Science.gov

Sample records for marginal external costs

  1. Marginal Costing Techniques for Higher Education.

    ERIC Educational Resources Information Center

    Allen, Richard; Brinkman, Paul

    The techniques for calculating marginal costs in higher education are examined in detail. Marginal costs, as defined in economics, is the change in total cost associated with producing one additional unit of output. In higher education, the most frequently selected unit of output is a full-time-equivalent student or, alternatively, a student…

  2. Theoretical aspects of an electricity marginal cost model

    SciTech Connect

    Oyama, T.

    1986-01-01

    A separable programming model has been built to estimate electricity marginal costs. The model can be solved by applying linear programming techniques, hence marginal costs are obtained from shadow prices of model's optimal solution. In order to obtain more accurate and more detailed composition of electricity marginal costs, shadow prices are mathematically explained rigorously from model's structural points of view. Theoretical aspects of our electricity marginal cost model are investigated by applying theory of linear programming. Furthermore, various types of mathematical expression are also shown with their interpretation in the real power system.

  3. Theoretical aspects of an electricity marginal cost model

    SciTech Connect

    Oyama, T.

    1987-05-01

    A separable programming model has been built to estimate electricity marginal costs. The model can be solved by applying linear programming techniques, hence marginal costs are obtained from shadow prices of model's optimal solution. In order to obtain more accurate and more detailed composition of electricity marginal costs, shadow prices are mathematically explained rigorously from model's structural points of view. Theoretical aspects of our electricity marginal cost model are investigated by applying theory of linear programming. Furthermore, various types of mathematical expression are also shown with their interpretation in the real power system.

  4. Electricity Prices in a Competitive Environment: Marginal Cost Pricing

    EIA Publications

    1997-01-01

    Presents the results of an analysis that focuses on two questions: (1) How are prices for competitive generation services likely to differ from regulated prices if competitive prices are based on marginal costs rather than regulated cost-of-service pricing? (2) What impacts will the competitive pricing of generation services (based on marginal costs) have on electricity consumption patterns, production costs, and the financial integrity of electricity suppliers?

  5. Estimation of marginal costs at existing waste treatment facilities.

    PubMed

    Martinez-Sanchez, Veronica; Hulgaard, Tore; Hindsgaul, Claus; Riber, Christian; Kamuk, Bettina; Astrup, Thomas F

    2016-04-01

    This investigation aims at providing an improved basis for assessing economic consequences of alternative Solid Waste Management (SWM) strategies for existing waste facilities. A bottom-up methodology was developed to determine marginal costs in existing facilities due to changes in the SWM system, based on the determination of average costs in such waste facilities as function of key facility and waste compositional parameters. The applicability of the method was demonstrated through a case study including two existing Waste-to-Energy (WtE) facilities, one with co-generation of heat and power (CHP) and another with only power generation (Power), affected by diversion strategies of five waste fractions (fibres, plastic, metals, organics and glass), named "target fractions". The study assumed three possible responses to waste diversion in the WtE facilities: (i) biomass was added to maintain a constant thermal load, (ii) Refused-Derived-Fuel (RDF) was included to maintain a constant thermal load, or (iii) no reaction occurred resulting in a reduced waste throughput without full utilization of the facility capacity. Results demonstrated that marginal costs of diversion from WtE were up to eleven times larger than average costs and dependent on the response in the WtE plant. Marginal cost of diversion were between 39 and 287 € Mg(-1) target fraction when biomass was added in a CHP (from 34 to 303 € Mg(-1) target fraction in the only Power case), between -2 and 300 € Mg(-1) target fraction when RDF was added in a CHP (from -2 to 294 € Mg(-1) target fraction in the only Power case) and between 40 and 303 € Mg(-1) target fraction when no reaction happened in a CHP (from 35 to 296 € Mg(-1) target fraction in the only Power case). Although average costs at WtE facilities were highly influenced by energy selling prices, marginal costs were not (provided a response was initiated at the WtE to keep constant the utilized thermal capacity). Failing to systematically

  6. Revenue Neutral Water Conservation: Marginal Cost Pricing With Discount Coupons

    NASA Astrophysics Data System (ADS)

    Collinge, Robert A.

    1992-03-01

    This paper points out how a system of marketable discount coupons applied to the sale of water by an agency can satisfy both redistributional and revenue constraints without compromise to economic efficiency, in effect creating marketable multipart pricing. This procedure achieves marginal cost pricing for each user while decreasing the average consumer's expenditures on water. Efficiency would obtain both in allocation among users and in overall usage. No information on consumer demand for water is required. A useful by-product is market revelation of the marginal value of incremental water usage, thereby also shedding light on the value of incremental water projects.

  7. The marginal cost of public funds with an aging population.

    PubMed

    Wildasin, D E

    1991-05-01

    "As populations in the United States and other advanced economies grow older, the burden of social security and health care financing is expected to rise markedly. Payroll, income, and other taxes on working populations are projected to rise accordingly. The marginal welfare cost to workers of social security and other public expenditures is analyzed within the context of a two-period life cycle model. By relaxing separability assumptions that have become common in the literature, the theoretical structure properly incorporates the effect of these public expenditures on labor supply. Comparative statics results indicate that changing age structure is likely to raise the marginal welfare to workers of social security, education, and other public expenditures. Illustrative calculations for the United States confirm this result, suggesting that the cost to workers of incremental social security benefits may easily double by 2025-2050." PMID:12316979

  8. Area-Specific Marginal Costing for Electric Utilities: a Case Study of Transmission and Distribution Costs

    NASA Astrophysics Data System (ADS)

    Orans, Ren

    1990-10-01

    Existing procedures used to develop marginal costs for electric utilities were not designed for applications in an increasingly competitive market for electric power. The utility's value of receiving power, or the costs of selling power, however, depend on the exact location of the buyer or seller, the magnitude of the power and the period of time over which the power is used. Yet no electric utility in the United States has disaggregate marginal costs that reflect differences in costs due to the time, size or location of the load associated with their power or energy transactions. The existing marginal costing methods used by electric utilities were developed in response to the Public Utilities Regulatory Policy Act (PURPA) in 1978. The "ratemaking standards" (Title 1) established by PURPA were primarily concerned with the appropriate segmentation of total revenues to various classes-of-service, designing time-of-use rating periods, and the promotion of efficient long-term resource planning. By design, the methods were very simple and inexpensive to implement. Now, more than a decade later, the costing issues facing electric utilities are becoming increasingly complex, and the benefits of developing more specific marginal costs will outweigh the costs of developing this information in many cases. This research develops a framework for estimating total marginal costs that vary by the size, timing, and the location of changes in loads within an electric distribution system. To complement the existing work at the Electric Power Research Institute (EPRI) and Pacific Gas and Electric Company (PGandE) on estimating disaggregate generation and transmission capacity costs, this dissertation focuses on the estimation of distribution capacity costs. While the costing procedure is suitable for the estimation of total (generation, transmission and distribution) marginal costs, the empirical work focuses on the geographic disaggregation of marginal costs related to electric

  9. Cost of external fixation vs external fixation then nailing in bone infection

    PubMed Central

    Emara, Khaled Mohamed; Diab, Ramy Ahmed; Ghafar, Khaled Abd EL

    2015-01-01

    AIM: To study the cost benefit of external fixation vs external fixation then nailing in treatment of bone infection by segment transfer. METHODS: Out of 71 patients with infected nonunion tibia treated between 2003 and 2006, 50 patients fitted the inclusion criteria (26 patients were treated by external fixation only, and 24 patients were treated by external fixation early removal after segment transfer and replacement by internal fixation). Cost of inpatient treatment, total cost of inpatient and outpatient treatment till full healing, and the weeks of absence from school or work were calculated and compared between both groups. RESULTS: The cost of hospital stay and surgery in the group of external fixation only was 22.6 ± 3.3 while the cost of hospital stay and surgery in the group of early external fixation removal and replacement by intramedullary nail was 26.0 ± 3.2. The difference was statistically significant regarding the cost of hospital stay and surgery in favor of the group of external fixation only. The total cost of medical care (surgery, hospital stay, treatment outside the hospital including medications, dressing, physical therapy, outpatient laboratory work, etc.) in group of external fixation only was 63.3 ± 15.1, and total absence from work was 38.6 ± 6.6 wk. While the group of early removal of external fixation and replacement by IM nail, total cost of medical care was 38.3 ± 6.4 and total absence from work or school was 22.7 ± 4.1. The difference was statistically significant regarding the total cost and absence from work in favor of the group of early removal and replacement by IM nail. CONCLUSION: Early removal of external fixation and replacement by intramedullary nail in treatment of infected nonunion showed more cost effectiveness. Orthopaedic society needs to show the cost effectiveness of different procedures to the community, insurance, and health authorities. PMID:25621219

  10. Externalities.

    ERIC Educational Resources Information Center

    Zicht, Barbara, Ed.; And Others

    1982-01-01

    This issue explains the concept of externalities (benefits or burdens which accrue to society when there is a difference between the private cost or benefit of an action and the social cost or benefit of that action). These external or social costs of individual actions are often referred to as spillover costs. Three brief teaching units follow…

  11. 48 CFR 231.205-70 - External restructuring costs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false External restructuring costs. 231.205-70 Section 231.205-70 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE GENERAL CONTRACTING REQUIREMENTS CONTRACT COST PRINCIPLES AND PROCEDURES Contracts With Commercial...

  12. 26 CFR 1.925(b)-1T - Temporary regulations; marginal costing rules.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... applicable or that income is under the exceptions in section 954(b)(4). In addition, the marginal costing... purposes of the full costing method. (4) Application of limitation on FSC income (“no loss” rules). The...: (i) 23% of maximum combined taxable income determined under the marginal costing rules, (ii) 23%...

  13. 26 CFR 1.925(b)-1T - Temporary regulations; marginal costing rules.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... that income is under the exceptions in section 954(b)(4). In addition, the marginal costing rules do... purposes of the full costing method. (4) Application of limitation on FSC income (“no loss” rules). The...: (i) 23% of maximum combined taxable income determined under the marginal costing rules, (ii) 23%...

  14. Marginal abatement cost curves for NOx incorporating both controls and alternative measures

    EPA Science Inventory

    A marginal abatement cost curve (MACC) traces out the efficient marginal abatement cost level for any aggregate emissions target when a least cost approach is implemented. In order for it to represent the efficient MAC level, all abatement opportunities across all sectors and loc...

  15. Transaction costs, externalities and information technology in health care.

    PubMed

    Ferguson, B; Keen, J

    1996-01-01

    This paper discusses some of the economic issues which underpin the rationale for investment in information and communications technologies (ICTs). Information imperfections lead to significant transaction costs (search, negotiating and monitoring) which in turn confer a negative externality on parties involved in exchange. This divergence in private and social costs leads to a degree of resource misallocation (efficiency loss) which, uncorrected, results in a sub-optimal outcome. Traditional solutions to this problem are to rely upon direct government action to reduce the costs of transacting between market agents, or to employ tax/subsidy measures and other legislative action to achieve the desired market outcome. Three key policy questions are raised in the context of the NHS purchaser/provider relationship. Firstly, what is the optimum level of transaction costs; secondly, can ICTs assist in lowering the level of transaction costs to the optimum level; thirdly, who should bear the investment cost in reducing the level of transaction costs? The issue of property rights in different information systems is discussed and raises interesting policy questions about how much investment should be undertaken centrally rather than devolved to a more local level. In some ways this economic framework offers a post hoc justification of why different ICT systems have been introduced at various levels of the NHS. Essentially this reduces to the problem of externalities: providing good information confers a positive externality: not providing relevant, timely and accurate information confers a negative externality, by increasing further the level of transaction costs. The crucial role which ICT systems can play lies in attempting to reduce the level of transaction costs and driving the market towards what Dahlman has described as the transaction-cost-constrained equilibrium. PMID:8653190

  16. Mean-reversion in income over feed cost margins: evidence and implications for managing margin risk by US dairy producers.

    PubMed

    Bozic, M; Newton, J; Thraen, C S; Gould, B W

    2012-12-01

    With the increased volatility of feed prices, dairy farm managers are no longer concerned with managing only milk price volatility, but are considering the adoption of risk management programs that address income over feed cost (IOFC) margin risk. Successful margin risk management should be founded on an understanding of the behavior of IOFC margins. To that end, we have constructed forward IOFC margins using Class III milk, corn, and soybean meal futures prices. We focus on the characteristics of the term structure of forward IOFC margins, that is, the sequence of forward margins for consecutive calendar months, all observed on the same trading day. What is apparent from the shapes of these term structures is that both in times when margins were exceptionally high and in times when they were disastrously low, market participants expected that a reversal back to average margin levels would not come quickly, but rather would take up to 9 mo. Slopes of the forward margin term structure before and after most of the major swings in IOFC indicate these shocks were mostly unanticipated, whereas the time needed for recovery to normal margin levels was successfully predicted. This suggests that IOFC margins may exhibit slow mean-reverting, rather than predictable cyclical behavior, as is often suggested in the popular press. This finding can be exploited to design a successful catastrophic risk management program by initiating protection at 9 to 12 mo before futures contract maturity. As a case study, we analyzed risk management strategies for managing IOFC margins that used Livestock Gross Margin for Dairy Cattle insurance contracts and created 2 farm profiles. The first one represents dairy farms that grow most of their feed, whereas the second profile is designed to capture the risk exposure of dairy farms that purchase all their dairy herd, dry cow, and heifer feed. Our case study of this program encompasses the 2009 period, which was characterized by exceptionally

  17. The external costs of a sedentary life-style.

    PubMed Central

    Keeler, E B; Manning, W G; Newhouse, J P; Sloss, E M; Wasserman, J

    1989-01-01

    Using data from the National Health Interview Survey and the RAND Health Insurance Experiment, we estimated the external costs (costs borne by others) of a sedentary life-style. External costs stem from additional payments received by sedentary individuals from collectively financed programs such as health insurance, sick-leave coverage, disability insurance, and group life insurance. Those with sedentary life-styles incur higher medical costs, but their life expectancy at age 20 is 10 months less so they collect less public and private pensions. The pension costs come late in life, as do some of the medical costs, and so the estimate of the external cost is sensitive to the discount rate used. At a 5 percent rate of discount, the lifetime subsidy from others to those with a sedentary life style is $1,900. Our estimate of the subsidy is also sensitive to the assumed effect of exercise on mortality. The subsidy is a rationale for public support of recreational facilities such as parks and swimming pools and employer support of programs to increase exercise. PMID:2502036

  18. The Short- and Long-Run Marginal Cost Curves: An Alternative Explanation.

    ERIC Educational Resources Information Center

    Boyd, Laura A.; Boyd, David W.

    1994-01-01

    Discusses issues related to short-run marginal cost and long-run marginal cost in economic theory. Asserts that few economics textbooks deal with important aspects of this concept. Includes four figures illustrating the approach suggested by the authors. (CFR)

  19. Marginal abatement cost curve for NOx incorporating controls, renewable electricity, energy efficiency and fuel switching

    EPA Science Inventory

    A marginal abatement cost curve (MACC) traces out the relationship between the quantity of pollution abated and the marginal cost of abating each additional unit. In the context of air quality management, MACCs typically are developed by sorting end-of-pipe controls by their resp...

  20. Marginal cost of electricity 1980-1995: an approximation based on the cost of new coal and nuclear generating plants

    SciTech Connect

    Nieves, L.A.; Patton, W.P.; Harrer, B.J.; Emery, J.C.

    1980-07-01

    This report presents estimates of the costs of new coal and nuclear base-load generating capacity which is either currently under construction or planned by utilities to meet their load-growth expectations during the period from 1980 to 1995. These capacity cost estimates are used in conjunction with announced plant capacities and commercial-operation dates to develop state-level estimates of busbar costs of electricity. From these projected busbar costs, aggregated estimates of electricity costs at the retail level are developed for DOE Regions. The introductory chapter explains the rationale for using the cost of electricity from base-load plants to approximate the marginal cost of electricity. The next major section of the report outlines the methodology and major assumptions used. This is followed by a detailed description of the empirical analysis, including the equations used for each of the cost components. The fourth section presents the resultant marginal cost estimates.

  1. Method for computing marginal costs associated with on-site energy technologies

    SciTech Connect

    Bright, R.; Davitian, H.

    1980-08-01

    A method for calculating long-run marginal costs for an electric utility is described. The method is especially suitable for computing the marginal costs associated with the use of small on-site energy technologies, i.e., cogenerators, solar heating and hot water systems, wind generators, etc., which are interconnected with electric utilities. In particular, both the costs a utility avoids when power is delivered to it from a facility with an on-site generator and marginal cost to the utility of supplementary power sold to the facility can be calculated. A utility capacity expansion model is used to compute changes in the utility's costs when loads are modified by the use of the on-site technology. Changes in capacity-related costs and production costs are thus computed in an internally consistent manner. The variable nature of the generation/load pattern of the on-site technology is treated explicitly. The method yields several measures of utility costs that can be used to develop rates based on marginal avoided costs for on-site technologies as well as marginal cost rates for conventional utility customers.

  2. 26 CFR 1.925(b)-1T - Temporary regulations; marginal costing rules.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 10 2010-04-01 2010-04-01 false Temporary regulations; marginal costing rules. 1.925(b)-1T Section 1.925(b)-1T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Earned Income of Citizens of United States § 1.925(b)-1T Temporary regulations; marginal...

  3. SU-F-BRD-06: Dosimetric Cost of a GTV Margin for Simultaneous Integrated Intra- Prostatic Boost Treatments

    SciTech Connect

    Studenski, M; Abramowitz, M; Dogan, N; Pollack, A

    2014-06-15

    Purpose: Quantify the dosimetric cost for a margin around the MRI-defined high risk GTV for simultaneous integrated intra-prostatic boosts (SIIB) treated with RapidArc. Methods: For external beam radiotherapy of the prostate, a 3-7 mm PTV margin is typically used to account for setup and intra-fraction uncertainties after adjusting for inter-fraction motion. On the other hand, our current paradigm is to treat the MRI-defined high risk GTV with no margin. In this work, 11 patients treated SIIB (7 post-prostatectomy, 4 intact prostate) with RapidArc were re-planned with 1-5 mm margins around the GTV to quantify dosimetric effects. Two 358 degree, 10 MV RapidArcs were used to deliver 68 Gy (76.5 Gy boost) to the post-prostatectomy patients and 80 Gy (86 Gy boost) to the intact prostates. Paired, two tail t-tests were used to determine if there were any significant differences (p<0.05) in the total MUs and dosimetric parameters used to evaluate rectum, bladder, and PTV dose with and without margin. Results: The average GTV volume without margin was 8.1cc (2.8% of the PTV volume) while the average GTV volume with a 5 mm margin was 20.1cc (9.0% of the PTV volume). GTV volumes ranged from 0.2% of the PTV volume up to 33.0%. Despite these changes in volume, the only statistical difference was found for the rectal V65 Gy with a 5 mm margin (18.6% vs. 19.4%; p-value = 0.026) when all patients were considered as a single group. No difference was found when analyzed as two groups. The rectum V40Gy, bladder V40Gy and V65Gy, PTV Dmax and D95% or the total MUs did not show any significant difference for any margin. Conclusion: A 4 mm margin on the high risk GTV is possible with no statistically significant change in dosimetry or total MUs. Further work will assess the appropriate margin required for intra-prostatic boosts.

  4. Assessing Air Pollutant-Induced, Health-Related External Costs in the Context of Nonmarginal System Changes: A Review.

    PubMed

    Bachmann, Till M

    2015-08-18

    Marginal analysis is the usual approach to environmental economic assessment, for instance, of health-related external costs due to energy-associated air pollutant emissions. However, nonlinearity exists in all steps of their assessment, i.e., atmospheric dispersion, impact assessment, and monetary valuation. Dedicated assessments thus appear necessary when evaluating large systems or their changes such as in green accounting or the implications of economy-wide energy transitions. Corresponding approaches are reviewed. Tools already exist that allow assessing a marginal change (e.g., one power plant's emissions) for different background emission scenarios that merely need to be defined and implemented. When assessing nonmarginal changes, the top-down approach is considered obsolete, and four variants of the bottom-up approach with different application domains were identified. Variants 1 and 2 use precalculated external cost factors with different levels of sophistication, suitable for energy systems modeling, optimizing for social (i.e., private and external) costs. Providing more reliable results due to more detailed modeling, emission sources are assessed individually or jointly in variants 3 and 4, respectively. Aiming at considering nonlinearity more fully and simultaneously following marginal analysis principles, I propose a variant 3-based approach, subdividing an aggregate (i.e., a nonmarginal change) into several smaller changes. Its strengths and drawbacks, notably the associated effort, are discussed. PMID:26237285

  5. Marginal capacity costs of electricity distribution and demand for distributed generation

    SciTech Connect

    Woo, Chi-Keung, Lloyd-Zanetti, D.; Orans, R.

    1995-12-31

    Marginal costs of electricity vary by time and location. Past researchers attributed these variations to factors related to electricity generation, transmission and distribution. Past authors, however, did not fully analyze the large variations in marginal distribution capacity costs (MDCC) by area and time. Thus, the objectives of this paper are as follows: (1) to show that large MDCC variations exist within a utility`s service territory; (2) to demonstrate inter-utility variations in MDCC; and (3) to demonstrate the usefulness of these costs in determining demand for distributed generation (DG). 27 refs., 3 figs., 2 tabs.

  6. Applying environmental externalities to US Clean Coal Technologies for Asia. [Including external environmental costs

    SciTech Connect

    Szpunar, C.B.; Gillette, J.L.

    1993-01-01

    The United States is well positioned to play an expanding role in meeting the energy technology demands of the Asian Pacific Basin, including Indonesia, Thailand, and the Republic of China (ROC-Taiwan). The US Department of Energy Clean Coal Technology (CCT) Demonstration Program provides a proving ground for innovative coal-related technologies that can be applied domestically and abroad. These innovative US CCTs are expected to satisfy increasingly stringent environmental requirements while substantially improving power generation efficiencies. They should also provide distinct advantages over conventional pulverized coal-fired combustors. Finally, they are expected to be competitive with other energy options currently being considered in the region. This paper presents potential technology scenarios for Indonesia, Thailand, and the ROC-Taiwan and considers an environmental cost-benefit approach employing a newly developed method of applying environmental externalities. Results suggest that the economic benefits from increased emission control can indeed be quantified and used in cost-benefit comparisons, and that US CCTs can be very cost effective in reducing emissions.

  7. Geometry of the Iapetus Baltoscandian continental margin; evidence for basement highs from the external imbricate zone.

    NASA Astrophysics Data System (ADS)

    Rice, A. Hugh N.

    2015-04-01

    The geometry of the Iapetus Baltoscandian continental margin prior to Scandinavian Caledonian collision is important, since only with a detailed initial input can synthetic palaeogeographic and deformation models be correctly applied. The Scandes comprise ~SE-directed nappes pierced by tectonic windows exposing basement with condensed, post-Gaskiers-glaciation (582-580Ma) cover sequences. Here, evidence, largely from the Lower Allochthon (external imbricate zone), for major displacement of these basement rocks ('Window Allochthon'), is summarized; palaeogeographically they formed a topographic-high along the Baltoscandian continental margin. In the Oslo Graben and East Finnmark areas (southernmost/northernmost Scandinavia), the transition from (par)-autochthon to allochthon is preserved (Osen-Roa Nappe Complex/Gaissa Thrust Belt; ORNC/GTB). These areas give reliable templates for other parts of the orogen, where the orogen leading edge has been extensively eroded. In the ORNC and GTB, bulk shortening was ~50%, with values rising towards the hinterland; metamorphic grades also increase towards the hinterland. Balanced-sections restore the trailing-edges of the ORNC and GTB to Norwegian coastal areas. In Finnmark, restoration places pre-Marinoan (pre~650 Ma) GTB anchizone-grade rocks above epizone-grade post-Gaskiers rocks lying unconformably on basement in the Komagfjord tectonic window. In southern Norway, restored pre-Gaskiers ORNC rocks overlie Cambro-Ordovician sediments unconformable on basement in the Atnsjøen/Spekedalen windows and WGR. Caledonian Middle Allochthon deformation in Finnmark was SE-directed and in the GTB E- to ESE-directed. In the Komagfjord window basement, Caledonian imbrication was SE-directed, but the overlying basal Middle Allochthon mylonites have an out-of-sequence E-ESE overprint. Thus the Komagfjord basement/cover lies structurally between the Middle and Lower Allochthons. In the Atnsjøen/Spekedalen windows, SE-directed Caledonian

  8. Electric Utility Rate Design Study: comments on An Evaluation of Four Marginal-Costing Methodologies

    SciTech Connect

    Not Available

    1980-06-12

    This report is an extension of NP-24255 (EAPA 6:1820), An Evaluation of Four Marginal Costing Methodologies (RDS No. 66), which summarizes, contrasts, and evaluates four marginal costing methodologies currently in use by various electric utilities. The proponents of the four methodologies evaluated by Temple, Barker, and Sloane (TBS) were asked to comment on the TBS report (RDS No. 66). Other selected reviewers were asked to comment on the TBS report. This report, RDS No. 67, is an anthology of all those comments plus a response to them by TBS. The rebuttal comments from TBS appear first, followed by comments submitted by Ralph Turvey, an authority in microeconomics. The next comments are to the Rate Design Study by members of Advisory Group I, experts in the field of electricity pricing. The next four sections present detailed comments submitted by the four marginal-cost proponents: Cicchetti, Gillen, and Smolensky; Ernst and Ernst; Gordian Associates; and National Economic Research Associates.

  9. Teaching Marginal Cost, Supply, and Efficiency with an English-Auction Experiment.

    ERIC Educational Resources Information Center

    Bernard, John C.; Schulze, William

    2000-01-01

    Describes a computerized English-auction experiment that helps students to understand marginal cost and its interrelationships with supply and the efficiency of competitive markets. Explains that the English auction is in a market where there are many sellers (students) and one buyer (computer). States that this exercise offers a good introduction…

  10. Marginal costing methods highlight the contributing cost of comorbid conditions in Medicare patients: a quasi-experimental case–control study of ischemic stroke costs

    PubMed Central

    2013-01-01

    Background Cost of illness studies are needed to provide estimates for input into cost-effectiveness studies and as information drivers to resource allocation. However, these studies often do not differentiate costs associated with the disease of interest and costs of co-morbidities. The goal of this study was to identify the 1-year cost of ischemic stroke compared to the annual cost of care for a comparable non-stroke group of South Carolina (SC) Medicare beneficiaries resulting in a marginal cost estimate. Methods SC data for 2004 and 2005 were used to estimate the mean 12 month cost of stroke for 2,976 Medicare beneficiaries hospitalized for Ischemic Stroke in 2004. Using nearest neighbor propensity score matching, a control group of non-stroke beneficiaries were matched on age, gender, race, risk factors, and Charlson comorbidity index and their costs were calculated. Marginal cost attributable to ischemic stroke was calculated as the difference between these two adjusted cost estimates. Results The total cost estimated for SC stroke patients for 1 year (2004) was $81.3 million. The cost for the matched comparison group without stroke was $54.4 million. Thus, the 2004 marginal costs to Medicare due to Ischemic stroke in SC are estimated to be $26.9 million. Conclusions Accurate estimates of cost of care for conditions, such as stroke, that are common in older patients with a high rate of comorbid conditions require the use of a marginal costing approach. Over estimation of cost of care for stroke may lead to prediction of larger savings than realizable from important stroke treatment and prevention programs, which may damage the credibility of program advocates, and jeopardize long term funding support. Additionally, correct cost estimates are needed as inputs for valid cost-effectiveness studies. Thus, it is important to use marginal costing for stroke, especially with the increasing public focus on evidence-based economic decision making to be expected with

  11. 48 CFR 231.205-70 - External restructuring costs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... determining cost allowability in accordance with FAR part 31 shall apply. (5) Restructuring savings means cost... costs are allowable in accordance with FAR part 31 and DFARS part 231; (2) An audit of...

  12. 48 CFR 231.205-70 - External restructuring costs.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... determining cost allowability in accordance with FAR part 31 shall apply. (5) Restructuring savings means cost... costs are allowable in accordance with FAR part 31 and DFARS part 231; (2) An audit of...

  13. 48 CFR 231.205-70 - External restructuring costs.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... determining cost allowability in accordance with FAR part 31 shall apply. (5) Restructuring savings means cost... costs are allowable in accordance with FAR part 31 and DFARS part 231; (2) An audit of...

  14. 48 CFR 231.205-70 - External restructuring costs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... determining cost allowability in accordance with FAR part 31 shall apply. (5) Restructuring savings means cost... costs are allowable in accordance with FAR part 31 and DFARS part 231; (2) An audit of...

  15. Impact of Coverage-Dependent Marginal Costs on Optimal HPV Vaccination Strategies

    PubMed Central

    Ryser, Marc D.; McGoff, Kevin; Herzog, David P.; Sivakoff, David J.; Myers, Evan R.

    2015-01-01

    The effectiveness of vaccinating males against the human papillomavirus (HPV) remains a controversial subject. Many existing studies conclude that increasing female coverage is more effective than diverting resources into male vaccination. Recently, several empirical studies on HPV immunization have been published, providing evidence of the fact that marginal vaccination costs increase with coverage. In this study, we use a stochastic agent-based modeling framework to revisit the male vaccination debate in light of these new findings. Within this framework, we assess the impact of coverage-dependent marginal costs of vaccine distribution on optimal immunization strategies against HPV. Focusing on the two scenarios of ongoing and new vaccination programs, we analyze different resource allocation policies and their effects on overall disease burden. Our results suggest that if the costs associated with vaccinating males are relatively close to those associated with vaccinating females, then coverage-dependent, increasing marginal costs may favor vaccination strategies that entail immunization of both genders. In particular, this study emphasizes the necessity for further empirical research on the nature of coverage-dependent vaccination costs. PMID:25979280

  16. Comparative analysis of monetary estimates of external environmental costs associated with combustion of fossil fuels

    SciTech Connect

    Koomey, J.

    1990-07-01

    Public utility commissions in a number of states have begun to explicitly treat costs of environmental externalities in the resource planning and acquisition process (Cohen et al. 1990). This paper compares ten different estimates and regulatory determinations of external environmental costs associated with fossil fuel combustion, using consistent assumptions about combustion efficiency, emissions factors, and resource costs. This consistent comparison is useful because it makes explicit the effects of various assumptions. This paper uses the results of the comparison to illustrate pitfalls in calculation of external environmental costs, and to derive lessons for design of policies to incorporate these externalities into resource planning. 38 refs., 2 figs., 10 tabs.

  17. Regional and sectoral marginal abatement cost curves for NOx incorporating controls, renewable electricity, energy efficiency and fuel switching

    EPA Science Inventory

    A marginal abatement cost curve (MACC) traces out the relationship between the quantity of pollution abated and the marginal cost of abating each additional unit. In the context of air quality management, MACCs typically are developed by sorting end-of-pipe controls by their resp...

  18. Estimation of the full marginal costs of port related truck traffic.

    PubMed

    Berechman, Joseph

    2009-11-01

    NY region is expected to grow by additional 1 million people by 2020, which translates into roughly 70 million more tons of goods to be delivered annually. Due to lack of rail capacity, mainly trucks will haul this volume of freight, challenging an already much constrained highway network. What are the total costs associated with this additional traffic, in particular, congestion, safety and emission? Since a major source of this expected flow is the Port of New York-New Jersey, this paper focuses on the estimation of the full marginal costs of truck traffic resulting from the further expansion of the port's activities. PMID:19796817

  19. Health-related external cost assessment in Europe: methodological developments from ExternE to the 2013 Clean Air Policy Package.

    PubMed

    van der Kamp, Jonathan; Bachmann, Till M

    2015-03-01

    "Getting the prices right" through internalizing external costs is a guiding principle of environmental policy making, one recent example being the EU Clean Air Policy Package released at the end of 2013. It is supported by impact assessments, including monetary valuation of environmental and health damages. For over 20 years, related methodologies have been developed in Europe in the Externalities of Energy (ExternE) project series and follow-up activities. In this study, we aim at analyzing the main methodological developments over time from the 1990s until today with a focus on classical air pollution-induced human health damage costs. An up-to-date assessment including the latest European recommendations is also applied. Using a case from the energy sector, we identify major influencing parameters: differences in exposure modeling and related data lead to variations in damage costs of up to 21%; concerning risk assessment and monetary valuation, differences in assessing long-term exposure mortality risks together with assumptions on particle toxicity explain most of the observed changes in damage costs. These still debated influencing parameters deserve particular attention when damage costs are used to support environmental policy making. PMID:25664763

  20. Comparison of Marginal Bone Changes with Internal Conus and External Hexagon Design Implant Systems: A Prospective, Randomized Study.

    PubMed

    Cooper, Lyndon F; Tarnow, Dennis; Froum, Stuart; Moriarty, John; De Kok, Ingeborg J

    2016-01-01

    A central dental implant success criterion is the marginal bone response as measured longitudinally. Factors that influence marginal bone changes include osseous and soft tissue architecture, occlusal loading factors, implant position, implant design, and inflammatory processes. The evolution of implant design is multifactorial and includes the implant-abutment interface geometries. The primary objective of this study was to compare the proximal marginal bone changes following placement and loading of internal conus design implants (ICI) and external hex design implants (EXI) used in the treatment of posterior partial edentulism. Among 45 enrolled participants, 39 were treated with 47 ICI or 46 EXI implants using a one-stage implant protocol. Prosthetic restoration was completed after 12 weeks using stock titanium abutments and all-ceramic crowns. Follow-up visits including clinical and radiographic examinations were performed 6 months after permanent restoration and then annually for 3 years. Marginal bone level changes, papilla index scores, condition of the peri-implant mucosa, presence of complications, and participant satisfaction were evaluated. The mean marginal bone level change from implant placement to 3 years was -0.25 ± 0.60 mm and -0.5 ± 0.93 mm for ICI and EXI implants, respectively. The change recorded from permanent restoration to 3 years was a gain of 0.31 ± 0.41 mm versus 0.04 ± 0.51 mm for ICI and EXI implants, respectively (P < .05). In the evaluation of interproximal soft tissue 3 years after permanent restoration, 80% of mandibular and 66% of maxillary interproximal ICI sites received papilla scores of 2 and 3, compared with 50% of mandibular and 60% of maxillary interproximal EXI sites. No significant differences in plaque or bleeding scores were recorded. Abutment/healing abutment complications were recorded for 11 EXI versus 1 ICI participant. The vast majority (> 90%) of participants stated they were satisfied or very satisfied with

  1. Marginal cost of natural gas in developing countries: concepts and applications

    SciTech Connect

    Mashayekhi, A.

    1983-01-01

    Many developing nations are facing complex questions regarding the best strategy for developing their domestic gas reserves. The World Bank has addressed these questions in studies on the cost and prices of gas and its optimal allocation among different markets. Based on the average incremental method, an estimate of the marginal cost of natural gas in 10 developing countries proved to be $0.61-1.79/1000 CF or $3.59-10.54/bbl of oil equivalent, far below the border prices of competing fuels in these nations. Moreover, the cost of gas is not expected to rise in these countries within the next 20 years while the reserves/production ratios remain high. The sample involves a variety of gas compositions and production conditions among the countries of Bangladesh, Cameroon, Egypt, India, Morocco, Nigeria, Pakistan, Tanzania, Thailand, and Tunisia.

  2. External costs of coastal beach pollution: an hedonic approach

    SciTech Connect

    Wilman, E.A.

    1984-01-01

    A technique for inputing a monetary value to the loss in beach recreational services that would result from a hypothetical oil spill in the Georges Bank area combines an oil-spill risk analysis model with a hedonic pricing model of the market for tourist accommodations on Cape Cod and Martha's Vineyard. The estimate of beach pollution costs associated with offshore oil development allows a rational judgment of whether the benefits of developing offshore oil outweigh the costs. The method is an effort to improve the economic efficiency of coastal zone management. The report concludes with a discussion of the many sources of uncertainty and suggestions for overcoming them. Five appendices present information on the models, variables, questionnaire responses, beaches, and factor patterns. 7 figures, 27 tables.

  3. Pricing landfill externalities: Emissions and disamenity costs in Cape Town, South Africa

    SciTech Connect

    Nahman, Anton

    2011-09-15

    Highlights: > The paper estimates landfill externalities associated with emissions, disamenities and transport. > Transport externalities vary from 24.22 to 31.42 Rands per tonne. > Costs of emissions (estimated using benefits transfer) vary from 0.07 to 28.91 Rands per tonne. > Disamenities (estimated using hedonic pricing) vary from 0.00 to 57.46 Rands per tonne. > Overall, external costs for urban landfills exceed those of a regional landfill. - Abstract: The external (environmental and social) costs of landfilling (e.g. emissions to air, soil and water; and 'disamenities' such as odours and pests) are difficult to quantify in monetary terms, and are therefore not generally reflected in waste disposal charges or taken into account in decision making regarding waste management options. This results in a bias against alternatives such as recycling, which may be more expensive than landfilling from a purely financial perspective, but preferable from an environmental and social perspective. There is therefore a need to quantify external costs in monetary terms, so that different disposal options can be compared on the basis of their overall costs to society (financial plus external costs). This study attempts to estimate the external costs of landfilling in the City of Cape Town for different scenarios, using the benefits transfer method (for emissions) and the hedonic pricing method (for disamenities). Both methods (in particular the process of transferring and adjusting estimates from one study site to another) are described in detail, allowing the procedures to be replicated elsewhere. The results show that external costs are currently R111 (in South African Rands, or approximately US$16) per tonne of waste, although these could decline under a scenario in which energy is recovered, or in which the existing urban landfills are replaced with a new regional landfill.

  4. Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations

    PubMed Central

    Lacy, Kyle; Cooke, Chris; Cooke, Pat; Schupbach, Justin; Vaidya, Rahul

    2015-01-01

    Traumatic dislocations of the shoulder commonly present to emergency departments (EDs). Immediate closed reduction of both anterior and posterior glenohumeral dislocations is recommended and is frequently performed in the ED. Recurrence of dislocation is common, as anteroinferior labral tears (Bankart lesions) are present in many anterior shoulder dislocations.14,15,18,23 Immobilization of the shoulder following closed reduction is therefore recommended; previous studies support the use of immobilization with the shoulder in a position of external rotation, for both anterior and posterior shoulder dislocations.7–11,19 In this study, we present a technique for assembling a low-cost external rotation shoulder brace using materials found in most hospitals: cotton roll, stockinette, and shoulder immobilizers. This brace is particularly suited for the uninsured patient, who lacks the financial resources to pay for a pre-fabricated brace out of pocket. We also performed a cost analysis for our low-cost external rotation shoulder brace, and a cost comparison with pre-fabricated brand name braces. At our institution, the total materials cost for our brace was $19.15. The cost of a pre-fabricated shoulder brace at our institution is $150 with markup, which is reimbursed on average at $50.40 according to our hospital billing data. The low-cost external rotation shoulder brace is therefore a more affordable option for the uninsured patient presenting with acute shoulder dislocation. PMID:25671019

  5. Environmental policy making: liability for externalities in the presence of transaction costs

    SciTech Connect

    Bird, P.J.W.N.

    1980-07-01

    Environmental law that favors the victim of pollution against the polluter has some theoretical justification. For depletable externalities, this originates from the important asymmetries between free riding and holding out and from the physical nature of several externality problems. For a large class of pollution examples, however, where the externality is undepletable, no market can achieve a Pareto optimal allocation. Market solutions are useless in these cases if efficiency is the criterion for the allocation of liability. In a real-world context, very high transaction costs remove the justification for any rule, and the possibility of asymmetry in pollution costs could be used to support laws that favor the polluter. The efforts of policymakers should be directed towards more careful assessment of the likely costs and benefits of polluting activities and of the distributional and ethical dimensions. 13 references, 3 figures.

  6. Transport Sector Marginal Abatement Cost Curves in Computable General Equilibrium Model

    NASA Astrophysics Data System (ADS)

    Tippichai, Atit; Fukuda, Atsushi; Morisugi, Hisayoshi

    In the last decade, computable general equilibrium (CGE) models have emerged a standard tool for climate policy evaluation due to their abilities to prospectively elucidate the character and magnitude of the economic impacts of energy and environmental policies. Furthermore, marginal abatement cost (MAC) curves which represent GHG emissions reduction potentials and costs can be derived from these top-down economic models. However, most studies have never address MAC curves for a specific sector that have a large coverage of countries which are needed for allocation of optimal emission reductions. This paper aims to explicitly describe the meaning and character of MAC curves for transport sector in a CGE context through using the AIM/CGE Model developed by Toshihiko Masui. It found that the MAC curves derived in this study are the inverse of the general equilibrium reduction function for CO2 emissions. Moreover, the transport sector MAC curves for six regions including USA, EU-15, Japan, China, India, and Brazil, derived from this study are compared to the reduction potentials under 100 USD/tCO2 in 2020 from a bottom-up study. The results showed that the ranking of the regional reduction potentials in transport sector from this study are almost same with the bottom-up study except the ranks of the EU-15 and China. In addition, the range of the reduction potentials from this study is wider and only the USA has higher potentials than those derived from the bottom-up study.

  7. A Methodology for Evaluating Technical Performance Parameter Design Margins to Control Earth and Space Science Instrument Cost

    NASA Astrophysics Data System (ADS)

    Jones-Selden, Felicia L.

    Costs of aerospace missions have increased over the last twenty years, placing the future of the space program in jeopardy. A potential source for such growth can be attributed to the complex multidisciplinary and challenging nature of earth and space science instrument development. Design margins are additional resources carried in technical performance parameters to mitigate uncertainties throughout the product lifecycle. Margins are traditionally derived and allocated based upon historical experience intrinsic to organizations, as opposed to quantitative methods, jeopardizing the development of low-cost space-based instruments. This dissertation utilizes a methodology to evaluate the interrelationships between pre-launch and actual launch margins for the key technical performance parameters of mass, power, and data-rate to identify the extent to which excessive or insufficient margins are used in the design of space-based instruments in an effort to control instrument cost growth. The research examined 62 space-based instruments from the National Aeronautics and Space Administration, Federally Funded Research and Development Centers, and universities. Statistical analysis consisting of paired t-tests and multiple linear regression were utilized to determine the degree to which space-based instruments are over or under designed by the use of excessive or insufficient design margins and to determine the effect of design margins for the technical performance parameters of mass, power, and data-rate on the percentage instrument cost growth from the preliminary design phase to launch. Findings confirm, that in the implementation of space-based instruments, design margins are allocated to technical performance parameters above suggested government/industry standards, impacting the development of low-cost space-based instruments. The findings provide senior leadership, systems engineers, project managers, and resource managers with the ability to determine where

  8. The cost of applying current helicopter external noise reduction methods while maintaining realistic vehicle performance

    NASA Technical Reports Server (NTRS)

    Bowes, M. A.

    1978-01-01

    Analytical methods were developed and/or adopted for calculating helicopter component noise, and these methods were incorporated into a unified total vehicle noise calculation model. Analytical methods were also developed for calculating the effects of noise reduction methodology on helicopter design, performance, and cost. These methods were used to calculate changes in noise, design, performance, and cost due to the incorporation of engine and main rotor noise reduction methods. All noise reduction techniques were evaluated in the context of an established mission performance criterion which included consideration of hovering ceiling, forward flight range/speed/payload, and rotor stall margin. The results indicate that small, but meaningful, reductions in helicopter noise can be obtained by treating the turbine engine exhaust duct. Furthermore, these reductions do not result in excessive life cycle cost penalties. Currently available main rotor noise reduction methodology, however, is shown to be inadequate and excessively costly.

  9. Changes in kinematics, metabolic cost and external work during walking with a forward assistive force.

    PubMed

    Zirker, Christopher A; Bennett, Bradford C; Abel, Mark F

    2013-08-01

    We examined how the application of a forward horizontal force applied at the waist alters the metabolic cost, kinematics, and external work of gait. Horizontal assist forces of 4%, 8% and 12% of a subject's body weight were applied via our testing apparatus while subjects walked at comfortable walking speed on a level treadmill. Kinematic and metabolic parameters were measured using motion capture and ergospirometry respectively on a group of 10 healthy male subjects. Changes in kinematic and metabolic parameters were quantified and found similar to walking downhill at varying grades. A horizontal assist force of 8% resulted in the greatest reduction of metabolic cost. Changes in recovery factor, external work, and center of mass (COM) movement did not correlate with changes in metabolic rate and therefore were not driving the observed reductions in cost. The assist force may have performed external work by providing propulsion as well as raising the COM as it pivots over the stance leg. Assist forces may decrease metabolic cost by reducing the concentric work required for propulsion while increasing the eccentric work of braking. These findings on the effects of assist forces suggest novel mobility aids for individuals with gait disorders and training strategies for athletes. PMID:23183216

  10. [Cost benefits of intensive insulin therapy using injections, external pumps and implantable pumps].

    PubMed

    Selam, J L; Haardt, M J; Berne, C; Dorange, C; Lanoe, J L; Bethoux, J P; Slama, G

    1993-12-01

    Since feasibility is now proven, cost-efficacy of external sub-cutaneous (EXT) and implantable programmable (IMP) insulin pumps needs to be compared to those of intensified conventional insulin therapy (CONV). Only metabolic efficacy and short-term direct costs are easily evaluable. We (WHO-CSII Study) and others have shown that glycemic control and severe hypoglycemia risk are slightly improved, while ketoacidosis risk and costs are aggravated with EXT vs CONV. We (CEDIT Study) and others have shown that glycemic control, mild and severe hypoglycemic risks are improved, with no increase in ketoacidosis rates although a doubling in costs with IMP vs CONV. Rigid interpretation of the above data would limit indications of insulin pumps to patients experiencing frequent hypoglycemias while on intensified conventional insulin therapy. PMID:8206188

  11. Assessment of external costs for transport project evaluation: Guidelines in some European countries

    SciTech Connect

    Petruccelli, Umberto

    2015-09-15

    Many studies about the external costs generated by the transport system have been developed in the last twenty years. To standardize methodologies and assessment procedures to be used in the evaluation of the projects, some European countries recently have adopted specific guidelines that differ from each other in some aspects even sensibly. This paper presents a critical analysis of the British, Italian and German guidelines and is aimed at cataloguing the external cost types regarded and the assessment methods indicated as well as to highlight the differences of the results, in terms of applicability and reliability. The goal is to contribute to a European standardization process that would lead to the drafting of guidelines suited for all EU countries. - Highlights: • The analyzed guidelines agree on the methods to evaluate costs from air pollution, greenhouse gases and accidents. • They recommend respectively: dose-resp. approach; costs to reduce/permit emissions; whole direct, indirect and social costs. • For noise, DE guide indicates defensive expenditure or SP methods; IT guide, SP method; UK guide, the hedonic prices one. • For on territory impact, DE guide regards only the barrier effect; the IT one, also the soil consumption and system effects. • British guide proposes a qualitative methodology to estimate the impact on various landscapes and environments.

  12. The effect of location and facility demand on the marginal cost of delivered wood chips from energy crops: A case study of the state of Tennessee

    SciTech Connect

    Graham, R.L.; Liu, W.; Downing, M.; Noon, C.; Daly, M.; Moore, A.

    1995-12-31

    Cost-supply curves for delivered wood chips from short rotation woody crops were calculated for 21 regularly-spaced locations spanning the state of Tennessee. These curves were used to systematically evaluate the combined effects of location and facility demand on wood chip feedstock costs in Tennessee. The cost-supply curves were developed using BRAVO, a GIS-based decision support system which calculates marginal cost of delivering wood chips to a specific location given road network maps and maps of farmgate prices and supplies of woody chips from short rotation energy crops. Marginal costs of delivered chips varied by both facility location in the state and facility demand. Marginal costs were lowest in central Tennessee unless the facility demand was greater than 2.7 million dry Mg per year (3 million dry tons per year) in which case west Tennessee was the lowest cost region. Marginal costs rose rapidly with increasing facility demand in the mountainous eastern portion of the state. Transportation costs accounted for 18 to 29% of the delivered cost and ranged between $8 and $18/dry Mg ($7 and $16/dry ton). Reducing the expected farmer participation rate from 100% to 50% or 25% dramatically raised the marginal costs of feedstock supply in the east and central regions of the state. The analysis demonstrates the need to use geographically-specific information when projecting the potential costs and supplies of biomass feedstock.

  13. Cost effectiveness of external hip protectors in the hospital setting: a modeling study.

    PubMed

    Stollenwerk, Björn; Waldeyer, Regina; Klein-Meding, Christiane; Müller, Dirk; Stock, Stephanie

    2014-01-01

    Chronic illnesses, for which many patients are admitted to hospitals, substantially increase the risk of falling, and hence the likelihood of incurring a hip fracture. Hip fractures not only have devastating consequences on an individual's quality of life but may also affect a hospital's reputation in the community. In addition, hospitals may face litigation claims and increased costs for patients who fall and suffer a major injury as a consequence. External hip protectors are comparable to padded undergarments and shield the trochanter, reducing the detrimental effects and force impacting the bone during a fall. Screening for patients at high risk of falling and providing high-risk patients with hip protectors as a preventive measure to avoid hip fractures, not only improves public health, but can also save hospitals care and litigation costs. PMID:24834633

  14. Externalities of oil imports revisited

    SciTech Connect

    Lemon, R.

    1980-09-01

    A re-analysis of the externalities associated with oil imports reaffirms the major findings of an earlier study: (1) The current externalities of oil imports are large even after several favorable assumptions are made, including the existence of a large buffer stock and enlightened monetary and fiscal policy. (2) The large externalities of oil imports call for increased domestic supplies, including conservation, if they are cost-effective and based on marginal social costs. (3) A corrective public policy could involve oil-import taxes and the subsidization of new domestic energy sources without large government externalities. 20 references.

  15. An approach to assess the marginal environmental costs for flow regulation: an example in three European rivers

    NASA Astrophysics Data System (ADS)

    de Jalon Diego, Garcia; de Jalon Silvestre, Garcia; Tanago Marta, Gonzalez

    2015-04-01

    In the last decades there has been a growing concern about water environmental costs. 'Polluter should pay' has been a phrase repeated in numerous policy-making processes. Water abstraction for Irrigation, Hydropower or water supply for Domestic or Industrial porpoises alters natural flow regimes impacting severely fluvial Ecosystems. The objective of this paper is to develop an evaluation of the marginal environmental costs for flow regulation. This approach is based on the idea 'who regulates flows should pay' and the amount to be paid should be proportional on the intensity, duration and frequency of the resulting regulated flows. The methodology proposed includes three separated steps: (i) estimating the natural flow regime of a river segment through studying the hydrologic conditions before the river is affected by a determined anthropogenic impact, (ii) assessing the hydrologic alteration of the river segment according to the estimated natural flow regime, and (iii) calculating marginal environmental costs of water supply. The three different case studies where the methodology was applied were the Esla River (Spain), the Upper River Tyne (England) and the Marna River (Norway).

  16. Marginal cost curves for water footprint reduction in irrigated agriculture: a policy and decision making guide for efficient water use in crop production

    NASA Astrophysics Data System (ADS)

    Chukalla, Abebe; Krol, Maarten; Hoekstra, Arjen

    2016-04-01

    Reducing water footprints (WF) in irrigated crop production is an essential element in water management, particularly in water-scarce areas. To achieve this, policy and decision making need to be supported with information on marginal cost curves that rank measures to reduce the WF according to their cost-effectiveness and enable the estimation of the cost associated with a certain WF reduction target, e.g. towards a certain reasonable WF benchmark. This paper aims to develop marginal cost curves (MCC) for WF reduction. The AquaCrop model is used to explore the effect of different measures on evapotranspiration and crop yield and thus WF that is used as input in the MCC. Measures relate to three dimensions of management practices: irrigation techniques (furrow, sprinkler, drip and subsurface drip); irrigation strategies (full and deficit irrigation); and mulching practices (no mulching, organic and synthetic mulching). A WF benchmark per crop is calculated as resulting from the best-available production technology. The marginal cost curve is plotted using the ratios of the marginal cost to WF reduction of the measures as ordinate, ranking with marginal costs rise with the increase of the reduction effort. For each measure, the marginal cost to reduce WF is estimated by comparing the associated WF and net present value (NPV) to the reference case (furrow irrigation, full irrigation, no mulching). The NPV for each measure is based on its capital costs, operation and maintenances costs (O&M) and revenues. A range of cases is considered, including: different crops, soil types and different environments. Key words: marginal cost curve, water footprint benchmark, soil water balance, crop growth, AquaCrop

  17. Some Simple Arguments about Cost Externalization and its Relevance to the Price of Fusion Energy

    SciTech Connect

    Budny, R.; Winfree, R.

    1999-09-27

    The primary goal of fusion energy research is to develop a source of energy that is less harmful to the environment than are the present sources. A concern often expressed by critics of fusion research is that fusion energy will never be economically competitive with fossil fuels, which in 1997 provided 75% of the world's energy. And in fact, studies of projected fusion electricity generation generally project fusion costs to be higher than those of conventional methods. Yet it is widely agreed that the environmental costs of fossil fuel use are high. Because these costs aren't included in the market price, and furthermore because many governments subsidize fossil fuel production, fossil fuels seem less expensive than they really are. Here we review some simple arguments about cost externalization which provide a useful background for discussion of energy prices. The collectively self-destructive behavior that is the root of many environmental problems, including fossil fuel use, was termed ''the tragedy of the commons'' by the biologist G. Hardin. Hardin's metaphor is that of a grazing commons that is open to all. Each herdsman, in deciding whether to add a cow to his herd, compares the benefit of doing so, which accrues to him alone, to the cost, which is shared by all the herdsmen using the commons, and therefore adds his cow. In this way individually rational behavior leads to the collective destruction of the shared resource. As Hardin pointed out, pollution is one kind of tragedy of the commons. CO{sub 2} emissions and global warming are in this sense classic tragedies.

  18. Toward a new spacecraft optimal design lifetime? Impact of marginal cost of durability and reduced launch price

    NASA Astrophysics Data System (ADS)

    Snelgrove, Kailah B.; Saleh, Joseph Homer

    2016-10-01

    The average design lifetime of satellites continues to increase, in part due to the expectation that the satellite cost per operational day decreases monotonically with increased design lifetime. In this work, we challenge this expectation by revisiting the durability choice problem for spacecraft in the face of reduced launch price and under various cost of durability models. We first provide a brief overview of the economic thought on durability and highlight its limitations as they pertain to our problem (e.g., the assumption of zero marginal cost of durability). We then investigate the merging influence of spacecraft cost of durability and launch price, and we identify conditions that give rise cost-optimal design lifetimes that are shorter than the longest lifetime technically achievable. For example, we find that high costs of durability favor short design lifetimes, and that under these conditions the optimal choice is relatively robust to reduction in launch prices. By contrast, lower costs of durability favor longer design lifetimes, and the optimal choice is highly sensitive to reduction in launch price. In both cases, reduction in launch prices translates into reduction of the optimal design lifetime. Our results identify a number of situations for which satellite operators would be better served by spacecraft with shorter design lifetimes. Beyond cost issues and repeat purchases, other implications of long design lifetime include the increased risk of technological slowdown given the lower frequency of purchases and technology refresh, and the increased risk for satellite operators that the spacecraft will be technologically obsolete before the end of its life (with the corollary of loss of value and competitive advantage). We conclude with the recommendation that, should pressure to extend spacecraft design lifetime continue, satellite manufacturers should explore opportunities to lease their spacecraft to operators, or to take a stake in the ownership

  19. Identifying cost-minimizing strategies for guaranteeing target dairy income over feed cost via use of the Livestock Gross Margin dairy insurance program.

    PubMed

    Valvekar, M; Cabrera, V E; Gould, B W

    2010-07-01

    Milk and feed price volatility are the major source of dairy farm risk. Since August 2008 a new federally reinsured insurance program has been available to many US dairy farmers to help minimize the negative effects of adverse price movements. This insurance program is referred to as Livestock Gross Margin Insurance for Dairy Cattle. Given the flexibility in contract design, the dairy farmer has to make 3 critical decisions when purchasing this insurance: 1) the percentage of monthly milk production to be covered, 3) declared feed equivalents used to produce this milk, and 3) the level of gross margin not covered by insurance (i.e., deductible). The objective of this analysis was to provide an optimal strategy of how a dairy farmer could incorporate this insurance program to help manage the variability in net farm income. In this analysis we assumed that a risk-neutral dairy farmer wants to design an insurance contract such that a target guaranteed income over feed cost is obtained at least cost. We undertook this analysis for a representative Wisconsin dairy farm (herd size: 120 cows) producing 8,873 kg (19,545 lb) of milk/cow per year. Wisconsin statistical data indicates that dairy farms of similar size must require an income over feed cost of at least $110/Mg ($5/cwt) of milk to be profitable during the coverage period. Therefore, using data for the July 2009 insurance contract to insure $110/Mg of milk, the least cost contract was found to have a premium of $1.22/Mg ($0.055/cwt) of milk produced insuring approximately 52% of the production with variable monthly production covered during the period of September 2009 to June 2010. This premium represented 1.10% of the desired IOFC. We compared the above optimal strategy with an alternative nonoptimal strategy, defined as a contract insuring the same proportion of milk as the optimal (52%) but with a constant amount insured across all contract months. The premium was found to be almost twice the level obtained

  20. The Marginal Damage Costs of Different Greenhouse Gases: An Application of FUND

    SciTech Connect

    Waldhoff, Stephanie T.; Anthoff, David; Rose, Steven K.; Tol, Richard

    2014-01-01

    We use FUND 3.8 to estimate the social cost of four greenhouse gases: carbon dioxide, methane, nitrous oxide, and sulphur hexafluoride emissions. The damage potential for each gas—the ratio of the social cost of the non-carbon dioxide greenhouse gas to the social cost of carbon dioxide—is also estimated. The damage potentials are compared to several metrics, focusing in particular on the global warming potentials, which are frequently used to measure the trade-off between gases in the form of carbon dioxide equivalents. We find that damage potentials could be significantly higher than global warming potentials. This finding implies that previous papers have underestimated the relative importance of reducing non-carbon dioxide greenhouse gas emissions from an economic damage perspective. We show results for a range of sensitivity analyses: carbon dioxide fertilization on agriculture productivity, terrestrial feedbacks, climate sensitivity, discounting, equity weighting, and socioeconomic and emissions scenarios. The sensitivity of the results to carbon dioxide fertilization is a primary focus as it is an important element of climate change that has not been considered in much of the previous literature. We estimate that carbon dioxide fertilization has a large positive impact that reduces the social cost of carbon dioxide with a much smaller effect on the other greenhouse gases. As a result, our estimates of the damage potentials of methane and nitrous oxide are much higher compared to estimates that ignore carbon dioxide fertilization. As a result, our base estimates of the damage potential for methane and nitrous oxide that include carbon dioxide fertilization are twice their respective global warming potentials. Our base estimate of the damage potential of sulphur hexafluoride is similar to the one previous estimate, both almost three times the global warming potential.

  1. Postoperative Intensity-Modulated Radiotherapy for Squamous Cell Carcinoma of the External Auditory Canal and Middle Ear: Treatment Outcomes, Marginal Misses, and Perspective on Target Delineation

    SciTech Connect

    Chen, Wan-Yu; Kuo, Sung-Hsin; Chen, Yu-Hsuan; Lu, Szu-Huai; Tsai, Chiao-Ling; Chia-Hsien Cheng, Jason; Hong, Ruey-Long; Chen, Ya-Fang; Hsu, Chuan-Jen; Lin, Kai-Nan; Ko, Jenq-Yuh; Lou, Pei-Jen; Wang, Cheng-Ping; Chong, Fok-Ching; Wang, Chun-Wei

    2012-03-15

    Purpose: To report outcomes of the rare disease of squamous cell carcinoma (SCC) of the external auditory canal (EAC) and middle ear treated with surgery and postoperative intensity-modulated radiotherapy (IMRT). Failure patterns related to spatial dose distribution were also analyzed to provide insight into target delineation. Methods and Materials: A retrospective review was conducted of the records of 11 consecutive patients with SCC of the EAC and middle ear who were treated with curative surgery and postoperative IMRT at one institution between January 2007 and February 2010. The prescribed IMRT dose was 60 to 66 Gy at 2 Gy per fraction. Three patients also received concurrent cisplatin-based chemotherapy, and 1 patient received concurrent oral tegafur/uracil. The median follow-up time was 19 months (range, 6-33 months). Results: Four patients had locoregional recurrence, yielding an estimated 2-year locoregional control rate of 70.7%. Among them, 1 patient had persistent disease after treatment, and 3 had marginal recurrence. Distant metastasis occurred in 1 patient after extensive locoregional recurrence, yielding an estimated 2-year distant control rate of 85.7%. The estimated 2-year overall survival was 67.5%. The three cases of marginal recurrence were near the preauricular space and glenoid fossa of the temporomandibular joint, adjacent to the apex of the ear canal and glenoid fossa of the temporomandibular joint, and in the postauricular subcutaneous area and ipsilateral parotid nodes, respectively. Conclusions: Marginal misses should be recognized to improve target delineation. When treating SCC of the EAC and middle ear, care should be taken to cover the glenoid fossa of the temporomandibular joint and periauricular soft tissue. Elective ipsilateral parotid irradiation should be considered. The treatment planning procedure should also be refined to balance subcutaneous soft-tissue dosimetry and toxicity.

  2. Cost and effectiveness of decontamination strategies in radiation contaminated areas in Fukushima in regard to external radiation dose.

    PubMed

    Yasutaka, Tetsuo; Naito, Wataru; Nakanishi, Junko

    2013-01-01

    The objective of the present study is to evaluate the cost and effectiveness of decontamination strategies in the special decontamination areas in Fukushima in regard to external radiation dose. A geographical information system (GIS) was used to relate the predicted external dose in the affected areas to the number of potential inhabitants and the land use in the areas. A comprehensive review of the costs of various decontamination methods was conducted as part of the analysis. The results indicate that aerial decontamination in the special decontamination areas in Fukushima would be effective for reducing the air dose rate to the target level in a short period of time in some but not all of the areas. In a standard scenario, analysis of cost and effectiveness suggests that decontamination costs for agricultural areas account for approximately 80% of the total decontamination cost, of which approximately 60% is associated with storage. In addition, the costs of decontamination per person per unit area are estimated to vary greatly. Appropriate selection of decontamination methods may significantly decrease decontamination costs, allowing more meaningful decontamination in terms of the limited budget. Our analysis can help in examining the prioritization of decontamination areas from the viewpoints of cost and effectiveness in reducing the external dose. Decontamination strategies should be determined according to air dose rates and future land-use plans. PMID:24069398

  3. Cost and Effectiveness of Decontamination Strategies in Radiation Contaminated Areas in Fukushima in Regard to External Radiation Dose

    PubMed Central

    Yasutaka, Tetsuo; Naito, Wataru; Nakanishi, Junko

    2013-01-01

    The objective of the present study is to evaluate the cost and effectiveness of decontamination strategies in the special decontamination areas in Fukushima in regard to external radiation dose. A geographical information system (GIS) was used to relate the predicted external dose in the affected areas to the number of potential inhabitants and the land use in the areas. A comprehensive review of the costs of various decontamination methods was conducted as part of the analysis. The results indicate that aerial decontamination in the special decontamination areas in Fukushima would be effective for reducing the air dose rate to the target level in a short period of time in some but not all of the areas. In a standard scenario, analysis of cost and effectiveness suggests that decontamination costs for agricultural areas account for approximately 80% of the total decontamination cost, of which approximately 60% is associated with storage. In addition, the costs of decontamination per person per unit area are estimated to vary greatly. Appropriate selection of decontamination methods may significantly decrease decontamination costs, allowing more meaningful decontamination in terms of the limited budget. Our analysis can help in examining the prioritization of decontamination areas from the viewpoints of cost and effectiveness in reducing the external dose. Decontamination strategies should be determined according to air dose rates and future land-use plans. PMID:24069398

  4. A dynamic water accounting framework based on marginal resource opportunity cost

    NASA Astrophysics Data System (ADS)

    Tilmant, A.; Marques, G.; Mohamed, Y.

    2014-10-01

    Many river basins throughout the world are increasingly under pressure as water demands keep rising due to population growth, industrialization, urbanization and rising living standards. In the past, the typical answer to meet those demands focused on the supply-side and involved the construction of hydraulic infrastructures to capture more water from surface water bodies and from aquifers. As river basins were being more and more developed, downstream water users and ecosystems have become increasingly dependent on the management actions taken by upstream users. The increased interconnectedness between water users, aquatic ecosystems and the built environment is further compounded by climate change and its impact on the water cycle. Those pressures mean that it has become increasingly important to measure and account for changes in water fluxes and their corresponding economic value as they progress throughout the river system. Such basin water accounting should provide policy makers with important information regarding the relative contribution of each water user, infrastructure and management decision to the overall economic value of the river basin. This paper presents a dynamic water accounting approach whereby the entire river basin is considered as a value chain with multiple services including production and storage. Water users and reservoirs operators are considered as economic agents who can exchange water with their hydraulic neighbours at a price corresponding to the marginal value of water. Effective water accounting is made possible by keeping track of all water fluxes and their corresponding hypothetical transactions using the results of a hydro-economic model. The proposed approach is illustrated with the Eastern Nile River basin in Africa.

  5. A dynamic water accounting framework based on marginal resource opportunity cost

    NASA Astrophysics Data System (ADS)

    Tilmant, A.; Marques, G.; Mohamed, Y.

    2015-03-01

    Many river basins throughout the world are increasingly under pressure as water demands keep rising due to population growth, industrialization, urbanization and rising living standards. In the past, the typical answer to meet those demands focused on the supply side and involved the construction of hydraulic infrastructures to capture more water from surface water bodies and from aquifers. As river basins have become more and more developed, downstream water users and ecosystems have become increasingly dependent on the management actions taken by upstream users. The increased interconnectedness between water users, aquatic ecosystems and the built environment is further compounded by climate change and its impact on the water cycle. Those pressures mean that it has become increasingly important to measure and account for changes in water fluxes and their corresponding economic value as they progress throughout the river system. Such basin water accounting should provide policy makers with important information regarding the relative contribution of each water user, infrastructure and management decision to the overall economic value of the river basin. This paper presents a dynamic water accounting approach whereby the entire river basin is considered as a value chain with multiple services including production and storage. Water users and reservoir operators are considered as economic agents who can exchange water with their hydraulic neighbors at a price corresponding to the marginal value of water. Effective water accounting is made possible by keeping track of all water fluxes and their corresponding hypothetical transactions using the results of a hydro-economic model. The proposed approach is illustrated with the Eastern Nile River basin in Africa.

  6. Electricity prices in a competitive environment: Marginal cost pricing of generation services and financial status of electric utilities. A preliminary analysis through 2015

    SciTech Connect

    1997-08-01

    The emergence of competitive markets for electricity generation services is changing the way that electricity is and will be priced in the United States. This report presents the results of an analysis that focuses on two questions: (1) How are prices for competitive generation services likely to differ from regulated prices if competitive prices are based on marginal costs rather than regulated {open_quotes}cost-of-service{close_quotes} pricing? (2) What impacts will the competitive pricing of generation services (based on marginal costs) have on electricity consumption patterns, production costs, and the financial integrity patterns, production costs, and the financial integrity of electricity suppliers? This study is not intended to be a cost-benefit analysis of wholesale or retail competition, nor does this report include an analysis of the macroeconomic impacts of competitive electricity prices.

  7. Seismic evidence of active strike-slip faulting in the external Gulf of Cadiz (SW Iberian Margin)

    NASA Astrophysics Data System (ADS)

    Bartolome, R.; Gràcia, E.; Stich, D.; Martinez-Loriente, S.; Klaeschen, D.; Masana, E.; Diez, S.; Lo Iacono, C.; Moreno, X.; Zitellini, N.; Manuel, A.; Dañobeitia, J.

    2009-12-01

    with a deformation fault zone ranging from 2.5 to 6 km wide. Recent estimations of seismic moment tensors, obtained from time domain inversion of near-regional waveforms, show right-lateral strike-slip faulting solutions with some reverse component being consistent with the geometry identified in the structures of the SL area. We present an additional MCS and TOPAS profile, crossing perpendicular a newly identified WNW-ESE lineament located north of the SFZ, that we called the North Lineation. Seismic data show right-lateral faulting in an 8.7 km wide fault deformation zone up to 9 km depth. This structure evidence that strike-slip faulting is not only constrained to the SFZ but widespread across the GC area, thus, giving new lights on the geodynamics of the SW Iberian margin.

  8. Environmental externalities: Applying the concept to Asian coal-based power generation. [Includes external environmental and societal costs and methods of evaluating them

    SciTech Connect

    Szpunar, C.B.; Gillette, J.L.

    1993-03-01

    This report examines the concept of environmental externality. It discusses various factors -- the atmospheric transformations, relationship of point-source emissions to ambient air quality, dose-response relationships, applicable cause-and-effect principles, and risk and valuation research -- that are considered by a number of state utilities when they apply the environmental externality concept to energy resource planning. It describes a methodology developed by Argonne National Laboratory for general use in resource planning, in combination with traditional methods that consider the cost of electricity production. Finally, it shows how the methodology can be applied in Indonesia, Thailand, and Taiwan to potential coal-fired power plant projects that will make use of clean coal technologies.

  9. Reducing prospective memory error and costs in simulated air traffic control: External aids, extending practice, and removing perceived memory requirements.

    PubMed

    Loft, Shayne; Chapman, Melissa; Smith, Rebekah E

    2016-09-01

    In air traffic control (ATC), forgetting to perform deferred actions-prospective memory (PM) errors-can have severe consequences. PM demands can also interfere with ongoing tasks (costs). We examined the extent to which PM errors and costs were reduced in simulated ATC by providing extended practice, or by providing external aids combined with extended practice, or by providing external aids combined with instructions that removed perceived memory requirements. Participants accepted/handed-off aircraft and detected conflicts. For the PM task, participants were required to substitute alternative actions for routine actions when accepting aircraft. In Experiment 1, when no aids were provided, PM errors and costs were not reduced by practice. When aids were provided, costs observed early in practice were eliminated with practice, but residual PM errors remained. Experiment 2 provided more limited practice with aids, but instructions that did not frame the PM task as a "memory" task led to high PM accuracy without costs. Attention-allocation policies that participants set based on expected PM demands were modified as individuals were increasingly exposed to reliable aids, or were given instructions that removed perceived memory requirements. These findings have implications for the design of aids for individuals who monitor multi-item dynamic displays. (PsycINFO Database Record PMID:27608067

  10. Utility planning using least-cost principles and the role of externalities - staff report on a Keystone policy dialogue

    SciTech Connect

    1996-05-01

    For over two years, The Keystone Center facilitated a two-phase dialogue on Utility Planning Using Least-Cost Principles and, in the second phase, on the role of Externalities. The intent of this report is to assist policy-makers faced with decisions about changes to traditional utility regulation and planning. This report is not a consensus document, rather it is staff written summary of two years of discussion on the issues. As a concept, least-cost planning has been discussed since the 1970`s and many states have implemented such programs since the mid-1980`s. Yet, the actual goals and objectives of least-cost planning remain a source of controversy between affected interest groups. Some industry observers believe that least-cost planning can help reconcile the often conflicting demands between increased capacity requirements and concerns about the external costs of power production. In traditional utility regulation practices, capital investments are rewarded and revenue is a direct function of sales. However, a number state public utility commissions have altered their practices to allow for returns on investments in more efficient end-use equipment (also known as ratebasing conservation) and adjusting revenues to account for sales lost due to utility conservation programs. Other states are planning these types of changes. Still others are observing the impacts of the changes before they commit.

  11. Direct Marginal Productivity of College Education in Relation to College Aptitude of Students and Production Costs of Institutions

    ERIC Educational Resources Information Center

    Daniere, Andre; Mechling, Jerry

    1970-01-01

    A statistical analysis of expected earnings flows and their present values considering students with different college aptitudes and institutions of different quality which provides marginal decision criteria for reallocation of resources in college education. (BC)

  12. Biogeochemistry and ecosystems of continental margins in the western North Pacific Ocean and their interactions and responses to external forcing - an overview and synthesis

    NASA Astrophysics Data System (ADS)

    Liu, K.-K.; Kang, C.-K.; Kobari, T.; Liu, H.; Rabouille, C.; Fennel, K.

    2014-12-01

    In this special issue we examine the biogeochemical conditions and marine ecosystems in the major marginal seas of the western North Pacific Ocean, namely, the East China Sea, the Japan/East Sea to its north and the South China Sea to its south. They are all subject to strong climate forcing as well as anthropogenic impacts. On the one hand, continental margins in this region are bordered by the world's most densely populated coastal communities and receive tremendous amount of land-derived materials. On the other hand, the Kuroshio, the strong western boundary current of the North Pacific Ocean, which is modulated by climate oscillation, exerts strong influences over all three marginal seas. Because these continental margins sustain arguably some of the most productive marine ecosystems in the world, changes in these stressed ecosystems may threaten the livelihood of a large population of humans. This special issue reports the latest observations of the biogeochemical conditions and ecosystem functions in the three marginal seas. The studies exemplify the many faceted ecosystem functions and biogeochemical expressions, but they reveal only a few long-term trends mainly due to lack of sufficiently long records of well-designed observations. It is critical to develop and sustain time series observations in order to detect biogeochemical changes and ecosystem responses in continental margins and to attribute the causes for better management of the environment and resources in these marginal seas.

  13. The Feasibility of a Land Ferry System to Reduce Highway Maintenance Cost and Associated Externalities.

    PubMed

    Merrill, Steve J; Paz, Alexander; Molano, Victor; Shrestha, Pramen P; Maheshwari, Pankaj; Stephen, Haroon; de la Fuente-Mella, Hanns

    2016-01-01

    This study provides an economic evaluation for a Land Ferry, which is a rail system capable of carrying trucks and all other types of vehicles, passengers, and cargo. The Land Ferry system involves a sliding loading system to roll heavy loads onto a flatbed; as a result, loading and unloading of all vehicles and cargo could be accomplished simultaneously. The evaluation for this system included (1) the design of a new track alignment over which the Land Ferry system would run, (2) evaluation of various sources of power, (3) estimation of how many local jobs the Land Ferry would generate, and (4) a benefit-cost analysis. It was estimated that the Land Ferry would create over 45,788 temporary jobs in Nevada during the three-year construction period and 318 permanent jobs during operation. The majority of the benefits were attributed to savings in travel time ($356.4 M), vehicle operating costs ($1000.4 M), reduction of accidents ($544.6 M), and pavement maintenance ($503.2 M). These benefits would be a consequence of the shift of trucks from the highway, thus resulting in higher speeds, decrease fuel consumption, and decrease vehicle maintenance costs. The overall benefit-cost ratio of 1.7 implies a cost-effective project. PMID:27419201

  14. The Feasibility of a Land Ferry System to Reduce Highway Maintenance Cost and Associated Externalities

    PubMed Central

    Merrill, Steve J.; Paz, Alexander; Molano, Victor; Shrestha, Pramen P.; Maheshwari, Pankaj; Stephen, Haroon

    2016-01-01

    This study provides an economic evaluation for a Land Ferry, which is a rail system capable of carrying trucks and all other types of vehicles, passengers, and cargo. The Land Ferry system involves a sliding loading system to roll heavy loads onto a flatbed; as a result, loading and unloading of all vehicles and cargo could be accomplished simultaneously. The evaluation for this system included (1) the design of a new track alignment over which the Land Ferry system would run, (2) evaluation of various sources of power, (3) estimation of how many local jobs the Land Ferry would generate, and (4) a benefit-cost analysis. It was estimated that the Land Ferry would create over 45,788 temporary jobs in Nevada during the three-year construction period and 318 permanent jobs during operation. The majority of the benefits were attributed to savings in travel time ($356.4 M), vehicle operating costs ($1000.4 M), reduction of accidents ($544.6 M), and pavement maintenance ($503.2 M). These benefits would be a consequence of the shift of trucks from the highway, thus resulting in higher speeds, decrease fuel consumption, and decrease vehicle maintenance costs. The overall benefit-cost ratio of 1.7 implies a cost-effective project. PMID:27419201

  15. Production costs and operative margins in electric energy generation from biogas. Full-scale case studies in Italy.

    PubMed

    Riva, C; Schievano, A; D'Imporzano, G; Adani, F

    2014-08-01

    The purpose of this study was to observe the economic sustainability of three different biogas full scale plants, fed with different organic matrices: energy crops (EC), manure, agro-industrial (Plants B and C) and organic fraction of municipal solid waste (OFMSW) (Plant A). The plants were observed for one year and total annual biomass feeding, biomass composition and biomass cost (€ Mg(-1)), initial investment cost and plant electric power production were registered. The unit costs of biogas and electric energy (€ Sm(-3)biogas, € kWh(-1)EE) were differently distributed, depending on the type of feed and plant. Plant A showed high management/maintenance cost for OFMSW treatment (0.155 € Sm(-3)biogas, 45% of total cost), Plant B suffered high cost for EC supply (0.130 € Sm(-3)biogas, 49% of total cost) and Plant C showed higher impact on the total costs because of the depreciation charge (0.146 € Sm(-3)biogas, 41% of total costs). The breakeven point for the tariff of electric energy, calculated for the different cases, resulted in the range 120-170 € MWh(-1)EE, depending on fed materials and plant scale. EC had great impact on biomass supply costs and should be reduced, in favor of organic waste and residues; plant scale still heavily influences the production costs. The EU States should drive incentives in dependence of these factors, to further develop this still promising sector. PMID:24841069

  16. Impact of Increasing Margin Around the Lumpectomy Cavity to Define the Planning Target Volume for 3D Conformal External Beam Accelerated Partial Breast Irradiation

    SciTech Connect

    Cox, Brett W.; Horst, Kathleen C. Thornton, Sherri; Dirbas, Frederick M.

    2007-01-01

    The purpose of this study was to evaluate the dose to normal tissues as a function of increasing margins around the lumpectomy cavity in accelerated partial breast irradiation (APBI) using 3D-conformal radiotherapy (3DCRT). Eight patients with Stage 0-I breast cancer underwent treatment planning for 3DCRT APBI. The clinical target volume (CTV) was defined as a 15-mm expansion around the cavity limited by the chest wall and skin. Three planning target volumes (PTV1, PTV2, PTV3) were generated for each patient using a 0, 5-, and 10-mm expansion around the CTV, for a total margin of 15, 20, and 25 mm. Three treatment plans were generated for every patient using the 3 PTVs, and dose-volume analysis was performed for each plan. For each 5-mm increase in margin, the mean PTV:total breast volume ratio increased 10% and the relative increase in the mean ipsilateral breast dose was 15%. The mean volume of ipsilateral breast tissue receiving 75%, 50%, and 25% of the prescribed dose increased 6% to 7% for every 5 mm increase in PTV margin. Compared to lesions located in the upper outer quadrant, plans for medially located tumors revealed higher mean ipsilateral breast doses and 20% to 22% more ipsilateral breast tissue encompassed by the 25% IDL. The use of 3DCRT for APBI delivers higher doses to normal breast tissue as the PTV increases around the lumpectomy cavity. Efforts should be made to minimize the overall PTV when this technique is used. Ongoing studies will be necessary to determine the clinical relevance of these findings.

  17. Characterization of a Low-Cost Optical Flow Sensor When Using an External Laser as a Direct Illumination Source

    PubMed Central

    Font, Davinia; Tresanchez, Marcel; Pallejà, Tomàs; Teixidó, Mercè; Palacín, Jordi

    2011-01-01

    In this paper, a low cost optical flow sensor is combined with an external laser device to measure surface displacements and mechanical oscillations. The measurement system is based on applying coherent light to a diffuser surface and using an optical flow sensor to analyze the reflected and transferred light to estimate the displacement of the surface or the laser spot. This work is focused on the characterization of this measurement system, which can have the optical flow sensor placed at different angles and distances from the diffuser surface. The results have shown that the displacement of the diffuser surface is badly estimated when the optical mouse sensor is placed in front of the diffuser surface (angular orientation >150°) while the highest sensitivity is obtained when the sensor is located behind the diffuser surface and on the axis of the laser source (angular orientation 0°). In this case, the coefficient of determination of the measured displacement, R2, was very high (>0.99) with a relative error of less than 1.29%. Increasing the distance between the surface and the sensor also increased the sensitivity which increases linearly, R2 = 0.99. Finally, this measurement setup was proposed to measure very low frequency mechanical oscillations applied to the laser device, up to 0.01 Hz in this work. The results have shown that increasing the distance between the surface and the optical flow sensor also increases the sensitivity and the measurement range. PMID:22247696

  18. Broadening the Appeal of Marginal Abatement Cost Curves: Capturing Both Carbon Mitigation and Development Benefits of Clean Energy Technologies; Preprint

    SciTech Connect

    Cowlin, S.; Cochran, J.; Cox, S.; Davison, C.; van der Gaast, Y.

    2012-08-01

    Low emission development strategies (LEDS) articulate policies and implementation plans that enable countries to advance sustainable, climate-resilient development and private sector growth while significantly reducing the greenhouse gas (GHG) emissions traditionally associated with economic growth. In creating a LEDS, policy makers often have access to information on abatement potential and costs for clean energy technologies, but there is a scarcity of economy-wide approaches for evaluating and presenting information on other dimensions of importance to development, such as human welfare, poverty alleviation, and energy security. To address this shortcoming, this paper proposes a new tool for communicating development benefits to policy makers as part of a LEDS process. The purpose of this tool is two-fold: 1. Communicate development benefits associated with each clean energy-related intervention; 2. Facilitate decision-making on which combination of interventions best contributes to development goals. To pilot this tool, the authors created a visual using data on developmental impacts identified through the Technology Needs Assessment (TNA) project in Montenegro. The visual will then be revised to reflect new data established through the TNA that provides information on cost, GHG mitigation, as well as the range and magnitude of developmental impacts.

  19. Technical review of externalities issues. Final report

    SciTech Connect

    Niemeyer, V.

    1994-12-01

    Externalities has become the catchword for a major experiment in electric utility regulation. Together with increased competition as a means for economic regulation, this experiment represents a potential revolution in how electric utilities are regulated. It is very important for utilities and policy makers to understand the technical issues and arguments driving the externality experiment. This Technical Review presents four papers covering topics in economics that may play important roles in this revolution. The four papers are: Economic Issues in the Application of Externalities to Electricity Resource Selection; Climate Change, the Marginal Cost of Carbon Dioxide Emissions and the Implications for Carbon Dioxide Emissions Adders; Positive Externalities and Benefits from Electricity; and Socioeconomic Effects of Externality Adders for Electric Utility Emissions.

  20. Climate change mitigation in the agricultural sector- an analysis of marginal abatement costs of climate mitigation in global paddy rice agriculture based on DNDC simulations

    NASA Astrophysics Data System (ADS)

    Li, C.; Li, J.; Beach, R.; Salas, W.; Ingraham, P.; Ragnauth, S.

    2012-12-01

    Authors: Jia Li1, Robert H. Beach2, Changsheng Li3, William Salas4, Pete Ingraham5, Shaun Ragnauth1 INSTITUTIONS (ALL): 1. Climate Change Division, US Environmental Protection Agency, Washington, DC, United States. 2. RTI International, Durham, NC, United States. 3. ESRC, University of New Hampshire, Durham, NH, United States. 4. Applied Geosolutions, LLC, Newmarket, NH, United States. Global agriculture sector faces the dual challenge of climate change mitigation and providing food security for a growing population. In a new study, the U.S. EPA has developed an analysis of mitigation of non-CO2 greenhouse gases for the global agriculture sector. We estimate global greenhouse gas (GHG) emissions from paddy rice cultivation and rice yields under baseline management conditions as well as for alternative mitigation options. These biophysical effects are combined with data on input use and costs to estimate marginal abatement cost curves and evaluate the cost-effectiveness of mitigation options for global rice cropping systems. DNDC, a process-based crop model, is used to simulate crop yields, methane and nitrous oxide emissions, as well as soil carbon sequestration of the various rice cropping systems (irrigated and rainfed, and single, double, triple and mixed rotations) under local climatic and soil conditions at a 0.5 degree resolution at the global scale. We evaluate the impacts of various management alternatives (e.g., flooding methods, fertilizer applications, and crop residue management) on crop yields and GHG emissions and report the spatial and temporal distributions of the outcomes. The analysis provides important insights on the potential for closing the production efficiency gaps and the trade-offs and synergies between GHG mitigation and food security in different parts of the world.

  1. High-resolution modelling of health impacts and related external cost from air pollution over 36 years using the integrated model system EVA

    NASA Astrophysics Data System (ADS)

    Brandt, Jørgen; Andersen, Mikael S.; Bønløkke, Jakob; Christensen, Jesper H.; Geels, Camilla; Hansen, Kaj M.; Hertel, Ole; Im, Ulas; Jensen, Steen S.; Ketzel, Matthias; Nielsen, Ole-Kenneth; Plejdrup, Marlene S.; Sigsgaard, Torben

    2016-04-01

    A high-resolution assessment of health impacts from air pollution and related external cost has been conducted for Denmark using the integrated EVA model system. The EVA system is based on the impact-pathway methodology, where the site-specific emissions will result, via atmospheric transport and chemistry, in a concentration distribution, which together with detailed population data, is used to estimate the population-level exposure. Using exposure-response functions and economic valuations, the exposure is transformed into impacts on human health and related external costs. In this study we have used a coupling of two chemistry transport models to calculate the air pollution concentration at different domain and scales; the Danish Eulerian Hemispheric Model (DEHM) to calculate the air pollution levels in the Northern Hemisphere with a resolution down to 5.6 km x 5.6 km and the Urban Background Model (UBM) to further calculate the air pollution in Denmark at 1 km x 1 km resolution using results from DEHM as boundary conditions. Both the emission data as well as the population density has been represented in the model system with the same high resolution. Previous health impact assessments related to air pollution have been made on a lower resolution. In this study, the integrated model system, EVA, has been used to estimate the health impacts and related external cost for Denmark at a 1 km x 1 km resolution. New developments of the integrated model system will be presented as well as the development of health impacts and related external costs in Europe and Denmark over a period of 36 years (1979-2014). Acknowledgements This work was funded by: DCE - National Centre for Environment and Energy. Project: "Health impacts and external costs from air pollution in Denmark over 25 years" and NordForsk under the Nordic Programme on Health and Welfare. Project: "Understanding the link between air pollution and distribution of related health impacts and welfare in the

  2. Marginal energy prices report

    SciTech Connect

    Chaitkin, Stuart; Biermayer, Peter; Bretz, Sarah; Brown, Steve; Constantine, Sachu; Fisher, Diane; Hakim, Sajid; Liew, Lucy; Lutz, Jim; Marnay, Chris; McMahon, James E.; Moezzi, Mithra; Osborn, Julie; Rawner, Esther; Roberson, Judy; Rosenquist, Greg; Ryan, Nancy; Turiel, Isaac; Wiel, Stephen

    1999-06-24

    This report responds to a recommendation from the Department of Energy's (DOE) Advisory Committee on Appliance Energy Efficiency Standards. It presents the derivation of estimated consumer marginal energy prices for the commercial and residential sectors for use in the life-cycle cost (LCC) analyses for four of the high priority appliances' energy efficiency standards rule makings --clothes washers, water heaters,fluorescent lamp ballasts, and central airconditioners/heat pumps. Marginal prices as discussed here are those prices consumers pay (or save) for their last units of energy used (or saved). Marginal prices reflect a change in a consumer's bill (that might be associated with new energy efficiency standards) divided by the corresponding change in the amount of energy the consumer used.

  3. Development and application of performance and cost models for the externally-fired combined cycle. Task 1, Volume 2. Topical report, June 1995

    SciTech Connect

    Agarwal, P.; Frey, H.; Rubin, E.S.

    1995-07-01

    Increasing restrictions on emission of pollutants from conventional pulverized coal fired steam (PCFS) plant generating electrical power is raising capital and operating cost of these plants and at the same time lowering plant efficiency. This is creating a need for alternative technologies which result in lower emissions of regulated pollutants and which are thermally more efficient. Natural gas-fired combined cycle power generation systems have lower capital cost and higher efficiencies than conventional coal fired steam plants, and at this time they are the leading contender for new power plant construction in the U.S. But the intermediate and long term cost of these fuels is high and there is uncertainty regarding their long-term price and availability. Coal is a relatively low cost fuel which will be abundantly available in the long term. This has motivated the development of advanced technologies for power production from coal which will have advantages of other fuels. The Externally Fired Combined Cycle (EFCC) is one such technology. Air pollution control/hot gas cleanup issues associated with this technology are described.

  4. Perceived health status and environmental quality in the assessment of external costs of waste disposal facilities. An empirical investigation.

    PubMed

    Giaccaria, Sergio; Frontuto, Vito

    2012-08-01

    Taxation for urban waste management has been reformed in Italy by the introduction of an environmental law in 2006. In the planning phase of waste management, externalities generated by new facilities remain widely unaccounted, with a consequent distortion for prices, often raising local conflicts. The paper presents a survey based on the choice modelling methodology, aimed to evaluate on a monetary scale the disamenity effect perceived by incinerator and landfills in an Italian urban context: the city of Turin. In a random utility framework the behaviour of respondents, whose choices are found to be driven by the endowment of information about technological options, socio-economic characteristics as income, education, family composition, and also by their health status was modelled. Furthermore, empirical evidence that the behaviour in residential location choices is affected by different aspects of the respondent life and in particular by the health status was found. Distinct estimates of willingness to accept compensation for disamenity effects of incinerator (Euro 2670) and landfill (Euro 3816) are elicited. The effect of health status of the respondents, their level of information about the waste disposal infrastructure, the presence of a subjective strong aversion (NIMBY) and the actual endowment and concentration of infrastructures are demonstrated to be significant factors determining the choice behaviour, but differentiated and specific for incinerators and landfills. PMID:22588111

  5. Bounding the marginal cost of producing potable water including the use of seawater desalinization as a backstop potable water production technology

    SciTech Connect

    Dooley, James J.

    2014-04-01

    The analysis presented in this technical report should allow for the creation of high, medium, and low cost potable water prices for GCAM. Seawater reverse osmosis (SWRO) based desalinization should act as a backstop for the cost of producing potable water (i.e., the literature seems clear that SWRO should establish an upper bound for the plant gate cost of producing potable water). Transporting water over significant distances and having to lift water to higher elevations to reach end-users can also have a significant impact on the cost of producing water. The three potable fresh water scenarios describe in this technical report are: low cost water scenario ($0.10/m3); medium water cost scenario ($1.00/m3); and high water cost scenario ($2.50/m3).

  6. A Facile and Low-Cost Method to Enhance the Internal Quantum Yield and External Light-Extraction Efficiency for Flexible Light-Emitting Carbon-Dot Films

    PubMed Central

    Jiang, Z. C.; Lin, T. N.; Lin, H. T.; Talite, M. J.; Tzeng, T. T.; Hsu, C. L.; Chiu, K. P.; Lin, C. A. J.; Shen, J. L.; Yuan, C. T.

    2016-01-01

    Solution-processed, non-toxic carbon dots (CDs) have attracted much attention due to their unique photoluminescence (PL) properties. They are promising emissive layers for flexible light-emitting devices. To this end, the CDs in pristine aqueous solutions need to be transferred to form solid-state thin films without sacrificing their original PL characteristics. Unfortunately, solid-state PL quenching induced by extra non-radiative (NR) energy transfer among CDs would significantly hinder their practical applications in optoelectronics. Here, a facile, low-cost and effective method has been utilized to fabricate high-performance CD/polymer light-emitting flexible films with submicron-structured patterns. The patterned polymers can serve as a solid matrix to disperse and passivate CDs, thus achieving high internal quantum yields of 61%. In addition, they can act as an out-coupler to mitigate the waveguide-mode losses, approximately doubling the external light-extraction efficiency. Such CD/polymer composites also exhibit good photo-stability, and thus can be used as eco-friendly, low-cost phosphors for solid-state lighting. PMID:26822337

  7. Marginalization and health geomatics.

    PubMed

    Alexander, Gregory L; Kinman, Edward L; Miller, Louise C; Patrick, Timothy B

    2003-01-01

    Marginalized groups have been defined as groups that have been peripheralized from the center of society. Increasing nursing knowledge of marginalized groups and the dynamics of population diversity will enable nurses to better recognize shifting health patterns, plan for utilization of health services, and determine ethnic and cultural differences that exist in marginalized populations. The authors of this article review theoretical models responsible for defining the concept marginalization, describe geographical information systems as a recommended tool to evaluate marginalized groups, and provide a case study utilizing tools and maps as a means of assessing marginal situations. PMID:14643736

  8. The impact of external donor support through the U.S. President’s Emergency Plan for AIDS Relief on the cost of red cell concentrate in Namibia, 2004–2011

    PubMed Central

    Pitman, John P.; Bocking, Adele; Wilkinson, Robert; Postma, Maarten J.; Basavaraju, Sridhar V.; von Finckenstein, Bjorn; Mataranyika, Mary; Marfin, Anthony A.; Lowrance, David W.; Sibinga, Cees Th. Smit

    2015-01-01

    Background External assistance can rapidly strengthen health programmes in developing countries, but such funding can also create sustainability challenges. From 2004–2011, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) provided more than $ 8 million to the Blood Transfusion Service of Namibia (NAMBTS) for supplies, equipment, and staff salaries. This analysis describes the impact that support had on actual production costs and the unit prices charged for red cell concentrate (RCC) units issued to public sector hospitals. Material and methods A costing system developed by NAMBTS to set public sector RCC unit prices was used to describe production costs and unit prices during the period of PEPFAR scale-up (2004–2009) and the 2 years in which PEPFAR support began to decline (2010–2011). Hypothetical production costs were estimated to illustrate differences had PEPFAR support not been available. Results Between 2004–2006, NAMBTS sold 22,575 RCC units to public sector facilities. During this time, RCC unit prices exceeded per unit cost-recovery targets by between 40.3% (US$ 16.75 or N$ 109.86) and 168.3% (US$ 48.72 or N$ 333.28) per year. However, revenue surpluses dwindled between 2007 and 2011, the final year of the study period, when NAMBTS sold 20,382 RCC units to public facilities but lost US$23.31 (N$ 170.43) on each unit. Discussion PEPFAR support allowed NAMBTS to leverage domestic cost-recovery revenue to rapidly increase blood collections and the distribution of RCC. However, external support kept production costs lower than they would have been without PEPFAR. If PEPFAR funds had not been available, RCC prices would have needed to increase by 20% per year to have met annual cost-recovery targets and funded the same level of investments as were made with PEPFAR support. Tracking the subsidising influence of external support can help blood services make strategic investments and plan for unit price increases as external funds are

  9. Master external pressure charts

    SciTech Connect

    Michalopoulos, E.

    1996-12-01

    This paper presents a method to develop master external pressure charts from which individual external pressure charts for each material specification may be derived. The master external charts can represent a grouping of materials with similar chemical composition, similar stress-strain curves but produced to different strength levels. External pressure charts are used by various Sections of the ASME Boiler and Pressure Vessel and Piping Codes to design various components such as cylinders, sphered, formed heads, tubes, piping, rings and other components, subjected to external pressure or axial compression loads. These charts are pseudo stress-strain curves for groups of materials with similar stress-strain shapes. The traditional approach was originally developed in the 1940`s and is a graphical approach where slopes to the strain curves are drawn graphically from which pseudo-strain levels are calculated. The new method presented in this paper develops mathematical relationships for the material stress-strain curves and the external pressure charts. The method has the ability to calculate stress-strain curves from existing external pressure charts. The relationships are a function of temperature, the modulus of elasticity, yield strength, and two empirical material constants. In this approach, conservative assumptions used to assign materials to lower bound external pressure charts can be removed. This increases the buckling strength capability of many materials in the Code, providing economic benefits while maintaining the margin of safety specified by the Code criteria. The method can also reduce the number of material charts needed in the Code and provides for the capability to extend the existing pressure charts to higher design temperatures. The new method is shown to contain a number of improvements over the traditional approach and is presently under consideration by appropriate ASME Code committees.

  10. [Marginalization and health. Introduction].

    PubMed

    Yunes, J

    1992-06-01

    The relationship between marginalization and health is clear. In Mexico, for example, life expectancy is 53 years for the poorest population sectors and 20 years more for the wealthiest. Infant mortality in poor Colombian families is twice that of wealthier families, and one-third of developing countries the rural population is only half as likely as the urban to have access to health services. Women in the Southern hemisphere are 12 times likelier than those in the Northern to die of maternal causes. The most important step in arriving at a solution to the inequity may be to analyze in depth the relationship between marginality and health. Marginality may be defined as the lack of participation of individuals or groups in certain key phases of societal life, such as production, consumption, or political decision making. Marginality came to be viewed as a social problem only with recognition of the rights of all individuals to participate in available social goods. Marginality is always relative, and marginal groups exist because central groups determine the criteria for inclusion in the marginal and central groups. Marginality thus always refers to a concrete society at a specific historical moment. Marginal groups may be of various types. At present, marginal groups include women, rural populations, people with AIDS or mental illness or certain other health conditions, refugees, ethnic or religious groups, homosexuals, and the poor, who are the largest group of marginal persons in the world. Even in developed countries, 100-200 million persons live below the poverty line. Latin America is struggling to emerge from its marginal status in the world. The economic crisis of the 1980s increased poverty in the region, and 40% are not considered impoverished. Latin America is a clear example of the relationship between marginality and health. Its epidemiologic profile is intimately related to nutrition, availability of potable water, housing, and environmental

  11. The clinical and cost effectiveness of externally applied negative pressure wound therapy in the treatment of wounds in home healthcare Medicare patients.

    PubMed

    Philbeck, T E; Whittington, K T; Millsap, M H; Briones, R B; Wight, D G; Schroeder, W J

    1999-11-01

    Pressure ulcers, a devastating and costly healthcare problem, often occur in home healthcare settings. We sought to determine if these and other chronic wounds treated at home with negative pressure wound therapy close faster and reduce treatment costs compared to conventional therapies. Records for 1,032 Medicare home healthcare patients with 1,170 wounds that failed to respond to previous interventions--and were subsequently treated with negative pressure wound therapy--were reviewed. Reductions in wound area and volume were compared to rates reported by Ferrell in 1993, and costs were analyzed. Ferrell reported trochanteric and trunk pressure ulcers averaging 4.3 cm2, treated with a low-air-loss surface and saline-soaked gauze closed at an average of 0.090 cm2 per day. For comparison to Ferrell's outcomes, we analyzed our Stage III and IV trochanteric and trunk wounds treated with low-air-loss and negative pressure wound therapy. Ours averaged 22.2 cm2 in area and closed at an average of 0.23 cm2 per day. The average 22.2 cm2 wound in our study, treated as described by Ferrell, would take 247 days to heal and cost $23,465. Using negative pressure wound therapy, the wound would heal in 97 days and cost $14,546. The study concluded that negative pressure wound therapy is an efficacious and economical treatment modality for a variety of chronic wounds. PMID:10687657

  12. The relevance of unrelated costs internal and external to the healthcare sector to the outcome of a cost-comparison analysis of secondary prevention: the case of general colorectal cancer screening in the German population.

    PubMed

    Tscheulin, Dieter K; Drevs, Florian

    2010-04-01

    The potential of secondary prevention measures, such as cancer screening, to produce cost savings in the healthcare sector is a controversial issue in healthcare economics. Potential savings are calculated by comparing treatment costs with the cost of a prevention program. When survivors' subsequent unrelated health care costs are included in the calculation, however, the overall cost of disease prevention rises. What have not been studied to date are the secondary effects of fatal disease prevention measures on social security systems. From the perspective of a policy maker responsible for a social security system budget, it is not only future healthcare costs that are relevant for budgeting, but also changes in the contributions to, and expenditures from, statutory pension insurance and health insurance systems. An examination of the effect of longer life expectancies on these insurance systems can be justified by the fact that European social security systems are regulated by the state, and there is no clear separation between the financing of individual insurance systems due to cross-subsidisation. This paper looks at how the results of cost-comparison analyses vary depending on the inclusion or exclusion of future healthcare and non-healthcare costs, using the example of colorectal cancer screening in the German general population. In contrast to previous studies, not only are future unrelated medical costs considered, but also the effects on the social security system. If a German colorectal cancer screening program were implemented, and unrelated future medical care were excluded from the cost-benefit analysis, savings of up to 548 million euros per year would be expected. The screening program would, at the same time, generate costs in the healthcare sector as well as in the social security system of 2,037 million euros per year. Because the amount of future contributions and expenditures in the social security system depends on the age and gender of the

  13. Managing margins through physician engagement.

    PubMed

    Sears, Nicholas J

    2012-07-01

    Hospitals should take the following steps as they seek to engage physicians in an enterprisewide effort to effectively manage margins: Consider physicians' daily professional practice requirements and demands for time in balancing patient care and administrative duties. Share detailed transactional supply data with physicians to give them a behind-the-scenes look at the cost of products used for procedures. Institute physician-led management and monitoring of protocol compliance and shifts in utilization to promote clinical support for change. Select a physician champion to provide the framework for managing initiatives with targeted, efficient communication. PMID:22788036

  14. Cost-Effectiveness Analysis of Single Fraction of Stereotactic Body Radiation Therapy Compared With Single Fraction of External Beam Radiation Therapy for Palliation of Vertebral Bone Metastases

    SciTech Connect

    Kim, Hayeon; Rajagopalan, Malolan S.; Beriwal, Sushil; Huq, M. Saiful; Smith, Kenneth J.

    2015-03-01

    Purpose: Stereotactic body radiation therapy (SBRT) has been proposed for the palliation of painful vertebral bone metastases because higher radiation doses may result in superior and more durable pain control. A phase III clinical trial (Radiation Therapy Oncology Group 0631) comparing single fraction SBRT with single fraction external beam radiation therapy (EBRT) in palliative treatment of painful vertebral bone metastases is now ongoing. We performed a cost-effectiveness analysis to compare these strategies. Methods and Materials: A Markov model, using a 1-month cycle over a lifetime horizon, was developed to compare the cost-effectiveness of SBRT (16 or 18 Gy in 1 fraction) with that of 8 Gy in 1 fraction of EBRT. Transition probabilities, quality of life utilities, and costs associated with SBRT and EBRT were captured in the model. Costs were based on Medicare reimbursement in 2014. Strategies were compared using the incremental cost-effectiveness ratio (ICER), and effectiveness was measured in quality-adjusted life years (QALYs). To account for uncertainty, 1-way, 2-way and probabilistic sensitivity analyses were performed. Strategies were evaluated with a willingness-to-pay (WTP) threshold of $100,000 per QALY gained. Results: Base case pain relief after the treatment was assumed as 20% higher in SBRT. Base case treatment costs for SBRT and EBRT were $9000 and $1087, respectively. In the base case analysis, SBRT resulted in an ICER of $124,552 per QALY gained. In 1-way sensitivity analyses, results were most sensitive to variation of the utility of unrelieved pain; the utility of relieved pain after initial treatment and median survival were also sensitive to variation. If median survival is ≥11 months, SBRT cost <$100,000 per QALY gained. Conclusion: SBRT for palliation of vertebral bone metastases is not cost-effective compared with EBRT at a $100,000 per QALY gained WTP threshold. However, if median survival is ≥11 months, SBRT costs ≤$100

  15. Ocean margins workshop

    SciTech Connect

    1990-12-31

    The Department of Energy (DOE) is announcing the refocusing of its marine research program to emphasize the study of ocean margins and their role in modulating, controlling, and driving Global Change phenomena. This is a proposal to conduct a workshop that will establish priorities and an implementation plan for a new research initiative by the Department of Energy on the ocean margins. The workshop will be attended by about 70 scientists who specialize in ocean margin research. The workshop will be held in the Norfolk, Virginia area in late June 1990.

  16. Organizing marginalized workers.

    PubMed

    Taylor, A K

    1999-01-01

    Figures from the U.S. Department of Labor show that low-wage or marginalized workers are more likely to be injured on the job and suffer more work-related medical conditions than better-paid workers. Despite an increasingly hostile organizing climate, market globalization, and corporate downsizing, significant progress has been made in organizing marginalized workers. A multifaceted, comprehensive organizing strategy, incorporating union-building strategies that include (but are not limited to) safety and health, must be used by unions to successfully organize marginalized workers and obtain the first contract. PMID:10378982

  17. [Prostate cancer external beam radiotherapy].

    PubMed

    de Crevoisier, R; Pommier, P; Latorzeff, I; Chapet, O; Chauvet, B; Hennequin, C

    2016-09-01

    The prostate external beam radiotherapy techniques are described, when irradiating the prostate or after prostatectomy, with and without pelvic lymph nodes. The following parts are presented: indications of radiotherapy, total dose and fractionation, planning CT image acquisition, volume of interest delineation (target volumes and organs at risk) and margins, Intensity modulated radiotherapy planning and corresponding dose-volume constraints, and finally Image guided radiotherapy. PMID:27516051

  18. Marginalization of Vocational Psychology.

    ERIC Educational Resources Information Center

    Tinsley, Howard E. A.

    2001-01-01

    Although vocational psychology has diverse theoretical models and an empirical tradition, it is marginalized within counseling psychology. Its vitality is weakened by those who take a dabbler, pundit, or booster approach to scholarship. (Contains 46 references.) (SK)

  19. Financial incentives for marginal oil and gas production

    SciTech Connect

    Terzian, G.A.; Enright, J.M.; Brashear, J.P.

    1995-12-31

    Congress and the Administration are considering Federal tax incentives to improve the economics of marginal oil and gas wells. The effectiveness of these will depend on the specific provisions of the incentive, primarily whether they can be used by the large percentage of marginal well operators in AMT or without taxable income. Comprehensive assessment of Federal marginal well incentives requires a methodology that accounts for the diversity of marginal production operations. This paper presents a marginal well database, model, and methodology designed specifically to assess the costs and benefits of Federal tax incentives for marginal wells. Selected results are presented, along with general conclusions about Federal marginal well tax incentives based on numerous analyses.

  20. Externalities and the Coase Theorem: A Diagrammatic Presentation

    ERIC Educational Resources Information Center

    Halteman, James

    2005-01-01

    In intermediate microeconomic textbooks the reciprocal nature of externalities is presented using numerical examples of costs and benefits. This treatment of the Coase theorem obscures the fact that externality costs and benefits are best understood as being on a continuum where costs vary with the degree of intensity of the externality. When…

  1. Marginalization and School Nursing

    ERIC Educational Resources Information Center

    Smith, Julia Ann

    2004-01-01

    The concept of marginalization was first analyzed by nursing researchers Hall, Stevens, and Meleis. Although nursing literature frequently refers to this concept when addressing "at risk" groups such as the homeless, gays and lesbians, and those infected with HIV/AIDS, the concept can also be applied to nursing. Analysis of current school nursing…

  2. Hourly marginal emissions tool

    EPA Science Inventory

    The hourly marginal emissions tool is an excel workbook that estimates the hourly NOx, SO2 and CO2 emission reductions of energy efficiency and renewable energy policies and programs in the electric power sector. It will be based on EPA's proposed "Road map for Incorporating ene...

  3. Deep continental margin reflectors

    USGS Publications Warehouse

    Ewing, J.; Heirtzler, J.; Purdy, M.; Klitgord, Kim D.

    1985-01-01

    In contrast to the rarity of such observations a decade ago, seismic reflecting and refracting horizons are now being observed to Moho depths under continental shelves in a number of places. These observations provide knowledge of the entire crustal thickness from the shoreline to the oceanic crust on passive margins and supplement Consortium for Continental Reflection Profiling (COCORP)-type measurements on land.

  4. Predicting service life margins

    NASA Technical Reports Server (NTRS)

    Egan, G. F.

    1971-01-01

    Margins are developed for equipment susceptible to malfunction due to excessive time or operation cycles, and for identifying limited life equipment so monitoring and replacing is accomplished before hardware failure. Method applies to hardware where design service is established and where reasonable expected usage prediction is made.

  5. Volcanic passive margins

    NASA Astrophysics Data System (ADS)

    Geoffroy, Laurent

    2005-12-01

    Compared to non-volcanic ones, volcanic passive margins mark continental break-up over a hotter mantle, probably subject to small-scale convection. They present distinctive genetic and structural features. High-rate extension of the lithosphere is associated with catastrophic mantle melting responsible for the accretion of a thick igneous crust. Distinctive structural features of volcanic margins are syn-magmatic and continentward-dipping crustal faults accommodating the seaward flexure of the igneous crust. Volcanic margins present along-axis a magmatic and tectonic segmentation with wavelength similar to adjacent slow-spreading ridges. Their 3D organisation suggests a connection between loci of mantle melting at depths and zones of strain concentration within the lithosphere. Break-up would start and propagate from localized thermally-softened lithospheric zones. These 'soft points' could be localized over small-scale convection cells found at the bottom of the lithosphere, where adiabatic mantle melting would specifically occur. The particular structure of the brittle crust at volcanic passive margins could be interpreted by active and sudden oceanward flow of both the unstable hot mantle and the ductile part of the lithosphere during the break-up stage. To cite this article: L. Geoffroy, C. R. Geoscience 337 (2005).

  6. Contribution Margin Budgeting.

    ERIC Educational Resources Information Center

    Tambrino, Paul A.

    2001-01-01

    Describes Iowa Valley Community College District's Contribution Margin Budgeting (CMB) program, successfully implemented to stave off bankruptcy. In this program, each responsibility center receives credit for all income generated and is charged for all expenditures, and each must build its own reserve against revenue shortfalls and unanticipated…

  7. Marginality and Triangle Inequality

    NASA Astrophysics Data System (ADS)

    Nánásiová, O. L̆ga; Valášková, L̆ubica

    2010-12-01

    In this paper we study conditions for the existence of a 3-dimensional s-map on a quantum logic under assumption that marginal s-maps are known. We show that the existence of such a 3-dimensional s-map depends on the triangle inequality of d-map, which on a Boolean algebra represents a measure of symmetric difference.

  8. The Brazilian continental margin

    NASA Astrophysics Data System (ADS)

    Martins, L. R.; Coutinho, P. N.

    1981-04-01

    The Brazilian continental margin, with its interesting morphology, structure and sediments, has become better known only during the last two decades. Six physiographical provinces can be recognized at the continental margin and the adjacent coast: (1) Cabo Orange-Parnaiba delta; (2) Parnaiba delta-Cabo Sa˜o Roque; (3) Cabo Sa˜o Roque-Belmonte; (4) Belmonte-Cabo Frio; (5) Cabo Frio-Cabo Santa Marta; and (6) Cabo Santa Marta-Chui. The shelf is rather wide near the Amazon Mouth, becoming narrower eastwards, continuing very narrow along the northeastern and eastern coast, and becoming wider again in the south towards the Plate River. Prominent morphological features along the margin are the Amazon cone, the marginal plateaus off northeastern Brazil, the Sa˜o Francisco cone and canyon, the Abrolhos Bank, and the deep-sea plateaus of Pernambuco and Sa˜o Paulo. On the shelf proper a number of relief elements exist, such as sand waves east of the Amazon, submarine terraces at various places, and irregularities of structural origin. The shelf break is rather smooth in the far north and south, more abrupt in the remainder. Surface sediments of the Brazilian shelf show five distinct facies types: littoral quartz sands, mud, transition sand-mud, coralline algae, and biodetrital. The terrigenous elastic fractions dominate off the Amazon and in southern Brazil; between these areas they occupy a very narrow strip near the coast. The carbonate facies, predominantly composed of calcareous algae, is abundant between the Parnaiba delta and Cabo Frio; to the south this facies is more biodetrital and restricted to the outer shelf. Economically important on the Brazilian continental margin besides oil, are sands and gravels, carbonate deposits, evaporites and some subsurface coal. Other possible mineral resources could be phosphate, heavy minerals and clays for ceramics.

  9. Marginal Stability Dynamics for Energetic Particles

    NASA Astrophysics Data System (ADS)

    Berk, Herbert

    2009-11-01

    Marginal stability in plasmas characteristically sets a stiff limit to the range of that can be achieved. Below this limit, the system is governed by classical. Near marginal stability, however, plasmas may be subject to rapid processes, resulting in a system that hovers near marginality. This scenario emerged from nonlinear studies of energetic particle relaxation and may be to more general plasma transport. We describe results from several such which include. [1] Avalanches---Near marginal stability, an important point is whether an instability driven by resonant particles where the distribution function has ``free energy'' will cause global radial diffusion. For that,modes need to overlap. This process can be continuous or bursty, the latter having been recently observed in NSTX and DIII-D. [2] Frequency chirping---Recent simulations by Vann showed that marginal stability can be sustained when there is only one unstable linear mode, due to the mechanism of spontaneous frequency sweeping. Although a single mode near stability should not cause dramatic relaxation, nevertheless in the Vann simulations, the achievement of marginal stability induced a continual chirping of that had removed energy from the bulk of the region where the external beam to deposit free energy. The distribution was then found to hover near stability. This mechanism may apply to the n=0 GAM where frequency sweeping might be a mechanism for extracting energy from alpha particles in a burning plasma, thereby reducing the stored alpha particle pressure. One way to implement this is to have the n=0 geodesic acoustic modes (GAM) be preferentially excited, since energy rather than momentum (leading to spatial diffusion) is then primarily extracted from alpha particles.

  10. External Beam Therapy (EBT)

    MedlinePlus

    ... Physician Resources Professions Site Index A-Z External Beam Therapy (EBT) External beam therapy (EBT) is a ... follow-up should I expect? What is external beam therapy and how is it used? External beam ...

  11. Strategies for managing margins.

    PubMed

    2012-08-01

    Potential Medicare and Medicaid reimbursement cuts have made it critical for home health agencies to manage their gross and net operating profit margins. Agencies need to develop tools to analyze their margins and make sure they are following best practices. Try as you may, your agency might still face the question, "Why am I not meeting my budget?" Get some answers in this session from David Berman and Andrea L. Devoti. Berman is a principal at Simione Healthcare Consultants in Hamden, CT, where he is responsible for merchant acquisitions, business valuation due diligence, and oversight of the financial monitor benchmarking tool besides serving as interim chief financial officer. Devoti is chairman of the NAHC board and President & CEO of Neighborhood Health Visiting Nurse Association in West Chester PA. PMID:23074756

  12. East Africa continental margins

    SciTech Connect

    Bosellini, A.

    1986-01-01

    New well data from Somalia, together with the history of sea-floor spreading in the Indian Ocean derived from magnetic anomalies, show that the East African margins from latitude 15/sup 0/S into the Gulf of Aden comprise four distinct segments that formed successively by the southward drift of Madagascar from Somalia during the Middle to Late Jurassic and Early Cretaceous, by the northeastward drift of India along the Owen Transform during the Late Cretaceous and Paleocene, and by the opening of the Gulf of Aden during the Neogene.

  13. Amphetamine margin in sports

    SciTech Connect

    Laties, V.G.; Weiss, B.

    1981-10-01

    The amphetamines can enhance athletic performance. That much seem clear from the literature, some of which is reviewed here. Increases in endurance have been demonstrated in both humans and rats. Smith and Beecher, 20 years ago, showed improvement of running, swimming, and weight throwing in highly trained athletes. Laboratory analogs of such performances have also been used and similar enhancement demonstrated. The amount of change induced by the amphetamines is usually small, of the order of a few percent. Nevertheless, since a fraction of a percent improvement can make the difference between fame and oblivion, the margin conferred by these drugs can be quite important.

  14. Structural Margins Assessment Approach

    NASA Technical Reports Server (NTRS)

    Ryan, Robert S.

    1988-01-01

    A general approach to the structural design and verification used to determine the structural margins of the space vehicle elements under Marshall Space Flight Center (MSFC) management is described. The Space Shuttle results and organization will be used as illustrations for techniques discussed. Given also are: (1) the system analyses performed or to be performed by, and (2) element analyses performed by MSFC and its contractors. Analysis approaches and their verification will be addressed. The Shuttle procedures are general in nature and apply to other than Shuttle space vehicles.

  15. Extensive Tympanic Membrane Cholesteatoma with Marginal Perforation: An Unusual Case

    PubMed Central

    Sakalli, Erdal; Kaya, Deniz; Celikyurt, Cengiz; Erdurak, Selcuk Cem

    2013-01-01

    The migration of squamous epithelium of external ear through a tympanic membrane perforation into the middle ear forms a cholesteatoma. But it is extremely a rare condition to observe extensive cholesteatoma on the medial surface of tympanic membrane with perforation. This condition is termed tympanic membrane cholesteatoma (TMC). We herein present an exceptional case of extensive TMC with marginal perforation. PMID:23956906

  16. Marginally Stable Nuclear Burning

    NASA Technical Reports Server (NTRS)

    Strohmayer, Tod E.; Altamirano, D.

    2012-01-01

    Thermonuclear X-ray bursts result from unstable nuclear burning of the material accreted on neutron stars in some low mass X-ray binaries (LMXBs). Theory predicts that close to the boundary of stability oscillatory burning can occur. This marginally stable regime has so far been identified in only a small number of sources. We present Rossi X-ray Timing Explorer (RXTE) observations of the bursting, high- inclination LMXB 4U 1323-619 that reveal for the first time in this source the signature of marginally stable burning. The source was observed during two successive RXTE orbits for approximately 5 ksec beginning at 10:14:01 UTC on March 28, 2011. Significant mHz quasi- periodic oscillations (QPO) at a frequency of 8.1 mHz are detected for approximately 1600 s from the beginning of the observation until the occurrence of a thermonuclear X-ray burst at 10:42:22 UTC. The mHz oscillations are not detected following the X-ray burst. The average fractional rms amplitude of the mHz QPOs is 6.4% (3 - 20 keV), and the amplitude increases to about 8% below 10 keV.This phenomenology is strikingly similar to that seen in the LMXB 4U 1636-53. Indeed, the frequency of the mHz QPOs in 4U 1323-619 prior to the X-ray burst is very similar to the transition frequency between mHz QPO and bursts found in 4U 1636-53 by Altamirano et al. (2008). These results strongly suggest that the observed QPOs in 4U 1323-619 are, like those in 4U 1636-53, due to marginally stable nuclear burning. We also explore the dependence of the energy spectrum on the oscillation phase, and we place the present observations within the context of the spectral evolution of the accretion-powered flux from the source.

  17. The Regulation of a Spatially Heterogeneous Externality: Tradable Groundwater Permits to Protect Streams

    NASA Astrophysics Data System (ADS)

    Kuwayama, Y.; Brozovic, N.

    2012-12-01

    Groundwater pumping from aquifers can reduce the flow of surface water in nearby streams through a process known as stream depletion. In the United States, recent awareness of this externality has led to intra- and inter-state conflict and rapidly-changing water management policies and institutions. A factor that complicates the design of groundwater management policies to protect streams is the spatial heterogeneity of the stream depletion externality; the marginal damage of groundwater use on stream flows depends crucially on the location of pumping relative to streams. Under these circumstances, economic theory predicts that spatially differentiated policies can achieve an aggregate reduction in stream depletion cost effectively. However, whether spatially differentiated policies offer significant abatement cost savings and environmental improvements over simpler, alternative policies is an empirical question. In this paper, we analyze whether adopting a spatially differentiated groundwater permit system can lead to significant savings in compliance costs while meeting targets on stream protection. Using a population data set of active groundwater wells in the Nebraska portion of the Republican River Basin, we implement an optimization model of each well owner's crop choice, land use, and irrigation decisions to determine the distribution of regulatory costs. We model the externality of pumping on streams by employing an analytical solution from the hydrology literature that determines reductions in stream flow caused by groundwater pumping over space and time. The economic and hydrologic model components are then combined into one optimization framework, which allows us to measure farmer abatement costs and stream flow benefits under a constrained optimal market that features spatially differentiated, tradable groundwater permits. We compare this outcome to the efficiency of alternative second-best policies, including spatially uniform permit markets and

  18. Serpentized mantle at rifted margins: The Goban Spur example

    NASA Astrophysics Data System (ADS)

    Bullock, A. D.; Minshull, T. A.

    2002-12-01

    The crustal structure of rifted continental margins can tell us about the processes that operated from continental extension to eventual break-up and sea floor spreading. Variations between margins may record different processes operating during extension or indicate changes in the external geological controls such as mantle plume influence. Extension between Europe and North America began in the mid Cretaceous, dated at the Goban Spur-Flemish Cap rift as late Hauterivian-early Barremian (126-128 Ma) from deep sea drilling (DSDP leg 80) results on the Goban Spur margin. Marine magnetic anomaly 34 can be identified clearly on both margins and indicates that sea floor spreading began no later than 83 Ma. Syn-rift volcanism is limited to a 20 km basaltic body, with considerable lateral extent, at the foot of the continental slope, emplaced at the end of continental rifting. \

  19. Fresh look at electric-generating reserve margins

    SciTech Connect

    Franklin, E.H.

    1983-04-28

    In recent years, public attention has focused on electric-generating reserve margins as barometers of electric-power cost and service reliability. This article argues that the current definition, based on peak demand, overstates actual reserve capacity and therefore contributes to the perception that reserve margins are excessive. A new definition based on available installed capacity is proposed as a more-precise representation of the system condition. 6 figures.

  20. Stepwise Signal Extraction via Marginal Likelihood

    PubMed Central

    Du, Chao; Kao, Chu-Lan Michael

    2015-01-01

    This paper studies the estimation of stepwise signal. To determine the number and locations of change-points of the stepwise signal, we formulate a maximum marginal likelihood estimator, which can be computed with a quadratic cost using dynamic programming. We carry out extensive investigation on the choice of the prior distribution and study the asymptotic properties of the maximum marginal likelihood estimator. We propose to treat each possible set of change-points equally and adopt an empirical Bayes approach to specify the prior distribution of segment parameters. Detailed simulation study is performed to compare the effectiveness of this method with other existing methods. We demonstrate our method on single-molecule enzyme reaction data and on DNA array CGH data. Our study shows that this method is applicable to a wide range of models and offers appealing results in practice. PMID:27212739

  1. Ivory Coast-Ghana margin: model of a transform margin

    SciTech Connect

    Mascle, J.; Blarez, E.

    1987-05-01

    The authors present a marine study of the eastern Ivory Coast-Ghana continental margins which they consider one of the most spectacular extinct transform margins. This margin has been created during Early-Lower Cretaceous time and has not been submitted to any major geodynamic reactivation since its fabric. Based on this example, they propose to consider during the evolution of the transform margin four main and successive stages. Shearing contact is first active between two probably thick continental crusts and then between progressively thinning continental crusts. This leads to the creation of specific geological structures such as pull-apart graben, elongated fault lineaments, major fault scarps, shear folds, and marginal ridges. After the final continental breakup, a hot center (the mid-oceanic ridge axis) is progressively drifting along the newly created margin. The contact between two lithospheres of different nature should necessarily induce, by thermal exchanges, vertical crustal readjustments. Finally, the transform margin remains directly adjacent to a hot but cooling oceanic lithosphere; its subsidence behavior should then progressively be comparable to the thermal subsidence of classic rifted margins.

  2. The marginalization of hormesis.

    PubMed

    Calabrese, E J; Baldwin, L A

    2000-01-01

    Despite the substantial development and publication of highly reproducible toxicological data, the concept of hormetic dose-response relationships was never integrated into the mainstream of toxicological thought. Review of the historical foundations of the interpretation of the bioassay and assessment of competitive theories of dose-response relationships lead to the conclusion that multiple factors contributed to the marginalization of hormesis during the middle and subsequent decades of the 20th century. These factors include: (a) the close-association of hormesis with homeopathy lead to the hostility of modern medicine toward homeopathy thereby creating a guilt by association framework, and the carry-over influence of that hostility in the judgements of medically-based pharmacologists/ toxicologists toward hormesis; (b) the emphasis of high dose effects linked with a lack of appreciation of the significance of the implications of low dose stimulatory effects; (c) the lack of an evolutionary-based mechanism(s) to account for hormetic effects; and (d) the lack of appropriate scientific advocates to counter aggressive and intellectually powerful critics of the hormetic perspective. PMID:10745293

  3. The marginalization of hormesis.

    PubMed

    Calabrese, E J; Baldwin, L A

    1999-01-01

    Despite the substantial development and publication of highly reproducible toxicological data, the concept of hormetic dose-response relationships was never integrated into the mainstream of toxicological thought. Review of the historical foundations of the interpretation of the bioassay and assessment of competitive theories of dose-response relationships lead to the conclusion that multiple factors contributed to the marginalization of hormesis during the middle and subsequent decades of the 20th Century. These factors include the following: (a) the close association of hormesis with homeopathy, which led to the hostility of modern medicine toward homeopathy, thereby creating a guilt-by-association framework, and the carryover influence of that hostility toward hormesis in the judgements of medically based pharmacologists/toxicologists; (b) the emphasis of high-dose effects linked with a lack of appreciation of the significance of the implications of low-dose stimulatory effects; (c) the lack of an evolution-based mechanism(s) to account for hormetic effects; and (d) lack of appropriate scientific advocates to counter aggressive and intellectually powerful critics of the hormetic perspective. PMID:10207983

  4. Assessing the Costs of Adequacy in California Public Schools: A Cost Function Approach

    ERIC Educational Resources Information Center

    Imazeki, Jennifer

    2008-01-01

    In this study, a cost function is used to estimate the costs for California districts to meet the achievement goals set out for them by the state. I calculate estimates of base costs (i.e., per pupil costs in a district with relatively low levels of student need) and marginal costs (i.e., the additional costs associated with specific student…

  5. Acidalia Planitia Channel Margin

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site]

    The THEMIS VIS camera is capable of capturing color images of the Martian surface using five different color filters. In this mode of operation, the spatial resolution and coverage of the image must be reduced to accommodate the additional data volume produced from using multiple filters. To make a color image, three of the five filter images (each in grayscale) are selected. Each is contrast enhanced and then converted to a red, green, or blue intensity image. These three images are then combined to produce a full color, single image. Because the THEMIS color filters don't span the full range of colors seen by the human eye, a color THEMIS image does not represent true color. Also, because each single-filter image is contrast enhanced before inclusion in the three-color image, the apparent color variation of the scene is exaggerated. Nevertheless, the color variation that does appear is representative of some change in color, however subtle, in the actual scene. Note that the long edges of THEMIS color images typically contain color artifacts that do not represent surface variation.

    This false color image shows craters and a channel margin, in the region of southern Acidalia Planitia where Tiu and Ares Valles empty into the planitia. This image was collected during the Northern Spring season.

    Image information: VIS instrument. Latitude 23.8, Longitude 327.5 East (32.5 West). 37 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion

  6. Automated External Defibrillator

    MedlinePlus

    ... from the NHLBI on Twitter. What Is an Automated External Defibrillator? An automated external defibrillator (AED) is a portable device that ... Institutes of Health Department of Health and Human Services USA.gov

  7. Marginal revenue and length of stay in inpatient psychiatry.

    PubMed

    Pletscher, Mark

    2016-09-01

    This study examines the changes in marginal revenue during psychiatric inpatient stays in a large Swiss psychiatric hospital after the introduction of a mixed reimbursement system with tariff rates that vary over length of stay. A discrete time duration model with a difference-in-difference specification and time-varying coefficients is estimated to assess variations in policy effects over length of stay. Among patients whose costs are fully reimbursed by the mixed scheme, the model demonstrates a significant effect of marginal revenue on length of stay. No significant policy effects are found among patients for whom only health insurance rates are delivered as mixed tariffs and government contributions are made retrospectively. The results indicate that marginal revenue can affect length of stay in inpatient psychiatry facilities, but that the reduction in marginal revenue must be sufficiently large. PMID:26445962

  8. 28 CFR 100.15 - Disallowed costs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) COST RECOVERY REGULATIONS, COMMUNICATIONS...) costs are disallowed. G&A costs include, but are not limited to, any management, financial, and other... limited to: (1) Accounting and Finance, External Relations, Human Resources, Information Management,...

  9. 28 CFR 100.15 - Disallowed costs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) COST RECOVERY REGULATIONS, COMMUNICATIONS...) costs are disallowed. G&A costs include, but are not limited to, any management, financial, and other... limited to: (1) Accounting and Finance, External Relations, Human Resources, Information Management,...

  10. Cost Containment in Europe

    PubMed Central

    Culyer, A. J.

    1989-01-01

    Health care cost containment is not in itself a sensible policy objective, because any assessment of the appropriateness of health care expenditure in aggregate, as of that on specific programs, requires a balancing of costs and benefits at the margin. International data on expenditures can, however, provide indications of the likely impact on costs and expenditures of structural features of health care systems. Data from the Organization for Economic Cooperation and Development for both European countries and a wider set are reviewed, and some current policies in Europe that are directed at controlling health care costs are outlined. PMID:10313433

  11. Strongly Accelerated Margination of Active Particles in Blood Flow.

    PubMed

    Gekle, Stephan

    2016-01-19

    Synthetic nanoparticles and other stiff objects injected into a blood vessel filled with red blood cells are known to marginate toward the vessel walls. By means of hydrodynamic lattice-Boltzmann simulations, we show that active particles can strongly accelerate their margination by moving against the flow direction: particles located initially in the channel center migrate much faster to their final position near the wall than in the nonactive case. We explain our findings by an enhanced rate of collisions between the stiff particles and the deformable red blood cells. Our results imply that a significantly faster margination can be achieved either technically by the application of an external magnetic field (if the particles are magnetic) or biologically by self-propulsion (if the particles are, e.g., swimming bacteria). PMID:26789773

  12. Wavelet Filtering to Reduce Conservatism in Aeroservoelastic Robust Stability Margins

    NASA Technical Reports Server (NTRS)

    Brenner, Marty; Lind, Rick

    1998-01-01

    Wavelet analysis for filtering and system identification was used to improve the estimation of aeroservoelastic stability margins. The conservatism of the robust stability margins was reduced with parametric and nonparametric time-frequency analysis of flight data in the model validation process. Nonparametric wavelet processing of data was used to reduce the effects of external desirableness and unmodeled dynamics. Parametric estimates of modal stability were also extracted using the wavelet transform. Computation of robust stability margins for stability boundary prediction depends on uncertainty descriptions derived from the data for model validation. F-18 high Alpha Research Vehicle aeroservoelastic flight test data demonstrated improved robust stability prediction by extension of the stability boundary beyond the flight regime.

  13. Divergent/passive margin basins

    SciTech Connect

    Edwards, J.D. ); Santogrossi, P.A. )

    1989-01-01

    This book discusses the detailed geology of the four divergent margin basins and establishes a set of analog scenarios which can be used for future petroleum exploration. The divergent margin basins are the Campos basin of Brazil, the Gabon basin, the Niger delta, and the basins of the northwest shelf of Australia. These four petroleum basins present a wide range of stratigraphic sequences and structural styles that represent the diverse evolution of this large and important class of world petroleum basins.

  14. Steel Industry Marginal Opportunity Analysis

    SciTech Connect

    none,

    2005-09-01

    The Steel Industry Marginal Opportunity Analysis (PDF 347 KB) identifies opportunities for developing advanced technologies and estimates both the necessary funding and the potential payoff. This analysis determines what portion of the energy bandwidth can be captured through the adoption of state-of-the-art technology and practices. R&D opportunities for addressing the remainder of the bandwidth are characterized and plotted on a marginal opportunity curve.

  15. External artery heat pipe

    NASA Technical Reports Server (NTRS)

    Gernert, Nelson J. (Inventor); Ernst, Donald M. (Inventor); Shaubach, Robert M. (Inventor)

    1989-01-01

    An improved heat pipe with an external artery. The longitudinal slot in the heat pipe wall which interconnects the heat pipe vapor space with the external artery is completely filled with sintered wick material and the wall of the external artery is also covered with sintered wick material. This added wick structure assures that the external artery will continue to feed liquid to the heat pipe evaporator even if a vapor bubble forms within and would otherwise block the liquid transport function of the external artery.

  16. Atlantic marginal basins of Africa

    SciTech Connect

    Moore, G.T.

    1988-02-01

    The over 10,000-km long Atlantic margin of Africa is divisible into thirty basins or segments of the margin that collectively contain over 18.6 x 10/sup 6/ km/sup 3/ of syn-breakup and post-breakup sediments. Twenty of these basins contain a sufficiently thick volume of sediments to be considered prospects. These basins lie, at least partially, within the 200 m isobath. The distribution of source rocks is broad enough to give potential to each of these basins. The sedimentation patterns, tectonics, and timing of events differ from basin to basin and are related directly to the margin's complex history. Two spreading modes exist: rift and transform. Rifting dates from Late Triassic-Early Jurassic in the northwest to Early Cretaceous south of the Niger Delta. A complex transform fault system separated these two margins. Deep-water communication between the two basins became established in the middle Cretaceous. This Mesozoic-Cenozoic cycle of rifting and seafloor spreading has segmented the margin and where observable, basins tend to be bounded by these segments.

  17. The northern Egyptian continental margin

    NASA Astrophysics Data System (ADS)

    Badawy, Ahmed; Mohamed, Gad; Omar, Khaled; Farid, Walid

    2015-01-01

    Africa displays a variety of continental margin structures, tectonics and sedimentary records. The northern Egyptian continental margin represents the NE portion of the North African passive continental margin. Economically, this region is of great importance as a very rich and productive hydrocarbon zone in Egypt. Moreover, it is characterized by remarkable tectonic setting accompanied by active tectonic processes from the old Tethys to recent Mediterranean. In this article, seismicity of the northern Egyptian continental margin has been re-evaluated for more than 100-years and the source parameters of three recent earthquakes (October 2012, January 2013 and July 2013) have been estimated. Moment tensor inversions of 19th October 2012 and 17th January 2013 earthquakes reveal normal faulting mechanism with strike-slip component having seismic moment of 3.5E16 N m and 4.3E15 N m respectively. The operation of the Egyptian National Seismic Network (ENSN) since the end of 1997 has significantly enhanced the old picture of earthquake activity across northern Egyptian continental margin whereas; the record-ability (annual rate) has changed from 2-events/year to 54-event/year before and after ENSN respectively. The spatial distribution of earthquakes foci indicated that the activity tends to cluster at three zones: Mediterranean Ridge (MR), Nile Cone (NC) and Eratosthenes Seamount (ERS). However, two seismic gaps are reported along Levant Basin (LEV) and Herodotus Basin (HER).

  18. Assessment of breast tumor margins via quantitative diffuse reflectance imaging

    NASA Astrophysics Data System (ADS)

    Brown, J. Quincy; Bydlon, Torre M.; Kennedy, Stephanie A.; Geradts, Joseph; Wilke, Lee G.; Barry, William; Richards, Lisa M.; Junker, Marlee K.; Gallagher, Jennifer; Ramanujam, Nimmi

    2010-02-01

    A particular application of interest for tissue reflectance spectroscopy in the UV-Visible is intraoperative detection of residual cancer at the margins of excised breast tumors, which could prevent costly and unnecessary repeat surgeries. Our multi-disciplinary group has developed an optical imaging device, which is capable of surveying the entire specimen surface down to a depth of 1-2mm, all within a short time as required for intraoperative use. In an IRB-approved study, reflectance spectral images were acquired from 54 margins in 48 patients. Conversion of the spectral images to quantitative tissue parameter maps was facilitated by a fast scalable inverse Monte-Carlo model. Data from margin parameter images were reduced to image-descriptive scalar values and compared to gold-standard margin pathology. The utility of the device for classification of margins was determined via the use of a conditional inference tree modeling approach, and was assessed both as a function of type of disease present at the margin, as well as a function of distance of disease from the issue surface. Additionally, the influence of breast density on the diagnostic parameters, as well as the accuracy of the device, was evaluated.

  19. Margins in breast conserving surgery: A practice-changing process.

    PubMed

    Rubio, I T; Ahmed, M; Kovacs, T; Marco, V

    2016-05-01

    Margins in breast conserving surgery (BCS) have been a long standing subject debate. This largely arises from the absence of a consensus on what constitutes an adequate margin width, resulting in re-excision rates of 25-40% for close or positive margins and its consequent impact upon cosmesis, economic costs, patient dissatisfaction and lack of bearing on survival. Accepting that the increased risk of local recurrences (LR) has its influence on survival, the decrease in LR in BCS in the last decade have been motivated by better surgical techniques for assessing negative margins, use of targeted therapies and in general with the multimodal treatment in the management of breast cancer patients. Since the publication of the consensus guidelines on margins there has evolved a trend of changing attitudes towards re-excision. Surgeons are considering margins in the context of all factors including not only patient and tumor characteristics but also the regional and systemic treatment the patient is receiving. PMID:26880017

  20. Seismic margin assessment of evolutionary light water reactors

    SciTech Connect

    Ali, S.A.; Bagchi, G.

    1996-12-01

    The objectives of the US Nuclear Regulatory Commission (NRC) staff`s review of the evolutionary light water reactors (ELWR) probabilistic risk assessment (PRA) are drawn from 10 CFR Part 52, the Commission`s Severe Reactor Accident Policy Statement regarding future designs and existing plants, the Commission`s Safety Goal Policy Statement, The Commission approved positions concerning the analyses of external and events contained in SECY-93-087, and NRC interest in the use of PRA to help improve future reactor designs. In general, these objectives have been achieved by the ELWR PRAs and the NRC staff`s review. The staff`s applicable regulation for the analysis of external events for the ELWR PRAs is as follows. The probabilistic risk assessment required by 10 CFR 52.47(a)(1)(v) must include an assessment of internal and external events. For external events, simplified probabilistic methods and margins methods may be used to assess the capacity of the standard design to withstand the effects of events such as fires and earthquakes. Traditional probabilistic techniques should be used to evaluate internal floods. For earthquakes, a seismic margin analysis must consider the effects of earthquakes with accelerations approximately one and two-thirds the acceleration of the safe-shutdown earthquake (SSE).

  1. External radiation surveillance

    SciTech Connect

    Antonio, E.J.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report describes how external radiation was measured, how surveys were performed, and the results of these measurements and surveys. External radiation exposure rates were measured at locations on and off the Hanford Site using thermoluminescent dosimeters (TLD). External radiation and contamination surveys were also performed with portable radiation survey instruments at locations on and around the Hanford Site.

  2. Certifying nonlocality from separable marginals

    NASA Astrophysics Data System (ADS)

    Vértesi, Tamás; Laskowski, Wiesław; Pál, Károly F.

    2014-01-01

    Imagine three parties, Alice, Bob, and Charlie, who share a state of three qubits such that all two-party reduced states A-B, A-C, and B-C are separable. Suppose that they have information only about these marginals but not about the global state. According to recent results, there exists an example for a set of three separable two-party reduced states that is only compatible with an entangled global state. In this paper, we show a stronger result by exhibiting separable two-party reduced states A-B, A-C, and B-C, such that any global state compatible with these marginals is nonlocal. Hence, we obtain that nonlocality of multipartite states can be certified from information only about separable marginals.

  3. The Equal Marginal Value Principle: A Graphical Analysis with Environmental Applications.

    ERIC Educational Resources Information Center

    Yates, Andrew J.

    1998-01-01

    Maintains that the equal marginal value principle may not be optimal in the analysis of the cost-effectiveness of policies to reduce auto emissions, the economics of garbage disposal, and the economics of pollution abatement. Argues that examining these exceptions can help students understand the equal marginal value principle. (MJP)

  4. Southern African continental margin: Dynamic processes of a transform margin

    NASA Astrophysics Data System (ADS)

    Parsiegla, N.; Stankiewicz, J.; Gohl, K.; Ryberg, T.; Uenzelmann-Neben, G.

    2009-03-01

    Dynamic processes at sheared margins associated with the formation of sedimentary basins and marginal ridges are poorly understood. The southern African margin provides an excellent opportunity to investigate the deep crustal structure of a transform margin and to characterize processes acting at these margins by studying the Agulhas-Falkland Fracture Zone, the Outeniqua Basin, and the Diaz Marginal Ridge. To do this, we present the results of the combined seismic land-sea experiments of the Agulhas-Karoo Geoscience Transect. Detailed velocity-depth models show crustal thicknesses varying from ˜42 km beneath the Cape Fold Belt to ˜28 km beneath the shelf. The Agulhas-Falkland Fracture Zone is embedded in a 50 km wide transitional zone between continental and oceanic crust. The oceanic crust farther south exhibits relatively low average crustal velocities (˜6.0 km/s), which can possibly be attributed to transform-ridge intersection processes and the thermal effects of the adjacent continental crust during its formation. Crustal stretching factors derived from the velocity-depth models imply that extension in the Outeniqua Basin acted on regional as well as more local scales. We highlight evidence for two episodes of crustal stretching. The first, with a stretching factor β of 1.6, is interpreted to have influenced the entire Outeniqua Basin. The stresses possibly originated from the beginning breakup between Africa and Antarctica (˜169-155 Ma). The second episode can be associated with a transtensional component of the shear motion along the Agulhas-Falkland Transform from ˜136 Ma. This episode caused additional crustal stretching with β = 1.3 and is established to only have affected the southern parts of the basin. Crustal velocities directly beneath the Outeniqua Basin are consistent with the interpretation of Cape Supergroup rocks underlying most parts of the basin and the Diaz Marginal Ridge. We propose that the formation of this ridge can be either

  5. Engine Development Design Margins Briefing Charts

    NASA Technical Reports Server (NTRS)

    Bentz, Chuck

    2006-01-01

    New engines experience durability problems after entering service. The most prevalent and costly is the hot section, particularly the high-pressure turbine. The origin of durability problems can be traced back to: 1) the basic aero-mechanical design systems, assumptions, and design margins used by the engine designers, 2) the available materials systems, and 3) to a large extent, aggressive marketing in a highly competitive environment that pushes engine components beyond the demonstrated capability of the basic technology available for the hardware designs. Unfortunately the user must operate the engine in the service environment in order to learn the actual thrust loading and the time at max effort take-off conditions used in service are needed to determine the hot section life. Several hundred thousand hours of operational service will be required before the demonstrated reliability of a fleet of engines or the design deficiencies of the engine hot section parts can be determined. Also, it may take three to four engine shop visits for heavy maintenance on the gas path hardware to establish cost effective build standards. Spare parts drive the oerator's engine maintenance costs but spare parts also makes lots of money for the engine manufacturer during the service life of an engine. Unless competition prevails for follow-on engine buys, there is really no motivation for an OEM to spend internal money to improve parts durability and reduce earnings derived from a lucrative spare parts business. If the hot section life is below design goals or promised values, the OEM migh argue that the engine is being operated beyond its basic design intent. On the other hand, the airframer and the operator will continue to remind the OEM that his engine was selected based on a lot of promises to deliver spec thrust with little impact on engine service life if higher thrust is used intermittently. In the end, a standoff prevails and nothing gets fixed. This briefing will propose

  6. 17 CFR 41.45 - Required margin.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 1 2011-04-01 2011-04-01 false Required margin. 41.45 Section... PRODUCTS Customer Accounts and Margin Requirements § 41.45 Required margin. (a) Applicability. Each security futures intermediary shall determine the required margin for the security futures and...

  7. 17 CFR 41.45 - Required margin.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Required margin. 41.45 Section... PRODUCTS Customer Accounts and Margin Requirements § 41.45 Required margin. (a) Applicability. Each security futures intermediary shall determine the required margin for the security futures and...

  8. 17 CFR 242.403 - Required margin.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 3 2011-04-01 2011-04-01 false Required margin. 242.403...) REGULATIONS M, SHO, ATS, AC, AND NMS AND CUSTOMER MARGIN REQUIREMENTS FOR SECURITY FUTURES Customer Margin Requirements for Security Futures § 242.403 Required margin. (a) Applicability. Each security...

  9. 12 CFR 220.4 - Margin account.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Margin account. 220.4 Section 220.4 Banks and... BROKERS AND DEALERS (REGULATION T) § 220.4 Margin account. (a) Margin transactions. (1) All transactions not specifically authorized for inclusion in another account shall be recorded in the margin...

  10. The External Degree Project.

    ERIC Educational Resources Information Center

    Syracuse Univ., NY. School of Management.

    An external degree is one granted on the basis of academic work undertaken through independent and flexible study and pursued in whole or in part outside of the framework of existing college and university courses. A person's qualifications for an external degree are measured not by a list of accumulated formal courses taken and passed, but by an…

  11. MARGINAL EXPENSE OIL WELL WIRELESS SURVEILLANCE MEOWS

    SciTech Connect

    Mason M. Medizade; John R. Ridgely; Donald G. Nelson

    2004-11-01

    A marginal expense oil well wireless surveillance system to monitor system performance and production from rod-pumped wells in real time from wells operated by Vaquero Energy in the Edison Field, Main Area of Kern County in California has been successfully designed and field tested. The surveillance system includes a proprietary flow sensor, a programmable transmitting unit, a base receiver and receiving antenna, and a base station computer equipped with software to interpret the data. First, the system design is presented. Second, field data obtained from three wells is shown. Results of the study show that an effective, cost competitive, real-time wireless surveillance system can be introduced to oil fields across the United States and the world.

  12. Estimating externalities of biomass fuel cycles, Report 7

    SciTech Connect

    Barnthouse, L.W.; Cada, G.F.; Cheng, M.-D.; Easterly, C.E.; Kroodsma, R.L.; Lee, R.; Shriner, D.S.; Tolbert, V.R.; Turner, R.S.

    1998-01-01

    This report documents the analysis of the biomass fuel cycle, in which biomass is combusted to produce electricity. The major objectives of this study were: (1) to implement the methodological concepts which were developed in the Background Document (ORNL/RFF 1992) as a means of estimating the external costs and benefits of fuel cycles, and by so doing, to demonstrate their application to the biomass fuel cycle; (2) to develop, given the time and resources, a range of estimates of marginal (i.e., the additional or incremental) damages and benefits associated with selected impact-pathways from a new wood-fired power plant, using a representative benchmark technology, at two reference sites in the US; and (3) to assess the state of the information available to support energy decision making and the estimation of externalities, and by so doing, to assist in identifying gaps in knowledge and in setting future research agendas. The demonstration of methods, modeling procedures, and use of scientific information was the most important objective of this study. It provides an illustrative example for those who will, in the future, undertake studies of actual energy options and sites. As in most studies, a more comprehensive analysis could have been completed had budget constraints not been as severe. Particularly affected were the air and water transport modeling, estimation of ecological impacts, and economic valuation. However, the most important objective of the study was to demonstrate methods, as a detailed example for future studies. Thus, having severe budget constraints was appropriate from the standpoint that these studies could also face similar constraints. Consequently, an important result of this study is an indication of what can be done in such studies, rather than the specific numerical estimates themselves.

  13. Proceedings: National conference on environmental externalities

    SciTech Connect

    Not Available

    1990-12-31

    This report is the proceedings of the National Conference on Environmental Externalities. A environmental externality is the environmental impact of a process or a plant that society must endure. It is a social cost and is paid, but not by the company who produced it or the company`s customers who endure it. The main purpose of this report is to gather the many designs and ideas of how and why to internalize the externalities into the pricing systems of the public utility commissions, especially that of the electric utilities. Economic and sociological aspects of the internalization of these externalities are given in these proceedings. Individual papers are processed separately for databases. (MB)

  14. Structural design/margin assessment

    NASA Technical Reports Server (NTRS)

    Ryan, R. S.

    1993-01-01

    Determining structural design inputs and the structural margins following design completion is one of the major activities in space exploration. The end result is a statement of these margins as stability, safety factors on ultimate and yield stresses, fracture limits (fracture control), fatigue lifetime, reuse criteria, operational criteria and procedures, stability factors, deflections, clearance, handling criteria, etc. The process is normally called a load cycle and is time consuming, very complex, and involves much more than structures. The key to successful structural design is the proper implementation of the process. It depends on many factors: leadership and management of the process, adequate analysis and testing tools, data basing, communications, people skills, and training. This process and the various factors involved are discussed.

  15. Future of External Reporting

    ERIC Educational Resources Information Center

    Powers, Kristina

    2015-01-01

    This chapter builds on prior chapters and focuses on higher education trends on the horizon and the resulting impact on external reporting for institutional researchers. Three practical recommendations and examples for institutional researchers are also presented.

  16. Evaluating External Communication.

    ERIC Educational Resources Information Center

    DeSantis, James R.

    1978-01-01

    Effective external communication by higher education institutions is described as an ongoing program, based on objective research, continuous informal feedback, and informed anticipation of changes in the environment that will force changes in the institution. (JMF)

  17. Tectonic heritage and intra-crustal decoupling: consequences for inversion of a passive margin

    NASA Astrophysics Data System (ADS)

    Burov, Evgueni; Le Pourhiet, Laetitia; Mezri, Leila; Duretz, Thibault; Bellahsen, Nicolas

    2013-04-01

    We investigate the consequences of tectonic heritage and rheological structure on the style and evolution of collision process resulting from inversion of rifted margins. Recent studies of structure and evolution of passive margins have led to significant reconsideration of conceptual models of margin evolution, specifically regarding the concepts of proximal inversion during the post-rift collision. For example, for a number of margins, it has been shown that the crust very locally thins in the vicinity of the continent-ocean transition, from about 30 km to a few km in thickness, along a very short distance. This observation has been interpreted as the result of large crustal detachments that result in thinning of the medium and lower crusts, or as the result of a particular sequence of activity of steep faults. This localization of deformation occurs after a period of distributed rifting during which forms the proximal margin, and follows a phase of exhumation of the mantle to the surface. It seems clear that the burial (during the collision) of such complex margins must necessarily differ from that of margins which structure would be more continuous. We implement a parametric thermo-mechanical numerical study of the role of geometry and of the inherited structure of the inverted margins in the subduction-collision transition. In the experiments, we first form a margin by applying passive extension to continental lithosphere of different structure. After the margin is formed, we apply compression allowing for different periods of relaxation. The experiments demonstrate strong dependence of the developing collision style on the initial thermo-rheological structure and geometry of the margin and on the delay between the extension and compression phase. The resulting collision modes vary from subduction of the continental margin to pure shear thickening and, in some cases, to obduction of the oceanized lithosphere. Our experiments also treated as a particular case

  18. Tectonic heritage and intra-crustal decoupling: consequences for inversion of a passive margin

    NASA Astrophysics Data System (ADS)

    Burov, E. B.; Duretz, T.; Bellahsen, N.; Le Pourhiet, L.

    2012-12-01

    We investigate the consequences of tectonic heritage and rheological structure on the style and evolution of collision process resulting from inversion of rifted margins. Recent studies of structure and evolution of passive margins have led to significant reconsideration of conceptual models of margin evolution, specifically regarding the concepts of proximal inversion during the post-rift collision. For example, for a number of margins, it has been shown that the crust very locally thins in the vicinity of the continent-ocean transition, from about 30 km to a few km in thickness, along a very short distance. This observation has been interpreted as the result of large crustal detachments that result in thinning of the medium and lower crusts, or as the result of a particular sequence of activity of steep faults. This localization of deformation occurs after a period of distributed rifting during which forms the proximal margin, and follows a phase of exhumation of the mantle to the surface. It seems clear that the burial (during the collision) of such complex margins must necessarily differ from that of margins which structure would be more continuous. We implement a parametric thermo-mechanical numerical study of the role of geometry and of the inherited structure of the inverted margins in the subduction-collision transition. In the experiments, we first form a margin by applying passive extension to continental lithosphere of different structure. After the margin is formed, we apply compression allowing for different periods of relaxation. The experiments demonstrate strong dependence of the developing collision style on the initial thermo-rheological structure and geometry of the margin and on the delay between the extension and compression phase. The resulting collision modes vary from subduction of the continental margin to pure shear thickening and, in some cases, to obduction of the oceanized lithosphere. Our experiments also treated as a particular case

  19. [Marginality, ethnic groups and health].

    PubMed

    Corretger, J M; Fortuny, C; Botet, F; Valls, O

    1992-06-01

    Main marginated ethnic groups in Span are to be found among gypsies and 3rd world immigrants. The first group include about 250,000 persons and the second group more tan half a million people. Their origins and their being past of the less fortunate social layers made them a group of health risk. Pediatric pathologies are those favored by socio-economic shortcomings as well as hygienic-sanitary deficiencies. Imported pediatric pathologies have a small incident. PMID:1636945

  20. Externally modulated theranostic nanoparticles

    PubMed Central

    Urban, Cordula; Urban, Alexander S.; Charron, Heather; Joshi, Amit

    2013-01-01

    Externally modulated nanoparticles comprise a rapidly advancing class of cancer nanotherapeutics, which combine the favorable tumor accumulation of nanoparticles, with external spatio-temporal control on therapy delivery via optical, magnetic, or ultrasound modalities. The local control on therapy enables higher tumor treatment efficacy, while simultaneously reducing off-target effects. The nanoparticle interactions with external fields have an additional advantage of frequently generating an imaging signal, and thus such agents provide theranostic (both diagnostic and therapeutic) capabilities. In this review, we classify the emerging externally modulated theranostic nanoparticles according to the mode of external control and describe the physiochemical mechanisms underlying the external control of therapy, and illustrate the major embodiments of nanoparticles in each class with proven biological efficacy: (I) electromagnetic radiation in visible and near-infrared range is being exploited for gold based and carbon nanostructures with tunable surface plasmon resonance (SPR) for imaging and photothermal therapy (PTT) of cancer, photochemistry based manipulations are employed for light sensitive liposomes and porphyrin based nanoparticles; (II) Magnetic field based manipulations are being developed for iron-oxide based nanostructures for magnetic resonance imaging (MRI) and magnetothermal therapy; (III) ultrasound based methods are primarily being employed to increase delivery of conventional drugs and nanotherapeutics to tumor sites. PMID:24834381

  1. 42 CFR 405.2468 - Allowable costs.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... for the educational activities associated with patient care services of an approved program, subject...) Costs associated with training, but not related to patient care services. (B) Normal operating and capital-related costs. (C) The marginal increase in patient care costs that the RHC or FQHC experiences...

  2. 42 CFR 405.2468 - Allowable costs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... for the educational activities associated with patient care services of an approved program, subject...) Costs associated with training, but not related to patient care services. (B) Normal operating and capital-related costs. (C) The marginal increase in patient care costs that the RHC or FQHC experiences...

  3. 42 CFR 405.2468 - Allowable costs.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... for the educational activities associated with patient care services of an approved program, subject...) Costs associated with training, but not related to patient care services. (B) Normal operating and capital-related costs. (C) The marginal increase in patient care costs that the RHC or FQHC experiences...

  4. 42 CFR 405.2468 - Allowable costs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... nonhospital site for the educational activities associated with patient care services of an approved program...) Costs associated with training, but not related to patient care services. (B) Normal operating and capital-related costs. (C) The marginal increase in patient care costs that the RHC or FQHC experiences...

  5. The Role of Advocacy Organizations in Reducing Negative Externalities.

    PubMed

    Biglan, Anthony

    2009-07-01

    An externality is a cost that a corporation's actions impose on society. For example, a power plant may emit mercury, but might not pay for the cost of that pollution to the people living near the plant. It is possible to analyze a diverse range of problems of society in these terms, including the health effects of corporate practices, the unsustainability of manufacturing processes, and marketing of products contributing to environmental damage, and economic policies that maintain high levels of poverty due to effective lobbying by the business community. This paper examines the problem of externalities in terms of metacontingencies. Externalities continue precisely because there is no cost to the organizations for practices that impose these costs on third parties. The paper describes the cultural practices needed to influence governments are motivated to make corporations bear the true costs of their practices-costs that are currently imposed on others. PMID:20011073

  6. The Role of Advocacy Organizations in Reducing Negative Externalities

    PubMed Central

    Biglan, Anthony

    2009-01-01

    An externality is a cost that a corporation’s actions impose on society. For example, a power plant may emit mercury, but might not pay for the cost of that pollution to the people living near the plant. It is possible to analyze a diverse range of problems of society in these terms, including the health effects of corporate practices, the unsustainability of manufacturing processes, and marketing of products contributing to environmental damage, and economic policies that maintain high levels of poverty due to effective lobbying by the business community. This paper examines the problem of externalities in terms of metacontingencies. Externalities continue precisely because there is no cost to the organizations for practices that impose these costs on third parties. The paper describes the cultural practices needed to influence governments are motivated to make corporations bear the true costs of their practices—costs that are currently imposed on others. PMID:20011073

  7. Implications of environmental externalities assessments for solar thermal powerplants

    NASA Astrophysics Data System (ADS)

    Lee, A. D.; Baechler, M. C.

    1991-03-01

    Externalities are those impacts of one activity on other activities that are not priced in the marketplace. An externality is said to exist when two conditions hold: (1) the utility or operations of one economic agent, A, include nonmonetary variables whose values are chosen by another economic agent, B, without regard to the effects on A, and (2) B does not pay A compensation equal to the incremental costs inflicted on A. Electricity generation involves a wide range of potential and actual environmental impacts. Legislative, permitting, and regulatory requirements directly or indirectly control certain environmental impacts, implicitly causing them to become internalized in the cost of electricity generation. Electricity generation, however, often produces residual environmental impacts that meet the definition of an externality. Mechanisms have been developed by several states to include the costs associated with externalities in the cost-effectiveness analyses of new powerplants. This paper examines these costs for solar thermal plants and applies two states' scoring methodologies to estimate how including externalities would affect the levelized costs of power from a solar plant in the Pacific Northwest. It concludes that including externalities in the economics can reduce the difference between the levelized cost of a coal and solar plant by between 0.74 and 2.42 cents/kWh.

  8. 17 CFR 31.18 - Margin calls.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Margin calls. 31.18 Section 31....18 Margin calls. (a) No leverage transaction merchant shall liquidate a leverage contract because of a margin deficiency without effecting personal contact with the leverage customer. If a...

  9. 17 CFR 31.18 - Margin calls.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 1 2011-04-01 2011-04-01 false Margin calls. 31.18 Section 31....18 Margin calls. (a) No leverage transaction merchant shall liquidate a leverage contract because of a margin deficiency without effecting personal contact with the leverage customer. If a...

  10. Diminishing Marginal Utility in Economics Textbooks

    ERIC Educational Resources Information Center

    Dittmer, Timothy

    2005-01-01

    Many introductory microeconomics textbook authors derive the law of demand from the assumption of diminishing marginal utility. Authors of intermediate and graduate textbooks derive demand from diminishing marginal rate of substitution and ordinal preferences. These approaches are not interchangeable; diminishing marginal utility for all goods is…

  11. Silenced, Silence, Silent: Motherhood in the Margins

    ERIC Educational Resources Information Center

    Carpenter, Lorelei; Austin, Helena

    2007-01-01

    This project explores the experiences of women who mother children with ADHD. The authors use the metaphor of the text and the margin. The text is the "motherhood myth" that describes a particular sort of "good" mothering. The margin is the space beyond that text. This marginal space is inhabited by some or all of the mothers they spoke with, some…

  12. The clinical significance of marginal fit.

    PubMed

    Larson, Thomas D

    2012-01-01

    Clinical evaluation of restoration acceptability includes marginal adaptation, restoration and preservation of anatomic form, color match, cavosurface discoloration, and presence of marginal caries. This paper will review what is known about marginal fit of all materials relative to their acceptable fit. Some explanation will be given of how material properties affect marginal fit, what the expected longevity of different materials is relative to marginal fit, and how marginal fit affects development of secondary or marginal caries. Marginal fit is assumed to affect restoration longevity by either encouraging or discouraging microleakage and development of secondary or marginal caries. Marginal fit and its effect on the health of the gingival tissues have been reviewed in an earlier paper on polishing and will not be reviewed here. Is there some correlation between marginal fit of the various materials used in restorative dentistry and this assumption? This paper will review the literature found on Medline and present the science behind the clinical significance of marginal fit utilizing in vitro studies where necessary and in vivo studies whenever possible. Numerous authors replicating these studies are used to improve reliability and replicability. PMID:22439529

  13. Health insurance and the obesity externality.

    PubMed

    Bhattacharya, Jay; Sood, Neeraj

    2007-01-01

    If rational individuals pay the full costs of their decisions about food intake and exercise, economists, policy makers, and public health officials should treat the obesity epidemic as a matter of indifference. In this paper, we show that, as long as insurance premiums are not risk rated for obesity, health insurance coverage systematically shields those covered from the full costs of physical inactivity and overeating. Since the obese consume significantly more medical resources than the non-obese, but pay the same health insurance premiums, they impose a negative externality on normal weight individuals in their insurance pool. To estimate the size of this externality, we develop a model of weight loss and health insurance under two regimes--(1) underwriting on weight is allowed and (2) underwriting on weight is not allowed. We show that under regime (1), there is no obesity externality. Under regime (2), where there is an obesity externality, all plan participants face inefficient incentives to undertake unpleasant dieting and exercise. These reduced incentives lead to inefficient increases in bodyweight, and reduced social welfare. Using data on medical expenditures and bodyweight from the National Health and Interview Survey and the Medical Expenditure Panel Survey, we estimate that, in a health plan with a coinsurance rate of 17.5%, the obesity externality imposes a welfare cost of about $150 per capita. Our results also indicate that the welfare loss can be reduced by technological change that lowers the pecuniary and non-pecuniary costs of losing weight, and also by increasing the coinsurance rate. PMID:19548556

  14. The importance of accurate experimental data to marginal field development

    SciTech Connect

    Overa, S.J.; Lingelem, M.N.

    1997-12-31

    Since exploration started in the Norwegian North Sea in 1965 a total of 196 fields have been discovered. Less than one-third of these fields have been developed. The marginal fields can not be developed economically with current technology even though some of those fields have significant reserves. The total cost to develop one of those large installations is estimated to be 2--5 billion US dollars. Therefore new technology is needed to lower the designed and installed costs of each unit. The need for new physical property data is shown. The value of valid operating data from present units is also pointed out.

  15. Three-dimensional marginal separation

    NASA Technical Reports Server (NTRS)

    Duck, Peter W.

    1988-01-01

    The three dimensional marginal separation of a boundary layer along a line of symmetry is considered. The key equation governing the displacement function is derived, and found to be a nonlinear integral equation in two space variables. This is solved iteratively using a pseudo-spectral approach, based partly in double Fourier space, and partly in physical space. Qualitatively, the results are similar to previously reported two dimensional results (which are also computed to test the accuracy of the numerical scheme); however quantitatively the three dimensional results are much different.

  16. Continental margin tectonics - Forearc processes

    SciTech Connect

    Lundberg, N.; Reed, D.L. )

    1991-01-01

    Recent studies of convergent plate margins and the structural development of forearc terranes are summarized in a critical review of U.S. research from the period 1987-1990. Topics addressed include the geometry of accretionary prisms (Coulomb wedge taper and vertical motion in response to tectonic processes), offscraping vs underplating or subduction, the response to oblique convergence, fluids in forearc settings, the thermal framework and the effects of fluid advection, and serpentinite seamounts. Also included is a comprehensive bibliography for the period.

  17. Determination of pyrotechnic functional margin

    NASA Technical Reports Server (NTRS)

    Bement, Laurence J.; Schimmel, Morry L.

    1993-01-01

    Following the failure of a previously qualified pyrotechnically actuated pin puller design, an investigation led to a redesign and requalification. The emphasis of the second qualification was placed on determining the functional margin of the pin puller by comparing the energy deliverable by the pyrotechnic cartridge to the energy required to accomplish the function. Also determined were the effects of functional variables. This paper describes the failure investigation, the test methods employed and the results of the evaluation, and provides a recommended approach to assure the successful functioning of pyrotechnic devices.

  18. Determination of pyrotechnic functional margin

    NASA Technical Reports Server (NTRS)

    Bement, Laurence J.; Schimmel, Morry L.

    1992-01-01

    Following the failure of a previously qualified pyrotechnically actuated pin puller design, an investigation led to a redesign and requalification. The emphasis of the second qualification was placed on determining the functional margin of the pin puller by comparing the energy deliverable by the pyrotechnic cartridge to the energy required to accomplish the function. Also determined were the effects of functional variables. This paper describes the failure investigation, the test methods employed and the results of the evaluation, and provides a recommended approach to assure the successful functioning of pyrotechnic devices.

  19. Metasurface external cavity laser

    SciTech Connect

    Xu, Luyao Curwen, Christopher A.; Williams, Benjamin S.; Hon, Philip W. C.; Itoh, Tatsuo; Chen, Qi-Sheng

    2015-11-30

    A vertical-external-cavity surface-emitting-laser is demonstrated in the terahertz range, which is based upon an amplifying metasurface reflector composed of a sub-wavelength array of antenna-coupled quantum-cascade sub-cavities. Lasing is possible when the metasurface reflector is placed into a low-loss external cavity such that the external cavity—not the sub-cavities—determines the beam properties. A near-Gaussian beam of 4.3° × 5.1° divergence is observed and an output power level >5 mW is achieved. The polarized response of the metasurface allows the use of a wire-grid polarizer as an output coupler that is continuously tunable.

  20. Metasurface external cavity laser

    NASA Astrophysics Data System (ADS)

    Xu, Luyao; Curwen, Christopher A.; Hon, Philip W. C.; Chen, Qi-Sheng; Itoh, Tatsuo; Williams, Benjamin S.

    2015-11-01

    A vertical-external-cavity surface-emitting-laser is demonstrated in the terahertz range, which is based upon an amplifying metasurface reflector composed of a sub-wavelength array of antenna-coupled quantum-cascade sub-cavities. Lasing is possible when the metasurface reflector is placed into a low-loss external cavity such that the external cavity—not the sub-cavities—determines the beam properties. A near-Gaussian beam of 4.3° × 5.1° divergence is observed and an output power level >5 mW is achieved. The polarized response of the metasurface allows the use of a wire-grid polarizer as an output coupler that is continuously tunable.

  1. Estimating the Cost of Standardized Student Testing in the United States.

    ERIC Educational Resources Information Center

    Phelps, Richard P.

    2000-01-01

    Describes and contrasts different methods of estimating costs of standardized testing. Using a cost-accounting approach, compares gross and marginal costs and considers testing objects (test materials and services, personnel and student time, and administrative/building overhead). Social marginal costs of replacing existing tests with a national…

  2. Marginal Lands: Concept, Assessment and Management

    SciTech Connect

    Kang, Shujiang; Post, Wilfred M; West, Tristram O.; Bandaru, Vara Prasad; Izaurralde, Dr. R. Cesar; Wang, Dali; Nichols, Dr Jeff A

    2013-01-01

    Marginal lands have received wide attention for their potential to improve food security and support bioenergy production. However, environmental, ecosystem service, and sustainability concerns have been widely raised over the use of marginal land. Knowledge of the extent, location, and quality of marginal lands as well as their assessment and management are limited and diverse. This paper provides a review of the historical development of marginal concept, its application and assessment. Limitations and priority research needs of marginal land assessment and management were discussed.

  3. The margitron: a generalized perceptron with margin.

    PubMed

    Panagiotakopoulos, Constantinos; Tsampouka, Petroula

    2011-03-01

    We identify the classical perceptron algorithm with margin as a member of a broader family of large margin classifiers, which we collectively call the margitron. The margitron, (despite its) sharing the same update rule with the perceptron, is shown in an incremental setting to converge in a finite number of updates to solutions possessing any desirable fraction of the maximum margin. We also report on experiments comparing the margitron with decomposition support vector machines, cutting-plane algorithms, and gradient descent methods on hard margin tasks involving linear kernels which are equivalent to 2-norm soft margin. Our results suggest that the margitron is very competitive. PMID:21216709

  4. Leukocyte margination at arteriole shear rate

    PubMed Central

    Takeishi, Naoki; Imai, Yohsuke; Nakaaki, Keita; Yamaguchi, Takami; Ishikawa, Takuji

    2014-01-01

    Abstract We numerically investigated margination of leukocytes at arteriole shear rate in straight circular channels with diameters ranging from 10 to 22 μm. Our results demonstrated that passing motion of RBCs effectively induces leukocyte margination not only in small channels but also in large channels. A longer time is needed for margination to occur in a larger channel, but once a leukocyte has marginated, passing motion of RBCs occurs continuously independent of the channel diameter, and leukocyte margination is sustained for a long duration. We also show that leukocytes rarely approach the wall surface to within a microvillus length at arteriole shear rate. PMID:24907300

  5. Dynamics of the continental margins

    SciTech Connect

    Not Available

    1990-11-01

    On 18--20 June 1990, over 70 oceanographers conducting research in the ocean margins of North America attended a workshop in Virginia Beach, Virginia. The purpose of the workshop was to provide the Department of Energy with recommendations for future research on the exchange of energy-related materials between the coastal and interior ocean and the relationship between the ocean margins and global change. The workshop was designed to optimize the interaction of scientists from specific research disciplines (biology, chemistry, physics and geology) as they developed hypotheses, research questions and topics and implementation plans. The participants were given few restraints on the research they proposed other than realistic time and monetary limits. The interdisciplinary structure of the meeting promoted lively discussion and creative research plans. The meeting was divided into four working groups based on lateral, vertical, air/sea and sediment/water processes. Working papers were prepared and distributed before the meeting. During the meeting the groups revised the papers and added recommendations that appear in this report, which was reviewed by an Executive Committee.

  6. Literature: External Forms.

    ERIC Educational Resources Information Center

    Regional Curriculum Project, Atlanta, GA.

    This curriculum guide, developed as part of a total English curriculum for pre-kindergarten through grade 10, suggests that students can best understand literature by understanding its recurring external forms or genres, and includes (1) an overview describing the four literary genres of drama, narrative poetry, narrative fiction, and lyric poetry…

  7. External Environmental Forecast.

    ERIC Educational Resources Information Center

    Lapin, Joel D.

    Representing current viewpoints of academics, futures experts, and social observers, this external environmental forecast presents projections and information of particular relevance to the future of Catonsville Community College. The following topics are examined: (1) population changes and implications for higher education; (2) state and local…

  8. External Otitis (Swimmer's Ear)

    MedlinePlus

    ... drops, keeping water out of the ear, and pain relievers are the most common forms of treatment. External otitis may involve the entire canal, as ... does not allow fungus to grow as well. Treatment of boils depends on ... relievers, such as oxycodone with acetaminophen , can be given ...

  9. The path to cost transformation.

    PubMed

    Hill-Mischel, Jody; Morrissey, Walter W; Neese, Kimberly; Shoger, Timothy R

    2016-06-01

    A healthcare organization's efforts to strategically transform its cost structure in preparation for value-based payment invariably must begin with a systemwide assessment of cost and quality. Such an assessment should focus on three categories of performance improvement activities: margin improvement, business restructuring, and clinical transformation. A work-team approach is recommended, where teams with multidisciplinary representation assume responsibility for assessing specific areas (e.g., acute care enterprise, physician enterprise, business restructuring). PMID:27451567

  10. Offshore Benin, a classic passive margin

    SciTech Connect

    Mathalone, J.M.P. )

    1991-03-01

    Offshore Benin comprises a narrow east-west continental shelf, some 30 km wide. A sharp shelf break running parallel to the coast borders the shelf, whereupon water depths rapidly increase to over 7000 ft. The area lies within the Dahomey Embayment, one of a series of Cretaceous and younger basins lining the coast of Africa that owe their inception to the Late Mesozoic break-up of the Gondwanaland Continent. The basin extends some 100 km inland, but sedimentary section is thin onshore compared to a maximum of 20,000 ft of sediment offshore. Initial sedimentation in this basin was of Neocomian alluvial and lacustrine clastics. These were deposited in east-west-trending narrow half-grabens associated with the initial break up of the South American and African continents. They are covered unconformably by more extensive Albian and Cenomanian transgressive clastics and shallow marine Turonian sandstones which are the main reservoir at Seme, Benin's only oilfield. The Senonian section offshore comprises passive margin deep sea clastic sediments prograding southwards. Very large proximal deep sea channels up to 2500 ft thick are developed in this interval. These channels are associated with excellent petroleum source rocks, averaging 4-5% oil-prone organic carbon, and form the main exploration target in the area when configured in a trap morphology. Seismic data quality is excellent in the region allowing detailed examination of the relationships between the rifted section and later units. In addition, these data illustrate clearly both internal and external morphology of the Senonian proximal deep sea channels.

  11. [External ear melanoma].

    PubMed

    Amando García, L; Suárez Nieto, C; Madrigal Rubiales, B; García García, J

    2003-02-01

    Cutaneous melanomas are the tumours that have increased more their incidence in the last fifty years. Melanomas arising from the external auditory canal are extraordinariously unfrequent. These tumours show an aggressive and silent behaviour, and due to this the diagnosis is frequently made in an advanced stage. A male with a malignant melanoma arising from his left external auditory canal was attended in our department, suspecting an epidermoid carcinoma. The clinical findings and the extension of the lesion required a lateral temporal bone resection, parotidectomy and neck dissection to achieve a total resection. We present a review of the literature about this entity and an analysis of the incidence, significance of the lymph node metastases and value of the elective neck dissection. PMID:12802982

  12. Externally triggered microcapsules

    NASA Technical Reports Server (NTRS)

    Morrison, Dennis R. (Inventor); Mosier, Benjamin (Inventor)

    2011-01-01

    Disclosed are microcapsules comprising a polymer shell enclosing one or more immiscible liquid phases in which a drug or drug precursor are contained in a liquid phase. The microparticles also contain magnetic particles that can be heated by application of an external magnetic field and thus heated to a predetermined Curie temperature. Heating of the particles melts the polymer shell and releases the drug without causing heating of surrounding tissues.

  13. Inventory-driven costs.

    PubMed

    Callioni, Gianpaolo; de Montgros, Xavier; Slagmulder, Regine; Van Wassenhove, Luk N; Wright, Linda

    2005-03-01

    In the 199os, Hewlett-Packard's PC business was struggling to turn a dollar, despite the company's success in winning market share. By 1997, margins on its PCs were as thin as a silicon wafer, and some product lines hadn't turned a profit since 1993. The problem had everything to do with the PC industry's notoriously short product cycles and brutal product and component price deflation. A common rule of thumb was that the value of a fully assembled PC decreased 1% a week. In such an environment, inventory costs become critical. But not just the inventory costs companies traditionally track, HP found, after a thorough review of the problem. The standard "holding cost of inventory"--the capital and physical costs of inventory--accounted for only about 10% of HP's inventory costs. The greater risks, it turned out, resided in four other, essentially hidden costs, which stemmed from mismatches between demand and supply: Component devaluation costs for components still held in production; Price protection costs incurred when product prices drop on the goods distributors still have on their shelves; Product return costs that have to be absorbed when distributors return and receive refunds on overstock items, and; Obsolescence costs for products still unsold when new models are introduced. By developing metrics to track those costs in a consistent way throughout the PC division, HP has found it can manage its supply chains with much more sophistication. Gone are the days of across-the-board measures such as,"Everyone must cut inventories by 20% by the end of the year," which usually resulted in a flurry of cookie-cutter lean production and just-in-time initiatives. Now, each product group is free to choose the supply chain configuration that best suits its needs. Other companies can follow HP's example. PMID:15768682

  14. The Role of Advocacy Organizations in Reducing Negative Externalities

    ERIC Educational Resources Information Center

    Biglan, Anthony

    2009-01-01

    An externality is a cost that a corporation's actions impose on society. For example, a power plant may emit mercury but might not pay for the cost of that pollution to the people living near the plant. It is possible to analyze a diverse range of problems of society in these terms, including the health effects of corporate practices, the…

  15. Assessment of seismic margin calculation methods

    SciTech Connect

    Kennedy, R.P.; Murray, R.C.; Ravindra, M.K.; Reed, J.W.; Stevenson, J.D.

    1989-03-01

    Seismic margin review of nuclear power plants requires that the High Confidence of Low Probability of Failure (HCLPF) capacity be calculated for certain components. The candidate methods for calculating the HCLPF capacity as recommended by the Expert Panel on Quantification of Seismic Margins are the Conservative Deterministic Failure Margin (CDFM) method and the Fragility Analysis (FA) method. The present study evaluated these two methods using some representative components in order to provide further guidance in conducting seismic margin reviews. It is concluded that either of the two methods could be used for calculating HCLPF capacities. 21 refs., 9 figs., 6 tabs.

  16. Tectonic signatures on active margins

    NASA Astrophysics Data System (ADS)

    Hogarth, Leah Jolynn

    High-resolution Compressed High-Intensity Radar Pulse (CHIRP) surveys offshore of La Jolla in southern California and the Eel River in northern California provide the opportunity to investigate the role of tectonics in the formation of stratigraphic architecture and margin morphology. Both study sites are characterized by shore-parallel tectonic deformation, which is largely observed in the structure of the prominent angular unconformity interpreted as the transgressive surface. Based on stratal geometry and acoustic character, we identify three sedimentary sequences offshore of La Jolla: an acoustically laminated estuarine unit deposited during early transgression, an infilling or "healing-phase" unit formed during the transgression, and an upper transparent unit. The estuarine unit is confined to the canyon edges in what may have been embayments during the last sea-level rise. The healing-phase unit appears to infill rough areas on the transgressive surface that may be related to relict fault structures. The upper transparent unit is largely controlled by long-wavelength tectonic deformation due to the Rose Canyon Fault. This unit is also characterized by a mid-shelf (˜40 m water depth) thickness high, which is likely a result of hydrodynamic forces and sediment grain size. On the Eel margin, we observe three distinct facies: a seaward-thinning unit truncated by the transgressive surface, a healing-phase unit confined to the edges of a broad structural high, and a highly laminated upper unit. The seaward-thinning wedge of sediment below the transgressive surface is marked by a number of channels that we interpret as distributary channels based on their morphology. Regional divergence of the sequence boundary and transgressive surface with up to ˜8 m of sediment preserved across the interfluves suggests the formation of subaerial accommodation during the lowstand. The healing-phase, much like that in southern California, appears to infill rough areas in the

  17. Storm tracks near marginal stability

    NASA Astrophysics Data System (ADS)

    Ambaum, Maarten; Novak, Lenka

    2015-04-01

    The variance of atmospheric storm tracks is characterised by intermittent bursts of activity interspersed with relatively quiescent periods. Most of the poleward heat transport by storm tracks is due to a limited number of strong heat flux events, which occur in a quasi-periodic fashion. This behaviour is in contradiction with the usual conceptual model of the storm tracks, which relies on high growth rate background flows which then spawn weather systems that grow in an exponential or non-normal fashion. Here we present a different conceptual model of the atmospheric storm tracks which is built on the observation that, when including diabatic and other dissipative effects, the storm track region is in fact most of the time marginally stable. The ensuing model is a nonlinear oscillator, very similar to Volterra-Lotka predator-prey models. We demonstrate the extensions of this model to a stochastically driven nonlinear oscillator. The model produces quasi-periodic behaviour dominated by intermittent heat flux events. Perhaps most surprisingly, we will show strong evidence from re-analysis data for our conceptual model: the re-analysis data produces a phase-space plot that is very similar indeed to the phase-space plot for our nonlinear oscillator model.

  18. Ultralow noise miniature external cavity semiconductor laser

    PubMed Central

    Liang, W.; Ilchenko, V. S.; Eliyahu, D.; Savchenkov, A. A.; Matsko, A. B.; Seidel, D.; Maleki, L.

    2015-01-01

    Advanced applications in optical metrology demand improved lasers with high spectral purity, in form factors that are small and insensitive to environmental perturbations. While laboratory-scale lasers with extraordinarily high stability and low noise have been reported, all-integrated chip-scale devices with sub-100 Hz linewidth have not been previously demonstrated. Lasers integrated with optical microresonators as external cavities have the potential for substantial reduction of noise. However, stability and spectral purity improvements of these lasers have only been validated with rack-mounted support equipment, assembled with fibre lasers to marginally improve their noise performance. In this work we report on a realization of a heterogeneously integrated, chip-scale semiconductor laser featuring 30-Hz integral linewidth as well as sub-Hz instantaneous linewidth. PMID:26104321

  19. Ultralow noise miniature external cavity semiconductor laser.

    PubMed

    Liang, W; Ilchenko, V S; Eliyahu, D; Savchenkov, A A; Matsko, A B; Seidel, D; Maleki, L

    2015-01-01

    Advanced applications in optical metrology demand improved lasers with high spectral purity, in form factors that are small and insensitive to environmental perturbations. While laboratory-scale lasers with extraordinarily high stability and low noise have been reported, all-integrated chip-scale devices with sub-100 Hz linewidth have not been previously demonstrated. Lasers integrated with optical microresonators as external cavities have the potential for substantial reduction of noise. However, stability and spectral purity improvements of these lasers have only been validated with rack-mounted support equipment, assembled with fibre lasers to marginally improve their noise performance. In this work we report on a realization of a heterogeneously integrated, chip-scale semiconductor laser featuring 30-Hz integral linewidth as well as sub-Hz instantaneous linewidth. PMID:26104321

  20. Ultralow noise miniature external cavity semiconductor laser

    NASA Astrophysics Data System (ADS)

    Liang, W.; Ilchenko, V. S.; Eliyahu, D.; Savchenkov, A. A.; Matsko, A. B.; Seidel, D.; Maleki, L.

    2015-06-01

    Advanced applications in optical metrology demand improved lasers with high spectral purity, in form factors that are small and insensitive to environmental perturbations. While laboratory-scale lasers with extraordinarily high stability and low noise have been reported, all-integrated chip-scale devices with sub-100 Hz linewidth have not been previously demonstrated. Lasers integrated with optical microresonators as external cavities have the potential for substantial reduction of noise. However, stability and spectral purity improvements of these lasers have only been validated with rack-mounted support equipment, assembled with fibre lasers to marginally improve their noise performance. In this work we report on a realization of a heterogeneously integrated, chip-scale semiconductor laser featuring 30-Hz integral linewidth as well as sub-Hz instantaneous linewidth.

  1. Progressive External Ophthalmoplegia.

    PubMed

    McClelland, Collin; Manousakis, Georgios; Lee, Michael S

    2016-06-01

    Progressive external ophthalmoplegia (PEO), marked by progressive bilateral ptosis and diffuse reduction in ocular motility, represents a finding of mitochondrial myopathy rather than a true diagnosis. PEO often occurs with other systemic features of mitochondrial dysfunction that can cause significant morbidity and mortality. Accurate and early recognition of PEO is paramount for the optimal care of these patients. We present an evidence-based review of the presenting neuro-ophthalmic features, differential diagnosis, diagnostic tools, systemic implications, and treatment options for isolated PEO and other PEO-associated mitochondrial syndromes. PMID:27072953

  2. DIRBE External Calibrator (DEC)

    NASA Technical Reports Server (NTRS)

    Wyatt, Clair L.; Thurgood, V. Alan; Allred, Glenn D.

    1987-01-01

    Under NASA Contract No. NAS5-28185, the Center for Space Engineering at Utah State University has produced a calibration instrument for the Diffuse Infrared Background Experiment (DIRBE). DIRBE is one of the instruments aboard the Cosmic Background Experiment Observatory (COBE). The calibration instrument is referred to as the DEC (Dirbe External Calibrator). DEC produces a steerable, infrared beam of controlled spectral content and intensity and with selectable point source or diffuse source characteristics, that can be directed into the DIRBE to map fields and determine response characteristics. This report discusses the design of the DEC instrument, its operation and characteristics, and provides an analysis of the systems capabilities and performance.

  3. External split field generator

    SciTech Connect

    Thundat, Thomas George; Van Neste, Charles W.; Vass, Arpad Alexander

    2012-02-21

    A generator includes a coil disposed about a core. A first stationary magnetic field source may be disposed on a first end portion of the core and a second stationary magnetic field source may be disposed on a second end portion of core. The first and second stationary magnetic field sources apply a stationary magnetic field to the coil. An external magnetic field source may be disposed outside the coil to apply a moving magnetic field to the coil. Electrical energy is generated in response to an interaction between the coil, the moving magnetic field, and the stationary magnetic field.

  4. Externalities and electric power: an integrated assessment approach

    SciTech Connect

    Lee, R.

    1995-12-31

    This paper describes an integrated assessment approach for considering the options that electric utilities have to meet the anticipated demand for their power. The objective that this paper considers is one of meeting the demand for power, with an acceptable degree of reliability, at minimum cost. The total cost is the sum of the private cost of producing the electric power plus the external costs that result from its production. These external costs, or externalities, are effects on the well-being of third parties that producers and consumers of electric power do not take into account in their decisions. The external costs include many different types of effects such as illness, ecosystem damage, and road damage. The solution to the problem of minimizing total cost is addressed in two steps. The first step uses damage function methods to establish a common metric for the weights of the different objectives (i.e., external costs). The damage function analysis also reduces the dimensionality of the analysis in the second step, and identifies criteria to include in that analysis. The second step uses multi-criteria decision methods. This analysis includes the most important externalities that the damage function analysis identifies and, in addition, potentially important factors that can not be quantified reliably using damage function methods. An example of the latter are the damages from global climate change. The two-step method that this paper describes addresses many of the limitations of the damage function method and multi-criteria methods, that arise when they are used separately. This linked method can be used by electric utilities for their integrated resource planning. It can also be adapted to other applications.

  5. Marginalization in Random Nonlinear Neural Networks

    NASA Astrophysics Data System (ADS)

    Vasudeva Raju, Rajkumar; Pitkow, Xaq

    2015-03-01

    Computations involved in tasks like causal reasoning in the brain require a type of probabilistic inference known as marginalization. Marginalization corresponds to averaging over irrelevant variables to obtain the probability of the variables of interest. This is a fundamental operation that arises whenever input stimuli depend on several variables, but only some are task-relevant. Animals often exhibit behavior consistent with marginalizing over some variables, but the neural substrate of this computation is unknown. It has been previously shown (Beck et al. 2011) that marginalization can be performed optimally by a deterministic nonlinear network that implements a quadratic interaction of neural activity with divisive normalization. We show that a simpler network can perform essentially the same computation. These Random Nonlinear Networks (RNN) are feedforward networks with one hidden layer, sigmoidal activation functions, and normally-distributed weights connecting the input and hidden layers. We train the output weights connecting the hidden units to an output population, such that the output model accurately represents a desired marginal probability distribution without significant information loss compared to optimal marginalization. Simulations for the case of linear coordinate transformations show that the RNN model has good marginalization performance, except for highly uncertain inputs that have low amplitude population responses. Behavioral experiments, based on these results, could then be used to identify if this model does indeed explain how the brain performs marginalization.

  6. 17 CFR 242.403 - Required margin.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Required margin. 242.403 Section 242.403 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION (CONTINUED) REGULATIONS M, SHO, ATS, AC, AND NMS AND CUSTOMER MARGIN REQUIREMENTS FOR SECURITY FUTURES Customer...

  7. Tumor margin detection using optical biopsy techniques

    NASA Astrophysics Data System (ADS)

    Zhou, Yan; Liu, Cheng-hui; Li, Jiyou; Li, Zhongwu; Zhou, Lixin; Chen, Ke; Pu, Yang; He, Yong; Zhu, Ke; Li, Qingbo; Alfano, Robert R.

    2014-03-01

    The aim of this study is to use the Resonance Raman (RR) and fluorescence spectroscopic technique for tumor margin detection with high accuracy based on native molecular fingerprints of breast and gastrointestinal (GI) tissues. This tumor margins detection method utilizes advantages of RR spectroscopic technique in situ and in real-time to diagnose tumor changes providing powerful tools for clinical guiding intraoperative margin assessments and postoperative treatments. The tumor margin detection procedures by RR spectroscopy were taken by scanning lesion from center or around tumor region in ex-vivo to find the changes in cancerous tissues with the rim of normal tissues using the native molecular fingerprints. The specimens used to analyze tumor margins include breast and GI carcinoma and normal tissues. The sharp margin of the tumor was found by the changes of RR spectral peaks within 2 mm distance. The result was verified using fluorescence spectra with 300 nm, 320 nm and 340 nm excitation, in a typical specimen of gastric cancerous tissue within a positive margin in comparison with normal gastric tissues. This study demonstrates the potential of RR and fluorescence spectroscopy as new approaches with labeling free to determine the intraoperative margin assessment.

  8. 12 CFR 220.4 - Margin account.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... exceptions and special provisions. (2) Short sale against the box. A short sale “against the box” shall be treated as a long sale for the purpose of computing the equity and the required margin. (3) When-issued...) of this section as the amount to be added to the required margin in respect of short sales shall...

  9. From Marginalization to Integrated Language Minority Education.

    ERIC Educational Resources Information Center

    de Jong, Ester J.

    It is argued that language minority education has generally been perceived as a separate program or model, and as a result has often become marginalized within its larger school setting, which negatively influences students, teachers, and the program. An alternative approach to program design, intended to avoid this marginalization by making…

  10. Environmental impacts and costs of energy.

    PubMed

    Rabl, Ari; Spadaro, Joseph V

    2006-09-01

    Environmental damage is one of the main justifications for continued efforts to reduce energy consumption and to shift to cleaner sources such as solar energy. In recent years there has been much progress in the analysis of environmental damages, in particular thanks to the ExternE (External Costs of Energy) Project of the European Commission. This article presents a summary of the methodology and key results for the external costs of the major energy technologies. Even though the uncertainties are large, the results provide substantial evidence that the classical air pollutants (particles, No(x), and SO(2)) from fossil fuels impose significant public health costs, comparable to the cost of global warming from CO(2) emissions. The total external costs are relatively low for natural gas (in the range of about 0.5-1 eurocents/kWh for most EU countries), but much higher for coal and lignite (in the range of about 2-6 eurocents/kWh for most EU countries). By contrast, the external costs of nuclear, wind, and photovoltaics are very low. The external costs of hydro are extremely variable from site to site, and the ones of biomass depend strongly on the specific technologies used and can be quite large for combustion. PMID:17119229

  11. Effect of Margin Design and Processing Steps on Marginal Adaptation of Captek Restorations

    PubMed Central

    Shih, Amy; Flinton, Robert; Vaidyanathan, Jayalakshmi; Vaidyanathan, Tritala

    2011-01-01

    This study examined the effect of four margin designs on marginal adaptation of Captek crowns during selected processing steps. Twenty-four Captek crowns were fabricated, six each of four margin designs: shoulder (Group A), chamfer (Group B), chamfer with bevel (Group C), and shoulder with bevel (Group D). Marginal discrepancies between crowns and matching dies were measured at selected points for each sample at the coping stage (Stage 1), following porcelain application (Stage 2) and cementation (Stage 3). Digital imaging methods were used to measure marginal gap. The results indicate decreasing trend of margin gap as a function of margin design in the order A>B>C>D. Between processing steps, the trend was in the order Stage 3 < Stage 1 < Stage 2. Porcelain firing had no significant effect on marginal adaptation, but cementation decreased the marginal gap. Generally, the margin gap in Captek restorations were in all cases less than the reported acceptable range of margin gaps for ceramometal restorations. These results are clinically favorable outcomes and may be associated with the ductility and burnishability of matrix phase in Captek metal coping margins. PMID:21991488

  12. The Yale Cost Model and cost centres: servant or master?

    PubMed

    Rigby, E

    1993-01-01

    Cost accounting describes that aspect of accounting which collects, allocates and controls the cost of producing a service. Costing information is primarily reported to management to enable control of costs and to ensure the financial viability of units, departments and divisions. As costing studies continue to produce estimates of Diagnosis Related Group (DRG) costs in New South Wales hospitals, as well as in other states, costs for different hospitals are being externally compared, using a tool which is usually related to internal management and reporting. Comparability of costs is assumed even though accounting systems differ. This paper examines the cost centre structures at five major teaching hospitals in Sydney. It describes the similarities and differences in how the cost centres were constituted, and then details the line items of expenditure that are charged to each cost centre. The results of a comparative study of a medical specialty are included as evidence of different costing methodologies in the hospitals. The picture that emerged from the study is that the hospitals are constituting their cost centres to meet their internal management needs, that is, to know the cost of running a ward or nursing unit, a medical specialty, department and so on. The rationale for the particular cost centre construction was that cost centre managers could manage and control costs and assign responsibility. There are variations in procedures for assigning costs to cost centres, and the question is asked 'Do these variations in procedures make a material difference to our ability to compare costs per Diagnosis Related Group at the various hospitals?' It is contended that the accounting information, which is produced as a result of different practices, is primarily for internal management, not external comparison. It would be better for hospitals to compare their estimated costs per Diagnosis Related Group to an internal standard cost rather than the costs from other

  13. Data Resources for Accessing MARGINS, Ridge 2000 and ODP Data

    NASA Astrophysics Data System (ADS)

    Goodwillie, A.; Carbotte, S.; Arko, R.; O'Hara, S.; Ryan, W.; Melkonian, A.; Ferrini, V.; Weissel, R.; Bonczkowski, J.

    2007-12-01

    Web-based digital databases are being developed by a number of academic and governmental groups to improve the ability of researchers and students to access geoscience data in a convenient and user-friendly manner. With funding from the U.S. National Science Foundation, the Marine Geoscience Data System (MGDS) (http://www.marine-geo.org/) serves as the data portal for the NSF MARGINS program, providing free public access and preservation to a wide variety of marine and terrestrial data collected during MARGINS projects. The broad suite of integrated database holdings includes rock, fluid, biology and sediment samples information and station details, multibeam bathymetry and underway geophysical data, multi-channel seismics, and water column data. Seamless links point to external repositories for geodetic data (UNAVCO), and land seismic campaign data (IRIS). GeoMapApp (http://www.geomapapp.org/), an MGDS data visualization tool, supports map-based dynamic exploration of data using a multi-resolution global digital elevation model. Built-in land and marine data sets include EarthChem geochemistry, plate boundaries, DSDP/ODP core logs, earthquake events, seafloor photos, and submersible dive tracks. Users can also access land and marine data sets through OGC-compliant Web Services provided by external repositories including PetDB, UNAVCO, IRIS and NGDC. Users can generate custom maps and grids and import their own data sets and grids. A set of short, video-style online tutorials familiarises users step-by-step with GeoMapApp functionality (http://www.geomapapp.org/tutorials/). GeoMapApp is used in a number of undergraduate mini-lessons created during the MARGINS EPO workshop (April, 2007) and is the basis for two education modules hosted at SERC-Carlton (http://www.marine- geo.org/Education.html). MGDS data portal resources make available a wide variety of real scientific data from large NSF-supported research programs. Examples of accessing and manipulating a range

  14. System Guidelines for EMC Safety-Critical Circuits: Design, Selection, and Margin Demonstration

    NASA Technical Reports Server (NTRS)

    Lawton, R. M.

    1996-01-01

    Demonstration of safety margins for critical points (circuits) has traditionally been required since it first became a part of systems-level Electromagnetic Compatibility (EMC) requirements of MIL-E-6051C. The goal of this document is to present cost-effective guidelines for ensuring adequate Electromagnetic Effects (EME) safety margins on spacecraft critical circuits. It is for the use of NASA and other government agencies and their contractors to prevent loss of life, loss of spacecraft, or unacceptable degradation. This document provides practical definition and treatment guidance to contain costs within affordable limits.

  15. Blood Lifestyle: Externalizing the Cost of Human Life

    ERIC Educational Resources Information Center

    Model, David

    2012-01-01

    To build postsecondary institutions that educate responsible citizens as well as competent employees and consumers, it is important that people must teach and learn themselves about the context--domestic and global--in which work is to be done, and the purposes which economic and technological development serve. One aspect of that context is the…

  16. [Management of soft tissues sarcoma of the limbs by external beam radiation therapy].

    PubMed

    Moureau-Zabotto, L; Delannes, M; Le Péchoux, C; Sunyach, M P; Kantor, G; Sargos, P; Thariat, J; Llacer-Moscardo, C

    2016-04-01

    Soft tissue sarcomas are rare tumours. Conservative surgery followed by postoperative radiation therapy represents the gold standard in the majority of cases. Postoperative radiotherapy improves local control without affecting survival. Besides the quality of surgical excision, which remains the major prognostic factor, the importance of the irradiation volume and particularly margins used in external beam radiotherapy were also found to influence local control of the disease. In this study, we propose to conduct a literature review on the present state of our knowledge on this subject in the form of an articulated controversy: in favour or opposed to large margins in external radiotherapy. PMID:26995071

  17. Educational Costs.

    ERIC Educational Resources Information Center

    Arnold, Robert

    Problems in educational cost accounting and a new cost accounting approach are described in this paper. The limitations of the individualized cost (student units) approach and the comparative cost approach (in the form of fund-function-object) are illustrated. A new strategy, an activity-based system of accounting, is advocated. Borrowed from…

  18. New insights on shear margin gravitational evolution through time. The case of the equatorial margins

    NASA Astrophysics Data System (ADS)

    Loncke, L.; Basile, C.; Gaullier, V.; Maillard, A.; Patriat, M.; Sage, F.; Roest, W.

    2009-04-01

    30% of passive margins in the world correspond to shear margins. Unlike divergent margins, those margins present a very sharp ocean-continent boundary which is expressed by steep surface slopes and complex rift structures. In addition of tilted blocks, wrench and strike-slip faults frequently deform the continental crust. High marginal ridges, rising 1-3 km over the adjacent margin typically form along the continental side of the margin. The best known example of transform margin is the Côte d'Ivoire-Ghana margin, highly investigated in the 1980's. New observations along the French-Guiana shear margin (GUYAPLAC survey, 2003) have evidenced massive early (immediately after rifting) and late collapses of the margin. These collapses concern huge volumes: remobilized masses that reach nearly 15000 km3 have been identified in the abyssal plain. No marginal ridge has been observed there. These observations have been compared to results published for the Surinam prolongation of this shear segment (Gouyet, 1988; Erbacher et al., 2004). There also, collapses and slope instabilities are evident, though part of a marginal ridge remains present. Finally, published data from the western Côte d'Ivoire transform margin (De Caprona, 1992) show wide collapses, some deep-seated, and other shallow. Sinking of entire parts of shear margins by gravity collapses appears thus rather common. These observations show that the post-rift gravity collapse of shear margins has been largely underestimated, and has even not been considered in evolutional models of transform margins, despite the fact this has important implications on the geometry and balance of those margins. On the basis of these observations, we propose a tentative scenario for the equatorial Atlantic shear margin gravitational evolution. References: Gouyet, S., 1988. Evolution tectono-sédimentaire des marges guyannaise et Nord-Brésilienne au cours de l'ouverture de l'Atlantique Sud. PhD Thesis, univ Pau et des pays de l

  19. Calculating radiotherapy margins based on Bayesian modelling of patient specific random errors.

    PubMed

    Herschtal, A; Te Marvelde, L; Mengersen, K; Hosseinifard, Z; Foroudi, F; Devereux, T; Pham, D; Ball, D; Greer, P B; Pichler, P; Eade, T; Kneebone, A; Bell, L; Caine, H; Hindson, B; Kron, T

    2015-03-01

    Collected real-life clinical target volume (CTV) displacement data show that some patients undergoing external beam radiotherapy (EBRT) demonstrate significantly more fraction-to-fraction variability in their displacement ('random error') than others. This contrasts with the common assumption made by historical recipes for margin estimation for EBRT, that the random error is constant across patients. In this work we present statistical models of CTV displacements in which random errors are characterised by an inverse gamma (IG) distribution in order to assess the impact of random error variability on CTV-to-PTV margin widths, for eight real world patient cohorts from four institutions, and for different sites of malignancy. We considered a variety of clinical treatment requirements and penumbral widths. The eight cohorts consisted of a total of 874 patients and 27 391 treatment sessions. Compared to a traditional margin recipe that assumes constant random errors across patients, for a typical 4 mm penumbral width, the IG based margin model mandates that in order to satisfy the common clinical requirement that 90% of patients receive at least 95% of prescribed RT dose to the entire CTV, margins be increased by a median of 10% (range over the eight cohorts -19% to +35%). This substantially reduces the proportion of patients for whom margins are too small to satisfy clinical requirements. PMID:25658193

  20. Hanford External Dosimetry Program

    SciTech Connect

    Fix, J.J.

    1990-10-01

    This document describes the Hanford External Dosimetry Program as it is administered by Pacific Northwest Laboratory (PNL) in support of the US Department of Energy (DOE) and its Hanford contractors. Program services include administrating the Hanford personnel dosimeter processing program and ensuring that the related dosimeter data accurately reflect occupational dose received by Hanford personnel or visitors. Specific chapters of this report deal with the following subjects: personnel dosimetry organizations at Hanford and the associated DOE and contractor exposure guidelines; types, characteristics, and procurement of personnel dosimeters used at Hanford; personnel dosimeter identification, acceptance testing, accountability, and exchange; dosimeter processing and data recording practices; standard sources, calibration factors, and calibration processes (including algorithms) used for calibrating Hanford personnel dosimeters; system operating parameters required for assurance of dosimeter processing quality control; special dose evaluation methods applied for individuals under abnormal circumstances (i.e., lost results, etc.); and methods for evaluating personnel doses from nuclear accidents. 1 ref., 14 figs., 5 tabs.

  1. External Measures of Cognition

    PubMed Central

    Cairό, Osvaldo

    2011-01-01

    The human brain is undoubtedly the most impressive, complex, and intricate organ that has evolved over time. It is also probably the least understood, and for that reason, the one that is currently attracting the most attention. In fact, the number of comparative analyses that focus on the evolution of brain size in Homo sapiens and other species has increased dramatically in recent years. In neuroscience, no other issue has generated so much interest and been the topic of so many heated debates as the difference in brain size between socially defined population groups, both its connotations and implications. For over a century, external measures of cognition have been related to intelligence. However, it is still unclear whether these measures actually correspond to cognitive abilities. In summary, this paper must be reviewed with this premise in mind. PMID:22065955

  2. [External ophthalmomyiasis: case reports].

    PubMed

    Yar, Kemal; Özcan, Altan Atakan; Koltaş, İ Soner

    2011-01-01

    We report two cases with external ophthalmomyiasis due to infestation with the larvae of Oestrus ovis. During an ophthalmologic examination, motile larvae were seen on the conjunctiva, which were removed and sent to the Department of Parasitology for identification. Microscopic examination of the specimens revealed that both patients were infested with the first stage larvae of O. ovis. The patients were treated with topical antibiotics and steroids and recovered without any complications. O. ovis larvae are the most common cause of ophthalmomyiasis worldwide. They are usually seen in underdeveloped, agricultural areas with high numbers of livestock, especially during Spring and Summer. These kind of infestations should be kept in mind in cases of conjunctivitis in the warm months of the year. PMID:22198925

  3. Marginal and happy? The need for uniqueness predicts the adjustment of marginal immigrants.

    PubMed

    Debrosse, Régine; de la Sablonnière, Roxane; Rossignac-Milon, Maya

    2015-12-01

    Marginalization is often presented as the strategy associated with the worst adjustment for immigrants. This study identifies a critical variable that buffers marginal immigrants from the negative effects of marginalization on adjustment: The need for uniqueness. In three studies, we surveyed immigrants recruited on university campuses (n = 119, n = 116) and in the field (n = 61). Among marginal immigrants, a higher need for uniqueness predicted higher self-esteem (Study 1), affect (Study 2), and life satisfaction (Study 3), and marginally higher happiness (Study 2) and self-esteem (Study 3). No relationship between the need for uniqueness and adjustment was found among non-marginal immigrants. The adaptive value of the need for uniqueness for marginal immigrants is discussed. PMID:25903084

  4. Cenozoic ice volume and margin erosion

    SciTech Connect

    Miller, K.C.; Fairbanks, R.G.; Mountain, G.S.

    1985-01-01

    Cenozoic benthic foraminiferal oxygen isotopic data indicates that the world was glaciated in the early Oligocene, middle Oligocene, latest Oligocene, and middle Miocene to Recent, but are insufficient to resolve if the world was ice free at other times. The authors relate Oligocene and younger intervals of ice growth to continental margin erosional events. Relationships between eustasy and continental margin sedimentation are controversial. Coastal onlap is indirectly linked with rising sea level, occurring either when subsidence exceeds the rate of sea level fall or during sea-level rise. Although chronostratigraphic breaks are often local in origin, inter-regional unconformities result from eustatic lowerings. Strong evidence for eustatic lowerings is provided by the incision of canyons on margins. Chronostratigraphic breaks and canyons have noted on the US and Irish margins near the lower/upper Oligocene and middle/upper Miocene boundaries. These periods of margin erosion are temporally linked with oxygen isotopic evidence for ice growth, with erosion correlating with the greatest rate of ice growth. If the Eocene was ice free, there may have been mechanistic differences between Eocene erosion and Oligocene to Recent glacio-eustatic erosion. The authors present seismic stratigraphic evidence from the New Jersey margin that indicates contrasting styles of margin erosion between the Lower Tertiary and Upper Tertiary.

  5. A primer on marginal effects-part II: health services research applications.

    PubMed

    Onukwugha, E; Bergtold, J; Jain, R

    2015-02-01

    Marginal analysis evaluates changes in a regression function associated with a unit change in a relevant variable. The primary statistic of marginal analysis is the marginal effect (ME). The ME facilitates the examination of outcomes for defined patient profiles or individuals while measuring the change in original units (e.g., costs, probabilities). The ME has a long history in economics; however, it is not widely used in health services research despite its flexibility and ability to provide unique insights. This article, the second in a two-part series, discusses practical issues that arise in the estimation and interpretation of the ME for a variety of regression models often used in health services research. Part one provided an overview of prior studies discussing ME followed by derivation of ME formulas for various regression models relevant for health services research studies examining costs and utilization. The current article illustrates the calculation and interpretation of ME in practice and discusses practical issues that arise during the implementation, including: understanding differences between software packages in terms of functionality available for calculating the ME and its confidence interval, interpretation of average marginal effect versus marginal effect at the mean, and the difference between ME and relative effects (e.g., odds ratio). Programming code to calculate ME using SAS, STATA, LIMDEP, and MATLAB are also provided. The illustration, discussion, and application of ME in this two-part series support the conduct of future studies applying the concept of marginal analysis. PMID:25358482

  6. Mesozoic carbonate-siliciclastic platform to basin systems of a South Tethyan margin (Egypt, East Mediterranean)

    NASA Astrophysics Data System (ADS)

    Tassy, Aurélie; Crouzy, Emmanuel; Gorini, Christian; Rubino, Jean-Loup

    2015-04-01

    The Mesozoïc Egyptian margin is the south margin of a remnant of the Neo-Tethys Ocean, at the African northern plate boundary. East Mediterranean basin developed during the late Triassic-Early Jurassic rifting with a NW-SE opening direction (Frizon de Lamotte et al., 2011). During Mesozoïc, Egypt margin was a transform margin with a NW-SE orientation of transform faults. In the Eastern Mediterranean basin, Mesozoïc margins are characterized by mixed carbonate-siliciclastics platforms where subsidence and eustacy are the main parameters controlling the facies distribution and geometries of the platform-to-basin transition. Geometries and facies on the platform-slope-basin system, today well constrained on the Levant area, where still poorly known on the Egyptian margin. Geometries and stratigraphic architecture of the Egyptian margin are revealed, thanks to a regional seismic and well data-base provided by an industrial-academic group (GRI, Total). The objective is to understand the sismostratigraphic architecture of the platform-slope-basin system in a key area from Western Desert to Nile delta and Levant margin. Mapping of the top Jurassic and top Cretaceous show seismic geomorphology of the margin, with the cartography of the hinge line from Western Desert to Sinaï. During the Jurassic, carbonate platform show a prograding profile and a distally thickening of the external platform, non-abrupt slope profiles, and palaeovalleys incisions. Since the Cretaceous, the aggrading and retrograding mixed carbonate-siliciclastic platform show an alternation of steep NW-SE oblique segments and distally steepened segments. These structures of the platform edge are strongly controlled by the inherited tethyan transform directions. Along the hinge line, embayments are interpreted as megaslides. The basin infilling is characterised by an alternation of chaotic seismic facies and high amplitude reflectors onlaping the paleoslopes. MTC deposits can mobilize thick sedimentary

  7. Estimating Externalities of Natural Gas Fuel Cycles, Report 4

    SciTech Connect

    Barnthouse, L.W.; Cada, G.F.; Cheng, M.-D.; Easterly, C.E.; Kroodsma, R.L.; Lee, R.; Shriner, D.S.; Tolbert, V.R.; Turner, R.S.

    1998-01-01

    This report describes methods for estimating the external costs (and possibly benefits) to human health and the environment that result from natural gas fuel cycles. Although the concept of externalities is far from simple or precise, it generally refers to effects on individuals' well being, that result from a production or market activity in which the individuals do not participate, or are not fully compensated. In the past two years, the methodological approach that this report describes has quickly become a worldwide standard for estimating externalities of fuel cycles. The approach is generally applicable to any fuel cycle in which a resource, such as coal, hydro, or biomass, is used to generate electric power. This particular report focuses on the production activities, pollution, and impacts when natural gas is used to generate electric power. In the 1990s, natural gas technologies have become, in many countries, the least expensive to build and operate. The scope of this report is on how to estimate the value of externalities--where value is defined as individuals' willingness to pay for beneficial effects, or to avoid undesirable ones. This report is about the methodologies to estimate these externalities, not about how to internalize them through regulations or other public policies. Notwithstanding this limit in scope, consideration of externalities can not be done without considering regulatory, insurance, and other considerations because these institutional factors affect whether costs (and benefits) are in fact external, or whether they are already somehow internalized within the electric power market. Although this report considers such factors to some extent, much analysis yet remains to assess the extent to which estimated costs are indeed external. This report is one of a series of reports on estimating the externalities of fuel cycles. The other reports are on the coal, oil, biomass, hydro, and nuclear fuel cycles, and on general methodology.

  8. Unsteady three-dimensional marginal separation, including breakdown

    NASA Technical Reports Server (NTRS)

    Duck, Peter W.

    1990-01-01

    A situation involving a three-dimensional marginal separation is considered, where a (steady) boundary layer flow is on the verge of separating at a point (located along a line of symmetry/centerline). At this point, a triple-deck is included, thereby permitting a small amount of interaction to occur. Unsteadiness is included within this interaction region through some external means. It is shown that the problem reduces to the solution of a nonlinear, unsteady, partial-integro system, which is solved numerically by means of time-marching together with a pseudo-spectral method spatially. A number of solutions to this system are presented which strongly suggest a breakdown of this system may occur, at a finite spatial position, at a finite time. The structure and details of this breakdown are then described.

  9. 12 CFR 220.12 - Supplement: margin requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Supplement: margin requirements. 220.12 Section... SYSTEM CREDIT BY BROKERS AND DEALERS (REGULATION T) § 220.12 Supplement: margin requirements. The required margin for each security position held in a margin account shall be as follows: (a) Margin...

  10. 12 CFR 220.12 - Supplement: margin requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Supplement: margin requirements. 220.12 Section... SYSTEM CREDIT BY BROKERS AND DEALERS (REGULATION T) § 220.12 Supplement: margin requirements. The required margin for each security position held in a margin account shall be as follows: (a) Margin...

  11. Potential orbital use of the Space Shuttle External Tanks

    NASA Technical Reports Server (NTRS)

    Nein, Max E.; Fikes, John C.

    1990-01-01

    The Space Shuttle was designed so that major components would be reusable; however, it has been shown that it would not be cost-effective to reuse the external tanks in the same manner as the solid rocket boosters. Studies have been conducted to investigate using the external tanks on orbit. Utilizing an external tank on-orbit appears simple enough, since the tank obtains 98 percent of orbital velocity during the Space Shuttle's ascent phase. However, there are many requirements, issues, and difficulties that users must be aware of and satisfy. Studies for converting an external tank into a gamma-ray imaging telescope (GRIT), conducted at NASA Marshall, have identified many of these specific issues. Results of the GRIT studies and other considerations for the potential conversion of external tanks into useful space resources are summarized.

  12. A comparison of pay-as-bid and marginal pricing in electricity markets

    NASA Astrophysics Data System (ADS)

    Ren, Yongjun

    This thesis investigates the behaviour of electricity markets under marginal and pay-as-bid pricing. Marginal pricing is believed to yield the maximum social welfare and is currently implemented by most electricity markets. However, in view of recent electricity market failures, pay-as-bid has been extensively discussed as a possible alternative to marginal pricing. In this research, marginal and pay-as-bid pricing have been analyzed in electricity markets with both perfect and imperfect competition. The perfect competition case is studied under both exact and uncertain system marginal cost prediction. The comparison of the two pricing methods is conducted through two steps: (i) identify the best offer strategy of the generating companies (gencos); (ii) analyze the market performance under these optimum genco strategies. The analysis results together with numerical simulations show that pay-as-bid and marginal pricing are equivalent in a perfect market with exact system marginal cost prediction. In perfect markets with uncertain demand prediction, the two pricing methods are also equivalent but in an expected value sense. If we compare from the perspective of second order statistics, all market performance measures exhibit much lower values under pay-as-bid than under marginal pricing. The risk of deviating from the mean is therefore much higher under marginal pricing than under pay-as-bid. In an imperfect competition market with exact demand prediction, the research shows that pay-as-bid pricing yields lower consumer payments and lower genco profits. This research provides quantitative evidence that challenges some common claims about pay-as-bid pricing. One is that under pay-as-bid, participants would soon learn how to offer so as to obtain the same or higher profits than what they would have obtained under marginal pricing. This research however shows that, under pay-as-bid, participants can at best earn the same profit or expected profit as under marginal

  13. Interaction of 2-Gy Equivalent Dose and Margin Status in Perioperative High-Dose-Rate Brachytherapy

    SciTech Connect

    Martinez-Monge, Rafael; Cambeiro, Mauricio; Moreno, Marta; Gaztanaga, Miren; San Julian, Mikel; Alcalde, Juan; Jurado, Matias

    2011-03-15

    Purpose: To determine patient, tumor, and treatment factors predictive of local control (LC) in a series of patients treated with either perioperative high-dose-rate brachytherapy (PHDRB) alone (Group 1) or with PHDRB combined with external-beam radiotherapy (EBRT) (Group 2). Patient and Methods: Patients (n = 312) enrolled in several PHDRB prospective Phase I-II studies conducted at the Clinica Universidad de Navarra were analyzed. Treatment with PHDRB alone, mainly because of prior irradiation, was used in 126 patients to total doses of 32 Gy/8 b.i.d. or 40 Gy/10 b.i.d. treatments after R0 or R1 resections. Treatment with PHDRB plus EBRT was used in 186 patients to total doses of 16 Gy/4 b.i.d. or 24 Gy/6 b.i.d. treatments after R0 or R1 resections along with 45 Gy of EBRT with or without concomitant chemotherapy. Results: No dose-margin interaction was observed in Group 1 patients. In Group 2 patients there was a significant interaction between margin status and 2-Gy equivalent (Eq2Gy) dose (p = 0.002): (1) patients with negative margins had 9-year LC of 95.7% at Eq2Gy = 62.9Gy; (2) patients with close margins of >1 mm had 9-year LC of 92.4% at Eq2Gy = 72.2Gy, and (3) patients with positive/close <1-mm margins had 9-year LC of 68.0% at Eq2Gy = 72.2Gy. Conclusions: Two-gray equivalent doses {>=}70 Gy may compensate the effect of close margins {>=}1 mm but do not counterbalance the detrimental effect of unfavorable (positive/close <1 mm) resection margins. No dose-margin interaction is observed in patients treated at lower Eq2Gy doses {<=}50 Gy with PHDRB alone.

  14. Hydrocarbon traps within passive-margin evolution of Louisiana

    SciTech Connect

    Lavoie, D. ); Lowrie, A.

    1993-09-01

    The evolutionary dynamics of the Louisiana continental margin as applied to the Neogene to present are sufficiently well understood that we present a preliminary model. The external components influencing the geologic evolution are sediment input (amount, type, and transport mechanisms) and sea level oscillations (periodicity and range). The internal dynamics are subsidence (rate, total amount, and location), salt tectonics (type and rate of motion), and sediment deposition (amount, type and mechanisms). The model presented is restricted geographically to the offshore region, from the shelf to the Sigsbee Escarpment, and temporally during the Neogene, the past 20 m.y. The notion that tectonic periodicity controls the evolutionary dynamics is integral to the model. The general loci of maximal deposition and tectonics are dictated by Milankovitch fourth-order cycles ranging from 1 x 10[sup 4] to 1 x 10 [sup 5] yr. superimposed on third-order cycles of up to 1 to 2 x 10[sup 6]yr. This model suggests a highly energetic phase in overall continental margin evolution during which the Sigsbee salt wedge migrated past an arbitrary fixed reference point, changing the physiography from lower slope to shelf. The energetic phase, which lasts between 2 and 4 m.y., separated two much longer phases are the drift phase, characterized by sedimentation along lower continental rises and abyssal plains, and a depositional phase, generally minor, and erosion along the shelf, coastal plain, and interior basins. This latter phase is characterized by regional subsidence and [open quotes]catch-up[close quotes] deposition as equilibrium along the continent is maintained. We also discuss hydrocarbon traps and their ephemeral nature with the overall continental margin.

  15. Synchronous rectal adenocarcinoma and splenic marginal zone lymphoma.

    PubMed

    Srikumar, T; Markow, M; Centeno, B; Hoffe, S; Tao, J; Fernandez, H; Strosberg, J; Shibata, D

    2016-02-01

    Synchronous cancers of different primary origin are rare. Here, we describe the case of a patient with concomitant diagnoses of rectal adenocarcinoma and splenic marginal zone lymphoma (smzl). A 57-year-old woman initially presented with abdominal pain. Physical examination and computed tomography demonstrated massive splenomegaly, and a complete blood count revealed microcytic anemia and lymphopenia. During the subsequent evaluation, she presented with hematochezia, melena, and constipation, which prompted gastroenterology referral. Subsequent endoscopic rectal ultrasonography revealed a T3N1 moderately differentiated rectal adenocarcinoma, with computed tomography imaging of chest, abdomen, and pelvis confirming no metastasis. Thus, the cancer was classified as clinical stage T3N1M0, stage iii. Bone marrow biopsy confirmed co-existing marginal zone lymphoma, and with the clinical presentation of massive splenomegaly, a diagnosis of smzl was made. The patient's management was individually tailored for simultaneous optimal treatment of both conditions. Concurrent treatment with neoadjuvant rituximab and 5-fluorouracil chemotherapy, with external-beam radiation therapy to the pelvis, was administered, followed by surgery consisting of en bloc splenectomy and distal pancreatectomy, and low anterior resection. The patient completed a standard course of adjuvant folfox (fluorouracil-leucovorin-oxaliplatin) chemotherapy and has remained disease-free for 7 years. To our knowledge, this report is the first to specifically describe simultaneous diagnoses of locally advanced rectal cancer and smzl. We also describe the successful combined neoadjuvant treatment combination of 5-fluorouracil, rituximab, and pelvic radiation. PMID:26966416

  16. Synchronous rectal adenocarcinoma and splenic marginal zone lymphoma

    PubMed Central

    Srikumar, T.; Markow, M.; Centeno, B.; Hoffe, S.; Tao, J.; Fernandez, H.; Strosberg, J.; Shibata, D.

    2016-01-01

    Synchronous cancers of different primary origin are rare. Here, we describe the case of a patient with concomitant diagnoses of rectal adenocarcinoma and splenic marginal zone lymphoma (smzl). A 57-year-old woman initially presented with abdominal pain. Physical examination and computed tomography demonstrated massive splenomegaly, and a complete blood count revealed microcytic anemia and lymphopenia. During the subsequent evaluation, she presented with hematochezia, melena, and constipation, which prompted gastroenterology referral. Subsequent endoscopic rectal ultrasonography revealed a T3N1 moderately differentiated rectal adenocarcinoma, with computed tomography imaging of chest, abdomen, and pelvis confirming no metastasis. Thus, the cancer was classified as clinical stage T3N1M0, stage iii. Bone marrow biopsy confirmed co-existing marginal zone lymphoma, and with the clinical presentation of massive splenomegaly, a diagnosis of smzl was made. The patient’s management was individually tailored for simultaneous optimal treatment of both conditions. Concurrent treatment with neoadjuvant rituximab and 5-fluorouracil chemotherapy, with external-beam radiation therapy to the pelvis, was administered, followed by surgery consisting of en bloc splenectomy and distal pancreatectomy, and low anterior resection. The patient completed a standard course of adjuvant folfox (fluorouracil–leucovorin–oxaliplatin) chemotherapy and has remained disease-free for 7 years. To our knowledge, this report is the first to specifically describe simultaneous diagnoses of locally advanced rectal cancer and smzl. We also describe the successful combined neoadjuvant treatment combination of 5-fluorouracil, rituximab, and pelvic radiation. PMID:26966416

  17. Radiofrequency ablation technique eradicating palpebral margin neoplasm

    PubMed Central

    Jiang, Tian-Yu; Wang, Xing-Lin; Suo, Wei; He, Qing-Hua; Xiao, Hong-Yu

    2011-01-01

    AIM To report the study on radiofrequency ablation technique for eradication of palpebral margin neoplasm and its clinical effects. METHODS One hundred and six cases with the palpebral margin neoplasm were performed surgical removal with radiofrequency ablation technique. The 1-2 months postoperative follow-up was investigated and the lost cases were excluded from statistics. The continuing follow-up lasted about 6-16months. RESULTS One hundred cases underwent one treatment and 6 cases underwent two treatments. Six cases were missed. All the cases followed up healed well without pigmentation or scar left, nor eyelash loss or palpebral margin deformation. No case was recurrent. CONCLUSION Radiofrequency ablation has significant efficiency in eradicating the palpebral margin neoplasm. PMID:22553639

  18. 17 CFR 31.18 - Margin calls.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... after contact is effected in which to respond to a margin call. Twenty-four hours, excluding Saturdays... contract for a period of 5 business days at the then prevailing bid price in the case of a long...

  19. 17 CFR 31.18 - Margin calls.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... after contact is effected in which to respond to a margin call. Twenty-four hours, excluding Saturdays... contract for a period of 5 business days at the then prevailing bid price in the case of a long...

  20. 17 CFR 31.18 - Margin calls.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... after contact is effected in which to respond to a margin call. Twenty-four hours, excluding Saturdays... contract for a period of 5 business days at the then prevailing bid price in the case of a long...

  1. Parameter margins for stabilized conservative multilinear systems

    NASA Technical Reports Server (NTRS)

    Warren, Wayne; Wie, Bong

    1991-01-01

    Simple and elegant derivations of recent results concerning the computation of infinity-norm real-parameter margins for stabilized, mass-spring dynamical systems with the masses and the spring constraints as uncertain parameters are presented. The authors introduce the concept of critical frequency and gain for stabilized conservative systems whose uncertain parameters do not necessarily appear multilinearly in the numerator and denominator of the plant transfer function. An approach to parameter margin computation is presented.

  2. Importance of surgical margins in rectal cancer.

    PubMed

    Mukkai Krishnamurty, Devi; Wise, Paul E

    2016-03-01

    Distal resection margin (DRM) and circumferential resection margin (CRM) are two important considerations in rectal cancer management. Although guidelines recommend a 2 cm DRM, studies have shown that a shorter DRM is adequate, especially in patients receiving neoadjuvant chemoradiation. Standardization of total mesorectal excision has greatly improved quality of CRM. Although more patients are undergoing sphincter-saving procedures, abdominoperineal resection is indicated for very distal tumors, and pelvic exenteration is often necessary for tumors involving pelvic organs. PMID:27094456

  3. Marginal accuracy of temporary composite crowns.

    PubMed

    Tjan, A H; Tjan, A H; Grant, B E

    1987-10-01

    An in vitro study was conducted to quantitatively compare the marginal adaptation of temporary crowns made from Protemp material with those made from Scutan, Provisional, and Trim materials. A direct technique was used to make temporary restorations on prepared teeth with an impression as a matrix. Protem, Trim, and Provisional materials produced temporary crowns of comparable accuracy. Crowns made from Scutan material had open margins. PMID:2959770

  4. Statistical Analysis of Thermal Analysis Margin

    NASA Technical Reports Server (NTRS)

    Garrison, Matthew B.

    2011-01-01

    NASA Goddard Space Flight Center requires that each project demonstrate a minimum of 5 C margin between temperature predictions and hot and cold flight operational limits. The bounding temperature predictions include worst-case environment and thermal optical properties. The purpose of this work is to: assess how current missions are performing against their pre-launch bounding temperature predictions and suggest any possible changes to the thermal analysis margin rules

  5. How Big is Too Big for Hubs: Marginal Profitability in Hub-and-Spoke Networks

    NASA Technical Reports Server (NTRS)

    Ross, Leola B.; Schmidt, Stephen J.

    1997-01-01

    Increasing the scale of hub operations at major airports has led to concerns about congestion at excessively large hubs. In this paper, we estimate the marginal cost of adding spokes to an existing hub network. We observe entry/non-entry decisions on potential spokes from existing hubs, and estimate both a variable profit function for providing service in markets using that spoke as well as the fixed costs of providing service to the spoke. We let the fixed costs depend upon the scale of operations at the hub, and find the hub size at which spoke service costs are minimized.

  6. The basins on the Argentine continental margin

    SciTech Connect

    Urien, C.M.

    1996-08-01

    After the stabilization of the central Gondwana Craton, orogenic belts were accreted, as a result of convergence events and an extensive passive margin developed in southwestern Gondwana. Thermal subsidence in Parana, Karoo-Ventania basins and the Late Paleozoic-Early Mesozoic rifts, were modified by the Gondwana breakup and the South Atlantic opening. Early Paleozoic marine transgressions deposited the Table Mountain Group in Ventania. In southwestern Patagonia foreland clastics were deposited. Magmatic arcs and marine units indicate a tectonic trough was formed, alternating with continental sequences, over Late Paleozoic metamorphics and intrusives, resulting from plastered terrains along the Gondwana margin. In Patagonia, Permo-Carboniferous continental and glacio marine clastics infill the basins, while in Ventania, paralic sequences, grade from neritic to continental to the northeast, extending beneath the continental margin. The Triassic-Jurassic rift basins progressed onto regional widespread acid lavas and were infilled by lagoonal organic-rich sequences. Early drift phase built basins transverse to the margin, with fluvio-lacustrine sequences: Salado, Colorado, Valdes-Rawson, San Julian and North Malvinas intracratonic basins, which underwent transtensional faulting. Post-Oxfordian to Neocomian brackish sequences, onlapped the conjugate basins during the margin`s drift, with petroleum systems, as in Austral and Malvinas. In the Valanginian, basic extrusions commenced to form on the continental border, heralding the oceanic phase. Due to thermal subsidence, offlaping sediments prograded onto the remaining half-grabens. Several petroleum systems, proven and hypothetical, are identified in this region.

  7. Cost goals

    NASA Technical Reports Server (NTRS)

    Hoag, J.

    1981-01-01

    Cost goal activities for the point focusing parabolic dish program are reported. Cost goals involve three tasks: (1) determination of the value of the dish systems to potential users; (2) the cost targets of the dish system are set out; (3) the value side and cost side are integrated to provide information concerning the potential size of the market for parabolic dishes. The latter two activities are emphasized.

  8. 17 CFR 41.47 - Withdrawal of margin.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... after such withdrawal is sufficient to satisfy the required margin for the security futures and related... PRODUCTS Customer Accounts and Margin Requirements § 41.47 Withdrawal of margin. (a) By the...

  9. Anthropogenic impacts on continental margins: New frontiers and engagement arena for global sustainability research and action

    NASA Astrophysics Data System (ADS)

    Liu, K. K.; Glavovic, B.; Limburg, K.; Emeis, K. C.; Thomas, H.; Kremer, H.; Avril, B.; Zhang, J.; Mulholland, M. R.; Glaser, M.; Swaney, D. P.

    2014-12-01

    and use of resources; (3) to design governance regimes to stem unsustainable practices; (4) to investigate how to enable equitable sharing of costs and benefits from sustainable use of resources; and (5) to evaluate alternative research approaches and partnerships that address the challenges faced on the Margin.

  10. Tracking Costs

    ERIC Educational Resources Information Center

    Erickson, Paul W.

    2010-01-01

    Even though there's been a slight reprieve in energy costs, the reality is that the cost of non-renewable energy is increasing, and state education budgets are shrinking. One way to keep energy and operations costs from overshadowing education budgets is to develop a 10-year energy audit plan to eliminate waste. First, facility managers should…