interface.

  13. Port site metastasis in prostate cancer.

    PubMed

    De Bruyne, Peter; Schatteman, Peter; De Naeyer, Geert; Carpentier, Paul; Mottrie, Alex

    2015-01-01

    Port-site metastasis of prostatic adenocarcinoma is rare and usually associated with poor prognosis. We report a case of a young man with a rising prostate-specific antigen (PSA) 4.5 years after robot-assisted laparoscopic prostatectomy (RALP) and extended pelvic lymphadenectomy (ePLND) for a Gleason 7 (4+3) prostate cancer (pT3b pN0 cM0). Choline positron emission tomography-computed tomography (PET-CT) demonstrated a PET positive subcutaneous recurrence in a previous trocar site accompanied by a PET positive ipsilateral inguinal lymph node. Excision of both lesions was performed, confirming the diagnosis of metastatic prostate cancer. The patient's PSA dropped significantly postoperatively enabling postponement of androgen deprivation treatment up to this date. The etiology of port-site metastasis is multifactorial, including patient and surgery related factors. Such metastases have been scarcely reported following ePLND with or without RALP. Certain surgical precautions can be made to prevent the occurrence. We summarize previously reported mechanisms of development and possible precautionary measures. PMID:26225184

  14. Single port radical prostatectomy: current status.

    PubMed

    Martín, Oscar Darío; Azhar, Raed A; Clavijo, Rafael; Gidelman, Camilo; Medina, Luis; Troche, Nelson Ramirez; Brunacci, Leonardo; Sotelo, René

    2016-06-01

    The aim of this study is to analyze the current literature on single port radical prostatectomy (LESS-RP). Single port radical prostatectomy laparoendoscopic (LESS-RP) has established itself as a challenge for urological community, starting with the proposal of different approaches: extraperitoneal, transperitoneal and transvesical, initially described for laparoscopy and then laparoscopy robot-assisted. In order to improve the LESS-RP, new instruments, optical devices, trocars and retraction mechanisms have been developed. Advantages and disadvantages of LESS-RP are controversial, while some claim that it is a non-trustable approach, regarding the low cases number and technical difficulties, others acclaim that despite this facts some advantages have been shown and that previous described difficulties are being overcome, proving this is novel proposal of robotics platform, the Da Vinci SP, integrating the system into "Y". The LESS-RP approach gives us a new horizon and opens the door for rapid standardization of this technique. The few studies and short series available can be result of a low interest in the application of LESS-RP in prostate, probably because of the technical complexity that it requires. The new robotic platform, the da Vinci SP, shows that it is clear that the long awaited evolution of robotic technologies for laparoscopy has begun, and we must not lose this momentum. PMID:27072150

  15. A synthesis method for one-port and multi-port equivalent networks for analysis of power system transients

    SciTech Connect

    Do, V.Q.; Gavrilovic, M.M.

    1986-04-01

    Equivalent networks can be used in power system simulation to equipment or computer time and memory space. In this paper, an interative method is developed for synthesizing one-port equivalent networks by the removal of poles corresponding to resonances of the driving-point impedance or admittance function. This results in networks formed by the series or parallel connection of modular RLC circuits. The RLC values are calculated using a parameter-optimization technique. Multi-port equivalent networks are first configured as ..pi.. or T form composed of one-port network branches and the latters are then synthesized by the proposed method for one-port equivalent networks.

  16. The "H" Word: Home Schooling.

    ERIC Educational Resources Information Center

    Butler, Shery

    2000-01-01

    This article discusses home schooling gifted children, including reasons families choose to home school their children, laws regulating home schooling, the educational background of parents who home school, and curriculum options. Advantages and disadvantages of home schooling are explored, along with data indicating the higher achievement of home…

  17. Nursing home deficiency citations for safety

    PubMed Central

    Castle, NG; Wagner, LM; Ferguson, JC; Handler, SM

    2016-01-01

    Deficiency citations for safety violations in U.S. nursing homes from 2000 to 2007 are examined (representing a panel of 119,472 observations). Internal (i.e., operating characteristics of the facility), organizational (i.e., characteristics of the facility itself) and external (i.e., characteristics outside of the influence of the organization) factors associated with these deficiency citations are examined. The findings show that nursing homes increasingly receive deficiency citations for resident safety issues. Low staffing levels, poor quality of care, and an unfavorable Medicaid mix (occupancy and reimbursement) are associated with the likelihood of receiving deficiency citations for safety violations. In many cases, this likely influences the quality of life and quality of care of residents. PMID:21207305

  18. Nursing home deficiency citations for safety.

    PubMed

    Castle, Nicholas G; Wagner, Laura M; Ferguson, Jamie C; Handler, Steven M

    2011-01-01

    Deficiency citations for safety violations in U.S. nursing homes from 2000 to 2007 are examined (representing a panel of 119,472 observations). Internal (i.e., operating characteristics of the facility), organizational factors (i.e., characteristics of the facility itself), and external factors (i.e., characteristics outside of the influence of the organization) associated with these deficiency citations are examined. The findings show that nursing homes increasingly receive deficiency citations for resident safety issues. Low staffing levels, poor quality of care, and an unfavorable Medicaid mix (occupancy and reimbursement) are associated with the likelihood of receiving deficiency citations for safety violations. In many cases, this likely influences the quality of life and quality of care of residents. PMID:21207305

  19. Does Information Matter? Competition, Quality, and the Impact of Nursing Home Report Cards

    PubMed Central

    Grabowski, David C; Town, Robert J

    2011-01-01

    Objective We evaluate the effects of the Nursing Home Quality Initiative (NHQI), which introduced quality measures to the Centers for Medicare and Medicaid Services' Nursing Home Compare website, on facility performance and consumer demand for services. Data Sources The nursing home Minimum Data Set facility reports from 1999 to 2005 merged with facility-level data from the On-Line Survey, Certification, and Reporting System. Study Design We rely on the staggered rollout of the report cards across pilot and nonpilot states to examine the effect of report cards on market share and quality of care. We also exploit differences in nursing home market competition at baseline to identify the impacts of the new information on nursing home quality. Results The introduction of the NHQI was generally unrelated to facility quality and consumer demand. However, nursing homes facing greater competition improved their quality more than facilities in less competitive markets. Conclusions The lack of competition in many nursing home markets may help to explain why the NHQI report card effort had a minimal effect on nursing home quality. With the introduction of market-based reforms such as report cards, this result suggests policy makers must also consider market structure in efforts to improve nursing home performance. PMID:21790590

  20. Sociocultural determinants of home delivery in Ethiopia: a qualitative study

    PubMed Central

    Kaba, Mirgissa; Bulto, Tesfaye; Tafesse, Zergu; Lingerh, Wassie; Ali, Ismael

    2016-01-01

    Background Maternal health remains a major public health problem in Ethiopia. Despite the government’s measures to ensure institutional delivery assisted by skilled attendants, home delivery remains high, estimated at over 80% of all pregnant women. Objective The study aims to identify determinants that sustain home delivery in Ethiopia. Methods A total of 48 women who delivered their most recent child at home, 56 women who delivered their most recent child in a health facility, 55 husbands of women who delivered within 1 year preceding the study, and 23 opinion leaders in selected districts of Amhara, Oromia, Southern Nations, Nationalities, and Peoples’ Region, and Tigray regions were involved in the study. Key informant interview, in-depth interviews, and focus group discussions were conducted to collect data using checklists developed for this purpose. Data reduction and analysis were facilitated by Maxqda qualitative data analysis software version 11. Results Findings show that pregnancy and delivery is a normal and natural life event. Research participants unanimously argue that such a life event should not be linked with health problems. Home is considered a natural space for delivery and most women aspire to deliver at home where rituals during labor and after delivery are considered enjoyable. Even those who delivered in health facilities appreciate events in connection to home delivery. Efforts are underway to create home-like environments in health facilities, but health facilities are not yet recognized as a natural place of delivery. The positive tendency to deliver at home is further facilitated by poor service delivery at the facility level. Perceived poor competence of providers and limited availability of supplies and equipment were found to maintain the preference to deliver at home. Conclusion The government’s endeavor to improve maternal health has generated positive results with more women now attending antenatal care. Yet over 80% of

  1. Scheduling the Remediation of Port Hope: Logistical and Regulatory Challenges of a Multiple Site Urban Remediation Project - 13119

    SciTech Connect

    Ferguson Jones, Andrea; Lee, Angela; Palmeter, Tim

    2013-07-01

    The Port Hope Project is part of the larger CAN$1.28 billion Port Hope Area Initiative (PHAI), a community-based program for the development and implementation of a safe, local, long-term management solution for historic Low-Level Radioactive Waste (LLRW) in the Municipalities of Port Hope and Clarington, Ontario, Canada. Atomic Energy of Canada (AECL) is the Project Proponent, Public Works and Government Services (PWGSC) is managing the procurement of services and the MMM Group Limited - Conestoga Rovers and Associates Joint Venture (MMM-CRA Joint Venture) is providing detailed design and construction oversight and administration services for the Project. The Port Hope Project includes the construction of a long-term waste management facility (LTWMF) in the Municipality of Port Hope and the remediation of 18 (eighteen) large-scale LLRW, numerous small-scale sites still being identified and industrial sites within the Municipality. The total volume to be remediated is over one million cubic metres and will come from sites that include temporary storage sites, ravines, beaches, parks, private commercial and residential properties and vacant industrial sites all within the urban area of Port Hope. Challenges that will need to be overcome during this 10 year project include: - Requirements stipulated by the Environmental Assessment (EA) that affect Project logistics and schedule. - Coordination of site remediation with the construction schedule at the LTWMF. - Physical constraints on transport routes and at sites affecting production rates. - Despite being an urban undertaking, seasonal constrains for birds and fish (i.e., nesting and spawning seasons). - Municipal considerations. - Site-specific constraints. - Site interdependencies exist requiring consideration in the schedule. Several sites require the use of an adjacent site for staging. (authors)

  2. Experimental and Computational Investigation of Multiple Injection Ports in a Convergent-Divergent Nozzle for Fluidic Thrust Vectoring

    NASA Technical Reports Server (NTRS)

    Waithe, Kenrick A.; Deere, Karen A.

    2003-01-01

    A computational and experimental study was conducted to investigate the effects of multiple injection ports in a two-dimensional, convergent-divergent nozzle, for fluidic thrust vectoring. The concept of multiple injection ports was conceived to enhance the thrust vectoring capability of a convergent-divergent nozzle over that of a single injection port without increasing the secondary mass flow rate requirements. The experimental study was conducted at static conditions in the Jet Exit Test Facility of the 16-Foot Transonic Tunnel Complex at NASA Langley Research Center. Internal nozzle performance was obtained at nozzle pressure ratios up to 10 with secondary nozzle pressure ratios up to 1 for five configurations. The computational study was conducted using the Reynolds Averaged Navier-Stokes computational fluid dynamics code PAB3D with two-equation turbulence closure and linear Reynolds stress modeling. Internal nozzle performance was predicted for nozzle pressure ratios up to 10 with a secondary nozzle pressure ratio of 0.7 for two configurations. Results from the experimental study indicate a benefit to multiple injection ports in a convergent-divergent nozzle. In general, increasing the number of injection ports from one to two increased the pitch thrust vectoring capability without any thrust performance penalties at nozzle pressure ratios less than 4 with high secondary pressure ratios. Results from the computational study are in excellent agreement with experimental results and validates PAB3D as a tool for predicting internal nozzle performance of a two dimensional, convergent-divergent nozzle with multiple injection ports.

  3. Reorganizing the nursing home industry: a proposal.

    PubMed

    Shulman, D; Galanter, R

    1976-01-01

    This paper proposes a reorganization of the nursing home industry with capital facilities owned by government, but with management conducted through a system of competitive contracts with the private sector. The paper explicity demonstrates in real estate finance terms how the present system of private ownership of capital facilities inherently impedes providing a high quality of care. The authors believe that in the proposed industry reorganization, market forces, instead of working against quality care, would be supportive of quality care in a framework that would involve generally less regulation than exists today. PMID:1272543

  4. 27 CFR 26.128 - Taxpayment at port of arrival.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... BUREAU, DEPARTMENT OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Liquors and Articles Purchased by Tourists in Puerto Rico § 26.128 Taxpayment at port of arrival. If the... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Taxpayment at port...

  5. 33 CFR 165.1703 - Ammunition Island, Port Valdez, Alaska.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Ammunition Island, Port Valdez... Ammunition Island, Port Valdez, Alaska. (a) Location. The waters within the following boundaries is a safety zone—the area within a radius of 1330 yards of Ammunition Island, centered on latitude 61°07′28″...

  6. 33 CFR 165.1703 - Ammunition Island, Port Valdez, Alaska.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Ammunition Island, Port Valdez... Ammunition Island, Port Valdez, Alaska. (a) Location. The waters within the following boundaries is a safety zone—the area within a radius of 1330 yards of Ammunition Island, centered on latitude 61°07′28″...

  7. 33 CFR 165.1703 - Ammunition Island, Port Valdez, Alaska.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Ammunition Island, Port Valdez... Ammunition Island, Port Valdez, Alaska. (a) Location. The waters within the following boundaries is a safety zone—the area within a radius of 1330 yards of Ammunition Island, centered on latitude 61°07′28″...

  8. 33 CFR 165.1703 - Ammunition Island, Port Valdez, Alaska.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Ammunition Island, Port Valdez... Ammunition Island, Port Valdez, Alaska. (a) Location. The waters within the following boundaries is a safety zone—the area within a radius of 1330 yards of Ammunition Island, centered on latitude 61°07′28″...

  9. 33 CFR 165.1703 - Ammunition Island, Port Valdez, Alaska.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Ammunition Island, Port Valdez... Ammunition Island, Port Valdez, Alaska. (a) Location. The waters within the following boundaries is a safety zone—the area within a radius of 1330 yards of Ammunition Island, centered on latitude 61°07′28″...

  10. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 50 Wildlife and Fisheries 11 2013-10-01 2013-10-01 false Ports of entry. 300.188 Section 300.188 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry. NMFS shall monitor the...

  11. 33 CFR 110.186 - Port Everglades, Florida.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Port Everglades, Florida. 110.186... ANCHORAGE REGULATIONS Anchorage Grounds § 110.186 Port Everglades, Florida. (a) The anchorage grounds. The.... Coast Guard, Miami, Florida, may direct relocation of any vessel anchored within the anchorage...

  12. 33 CFR 110.186 - Port Everglades, Florida.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Port Everglades, Florida. 110.186 Section 110.186 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY ANCHORAGES ANCHORAGE REGULATIONS Anchorage Grounds § 110.186 Port Everglades, Florida. (a) The anchorage grounds. The anchorage grounds, the center of...

  13. 33 CFR 110.186 - Port Everglades, Florida.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Port Everglades, Florida. 110.186... ANCHORAGE REGULATIONS Anchorage Grounds § 110.186 Port Everglades, Florida. (a) The anchorage grounds. The.... Coast Guard, Miami, Florida, may direct relocation of any vessel anchored within the anchorage...

  14. 27 CFR 28.267 - Exportation from interior port.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... provisions of U.S. Customs regulations (19 CFR chapter I). On completion of the lading, the seals shall be... port. 28.267 Section 28.267 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS EXPORTATION OF ALCOHOL Proceedings at Ports of Export §...

  15. 75 FR 13236 - FM Table of Allotments, Port Angeles, Washington

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... applications. See 73 FR 75631, published December 12, 2008. In the first application (File No. BPH-20080710AJA... COMMISSION 47 CFR Part 73 FM Table of Allotments, Port Angeles, Washington AGENCY: Federal Communications... KSWW(FM), Montesano, Washington, to substitute FM Channel 271A for vacant Channel 229A at Port...

  16. 78 FR 54755 - Extension of Port Limits of Indianapolis, IN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... Notice of Proposed Rulemaking (NPRM) published in the Federal Register (77 FR 24656) on April 25, 2012... SECURITY U.S. Customs and Border Protection 19 CFR Part 101 Extension of Port Limits of Indianapolis, IN... Protection (CBP) is extending the geographical limits of the port of entry of Indianapolis, Indiana....

  17. 46 CFR 188.10-6 - Captain of the Port.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Captain of the Port. 188.10-6 Section 188.10-6 Shipping... PROVISIONS Definition of Terms Used in This Subchapter § 188.10-6 Captain of the Port. This term means an... activities within his assigned area. In addition, the District Commander shall be the Captain of the...

  18. 46 CFR 171.118 - Automatic ventilators and side ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Automatic ventilators and side ports. 171.118 Section... Bulkhead or Weather Deck § 171.118 Automatic ventilators and side ports. (a) An automatic ventilator must... Officer, Marine Safety Center. (b) The design and construction of each gangway, cargo and coaling...

  19. Central Vein Dilatation Prior to Concomitant Port Implantation

    SciTech Connect

    Krombach, Gabriele A. Plumhans, Cedric; Goerg, Fabian; Guenther, Rolf W.

    2010-04-15

    Implantation of subcutaneous port systems is routinely performed in patients requiring repeated long-term infusion therapy. Ultrasound- and fluoroscopy-guided implantation under local anesthesia is broadly established in interventional radiology and has decreased the rate of complications compared to the surgical approach. In addition, interventional radiology offers the unique possibility of simultaneous management of venous occlusion. We present a technique for recanalization of central venous occlusion and angioplasty combined with port placement in a single intervention which we performed in two patients. Surgical port placement was impossible owing to occlusion of the superior vena cava following placement of a cardiac pacemaker and occlusion of multiple central veins due to paraneoplastic coagulopathy, respectively. In both cases the affected vessel segments were dilated with balloon catheters and the port systems were placed thereafter. After successful dilatation, the venous access was secured with a 25-cm-long, 8-Fr introducer sheath, a subcutaneous pocket prepared, and the port catheter tunneled to the venipuncture site. The port catheter was introduced through the sheath with the proximal end connected to a 5-Fr catheter. This catheter was pulled through the tunnel in order to preserve the tunnel and, at the same time, allow safe removal of the long sheath over the wire. The port system functioned well in both cases. The combination of recanalization and port placement in a single intervention is a straightforward alternative for patients with central venous occlusion that can only be offered by interventional radiology.

  20. Safety shield for vacuum/pressure chamber viewing port

    NASA Technical Reports Server (NTRS)

    Shimansky, R. A.; Spencer, R. S. (Inventor)

    1981-01-01

    Observers are protected from flying debris resulting from a failure of a vacuum or pressure chamber viewing port following an implosion or explosion by an optically clear shatter resistant safety shield which spaced apart from the viewing port on the outer surface of the chamber.