Sample records for abandoned coal refuse

  1. 30 CFR 77.215-4 - Refuse piles; abandonment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; abandonment. 77.215-4 Section 77... MINES Surface Installations § 77.215-4 Refuse piles; abandonment. When a refuse pile is to be abandoned... refuse pile shall be abandoned in accordance with a plan submitted by the operator and approved by the...

  2. Method of extracting coal from a coal refuse pile

    DOEpatents

    Yavorsky, Paul M.

    1991-01-01

    A method of extracting coal from a coal refuse pile comprises soaking the coal refuse pile with an aqueous alkali solution and distributing an oxygen-containing gas throughout the coal refuse pile for a time period sufficient to effect oxidation of coal contained in the coal refuse pile. The method further comprises leaching the coal refuse pile with an aqueous alkali solution to solubilize and extract the oxidized coal as alkali salts of humic acids and collecting the resulting solution containing the alkali salts of humic acids. Calcium hydroxide may be added to the solution of alkali salts of humic acid to form precipitated humates useable as a low-ash, low-sulfur solid fuel.

  3. Microbial ecology studies at two coal mine refuse sites in Illinois

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Miller, R. M.; Cameron, R. E.

    An investigation was made of the microflora associated with coal refuse at two abandoned mines in the midwestern United States. Information was gathered for both the edaphic and the biotic composition of the refuse material. Emphasis was placed on heterotrophic and autotrophic components as to numbers, kinds, and physiological groups. The presence of chemolithotrophs was also investigated. The relationship between abiotic and biotic components in regard to distribution of bacteria, fungi, and algae is discussed. Information presented in this report will be utilized in assessing trends and changes in microbial numbers and composition related to manipulations of the edaphic andmore » biotic ecosystem components associated with reclamation of the refuse piles.« less

  4. Coal-cleaning plant refuse characterization

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Cavalet, J.R.; Torak, E.R.

    1985-06-01

    This report describes a study performed for the Electric Power Research Institute's Coal Cleaning Test Facility in Homer City, Pennsylvania. The purpose of the study was to design a standard methods for chemically and physically classifying refuse generated by physical coal cleaning and to construct a matrix that will accurately predict how a particular refuse will react to particular disposal methods - based solely on raw-coal characteristics and the process used to clean the coal. The value of such a classification system (which has not existed to this point) is the ability to design efficient and economical systems for disposingmore » of specific coal cleaning refuse. The report describes the project's literature search and a four-tier classification system. It also provides designs for test piles, sampling procedures, and guidelines for a series of experiments to test the classfication system and create an accurate, reliable predictive matrix. 38 refs., 39 figs., 35 tabs.« less

  5. Geomorphic reclmation of a coal refuse pile

    NASA Astrophysics Data System (ADS)

    Hopkinson, L. C.; Quaranta, J.

    2017-12-01

    Geomorphic reclamation is a technique that may offer opportunities to improve mine reclamation in Central Appalachia. The design approach is based on constructing a steady-state, mature landform condition and takes into account the long-term climatic conditions, soil types, terrain grade, and vegetation. Geomorphic reclamation has been applied successfully in semi-arid regions but has not yet been applied in Central Appalachia. This work describes a demonstration study where geomorphic landforming techniques are being applied to a coarse coal refuse pile in southern West Virginia, USA. The reclamation design includes four geomorphic watersheds that radially drain runoff from the pile. Each watershed has one central draining channel and incorporates compound slope profiles similarly to naturally eroded slopes. Planar slopes were also included to maintain the impacted area. The intent is to alter the hydrology to decrease water quality treatment costs. The excavation cut and fill volumes are comparable to those of more conventional refuse pile reclamation designs. If proven successful then this technique can be part of a cost-effective solution to improve water quality at active and future refuse facilities, abandoned mine lands, bond forfeiture sites, landfills, and major earthmoving activities within the region.

  6. 30 CFR 817.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Coal mine waste: Refuse piles. 817.83 Section... ACTIVITIES § 817.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 817.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  7. 30 CFR 816.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Coal mine waste: Refuse piles. 816.83 Section... ACTIVITIES § 816.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 816.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  8. 30 CFR 817.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Coal mine waste: Refuse piles. 817.83 Section... ACTIVITIES § 817.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 817.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  9. 30 CFR 816.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Coal mine waste: Refuse piles. 816.83 Section... ACTIVITIES § 816.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 816.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  10. 30 CFR 817.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Coal mine waste: Refuse piles. 817.83 Section... ACTIVITIES § 817.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 817.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  11. 30 CFR 816.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Coal mine waste: Refuse piles. 816.83 Section... ACTIVITIES § 816.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 816.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  12. 30 CFR 816.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Coal mine waste: Refuse piles. 816.83 Section... ACTIVITIES § 816.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 816.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  13. 30 CFR 816.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Coal mine waste: Refuse piles. 816.83 Section... ACTIVITIES § 816.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 816.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  14. 30 CFR 817.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Coal mine waste: Refuse piles. 817.83 Section... ACTIVITIES § 817.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 817.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  15. 30 CFR 817.83 - Coal mine waste: Refuse piles.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Coal mine waste: Refuse piles. 817.83 Section... ACTIVITIES § 817.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 817.81, the... removed from the disposal area prior to placement of coal mine waste. Topsoil shall be removed, segregated...

  16. Hardened, environmentally disposable composite granules of coal cleaning refuse, coal combustion waste, and other wastes, and method preparing the same

    DOEpatents

    Burnet, George; Gokhale, Ashok J.

    1990-07-10

    A hardened, environmentally inert and disposable composite granule of coal cleaning refuse and coal combustion waste, and method for producing the same, wherein the coal combustion waste is first granulated. The coal cleaning refuse is pulverized into fine particles and is then bound, as an outer layer, to the granulated coal combustion waste granules. This combination is then combusted and sintered. After cooling, the combination results in hardened, environmentally inert and disposable composite granules having cores of coal combustion waste, and outer shells of coal cleaning refuse. The composite particles are durable and extremely resistant to environmental and chemical forces.

  17. Hardened, environmentally disposable composite granules of coal cleaning refuse, coal combustion waste, and other wastes, and method preparing the same

    DOEpatents

    Burnet, G.; Gokhale, A.J.

    1990-07-10

    A hardened, environmentally inert and disposable composite granule of coal cleaning refuse and coal combustion waste and method for producing the same are disclosed, wherein the coal combustion waste is first granulated. The coal cleaning refuse is pulverized into fine particles and is then bound, as an outer layer, to the granulated coal combustion waste granules. This combination is then combusted and sintered. After cooling, the combination results in hardened, environmentally inert and disposable composite granules having cores of coal combustion waste, and outer shells of coal cleaning refuse. The composite particles are durable and extremely resistant to environmental and chemical forces. 3 figs.

  18. Immunofluorescence Approach to the Study of the Ecology of Thermoplasma acidophilum In Coal Refuse Material

    PubMed Central

    Bohlool, B. B.; Brock, T. D.

    1974-01-01

    Specific immunofluorescence staining was applied to the study of the localization, distribution, and growth of Thermoplasma acidophilum in its natural habitat, the coal refuse pile. Different antigenic groups of T. acidophilum could be isolated from the same refuse pile, and the same antigenic groups were isolated from piles from different geographical areas. No correlation could be established between the antigenic groups and the pH or temperature of the habitats. Brightly fluorescing cells of T. acidophilum were detected on microscope slides buried in contact with the coal refuse material or immersed in the water in the stream draining a refuse pile. T. acidophilum grew when inoculated into either coal refuse material and/or an aqueous extract of coal refuse when incubated at its optimal temperature of 55 C, but not when incubated at room temperature or 37 C. The coal refuse pile appears to be a primary habitat for T. acidophilum. PMID:4602306

  19. Lime retention in anthracite coal-breaker refuse

    Treesearch

    Miroslaw M. Czapowskyj; Edward A. Sowa

    1973-01-01

    Hydrated lime was applied to extremely acid anthracite coal-breaker refuse at rates of 2.5 and 5.0 tons per acre. The lime raised the pH to neutral range, and this range was still in evidence 7 years after treatment. The pH readings decreased with the depth of the refuse profile, and below 9 inches they approximated those of the control plots. The 2.5-tons-of-lime-per-...

  20. 30 CFR 784.25 - Return of coal processing waste to abandoned underground workings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Return of coal processing waste to abandoned... ENFORCEMENT, DEPARTMENT OF THE INTERIOR SURFACE COAL MINING AND RECLAMATION OPERATIONS PERMITS AND COAL... RECLAMATION AND OPERATION PLAN § 784.25 Return of coal processing waste to abandoned underground workings. (a...

  1. 30 CFR 784.25 - Return of coal processing waste to abandoned underground workings.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Return of coal processing waste to abandoned... ENFORCEMENT, DEPARTMENT OF THE INTERIOR SURFACE COAL MINING AND RECLAMATION OPERATIONS PERMITS AND COAL... RECLAMATION AND OPERATION PLAN § 784.25 Return of coal processing waste to abandoned underground workings. (a...

  2. 30 CFR 784.25 - Return of coal processing waste to abandoned underground workings.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Return of coal processing waste to abandoned... ENFORCEMENT, DEPARTMENT OF THE INTERIOR SURFACE COAL MINING AND RECLAMATION OPERATIONS PERMITS AND COAL... RECLAMATION AND OPERATION PLAN § 784.25 Return of coal processing waste to abandoned underground workings. (a...

  3. Unexpected hydrologic perturbation in an abandoned underground coal mine: Response to surface reclamation?

    USGS Publications Warehouse

    Harper, D.; Olyphant, G.A.; Hartke, E.J.

    1990-01-01

    A reclamation project at the abandoned Blackhawk Mine site near Terre Haute, Indiana, lasted about four months and involved the burial of coarse mine refuse in shallow (less than 9 m) pits excavated into loess and till in an area of about 16 ha. An abandoned flooded underground coal mine underlies the reclamation site at a depth of about 38 m; the total area underlain by the mine is about 10 km2. The potentiometric levels associated with the mine indicate a significant (2.7 m) and prolonged perturbation of the deeper confined groundwater system; 14 months after completing reclamation, the levels began to rise linearly (at an average rate of 0.85 cm/d) for 11 months, then fell exponentially for 25 months, and are now nearly stable. Prominent subsidence features exist near the reclamation site. Subsidence-related fractures were observed in cores from the site, and such fractures may have provided a connection between the shallower and deeper groundwater systems. ?? 1990 Springer-Verlag New York Inc.

  4. A novel silica alumina-based backfill material composed of coal refuse and fly ash.

    PubMed

    Yao, Yuan; Sun, Henghu

    2012-04-30

    In this paper, a systematic study was conducted to investigate a novel silica alumina-based backfill material composed of coal refuse and fly ash. The coal refuse and fly ash had different properties under various thermal activation temperatures (20 °C, 150 °C, 350 °C, 550 °C, 750 °C and 950 °C). It is known that a thermal activation temperature ranging from 20 °C to 950 °C significantly increases the flowability and pozzolanic properties of the coal refuse; however, the flowability of fly ash decreases when the activation temperature is higher than 550 °C because of a severe agglomeration phenomenon on its surface. An optimal design for this backfill material was determined to include an activated portion composed of 5% coal refuse at 750 °C and 15% fly ash at 20 °C. This combination yields the best performance with excellent flowability, a high compressive strength and a low bleeding rate. The microanalysis results corresponded well with the performance tests at different activation conditions. In the coal refuse, kaolinite peaks began to decrease because of their transformation into metakaolin at 550 °C. Chlorite peaks disappeared at 750 °C. Muscovite peaks decreased at 750 °C and disappeared at 950 °C. During this process, muscovite 2M(1) gradually dehydroxylated to muscovite HT. Furthermore, this paper examined the environmental acceptance and economic feasibility of this technology and found that this silica alumina-based backfill material composed of coal refuse and fly ash not only meets EPA requirements but also has several advantages in industry feasibility when compared with hydraulic backfill, rock backfill and paste backfill. Published by Elsevier B.V.

  5. Ground-Water Quality in the Vicinity of Coal-Refuse Areas Reclaimed with Biosolids in Fulton County, Illinois

    USGS Publications Warehouse

    Morrow, William S.

    2007-01-01

    The Metropolitan Water Reclamation District of Greater Chicago has applied biosolids, followed by revegetation, to reclaim three coal-refuse areas. Most of the reclamation at the three sites was done from 1989 through 1992, and included the application of lime, clay, and various loads of biosolids up to 1,000 dry tons per acre. Water samples collected from 12 monitoring wells installed in the vicinity of the three reclaimed coal-refuse areas were analyzed to better understand the hydrogeology and water-quality effects. Ground water probably flows along preferential paths in the disturbed coal-refuse areas, and is impeded by undisturbed glacial till. Most of the samples contained elevated concentrations of sulfate, iron, and manganese, constituents associated with ground water in coal-mined areas. Concentrations of aluminum, cadmium, nickel, or zinc were somewhat elevated in samples from four wells, and greatest in water samples with pH less than 5. The smaller nutrient concentrations indicate that the applied biosolids are not identifiably affecting nutrients or metal concentrations in shallow ground water near the refuse piles. The coal refuse likely is the primary influence on the chemical characterization of ground-water in the area.

  6. Lime helps establish crownvetch on coal-breaker refuse

    Treesearch

    Miroslaw M. Czapowskyj; Edward A. Sowa

    1976-01-01

    A study was begun in 1965 to determine the effect of lime fertilizer, and mulch on the establishment and growth of crownvetch crowns planted on anthracite coal-breaker refuse. After 7 years the lime application had by far the strongest effect. Both 2.5 and 5.0 tons per acre increased survival and ground cover manyfold, and both treatments were equally beneficial from...

  7. Virginia big-eared bats (Corynorhinus townsendii virginianus) roosting in abandoned coal mines in West Virginia

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Johnson, J.B.; Edwards, J.W.; Wood, P.B.

    We surveyed bats at 36 abandoned coal mines during summer 2002 and 47 mines during fall 2002 at New River Gorge National River and Gauley River National Recreation Area, WV. During summer, we captured three federally endangered Virginia big-eared bats at two mine entrances, and 25 were captured at 12 mine entrances during fall. These represent the first documented captures of this species at coal mines in West Virginia. Future survey efforts conducted throughout the range of the Virginia big-eared bat should include abandoned coal mines.

  8. Study on Reuse Strategy of Abandoned Industrial Square - in the case of Jingxi Wang Ping Coal Mine

    NASA Astrophysics Data System (ADS)

    Li, Xiaodan; Chen, Zhiting; Jia, Lijun; Wu, Wei; Zhang, Hailiang; Ma, Tianyi; Wang, Tao

    2018-06-01

    Wangping Coal Mine, whose industrial heritage is of great value, was one of the eight coal mines in Beijing. A large number of field surveys and analysis of the abandoned industrial facilities of Wangping Coal Mine were carried out in this paper. From the perspective of protecting industrial heritage culture and sustainable development, this paper studies the ideas and strategies for reusing the abandoned facilities of the Wangping Coal Mine. In order to protect its industrial heritage as much as possible, it is suggested to reuse the industrial square of Wangping Coal Mine as a community park.

  9. Control of acid drainage from fresh coal refuse: food preservatives as economical alternatives to detergents

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Onysko, S.J.; Erickson, P.M.; Kleinmann, R.L.P.

    Water soluble detergents such as sodium lauryl sulfate (SLS), which can sorb to pyritic materials, have been successfully used by the mining industry for acid drainage prevention in coal refuse. Detergent control of acid drainage from refuse may be uneconomical, however, at sites where extensive rainfall or groundwater movement results in rapid SLS washout. In this study, the performance of two alternative acid control chemicals, sodium benzoate and potassium sorbate, was compared with the performance of SLS in pilot-scale experiments with extensively leached, fresh coal refuse. Chemical cost information is presented that indicates low benzoate and sorbate doses were moremore » economical than comparable SLS doses under the experimental conditions of the study. The unique environmental compatibility of benzoate and sorbate, which are used in food and beverages in concentrations greater than those reported in this study for acid drainage suppression, is also discussed.« less

  10. Bacteria and Acidic Drainage from Coal Refuse: Inhibition by Sodium Lauryl Sulfate and Sodium Benzoate

    PubMed Central

    Dugan, Patrick R.; Apel, William A.

    1983-01-01

    The application of an aqueous solution of sodium lauryl sulfate and sodium benzoate to the surface of high-sulfur coal refuse resulted in the inhibition of iron-and sulfur-oxidizing chemoautotrophic bacteria and in the decrease of acidic drainage from the refuse, suggesting that acid drainage can be abated in the field by inhibiting iron- and sulfur-oxidizing bacteria. PMID:16346347

  11. Nanominerals and potentially hazardous elements from coal cleaning rejects of abandoned mines: Environmental impact and risk assessment.

    PubMed

    Fdez-Ortiz de Vallejuelo, Silvia; Gredilla, Ainara; da Boit, Kátia; Teixeira, Elba C; Sampaio, Carlos H; Madariaga, Juan Manuel; Silva, Luis F O

    2017-02-01

    Soils around coal mining are important reservoir of hazardous elements (HEs), nanominerals, and ultrafine compounds. This research reports and discusses the soil concentrations of HEs (As, Cd, Cr, Cu, Ni, Pb, and Zn) in coal residues of abandoned mines. To assess differences regarding environmental impact and risk assessment between coal abandoned mines from the Santa Catarina state, eighteen coal cleaning rejects with different mineralogical and chemical composition, from eight abandoned mines were collected. Nanominerals and ultra-fine minerals from mining-contaminated areas were analyzed by X-ray diffraction (XRD), field emission scanning electron microscopy (FE-SEM), and high-resolution transmission electron microscope (HR-TEM), providing new information on the mineralogy and nano-mineralogy of these coal residues. The total contents of 57 elements (HEs, alkali metals, and rare earth elements) were analyzed by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). The calculation of NWACs (Normalized Average Weighted Concentration), together with the chemometric analysis by Principal component analysis (PCA) confirmed the variability of the samples regarding their city and their mine of origin. Moreover, the results confirmed the existence of hotspots in mines near urban areas. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Hydrogeology, groundwater flow, and groundwater quality of an abandoned underground coal-mine aquifer, Elkhorn Area, West Virginia

    USGS Publications Warehouse

    Kozar, Mark D.; McCoy, Kurt J.; Britton, James Q.; Blake, B.M.

    2017-01-01

    The Pocahontas No. 3 coal seam in southern West Virginia has been extensively mined by underground methods since the 1880’s. An extensive network of abandoned mine entries in the Pocahontas No. 3 has since filled with good-quality water, which is pumped from wells or springs discharging from mine portals (adits), and used as a source of water for public supplies. This report presents results of a three-year investigation of the geology, hydrology, geochemistry, and groundwater flow processes within abandoned underground coal mines used as a source of water for public supply in the Elkhorn area, McDowell County, West Virginia. This study focused on large (> 500 gallon per minute) discharges from the abandoned mines used as public supplies near Elkhorn, West Virginia. Median recharge calculated from base-flow recession of streamflow at Johns Knob Branch and 12 other streamflow gaging stations in McDowell County was 9.1 inches per year. Using drainage area versus mean streamflow relationships from mined and unmined watersheds in McDowell County, the subsurface area along dip of the Pocahontas No. 3 coal-mine aquifer contributing flow to the Turkey Gap mine discharge was determined to be 7.62 square miles (mi2), almost 10 times larger than the 0.81 mi2 surface watershed. Results of this investigation indicate that groundwater flows down dip beneath surface drainage divides from areas up to six miles east in the adjacent Bluestone River watershed. A conceptual model was developed that consisted of a stacked sequence of perched aquifers, controlled by stress-relief and subsidence fractures, overlying a highly permeable abandoned underground coal-mine aquifer, capable of substantial interbasin transfer of water. Groundwater-flow directions are controlled by the dip of the Pocahontas No. 3 coal seam, the geometry of abandoned mine workings, and location of unmined barriers within that seam, rather than surface topography. Seven boreholes were drilled to intersect

  13. 30 CFR 75.1721 - Opening of new underground coal mines, or reopening and reactivating of abandoned or deactivated...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Opening of new underground coal mines, or reopening and reactivating of abandoned or deactivated coal mines, notification by the operator... LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Miscellaneous § 75...

  14. Groundwater-quality data associated with abandoned underground coal mine aquifers in West Virginia, 1973-2016: Compilation of existing data from multiple sources

    USGS Publications Warehouse

    McAdoo, Mitchell A.; Kozar, Mark D.

    2017-11-14

    This report describes a compilation of existing water-quality data associated with groundwater resources originating from abandoned underground coal mines in West Virginia. Data were compiled from multiple sources for the purpose of understanding the suitability of groundwater from abandoned underground coal mines for public supply, industrial, agricultural, and other uses. This compilation includes data collected for multiple individual studies conducted from July 13, 1973 through September 7, 2016. Analytical methods varied by the time period of data collection and requirements of the independent studies.This project identified 770 water-quality samples from 294 sites that could be attributed to abandoned underground coal mine aquifers originating from multiple coal seams in West Virginia.

  15. Siting of prison complex above abandoned underground coal mine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Marino, G.G.

    1998-10-01

    This paper discusses in detail the process undertaken to mitigate the effects of any future mine subsidence on prison structures proposed above old abandoned underground workings. The site for a proposed prison complex purchased by the state of Indiana was located in west-central Indiana and was undermined by an old abandoned room and pillar mine. Based on a study of the mine map and subsurface verification of the extent of mining it was determined that all prison buildings and important structures could be placed above solid coal to the north. However, one masonry building was located within the potential drawmore » zone of mine works that still contained significant mine voids. Based on empirical data the subsidence potential was estimated and the building was designed accordingly to be mine subsidence resistant. It was decided that a phase 2 prison complex should be constructed adjacent to and just south of the phase 1 complex. This complex would be directly above the underground workings. Subsequently, an extensive subsurface investigation program was undertaken to (1) ascertain whether or not mine areas where buildings would be located were already collapsed and thus only nominal, if any, subsidence could occur in the future and (2) verify the presence of solid coal areas within the mine as indicated on the mine map. Based on all the site information gathered subsidence profiles were developed from an empirical database of subsidence events in the Illinois coal basin. As a result of this work many structures on the site required no or nominal subsidence considerations. However, for others that could be affected potentially by future subsidence movement preliminary subsidence resistant designs were completed using the expected level of potential subsidence movement.« less

  16. Automatic interpretation of MSS-LANDSAT data applied to coal refuse site studies in southern Santa Catarina State, Brazil

    NASA Technical Reports Server (NTRS)

    Parada, N. D. J. (Principal Investigator); Kux, H. J. H.; Valeriano, D. D. M.

    1982-01-01

    The coal mining district in southeastern Santa Catarina State is considered one of the most polluted areas of Brazil. The author has identified significant preliminary results on the application of MSS-LANDSAT digital data to monitor the coal refuse areas and its environmental consequences in this region.

  17. Performance of red pine and Japanese larch planted on anthracite coal-breaker refuse

    Treesearch

    Miroslaw M. Czapowskyj

    1973-01-01

    Red pine (Pinus resinosa Ait.) and Japanese larch (Larix leptolepis (Sieb. and Zucc.) Gord.) seedlings were planted on coal-breaker refuse with all combinations of two levels of lime, two levels of fertilizer, and four mulch treatments. The site was highly unfavorable as a medium for tree growth, and the 4-year results show...

  18. Hydrogeology and simulation of groundwater flow at the Green Valley reclaimed coal refuse site near Terre Haute, Indiana

    USGS Publications Warehouse

    Bayless, E. Randall; Arihood, Leslie D.; Fowler, Kathleen K.

    2011-01-01

    The Green Valley reclaimed coal refuse site, near Terre Haute, Ind., was mined for coal from 1948 to 1963. Subsurface coal was cleaned and sorted at land surface, and waste material was deposited over the native glacial till. Approximately 2.7 million cubic yards of waste was deposited over 159 acres (92.3 hectares) in tailings ponds and gob piles. During 1993, the Indiana Department of Natural Resources, Division of Reclamation, improved the site by grading gob piles, filling tailings ponds, and covering the refuse with a layer of glacial drift. During 2008, the Division of Reclamation and U.S. Geological Survey initiated a cooperative investigation to characterize the hydrogeology of the site and construct a calibrated groundwater flow model that could be used to simulate the results of future remedial actions. In support of the modeling, a data-collection network was installed at the Green Valley site to measure weather components, geophysical properties, groundwater levels, and stream and seep flow. Results of the investigation indicate that (1) there is negligible overland flow from the site, (2) the prevailing groundwater-flow direction is from northeast to southwest, with a much smaller drainage to the northeast, (3) there is not a direct hydraulic connection between the refuse and West Little Sugar Creek, (4) about 24 percent of the groundwater recharge emerges through seeps, and water from the seeps evaporates or eventually flows to West Little Sugar Creek and the Green Valley Mine Pond, and (5) about 72 percent of groundwater recharge moves vertically downward from the coal refuse into the till and follows long, slow flow paths to eventual dischage points.

  19. Reclamation technology development for western Arkansas coal refuse waste materials

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    King, J.R.; Veith, D.L.

    Coal mining has been an important industry in the Arkansas River Valley Major Land Resource Area (MLRA) of western Arkansas for more than 100 yr., most of it with little regard for environmental concerns. Almost 3,640 ha. of land affected by surface coal mines cover the seven-county area, with less than 1,200 ha. currently in various stages of operation or reclamation. Since only the active mining sites must now be reclaimed by law, the remaining 2,440 ha. of abandoned land remains at the mercy of natural forces. Little topsoil exists on these sites and the coal wastes are generally acidicmore » with a pH in the 4.0-5.5 range. Revegetation attempts under these conditions generally require continued maintenance and retreatment until an acceptable cover is achieved. If and when an acceptable vegetative cover is established, the cost frequently approaches $7,400/ha. ($3,000/acre). In an effort to resolve these issues and provide some direction for stabilizing coal waste lands, the US Department of Agriculture through its Soil Conservation Service Plant Materials Center at Boonville, Arkansas, received a Congressional Pass through administered by the US Bureau of Mines, to support a 5-yr. revegetation study on the coal mine spoils of western Arkansas. This paper reports the results through the spring of 1994 on that portion of the study dealing with the establishment of blackberries as a cash crop on coal mine spoils.« less

  20. 30 CFR 77.214 - Refuse piles; general.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; general. 77.214 Section 77.214... Installations § 77.214 Refuse piles; general. (a) Refuse piles constructed on or after July 1, 1971, shall be..., tipples, or other surface installations and such piles shall not be located over abandoned openings or...

  1. Improvement in treatment abandonment in pediatric patients with cancer in Guatemala.

    PubMed

    Alvarez, Elysia; Seppa, Midori; Rivas, Silvia; Fuentes, Lucia; Valverde, Patricia; Antillón-Klussmann, Federico; Castellanos, Mauricio; Sweet-Cordero, E Alejandro; Messacar, Kevin; Kurap, John; Bustamante, Marisol; Howard, Scott C; Efron, Bradley; Luna-Fineman, Sandra

    2017-10-01

    Treatment refusal and abandonment are major causes of treatment failure for children with cancer in low- and middle-income countries (LMICs), like Guatemala. This study identified risk factors for and described the intervention that decreased abandonment. This was a retrospective study of Guatemalan children (0-18 years) with cancer treated at the Unidad Nacional de Oncología Pediátrica (UNOP), 2001-2008, using the Pediatric Oncology Network Database. Treatment refusal was a failure to begin treatment and treatment abandonment was a lapse of 4 weeks or longer in treatment. The impact of medicina integral, a multidisciplinary psychosocial intervention team at UNOP was evaluated. Cox proportional hazards analysis identified the effect of demographic and clinical factors on abandonment. Kaplan-Meier analysis estimated the survival. Of 1,789 patients, 21% refused or abandoned treatment. Abandonment decreased from 27% in 2001 to 7% in 2008 following the implementation of medicina integral. Factors associated with increased risk of refusal and abandonment: greater distance to the centre (P < 0.001), younger age (P = 0.017) and earlier year of diagnosis (P < 0.001). Indigenous race/ethnicity (P = 0.002) was associated with increased risk of abandonment alone. Abandonment correlated with decreased overall survival: 0.57 ± 0.02 (survival ± standard error) for those who completed therapy versus 0.06 ± 0.02 for those who abandoned treatment (P < 0.001) at 8.3 years. This study identified distance, age, year of diagnosis and indigenous race/ethnicity as risk factors for abandonment. A multidisciplinary intervention reduced abandonment and can be replicated in other LMICs. © 2017 Wiley Periodicals, Inc.

  2. Hydrology of an abandoned coal-mining area near McCurtain, Haskell County, Oklahoma

    USGS Publications Warehouse

    Slack, L.J.

    1983-01-01

    Water quality was investigated from October 1980 to May 1983 in an area of abandoned coal mines in Haskell county, Oklahoma. Bedrock in the area is shale, siltstone, sandstone, and the McAlester (Stigler) and Hartshorne coals of the McAlester Formation and Hartshorne Sandstone of Pennsylvanian age. The two coal beds, upper and lower Hartshorne, associated with the Hartshorne Sandstone converge or are separated by a few feet or less of bony coal or shale in the McCurtain area. Many small faults cut the Hartshorne coal in all the McCurtain-area mines. The main avenues of water entry to and movement through the bedrock are the exposed bedding-plane openings between layers of sandstone, partings between laminae of shale, fractures and joints developed during folding and faulting laminae of shale, fractures and joints developed during folding and faulting of the brittle rocks, and openings caused by surface mining--the overburden being shattered and broken to form spoil. Water-table conditions exist in bedrock and spoil in the area. Mine pond water is in direct hydraulic connections with water in the spoil piles and the underlying Hartshorne Sandstone. Sulfate is the best indicator of the presence of coal-mine drainage in both surface and ground water in the Oklahoma coal field. Median sulfate concentrations for four sites on Mule Creek ranged from 26 to 260 milligrams per liter. Median sulfate concentrations increased with increased drainage from unreclaimed mined areas. The median sulfate concentration in Mule Creek where it drains the reclaimed area is less than one-third of that at the next site downstream where the stream begins to drain abandoned (unreclaimed) mine lands. Water from Mule Creek predominantly is a sodium sulfate type. Maximum and median values for specific conductance and concentrations of calcium, magnesium, sodium, sulfate, chloride, dissolved solids, and alkalinity increase as Mule Creek flows downstream and drains increasing areas of abandoned

  3. The siting of a prison complex above an abandoned underground coal mine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Marino, G.G.

    1997-12-31

    This paper discusses in detail the process undertaken to mitigate the effects of any future mine subsidence on prison structures proposed above old abandoned underground workings. The site for a proposed prison complex purchased by the State of Indiana was located in west-central Indiana and was undermined by an old abandoned room and pillar mine. The original plan for construction consisted of one phase. Based on a study of the mine map and subsurface verification of the extent of mining it was determined that all prison buildings and important structures could be placed above solid coal to the north. Onemore » masonry building, however, was located within the potential draw zone of mine works which still contained significant mine voids. Based on empirical data the subsidence potential was estimated and the building was accordingly designed to be mine subsidence resistant. It was decided that a phase two prison complex should be constructed adjacent to and just south of the Phase I complex. This complex would be directly above the underground workings. The first stage of design was to minimize subsidence potential by positioning the exposure of significant structures to the subjacent mining assuming the mine map was sufficiently accurate. Subsequently, an extensive subsurface investigation program was then undertaken to: (1) ascertain whether or not mine areas where buildings would be located were already collapsed and thus only nominal, if any, subsidence could occur in the future; and (2) verify the presence of solid coal areas within the mine as indicated on the mine map. Based on all the site information gathered subsidence profiles were developed from an empirical data base of subsidence events in the Illinois Coal Basin. As a result of this work many structures on the site required no or nominal subsidence considerations.« less

  4. Prioritizing abandoned coal mine reclamation projects within the contiguous United States using geographic information system extrapolation.

    PubMed

    Gorokhovich, Yuri; Reid, Matthew; Mignone, Erica; Voros, Andrew

    2003-10-01

    Coal mine reclamation projects are very expensive and require coordination of local and federal agencies to identify resources for the most economic way of reclaiming mined land. Location of resources for mine reclamation is a spatial problem. This article presents a methodology that allows the combination of spatial data on resources for the coal mine reclamation and uses GIS analysis to develop a priority list of potential mine reclamation sites within contiguous United States using the method of extrapolation. The extrapolation method in this study was based on the Bark Camp reclamation project. The mine reclamation project at Bark Camp, Pennsylvania, USA, provided an example of the beneficial use of fly ash and dredged material to reclaim 402,600 sq mi of a mine abandoned in the 1980s. Railroads provided transportation of dredged material and fly ash to the site. Therefore, four spatial elements contributed to the reclamation project at Bark Camp: dredged material, abandoned mines, fly ash sources, and railroads. Using spatial distribution of these data in the contiguous United States, it was possible to utilize GIS analysis to prioritize areas where reclamation projects similar to Bark Camp are feasible. GIS analysis identified unique occurrences of all four spatial elements used in the Bark Camp case for each 1 km of the United States territory within 20, 40, 60, 80, and 100 km radii from abandoned mines. The results showed the number of abandoned mines for each state and identified their locations. The federal or state governments can use these results in mine reclamation planning.

  5. Use of modflow drain package for simulating inter-basin transfer in abandoned coal mines

    USGS Publications Warehouse

    Kozar, Mark D.; McCoy, Kurt J.

    2017-01-01

    Simulation of groundwater flow in abandoned mines is difficult, especially where flux to and from mines is unknown or poorly quantified, and inter-basin transfer of groundwater occurs. A 3-year study was conducted in the Elkhorn area, West Virginia to better understand groundwater-flow processes and inter-basin transfer in above drainage abandoned coal mines. The study area was specifically selected, as all mines are located above the elevation of tributary receiving streams, to allow accurate measurements of discharge from mine portals and tributaries for groundwater model calibration. Abandoned mine workings were simulated in several ways, initially as a layer of high hydraulic conductivity bounded by lower permeability rock in adjacent strata, and secondly as rows of higher hydraulic conductivity embedded within a lower hydraulic conductivity coal aquifer matrix. Regardless of the hydraulic conductivity assigned to mine workings, neither approach to simulate mine workings could accurately reproduce the inter-basin transfer of groundwater from adjacent watersheds. To resolve the problem, a third approach was developed. The MODFLOW DRAIN package was used to simulate seepage into and through mine workings discharging water under unconfined conditions to Elkhorn Creek, North Fork, and tributaries of the Bluestone River. Drain nodes were embedded in a matrix of uniform hydraulic conductivity cells that represented the coal mine aquifer. Drain heads were empirically defined from well observations, and elevations were based on structure contours for the Pocahontas No. 3 mine workings. Use of the DRAIN package to simulate mine workings as an internal boundary condition resolved the inter-basin transfer problem, and effectively simulated a shift from a topographic- dominated to a dip-dominated flow system, by dewatering overlying unmined strata and shifting the groundwater drainage divide up dip within the Pocahontas No. 3 coal seam several kilometers into the adjacent

  6. 30 CFR 77.215-1 - Refuse piles; identification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; identification. 77.215-1 Section... COAL MINES Surface Installations § 77.215-1 Refuse piles; identification. A permanent identification marker, at least six feet high and showing the refuse pile identification number as assigned by the...

  7. Comparison of coal/solid recovered fuel (SRF) with coal/refuse derived fuel (RDF) in a fluidised bed reactor

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wagland, S.T.; Kilgallon, P.; Coveney, R.

    2011-06-15

    An experimental study was undertaken to compare the differences between municipal solid waste (MSW) derived solid recovered fuel (SRF) (complying with CEN standards) and refuse derived fuel (RDF). Both fuels were co-combusted with coal in a 50 kW fluidised bed combustor and the metal emissions were compared. Synthetic SRF was prepared in the laboratory by grinding major constituents of MSW such as paper, plastic, textile and wood. RDF was obtained from a local mechanical treatment plant. Heavy metal emissions in flue gas and ash samples from the (coal + 10% SRF) fuel mixture were found to be within the acceptablemore » range and were generally lower than that obtained for coal + 10% RDF fuel mixture. The relative distribution of heavy metals in ash components and the flue gas stream shows the presence of a large fraction (up to 98%) of most of the metals in the ash (except Hg and As). Thermo-gravimetric (TG) analysis of SRF constituents was performed to understand the behaviour of fuel mixtures in the absence and presence of air. The results obtained from the experimental study will enhance the confidence of fuel users towards using MSW-derived SRF as an alternative fuel.« less

  8. Investigation of Engineering and Design Considerations in Selecting Conveyors for Densified Refuse-Derived Fuel (dRDF) and dRDF: Coal Mixtures.

    DTIC Science & Technology

    1981-08-01

    or discharge paths of material over the end pulley of a conveyor are important to the proper design and function of discharge chutes , wear plates or...8217 ’iESL-TR-81-58 INVESTIGATION OF ENGINEERING AND DESIGN CONSIDERATIONS IN SELECTING CONVEYORS FOR DENSIFIED REFUSE-DERIVED FUEL (dRDF) AND dRDF: COAL...Engineering and Design Final Report Considerations in Selecting Conveyors for JUN 1980 - SEP 1981 Densified Refuse-Derived Fuel (dRDF) and 6. PERFORMING ORG

  9. Geophysical investigations of near-surface materials and groundwater quality at abandoned mine land site No. 1087, Pike County, Indiana

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Spindler, K.M.; Olyphant, G.A.; Harper, D.

    Reclamation of Abandoned Mine Land (AML) Site No. 1087 (Midwestern) includes extensive use of coal-combustion byproducts such as fly ash and fixated scrubber sludge (FSS) as fill and cover materials. Prior to reclamation, a deposit of coarse-grained pyritic refuse in the central part of the site was the primary source for acidic mine drainage. The FSS tends to have a low permeability, so it was applied over the refuse to serve as a barrier to vertical recharge and thereby inhibit generation and mobilization of additional acidity. Repeated post-reclamation measurements of soil-water content using a neutron moisture gauge provide evidence thatmore » vertical recharge is, in fact, not occurring through the FSS. However, a previously existing plume of acidic water extends beyond the area of the refuse into adjacent areas of disturbed overburden (spoil). Electrical resistivity profiles using the offset Wenner method were used to delineate the horizontal extent of the refuse and to quantify spatial variability of groundwater chemistry within the refuse and adjacent spoil. Ground penetrating radar (GPR) was used to precisely determine the thickness and extent of the FSS layer and its relation to the refuse and to the surrounding plume of acidic water. Together, these techniques provide a complete three-dimensional representation of the FSS, refuse, spoil, and plume of acidic groundwater.« less

  10. 30 CFR 77.215-2 - Refuse piles; reporting requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; reporting requirements. 77.215-2... COAL MINES Surface Installations § 77.215-2 Refuse piles; reporting requirements. (a) The proposed location of a new refuse pile shall be reported to and acknowledged in writing by the District Manager...

  11. Abandoned Mine Lands

    EPA Pesticide Factsheets

    Abandoned Mine Lands are those lands, waters, and surrounding watersheds where extraction, beneficiation, or processing of ores and minerals (excluding coal) has occurred. These lands also include areas where mining or processing activity is inactive.

  12. Coal-oil slurry preparation

    DOEpatents

    Tao, John C.

    1983-01-01

    A pumpable slurry of pulverized coal in a coal-derived hydrocarbon oil carrier which slurry is useful as a low-ash, low-sulfur clean fuel, is produced from a high sulfur-containing coal. The initial pulverized coal is separated by gravity differentiation into (1) a high density refuse fraction containing the major portion of non-coal mineral products and sulfur, (2) a lowest density fraction of low sulfur content and (3) a middlings fraction of intermediate sulfur and ash content. The refuse fraction (1) is gasified by partial combustion producing a crude gas product from which a hydrogen stream is separated for use in hydrogenative liquefaction of the middlings fraction (3). The lowest density fraction (2) is mixed with the liquefied coal product to provide the desired fuel slurry. Preferably there is also separately recovered from the coal liquefaction LPG and pipeline gas.

  13. 78 FR 9803 - Tennessee Abandoned Mine Land Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-12

    ..., dangerous impoundments, abandoned structures/equipment, open mine portals, and open mine shafts and refuse..., policy, procedural, and organizational changes that have occurred since 1984. DATES: Effective Date... procedures to manage their financial management, equipment, and procurement systems. OMB Circular A-102 was...

  14. Inhalation health effects of fine particles from the co-combustion of coal and refuse derived fuel.

    PubMed

    Fernandez, Art; Wendt, Jost O L; Wolski, Natacha; Hein, Klaus R G; Wang, Shengjun; Witten, Mark L

    2003-06-01

    This paper is concerned with health effects from the inhalation of particulate matter (PM) emitted from the combustion of coal, and from the co-combustion of refuse derived fuel (RDF) and pulverized coal mixtures, under both normal and low NO(x) conditions. Specific issues focus on whether the addition of RDF to coal has an effect on PM toxicity, and whether the application of staged combustion (for low NO(x)) may also be a factor in this regard. Ash particles were sampled and collected from a pilot scale combustion unit and then re-suspended and diluted to concentrations of approximately 1000 microg/m(3). These particles were inhaled by mice, which were held in a nose-only exposure configuration. Exposure tests were for 1 h per day, and involved three sets (eight mice per set) of mice. These three sets were exposed over 8, 16, and 24 consecutive days, respectively. Pathological lung damage was measured in terms of increases in lung permeability. Results show that the re-suspended coal/RDF ash appeared to cause very different effects on lung permeability than did coal ash alone. In addition, it was also shown that a "snapshot" of lung properties after a fixed number of daily 1-h exposures, can be misleading, since apparent repair mechanisms cause lung properties to change over a period of time. For the coal/RDF, the greatest lung damage (in terms of lung permeability increase) occurred at the short exposure period of 8 days, and thereafter appeared to be gradually repaired. Ash from staged (low NO(x)) combustion of coal/RDF appeared to cause greater lung injury than that from unstaged (high NO(x)) coal/RDF combustion, although the temporal behavior and (apparent) repair processes in each case were similar. In contrast to this, coal ash alone showed a slight decrease of lung permeability after 1 and 3 days, and this disappeared after 12 days. These observations are interpreted in the light of mechanisms proposed in the literature. The results all suggest that the

  15. Use of an automatic resistivity system for detecting abandoned mine workings

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Peters, W.R.; Burdick, R.G.

    1983-01-01

    A high-resolution earth resistivity system has been designed and constructed for use as a means of detecting abandoned coal mine workings. The automatic pole-dipole earth resistivity technique has already been applied to the detection of subsurface voids for military applications. The hardware and software of the system are described, together with applications for surveying and mapping abandoned coal mine workings. Field tests are presented to illustrate the detection of both air-filled and water-filled mine workings.

  16. Using stable isotopes (δD, δ18O, δ34S and 87Sr/86Sr) to identify sources of water in abandoned mines in the Fengfeng coal mining district, northern China

    NASA Astrophysics Data System (ADS)

    Qu, Shen; Wang, Guangcai; Shi, Zheming; Xu, Qingyu; Guo, Yuying; Ma, Luan; Sheng, Yizhi

    2018-05-01

    With depleted coal resources or deteriorating mining geological conditions, some coal mines have been abandoned in the Fengfeng mining district, China. Water that accumulates in an abandoned underground mine (goaf water) may be a hazard to neighboring mines and impact the groundwater environment. Groundwater samples at three abandoned mines (Yi, Er and Quantou mines) in the Fengfeng mining district and the underlying Ordovician limestone aquifer were collected to characterize their chemical and isotopic compositions and identify the sources of the mine water. The water was HCO3·SO4-Ca·Mg type in Er mine and the auxiliary shaft of Yi mine, and HCO3·SO4-Na type in the main shaft of Quantou mine. The isotopic compositions (δD and δ18O) of water in the three abandoned mines were close to that of Ordovician limestone groundwater. Faults in the abandoned mines were developmental, possibly facilitating inflows of groundwater from the underlying Ordovician limestone aquifers into the coal mines. Although the Sr2+ concentrations differed considerably, the ratios of Sr2+/Ca2+ and 87Sr/86Sr and the 34S content of SO4 2- were similar for all three mine waters and Ordovician limestone groundwater, indicating that a close hydraulic connection may exist. Geochemical and isotopic indicators suggest that (1) the mine waters may originate mainly from the Ordovician limestone groundwater inflows, and (2) the upward hydraulic gradient in the limestone aquifer may prevent its contamination by the overlying abandoned mine water. The results of this study could be useful for water resources management in this area and other similar mining areas.

  17. Response of crownvetch planted on anthracite breaker refuse

    Treesearch

    Miroslaw M. Czapowskyj; John P. Mikulecky; Edward A. Sowa

    1968-01-01

    Lime applications were essential to establishment of crownvetch (Coronilla vuria L.) on coal breaker refuse in the Pennsylvania Anthracite Region, and mulch treatments were highly beneficial. Fertilizer applications had only slight effect on either establishment or growth.

  18. From in situ coal to the final coal product: A case study of the Danville Coal Member (Indiana)

    USGS Publications Warehouse

    Mastalerz, Maria; Padgett, P.L.

    1999-01-01

    A surface coal mine operation and preparation plant in southwestern Indiana was sampled to examine variations in coal quality and coal petrography parameters for the Danville Coal Member of the Dugger Formation (Pennsylvanian-Desmoinesian, Westphalian D). Representative samples from in situ coal, preparation plant feeds, and a final coal product were collected in order to compare coal quality, coal petrography, trace element concentrations, and ash chemistry of the coal to those of the product. Coal quality parameters of the in situ samples and various feeds, coarse refuse, and final product were variable. The quality of the final coal product was best predicted by the coal quality of the clean coal feed (from the middle portions of the seam). Some trace element contents, especially lead and arsenic, varied between the coal feeds and the product. Lead contents increased in the feeds and product compared to the channel sample of the raw coal, possibly due to contamination in the handling process.A surface coal mine operation and preparation plant in southwestern Indiana was sampled to examine variations in coal quality and coal petrography parameters for the Danville Coal Member of the Dugger Formation (Pennsylvanian-Desmoinesian, Westphalian D). Representative samples from in situ coal, preparation plant feeds, and a final coal product were collected in order to compare coal quality, coal petrography, trace element concentrations, and ash chemistry of the coal to those of the product. Coal quality parameters of the in situ samples and various feeds, coarse refuse, and final product were variable. The quality of the final coal product was best predicted by the coal quality of the clean coal feed (from the middle portions of the seam). Some trace element contents, especially lead and arsenic, varied between the coal feeds and the product. Lead contents increased in the feeds and product compared to the channel sample of the raw coal, possibly due to contamination in

  19. Application of multispectral scanner data to the study of an abandoned surface coal mine

    NASA Technical Reports Server (NTRS)

    Spisz, E. W.

    1978-01-01

    The utility of aircraft multispectral scanner data for describing the land cover features of an abandoned contour-mined coal mine is considered. The data were obtained with an 11 band multispectral scanner at an altitude of 1.2 kilometers. Supervised, maximum-likelihood statistical classifications of the data were made to establish land-cover classes and also to describe in more detail the barren surface features as they may pertain to the reclamation or restoration of the area. The scanner data for the surface-water areas were studied to establish the variability and range of the spectral signatures. Both day and night thermal images of the area are presented. The results of the study show that a high degree of statistical separation can be obtained from the multispectral scanner data for the various land-cover features.

  20. Method for in situ biological conversion of coal to methane

    DOEpatents

    Volkwein, Jon C.

    1995-01-01

    A method and apparatus are provided for the in situ biological conversion of coal to methane comprising culturing on a coal-containing substrate a consortium of microorganisms capable of degrading the coal into methane under suitable conditions. This consortium of microorganisms can be obtained from an underground cavity such as an abandoned mine which underwent a change from being supplied with sewage to where no sewage was present, since these conditions have favored the development of microorganisms capable of using coal as a carbon source and converting coal to methane. The consortium of microorganisms obtained from such abandoned coal mines can be isolated and introduced to hard-to-reach coal-containing substrates which lack such microorganisms and which would otherwise remain unrecoverable. The present invention comprises a significant advantage in that useable energy can be obtained from a number of abandoned mine sites or other areas wherein coal is no longer being recovered, and such energy can be obtained in a safe, efficient, and inexpensive manner.

  1. 4. NORTH ELEVATION, SHOWING COLLAPSED MARYLAND NEW RIVER COAL COMPANY ...

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

    4. NORTH ELEVATION, SHOWING COLLAPSED MARYLAND NEW RIVER COAL COMPANY ADDITION, WITH REFUSE CONVEYOR (FOREGROUND), TIMBER REFUSE BIN (LEFT), CONVEYOR HOUSE AND SCREENING ROOM (CENTER), AND COAL STORAGE SILO (RIGHT), LOOKING EAST - Nuttallburg Mine Complex, Tipple, North side of New River, 2.7 miles upstream from Fayette Landing, Lookout, Fayette County, WV

  2. Colour and toxic characteristics of metakaolinite–hematite pigment for integrally coloured concrete, prepared from iron oxide recovered from a water treatment plant of an abandoned coal mine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sadasivam, Sivachidambaram, E-mail: sadasivams@cardiff.ac.uk; Thomas, Hywel Rhys

    A metakaolinite-hematite (KH) red pigment was prepared using an ocherous iron oxide sludge recovered from a water treatment plant of an abandoned coal mine. The KH pigment was prepared by heating the kaolinite and the iron oxide sludge at kaolinite's dehydroxylation temperature. Both the raw sludge and the KH specimen were characterised for their colour properties and toxic characteristics. The KH specimen could serve as a pigment for integrally coloured concrete and offers a potential use for the large volumes of the iron oxide sludge collected from mine water treatment plants. - Graphical abstract: A kaolinite based red pigment wasmore » prepared using an ocherous iron oxide sludge recovered from an abandoned coal mine water treatment plant. Display Omitted - Highlights: • A red pigment was prepared by heating a kaolinite and an iron oxide sludge. • The iron oxide and the pigment were characterised for their colour properties. • The red pigment can be a potential element for integrally coloured concrete.« less

  3. Application of electromagnetic techniques in survey of contaminated groundwater at an abandoned mine complex in southwestern Indiana, U.S.A.

    USGS Publications Warehouse

    Brooks, G.A.; Olyphant, G.A.; Harper, D.

    1991-01-01

    In part of a large abandoned mining complex, electromagnetic geophysical surveys were used along with data derived from cores and monitoring wells to infer sources of contamination and subsurface hydrologic connections between acidic refuse deposits and adjacent undisturbed geologic materials. Electrical resistivity increases sharply along the boundary of an elevated deposit of pyritic coarse refuse, which is highly contaminated and electrically conductive, indicating poor subsurface hydrologic connections with surrounding deposits of fine refuse and undisturbed glacial material. Groundwater chemistry, as reflected in values of specific conductance, also differs markedly across the deposit's boundary, indicating that a widespread contaminant plume has not developed around the coarse refuse in more than 40 yr since the deposit was created. Most acidic drainage from the coarse refuse is by surface runoff and is concentrated around stream channels. Although most of the contaminated groundwater within the study area is concentrated within the surficial refuse deposits, transects of apparent resistivity and phase angle indicate the existence of an anomalous conductive layer at depth (>4 m) in thick alluvial sediments along the northern boundary of the mining complex. Based on knowledge of local geology, the anomaly is interpreted to represent a subsurface connection between the alluvium and a flooded abandoned underground mine. ?? 1991 Springer-Verlag New York Inc.

  4. Application of electromagnetic techniques in survey of contaminated groundwater at an abandoned mine complex in southwestern Indiana, U.S.A.

    NASA Astrophysics Data System (ADS)

    Brooks, Glenn A.; Olyphant, Greg A.; Harper, Denver

    1991-07-01

    In part of a large abandoned mining complex, electromagnetic geophysical surveys were used along with data derived from cores and monitoring wells to infer sources of contamination and subsurface hydrologic connections between acidic refuse deposits and adjacent undisturbed geologic materials. Electrical resistivity increases sharply along the boundary of an elevated deposit of pyritic coarse refuse, which is highly contaminated and electrically conductive, indicating poor subsurface hydrologic connections with surrounding deposits of fine refuse and undisturbed glacial material. Groundwater chemistry, as reflected in values of specific conductance, also differs markedly across the deposit's boundary, indicating that a widespread contaminant plume has not developed around the coarse refuse in more than 40 yr since the deposit was created. Most acidic drainage from the coarse refuse is by surface runoff and is concentrated around stream channels. Although most of the contaminated groundwater within the study area is concentrated within the surficial refuse deposits, transects of apparent resistivity and phase angle indicate the existence of an anomalous conductive layer at depth (>4 m) in thick alluvial sediments along the northern boundary of the mining complex. Based on knowledge of local geology, the anomaly is interpreted to represent a subsurface connection between the alluvium and a flooded abandoned underground mine.

  5. Hydroseeding on anthracite coal-mine spoils

    Treesearch

    Miroslaw M. Czapowskyj; Ross Writer

    1970-01-01

    A study was made of the performance of selected species of legumes, grasses, and trees hydroseeded on anthracite coal-mine spoils in a slurry of lime, fertilizer, and mulch. Hydroseeding failed on coal-breaker refuse, but was partially successful on strip-mine spoils.

  6. Fluid placement of fixated scrubber sludge to reduce surface subsidence and to abate acid mine drainage in abandoned underground coal mines

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Meiers, R.J.; Golden, D.; Gray, R.

    1995-12-31

    Indianapolis Power and Light Company (IPL) began researching the use of fluid placement techniques of the fixated scrubber sludge (FSS) to reduce surface subsidence from underground coal mines to develop an economic alternative to low strength concrete grout. Abandoned underground coal mines surround property adjacent to IPL`s coal combustion by-product (CCBP) landfill at the Petersburg Generating Station. Landfill expansion into these areas is in question because of the high potential for sinkhole subsidence to develop. Sinkholes manifesting at the surface would put the integrity of a liner or runoff pond containment structure for a CCBP disposal facility at risk. Themore » fluid placement techniques of the FSS as a subsidence abatement technology was demonstrated during an eight week period in September, October, and November 1994 at the Petersburg Generating Station. The success of this technology will be determined by the percentage of the mine void filled, strength of the FSS placed, and the overall effects on the hydrogeologic environment. The complete report for this project will be finalized in early 1996.« less

  7. Environmental Geochemistry and Acid Mine Drainage Evaluation of an Abandoned Coal Waste Pile at the Alborz-Sharghi Coal Washing Plant, NE Iran

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Jodeiri Shokri, Behshad, E-mail: b.jodeiri@hut.ac.ir; Doulati Ardejani, Faramarz; Ramazi, Hamidreza

    In this paper, an abandoned waste coal pile, which is resulted from Alborz-Sharghi coal washing plant, NE of Iran was mineralogically and geochemically characterized to evaluate pyrite oxidation, acid mine drainage (AMD) generation, and trace element mobility. After digging ten trenches and vertical sampling, a quantitative method including the atomic absorption test, and the quality-based methods including optical study were carried out for determination of pyrite fractions in the waste pile. The geochemical results revealed that the fraction of remaining pyrite increased with depth, indicating that pyrite oxidation is limited to the shallower depths of the pile which were confirmedmore » by variations of sulfate, pH, EC, and carbonate with depth of the pile. To evaluate the trend of trace elements and mineralogical constituents of the waste particles, the samples were analyzed by using XRD, ICP-MS, and ICP-OES methods. The results showed the secondary and neutralizing minerals comprising gypsum have been formed below the oxidation zone. Besides, positive values of net neutralization potential indicated that AMD generation has not taken in the waste pile. In addition, variations of trace elements with depth reveal that Pb and Zn exhibited increasing trends from pile surface toward the bottom sampling trenches while another of them such as Cu and Ni had decreasing trends with increasing depth of the waste pile.« less

  8. DOE Office of Scientific and Technical Information (OSTI.GOV)

    None

    The Staunton 1 Reclamation Demonstration Project involves an evaluation of the reclamation process for a deep coal mine refuse system. A typical abandoned midwestern deep coal mine refuse site was selected, final land use was determined, baseline data were collected, engineering plans were developed and implemented, and a post-construction evaluation was begun. The project is a cooperative effort by two state agencies--the Abandoned Mined Land Reclamation Council of Illinois the Illinois Institute for Environmental Quality--and the U.S. Department of Energy through the Land Reclamation Program at Argonne National Laboratory. Current investigations are monitoring groundwater, surface water quality, aquatic ecosystems, revegetation,more » soil characteristics, erosion and runoff, soil microbial and soil fauna populations, wildlife, and economic effects of the reclamation effort. The research is a multidisciplinary approach to the concept of ecosystem response to reclamation.« less

  9. 30 CFR 874.12 - Eligible coal lands and water.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Eligible coal lands and water. 874.12 Section... INTERIOR ABANDONED MINE LAND RECLAMATION GENERAL RECLAMATION REQUIREMENTS § 874.12 Eligible coal lands and water. Coal lands and water are eligible for reclamation activities if— (a) They were mined for coal or...

  10. 30 CFR 874.12 - Eligible coal lands and water.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Eligible coal lands and water. 874.12 Section... INTERIOR ABANDONED MINE LAND RECLAMATION GENERAL RECLAMATION REQUIREMENTS § 874.12 Eligible coal lands and water. Coal lands and water are eligible for reclamation activities if— (a) They were mined for coal or...

  11. 30 CFR 874.12 - Eligible coal lands and water.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Eligible coal lands and water. 874.12 Section... INTERIOR ABANDONED MINE LAND RECLAMATION GENERAL RECLAMATION REQUIREMENTS § 874.12 Eligible coal lands and water. Coal lands and water are eligible for reclamation activities if— (a) They were mined for coal or...

  12. 30 CFR 874.12 - Eligible coal lands and water.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Eligible coal lands and water. 874.12 Section... INTERIOR ABANDONED MINE LAND RECLAMATION GENERAL RECLAMATION REQUIREMENTS § 874.12 Eligible coal lands and water. Coal lands and water are eligible for reclamation activities if— (a) They were mined for coal or...

  13. 30 CFR 874.12 - Eligible coal lands and water.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Eligible coal lands and water. 874.12 Section... INTERIOR ABANDONED MINE LAND RECLAMATION GENERAL RECLAMATION REQUIREMENTS § 874.12 Eligible coal lands and water. Coal lands and water are eligible for reclamation activities if— (a) They were mined for coal or...

  14. What happens after a request for euthanasia is refused? Qualitative interviews with patients, relatives and physicians.

    PubMed

    Pasman, H Roeline W; Willems, Dick L; Onwuteaka-Philipsen, Bregje D

    2013-09-01

    Obtaining in-depth information from both patient and physician perspectives about what happens after a request for euthanasia or physician-assisted suicide (EAS) is refused. In-depth interviews with nine patients whose EAS request was refused and seven physicians of these patients, and with three relatives of patients who had died after a request was refused and four physicians of these patients. Interviews were conducted at least 6 months after the refusal. A wish to die remained in all patients after refusal, although it sometimes diminished. In most cases patient and physician stopped discussing this wish, and none of the physicians had discussed plans for the future with the patient or evaluated the patient's situation after their refusal. Physicians were aware of patients' continued wish to die. Patients who are refused EAS may subsequently be silent about a wish to die without abandoning it. Open communication about wishes to die is important, even outside the context of EAS, because if people feel unable to talk about them, their quality of life may be further diminished. Follow up appointments after refusal could give patients the opportunity to discuss their feelings and physicians to support them. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  15. 29 CFR 570.53 - Coal-mine occupations (Order 3).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Coal-mine occupations (Order 3). 570.53 Section 570.53... § 570.53 Coal-mine occupations (Order 3). (a) Finding and declaration of fact. All occupations in or about any coal mine, except the occupation of slate or other refuse picking at a picking table or...

  16. 29 CFR 570.53 - Coal-mine occupations (Order 3).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 3 2012-07-01 2012-07-01 false Coal-mine occupations (Order 3). 570.53 Section 570.53... § 570.53 Coal-mine occupations (Order 3). (a) Finding and declaration of fact. All occupations in or about any coal mine, except the occupation of slate or other refuse picking at a picking table or...

  17. 29 CFR 570.53 - Coal-mine occupations (Order 3).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 3 2011-07-01 2011-07-01 false Coal-mine occupations (Order 3). 570.53 Section 570.53... § 570.53 Coal-mine occupations (Order 3). (a) Finding and declaration of fact. All occupations in or about any coal mine, except the occupation of slate or other refuse picking at a picking table or...

  18. 29 CFR 570.53 - Coal-mine occupations (Order 3).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 3 2013-07-01 2013-07-01 false Coal-mine occupations (Order 3). 570.53 Section 570.53... § 570.53 Coal-mine occupations (Order 3). (a) Finding and declaration of fact. All occupations in or about any coal mine, except the occupation of slate or other refuse picking at a picking table or...

  19. 29 CFR 570.53 - Coal-mine occupations (Order 3).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 3 2014-07-01 2014-07-01 false Coal-mine occupations (Order 3). 570.53 Section 570.53... § 570.53 Coal-mine occupations (Order 3). (a) Finding and declaration of fact. All occupations in or about any coal mine, except the occupation of slate or other refuse picking at a picking table or...

  20. Use of an automatic earth resistivity system for detection of abandoned mine workings

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Peters, W.R.; Burdick, R.

    1982-04-01

    Under the sponsorship of the US Bureau of Mines, a surface-operated automatic high resolution earth resistivity system and associated computer data processing techniques have been designed and constructed for use as a potential means of detecting abandoned coal mine workings. The hardware and software aspects of the new system are described together with applications of the method to the survey and mapping of abandoned mine workings.

  1. Saga of coal bed methane, Ignacio Blanco gas field, Colorado

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Boyce, B.C.; Harr, C.L.; Burch, L.C.

    1989-09-01

    Prior to the 1977 discovery of the Cedar Hill Basal Fruitland pool (the first officially designated coal-bed methane field in the western US) 28.5 bcf of gas had been produced from Fruitland Formation coal seams in the Ignacio Blanco Fruitland-Pictured Cliffs field, Northern San Juan basin, Colorado. The discovery well for the field, Southern Ute D-1, was drilled and completed in 1951 on the Ignacio anticline, La Plata County, Colorado. Initial completion was attempted in the Pictured Cliffs Sandstone. The well was plugged back after making water from the Pictured Cliffs and was completed in the lower coal-bearing section ofmore » the Fruitland Formation. The well produced 487,333 mcf of gas in nine years and was abandoned in 1959 due to water encroachment. Additionally, 52 similarly completed Ignacio anticline Fruitland wells were abandoned by the early 1970s due to the nemesis of If it's starting to kick water, you're through. Under today's coal-bed methane technology and economics, Amoco has twinned 12 of the abandoned wells, drilled five additional wells, and is successfully dewatering and producing adsorbed methane from previously depleted coal sections of the Ignacio structure. Field-wide drilling activity in 1988 exceeded all previous annual levels, with coal-seam degasification projects leading the resurgence. Drilling and completion forecasts for 1989 surpass 1988 levels by 50%.« less

  2. Jet flames of a refuse derived fuel

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Weber, Roman; Kupka, Tomasz; Zajac, Krzysztof

    This paper is concerned with combustion of a refuse derived fuel in a small-scale flame. The objective is to provide a direct comparison of the RDF flame properties with properties of pulverized coal flames fired under similar boundary conditions. Measurements of temperature, gas composition (O{sub 2}, CO{sub 2}, CO, NO) and burnout have demonstrated fundamental differences between the coal flames and the RDF flames. The pulverized coals ignite in the close vicinity of the burner and most of the combustion is completed within the first 300 ms. Despite the high volatile content of the RDF, its combustion extends far intomore » the furnace and after 1.8 s residence time only a 94% burnout has been achieved. This effect has been attributed not only to the larger particle size of fluffy RDF particles but also to differences in RDF volatiles if compared to coal volatiles. Substantial amounts of oily tars have been observed in the RDF flames even though the flame temperatures exceeded 1300 C. The presence of these tars has enhanced the slagging propensity of RDF flames and rapidly growing deposits of high carbon content have been observed. (author)« less

  3. Risk factors associated with treatment refusal in lung cancer

    PubMed Central

    Suh, Won Na; Kong, Kyoung Ae; Han, Yeji; Kim, Soo Jung; Lee, Su Hwan; Ryu, Yon Ju; Lee, Jin Hwa; Shim, Sung Shine; Kim, Yookyung

    2017-01-01

    Background The incidence of lung cancer is increasing with longer life expectancy. Refusal of active treatment for cancer is prone to cause patients to experience more severe symptoms and shorten survival. The purpose of this study was to define the factors related to refusal or abandonment of active therapy in lung cancer. Methods We retrospectively reviewed the data of 617 patients from medical records from 2010 to 2014. Two groups were formed: 149 patients who refused anti‐cancer treatment and allowed only palliative care were classified into the non‐treatment group, while the remaining 468 who received anti‐cancer treatment were classified into the treatment group. Results The groups differed significantly in age, employment, relationship status, number of offspring, educational status, body mass index, presence of chest and systemic symptoms, Charlson Comorbidity Index, Eastern Cooperative Oncology Group score, and tumor node metastasis stage (P < 0.05). In logistic regression analysis, age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.07–1.13), educational status lower than high school (OR 1.95, 95% CI 1.2–3.2), no history of surgery (OR 2.29, 95% CI 1.4–3.7), body mass index < 18.5 (OR 2.49, 95% CI 1.3–4.7), and a high Eastern Cooperative Oncology Group score of 3 or 4 (OR 5.02, 95% CI 2.3–10.8) were significant factors for refusal of cancer treatment. Conclusion Individual factors, such as old age, low educational status, low weight, and poor performance status can influence refusal of cancer treatment in patients with lung cancer, and should be considered prior to consultation with patients. PMID:28627788

  4. Fires in Operating or Abandoned Coal Mines or Heaps of Reactive Materials and the Governing Transport and Reaction Processes

    NASA Astrophysics Data System (ADS)

    Wuttke, M. W.; Kessels, W.; Wessling, S.; Han, J.

    2007-05-01

    Spontaneous combustion is a world wide problem for technical operations in mining, waste disposal and power plant facilities. The principle driving the combustion is every where the same independent of the different reactive materials: Fresh air with the common oxygen content is getting in contact with the reactive material by human operations. The following reaction process produces heat at a usually low but constant rate. The reactive material in operating or abandoned coal mines, heaps of coal, waste or reactive minerals is most times strongly broken or fractured, such that the atmospheric oxygen can deeply penetrate into the porous or fractured media. Because the strongly broken or fractured medium with air filled pores and fractures is often combined with a low thermal conductivity of the bulk material the produced heat accumulates and the temperature increases with time. If the reactivity strongly increases with temperature, the temperature rise accelerates up to the "combustion temperature". Once the temperature is high enough the combustion process is determined by the oxygen transport to the combustion center rather than the chemical reactivity. Spontaneous combustion is thus a self- amplifying process where an initial small variation in the parameters and the starting conditions can create exploding combustion hot spots in an apparently homogenous material. The phenomenon will be discussed by various examples in the context of the German - Sino coal fire project. A temperature monitoring in hot fracture systems documents the strong influence of the weather conditions on the combustion process. Numerical calculations show the sensitivity of the combustion to the model geometries, the boundary conditions and mainly the permeability. The most used fire fighting operations like covering and water injection are discussed. A new method of using saltwater for fire fighting is presented and discussed. References: Kessels, W., Wessling, S., Li, X., and Wuttke, M

  5. Binder enhanced refuse derived fuel

    DOEpatents

    Daugherty, Kenneth E.; Venables, Barney J.; Ohlsson, Oscar O.

    1996-01-01

    A refuse derived fuel (RDF) pellet having about 11% or more particulate calcium hydroxide which is utilized in a combustionable mixture. The pellets are used in a particulate fuel bring a mixture of 10% or more, on a heat equivalent basis, of the RDF pellet which contains calcium hydroxide as a binder, with 50% or more, on a heat equivalent basis, of a sulphur containing coal. Combustion of the mixture is effective to produce an effluent gas from the combustion zone having a reduced SO.sub.2 and polycyclic aromatic hydrocarbon content of effluent gas from similar combustion materials not containing the calcium hydroxide.

  6. Risk factors associated with treatment refusal in lung cancer.

    PubMed

    Suh, Won Na; Kong, Kyoung Ae; Han, Yeji; Kim, Soo Jung; Lee, Su Hwan; Ryu, Yon Ju; Lee, Jin Hwa; Shim, Sung Shine; Kim, Yookyung; Chang, Jung Hyun

    2017-09-01

    The incidence of lung cancer is increasing with longer life expectancy. Refusal of active treatment for cancer is prone to cause patients to experience more severe symptoms and shorten survival. The purpose of this study was to define the factors related to refusal or abandonment of active therapy in lung cancer. We retrospectively reviewed the data of 617 patients from medical records from 2010 to 2014. Two groups were formed: 149 patients who refused anti-cancer treatment and allowed only palliative care were classified into the non-treatment group, while the remaining 468 who received anti-cancer treatment were classified into the treatment group. The groups differed significantly in age, employment, relationship status, number of offspring, educational status, body mass index, presence of chest and systemic symptoms, Charlson Comorbidity Index, Eastern Cooperative Oncology Group score, and tumor node metastasis stage ( P < 0.05). In logistic regression analysis, age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.07-1.13), educational status lower than high school (OR 1.95, 95% CI 1.2-3.2), no history of surgery (OR 2.29, 95% CI 1.4-3.7), body mass index < 18.5 (OR 2.49, 95% CI 1.3-4.7), and a high Eastern Cooperative Oncology Group score of 3 or 4 (OR 5.02, 95% CI 2.3-10.8) were significant factors for refusal of cancer treatment. Individual factors, such as old age, low educational status, low weight, and poor performance status can influence refusal of cancer treatment in patients with lung cancer, and should be considered prior to consultation with patients. © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

  7. U.S. ARMY CORPS OF ENGINEERS ABANDONED MINE LAND REMEDIATION WORKSHOP

    EPA Science Inventory

    Mining activities in the US (not counting coal) produce 1-2 billion tons of mine waste annually. Since many of the ore mines involve sulfide minerals, the production of acid mine drainage (AMD) is a common problem from these abandoned mine sites. The combination of acidity, heavy...

  8. Interfacial properties and coal cleaning in the LICADO process

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chi, S.M.B.

    1986-01-01

    The LICADO LIquid CArbon DiOxide process is currently being investigated as a new technique for cleaning coal. It relies on the relative wettability of clean coal and mineral particles between liquid CO/sub 2/ and water so that when liquid CO/sub 2/ is dispersed into a coal-water slurry, it tends to form agglomerates with the clean coal particles and float them to the liquid CO/sub 2/ phase. The mineral particles, on the other hand, remain in the aqueous phase as refuse. Since the surface/interfacial properties of fine coal particles play such an important role in this coal cleaning operation, an understandingmore » of their behavior becomes indispensable. In order to understand the separation mechanisms involved in the LICADO process, it is necessary to study the interfacial interactions occurring in the CO/sub 2/-water-coal system. It is believed that a relationship between the process performance and the wetting characteristics of the coal/refuse particles can be established. Upper Freeport -200 mesh coal from Indiana County, PA with 23.5% ash content was selected for the experimental work. A specially designed high pressure experimental unit, equipped with necessary optical and photographic accessories, was constructed for this study. Contact angles were also measured on the coal surface under two different sample pretreatment conditions: water-first-wet and liquid CO/sub 2/-first-wet. The results infer that an optimum mixing is necessary to provide sufficient shear force to expose the clean coal particles to the CO/sub 2/ droplets. The coal maceral and mineral association on the coal particle surface was determined based on the reflective grey level distinction between the mineral and Litho-type of various coal components.« less

  9. Surface-water hydrology at three coal-refuse disposal sites in southern Illinois: Staunton 1, New Kathleen, and Superior

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mele, L.M.; Prodan, P.F.

    1983-04-01

    Hydrologic data were collected and analyzed for three coal refuse disposal sites in southern Illinois. The disposal sites were associated with underground mines and consisted of piles of coarse waste (gob) and slurry areas where fine waste rejected from coal washing was deposited. Prereclamation data were available for the Superior washer site in Macoupin County and the New Kathleen site in Perry County. Post-reclamation data were available for the Staunton 1 site in Macoupin County and the New Kathleen site. Data analyzed from each phase (i.e., pre- or post-reclamation) were limited to one year. Storm event runoff coefficients were calculatedmore » for each site. Average runoff coefficients were compared for sites within the same reclamation phase to determine the effects of topographical parameters such as gob pile slope and percentage of drainage basin covered by the gob pile. Average runoff coefficients were then compared for pre- and post-reclamation data. Multiple regression analyses were performed on rainfall-runoff data for each site to determine the significance of independent variables other than rainfall in determining runoff. A generalized regression equation corrected data for topographical differences and included only those independent variables that were significant at all sites. Regression coefficients were compared for pre- and post-reclamation sites. The results of rainfall-runoff analysis indicate that the runoff coefficient increases because of reclamation. It is hypothesized that this effect is due to the placement of a soil cover that is less permeable than gob or slurry and occurs despite reduction in slope and the establishment of vegetation.« less

  10. RDF (Refuse Derived Fuel) Utilization in a Navy Stoker Coal-Fired Boiler.

    DTIC Science & Technology

    1984-10-01

    the energy production in any coal-fired boiler conversion consideration. The selection of the actual RDF to be used in a converted boiler should be... industrial boilers by gathering information from the Navy Energy and Environmental Support Activity, engineering field divi- sions, and field...activities. Currently the Navy has 27 industrial size boilers firing coal as a primary fuel and 10 firing coal as a secondary fuel. The four principal factors

  11. Effects of coal mine subsidence in the Sheridan, Wyoming, area

    USGS Publications Warehouse

    Dunrud, C. Richard; Osterwald, Frank W.

    1980-01-01

    Analyses of the surface effects of past underground coal mining in the Sheridan, Wyoming, area suggest that underground mining of strippable coal deposits may damage the environment more over long periods of time than would modern surface mining, provided proper restoration procedures are followed after surface mining. Subsidence depressions and pits are a continuing hazard to the environment and to man's activities in the Sheridan, Wyo., area above abandoned underground mines in weak overburden less than about 60 m thick and where the overburden is less than about 10-15 times the thickness of coal mined. In addition, fires commonly start by spontaneous ignition when water and air enter the abandoned mine workings via subsidence cracks and pits. The fires can then spread to unmined coal as they create more cavities, more subsidence, and more cracks and pits through which air can circulate. In modern surface mining operations the total land surface underlain by minable coal is removed to expose the coal. The coal is removed, the overburden and topsoil are replaced, and the land is regraded and revegetated. The land, although disturbed, can be more easily restored and put back into use than can land underlain by abandoned underground mine workings in areas where the overburden is less than about 60 m thick or less than about 10-15 times the thickness of coal mined. The resource recovery of modern surface mining commonly is much greater than that of underground mining procedures. Although present-day underground mining technology is advanced as compared to that of 25-80 years ago, subsidence resulting from underground mining of thick coal beds beneath overburden less than about 60 m thick can still cause greater damage to surface drainage, ground water, and vegetation than can properly designed surface mining operations. This report discusses (11 the geology and surface and underground effects of former large-scale underground coal mining in a 50-km 2 area 5-20 km

  12. Detection of coal mine workings using high-resolution earth resistivity techniques. Final technical report, September 1979-September 1980

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Peters, W.R.; Campbell, T.M.; Sturdivant, V.R.

    1980-09-26

    Shallow underground voids resulting from early coal mining and other resource recovery activities over the past several decades are now being recognized as a significant cause of ground subsidence problems in developing urban areas. Uncertain knowledge of abandoned coal mines also imposes potential hazards in coal excavation operations since water inundation or the release of methane gas is a principal hazard when mine excavation operations break into an abandoned mine. US Army requirements for an effective method for detecting and mapping subversive abandoned tunnels have resulted in a surface-operated automatic earth resistivity survey system with a digital computer data processingmore » system. Field tests aimed at demonstrating the system performance resulted in successful detection of tunnels having depth-to-diameter ratios up to 15 to 1. Under the sponsorship of the Bureau of Mines, a similar system was designed and constructed for use in the detection of coal mine workings. This report discusses the hardware and software aspects of the system and the application of the high-resolution earth resistivity method to the survey and mapping of abandoned coal mine workings. In the field tests reported, the targets of interest were both air- and water-filled workings.« less

  13. Costs of abandoned coal mine reclamation and associated recreation benefits in Ohio.

    PubMed

    Mishra, Shruti K; Hitzhusen, Frederick J; Sohngen, Brent L; Guldmann, Jean-Michel

    2012-06-15

    Two hundred years of coal mining in Ohio have degraded land and water resources, imposing social costs on its citizens. An interdisciplinary approach employing hydrology, geographic information systems, and a recreation visitation function model, is used to estimate the damages from upstream coal mining to lakes in Ohio. The estimated recreational damages to five of the coal-mining-impacted lakes, using dissolved sulfate as coal-mining-impact indicator, amount to $21 Million per year. Post-reclamation recreational benefits from reducing sulfate concentrations by 6.5% and 15% in the five impacted lakes were estimated to range from $1.89 to $4.92 Million per year, with a net present value ranging from $14.56 Million to $37.79 Million. A benefit costs analysis (BCA) of recreational benefits and coal mine reclamation costs provides some evidence for potential Pareto improvement by investing limited resources in reclamation projects. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. Resource targets for advanced underground coal extraction systems

    NASA Technical Reports Server (NTRS)

    Hoag, J. H.; Whipple, D. W.; Habib-Agahi, H.; Lavin, M. L.

    1982-01-01

    Resource targets appropriate for federal sponsorship of research and development of advanced underground coal mining systems are identified. A comprehensive examination of conventional and unconventional coals with particular attention to exceptionally thin and thick seams, steeply dipping beds, and multiple seam geometry was made. The results indicate that the resource of primary importance is flat lying bituminous coal of moderate thickness, under moderate cover, and located within the lower 48 states. Resources of secondary importance are the flat lying multiple seams and thin seams (especially those in Appalachia). Steeply dipping coals, abandoned pillars, and exceptionally thick western coals may be important in some regions of subregions, but the limited tonnage available places them in a position of tertiary importance.

  15. Identification and characterization of high methane-emitting abandoned oil and gas wells

    PubMed Central

    Kang, Mary; Christian, Shanna; Celia, Michael A.; Mauzerall, Denise L.; Bill, Markus; Miller, Alana R.; Chen, Yuheng; Conrad, Mark E.; Darrah, Thomas H.; Jackson, Robert B.

    2016-01-01

    Recent measurements of methane emissions from abandoned oil/gas wells show that these wells can be a substantial source of methane to the atmosphere, particularly from a small proportion of high-emitting wells. However, identifying high emitters remains a challenge. We couple 163 well measurements of methane flow rates; ethane, propane, and n-butane concentrations; isotopes of methane; and noble gas concentrations from 88 wells in Pennsylvania with synthesized data from historical documents, field investigations, and state databases. Using our databases, we (i) improve estimates of the number of abandoned wells in Pennsylvania; (ii) characterize key attributes that accompany high emitters, including depth, type, plugging status, and coal area designation; and (iii) estimate attribute-specific and overall methane emissions from abandoned wells. High emitters are best predicted as unplugged gas wells and plugged/vented gas wells in coal areas and appear to be unrelated to the presence of underground natural gas storage areas or unconventional oil/gas production. Repeat measurements over 2 years show that flow rates of high emitters are sustained through time. Our attribute-based methane emission data and our comprehensive estimate of 470,000–750,000 abandoned wells in Pennsylvania result in estimated state-wide emissions of 0.04–0.07 Mt (1012 g) CH4 per year. This estimate represents 5–8% of annual anthropogenic methane emissions in Pennsylvania. Our methodology combining new field measurements with data mining of previously unavailable well attributes and numbers of wells can be used to improve methane emission estimates and prioritize cost-effective mitigation strategies for Pennsylvania and beyond. PMID:27849603

  16. Development of clean coal and clean soil technologies using advanced agglomeration techniques

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ignasiak, B.; Ignasiak, T.; Szymocha, K.

    1990-01-01

    Three major topics are discussed in this report: (1) Upgrading of Low Rank Coals by the Agflotherm Process. Test data, procedures, equipment, etc., are described for co-upgrading of subbituminous coals and heavy oil; (2) Upgrading of Bituminous Coals by the Agflotherm Process. Experimental procedures and data, bench and pilot scale equipments, etc., for beneficiating bituminous coals are described; (3) Soil Clean-up and Hydrocarbon Waste Treatment Process. Batch and pilot plant tests are described for soil contaminated by tar refuse from manufactured gas plant sites. (VC)

  17. Study of application of ERTS-A imagery to fracture-related mine safety hazards in the coal mining industry

    NASA Technical Reports Server (NTRS)

    Wier, C. E.; Wobber, F. J. (Principal Investigator); Russell, O. R.; Amato, R. V.; Leshendok, T. V.

    1974-01-01

    The author has identified the following significant results. The mine refuse inventory maps were prepared in response to a need by both the State and the coal industry. The lack of information on the scope of the problem handicapped all people concerned in drafting realistic legislation for a severance tax on coal production to raise funds for restoration of refuse sites. The inventory was conducted rapidly and economically, and demonstrated the benefits which can be derived through remote sensing methods.

  18. Method for gasification of deep, thin coal seams

    DOEpatents

    Gregg, David W.

    1982-01-01

    A method of gasification of coal in deep, thin seams by using controlled bending subsidence to confine gas flow to a region close to the unconsumed coal face. The injection point is moved sequentially around the perimeter of a coal removal area from a production well to sweep out the area to cause the controlled bending subsidence. The injection holes are drilled vertically into the coal seam through the overburden or horizontally into the seam from an exposed coal face. The method is particularly applicable to deep, thin seams found in the eastern United States and at abandoned strip mines where thin seams were surface mined into a hillside or down a modest dip until the overburden became too thick for further mining.

  19. LAND REBORN: TOOLS FOR THE 21ST CENTURY/NATIONAL ASSOCIATION OF ABANDONED MINE LAND PROGRAMS

    EPA Science Inventory

    Mining activities in the US (not counting coal) produce 1-2 billion tons of mine waste annually. Since many of the ore mines involve sulfide minerals, the production of acid mine drainage (AMD) is a common problem from these abandoned mine sites. The combination of acidity, heavy...

  20. Gas emissions, minerals, and tars associated with three coal fires, Powder River Basin, USA.

    PubMed

    Engle, Mark A; Radke, Lawrence F; Heffern, Edward L; O'Keefe, Jennifer M K; Hower, James C; Smeltzer, Charles D; Hower, Judith M; Olea, Ricardo A; Eatwell, Robert J; Blake, Donald R; Emsbo-Mattingly, Stephen D; Stout, Scott A; Queen, Gerald; Aggen, Kerry L; Kolker, Allan; Prakash, Anupma; Henke, Kevin R; Stracher, Glenn B; Schroeder, Paul A; Román-Colón, Yomayra; ter Schure, Arnout

    2012-03-15

    Ground-based surveys of three coal fires and airborne surveys of two of the fires were conducted near Sheridan, Wyoming. The fires occur in natural outcrops and in abandoned mines, all containing Paleocene-age subbituminous coals. Diffuse (carbon dioxide (CO(2)) only) and vent (CO(2), carbon monoxide (CO), methane, hydrogen sulfide (H(2)S), and elemental mercury) emission estimates were made for each of the fires. Additionally, gas samples were collected for volatile organic compound (VOC) analysis and showed a large range in variation between vents. The fires produce locally dangerous levels of CO, CO(2), H(2)S, and benzene, among other gases. At one fire in an abandoned coal mine, trends in gas and tar composition followed a change in topography. Total CO(2) fluxes for the fires from airborne, ground-based, and rate of fire advancement estimates ranged from 0.9 to 780mg/s/m(2) and are comparable to other coal fires worldwide. Samples of tar and coal-fire minerals collected from the mouth of vents provided insight into the behavior and formation of the coal fires. Published by Elsevier B.V.

  1. Geochemistry of an abandoned landfill containing coal combustion waste: Implications for remediation

    Treesearch

    Christopher Barton; Linda Paddock; Christopher Romanek; John Seaman

    2001-01-01

    The 488-D Ash Basin (488-DAB) is an unlined, earthen landfill containing approximately one million tons of dry ash and coal reject material at the U.S. Department of Energy's Savannah River Site, SC. The pyritic nature of the coal rejects has resulted in the formation of acidic drainage (AD), which has contributed to groundwater deterioration and threatened biota...

  2. Assessment of organic contaminants in emissions from refuse-derived fuel combustion

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chrostowski, J.; Wait, D.; Kwong, E.

    1985-09-01

    Organic contaminants in emissions from refuse-derived fuel combustion were investigated in a 20-inch-diameter atmospheric fluidized-bed combustor. Combinations of coal/EcoFuel/MSW/toluene were burned inthe combustor with temperatures ranging from 1250 to 1550 degrees F. A Source Assessment Sampling System (SASS) was used to sample the stack gas; Level 1 methodology was used to analyze the organic-contaminant levels. Combustion efficiencies of 93 to 98 percent were achieved in the test burns. Combustion of the EcoFuel generated fewer organic emissions than combustion of coal at similar combustion temperatures. The fine particulate collected by the SASS train filter contained higher concentrations of extractable organics thanmore » the reactor fly ash and the SASS cyclone samples. Combustion of a toluene/EcoFuel mix generated a large number of benzene derivatives not seen in the combustion of pure EcoFuel. Polycyclic aromatic hydrocarbons were the dominant organic compounds contained in the XAD-2 resin extract from coal combustion. A number of different priority pollutants were identified in the samples collected.« less

  3. Advanced physical fine coal cleaning: Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1987-12-01

    The contract objective was to demonstrate Advanced Energy Dynamics, Inc., (AED) Ultrafine Coal (UFC) electrostatic physical fine coal cleaning process as capable of: producing clean coal products of no greater than 2% ash; significantly reducing the pyritic sulfur content below that achievable with state-of-the-art coal cleaning; recovering over 80% of the available energy content in the run-of-mine coal; producing product and refuse with surface moisture below 30%. Originally the demonstration was to be of a Charger/Disc System at the Electric Power Research Institute (EPRI) Coal Quality Development Center (CQDC) at Homer City, Pennsylvania. As a result of the combination ofmore » Charger/Disc System scale-up problems and parallel development of an improved Vertical-Belt Separator, DOE issued a contract modification to perform additional laboratory testing and optimization of the UFC Vertical-Belt Separator System at AED. These comparative test results, safety analyses and an economic analysis are discussed in this report. 29 refs., 25 figs., 41 tabs.« less

  4. Method for gasification of deep, thin coal seams. [DOE patent

    DOEpatents

    Gregg, D.W.

    1980-08-29

    A method of gasification of coal in deep, thin seams by using controlled bending subsidence to confine gas flow to a region close to the unconsumed coal face is given. The injection point is moved sequentially around the perimeter of a coal removal area from a production well to sweep out the area to cause the controlled bending subsidence. The injection holes are drilled vertically into the coal seam through the overburden or horizontally into the seam from an exposed coal face. The method is particularly applicable to deep, thin seams found in the eastern United States and at abandoned strip mines where thin seams were surface mined into a hillside or down a modest dip until the overburden became too thick for further mining.

  5. Biogeochemical interactions between of coal mine water and gas well cement

    NASA Astrophysics Data System (ADS)

    Gulliver, D. M.; Gardiner, J. B.; Kutchko, B. G.; Hakala, A.; Spaulding, R.; Tkach, M. K.; Ross, D.

    2017-12-01

    Unconventional natural gas wells drilled in Northern Appalachia often pass through abandoned coal mines before reaching the Marcellus or Utica formations. Biogeochemical interactions between coal mine waters and gas well cements have the potential to alter the cement and compromise its sealing integrity. This study investigates the mineralogical, geochemical, and microbial changes of cement cores exposed to natural coal mine waters. Static reactors with Class H Portland cement cores and water samples from an abandoned bituminous Pittsburgh coal mine simulated the cement-fluid interactions at relevant temperature for time periods of 1, 2, 4, and 6 weeks. Fluids were analyzed for cation and anion concentrations and extracted DNA was analyzed by 16S rRNA gene sequencing and shotgun sequencing. Cement core material was evaluated via scanning electron microscope. Results suggest that the sampled coal mine water altered the permeability and matrix mineralogy of the cement cores. Scanning electron microscope images display an increase in mineral precipitates inside the cement matrix over the course of the experiment. Chemistry results from the reaction vessels' effluent waters display decreases in dissolved calcium, iron, silica, chloride, and sulfate. The microbial community decreased in diversity over the 6-week experiment, with Hydrogenophaga emerging as dominant. These results provide insight in the complex microbial-fluid-mineral interactions of these environments. This study begins to characterize the rarely documented biogeochemical impacts that coal waters may have on unconventional gas well integrity.

  6. Application of decision tree model for the ground subsidence hazard mapping near abandoned underground coal mines.

    PubMed

    Lee, Saro; Park, Inhye

    2013-09-30

    Subsidence of ground caused by underground mines poses hazards to human life and property. This study analyzed the hazard to ground subsidence using factors that can affect ground subsidence and a decision tree approach in a geographic information system (GIS). The study area was Taebaek, Gangwon-do, Korea, where many abandoned underground coal mines exist. Spatial data, topography, geology, and various ground-engineering data for the subsidence area were collected and compiled in a database for mapping ground-subsidence hazard (GSH). The subsidence area was randomly split 50/50 for training and validation of the models. A data-mining classification technique was applied to the GSH mapping, and decision trees were constructed using the chi-squared automatic interaction detector (CHAID) and the quick, unbiased, and efficient statistical tree (QUEST) algorithms. The frequency ratio model was also applied to the GSH mapping for comparing with probabilistic model. The resulting GSH maps were validated using area-under-the-curve (AUC) analysis with the subsidence area data that had not been used for training the model. The highest accuracy was achieved by the decision tree model using CHAID algorithm (94.01%) comparing with QUEST algorithms (90.37%) and frequency ratio model (86.70%). These accuracies are higher than previously reported results for decision tree. Decision tree methods can therefore be used efficiently for GSH analysis and might be widely used for prediction of various spatial events. Copyright © 2013. Published by Elsevier Ltd.

  7. Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal.

    PubMed

    Chi, Donald L

    2014-07-01

    The aim of this study was to examine caregivers' refusal of preventive medical and dental care for children. Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-item survey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs). The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusal was 27.4%. In the regression models, immunization refusal was significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P < .001; caregiver self-report PRR = 6.20; 95% CI = 3.21, 11.98; P < .001). Caregivers younger than 35 years were significantly more likely than older caregivers to refuse both immunizations and topical fluoride (P < .05). Caregiver refusal of immunizations is associated with topical fluoride refusal. Future research should identify the behavioral and social factors related to caregiver refusal of preventive care with the goal of developing multidisciplinary strategies to help caregivers make optimal preventive care decisions for children.

  8. Caregivers Who Refuse Preventive Care for Their Children: The Relationship Between Immunization and Topical Fluoride Refusal

    PubMed Central

    2014-01-01

    Objectives. The aim of this study was to examine caregivers’ refusal of preventive medical and dental care for children. Methods. Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-item survey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs). Results. The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusal was 27.4%. In the regression models, immunization refusal was significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P < .001; caregiver self-report PRR = 6.20; 95% CI = 3.21, 11.98; P < .001). Caregivers younger than 35 years were significantly more likely than older caregivers to refuse both immunizations and topical fluoride (P < .05). Conclusions. Caregiver refusal of immunizations is associated with topical fluoride refusal. Future research should identify the behavioral and social factors related to caregiver refusal of preventive care with the goal of developing multidisciplinary strategies to help caregivers make optimal preventive care decisions for children. PMID:24832428

  9. A FIELD TEST USING COAL:DRDF BLENDS IN SPREADER STOKER-FIRED BOILERS

    EPA Science Inventory

    This program was conducted to characterize and demonstrate the technical, economic, and environmental feasibility of combustion densified forms of refuse derived fuel (dRDF) blended with coal in spreader stoker-fired boilers. A total of 258.5 Mg (285 tons) of pelletized 1/2-inch-...

  10. Paleoenvironmental model for the occurrence of vertebrate fossils in Carboniferous coal-bearing strata

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hook, R.W.

    An interdisciplinary investigation was undertaken to identify the paleoenvironmental factors that governed the accumulation and preservation of a prolific Upper Carboniferous vertebrate assemblage known from a cannel coal underlying the Upper Freeport coal in the Diamond Coal Mine of Linton, Ohio. Stratigraphic data from previous work and field studies within an approximately 15 km radius of the fossil locality show that the channel occupies a 10 km long, north-northwest trending abandoned channel that occurs within a sandstone-dominated, fining-upwards fluvial sequence. Petrographic analysis of samples from eight sites along the course of the abandoned channel establishes that the cannel is composedmore » primarily of spores and very fine-grained micrinitic groundmass. Abundant primary pyrite and the absence of well-reserved humic materials suggest that the fossiliferous cannel originated as a sapropelic peat within a non-acidic anaerobic environment. Skeletal remains of animals are well preserved with little to no mineralogic alteration. Outside the abandoned channel in the Linton area and to the north, Upper Freeport coal averages 1 m in thickness. To the south, the Upper Freeport horizon is represented by interbedded flint clays and freshwater limestones. These sediment distribution patterns reflect the synsedimentary influence of the Transylvania Fault Zone, a previously documented, basement-controlled feature which trends east-west through the study area. Contemporaneous movement along this fault produced a topographic high in the Linton area which was locally entrenched by northward-flowing rivers. Upper Freeport swamps developed on this upthrown surface whereas carbonate lakes formed to the south of the fault zone in topographically lower areas.« less

  11. Paleogeographic controls of coal accumulation, Cretaceous Blackhawk Formation and Star Point Sandstone, Wasatch Plateau, Utah.

    USGS Publications Warehouse

    Flores, R.M.; Blanchard, L.F.; Sanchez, J.D.; Marley, W.E.; Muldoon, W.J.

    1984-01-01

    Considers the paleogeographic controls affecting the accumulation of coals in delta-barrier-island complexes. Progradation, lateral shifting, and abandonment of these complexes created four major landward-thinning tongues.-from Authors

  12. Statutory complexity disguises agency capture in Citizens Coal Council v. EPA

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mullen, R.

    2007-07-01

    In Citizens Coal Council v. EPA, an en banc panel for the Sixth Circuit Court of Appeals considered a challenge to EPA regulations promulgated pursuant to the Clean Water Act (CWA). The EPA promulgated the regulations in an attempt to incentivize coal companies to remine once abandoned mine sites. Petitioners, two nonprofit environmental organizations, claimed that the regulations violated the Clean Water Act and Administrative Procedure Act by allowing coal companies to remine without adhering to any enforceable pollution limitations. The EPA countered that more remining would improve water quality at abandoned sites. The Sixth Circuit rejected Petitioners' claims, findingmore » that the EPA's regulations were reasonably consistent with the CWA's goal of restoring the integrity of the nation's waters. In so holding, the court struggled to understand the meaning of the CWA's complex procedural and technical language, and allowed the EPA to justify the rule based on the CWA's broad statement of purpose. Such superficial judicial review sets a dangerous precedent in environmental law, because it exacerbates the risk of agency capture. A captured agency promulgates regulations that benefit-industry, not the environment. Without the judiciary acting as a meaningful check against agency capture, the public loses a valuable tool in the fight against major-industrial polluters like the domestic coal industry. Citizens Coal Council therefore stands as a cautionary tale, a warning sign that the judiciary may be unable to identify agency capture where the regulations at issue are promulgated pursuant to a complex statute like the Clean Water Act.« less

  13. Implied consent refusal impact

    DOT National Transportation Integrated Search

    1991-09-01

    This report examines the extent to which persons suspected of DWI refuse to take a chemical test as required by law, describes implied consent laws in 50 States, analyzes the relation of law features to refusal rate, and analyzes the characteristics ...

  14. Arsenic and lead concentrations in the Pond Creek and Fire Clay coal beds, eastern Kentucky coal field

    USGS Publications Warehouse

    Hower, J.C.; Robertson, J.D.; Wong, A.S.; Eble, C.F.; Ruppert, L.F.

    1997-01-01

    The Middle Pennsylvanian Breathitt Formation (Westphalian B) Pond Creek and Fire Clay coal beds are the 2 largest producing coal beds in eastern Kentucky. Single channel samples from 22 localities in the Pond Creek coal bed were obtained from active coal mines in Pike and Martin Countries, Kentucky, and a total of 18 Fire Clay coal bed channel samples were collected from localities in the central portion of the coal field. The overall objective of this study was to investigate the concentration and distribution of potentially hazardous elements in the Fire Clay and Pond Creek coal beds, with particular emphasis on As and Pb, 2 elements that are included in the 1990 Clean Air Act Amendments as potential air toxics. The 2 coals are discussed individually as the depositional histories are distinct, the Fire Clay coal bed having more sites where relatively high-S lithologies are encountered. In an effort to characterize these coals, 40 whole channel samples, excluding 1-cm partings, were analyzed for major, minor and trace elements by X-ray fluorescence and proton-induced X-ray emission spectroscopy. Previously analyzed samples were added to provide additional geographic coverage and lithotype samples from one site were analyzed in order to provide detail of vertical elemental trends. The As and Pb levels in the Fire Clay coal bed tend to be higher than in the Pond Creek coal bed. One whole channel sample of the Fire Clay coal bed contains 1156 ppm As (ash basis), with a single lithotype containing 4000 ppm As (ash basis). Most of the As and Pb appears to be associated with pyrite, which potentially can be removed in beneficiation (particularly coarser pyrite). Disseminated finer pyrite may not be completely removable by cleaning. In the examination of pyrite conducted in this study, it does not appear that significant concentration of As or Pb occurs in the finer pyrite forms. The biggest potential problem of As- or Pb-enriched pyrite is, therefore, one of refuse

  15. "Sticking Together!" Policy Activism from within a UK Coal-Mining Community

    ERIC Educational Resources Information Center

    Bright, N. Geoffrey

    2012-01-01

    This article reflects on some aspects of a doctoral ethnographic study of young people disaffected from schooling in a post-industrial space of ruin in a former coal-mining community in England. It considers how their experiences of resistance and refusal of schooling can, in the relational ethos of non-school support settings, come to speak back…

  16. Sinkhole-type subsidence over abandoned coal mines in St. David, Illinois. Mine subsidence report, St. David, Illinois. A field survey and analysis of mine subsidence of abandoned coal mines in St. David, Illinois

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wildanger, E.G.; Mahar, J.; Nieto, A.

    1980-01-01

    This study examined the geologic data, mining history, and subsidence trends of the St. David region. Mine subsidence has occurred due to collapse of the abandoned mine workings. The known subsidence areas have been mapped and described. Results of the study include: (1) St. David has been undermined by both large shipping mines and smaller local mines; (2) sinkholes will continue to develop in this area in response to rock failure and roof collapse above the abandoned mine workings; (3) some primary factors that contribute to the sinkhole problems are the undermining and roof rock composition; (4) sinkholes will bemore » smaller in the future; (5) ten of the 63 sinkholes occurred close enough to structures to cause damage, and only six sinkholes caused damage; (6) ways to minimize potential damage to future homes from sinkhole subsidence are manageable; (7) threats to residents lie in the collapse of heavy walls, brick chimneys, breaks in gas, water, or electrical lines; and (8) location of future subsidence is not predictable. (DP)« less

  17. Abandoning wells working group

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    The primary objective of this working group is to identify major technical, regulatory, and environmental issues that are relevant to the abandonment of offshore wellbores. Once the issues have been identified, the working group also has the objective of making recommendations or providing potential solutions for consideration. Areas for process improvement will be identified and {open_quotes}best practices{close_quotes} will be discussed and compared to {open_quotes}minimum standards.{close_quotes} The working group will primarily focus on wellbore abandonment in the Gulf of Mexico. However, workshop participants are encouraged to discuss international issues which may be relevant to wellbore abandonment practices in the Gulf ofmore » Mexico. The Abandoning Wells Group has identified several major areas for discussion that have concerns related to both operators and service companies performing wellbore abandonments in the Gulf of Mexico. The following broad topics were selected for the agenda: (1) MMS minimum requirements and state regulations. (2) Co-existence of best practices, new technology, and P & A economics. (3) Liability and environmental issues relating to wellbore abandonment.« less

  18. School Refuser Child Identities

    ERIC Educational Resources Information Center

    Stroobant, Emma; Jones, Alison

    2006-01-01

    "School refuser" is an always-already negative child identity. The term is used to categorize children or adolescents who appear to dislike and fear school (or aspects of school) and persistently refuse to attend or attend very unwillingly. Given that school attendance is generally considered a necessary social good, regular and anxious…

  19. Abandoned babies and absent policies.

    PubMed

    Mueller, Joanne; Sherr, Lorraine

    2009-12-01

    Although infant abandonment is a historical problem, we know remarkably little about the conditions or effects of abandonment to guide evidence driven policies. This paper briefly reviews the existing international evidence base with reference to potential mental health considerations before mapping current UK guidelines and procedures, and available incidence data. Limitations arising from these findings are discussed with reference to international practice, and interpreted in terms of future pathways for UK policy. A systematic approach was utilized to gather available data on policy information and statistics on abandoned babies in the UK. A review of the limited literature indicates that baby abandonment continues to occur, with potentially wide-ranging mental health ramifications for those involved. However, research into such consequences is lacking, and evidence with which to understand risk factors or motives for abandonment is scarce. International approaches to the issue remain controversial with outcomes unclear. Our systematic search identified that no specific UK policy relating to baby abandonment exists, either nationally or institutionally. This is compounded by a lack of accurate of UK abandonment statistics. Data that does exist is not comprehensive and sources are incompatible, resulting in an ambiguous picture of UK baby abandonment. Available literature indicates an absence of clear provision, policy and research on baby abandonment. Based on current understanding of maternal and child mental health issues likely to be involved in abandonment, existing UK strategy could be easily adapted to avoid the 'learning from scratch' approach. National policies on recording and handling of baby abandonments are urgently needed, and future efforts should be concentrated on establishing clear data collection frameworks to inform understanding, guide competent practice and enable successfully targeted interventions.

  20. Results of coal bed methane drilling, Mylan Park, Monongalia County, West Virginia

    USGS Publications Warehouse

    Ruppert, Leslie F.; Fedorko, Nick; Warwick, Peter D.; Grady, William C.; Crangle, Robert D.; Britton, James Q.

    2004-01-01

    The Department of Energy National Energy Technology Laboratory funded drilling of a borehole (39.64378 deg E , -80.04376 deg N) to evaluate the potential for coal bed methane and carbon dioxide sequestration at Mylan Park, Monongalia County, West Virginia. The drilling commenced on September 23, 2002 and was completed on November 14, 2002. The 2,525 ft deep hole contained 1,483.41 ft of Pennsylvanian coal-bearing strata, 739.67 feet of Mississippian strata, and 301.93 ft. of Devonian strata. The drill site was located directly over abandoned Pittsburgh and Sewickley coal mines. Coal cores from remaining mine pillars were cut and retrieved for desorption from both mines. In addition, coals were cored and desorbed from the Pittsburgh Roof, Little Pittsburgh, Elk Lick, Brush Creek, Upper Kittanning, Middle Kittanning, Clarion, Upper Mercer, Lower Mercer, and Quakertown coal beds. All coals are Pennsylvanian in age and are high-volatile-A bituminous in rank. A total of 34.75 ft of coal was desorbed over a maximum period of 662 days, although most of the coal was desorbed for about 275 days. This report is provided in Adobe Acrobat format. Appendix 3 is provided in Excel format.

  1. Size and maceral association of pyrite in Illinois coals and their float-sink fractions

    USGS Publications Warehouse

    Harvey, R.D.; DeMaris, P.J.

    1987-01-01

    The amount of pyrite (FeS2) removed by physical cleaning varies with differences in the amount of pyrite enclosed within minerals and of free pyrite in feed coals. A microscopic procedure for characterizing the size and maceral association of pyrite grains was developed and evaluate by testing three coals and their washed products. The results yield an index to the cleanability of pyrite. The index is dependent upon particle size and has intermediate values for feed coals, lower values for cleaned fractions, and higher values for refuse fractions; furthermore, it correlates with pyritic sulfur content. In the coals examined, the summed percentage of grain diameters of pyrite enclosed in vitrinite, liptinite, and bi- and trimacerite provides a quantitative measure of the proportion of early diagenetic deposition of pyrite. ?? 1987.

  2. Refusing to Treat Sexual Dysfunction in Sex Offenders.

    PubMed

    Douglas, Thomas

    2017-01-01

    This article examines one kind of conscientious refusal: the refusal of healthcare professionals to treat sexual dysfunction in individuals with a history of sexual offending. According to what I call the orthodoxy, such refusal is invariably impermissible, whereas at least one other kind of conscientious refusal-refusal to offer abortion services-is not. I seek to put pressure on the orthodoxy by (1) motivating the view that either both kinds of conscientious refusal are permissible or neither is, and (2) critiquing two attempts to buttress it.

  3. 49 CFR 219.505 - Refusals.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Pre-Employment Tests § 219.505 Refusals. An applicant who has refused to submit to pre-employment testing under this section may not be employed in covered service...

  4. 49 CFR 219.505 - Refusals.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Pre-Employment Tests § 219.505 Refusals. An applicant who has refused to submit to pre-employment testing under this section may not be employed in covered service...

  5. 49 CFR 219.505 - Refusals.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Pre-Employment Tests § 219.505 Refusals. An applicant who has refused to submit to pre-employment testing under this section may not be employed in covered service...

  6. 49 CFR 219.505 - Refusals.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Pre-Employment Tests § 219.505 Refusals. An applicant who has refused to submit to pre-employment testing under this section may not be employed in covered service...

  7. 49 CFR 219.505 - Refusals.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Pre-Employment Tests § 219.505 Refusals. An applicant who has refused to submit to pre-employment testing under this section may not be employed in covered service...

  8. School refusal by patients with gender identity disorder.

    PubMed

    Terada, Seishi; Matsumoto, Yosuke; Sato, Toshiki; Okabe, Nobuyuki; Kishimoto, Yuki; Uchitomi, Yosuke

    2012-01-01

    The accumulating evidence suggests that school refusal behavior is associated with severe negative outcomes. However, previous research has not addressed school refusal by patients with gender identity disorder (GID). In this study, we tried to clarify the prevalence of school refusal among GID patients and the relationship of school refusal to demographic characteristics. A total of 579 consecutive Japanese GID patients at the outpatient GID Clinic of Okayama University Hospital between April 1997 and October 2005 were evaluated. The prevalence of school refusal was 29.2% of the total sample. School refusal was more frequent among GID patients with divorced parents than those with intact families. Multiple logistic regression analysis showed that younger age at consultation and divorce of parents were significantly associated with school refusal among the male-to-female GID patients. The rate of school refusal among GID patients is high, and school refusal is closely related with a low level of education and current unemployment. We should pay more attention to GID patients of school age to prevent their school refusal, which results in low educational achievement. Copyright © 2012 Elsevier Inc. All rights reserved.

  9. [Treatment Refusal in Pediatric Oncology].

    PubMed

    Špótová, A; Husáková, K; Hrašková, A; Mikesková, M; Puškáčová, J; Hederová, S; Jamárik, M; Rabenseifertová, E; Jalovecká, Z; Kolenová, A; Šubová, Z

    2017-01-01

    Pediatric oncologists are often faced with situations in which parents or guardians refuse recommended treatment for curable childhood cancer. Deciding how to proceed in such situations is an ethical dilemma. The aim of this article is to consider optimal approaches when parents are strongly against oncological treatment, potentially compromising their childrens rights for health care and to the chance for cure. In this paper, we report two cases of treatment refusal from our department and the impact of such decisions on the children themselves. Case no. 1 describes a child with retinoblastoma whose parents refused standard treatment in order to seek alternative treatment abroad. Case no. 2 describes a patient with a primary lymphoma of bone who received treatment by a court order after parental refusal. When parents refuse a treatment for potentially curable cancer, the medical team often focuses on the certainty of death without treatment. In the background, there is a smaller but still significant risk that - even if the treatment is eventually accepted or compelled - the child will still die from treatment-related complications or refractory disease, possibly with considerable suffering. The reasons for refusing a treatment vary. The entire medical team is tasked with trying to respectfully understand the reasoning behind the parents unwillingness to accept the treatment, in order to address all possible misunderstandings and to propose solutions that could be acceptable for the parents. In some situations however, it is necessary to resolve the dilemma by legal means in order to protect the life of the child.Key words: oncology - ethics - decision making - treatment refusal - legal guardians The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manuscript met the ICMJE recommendation for biomedical papers.Submitted: 7. 8. 2017Accepted: 7. 9. 2017.

  10. Influenza vaccine refusal in Israeli young adults.

    PubMed

    Balicer, Ran D; Grotto, Itamar; Huerta, Michael; Levian, Yardena; Davidovitch, Nadav

    2007-10-01

    The purpose of this study was to identify correlates of noncompliance with influenza immunization among young adults and to determine the reasons leading to immunization refusal. Self-administered questionnaires were distributed in 10 military bases during two consecutive annual Israel Defense Force influenza vaccination campaigns. Multivariate logistic regression was performed to identify independent correlates. Of 2,000 questionnaires distributed over two seasons, 942 were completed and returned. Of those, 401 respondents were not vaccinated either because of medical contraindication or for administrative reasons. The remaining 541 respondents who reported either receiving the vaccine or refusing to receive it were analyzed. Risk groups for vaccine refusal included older age (17.9% vs. 3.5% refusal rate) and officer rank (25.9% vs. 13.8% refusal rate). The main reasons for vaccine refusal differed significantly between officers and nonofficers (chi2 = 7.587, p = 0.023). Officers refused mainly (60%) because of fear of possible vaccine adverse effects, whereas nonofficers refused mainly (44.2%) because of disbelief in the vaccine's efficacy in preventing illness. Officers serve as a negative role model in this case, and efforts directed toward dissemination of evidence-based information regarding vaccine-related adverse effects should be introduced to increase vaccination rates in this group.

  11. 49 CFR 219.213 - Unlawful refusals; consequences.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Unlawful refusals; consequences. 219.213 Section 219.213 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD... § 219.213 Unlawful refusals; consequences. (a) Disqualification. An employee who refuses to cooperate in...

  12. The Space Station integrated refuse management system

    NASA Technical Reports Server (NTRS)

    1988-01-01

    The University of Central Florida's design of an Integrated Refuse Management System for the proposed International Space Station is addressed. Four integratable subsystems capable of handling an estimated Orbiter shortfall of nearly 40,000 lbs of refuse produced annually are discussed. The subsystems investigated were: (1) collection and transfer; (2) recycle and reuse; (3) advanced disposal; and (4) propulsion assist in disposal. Emphasis is placed on the recycling or reuse of those materials ultimately providing a source of Space Station refuse. Special consideration is given to various disposal methods capable of completely removing refuse from close proximity of the Space Station. There is evidence that pyrolysis is the optimal solution for disposal of refuse through employment of a Rocket Jettison Vehicle. Additionally, design considerations and specifications of the Refuse Management System are discussed. Optimal and alternate design solutions for each of the four subsystems are summarized. Finally, the system configuration is described and reviewed.

  13. Preliminary Toxicological Analysis of the Effect of Coal Slurry Impoundment Water on Human Liver Cells

    USGS Publications Warehouse

    Bunnell, Joseph E.

    2008-01-01

    Coal is usually 'washed' with water and a variety of chemicals to reduce its content of sulfur and mineral matter. The 'washings' or 'coal slurry' derived from this process is a viscous black liquid containing fine particles of coal, mineral matter, and other dissolved and particulate substances. Coal slurry may be stored in impoundments or in abandoned underground mines. Human health and environmental effects potentially resulting from leakage of chemical substances from coal slurry into drinking water supplies or aquatic ecosystems have not been systematically examined. Impoundments are semipermeable, presenting the possibility that inorganic and organic substances, some of which may be toxic, may contaminate ground or surface water. The Agency for Toxic Substances and Disease Registry, part of the Centers for Disease Control and Prevention, has concluded that well water in Mingo County, West Virginia, constitutes a public health hazard.

  14. 18 CFR 157.216 - Abandonment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 1 2011-04-01 2011-04-01 false Abandonment. 157.216 Section 157.216 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT... facilities to be abandoned. (5) For any abandonment resulting in earth disturbance, a USGS 71/2-minute-series...

  15. 18 CFR 157.216 - Abandonment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Abandonment. 157.216 Section 157.216 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT... facilities to be abandoned. (5) For any abandonment resulting in earth disturbance, a USGS 71/2-minute-series...

  16. 18 CFR 157.216 - Abandonment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Abandonment. 157.216 Section 157.216 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT... facilities to be abandoned. (5) For any abandonment resulting in earth disturbance, a USGS 71/2-minute-series...

  17. 18 CFR 157.216 - Abandonment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false Abandonment. 157.216 Section 157.216 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT... facilities to be abandoned. (5) For any abandonment resulting in earth disturbance, a USGS 71/2-minute-series...

  18. 18 CFR 157.216 - Abandonment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Abandonment. 157.216 Section 157.216 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT... facilities to be abandoned. (5) For any abandonment resulting in earth disturbance, a USGS 71/2-minute-series...

  19. 9 CFR 439.50 - Refusal of accreditation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ACCREDITATION OF NON-FEDERAL CHEMISTRY LABORATORIES § 439.50 Refusal of accreditation. Upon a determination by the Administrator, a laboratory will be refused accreditation for the following reasons: (a) A laboratory will be refused accreditation for failure to meet the requirements of § 439.5 or § 439.10 of this...

  20. The space station integrated refuse management system

    NASA Technical Reports Server (NTRS)

    Anderson, Loren A.

    1988-01-01

    The design and development of an Integrated Refuse Management System for the proposed International Space Station was performed. The primary goal was to make use of any existing potential energy or material properties that refuse may possess. The secondary goal was based on the complete removal or disposal of those products that could not, in any way, benefit astronauts' needs aboard the Space Station. The design of a continuous living and experimental habitat in space has spawned the need for a highly efficient and effective refuse management system capable of managing nearly forty-thousand pounds of refuse annually. To satisfy this need, the following four integrable systems were researched and developed: collection and transfer; recycle and reuse; advance disposal; and propulsion assist in disposal. The design of a Space Station subsystem capable of collecting and transporting refuse from its generation site to its disposal and/or recycling site was accomplished. Several methods of recycling or reusing refuse in the space environment were researched. The optimal solution was determined to be the method of pyrolysis. The objective of removing refuse from the Space Station environment, subsequent to recycling, was fulfilled with the design of a jettison vehicle. A number of jettison vehicle launch scenarios were analyzed. Selection of a proper disposal site and the development of a system to propel the vehicle to that site were completed. Reentry into the earth atmosphere for the purpose of refuse incineration was determined to be the most attractive solution.

  1. The Legal Ethical Backbone of Conscientious Refusal.

    PubMed

    Munthe, Christian; Nielsen, Morten Ebbe Juul

    2017-01-01

    This article analyzes the idea of a legal right to conscientious refusal for healthcare professionals from a basic legal ethical standpoint, using refusal to perform tasks related to legal abortion (in cases of voluntary employment) as a case in point. The idea of a legal right to conscientious refusal is distinguished from ideas regarding moral rights or reasons related to conscientious refusal, and none of the latter are found to support the notion of a legal right. Reasons for allowing some sort of room for conscientious refusal for healthcare professionals based on the importance of cultural identity and the fostering of a critical atmosphere might provide some support, if no countervailing factors apply. One such factor is that a legal right to healthcare professionals' conscientious refusal must comply with basic legal ethical tenets regarding the rule of law and equal treatment, and this requirement is found to create serious problems for those wishing to defend the idea under consideration. We conclude that the notion of a legal right to conscientious refusal for any profession is either fundamentally incompatible with elementary legal ethical requirements, or implausible because it undermines the functioning of a related professional sector (healthcare) or even of society as a whole.

  2. 22 CFR 40.6 - Basis for refusal.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Basis for refusal. 40.6 Section 40.6 Foreign Relations DEPARTMENT OF STATE VISAS REGULATIONS PERTAINING TO BOTH NONIMMIGRANTS AND IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED General Provisions § 40.6 Basis for refusal. A visa can be refused...

  3. 21 CFR 211.50 - Sewage and refuse.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Sewage and refuse. 211.50 Section 211.50 Food and... CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Buildings and Facilities § 211.50 Sewage and refuse. Sewage, trash, and other refuse in and from the building and immediate premises shall be...

  4. Medication Refusal: Resident Rights, Administration Dilemma.

    PubMed

    Haskins, Danielle R; Wick, Jeannette Y

    2017-12-01

    Occasionally, residents actively or passively refuse to take medications. Residents may refuse medication for a number of reasons, including religious beliefs, dietary restrictions, misunderstandings, cognitive impairment, desire to self-harm, or simple inconvenience. This action creates a unique situation for pharmacists and long-term facility staff, especially if patients have dementia. Residents have the legal right to refuse medications, and long-term care facilities need to employ a process to resolve disagreement between the health care team that recommends the medication and the resident who refuses it. In some cases, simple interventions like selecting a different medication or scheduling medications in a different time can address and resolve the resident's objection. If the medical team and the resident cannot resolve their disagreement, often an ethics consultation is helpful. Documenting the resident's refusal to take any or all medications, the health care team's actions and any other outcomes are important. Residents' beliefs may change over time, and the health care team needs to be prepared to revisit the issue as necessary.

  5. ACOG Committee Opinion No. 306. Informed refusal.

    PubMed

    2004-12-01

    Informed refusal is a fundamental component of the informed consent process. Informed consent laws have evolved to the "materiality or patient viewpoint" standard. A physician must disclose to the patient the risks, benefits, and alternatives that a reasonable person in the patient's position would want to know to make an informed decision. Throughout this process, the patient's autonomy, level of health literacy, and cultural background should be respected. The subsequent election by the patient to forgo an intervention that has been recommended by the physician constitutes informed refusal. Documentation of the informed refusal process is essential. It should include a notation that the need for the intervention, as well as risks, benefits, and alternatives to the intervention, and possible consequences of refusal, have been explained. The patient's reason for refusal also should be documented.

  6. Legal briefing: conscience clauses and conscientious refusal.

    PubMed

    Pope, Thaddeus Mason

    2010-01-01

    This issue's "Legal Briefing" column covers legal developments pertaining to conscience clauses and conscientious refusal. Not only has this topic been the subject of recent articles in this journal, but it has also been the subject of numerous public and professional discussions. Over the past several months, conscientious refusal disputes have had an unusually high profile not only in courthouses, but also in legislative and regulatory halls across the United States. Healthcare providers' own moral beliefs have been obstructing and are expected to increasingly obstruct patients' access to medical services. For example, some providers, on ethical or moral grounds, have denied: (1) sterilization procedures to pregnant patients, (2) pain medications in end-of-life situations, and (3) information about emergency contraception to rape victims. On the other hand, many healthcare providers have been forced to provide medical treatment that is inconsistent with their moral beliefs. There are two fundamental types of conscientious objection laws. First, there are laws that permit healthcare workers to refuse providing - on ethical, moral, or religious grounds healthcare services that they might otherwise have a legal or employer-mandated obligation to provide. Second, there are laws directed at forcing healthcare workers to provide services to which they might have ethical, moral, or religious objections. Both types of laws are rarely comprehensive, but instead target: (1) certain types of healthcare providers, (2) specific categories of healthcare services, (3) specific patient circumstances, and (4) certain conditions under which a right or obligation is triggered. For the sake of clarity, I have grouped recent legal developments concerning conscientious refusal into eight categories: 1. Abortion: right to refuse 2. Abortion: duty to provide 3. Contraception: right to refuse 4. Contraception: duty to provide 5. Sterilization: right to refuse 6. Fertility, HIV, vaccines

  7. 9 CFR 98.9 - Embryos refused entry.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Embryos refused entry. 98.9 Section 98... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos from Regions Free of Rinderpest and Foot-and-Mouth Disease; and Embryos of Horses and Asses § 98.9 Embryos refused entry. Any embryo refused entry into the...

  8. 9 CFR 98.9 - Embryos refused entry.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Embryos refused entry. 98.9 Section 98... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos from Regions Free of Rinderpest and Foot-and-Mouth Disease; and Embryos of Horses and Asses § 98.9 Embryos refused entry. Any embryo refused entry into the...

  9. 9 CFR 98.9 - Embryos refused entry.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Embryos refused entry. 98.9 Section 98... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos from Regions Free of Rinderpest and Foot-and-Mouth Disease; and Embryos of Horses and Asses § 98.9 Embryos refused entry. Any embryo refused entry into the...

  10. 9 CFR 98.9 - Embryos refused entry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Embryos refused entry. 98.9 Section 98... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos from Regions Free of Rinderpest and Foot-and-Mouth Disease; and Embryos of Horses and Asses § 98.9 Embryos refused entry. Any embryo refused entry into the...

  11. 9 CFR 98.9 - Embryos refused entry.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Embryos refused entry. 98.9 Section 98... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos from Regions Free of Rinderpest and Foot-and-Mouth Disease; and Embryos of Horses and Asses § 98.9 Embryos refused entry. Any embryo refused entry into the...

  12. Emissions During Co-Firing of RDF-5 with Coal in a 22 t/h Steam Bubbling Fluidized Bed Boiler

    NASA Astrophysics Data System (ADS)

    Wan, Hou-Peng; Chen, Jia-Yuan; Juch, Ching-I.; Chang, Ying-Hsi; Lee, Hom-Ti

    The co-firing of biomass and fossil fuel in the same power plant is one of the most important issues when promoting the utilization of renewable energy in the world. Recently, the co-firing of coal together with biomass fuel, such as "densified refuse derived fuel" (d-RDF or RDF-5) or RPF (refuse paper & plastic fuel) from waste, has been considered as an environmentally sound and economical approach to both waste remediation and energy production in the world. Because of itscomplex characteristics when compared to fossil fuel, potential problems, such as combustion system stability, the corrosion of heat transfer tubes, the qualities of the ash, and the emissionof pollutants, are major concerns when co-firing the biomass fuel with fossil fuel in a traditional boiler. In this study, co-firing of coal with RDF-5 was conducted in a 22t/h bubbling fluidized bed (BFB) steam boiler to investigate the feasibility of utilizing RDF-5 as a sustainable fuels in a commercial coal-fired steam BFB boiler. The properties of the fly ash, bottom ash, and the emission of pollutants are analyzed and discussed in this study.

  13. The enviornmental assessment of a contemporary coal mining system

    NASA Technical Reports Server (NTRS)

    Dutzi, E. J.; Sullivan, P. J.; Hutchinson, C. F.; Stevens, C. M.

    1980-01-01

    A contemporary underground coal mine in eastern Kentucky was assessed in order to determine potential off-site and on-site environmental impacts associated with the mining system in the given environmental setting. A 4 section, continuous room and pillor mine plan was developed for an appropriate site in eastern Kentucky. Potential environmental impacts were identified, and mitigation costs determined. The major potential environmental impacts were determined to be: acid water drainage from the mine and refuse site, uneven subsidence of the surface as a result of mining activity, and alteration of ground water aquifers in the subsidence zone. In the specific case examined, the costs of environmental impact mitigation to levels prescribed by regulations would not exceed $1/ton of coal mined, and post mining land values would not be affected.

  14. Water Quality and Geochemical Modeling of Water at an Abandoned Coal Mine Reclaimed With Coal Combustion By-Products

    USGS Publications Warehouse

    Haefner, Ralph J.

    2002-01-01

    An abandoned coal mine in eastern Ohio was reclaimed with 125 tons per acre of pressurized fluidized bed combustion (PFBC) by-product. Water quality at the site (known as the Fleming site) was monitored for 7 years after reclamation; samples included water from soil-suction lysimeters (interstitial water), wells, and spring sites established downgradient of the application area. This report presents a summary of data collected at the Fleming site during the period September 1994 through June 2001. Additionally, results of geochemical modeling are included in this report to evaluate the potential fate of elements derived from the PFBC by-product. Chemical analyses of samples of interstitial waters within the PFBC by-product application area indicated elevated levels of pH and specific conductance and elevated concentrations of boron, calcium, chloride, fluoride, magnesium, potassium, strontium, and sulfate compared to water samples collected in a control area where traditional reclamation methods were used. Magnesium-to-calcium (Mg:Ca) mole ratios and sulfur-isotope ratios were used to trace the PFBC by-product leachate and showed that little, if any, leachate reached ground water. Concentrations of most constituents in interstitial waters in the application-area decreased during the seven sampling rounds and approached background concentrations observed in the control area; however, median pH in the application area remained above 6, indicating that some acid-neutralizing capacity was still present. Although notable changes in water quality were observed in interstitial waters during the study period, quality of ground water and spring water remained poor. Water from the Fleming site was not potable, given exceedances of primary and secondary Maximum Contaminant Levels (MCLs) for inorganic constituents in drinking water set by the U.S. Environmental Protection Agency. Only fluoride and sulfate, which were found in higher concentrations in application

  15. EFFECTS OF COMBUSTION PARAMETERS ON POLYCHLORINATED DIBENZODIOXIN AND DIBENZOFURAN HOMOLOGUE PROFILES FROM MUNICIPAL WASTE AND COAL CO-COMBUSTION

    EPA Science Inventory

    Variation in polychlorinated dibenzo-p-dioxin and polychlorinated dibenzofuran (PCDD and PCDF) homologue profiles from a pilot scale (0.6 MWt, 2x106 Btu/hr), co-fired-fuel [densified refuse derived fuel (dRDF) and high-sulfur Illinois coal] combustion system was used to provide i...

  16. THE EFFECT OF COFIRING HIGH-SULFUR COAL WITH MUNICIPAL WASTE ON FORMATION OF POLYCHLORINATED DIBENZODIOXIN AND POLYCHLORINATED DIBENZOFURAN

    EPA Science Inventory

    The effect of co-firing minor amounts (5-10 wt%) of high sulfur coal with municipal refuse-derived fuel (RDF) on emissions of polychlorinated dibenzo-p-dioxin (PCDD) and polychlorinated dibenzofuran (PCDF) was studied under a range of operating conditions. Through use of 2x facto...

  17. Managing coal combustion residues in mines

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    2006-07-01

    Burning coal in electric utility plants produces, in addition to power, residues that contain constituents which may be harmful to the environment. The management of large volumes of coal combustion residues (CCRs) is a challenge for utilities, because they must either place the CCRs in landfills, surface impoundments, or mines, or find alternative uses for the material. This study focuses on the placement of CCRs in active and abandoned coal mines. The Committee on Mine Placement of Coal Combustion Wastes of the National Research Council believes that placement of CCRs in mines as part of the reclamation process may bemore » a viable option for the disposal of this material as long as the placement is properly planned and carried out in a manner that avoids significant adverse environmental and health impacts. This report discusses a variety of steps that are involved in planning and managing the use of CCRs as minefills, including an integrated process of CCR characterization and site characterization, management and engineering design of placement activities, and design and implementation of monitoring to reduce the risk of contamination moving from the mine site to the ambient environment. Enforceable federal standards are needed for the disposal of CCRs in minefills to ensure that states have adequate, explicit authority and that they implement minimum safeguards. 267 refs., 6 apps.« less

  18. Pulse energization; A precipitator performance upgrade technology following low sulfur coal switching

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kumar, K.S.; Feldman, P.L.; Jacobus, P.L.

    1992-01-01

    Madison Gas and Electric operates two 50 MWe pulverized coal fired boilers at its Blount station. This paper reports that these two units have been designed to operate with gas or coalfiring in combination with refuse derived fuel. Both these units are fitted with electrostatic precipitators for particulate control. Historically, these units have utilized Midwestern and Appalachian coals varying in sulfur contents between 2 and 5 %, with the SO{sub 2} emission level in the 3.5 pounds per million Btu range. Wisconsin's acid rain control law goes into effect in 1993 requiring utilities to control sulfur dioxide emissions below 1.2more » pounds per million Btu.« less

  19. Recycling of aged refuse from a closed landfill.

    PubMed

    Zhao, Youcai; Song, Liyan; Huang, Renhua; Song, Lijie; Li, Xiong

    2007-04-01

    In this study, refuse excavated from a typical refuse landfill in Shanghai after 8-10 years of placement was characterized in terms of particle size, total nitrogen, total phosphorus, and biodegradable matter. The refuse contained a large and diverse population of micro-organisms with a high capacity for decomposing refractory organic matter present in some wastewaters, including leachate. It was found that the aged refuse was quite stable after about a decade of decomposition in the warm, humid climate of southern China. The fine fractions resembled and had the properties of black soil, a medium that is suitable for green construction, organic fertilizer, or as bioreactor media for biological treatment of organic wastewaters. Excavation of the aged refuse would make about 50% of the space available for fresh refuse. The plastics, glass, textiles, and cans can be readily mechanically separated and recycled after cleaning. It is estimated that at least 200 millions tonnes of such aged refuse are available in China alone, and at least 10 times that much is buried worldwide. Hence, the evaluation of mined landfill waste and consideration of its potential uses is of great significance.

  20. Teaching refusal skills to sexually active adolescents.

    PubMed

    Warzak, W J; Page, T J

    1990-06-01

    Refusal skills training was extended to sexually active handicapped female adolescents who lacked an effective refusal strategy. Role-plays for assessment and training were developed using the who, what, when and where of situations which resulted in unwanted intercourse. Refusal skills were trained following the format of rationale, modeling, rehearsal, feedback, and reinforcement. Baseline rates of most target behaviors were quite low. High frequencies of target behaviors were observed as each behavior became the focus of training. Generalization across staff and time was also observed. The skillfulness and effectiveness of the subjects' refusal skills were judged to be improved as a function of training. One-year follow-up showed decreased sexual activity for each girl.

  1. Pragmatic Transfer in Thai EFL Refusals

    ERIC Educational Resources Information Center

    Wannaruk, Anchalee

    2008-01-01

    Communication breakdowns can occur during cross-cultural communication due to different perceptions and interpretations of appropriateness and politeness. This study investigates similarities and differences between refusals in American English and Thai and incidences of pragmatic transfer by Thai EFL learners when making refusals. The…

  2. 22 CFR 41.121 - Refusal of individual visas.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Refusal of individual visas. 41.121 Section 41.121 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Refusals and Revocations § 41.121 Refusal of individual visas. (a...

  3. 22 CFR 41.121 - Refusal of individual visas.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Refusal of individual visas. 41.121 Section 41.121 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Refusals and Revocations § 41.121 Refusal of individual visas. (a...

  4. 22 CFR 41.121 - Refusal of individual visas.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Refusal of individual visas. 41.121 Section 41.121 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Refusals and Revocations § 41.121 Refusal of individual visas. (a...

  5. 22 CFR 41.121 - Refusal of individual visas.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Refusal of individual visas. 41.121 Section 41.121 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Refusals and Revocations § 41.121 Refusal of individual visas. (a...

  6. 22 CFR 41.121 - Refusal of individual visas.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Refusal of individual visas. 41.121 Section 41.121 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Refusals and Revocations § 41.121 Refusal of individual visas. (a...

  7. Refusal of treatment in obstetrics - A maternal-fetal conflict.

    PubMed

    Ohel, Iris; Iris, Ohel; Levy, Amalia; Amalia, Levy; Mazor, Moshe; Moshe, Mazor; Wiznitzer, Arnon; Arnon, Wiznitzer; Sheiner, Eyal; Eyal, Sheiner

    2009-07-01

    Clinical studies about the necessity of standard obstetric interventions raise questions, making refusal by pregnant women of treatment a legitimate choice. The present study was aimed at characterising patients refusing medical treatment during pregnancy and delivery, and to examine whether refusal of treatment in obstetrics is associated with adverse perinatal outcome. A population-based study, comparing patients who refused (1898) and did not refuse (164,064) medical intervention during pregnancy and delivery, was conducted. Deliveries occurred between the years 1988 and 2002 in a tertiary medical centre. Patients refusing medical intervention tended to be older (30.5 +/- 5.0 vs. 28.4 +/- 5.9, p < 0.001) and of higher parity (above parity 5: 52.5% vs. 32.4%; parity 1: 10.2% vs. 20.0%; p < 0.001) than the controls. Parturients refusing medical treatment experienced significantly higher rates of adverse perinatal outcome including low Apgar scores (less than 7, in 1 and 5 min: 12.4% vs. 4.4%, p < 0.001 and 1.9% vs. 0.6%, p < 0.001, respectively). Moreover, higher rates of perinatal mortality in general and intra-partum death, in particular, were documented among women refusing medical treatment (3.3% vs. 1.5%, p < 0.001; 0.8% vs. 0.1%, p < 0.001). When using a multiple logistic regression model of risk factors for perinatal mortality, refuse of treatment was an independent risk factor for perinatal mortality (OR = 1.5; 95% CI = 1.1-2.0; p = 0.010). Patients refusing a medically indicated intervention have higher rates of pregnancy- and labour- related complications. Refusal of treatment is an independent risk factor for perinatal mortality.

  8. 9 CFR 93.806 - Animals refused entry.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Elephants, Hippopotami, Rhinoceroses, and Tapirs § 93.806 Animals refused entry. Any elephant, hippopotamus, rhinoceros, or tapir refused entry into the...

  9. 9 CFR 93.806 - Animals refused entry.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Elephants, Hippopotami, Rhinoceroses, and Tapirs § 93.806 Animals refused entry. Any elephant, hippopotamus, rhinoceros, or tapir refused entry into the...

  10. 9 CFR 93.806 - Animals refused entry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Elephants, Hippopotami, Rhinoceroses, and Tapirs § 93.806 Animals refused entry. Any elephant, hippopotamus, rhinoceros, or tapir refused entry into the...

  11. 9 CFR 93.806 - Animals refused entry.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Elephants, Hippopotami, Rhinoceroses, and Tapirs § 93.806 Animals refused entry. Any elephant, hippopotamus, rhinoceros, or tapir refused entry into the...

  12. 9 CFR 93.806 - Animals refused entry.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Elephants, Hippopotami, Rhinoceroses, and Tapirs § 93.806 Animals refused entry. Any elephant, hippopotamus, rhinoceros, or tapir refused entry into the...

  13. Ways to say no: refusal skill strategies among urban adolescents.

    PubMed

    Nichols, Tracy R; Graber, Julia A; Brooks-Gunn, Jeanne; Botvin, Gilbert J

    2006-01-01

    To examine associations among adolescents' generated verbal strategies (ie, Simple No, Declarative Statements, Excuse, Alternatives) and underlying nonverbal assertiveness in 2 refusal situations: smoking and shoplifting. Sixth-grade urban minority students (N = 454) participated in videotaped role-play assessments of peer refusal skills. Differences were found by situation with students demonstrating greater use of Simple No in the smoking refusal and Alternatives in the shoplifting refusal. Nonverbal assertiveness was similar across situations and was associated with Declarative Statements, but only in the smoking refusal. Prevention programs should tailor refusal skills practice to cover multiple situations.

  14. Growth and elemental content of two tree species growing on abandoned coal fly ash basins. [Liquidambar styraciflua L. ; Platanus occidentalis

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Carlson, C.L.; Adriano, D.C.

    Differences in aboveground tissue concentrations of trace elements were assessed for sweetgum (Liquidambar styraciflua L.) and sycamore (Plantanus occidentalis L.) growing on two abandoned coal fly ash basins and a control soil. The wet basin (pH = 5.58) had originally received precipitator ash in an ash-water slurry, while the dry basin (pH = 8.26) had received both precipitator and bottom ash in dry form. In general, trees from the wet basin exhibited elevated trace element concentrations in comparison to the controls, while the dry basin trees exhibited reduced concentrations. On eof the most striking differenced in elemental concentrations among themore » ash basin and control trees was observed for Mn, with the control trees exhibiting concentrations orders of magnitude greater than the ash basin trees. Differences in foliar trace element concentrations among the sites can generally be explained by differences in substrate trace element concentrations and/or substrate pH. While trees from the wet ash basin generally had the highest trace element concentrations, these trees also attained the greatest height and diameter growth, suggesting that the elevated trace element concentrations in the wet basin substrate are not limiting the establishment of these two species. The greater height and diameter growth of the wet basin trees is presumably a result of the greater water-holding capacity of the substrate on this site. Differences in growth and tissue concentrations between sweetgum and sycamore highlight the importance of using more than one species when assessing metal toxicity or deficiency on a given substrate.« less

  15. 25 CFR 135.23 - Refusal of water delivery.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Refusal of water delivery. 135.23 Section 135.23 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES CONSTRUCTION ASSESSMENTS, CROW... District § 135.23 Refusal of water delivery. The right is reserved to refuse the delivery of water to any...

  16. 25 CFR 135.23 - Refusal of water delivery.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Refusal of water delivery. 135.23 Section 135.23 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES CONSTRUCTION ASSESSMENTS, CROW... District § 135.23 Refusal of water delivery. The right is reserved to refuse the delivery of water to any...

  17. 25 CFR 135.23 - Refusal of water delivery.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Refusal of water delivery. 135.23 Section 135.23 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES CONSTRUCTION ASSESSMENTS, CROW... District § 135.23 Refusal of water delivery. The right is reserved to refuse the delivery of water to any...

  18. 25 CFR 135.23 - Refusal of water delivery.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Refusal of water delivery. 135.23 Section 135.23 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES CONSTRUCTION ASSESSMENTS, CROW... District § 135.23 Refusal of water delivery. The right is reserved to refuse the delivery of water to any...

  19. Effective Intervention for School Refusal Behaviour

    ERIC Educational Resources Information Center

    Nuttall, Clare; Woods, Kevin

    2013-01-01

    Evaluation of successful professional intervention for two case studies of female adolescents' school refusal behaviour is presented. Data gathered from the young person, professionals, and parents in each case are synthesised to propose a multi-level, ecologically situated model of intervention for school refusal behaviour. The proposed model…

  20. Children of divorce: the differential diagnosis of contact refusal.

    PubMed

    Freeman, Bradley W

    2011-07-01

    Contact refusal is a common phenomenon that can occur during the course of, or after, divorce, which affects the relationship between a child and the parent. This article defines the concept of contact refusal and discusses the importance of its recognition. The concept is further narrowed to focus on the child as the one refusing contact, not the parent, which can happen as well. Various types of contact refusals are illustrated in the article through clinical vignettes, and an approach to categorizing the various types of contact refusal is presented. Copyright © 2011 Elsevier Inc. All rights reserved.

  1. 25 CFR 135.6 - Refusal of water delivery.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Refusal of water delivery. 135.6 Section 135.6 Indians... INDIAN IRRIGATION PROJECT Charges Assessed Against Irrigation District Lands § 135.6 Refusal of water delivery. The right is reserved to the United States to refuse the delivery of water to each of the said...

  2. 25 CFR 135.6 - Refusal of water delivery.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Refusal of water delivery. 135.6 Section 135.6 Indians... INDIAN IRRIGATION PROJECT Charges Assessed Against Irrigation District Lands § 135.6 Refusal of water delivery. The right is reserved to the United States to refuse the delivery of water to each of the said...

  3. 25 CFR 135.6 - Refusal of water delivery.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Refusal of water delivery. 135.6 Section 135.6 Indians... INDIAN IRRIGATION PROJECT Charges Assessed Against Irrigation District Lands § 135.6 Refusal of water delivery. The right is reserved to the United States to refuse the delivery of water to each of the said...

  4. 25 CFR 135.6 - Refusal of water delivery.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Refusal of water delivery. 135.6 Section 135.6 Indians... INDIAN IRRIGATION PROJECT Charges Assessed Against Irrigation District Lands § 135.6 Refusal of water delivery. The right is reserved to the United States to refuse the delivery of water to each of the said...

  5. The cost of refusing treatment and equality of outcome.

    PubMed Central

    Savulescu, J

    1998-01-01

    Patients have a right to refuse medical treatment. But what should happen after a patient has refused recommended treatment? In many cases, patients receive alternative forms of treatment. These forms of care may be less cost-effective. Does respect for autonomy extend to providing these alternatives? How for does justice constrain autonomy? I begin by providing three arguments that such alternatives should not be offered to those who refuse treatment. I argue that the best argument which refusers can appeal to is based on the egalitarian principle of equality of outcome. However, this principle does not ultimately support a right to less cost-effective alternatives. I focus on Jehovah's Witnesses refusing blood and requesting alternative treatments. However, the point applies to many patients who refuse cost-effective medical care. PMID:9752624

  6. School Refusal

    ERIC Educational Resources Information Center

    Wimmer, Mary

    2008-01-01

    School attendance is an ongoing concern for administrators, particularly in middle level and high school. Frequent absences affect student learning, test scores, and social development. Absenteeism is often the result of emotional disorders, such as anxiety or depression. Administrators who understand the causes of school refusal behavior and are…

  7. Physicians' evaluations of patients' decisions to refuse oncological treatment

    PubMed Central

    van Kleffens, T; van Leeuwen, E

    2005-01-01

    Objective: To gain insight into the standards of rationality that physicians use when evaluating patients' treatment refusals. Design of the study: Qualitative design with indepth interviews. Participants: The study sample included 30 patients with cancer and 16 physicians (oncologists and general practitioners). All patients had refused a recommended oncological treatment. Results: Patients base their treatment refusals mainly on personal values and/or experience. Physicians mainly emphasise the medical perspective when evaluating patients' treatment refusals. From a medical perspective, a patient's treatment refusal based on personal values and experience is generally evaluated as irrational and difficult to accept, especially when it concerns a curative treatment. Physicians have a different attitude towards non-curative treatments and have less difficulty accepting a patient's refusal of these treatments. Thus, an important factor in the physician's evaluation of a treatment refusal is whether the treatment refused is curative or non-curative. Conclusion: Physicians mainly use goal oriented and patients mainly value oriented rationality, but in the case of non-curative treatment refusal, physicians give more emphasis to value oriented rationality. A consensus between the value oriented approaches of patient and physician may then emerge, leading to the patient's decision being understood and accepted by the physician. The physician's acceptance is crucial to his or her attitude towards the patient. It contributes to the patient's feeling free to decide, and being understood and respected, and thus to a better physician–patient relationship. PMID:15738431

  8. 20 CFR 401.70 - Appeals of refusals to correct records or refusals to allow access to records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... explaining the decision on your appeal. The time limit for making our decision after we receive your appeal... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Appeals of refusals to correct records or refusals to allow access to records. 401.70 Section 401.70 Employees' Benefits SOCIAL SECURITY...

  9. Effects of coal mine drainage on the water quality of small receiving streams in Washington, 1975-77

    USGS Publications Warehouse

    Packard, F.A.; Skinner, E.L.; Fuste, L.A.

    1988-01-01

    Drainage from abandoned coal mines in western and central Washington has minimal environmental impact. Water quality characteristics that have the most significant environmental impact are suspended sediment and turbidity. Water quality data from 51 abandoned coal mines representing 11 major coal bearing areas indicate that less than 1% of the mine drainage has a pH of 4.5 or less. Fifty percent of the drainage is alkaline and has pH 7.0 and greater, and about 95% of the drainage has pH 6.0 and greater. Less than 2% is acidified to a pH of 5.6, a point where water and free (atmospheric) carbon dioxide are in equilibrium. The area where pH 5.6 or less is most likely to occur is in the Centralia/Chehalis mine district. No significant difference in diversity of benthic organisms was found between stations above and below the mine drainage. However, within the 50-ft downstream reach ostracods were more abundant than above the mine drainage and mayflies, stoneflies, and caddisflies were less abundant than at the control site. Correlations to water quality measurements show that these faunal changes are closely associated with iron and sulfate concentrations. (USGS)

  10. The right not to be treated or to refuse treatment.

    PubMed

    Deutsch, E

    1989-01-01

    The corollary to the right to refuse treatment is the requirement that, in general, informed consent be obtained before treatment. The Declaration of Lisbon recognises this: "The patient has the right to accept or to refuse treatment after receiving adequate information." The information to be given to the patient is of three kinds, but a special problem in relation to the doctrine of informed refusal places a special duty on the doctor to inform the patient about the possible consequences of refusing treatment. Related topics, such as refusal in part, refusal by a parent or guardian, the novus actus interveniens, the living will, and contributory negligence are touched upon.

  11. Factors Associated with School Refusal in Adolescents: Some Preliminary Results.

    ERIC Educational Resources Information Center

    Ficula, Teresa V.; And Others

    School refusal, as differentiated from both school phobia and truancy, is a term used to denote emotionally-based avoidance of school. To identify factors associated with school refusal, 41 junior high and high school students (including special education school refusers, special education non-refusers, and a comparison group from a regular…

  12. [Refusal of treatments by an adult cancer patient].

    PubMed

    Dauchy, Sarah; Faivre, Jean-Christophe; Block, Véronique; Metzger, Maude; Salleron, Julia; Charles, Cécile; Adam, Virginie

    2018-03-01

    Refusal of treatment questions the treatment's adequacy as well as the quality of the care relationship. A rigorous analysis of these situations is necessary in order to respect the patient's fundamental right to decide for him/herself while preventing a potential loss of chance. This paper proposes practical guidelines for assessment and management of the refusal of treatment by adult cancer patients. The French Association for Supportive Care in Cancer and the French Society for Psycho-Oncology formed a task force that applied a consensus methodology to draft guidelines. We propose five guidelines: (1) be informed of the conditions most often associated with refusal of treatment so as to reinforce adequate support measures; (2) understand the complexity of the process of refusal and accurately identify what is precisely refused; (3) apply an approach of systematic analysis to refusal, to try and increase the possibilities of finding an agreement while reinforcing the respect of the patient's position; (4) establish a legal procedure to address refusal of treatment that safeguards the stakeholders when no accord can be found; and (5) know the indications for ethical collective decision-making. A systematic assessment procedure of treatment refusal is necessary in order to ensure that all the physical, psychological and contextual aspects of it are taken into account, and to provide patients with the best treatment possible. The setting of good care relationship, the improvement of communication skills training and of comprehensive multidisciplinary care are all crucial elements in the prevention of these situations. Copyright © 2018 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

  13. Detecting voids in a 0.6 m coal seam, 7 m deep, using seismic reflection

    USGS Publications Warehouse

    Miller, R.D.; Steeples, D.W.

    1991-01-01

    Surface collapse over abandoned subsurface coal mines is a problem in many parts of the world. High-resolution P-wave reflection seismology was successfully used to evaluate the risk of an active sinkhole to a main north-south railroad line in an undermined area of southeastern Kansas, USA. Water-filled cavities responsible for sinkholes in this area are in a 0.6 m thick coal seam, 7 m deep. Dominant reflection frequencies in excess of 200 Hz enabled reflections from the coal seam to be discerned from the direct wave, refractions, air wave, and ground roll on unprocessed field files. Repetitive void sequences within competent coal on three seismic profiles are consistent with the "room and pillar" mining technique practiced in this area near the turn of the century. The seismic survey showed that the apparent active sinkhole was not the result of reactivated subsidence but probably erosion. ?? 1991.

  14. Care of the abandoned child.

    PubMed

    Raghunath, M

    1991-01-01

    Care of abandoned children in India is discussed in terms of reasons for abandonment, the physical condition of the children, and legal categories. The options available currently are the cottage system, sponsorship programs, foster care, or adoption. Child-care and rehabilitation that may be necessary is specified as is the importance of maintaining records. The gaps in child-care are exposed. The role of nongovernmental organization (NGOs) and new legislation in closing the gaps is presented. Abandonment is usually a direct result of poverty, but it can also be caused by mental or physical handicaps or illegitimacy. The numbers of abandoned children may reach 2 million. 40-60% of abandoned infants die during monsoons and summers. The legal categories are privately abandoned, children on remand, or court-committed children. The cottage system emphasizes deinstitutionalization, but there remains a great demand for care. Sponsorship aims to strengthen the family unit to prevent abandonment. Foster care provides an alternative family substitute, but is known only theoretically. Childcare may involve instant hospitalization, care is an institution, or foster care with a suitable family. Nursery care requires discipline in hygiene, sanitation, maintenance of individual medical records, and a general cheerful atmosphere. Records are important for the child in later life and for adoption. Rehabilitation is a sociolegal process which must be done properly or it can jeopardize a child's future security. Despite the Supreme Court guidelines of 1984, there is no uniform system of adoption practices, and the child's interests are overlooked when adoptions are promoted. NGOs play an important role in making social welfare programs work. However their efforts are of limited help without government support and legislation. There is a lack of proper legislation which is outside the control of political and religious interests; e.g., Hindu law only permits adoption of one child of

  15. Parental Refusal of Childhood Vaccines and Medical Neglect Laws.

    PubMed

    Parasidis, Efthimios; Opel, Douglas J

    2017-01-01

    To examine the relation of vaccine refusal and medical neglect under child welfare laws. We used the Westlaw legal database to search court opinions from 1905 to 2016 and identified cases in which vaccine refusal was the sole or a primary reason in a neglect proceeding. We also delineated if religious or philosophical exemptions from required school immunizations were available at the time of adjudication. Our search yielded 9 cases from 5 states. Most courts (7 of 9) considered vaccine refusal to constitute neglect. In the 4 cases decided in jurisdictions that permitted religious exemptions, courts either found that vaccine refusal did not constitute neglect or considered it neglect only in the absence of a sincere religious objection to vaccination. Some states have a legal precedent for considering parental vaccine refusal as medical neglect, but this is based on a small number of cases. Each state should clarify whether, under its laws, vaccine refusal constitutes medical neglect.

  16. Chemical quality, benthic organisms, and sedimentation in streams draining coal-mined lands in Raccoon Creek basin, Ohio, July 1984 through September 1986

    USGS Publications Warehouse

    Wilson, K.S.

    1988-01-01

    The Ohio Department of Natural Resources, Division of Reclamation, plans widespread reclamation of abandoned coal mines in the Raccoon Creek basin in southeastern Ohio. Throughout Raccoon Creek basin, chemical, biological, and suspended-sediment data were collected from July 1984 through September 1986. Chemical and biological data collected at 17 sites indicate that the East Branch, Brushy Creek, Hewett Fork, and Little Raccoon Creek subbasins, including Flint Run, are affected by drainage from abandoned coal mines. In these basins, median pH values ranged from 2.6 to 5.1, median acidity values ranged from 20 to 1,040 mg/L (milligrams per liter) as CaCo3, and median alkalinity values ranged from 0 to 4 mg/L as CaCo3. Biological data indicate that these basins do not support diverse populations because of degraded water systems. Suspended-sediment yields of 70.7 tons per square mile per year at the headwaters of Raccoon Creek and 54.5 tons per square mile per year near the month of Raccoon Creek indicate that cumulative sedimentation from erosion of abandoned-mine lands is not excessive in the basin.

  17. 7 CFR 767.51 - Property abandonment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AGRICULTURE SPECIAL PROGRAMS INVENTORY PROPERTY MANAGEMENT Property Abandonment and Personal Property Removal..., manage, and operate the abandoned security property, including marketing perishable security property on...

  18. 21 CFR 316.14 - Refusal to provide written recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 5 2011-04-01 2011-04-01 false Refusal to provide written recommendations. 316.14... (CONTINUED) DRUGS FOR HUMAN USE ORPHAN DRUGS Written Recommendations for Investigations of Orphan Drugs § 316.14 Refusal to provide written recommendations. (a) FDA may refuse to provide written recommendations...

  19. 22 CFR 42.81 - Procedure in refusing individual visas.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Procedure in refusing individual visas. 42.81 Section 42.81 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE... Procedure in refusing individual visas. (a) Issuance or refusal mandatory. When a visa application has been...

  20. 22 CFR 42.81 - Procedure in refusing individual visas.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Procedure in refusing individual visas. 42.81 Section 42.81 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE... Procedure in refusing individual visas. (a) Issuance or refusal mandatory. When a visa application has been...

  1. 22 CFR 42.81 - Procedure in refusing individual visas.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Procedure in refusing individual visas. 42.81 Section 42.81 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE... Procedure in refusing individual visas. (a) Issuance or refusal mandatory. When a visa application has been...

  2. 22 CFR 42.81 - Procedure in refusing individual visas.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Procedure in refusing individual visas. 42.81 Section 42.81 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE... Procedure in refusing individual visas. (a) Issuance or refusal mandatory. When a visa application has been...

  3. 22 CFR 42.81 - Procedure in refusing individual visas.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Procedure in refusing individual visas. 42.81 Section 42.81 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE... Procedure in refusing individual visas. (a) Issuance or refusal mandatory. When a visa application has been...

  4. Breath test refusals

    DOT National Transportation Integrated Search

    2007-11-01

    The National Highway Traffic Safety Administration has found that the percentage of people who refuse to provide breath samples when arrested for Driving While Intoxicated (DWI) varies considerably across States, and this creates a concern in the cri...

  5. An overview of the geological controls in underground coal gasification

    NASA Astrophysics Data System (ADS)

    Mohanty, Debadutta

    2017-07-01

    Coal’s reign will extend well into this millennium as the global demand for coal is expected to increase on average by 2-1% per year through 2019. Enhanced utilization of the domestic coal resource through clean coal technologies is necessary to meet the energy needs while achieving reduced emissions. Underground coal gasification (UCG) is one of such potential technologies. Geology of the area plays decisive role throughout the life of a UCG project and imperative for every phase of the project cycle starting from planning, site selection, design to cessation of operations and restoration of the site. Impermeable over/underlying strata with low porosity and less deformation are most suitable for UCG processes as they act as seal between the coal seam and the surrounding aquifers while limiting the degree of subsidence. Inrush of excess water into the gasification chamber reduces the efficacy of the process and may even quench the reactions in progress. Presence of fresh water aquifer in the vicinity of target coal seam should be abandoned in order to avoid groundwater contamination. UCG is not a proven technology that is still evolving and there are risks that need to be monitored and managed. Effective shutdown programme should intend at minimising the post-burn contaminant generation by flushing out potential organic and inorganic contaminants from the underground strata and treating contaminants, and to restore ground water quality to near baseline conditions.

  6. 30 CFR 57.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Abandoned electric circuits. 57.4011 Section 57.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... and Control § 57.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized...

  7. 30 CFR 56.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Abandoned electric circuits. 56.4011 Section 56.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Control § 56.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized and...

  8. 30 CFR 57.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Abandoned electric circuits. 57.4011 Section 57.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... and Control § 57.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized...

  9. 30 CFR 56.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Abandoned electric circuits. 56.4011 Section 56.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Control § 56.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized and...

  10. 30 CFR 57.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Abandoned electric circuits. 57.4011 Section 57.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... and Control § 57.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized...

  11. 30 CFR 56.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Abandoned electric circuits. 56.4011 Section 56.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Control § 56.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized and...

  12. 30 CFR 56.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Abandoned electric circuits. 56.4011 Section 56.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... Control § 56.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized and...

  13. 30 CFR 57.4011 - Abandoned electric circuits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Abandoned electric circuits. 57.4011 Section 57.4011 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... and Control § 57.4011 Abandoned electric circuits. Abandoned electric circuits shall be deenergized...

  14. 16 CFR 1210.18 - Refusal of importation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 2 2011-01-01 2011-01-01 false Refusal of importation. 1210.18 Section 1210.18 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SAFETY STANDARD FOR CIGARETTE LIGHTERS Certification Requirements § 1210.18 Refusal of importation. (a...

  15. Pilot Plant Program for the AED Advanced Coal Cleaning System. Phase II. Interim final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1980-08-01

    Advanced Energy Dynamics, Inc. (AED), has developed a proprietary coal cleaning process which employs a combination of ionization and electrostatic separation to remove both sulfur and ash from dry pulverized coal. The Ohio Department of Energy sponsored the first part of a program to evaluate, develop, and demonstrate the process in a continuous-flow pilot plant. Various coals used by Ohio electric utilities were characterized and classified, and sulfur reduction, ash reduction and Btu recovery were measured. Sulfur removal in various coals ranged from 33 to 68% (on a Btu basis). Ash removal ranged from 17 to 59% (on a Btumore » basis). Ash removal of particles greater than 53 microns ranged from 46 to 88%. Btu recovery ranged from 90 to 97%. These results, especially the large percentage removal of ash particles greater than 53 microns, suggest that the AED system can contribute materially to improved boiler performance and availability. The study indicated the following potential areas for commercial utilization of the AED process: installation between the pulverizer and boiler of conventional coal-fired power utilities; reclamation of fine coal refuse; dry coal cleaning to supplement, and, if necessary, to take the place of conventional coal cleaning; upgrading coal used in: (1) coal-oil mixtures, (2) gasification and liquefaction processes designed to handle pulverized coal; and (3) blast furnaces for making steel, as a fuel supplement to the coke. Partial cleaning of coking coal blends during preheating may also prove economically attractive. Numerous other industrial processes which use pulverized coal such as the production of activated carbon and direct reduction of iron ore may also benefit from the use of AED coal cleaning.« less

  16. Persian Speakers' Use of Refusal Strategies across Politeness Systems

    ERIC Educational Resources Information Center

    Salmani Nodoushan, Mohammad Ali

    2016-01-01

    This study aimed at investigating the preferred refusal strategies in Persian. 3047 refusals collected by 108 field workers as well as 376 refusals collected through face to face interviews were analyzed and classified according to the descriptions proposed by Liao (1994) and Liao and Bresnahan (1996). The frequencies of the resulting direct and…

  17. Strontium isotope quantification of siderite, brine and acid mine drainage contributions to abandoned gas well discharges in the Appalachian Plateau

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chapman, Elizabeth C.; Capo, Rosemary C.; Stewart, Brian W.

    2013-04-01

    Unplugged abandoned oil and gas wells in the Appalachian region can serve as conduits for the movement of waters impacted by fossil fuel extraction. Strontium isotope and geochemical analysis indicate that artesian discharges of water with high total dissolved solids (TDS) from a series of gas wells in western Pennsylvania result from the infiltration of acidic, low Fe (Fe < 10 mg/L) coal mine drainage (AMD) into shallow, siderite (iron carbonate)-cemented sandstone aquifers. The acidity from the AMD promotes dissolution of the carbonate, and metal- and sulfate-contaminated waters rise to the surface through compromised abandoned gas well casings. Strontium isotopemore » mixing models suggest that neither upward migration of oil and gas brines from Devonian reservoirs associated with the wells nor dissolution of abundant nodular siderite present in the mine spoil through which recharge water percolates contribute significantly to the artesian gas well discharges. Natural Sr isotope composition can be a sensitive tool in the characterization of complex groundwater interactions and can be used to distinguish between inputs from deep and shallow contamination sources, as well as between groundwater and mineralogically similar but stratigraphically distinct rock units. This is of particular relevance to regions such as the Appalachian Basin, where a legacy of coal, oil and gas exploration is coupled with ongoing and future natural gas drilling into deep reservoirs.« less

  18. Relationship of fluviodeltaic facies to coal deposition in the lower Fort Union formation (Palaeocene), south-western North Dakota

    USGS Publications Warehouse

    Belt, Edward S.; Flores, Romeo M.; Warwick, Peter D.; Conway, Kevin M.; Johnson, Kirk R.; Waskowitz, Robert S.; Rahmani, R.A.; Flores, Romeo M.

    1984-01-01

    Facies analysis of the Ludlow and Tongue River Members of the Palaeocene Fort Union Formation provides an understanding of the relationship between fluviodeltaic environments and associated coal deposition in the south-western Williston Basin. The Ludlow Member consists of high-constructive delta facies that interfinger with brackish-water tongues of the Cannonball Member of the Fort Union Formation. The lower part of the Ludlow Member was deposited on a lower delta plain that consisted of interdistributary crevasse and subdelta lobes. The upper part of the Ludlow Member was deposited in meander belts of the upper delta plain. The delta plain facies of the Ludlow Member is overlain by alluvial plain facies consisting of swamp, crevasse-lobe, lacustrine, and trunk meander belt deposits of the Tongue River Member. The Ludlow delta is believed to have been fed by fluvial systems that probably flowed from the Powder River Basin to the Williston Basin undeterred by the Cedar Creek Anticline. However, the evidence indicates that the Cedar Creek Anticline was prominent enough, during early Tongue River Member deposition, to cause the obstruction of the regional fluvial system flowing from the SW, and the formation of local drainage.The Ludlow Member contains 18 coal beds in the area studied, of which the T-Cross and Yule coals are as thick as 4 m (12 ft). Abandoned delta lobes served as platforms where coals formed, which in turn, were drowned by mainly fresh water and subordinate brackish water. Repetition of deltaic sedimentation, abandonment, and occupation by swamp led to preservation of the T-Cross and Oyster coals in areas as extensive as 260 km2 (< 100 miles2).

  19. Do you feel powerless when a patient refuses medication?

    PubMed

    Carey, N; Jones, S L; O'Toole, A W

    1990-10-01

    1. Because a client legally has the right to refuse medication, the nurse can only recommend, advise, suggest, or urge the patient to comply. Consequently, it is important to understand the nurse's response to patient refusal of medication. 2. Overall, nurses were more apt to identify with indirect indicators than they were to identify words that address the concept directly (control and powerlessness). 3. The most common hazard identified in a medication refusal event was the potential for injury, and the individuals most at risk were the nurse giving the medication and other personnel on the unit. 4. The most prominent nursing response to medication refusal was counseling. Nearly all the nurse subjects believed that the medication refusal event negatively influenced nursing care, the patient/nurse interaction, and patient teaching.

  20. Miami-Dade County Hydraulic Hybrid Refuse Truck Testing | Transportation

    Science.gov Websites

    Research | NREL Miami-Dade County Hydraulic Hybrid Refuse Truck Evaluation Miami-Dade County Hydraulic Hybrid Refuse Truck Evaluation Photo of garbage truck with view of lake and city in background. As hydraulic hybrid refuse vehicles, with 29 more on order. Photo courtesy of Parker Hannifin NREL is

  1. The Abandonment of Social Studies?

    ERIC Educational Resources Information Center

    Griffith, Bryant

    1991-01-01

    Addresses the question of whether the social studies should be abandoned. Discusses Kieran Egan's analysis of the importance of storytelling and Egan's proposal to abandon the social studies curriculum in favor of a pedagogy more consistent with the way children think. Critiques Egan's view and examines implications for educators. (SG)

  2. Create a Consortium and Develop Premium Carbon Products from Coal

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Frank Rusinko; John Andresen; Jennifer E. Hill

    2006-01-01

    The objective of these projects was to investigate alternative technologies for non-fuel uses of coal. Special emphasis was placed on developing premium carbon products from coal-derived feedstocks. A total of 14 projects, which are the 2003 Research Projects, are reported herein. These projects were categorized into three overall objectives. They are: (1) To explore new applications for the use of anthracite in order to improve its marketability; (2) To effectively minimize environmental damage caused by mercury emissions, CO{sub 2} emissions, and coal impounds; and (3) To continue to increase our understanding of coal properties and establish coal usage in non-fuelmore » industries. Research was completed in laboratories throughout the United States. Most research was performed on a bench-scale level with the intent of scaling up if preliminary tests proved successful. These projects resulted in many potential applications for coal-derived feedstocks. These include: (1) Use of anthracite as a sorbent to capture CO{sub 2} emissions; (2) Use of anthracite-based carbon as a catalyst; (3) Use of processed anthracite in carbon electrodes and carbon black; (4) Use of raw coal refuse for producing activated carbon; (5) Reusable PACs to recycle captured mercury; (6) Use of combustion and gasification chars to capture mercury from coal-fired power plants; (7) Development of a synthetic coal tar enamel; (8) Use of alternative binder pitches in aluminum anodes; (9) Use of Solvent Extracted Carbon Ore (SECO) to fuel a carbon fuel cell; (10) Production of a low cost coal-derived turbostratic carbon powder for structural applications; (11) Production of high-value carbon fibers and foams via the co-processing of a low-cost coal extract pitch with well-dispersed carbon nanotubes; (12) Use of carbon from fly ash as metallurgical carbon; (13) Production of bulk carbon fiber for concrete reinforcement; and (14) Characterizing coal solvent extraction processes. Although some of

  3. Geographic clusters in underimmunization and vaccine refusal.

    PubMed

    Lieu, Tracy A; Ray, G Thomas; Klein, Nicola P; Chung, Cindy; Kulldorff, Martin

    2015-02-01

    Parental refusal and delay of childhood vaccines has increased in recent years and is believed to cluster in some communities. Such clusters could pose public health risks and barriers to achieving immunization quality benchmarks. Our aims were to (1) describe geographic clusters of underimmunization and vaccine refusal, (2) compare clusters of underimmunization with different vaccines, and (3) evaluate whether vaccine refusal clusters may pose barriers to achieving high immunization rates. We analyzed electronic health records among children born between 2000 and 2011 with membership in Kaiser Permanente Northern California. The study population included 154,424 children in 13 counties with continuous membership from birth to 36 months of age. We used spatial scan statistics to identify clusters of underimmunization (having missed 1 or more vaccines by 36 months of age) and vaccine refusal (based on International Classification of Diseases, Ninth Revision, Clinical Modification codes). We identified 5 statistically significant clusters of underimmunization among children who turned 36 months old during 2010-2012. The underimmunization rate within clusters ranged from 18% to 23%, and the rate outside them was 11%. Children in the most statistically significant cluster had 1.58 (P < .001) times the rate of underimmunization as others. Underimmunization with measles, mumps, rubella vaccine and varicella vaccines clustered in similar geographic areas. Vaccine refusal also clustered, with rates of 5.5% to 13.5% within clusters, compared with 2.6% outside them. Underimmunization and vaccine refusal cluster geographically. Spatial scan statistics may be a useful tool to identify locations with challenges to achieving high immunization rates, which deserve focused intervention. Copyright © 2015 by the American Academy of Pediatrics.

  4. The right to refuse treatment: a model act.

    PubMed Central

    1983-01-01

    Although the right to refuse medical treatment is universally recognized as a fundamental principle of liberty, this right is not always honored. A refusal can be thwarted either because a patient is unable to competently communicate or because providers insist on continuing treatment. To help enhance the patient's right to refuse treatment, many states have enacted so-called "living will" or "natural death" statutes. We believe the time has come to move beyond these current legislative models, and we therefore propose a Model Act that clearly enunciates an individual's right to refuse treatment, does not limit its exercise to the terminally ill or to heroic measures, and provides a mechanism by which individuals can set forth their wishes in advance and designate another person to enforce them. PMID:6869647

  5. Refusal of curative radiation therapy and surgery among patients with cancer.

    PubMed

    Aizer, Ayal A; Chen, Ming-Hui; Parekh, Arti; Choueiri, Toni K; Hoffman, Karen E; Kim, Simon P; Martin, Neil E; Hu, Jim C; Trinh, Quoc-Dien; Nguyen, Paul L

    2014-07-15

    Surgery and radiation therapy represent the only curative options for many patients with solid malignancies. However, despite the recommendations of their physicians, some patients refuse these therapies. This study characterized factors associated with refusal of surgical or radiation therapy as well as the impact of refusal of recommended therapy on patients with localized malignancies. We used the Surveillance, Epidemiology, and End Results program to identify a population-based sample of 925,127 patients who had diagnoses of 1 of 8 common malignancies for which surgery and/or radiation are believed to confer a survival benefit between 1995 and 2008. Refusal of oncologic therapy, as documented in the SEER database, was the primary outcome measure. Multivariable logistic regression was used to investigate factors associated with refusal. The impact of refusal of therapy on cancer-specific mortality was assessed with Fine and Gray's competing risks regression. In total, 2441 of 692,938 patients (0.4%) refused surgery, and 2113 of 232,189 patients (0.9%) refused radiation, despite the recommendations of their physicians. On multivariable analysis, advancing age, decreasing annual income, nonwhite race, and unmarried status were associated with refusal of surgery, whereas advancing age, decreasing annual income, Asian American race, and unmarried status were associated with refusal of radiation (P<.001 in all cases). Refusal of surgery and radiation were associated with increased estimates of cancer-specific mortality for all malignancies evaluated (hazard ratio [HR], 2.80, 95% confidence interval [CI], 2.59-3.03; P<.001 and HR 1.97 [95% CI, 1.78-2.18]; P<.001, respectively). Nonwhite, less affluent, and unmarried patients are more likely to refuse curative surgical and/or radiation-based oncologic therapy, raising concern that socioeconomic factors may drive some patients to forego potentially life-saving care. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Refusal of Curative Radiation Therapy and Surgery Among Patients With Cancer

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Aizer, Ayal A., E-mail: aaaizer@partners.org; Chen, Ming-Hui; Parekh, Arti

    Purpose: Surgery and radiation therapy represent the only curative options for many patients with solid malignancies. However, despite the recommendations of their physicians, some patients refuse these therapies. This study characterized factors associated with refusal of surgical or radiation therapy as well as the impact of refusal of recommended therapy on patients with localized malignancies. Methods and Materials: We used the Surveillance, Epidemiology, and End Results program to identify a population-based sample of 925,127 patients who had diagnoses of 1 of 8 common malignancies for which surgery and/or radiation are believed to confer a survival benefit between 1995 and 2008.more » Refusal of oncologic therapy, as documented in the SEER database, was the primary outcome measure. Multivariable logistic regression was used to investigate factors associated with refusal. The impact of refusal of therapy on cancer-specific mortality was assessed with Fine and Gray's competing risks regression. Results: In total, 2441 of 692,938 patients (0.4%) refused surgery, and 2113 of 232,189 patients (0.9%) refused radiation, despite the recommendations of their physicians. On multivariable analysis, advancing age, decreasing annual income, nonwhite race, and unmarried status were associated with refusal of surgery, whereas advancing age, decreasing annual income, Asian American race, and unmarried status were associated with refusal of radiation (P<.001 in all cases). Refusal of surgery and radiation were associated with increased estimates of cancer-specific mortality for all malignancies evaluated (hazard ratio [HR], 2.80, 95% confidence interval [CI], 2.59-3.03; P<.001 and HR 1.97 [95% CI, 1.78-2.18]; P<.001, respectively). Conclusions: Nonwhite, less affluent, and unmarried patients are more likely to refuse curative surgical and/or radiation-based oncologic therapy, raising concern that socioeconomic factors may drive some patients to forego potentially life

  7. PATIENT REFUSAL OF THROMBOLYTIC THERAPY FOR SUSPECTED ACUTE ISCHEMIC STROKE

    PubMed Central

    FS, Vahidy; MH, Rahbar; AP, Lal; JC, Grotta; SI, Savitz

    2012-01-01

    Objective To determine factors associated with patients refusing IV t-PA for suspected acute ischemic stroke (AIS), and to compare the outcomes of patients who refused t-PA (RT) with those treated with t-PA. Methods Patients who were treated with and refused t-PA at our stroke center were identified retrospectively. Demographics, clinical presentation, and outcome measures were collected and compared. Clinical outcome was defined as excellent (mRS: 0–1), good (mRS: 0–2), and poor (mRS: 3–6). Results Over 7.5 years, thirty (4.2%) patients refused t-PA. There were no demographic differences between the treated and RT groups. The rate of RT decreased over time (OR 0.63, 95% CI 0.50 – 0.79). Factors associated with refusal included a later symptom onset to emergency department presentation time (OR 1.02, 95% CI 1.01 – 1.03), lower NIHSS (OR 1.11, 95% CI 1.03 – 1.18), a higher proportion of stroke mimics (OR 17.61, 95% CI 6.20 – 50.02) and shorter hospital stay (OR 1.32, 95% CI 1.09 – 1.61). Among patients who were subsequently diagnosed with ischemic stroke, only length of stay was significantly shorter for refusal patients (OR 1.37, 95% CI 1.06 – 1.78). After controlling for mild strokes and stroke mimics, clinical outcome was not different between the groups (OR 1.61, 95% CI 0.69 – 3.73). Conclusion The incidence of patients refusing t-PA has decreased over time, yet it may be a cause for t-PA under-utilization. Patients with milder symptoms were more likely to refuse t-PA. Refusal patients presented later to the hospital and had shorter hospital stays. One out six refusal patients (16.6%) had a stroke mimic. PMID:23227830

  8. 9 CFR 98.20 - Embryos refused entry.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Embryos refused entry. 98.20 Section... CERTAIN ANIMAL EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.20 Embryos refused entry. If any embryos are determined to be ineligible...

  9. 9 CFR 98.20 - Embryos refused entry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Embryos refused entry. 98.20 Section... CERTAIN ANIMAL EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.20 Embryos refused entry. If any embryos are determined to be ineligible...

  10. 9 CFR 98.20 - Embryos refused entry.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Embryos refused entry. 98.20 Section... CERTAIN ANIMAL EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.20 Embryos refused entry. If any embryos are determined to be ineligible...

  11. 9 CFR 98.20 - Embryos refused entry.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Embryos refused entry. 98.20 Section... CERTAIN ANIMAL EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.20 Embryos refused entry. If any embryos are determined to be ineligible...

  12. 9 CFR 98.20 - Embryos refused entry.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Embryos refused entry. 98.20 Section... CERTAIN ANIMAL EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.20 Embryos refused entry. If any embryos are determined to be ineligible...

  13. Primary care pediatricians' perceptions of vaccine refusal in europe.

    PubMed

    Grossman, Zachi; van Esso, Diego; Del Torso, Stefano; Hadjipanayis, Adamos; Drabik, Anna; Gerber, Andreas; Miron, Dan

    2011-03-01

    An electronic survey assessing primary care pediatricians' estimations and practices regarding parents' vaccination refusal was sent to 395 members of the European Academy of Pediatrics Research in Ambulatory Setting network, with a response rate of 87%. Of respondents who vaccinate in the clinic, 93% estimated the total vaccine refusal rate as <1%. Of all respondents, 69% prefer a shared decision-making approach to handle refusing parents.

  14. Railroad abandonment.

    DOT National Transportation Integrated Search

    1997-03-25

    Abandonment and discontinuance of railroad service is allowed by federal law which permits a carrier to end its obligation to provide common carrier service over a particular rail line. Although a number of specific reasons may be given for the aband...

  15. Getting cold feet?: Why health care mergers are abandoned.

    PubMed

    Roos, Anne-Fleur; Postma, Jeroen

    2016-01-01

    Despite the frequent occurrence and sizeable consequences of merger abandonment in other sectors, there is no thorough understanding of merger abandonment in health care. The purpose of this study is to improve the understanding of determinants of health care merger abandonment. On the basis of the literature on merger abandonment, we formulated a framework on potential determinants of health care merger abandonment. We then constructed a survey that was sent to 70% of all executives of Dutch health care organizations (response rate = 35%, n = 291). We provide descriptive overviews of open, multiple-response, and multiple-choice questions on merger abandonment and use chi-square tests and Fisher's exact tests to test whether abandoned and completed merger processes differ. About 62% of the respondents were involved in at least one merger process during the period of 2005-2012. Thirty-eight percent of these respondents reported that their last merger case ended prematurely (n = 53). The most frequently mentioned determinants of merger abandonment are changing insights on the desirability and feasibility during merger processes, incompatibilities between executives, and insufficient support for the merger from internal stakeholders. We did not find significant relationships between merger abandonment and executives' previous merger experience, degree of organizational diversification, health care sector, size differences, or other organizational differences. Our findings partially confirm results from previous studies, especially with regard to the importance of changing insights and incompatibilities between the involved executives in merger abandonment. We also find that pressure from internal stakeholders, particularly nonexecutive directors, and distrust, fear, and animosity play an important role in merger abandonment. To minimize the organizational and societal costs of abandoned mergers, we advise executives who engage in mergers to construct backup plans with

  16. 49 CFR 192.727 - Abandonment or deactivation of facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Abandonment or deactivation of facilities. 192.727... Abandonment or deactivation of facilities. (a) Each operator shall conduct abandonment or deactivation of... pipeline facility or each abandoned onshore pipeline facility that crosses over, under or through a...

  17. 49 CFR 195.59 - Abandonment or deactivation of facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Abandonment or deactivation of facilities. 195.59... Abandonment or deactivation of facilities. For each abandoned offshore pipeline facility or each abandoned onshore pipeline facility that crosses over, under or through a commercially navigable waterway, the last...

  18. Western Abandoned Uranium Mine Region Maps

    EPA Pesticide Factsheets

    Map of the Western Abandoned Uranium Mine (AUM) Region, more than 100 abandoned uranium mine claims generally located along the Little Colorado River and Highway 89 in the Cameron, Coalmine Canyon, Bodaway/Gap, and Leupp Chapters in Northern Arizona.

  19. 42 CFR 493.567 - Refusal to cooperate with validation inspection.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Refusal to cooperate with validation inspection... § 493.567 Refusal to cooperate with validation inspection. (a) Laboratory with a certificate of accreditation. (1) A laboratory with a certificate of accreditation that refuses to cooperate with a validation...

  20. 42 CFR 493.567 - Refusal to cooperate with validation inspection.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Refusal to cooperate with validation inspection... § 493.567 Refusal to cooperate with validation inspection. (a) Laboratory with a certificate of accreditation. (1) A laboratory with a certificate of accreditation that refuses to cooperate with a validation...

  1. 42 CFR 493.567 - Refusal to cooperate with validation inspection.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Refusal to cooperate with validation inspection... § 493.567 Refusal to cooperate with validation inspection. (a) Laboratory with a certificate of accreditation. (1) A laboratory with a certificate of accreditation that refuses to cooperate with a validation...

  2. 42 CFR 493.567 - Refusal to cooperate with validation inspection.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Refusal to cooperate with validation inspection... § 493.567 Refusal to cooperate with validation inspection. (a) Laboratory with a certificate of accreditation. (1) A laboratory with a certificate of accreditation that refuses to cooperate with a validation...

  3. 42 CFR 493.567 - Refusal to cooperate with validation inspection.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Refusal to cooperate with validation inspection... § 493.567 Refusal to cooperate with validation inspection. (a) Laboratory with a certificate of accreditation. (1) A laboratory with a certificate of accreditation that refuses to cooperate with a validation...

  4. Prostate Cancer Patients' Refusal of Cancer-Directed Surgery: A Statewide Analysis

    PubMed Central

    Islam, K. M.

    2015-01-01

    Introduction. Prostate cancer is the most common cancer among men in USA. The surgical outcomes of prostate cancer remain inconsistent. Barriers such as socioeconomic factors may play a role in patients' decision of refusing recommended cancer-directed surgery. Methods. The Nebraska Cancer Registry data was used to calculate the proportion of prostate cancer patients recommended the cancer-directed surgery and the surgery refusal rate. Multivariate logistic regression was applied to analyze the socioeconomic indicators that were related to the refusal of surgery. Results. From 1995 to 2012, 14,876 prostate cancer patients were recommended to undergo the cancer-directed surgery in Nebraska, and 576 of them refused the surgery. The overall refusal rate of surgery was 3.9% over the 18 years. Patients with early-stage prostate cancer were more likely to refuse the surgery. Patients who were Black, single, or covered by Medicaid/Medicare had increased odds of refusing the surgery. Conclusion. Socioeconomic factors were related to the refusal of recommended surgical treatment for prostate cancer. Such barriers should be addressed to improve the utilization of surgical treatment and patients' well-being. PMID:25973276

  5. 20 CFR 229.81 - Refusal to accept vocational rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... disabled employee refuses, without good reason, to accept vocational rehabilitation services available... in which the child refuses, without good reason, to accept such vocational rehabilitation services...

  6. Effects of historical coal mining and drainage from abandoned mines on streamflow and water quality in Bear Creek, Dauphin County, Pennsylvania-March 1999-December 2002

    USGS Publications Warehouse

    Chaplin, Jeffrey J.

    2005-01-01

    More than 100 years of anthracite coal mining has changed surface- and ground-water hydrology and contaminated streams draining the Southern Anthracite Coal Field in east-central Pennsylvania. Bear Creek drains the western prong of the Southern Anthracite Coal Field and is affected by metals in drainage from abandoned mines and streamwater losses. Total Maximum Daily Loads (TMDL) developed for dissolved iron of about 5 lb/d (pounds per day) commonly are exceeded in the reach downstream of mine discharges. Restoration of Bear Creek using aerobic ponds to passively remove iron in abandoned mine drainage is under consideration (2004) by the Dauphin County Conservation District. This report, prepared in cooperation with the Dauphin County Conservation District, evaluates chemical and hydrologic data collected in Bear Creek and its receiving waters prior to implementation of mine-drainage treatment. The data collected represent the type of baseline information needed for documentation of water-quality changes following passive treatment of mine drainage in Pennsylvania and in other similar hydrogeologic settings. Seven surface-water sites on Bear Creek and two mine discharges were monitored for nearly three years to characterize the chemistry and hydrology of the following: (1) Bear Creek upstream of the mine discharges (BC-UMD), (2) water draining from the Lykens-Williamstown Mine Pool at the Lykens Water-Level Tunnel (LWLT) and Lykens Drift (LD) discharges, (3) Bear Creek after mixing with the mine discharges (BC-DMD), and (4) Bear Creek prior to mixing with Wiconisco Creek (BCM). Two sites on Wiconisco Creek, upstream and downstream of Bear Creek (WC-UBC and WC-DBC, respectively), were selected to evaluate changes in streamflow and water quality upon mixing with Bear Creek. During periods of below-normal precipitation, streamwater loss was commonly 100 percent upstream of site BC-UMD (streamflow range = 0 to 9.7 ft3/s (cubic feet per second)) but no loss was detected

  7. Abandoned coal mine stores gas for Colorado peak-day demands

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brown, L.W.

    1978-09-01

    Since 1961, the Leyden Mine, from which 6 million tons of coal had been removed to leave a 150 million cu ft void, has been used for gas storage at 250 psig max pressure, after the hoisting and ventilation shafts had been sealed with concrete, rock, sand, and mud. Following several withdrawal expansions, a design for maximum delivery of 230 million cu ft/day for five days with a pressure drop in the cavern down to 100 psig was developed to satisfy customer requirements for peak shaving. This required redesigning the gathering system by looping large existing lines, eliminating inefficient ones,more » and drilling additional wells; installing three lightweight 3500-hp Centaur turbine/compressor units from Solar Turbines International to provide the minimum 200 psig compressor discharge pressure needed for gas distribution on peak usage days; and installing Donaldson Co. engine air-inlet silencers on the turbine inlets to reduce noise levels below the public code requirement. In the 1977-78 heating season, the Leyden facility produced 196 million cu ft/day of gas; with continued load growth and well drilling to reduce pressure loss, the maximum design flow rate will be attained.« less

  8. Pervasive refusal syndrome. Three German cases provide further illustration.

    PubMed

    Jans, Thomas; Ball, Juliane; Preiss, Maike; Haberhausen, Michael; Warnke, Andreas; Renner, Tobias J

    2011-09-01

    Pervasive refusal syndrome (PRS) has been proposed as a new diagnostic entity among child and adolescent psychiatric disorders. It is characterized by a cluster of life-threatening symptoms including refusal of hood intake, decreased or complete lack of mobilization, and lack of communication as well as retreat from normal life activities. Active refusal to accept help as well as neglect of personal care have been core features of PRS in the limited number of cases reported in the last decade. There have, however; been cases with predominantly passive resistance, indicating the possibility that there may be a continuum from active refusal to passive resistance within PRS. Postulating this continuum allows for the integration of "depressive devitalization" -- a refusal syndrome mainly characterized by passive resistance -- into the concept of PRS. Here, three case vignettes of adolescent patients with PRS are presented. The patients' symptomatology can be allocated on this continuum of PRS. PRS and dissociative disorders are compared in greater detail and contrasted within this discussion of differential diagnoses at the poles of such a continuum. PRS is a useful diagnosis for cases involving symptoms of predominating refusal and retreat which cannot satisfactorily be classified by existing diagnostic categories, and which can mostly clearly be separated from dissociative disorder.

  9. The right to refuse.

    PubMed

    Baston, Simon

    2007-03-01

    Accepting or refusing clinical treatment is an adult's right, and guidance for healthcare professionals on the issue is set out in the Reference Guide to Consent for Examination or Treatment ( Department of Health 2001 ).

  10. Refusal Skill Ability: An Examination of Adolescent Perceptions of Effectiveness

    ERIC Educational Resources Information Center

    Nichols, Tracy R.; Birnel, Sara; Graber, Julia A.; Brooks-Gunn, Jeanne; Botvin, Gilbert J.

    2010-01-01

    This pilot study examined whether refusal assertion as defined by a proven drug prevention program was associated with adolescent perceptions of effectiveness by comparing two sets of coded responses to adolescent videotaped refusal role-plays (N = 63). The original set of codes was defined by programmatic standards of refusal assertion and the…

  11. 32 CFR 644.494 - Donation, abandonment or destruction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Donation, abandonment or destruction. 644.494 Section 644.494 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL... Land) § 644.494 Donation, abandonment or destruction. (a) General. Improvements may be abandoned...

  12. 32 CFR 644.494 - Donation, abandonment or destruction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 4 2011-07-01 2011-07-01 false Donation, abandonment or destruction. 644.494 Section 644.494 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL... Land) § 644.494 Donation, abandonment or destruction. (a) General. Improvements may be abandoned...

  13. 32 CFR 644.494 - Donation, abandonment or destruction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 4 2012-07-01 2011-07-01 true Donation, abandonment or destruction. 644.494 Section 644.494 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL... Land) § 644.494 Donation, abandonment or destruction. (a) General. Improvements may be abandoned...

  14. 32 CFR 644.494 - Donation, abandonment or destruction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 4 2013-07-01 2013-07-01 false Donation, abandonment or destruction. 644.494 Section 644.494 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL... Land) § 644.494 Donation, abandonment or destruction. (a) General. Improvements may be abandoned...

  15. 32 CFR 644.494 - Donation, abandonment or destruction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 4 2014-07-01 2013-07-01 true Donation, abandonment or destruction. 644.494 Section 644.494 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL... Land) § 644.494 Donation, abandonment or destruction. (a) General. Improvements may be abandoned...

  16. Factors related to treatment refusal in Taiwanese cancer patients.

    PubMed

    Chiang, Ting-Yu; Wang, Chao-Hui; Lin, Yu-Fen; Chou, Shu-Lan; Wang, Ching-Ting; Juang, Hsiao-Ting; Lin, Yung-Chang; Lin, Mei-Hsiang

    2015-01-01

    Incidence and mortality rates for cancer have increased dramatically in the recent 30 years in Taiwan. However, not all patients receive treatment. Treatment refusal might impair patient survival and life quality. In order to improve this situation, we proposed this study to evaluate factors that are related to refusal of treatment in cancer patients via a cancer case manager system. This study analysed data from a case management system during the period from 2010 to 2012 at a medical center in Northern Taiwan. We enrolled a total of 14,974 patients who were diagnosed with cancer. Using the PRECEDE Model as a framework, we conducted logistic regression analysis to identify independent variables that are significantly associated with refusal of therapy in cancer patients. A multivariate logistic regression model was also applied to estimate adjusted the odds ratios (ORs) with 95% confidence intervals (95%CI). A total of 253 patients (1.69%) refused treatment. The multivariate logistic regression result showed that the high risk factors for refusal of treatment in cancer patient included: concerns about adverse effects (p<0.001), poor performance(p<0.001), changes in medical condition (p<0.001), timing of case manager contact (p=.026), the methods by which case manager contact patients (p<0.001) and the frequency that case managers contact patients (≥10times) (p=0.016). Cancer patients who refuse treatment have poor survival. The present study provides evidence of factors that are related to refusal of therapy and might be helpful for further application and improvement of cancer care.

  17. 47 CFR 73.4005 - Advertising-refusal to sell.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Advertising-refusal to sell. 73.4005 Section 73.4005 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.4005 Advertising—refusal to sell. See 412...

  18. 47 CFR 73.4005 - Advertising-refusal to sell.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 4 2011-10-01 2011-10-01 false Advertising-refusal to sell. 73.4005 Section 73.4005 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.4005 Advertising—refusal to sell. See 412...

  19. 47 CFR 73.4005 - Advertising-refusal to sell.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 4 2012-10-01 2012-10-01 false Advertising-refusal to sell. 73.4005 Section 73.4005 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.4005 Advertising—refusal to sell. See 412...

  20. 47 CFR 73.4005 - Advertising-refusal to sell.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 4 2014-10-01 2014-10-01 false Advertising-refusal to sell. 73.4005 Section 73.4005 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.4005 Advertising—refusal to sell. See 412...

  1. 47 CFR 73.4005 - Advertising-refusal to sell.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 4 2013-10-01 2013-10-01 false Advertising-refusal to sell. 73.4005 Section 73.4005 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.4005 Advertising—refusal to sell. See 412...

  2. [Novel resources utilization technique for rural domestic refuse].

    PubMed

    Qiu, Cai-Di; He, Ruo; Chen, Song-Mei; Lou, Bin; Shen, Dong-Sheng

    2009-03-15

    In order to speed up rural domestic refuse resources utilization, intermittent aeration and continuous aeration were applied to treat rural domestic refuse after anaerobic fermentation. Three kinds of refuse were selected on base of fermentative age, i.e. three months, five months and seven months. Results showed that aeration could remove water and organic materials of the refuse effectively. Points of view on aeration, continuous aeration was better than intermittent aeration, and on the other side, water removal rate increased with ventilation and decreased with fermentative age in the condition of intermittent aeration. On organic materials removal point, it was affected by fermentative age significantly, i. e. increase of fermentative age could resulted in decrease in the removal efficiency. In conclusion, intermittent aeration of 0.06 m3/(min x m3) was considered to be feasible for treatment. The water removal efficiency of three months, five months and seven months fermentative age refuse could be up to 49.1%, 45.3% and 44.0%, and organic compound removal efficiency was 41.9%, 24.8% and 13.1%, respectively, after intermittent aeration for 21 d. Moreover, concentrated effect was presented on major nutrient ingredients, such as total nitrogen, phosphorus, and potassium during the aeration, which realized for resources utilization.

  3. 37 CFR 2.66 - Revival of abandoned applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Applicants § 2.66 Revival of abandoned applications. (a) The applicant may file a petition to revive an... for filing a petition to revive an application abandoned because the applicant did not timely respond... proposed response. (c) The requirements for filing a petition to revive an application abandoned because...

  4. Magnetic surveys for locating abandoned wells

    USGS Publications Warehouse

    ,

    1995-01-01

    Abandoned and unrecorded wells may act as conduits for the contamination of groundwater supplies by oil field brines and other pollutants. The casings of abandoned wells eventually develop leaks, which, if not properly plugged, can allow pollutants to reach freshwater aquifers that supply drinking water. Sources of pollutants include brine ponds, landfill sites, agricultural activities, industrial activities, illegal disposal sites, or accidental spills. The problem is particularly acute in regions where there are old petroleum fields or where water wells have been extensively used for agricultural irrigation. Even urban areas can contain wells that were abandoned and concealed during development. Carefully designed ground magnetic or aeromagnetic surveys can be used to locate abandoned wells by mapping the magnetic disturbances or "anomalies" produced by their steel well casings. The U.S. Geological Survey (USGS) can, at the request of other Federal, State, or local agencies, conduct, process, and interpret such surveys, or it can aid in the design and monitoring of contracts for such surveys.

  5. Veterinary opinions on refusing euthanasia: justifications and philosophical frameworks.

    PubMed

    Yeates, J W; Main, D C J

    2011-03-12

    To obtain information on euthanasia decisions from practising veterinary surgeons, respondents were asked to estimate how often during their time in practice they had refused to euthanase a dog and how often they had wanted to refuse to euthanase a dog but not done so because of other pressures. For each, respondents were then asked to state their most common reasons for refusing/not refusing in free text. The responses of clinicians were considered in the light of established ethical concepts to produce an evidence-based ethical framework for decision making. In total, 58 practitioners responded. Common reasons given for decisions on whether to refuse euthanasia referred to the patient's interests, such as the possibility of treatment or rehoming, and the fear of other unacceptable outcomes for the dog. Other reasons were based on concern for owners' interests. Some respondents reported being pressured into euthanasia by clients and other veterinary surgeons. This gives insight into the ethical principles that explicitly underlie veterinary surgeons' euthanasia decisions and the resultant framework may be useful for discussing and teaching euthanasia.

  6. Situation testing: the case of health care refusal.

    PubMed

    Després, C; Couralet, P-E

    2011-04-01

    Situation testing to assess physicians' refusal to provide healthcare is increasingly used in research studies. This paper aims to explain the relevance and limits of this method. Conducted in 2008-2009, this study was designed to assess the rate of healthcare refusal among several categories of private practitioners toward patients covered by the French public means-tested complementary health insurance (CMUc) when they requested a first appointment by phone. The other objectives were to study the determinants of healthcare refusal and assess the method. The study was conducted on a representative sample of Paris-based dentists and physicians in five categories: general practitioners, medical gynecologists, ophthalmologists, radiologists, and dentists. The method was based on two protocols. In the first scenario, an actor pretended to be a CMUc beneficiary and, in the second one, he did not give information about his health coverage but hinted at a low socioeconomic status. The two protocols were compared and procedures checking the relation between refusal and CMUc coverage were implemented in each of them. In the scenario in which the patient declared being a CMUc beneficiary, the results showed different refusal rates depending on the type of practitioner, physician, or dentist, their specialty, and whether or not, they charge more than the standard set fee. In the second scenario, refusal rates were much lower. The comparison of the two protocols seems to confirm the existence of discrimination based on CMUc affiliation rather than patients' socioeconomic status. The discussion presents the limits of situation testing, which remains an experimental instrument because it does not observe reality but reveals behaviors in situation. The findings cannot be extrapolated and are limited in time. The statistical analysis is only valid if the procedure followed is precise and applied consistently using a preset scenario. In addition, the discriminatory nature of the

  7. [Refusal of nursing care, the legal perspective].

    PubMed

    Fisman, Jérôme

    2016-10-01

    The refusal of nursing care forms part of the freedom offered to anyone wanting to refuse, consciously and knowingly, any form of nursing care such as washing, the taking of medication or hospitalisation. However, limits are fixed by law as well as by case law. Are we totally free in the expression of our will? Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  8. Rocky Mountain Tertiary coal-basin models and their applicability to some world basins

    USGS Publications Warehouse

    Flores, R.M.

    1989-01-01

    Tertiary intermontane basins in the Rocky Mountain region of the United States contain large amounts of coal resources. The first major type of Tertiary coal basin is closed and lake-dominated, either mud-rich (e.g., North Park Basin, Colorado) or mud plus carbonate (e.g., Medicine Lodge Basin, Montana), which are both infilled by deltas. The second major type of Tertiary coal basin is open and characterized by a preponderance of sediments that were deposited by flow-through fluvial systems (e.g., Raton Basin, Colorado and New Mexico, and Powder River Basin, Wyoming and Montana). The setting for the formation of these coals varies with the type of basin sedimentation, paleotectonism, and paleoclimate. The mud-rich lake-dominated closed basin (transpressional paleotectonism and warm, humid paleoclimate), where infilled by sandy "Gilbert-type" deltas, contains thick coals (low ash and low sulfur) formed in swamps of the prograding fluvial systems. The mud- and carbonate-rich lake-dominated closed basin is infilled by carbonate precipitates plus coarse-grained fan deltas and fine-grained deltas. Here, thin coals (high ash and high sulfur) formed in swamps of the fine-grained deltas. The coarse-clastic, open basins (compressional paleotectonism and warm, paratropical paleoclimate) associated with flow-through fluvial systems contain moderately to anomalously thick coals (high to low ash and low sulfur) formed in swamps developed in intermittently abandoned portions of the fluvial systems. These coal development patterns from the Tertiary Rocky Mountain basins, although occurring in completely different paleotectonic settings, are similar to that found in the Tertiary, Cretaceous, and Permian intermontane coal basins in China, New Zealand, and India. ?? 1989.

  9. 37 CFR 1.138 - Express abandonment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Express abandonment. 1.138 Section 1.138 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF... Patent and Trademark Office. Express abandonment of the application may not be recognized by the Office...

  10. 32 CFR 636.31 - Abandoned vehicles.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Abandoned vehicles. 636.31 Section 636.31... CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION (SPECIFIC INSTALLATIONS) Fort Stewart, Georgia § 636.31 Abandoned vehicles. (a) Any MP or DOD police officer who finds or has knowledge of a motor...

  11. 32 CFR 636.31 - Abandoned vehicles.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 4 2011-07-01 2011-07-01 false Abandoned vehicles. 636.31 Section 636.31... CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION (SPECIFIC INSTALLATIONS) Fort Stewart, Georgia § 636.31 Abandoned vehicles. (a) Any MP or DOD police officer who finds or has knowledge of a motor...

  12. 32 CFR 636.31 - Abandoned vehicles.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 4 2012-07-01 2011-07-01 true Abandoned vehicles. 636.31 Section 636.31... CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION (SPECIFIC INSTALLATIONS) Fort Stewart, Georgia § 636.31 Abandoned vehicles. (a) Any MP or DOD police officer who finds or has knowledge of a motor...

  13. 32 CFR 636.31 - Abandoned vehicles.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 4 2014-07-01 2013-07-01 true Abandoned vehicles. 636.31 Section 636.31... CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION (SPECIFIC INSTALLATIONS) Fort Stewart, Georgia § 636.31 Abandoned vehicles. (a) Any MP or DOD police officer who finds or has knowledge of a motor...

  14. 32 CFR 636.31 - Abandoned vehicles.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 4 2013-07-01 2013-07-01 false Abandoned vehicles. 636.31 Section 636.31... CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION (SPECIFIC INSTALLATIONS) Fort Stewart, Georgia § 636.31 Abandoned vehicles. (a) Any MP or DOD police officer who finds or has knowledge of a motor...

  15. 28 CFR 549.65 - Refusal to accept treatment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Refusal to accept treatment. 549.65 Section 549.65 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Hunger Strikes, Inmate § 549.65 Refusal to accept treatment. (a) When, as a result of...

  16. 16 CFR § 1210.18 - Refusal of importation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 2 2013-01-01 2013-01-01 false Refusal of importation. § 1210.18 Section § 1210.18 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SAFETY STANDARD FOR CIGARETTE LIGHTERS Certification Requirements § 1210.18 Refusal of importation. (a...

  17. Methodology of Estimation of Methane Emissions from Coal Mines in Poland

    NASA Astrophysics Data System (ADS)

    Patyńska, Renata

    2014-03-01

    Based on a literature review concerning methane emissions in Poland, it was stated in 2009 that the National Greenhouse Inventory 2007 [13] was published. It was prepared firstly to meet Poland's obligations resulting from point 3.1 Decision no. 280/2004/WE of the European Parliament and of the Council of 11 February 2004, concerning a mechanism for monitoring community greenhouse gas emissions and for implementing the Kyoto Protocol and secondly, for the United Nations Framework Convention on Climate Change (UNFCCC) and Kyoto Protocol. The National Greenhouse Inventory states that there are no detailed data concerning methane emissions in collieries in the Polish mining industry. That is why the methane emission in the methane coal mines of Górnośląskie Zagłębie Węglowe - GZW (Upper Silesian Coal Basin - USCB) in Poland was meticulously studied and evaluated. The applied methodology for estimating methane emission from the GZW coal mining system was used for the four basic sources of its emission. Methane emission during the mining and post-mining process. Such an approach resulted from the IPCC guidelines of 2006 [10]. Updating the proposed methods (IPCC2006) of estimating the methane emissions of hard coal mines (active and abandoned ones) in Poland, assumes that the methane emission factor (EF) is calculated based on methane coal mine output and actual values of absolute methane content. The result of verifying the method of estimating methane emission during the mining process for Polish coal mines is the equation of methane emission factor EF.

  18. Expedited Partner Therapy: Pharmacist Refusal of Legal Prescriptions.

    PubMed

    Borchardt, Lauren N; Pickett, Michelle L; Tan, Kevin T; Visotcky, Alexis M; Drendel, Amy L

    2018-05-01

    Expedited partner therapy (EPT) is an effective strategy for partner management of sexually transmitted infections. Some states, including Wisconsin, allow EPT prescriptions to be filled without a patient name. This study determined the refusal rates of nameless EPT prescriptions in Milwaukee pharmacies. In this cross-sectional study, 3 trained research assistants of different age, sex, and race posed as "patients" and visited 50 pharmacy locations from one pharmacy chain in Milwaukee County, WI, to fill nameless EPT prescriptions. A χ test was used to compare demographics of patients, pharmacists, and pharmacies. Multiple logistic regression was used to identify factors associated with prescription refusal. Twenty-nine (58%) of 50 nameless EPT prescriptions were refused. Univariate analysis showed that prescriptions were more likely to be refused if the pharmacy was in the suburbs (77%) compared with Milwaukee city (43%; P = 0.01), if the pharmacist was older than the patient (82%) compared with being younger (46%) or within the same age group (33%; P = 0.01 for both), and if the patient was white (78%) compared with nonwhite (47%; P = 0.03). Multivariable regression revealed significantly higher refusals for pharmacies located in the suburbs compared with the city (odds ratio, 5.3; 95% confidence interval, 1.4-20.3; P = 0.03) and in patients who were white compared with nonwhite (odds ratio: 4.8; 95% confidence interval, 1.2-19.8; P = 0.01). More than half of nameless EPT prescriptions were refused in Milwaukee county pharmacies, more frequently at suburban pharmacies and for white patients. Increased pharmacist education regarding EPT is essential to help combat the sexually transmitted infection crisis.

  19. Predicting temporal changes in total iron concentrations in groundwaters flowing from abandoned deep mines: a first approximation

    NASA Astrophysics Data System (ADS)

    Younger, Paul L.

    2000-06-01

    Discharges of contaminated groundwater from abandoned deep mines are a major environmental problem in many parts of the world. While process-based models of pollutant generation have been successfully developed for certain surface mines and waste rock piles of relatively simple geometry and limited areal extent, such models are not readily applicable to large systems of laterally extensive, interconnected, abandoned deep mines. As a first approximation for such systems, hydrological and lithological factors, which can reasonably be expected to influence pollutant release, have been assessed by empirically assessing data from 81 abandoned deep coal mine discharges in the UK. These data demonstrate that after flooding of a deep mine is complete and groundwater begins to migrate from the mine voids into surface waters or adjoining aquifers, flushing of the mine voids by fresh recharge results in a gradual improvement in the quality of groundwater (principally manifested as decreasing Fe concentrations and stabilisation of pH around 7). Alternative representations of the flushing process have been examined. While elegant analytical solutions of the advection-dispersion equation can be made to mimic the changes in iron concentration, parameterisation is tendentious in practice. Scrutiny of the UK data suggest that to a first approximation, the duration of the main period of flushing can be predicted to endure around four times as long as the foregoing process of mine flooding. Short- and long-term iron concentrations (i.e. at the start of the main period of flushing and after its completion, respectively) can be estimated from the sulphur content of the worked strata. If strata composition data are unavailable, some indication of pollution potential can be obtained from considerations of the proximity of worked strata to marine beds (which typically have high pyrite contents). The long-term concentrations of iron in a particular discharge can also be approximated on the

  20. [Effect of soil phenolic acids on soil microbe of coal-mining depressed land after afforestation restoration by different tree species].

    PubMed

    Ji, Li; Yang, Li Xue

    2017-12-01

    Phenolic acids are one of the most important factors that influence microbial community structure. Investigating the dynamic changes of phenolic acids and their relationship with the microbial community structure in plantation soils with different tree species could contribute to better understanding and revealing the mechanisms of microbial community changes under afforestation restoration in coal-mining subsidence areas. In this study, plantations of three conifer and one deciduous species (Pinus koraiensis, Larix gmelinii, Pinus sylvestris var. mongolica, and Populus ussuriensis) were established on abandoned coal-mining subsidence areas in Baoshan District, Shuangyashan City. The contents of soil phenols, 11 types of phenolic acids, and microbial communities in all plots were determined. The results showed that the contents of soil complex phenol in plantations were significantly higher than that of abandoned land overall. Specifically, soils in larch and poplar plantations had higher contents of complex phenol, while soils in larch and Korean pine plantations had greater contents of total phenol. Moreover, soil in the P. koraiensis plantation had a higher content of water-soluble phenol compared with abandoned lands. The determination of 11 phenolic acids indicated that the contents of ferulic acid, abietic acid, β-sitosterol, oleanolic acid, shikimic acid, linoleic acid, and stearic acid were higher in plantation soils. Although soil phenol contents were not related with soil microbial biomass, the individual phenolic acids showed a significant relationship with soil microbes. Ferulic acid, abietic acid, and β-sitosterol showed significant promoting effects on soil microbial biomass, and they showed positive correlations with fungi and fungi/bacteria ratio. These three phenolic acids had higher contents in the poplar plantation, suggesting that poplar affo-restation had a beneficial effect on soil quality in coal-mining subsidence areas.

  1. 40 CFR 144.63 - Financial assurance for plugging and abandonment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... current plugging and abandonment cost estimate, except as provided in § 144.70(g), divided by the number... days after receiving bills for plugging and abandonment activities, the Regional Administrator will... abandonment activities, the Regional Administrator will determine whether the plugging and abandonment...

  2. Who Says There Is No Life after Abandonment? A Grounded Theory on the Coping of Abandoned Filipino Elderly in Nursing Homes

    ERIC Educational Resources Information Center

    de Guzman, Allan B.; Lacorte, Jeremy C.; Lacsamana, Andrea Keith G.; Lagac, Mark Lawrence M.; Laguador, Jobel M.; Lapid, Jazminn Jessica R.; Lee, Lyndcie Miriele C.

    2012-01-01

    Cases of abandoned elderly are increasing worldwide. By and large, this group struggles with the sudden change in living arrangement as well as abandonment by their families. Consequently, many elderly are forced into living in nursing homes for the remainder of their lives. Abandonment among these elderly negatively affects how they view…

  3. Monitoring Metal Pollution Levels in Mine Wastes around a Coal Mine Site Using GIS

    NASA Astrophysics Data System (ADS)

    Sanliyuksel Yucel, D.; Yucel, M. A.; Ileri, B.

    2017-11-01

    In this case study, metal pollution levels in mine wastes at a coal mine site in Etili coal mine (Can coal basin, NW Turkey) are evaluated using geographical information system (GIS) tools. Etili coal mine was operated since the 1980s as an open pit. Acid mine drainage is the main environmental problem around the coal mine. The main environmental contamination source is mine wastes stored around the mine site. Mine wastes were dumped over an extensive area along the riverbeds, and are now abandoned. Mine waste samples were homogenously taken at 10 locations within the sampling area of 102.33 ha. The paste pH and electrical conductivity values of mine wastes ranged from 2.87 to 4.17 and 432 to 2430 μS/cm, respectively. Maximum Al, Fe, Mn, Pb, Zn and Ni concentrations of wastes were measured as 109300, 70600, 309.86, 115.2, 38 and 5.3 mg/kg, respectively. The Al, Fe and Pb concentrations of mine wastes are higher than world surface rock average values. The geochemical analysis results from the study area were presented in the form of maps. The GIS based environmental database will serve as a reference study for our future work.

  4. Utilization of coal mine methane for methanol and SCP production. Topical report, May 5, 1995--March 4, 1996

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1998-12-31

    The feasibility of utilizing a biological process to reduce methane emissions from coal mines and to produce valuable single cell protein (SCP) and/or methanol as a product has been demonstrated. The quantities of coal mine methane from vent gas, gob wells, premining wells and abandoned mines have been determined in order to define the potential for utilizing mine gases as a resource. It is estimated that 300 MMCFD of methane is produced in the United States at a typical concentration of 0.2-0.6 percent in ventilation air. Of this total, almost 20 percent is produced from the four Jim Walter Resourcesmore » (JWR) mines, which are located in very gassy coal seams. Worldwide vent gas production is estimated at 1 BCFD. Gob gas methane production in the U.S. is estimated to be 38 MMCFD. Very little gob gas is produced outside the U.S. In addition, it is estimated that abandoned mines may generate as much as 90 MMCFD of methane. In order to make a significant impact on coal mine methane emissions, technology which is able to utilize dilute vent gases as a resource must be developed. Purification of the methane from the vent gases would be very expensive and impractical. Therefore, the process application must be able to use a dilute methane stream. Biological conversion of this dilute methane (as well as the more concentrated gob gases) to produce single cell protein (SCP) and/or methanol has been demonstrated in the Bioengineering Resources, Inc. (BRI) laboratories. SCP is used as an animal feed supplement, which commands a high price, about $0.11 per pound.« less

  5. Crimes and misdemeanours: the case of child abandonment.

    PubMed

    Giordano, S

    2007-01-01

    In 2002, a child was abandoned in a Burger King restaurant in Amsterdam by a Chinese woman, who hoped that the baby would be picked up by someone able to give the child a better life. She was convicted for child abandonment and imprisoned. Whereas some forms of child abandonment are criminalised, others are socially accepted and not even on the ethics agenda. This paper is an invitation to reflect on the inconsistency in the ways in which we prosecute, punish or try to correct some forms of child abandonment and yet make allowances for others.

  6. Refusal bias in HIV prevalence estimates from nationally representative seroprevalence surveys.

    PubMed

    Reniers, Georges; Eaton, Jeffrey

    2009-03-13

    To assess the relationship between prior knowledge of one's HIV status and the likelihood to refuse HIV testing in populations-based surveys and explore its potential for producing bias in HIV prevalence estimates. Using longitudinal survey data from Malawi, we estimate the relationship between prior knowledge of HIV-positive status and subsequent refusal of an HIV test. We use that parameter to develop a heuristic model of refusal bias that is applied to six Demographic and Health Surveys, in which refusal by HIV status is not observed. The model only adjusts for refusal bias conditional on a completed interview. Ecologically, HIV prevalence, prior testing rates and refusal for HIV testing are highly correlated. Malawian data further suggest that amongst individuals who know their status, HIV-positive individuals are 4.62 (95% confidence interval, 2.60-8.21) times more likely to refuse testing than HIV-negative ones. On the basis of that parameter and other inputs from the Demographic and Health Surveys, our model predicts downward bias in national HIV prevalence estimates ranging from 1.5% (95% confidence interval, 0.7-2.9) for Senegal to 13.3% (95% confidence interval, 7.2-19.6) for Malawi. In absolute terms, bias in HIV prevalence estimates is negligible for Senegal but 1.6 (95% confidence interval, 0.8-2.3) percentage points for Malawi. Downward bias is more severe in urban populations. Because refusal rates are higher in men, seroprevalence surveys also tend to overestimate the female-to-male ratio of infections. Prior knowledge of HIV status informs decisions to participate in seroprevalence surveys. Informed refusals may produce bias in estimates of HIV prevalence and the sex ratio of infections.

  7. A comparison of refuse attenuation in laboratory and field scale lysimeters.

    PubMed

    Youcai, Zhao; Luochun, Wang; Renhua, Hua; Dimin, Xu; Guowei, Gu

    2002-01-01

    For this study, small and middle scale laboratory lysimeters, and a large scale field lysimeter in situ in Shanghai Refuse Landfill, with refuse weights of 187,600 and 10,800,000 kg, respectively, were created. These lysimeters are compared in terms of leachate quality (pH, concentrations of COD, BOD and NH3-N), refuse composition (biodegradable matter and volatile solid) and surface settlement for a monitoring period of 0-300 days. The objectives of this study were to explore both the similarities and disparities between laboratory and field scale lysimeters, and to compare degradation behaviors of refuse at the intensive reaction phase in the different scale lysimeters. Quantitative relationships of leachate quality and refuse composition with placement time show that degradation behaviors of refuse seem to depend heavily on the scales of the lysimeters and the parameters of concern, especially in the starting period of 0-6 months. However, some similarities exist between laboratory and field lysimeters after 4-6 months of placement because COD and BOD concentrations in leachate in the field lysimeter decrease regularly in a parallel pattern with those in the laboratory lysimeters. NH3-N, volatile solid (VS) and biodegradable matter (BDM) also gradually decrease in parallel in this intensive reaction phase for all scale lysimeters as refuse ages. Though the concrete data are different among the different scale lysimeters, it may be considered that laboratory lysimeters with sufficient scale are basically applicable for a rough simulation of a real landfill, especially for illustrating the degradation pattern and mechanism. Settlement of refuse surface is roughly proportional to the initial refuse height.

  8. Dissolved metals and associated constituents in abandoned coal-mine discharges, Pennsylvania, USA. Part 1: Constituent quantities and correlations

    USGS Publications Warehouse

    Cravotta, C.A.

    2008-01-01

    Complete hydrochemical data are rarely reported for coal-mine discharges (CMD). This report summarizes major and trace-element concentrations and loadings for CMD at 140 abandoned mines in the Anthracite and Bituminous Coalfields of Pennsylvania. Clean-sampling and low-level analytical methods were used in 1999 to collect data that could be useful to determine potential environmental effects, remediation strategies, and quantities of valuable constituents. A subset of 10 sites was resampled in 2003 to analyze both the CMD and associated ochreous precipitates; the hydrochemical data were similar in 2003 and 1999. In 1999, the flow at the 140 CMD sites ranged from 0.028 to 2210 L s-1, with a median of 18.4 L s-1. The pH ranged from 2.7 to 7.3; concentrations (range in mg/L) of dissolved (0.45-??m pore-size filter) SO4 (34-2000), Fe (0.046-512), Mn (0.019-74), and Al (0.007-108) varied widely. Predominant metalloid elements were Si (2.7-31.3 mg L-1), B ( C > P = N = Se) were not elevated in the CMD samples compared to average river water or seawater. Compared to seawater, the CMD samples also were poor in halogens (Cl > Br > I > F), alkalies (Na > K > Li > Rb > Cs), most alkaline earths (Ca > Mg > Sr), and most metalloids but were enriched by two to four orders of magnitude with Fe, Al, Mn, Co, Be, Sc, Y and the lanthanide rare-earth elements, and one order of magnitude with Ni and Zn. The ochre samples collected at a subset of 10 sites in 2003 were dominantly goethite with minor ferrihydrite or lepidocrocite. None of the samples for this subset contained schwertmannite or was Al rich, but most contained minor aluminosilicate detritus. Compared to concentrations in global average shale, the ochres were rich in Fe, Ag, As and Au, but were poor in most other metals and rare earths. The ochres were not enriched compared to commercial ore deposits mined for Au or other valuable metals. Although similar to commercial Fe ores in composition, the ochres are dispersed and

  9. 38 CFR 17.100 - Refusal of treatment by unnecessarily breaking appointments.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Refusal of treatment by... VETERANS AFFAIRS MEDICAL Breaking Appointments § 17.100 Refusal of treatment by unnecessarily breaking... informed that breaking an additional appointment will be deemed to be a refusal to accept VA treatment. If...

  10. Early Campanian coastal progradational systems and their coal-forming environments, Wyoming to New Mexico

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Marley, W.E.; Flores, R.M.; Ethridge, F.G.

    1985-05-01

    Ammonite zones (Baculites obtusus-Scaphites hippocrepis) in the marine facies associated with the Mesaverde Formation in the Bighorn basin, Wyoming, Star Point Sandstone and Blackhawk Formation in the Wasatch Plateau, Utah, and the Point Lookout Sandstone, Menefee Formation, and Crevasse Canyon Formation in the Gallup coalfield, New Mexico, indicate that these formations were deposited during early Campanian time (80-84 Ma). The coal-forming environments of these early Campanian formations were located landward of wave-reworked coastal sand complexes of progradational systems along the western margin of the Cretaceous seaway from Wyoming to New Mexico. The Mesaverde coals accumulated in swamps of the lowermore » delta plain and coeval interdeltaic strandplain environments. The Star Point-Blackhawk coals accumulated in swamps of the lower delta plains of laterally shifting, prograding deltas and associated barrier ridge plains. The Point Lookout, Menefee, and Crevasse canyon coals formed in swamps of the lower delta plain and infilled lagoons behind barrier islands. Although the common coal-forming environments of these progradational systems are back barrier and delta plain, the former setting was the more conducive for accumulation of thick, laterally extensive coals. Economic coal deposits formed in swamps built on abandoned back-barrier platforms that were free of detrital influx and marine influence. Delta-plain coals tend to be lenticular and laterally discontinuous and thus uneconomic. The early Campanian coal-forming coastal-plain environments are analogous to modern peat-forming environments along the coast of Belize, Central America. Deltaic sediments deposited along the Belize coast by short-headed streams are reworked by waves into coastal barrier systems.« less

  11. Method of gas emission control for safe working of flat gassy coal seams

    NASA Astrophysics Data System (ADS)

    Vinogradov, E. A.; Yaroshenko, V. V.; Kislicyn, M. S.

    2017-10-01

    The main problems at intensive flat gassy coal seam longwall mining are considered. For example, mine Kotinskaja JSC “SUEK-Kuzbass” shows that when conducting the work on the gassy coal seams, methane emission control by means of ventilation, degassing and insulated drain of methane-air mixture is not effective and stable enough. It is not always possible to remove the coal production restrictions by the gas factor, which leads to financial losses because of incomplete using of longwall equipment and the reduction of the technical and economic indicators of mining. To solve the problems, the authors used a complex method that includes the compilation and analysis of the theory and practice of intensive flat gassy coal seam longwall mining. Based on the results of field and numerical researches, the effect of parameters of technological schemes on efficiency of methane emission control on longwall panels, the non-linear dependence of the permissible according to gas factor longwall productivity on parameters of technological schemes, ventilation and degassing during intensive mining flat gassy coal seams was established. The number of recommendations on the choice of the location and the size of the intermediate section of coal heading to control gassing in the mining extracted area, and guidelines for choosing the parameters of ventilation of extracted area with the help of two air supply entries and removal of isolated methane-air mixture are presented in the paper. The technological scheme, using intermediate entry for fresh air intake, ensuring effective management gassing and allowing one to refuse from drilling wells from the surface to the mined-out space for mining gas-bearing coal seams, was developed.

  12. Causes, outcome and prevention of abandonment in retinoblastoma in India.

    PubMed

    Kumar, Archana; Moulik, Nirmalya Roy; Mishra, Ravi Krishna; Kumar, Dipak

    2013-05-01

    The high-cure rates of 90% in retinoblastoma are not replicated in developing countries due to late presentation and poor compliance to treatment. The present study takes a closer look at causes of abandonment of therapy and effectiveness of counselling in reducing abandonment. A retrospective study of children with retinoblastoma registered at our centre from March 2008 through August 2011. Fifty (49.50%) of 101 children registered for treatment abandoned therapy. Abandonment rates were significantly higher in rural as compared to urban children (P = 0.02). There was no significant difference in rate of abandonment between stages or laterality of disease and other socio-demographic factors. Telephone calls were more effective than letters in tracing patients (31.2% vs. 2.4%). Major reasons cited behind abandonment were financial problems (30%) and unwillingness to enucleate (20%). Of the 12 children who returned and were retreated 6 (50%) died of progressive disease. Nineteen (73%) of those who did not return died at home. Abandonment rates steadily declined from 71.42% in 2008 to 16.66% in 2011 (P = 0.01) due to effective pre-abandonment counselling by a support team under the National Retinoblastoma Registry of India from 2009. Abandonment rates for children with retinoblastoma continue to be unacceptably high. Rural background, financial constraints and hesitancy to enucleate were important causes behind abandonment. Outcome of patients who abandoned treatment was uniformly dismal. Inclusion of support team and intensified initial counselling helped in improving compliance. Copyright © 2013 Wiley Periodicals, Inc.

  13. 43 CFR 15.4 - Refuse and polluting substances.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Refuse and polluting substances. 15.4 Section 15.4 Public Lands: Interior Office of the Secretary of the Interior KEY LARGO CORAL REEF PRESERVE § 15.4 Refuse and polluting substances. No person shall dump or deposit in or on the waters of this...

  14. 43 CFR 15.4 - Refuse and polluting substances.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Refuse and polluting substances. 15.4 Section 15.4 Public Lands: Interior Office of the Secretary of the Interior KEY LARGO CORAL REEF PRESERVE § 15.4 Refuse and polluting substances. No person shall dump or deposit in or on the waters of this...

  15. 43 CFR 15.4 - Refuse and polluting substances.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Refuse and polluting substances. 15.4 Section 15.4 Public Lands: Interior Office of the Secretary of the Interior KEY LARGO CORAL REEF PRESERVE § 15.4 Refuse and polluting substances. No person shall dump or deposit in or on the waters of this...

  16. 43 CFR 15.4 - Refuse and polluting substances.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Refuse and polluting substances. 15.4 Section 15.4 Public Lands: Interior Office of the Secretary of the Interior KEY LARGO CORAL REEF PRESERVE § 15.4 Refuse and polluting substances. No person shall dump or deposit in or on the waters of this...

  17. 43 CFR 15.4 - Refuse and polluting substances.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Refuse and polluting substances. 15.4 Section 15.4 Public Lands: Interior Office of the Secretary of the Interior KEY LARGO CORAL REEF PRESERVE § 15.4 Refuse and polluting substances. No person shall dump or deposit in or on the waters of this...

  18. Western Abandoned Uranium Mine Region Fact Sheets

    EPA Pesticide Factsheets

    Fact sheets related to Western Abandoned Uranium Mine (AUM) Region, more than 100 abandoned uranium mine claims located along the Little Colorado River and Highway 89, ain the Cameron, Coalmine Canyon, Bodaway/Gap, and Leupp Chapters in Northern Arizona.

  19. Refusal of medical treatment in the pediatric emergency service: analysis of reasons and aspects.

    PubMed

    Gündüz, Ramiz Coşkun; Halil, Halit; Gürsoy, Cüneyt; Çifci, Atilla; Özgün, Seher; Kodaman, Tuğba; Sönmez, Mehtap

    2014-01-01

    Refusal of treatment for acutely ill children is still an important problem in the emergency service. When families refuse medical treatment for their acutely ill children, healthcare professionals may attempt to provide information and negotiate with the family concerning treatment refusal and its possible adverse outcomes, and request consent for refusal of medical treatment. There is insufficient data about refusal of treatment in our country. The purpose of this study was to analyze the causes of treatment refusal in the pediatric emergency service. We collected data recorded on informed consent forms. During a 2-year-study period, 215 patients refused treatment recommended by acute health care professionals. The majorty of patients were in the 0-2 year age group. Hospitalization was the type of treatment most commonly refused; restrictions regarding family members staying with their children during hospitalization and admission to another hospital were the major reasons for refusal of treatment. Clarifying the reasons for treatment refusal may help us to overcome deficiencies, improve conditions, resolve problems and build confidence between healthcare providers and service users, increasing users' satisfaction in the future.

  20. Breath Test Refusals and Their Effect on DWI Prosecution

    DOT National Transportation Integrated Search

    2012-07-01

    This report describes the design and results of a project aimed at estimating the rate that drivers : refuse to submit to a legally-requested breath alcohol concentration test, and the effect of such : refusals on the prosecution of DWI cases. The st...

  1. Application of ERTS-1 imagery to fracture related mine safety hazards in the coal mining industry. [Indiana

    NASA Technical Reports Server (NTRS)

    Wier, C. E.; Wobber, F. J. (Principal Investigator); Russell, O. R.; Amato, R. V.; Leshendok, T. V.

    1974-01-01

    The author has identified the following significant results. New fracture detail of Indiana has been observed and mapped from ERTS-1 imagery. Studies so far indicate a close relationship between the directions of fracture traces mapped from the imagery, fractures measured on bedrock outcrops, and fractures measured in the underground mines. First hand observations and discussions with underground mine operators indicate good correlation of mine hazard maps prepared from ERTS-1/aircraft imagery and actual roof falls. The inventory of refuse piles/slurry ponds of the coal field of Indiana has identified over 225 such sites from past mining operations. These data will serve the State Legislature in making tax decisions on coal mining which take on increased importance because of the energy crisis.

  2. The USGS Abandoned Mine Lands Initiative: Protecting and restoring the environment near abandoned mine lands

    USGS Publications Warehouse

    ,

    1999-01-01

    The Abandoned Mine Lands (AML) Initiative is part of a larger strategy of the U.S. Department of the Interior and the U.S. Department of Agriculture to clean up Federal lands contaminated by abandoned mines.Thousands of abandond hard-rock metal mines (such as gold, copper, lead, and zinc) have left a dual legacy across the Western United States. They reflect the historic development of the west, yet at the same time represent a possible threat to human health and local ecosystems.Abandoned Mine Lands (AML) are areas adjacent to or affected by abandoned mines. AML's often contain unmined mineral deposits, mine dumps (the ore and rock removed to get to the ore deposits), and tailings (the material left over from the ore processing) that contaminate the surrounding watershed and ecosystem. For example, streams near AML's can contain metals and (or) be so acidic that fish and aquatic insects cannot live in them.Many of these abandoned hard-rock mines are located on or adjacent to public lands administered by the Bureau of Land Management, National Park Service, and U.S. Forest Service. These federal land management agencies and the USGS are committed to mitigating the adverse effects that AML's can have on water quality and stream habitats.The USGS AML Initiative began in 1997 and will continue through 2001 in two pilot watersheds - the Boulder River basin in southwestern Montana and the upper Animas River basin in southwestern Colorado. The USGS is providing a wide range of scientific expertise to help land managers minimize and, where possible, eliminate the adverse environmental effects of AML's. USGS ecologists, geologists, water quality experts, hydrologists, geochemists, and mapping and digital data collection experts are collaborating to provide the scientific knowledge needed for an effective cleanup of AML's.

  3. Alternative Fuels Data Center: Virginia Cleans up With Natural Gas Refuse

    Science.gov Websites

    Trucks Virginia Cleans up With Natural Gas Refuse Trucks to someone by E-mail Share Alternative Fuels Data Center: Virginia Cleans up With Natural Gas Refuse Trucks on Facebook Tweet about Alternative Fuels Data Center: Virginia Cleans up With Natural Gas Refuse Trucks on Twitter Bookmark Alternative

  4. 37 CFR 211.7 - Reconsideration procedure for refusals to register.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... CONGRESS COPYRIGHT OFFICE AND PROCEDURES MASK WORK PROTECTION § 211.7 Reconsideration procedure for... refusals to register copyright claims are applicable to requests to reconsider refusals to register mask...

  5. [Distribution characteristics of soil organic carbon under different forest restoration modes on opencast coal mine dump].

    PubMed

    Wen, Yue-rong; Dang, Ting-hui; Tang, Jun; Li, Jun-chao

    2016-01-01

    The content and storage of soil organic carbon (SOC) were compared in six wood restoration modes and adjacent abandoned land on opencast coal mine dump, and the mechanisms behind the differences and their influencing factors were analyzed. Results showed that the contents of SOC in six wood lands were significantly higher (23.8%-53.2%) than that of abandoned land (1.92 g · kg⁻¹) at 0-10 cm soil depth, the index were significantly higher (5.8%-70.4%) at 10-20 cm soil depth than the abandoned land (1.39 g · kg⁻¹), and then the difference of the contents of SOC in the deep soil (20-100 cm) were not significant. The contents of SOC decreased with increase of soil depth, but the decreasing magnitude of the topsoil (0-20 cm) was higher than that of the deep soil (20-100 cm). Compared with the deep soil, the topsoil significant higer storage of SOC in different woods, the SOC storage decreased with the soil depth. Along the 0-100 cm soil layer, the storage of SOC in six wood lands higher (18.1%-42.4%) than that of the abandoned land (17.52 t · hm⁻²). The SOC storage of Amorpha fruticosa land (24.95 t · hm⁻²) was obviously higher than that in the other wood lands. The SOC storage in the shrub lands was 12.4% higher than that of the arbor woods. There were significantly positive correlations among forest litter, fine root biomass, soil water content and SOC on the dump. Consequently, different plantation restorations significantly improved the SOC level on the dump in 0-100 cm soil, especially the topsoil. But there was still a big gap about SOC level between the wood restoration lands and the original landform. To improve the SOC on opencast coal mine dump, A. fruticosa could be selected as the main wood vegetation.

  6. Mercury and trace element contents of Donbas coals and associated mine water in the vicinity of Donetsk, Ukraine

    USGS Publications Warehouse

    Kolker, A.; Panov, B.S.; Panov, Y.B.; Landa, E.R.; Conko, K.M.; Korchemagin, V.A.; Shendrik, T.; McCord, J.D.

    2009-01-01

    Mercury-rich coals in the Donets Basin (Donbas region) of Ukraine were sampled in active underground mines to assess the levels of potentially harmful elements and the potential for dispersion of metals through use of this coal. For 29 samples representing c11 to m3 Carboniferous coals, mercury contents range from 0.02 to 3.5 ppm (whole-coal dry basis). Mercury is well correlated with pyritic sulfur (0.01 to 3.2 wt.%), with an r2 of 0.614 (one outlier excluded). Sulfides in these samples show enrichment of minor constituents in late-stage pyrite formed as a result of interaction of coal with hydrothermal fluids. Mine water sampled at depth and at surface collection points does not show enrichment of trace metals at harmful levels, indicating pyrite stability at subsurface conditions. Four samples of coal exposed in the defunct open-cast Nikitovka mercury mines in Gorlovka have extreme mercury contents of 12.8 to 25.5 ppm. This coal was formerly produced as a byproduct of extracting sandstone-hosted cinnabar ore. Access to these workings is unrestricted and small amounts of extreme mercury-rich coal are collected for domestic use, posing a limited human health hazard. More widespread hazards are posed by the abandoned Nikitovka mercury processing plant, the extensive mercury mine tailings, and mercury enrichment of soils extending into residential areas of Gorlovka.

  7. Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance

    PubMed Central

    Marcewicz, Lauren H.; Clayton, Joshua; Maenner, Matthew; Odom, Erika; Okoroh, Ekwutosi; Christensen, Deborah; Goodman, Alyson; Warren, Michael D.; Traylor, Julie; Miller, Angela; Jones, Timothy; Dunn, John; Schaffner, William; Grant, Althea

    2017-01-01

    Objectives Vitamin K deficiency bleeding (VKDB) in infants is a coagulopathy preventable with a single dose of injectable vitamin K at birth. The Tennessee Department of Health (TDH) and Centers for Disease Control and Prevention (CDC) investigated vitamin K refusal among parents in 2013 after learning of four cases of VKDB associated with prophylaxis refusal. Methods Chart reviews were conducted at Nashville-area hospitals for 2011–2013 and Tennessee birthing centers for 2013 to identify parents who had refused injectable vitamin K for their infants. Contact information was obtained for parents, and they were surveyed regarding their reasons for refusing. Results At hospitals, 3.0% of infants did not receive injectable vitamin K due to parental refusal in 2013, a frequency higher than in 2011 and 2012. This percentage was much higher at birthing centers, where 31% of infants did not receive injectable vitamin K. The most common responses for refusal were a belief that the injection was unnecessary (53%) and a desire for a natural birthing process (36%). Refusal of other preventive services was common, with 66% of families refusing vitamin K, newborn eye care with erythromycin, and the neonatal dose of hepatitis B vaccine. Conclusions for Practice Refusal of injectable vitamin K was more common among families choosing to give birth at birthing centers than at hospitals, and was related to refusal of other preventive services in our study. Surveillance of vitamin K refusal rates could assist in further understanding this occurrence and tailoring effective strategies for mitigation. PMID:28054156

  8. Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance.

    PubMed

    Marcewicz, Lauren H; Clayton, Joshua; Maenner, Matthew; Odom, Erika; Okoroh, Ekwutosi; Christensen, Deborah; Goodman, Alyson; Warren, Michael D; Traylor, Julie; Miller, Angela; Jones, Timothy; Dunn, John; Schaffner, William; Grant, Althea

    2017-05-01

    Objectives Vitamin K deficiency bleeding (VKDB) in infants is a coagulopathy preventable with a single dose of injectable vitamin K at birth. The Tennessee Department of Health (TDH) and Centers for Disease Control and Prevention (CDC) investigated vitamin K refusal among parents in 2013 after learning of four cases of VKDB associated with prophylaxis refusal. Methods Chart reviews were conducted at Nashville-area hospitals for 2011-2013 and Tennessee birthing centers for 2013 to identify parents who had refused injectable vitamin K for their infants. Contact information was obtained for parents, and they were surveyed regarding their reasons for refusing. Results At hospitals, 3.0% of infants did not receive injectable vitamin K due to parental refusal in 2013, a frequency higher than in 2011 and 2012. This percentage was much higher at birthing centers, where 31% of infants did not receive injectable vitamin K. The most common responses for refusal were a belief that the injection was unnecessary (53%) and a desire for a natural birthing process (36%). Refusal of other preventive services was common, with 66% of families refusing vitamin K, newborn eye care with erythromycin, and the neonatal dose of hepatitis B vaccine. Conclusions for Practice Refusal of injectable vitamin K was more common among families choosing to give birth at birthing centers than at hospitals, and was related to refusal of other preventive services in our study. Surveillance of vitamin K refusal rates could assist in further understanding this occurrence and tailoring effective strategies for mitigation.

  9. Depositional controls on coal distribution and quality in the Eocene Brunner Coal Measures, Buller Coalfield, South Island, New Zealand

    USGS Publications Warehouse

    Flores, R.M.; Sykes, R.

    1996-01-01

    The Buller Coalfield on the West Coast of the South Island, New Zealand, contains the Eocene Brunner Coal Measures. The coal measures unconformably overlie Paleozoic-Cretaceous basement rocks and are conformably overlain by, and laterally interfinger with, the Eocene marine Kaiata Formation. This study examines the lithofacies frameworks of the coal measures in order to interpret their depositional environments. The lower part of the coal measures is dominated by conglomeratic lithofacies that rest on a basal erosional surface and thicken in paleovalleys incised into an undulating peneplain surface. These lithofacies are overlain by sandstone, mudstone and organic-rich lithofacies of the upper part of the coal measures. The main coal seam of the organic-rich lithofacies is thick (10-20 m), extensive, locally split, and locally absent. This seam and associated coal seams in the Buller Coalfield are of low- to high-volatile bituminous rank (vitrinite reflectance between 0.65% and 1.75%). The main seam contains a variable percentage of ash and sulphur. These values are related to the thickening and areal distribution of the seam, which in turn, were controlled by the nature of clastic deposition and peat-forming mire systems, marine transgression and local tidal incursion. The conglomeratic lithofacies represent deposits of trunk and tributary braided streams that rapidly aggraded incised paleovalleys during sea-level stillstands. The main seam represents a deposit of raised mires that initially developed as topogenous mires on abandoned margins of inactive braidbelts. Peat accumulated in mires as a response to a rise in the water table, probably initially due to gradual sea-level rise and climate, and the resulting raised topography served as protection from floods. The upper part of the coal measures consists of sandstone lithofacies of flu vial origin and bioturbated sandstone, mudstone and organic-rich lithofacies, which represent deposits of paralic (deltaic

  10. Refusal to medical interventions.

    PubMed

    Palacios, G; Herreros, B; Pacho, E

    2014-10-01

    Refusal to medical interventions is the not acceptance, voluntary and free, of an indicated medical intervention. What the physician should do in case of refusal? It is understandable that the rejection of a validated medical intervention is difficult to accept by the responsible physician when raises the conflict protection of life versus freedom of choice. Therefore it is important to follow some steps to incorporate the most relevant aspects of the conflict. These steps include: 1) Give complete information to patients, informing on possible alternatives, 2) determine whether the patient can decide (age, competency and level of capacity), 3) to ascertain whether the decision is free, 4) analyze the decision with the patient, 5) to persuade, 6) if the patient kept in the rejection decision, consider conscientious objection, 7) take the decision based on the named criteria, 8) finally, if the rejection is accepted, offer available alternatives. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  11. 39 CFR 946.11 - Disposition of property declared abandoned.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DISPOSITION OF STOLEN MAIL MATTER AND PROPERTY ACQUIRED BY THE POSTAL INSPECTION SERVICE FOR USE AS EVIDENCE § 946.11 Disposition of property declared abandoned. Property declared abandoned, including cash, and... 39 Postal Service 1 2010-07-01 2010-07-01 false Disposition of property declared abandoned. 946.11...

  12. 39 CFR 946.11 - Disposition of property declared abandoned.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... DISPOSITION OF STOLEN MAIL MATTER AND PROPERTY ACQUIRED BY THE POSTAL INSPECTION SERVICE FOR USE AS EVIDENCE § 946.11 Disposition of property declared abandoned. Property declared abandoned, including cash, and... 39 Postal Service 1 2011-07-01 2011-07-01 false Disposition of property declared abandoned. 946.11...

  13. 46 CFR 131.530 - Abandon-ship training and drills.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Abandon-ship training and drills. 131.530 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.530 Abandon-ship training and drills. (a) Material for... rescue gear (slings, baskets, stretchers) and vessel's line-throwing apparatus. (b) An abandon-ship drill...

  14. 46 CFR 131.530 - Abandon-ship training and drills.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Abandon-ship training and drills. 131.530 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.530 Abandon-ship training and drills. (a) Material for... rescue gear (slings, baskets, stretchers) and vessel's line-throwing apparatus. (b) An abandon-ship drill...

  15. 46 CFR 131.530 - Abandon-ship training and drills.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Abandon-ship training and drills. 131.530 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.530 Abandon-ship training and drills. (a) Material for... rescue gear (slings, baskets, stretchers) and vessel's line-throwing apparatus. (b) An abandon-ship drill...

  16. Refusal of Medical and Surgical Interventions by Older Persons with Advanced Chronic Disease

    PubMed Central

    Van Ness, Peter H.; O’Leary, John R.; Fried, Terri R.

    2007-01-01

    BACKGROUND Patients with advanced chronic disease are frequently offered medical and surgical interventions with potentially large trade-offs between benefits and burdens. Little is known about the frequency or outcomes of treatment refusal among these patients. OBJECTIVE To assess the frequency of, reasons for, factors associated with, and outcomes of treatment refusal among older persons with advanced chronic disease. DESIGN Observational cohort study. PARTICIPANTS Two hundred twenty-six community-dwelling persons with advanced cancer, chronic obstructive pulmonary disease, or congestive heart failure, interviewed at least every 4 months for up to 2 years. MEASUREMENTS Participants were asked if they had refused any treatments recommended by their physicians, and why. RESULTS Thirty-six of 226 patients (16%) reported refusing 1 or more medical or surgical treatments recommended by their physician. The most frequently refused interventions were cardiac catheterization and surgery. The most common reason for refusal was fear of side effects (41%). Treatment refusal was more frequent among patients who wanted prognostic information (10% vs 2%, p = .02) or estimated their own longevity at 2 years or less (18% vs 5%, p = .02). There was an increased risk of mortality among refusers compared with non-refusers (HR 1.98, 95% CI 1.02–3.86). CONCLUSIONS Refusal of medical and surgical interventions other than medications is common among persons with advanced chronic disease, and is associated with a greater desire for, and understanding of, prognostic information. PMID:17483977

  17. Consent and refusal in dementia research: conceptual and practical considerations.

    PubMed

    Cohen-Mansfield, J

    2003-01-01

    This article discusses types of consent refusals, rates of refusal, factors that affect consent, and methods to increase rates of consent in elderly research participants and in those with dementia in particular. Refusals can be categorized according to several types: complete refusal, refusal that is time-contingent, partial refusal, and contingent agreement. Rates of consent vary greatly across studies of persons with dementia. This variation can also be affected by different methodologies of calculating rates, in addition to differences in content of studies, populations, and procedures. To warrant consent, a study must first be scientifically sound, with a high likelihood of advancing knowledge, and must provide maximal protection to participants. Consent rates are affected by the following factors: levels of anticipated risks and benefits of the study, relationships among the different caregivers involved in the care of the potential subject, the ability of the researcher to properly identify and locate the person who needs to provide consent, characteristics and attitudes of the person providing consent, and the method of obtaining consent, including timing, location, method of presentation, and type of consent requested. An understanding of these issues can assist the researcher in tailoring research procedures so as to maximize rates of consent. It also raises ethical issues that warrant further discussion concerning the process of obtaining consent from and for persons with dementia.

  18. Refusing The Choice: Balancing Life and Work

    NASA Astrophysics Data System (ADS)

    Brooks, J.

    2012-12-01

    The Choice The intellect of man is forced to choose perfection of the life, or of the work, And if it take the second must refuse A heavenly mansion, raging in the dark. When all that story's finished, what's the news? In luck or out the toil has left its mark: That old perplexity an empty purse, Or the day's vanity, the night's remorse. William Butler Yeats William Yeats put forward The Choice that I feel too many scientists feel they must make. Too often, many choose to leave science. How do we refuse this choice and find balance between life and our careers? While I don't know the answer, I will share choices that have lead to not perfection but satisfaction in science careers and lives. The role of mentors, supportive spouses, the luck of the job, and flexibility in research directions have all contributed to being able to refuse to choose.

  19. 46 CFR 131.530 - Abandon-ship training and drills.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Abandon-ship training and drills. 131.530 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.530 Abandon-ship training and drills. (a) Material for abandon-ship training must be aboard each vessel. The material must consist of a manual of one or more...

  20. 32 CFR 1618.1 - Abandonment of rights or privileges.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Abandonment of rights or privileges. 1618.1... NOTICE TO REGISTRANTS § 1618.1 Abandonment of rights or privileges. If a registrant fails to claim and exercise any right or privilege within the required time, he shall be deemed to have abandoned the right or...

  1. Failures to further developing orphan medicinal products after designation granted in Europe: an analysis of marketing authorisation failures and abandoned drugs.

    PubMed

    Giannuzzi, Viviana; Landi, Annalisa; Bosone, Enrico; Giannuzzi, Floriana; Nicotri, Stefano; Torrent-Farnell, Josep; Bonifazi, Fedele; Felisi, Mariagrazia; Bonifazi, Donato; Ceci, Adriana

    2017-09-11

    The research and development process in the field of rare diseases is characterised by many well-known difficulties, and a large percentage of orphan medicinal products do not reach the marketing approval.This work aims at identifying orphan medicinal products that failed the developmental process and investigating reasons for and possible factors influencing failures. Drugs designated in Europe under Regulation (European Commission) 141/2000 in the period 2000-2012 were investigated in terms of the following failures: (1) marketing authorisation failures (refused or withdrawn) and (2) drugs abandoned by sponsors during development.Possible risk factors for failure were analysed using statistically validated methods. This study points out that 437 out of 788 designations are still under development, while 219 failed the developmental process. Among the latter, 34 failed the marketing authorisation process and 185 were abandoned during the developmental process. In the first group of drugs (marketing authorisation failures), 50% reached phase II, 47% reached phase III and 3% reached phase I, while in the second group (abandoned drugs), the majority of orphan medicinal products apparently never started the development process, since no data on 48.1% of them were published and the 3.2% did not progress beyond the non-clinical stage.The reasons for failures of marketing authorisation were: efficacy/safety issues (26), insufficient data (12), quality issues (7), regulatory issues on trials (4) and commercial reasons (1). The main causes for abandoned drugs were efficacy/safety issues (reported in 54 cases), inactive companies (25.4%), change of company strategy (8.1%) and drug competition (10.8%). No information concerning reasons for failure was available for 23.2% of the analysed products. This analysis shows that failures occurred in 27.8% of all designations granted in Europe, the main reasons being safety and efficacy issues. Moreover, the stage of development

  2. Towards "a different kind of beauty": responses to coal-based pollution in the Witbank coalfield between 1903 and 1948.

    PubMed

    Singer, Michal

    2011-01-01

    This article assesses the changing conceptions of the environmental impact of South African coal mining in the first half of the twentieth century, with special reference to the Witbank coalfield in the Mpumalanga province of South Africa. The anticipated development of the emerging coal town of Witbank was founded on the growing demand for coal. As Witbank's local landscape became visibly scarred, coal-based pollution was continually challenged and redefined. In an attempt to market electricity, and appease the doubts of potential consumers, attempts were made by Escom to romanticise features of Witbank's industrialised environment. Once mines were decommissioned, they were abandoned. Coal production increased dramatically during the Second World War, which provided an economic windfall for the local electrical, steel and chemical industries, placing undue pressure on the coal industry to step up production. The severe damage caused by coal mining during this period resulted in the ecological devastation of affected landscapes. The findings of an inter-departmental committee established to conduct research during the mid-1940s revealed the gravity of coal-based pollution, and set a precedent in the way that the state conceived of the impact of industry and mining. The report of this committee was completed in the wake of the war, by which time the Witbank coalfield had become one of the most heavily polluted regions of South Africa.

  3. 49 CFR 219.209 - Reports of tests and refusals.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Reports of tests and refusals. 219.209 Section 219.209 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Post-Accident Toxicological Testing § 219.209 Reports of tests and refusals. (...

  4. Infanticide and illegal infant abandonment in Malaysia.

    PubMed

    Razali, Salmi; Kirkman, Maggie; Ahmad, S Hassan; Fisher, Jane

    2014-10-01

    Infant abandonment and infanticide are poorly understood in Malaysia. The information available in the public arena comes predominantly from anecdotal sources. The aim of this study was to describe the prevalence and characteristics of infanticide and illegal infant abandonment in Malaysia and to estimate annual rates for the most recent decade. Summaries of data about infanticide and illegal infant abandonment were gathered from police records; the annual number of live births was ascertained from the national registry. The estimated inferred infanticide rates for Malaysia were compared with the infanticide rates among countries of very high, high, medium, and low rankings on the Human Development, Gender Inequality, and Gini indices. From 1999 to 2011, 1,069 cases of illegal infant abandonment were recorded and 1,147 people were arrested as suspected perpetrators. The estimated inferred infanticide rate fluctuated between 4.82 and 9.11 per 100,000 live births, a moderate rate relative to the infanticide rates of other countries. There are substantial missing data, with details undocumented for about 78-87% of cases and suspected perpetrators. Of the documented cases, it appeared that more boys than girls were victims and that suspected perpetrators were predominantly Malays who were women, usually mothers of the victim; the possibility of arrest bias must be acknowledged. Economic and social inequality, particularly gender inequality, might contribute to the phenomena of infanticide and abandonment. Strategies to reduce rates of infanticide and illegal infant abandonment in Malaysia will require strengthening of the surveillance system and attention to the gender-based inequalities that underpin human development. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. A narrative review of studies of refusal of psychotropic medication in acute inpatient psychiatric care.

    PubMed

    Owiti, J A; Bowers, L

    2011-09-01

    This paper offers a narrative review of the 22 studies of medication refusal in acute psychiatry. Because of varied definitions of medication refusal, diverse methodologies and few rigorous studies, it has not been possible to draw firm conclusions on the average rate of refusal of psychotropic medications in acute psychiatry. However, it is clear that medication refusal is common and leads to poor outcomes characterized by higher rates of seclusion, restraint, threats of, and actual, assaults and longer hospitalizations. There are no statistically significant differences between refusers and acceptors in gender, marital status and preadmission living arrangements. Although no firm conclusions on the influence of ethnicity, status at admission and diagnosis on refusal, the refusers are more likely to have higher number of previous hospitalizations and history of prior refusal. The review indicates that staff factors such as the use of temporary staff, lack of confidence in ward staff and ineffective ward structure are associated with higher rates of medication refusal. Comprehensive knowledge of why, and how, patients refuse medication is lacking. Research on medication refusal is still fragmented, of variable methodological quality and lacks an integrating model. © 2011 Blackwell Publishing.

  6. [The parents' experience of school refusal in adolescence].

    PubMed

    Bussard, Dewi; Harf, Aurélie; Sibeoni, Jordan; Radjack, Rahmeth; Benoit, Jean Pierre; Moro, Marie Rose

    2015-01-01

    While today's society places considerable importance on schooling and performances, school absenteeism is currently very high. One of the causes is anxiety-based school refusal. This phenomenon affects the adolescent but also has an impact on their family. Exploring the experience of the parents of teenagers presenting anxiety-based school refusal enables these families to be given better support. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  7. Intensive (Daily) Behavior Therapy for School Refusal: A Multiple Baseline Case Series

    ERIC Educational Resources Information Center

    Tolin, David F.; Whiting, Sara; Maltby, Nicholas; Diefenbach, Gretchen J.; Lothstein, Mary Anne; Hardcastle, Surrey; Catalano, Amy; Gray, Krista

    2009-01-01

    The following multiple baseline case series examines school refusal behavior in 4 male adolescents. School refusal symptom presentation was ascertained utilizing a functional analysis from the School Refusal Assessment Scale (Kearney, 2002). For the majority of cases, treatment was conducted within a 15-session intensive format over a 3-week…

  8. 49 CFR 219.209 - Reports of tests and refusals.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Reports of tests and refusals. 219.209 Section 219... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Post-Accident Toxicological Testing § 219.209 Reports of tests and refusals. (a)(1) A railroad that has experienced one or more events for...

  9. Patient Experience Of Provider Refusal Of Medicaid Coverage And Its Implications.

    PubMed

    Bhandari, Neeraj; Shi, Yunfeng; Jung, Kyoungrae

    2016-01-01

    Previous studies show that many physicians do not accept new patients with Medicaid coverage, but no study has examined Medicaid enrollees' actual experience of provider refusal of their coverage and its implications. Using the 2012 National Health Interview Survey, we estimate provider refusal of health insurance coverage reported by 23,992 adults with continuous coverage for the past 12 months. We find that among Medicaid enrollees, 6.73% reported their coverage being refused by a provider in 2012, a rate higher than that in Medicare and private insurance by 4.07 (p<.01) and 3.68 (p<.001) percentage points, respectively. Refusal of Medicaid coverage is associated with delaying needed care, using emergency room (ER) as a usual source of care, and perceiving current coverage as worse than last year. In view of the Affordable Care Act's (ACA) Medicaid expansion, future studies should continue monitoring enrollees' experience of coverage refusal.

  10. Refusal of postoperative radiotherapy and its association with survival in head and neck cancer.

    PubMed

    Schwam, Zachary G; Husain, Zain; Judson, Benjamin L

    2015-11-01

    Administering postoperative radiotherapy (PORT) is associated with improved survival and slower disease progression in select head and neck cancer patients. Predictive factors for PORT refusal have not been described in this population. Retrospective analysis of 6127 head and neck cancer patients who received or refused PORT in the National Cancer Database (2003-2006) was performed. Statistical analysis included Chi-square, multivariable logistic regression, Kaplan-Meier, and Cox proportional hazards analysis. In total, 247 patients (4.0%) refused PORT. Three-year overall survival was 62.8% versus 53.4% for those who received and refused PORT, respectively. PORT refusers were more likely to have negative nodes than those who underwent PORT (37.4% versus 20.1%, p<.001). In multivariate analysis, predictive factors for refusing PORT included living far from the treatment facility (OR 1.92), having negative nodes (OR 2.14), and Charlson score of ⩾ 2 (OR 2.14) (all p ⩽.001). PORT refusal was associated with increased mortality (hazard ratio 1.20, p=.044). A significant proportion of head and neck cancer patients refused PORT; this was associated with compromised overall survival. Predictive factors for PORT refusal included socioeconomic, demographic, and pathologic variables. Elucidating root causes of refusal may lead to interventions that improve long-term outcomes. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  11. Alternative Fuels Data Center: Fleet Application for Refuse Collection

    Science.gov Websites

    CNG - Compressed Natural Gas 1 Electric 1 Hybrid - CNG 1 Hybrid - LNG 1 Hydraulic hybrid 9 LNG - Liquified Natural Gas icon for refuse collection vehicle application Autocar ACMD-Xpert Hybrid - CNG Hybrid - Compressed Natural Gas LNG - Liquified Natural Gas icon for refuse collection vehicle application BYD All

  12. Academic Self-Attributions for Success and Failure in Mathematics and School Refusal

    ERIC Educational Resources Information Center

    Gonzálvez, Carolina; Sanmartín, Ricardo; Vicent, María; Inglés, Cándido J.; Aparicio-Flores, M. Pilar; García-Fernández, José M.

    2018-01-01

    The aim of this research is twofold: to analyze the mean differences scores in mathematic self-attributions based on school refusal and to verify its predictive capability on high scores in school refusal. The Sydney Attribution Scale and the School Refusal Assessment Scale-Revised were administered to 1078 Spanish students (50.8% boys) aged…

  13. [The refusal of nursing care by the families].

    PubMed

    Curchod, Claude; Fisher, Marion

    2016-10-01

    Caregiving is complex. While it is not easy to admit that the process can be refused by the patient, it is no easier when it is refused by the patient's family. Accepting this fact is however an essential stage in the relational and care processes. The family must therefore be supported by professionals in order to be able to make an enlightened choice. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  14. Longevity and progressive abandonment of the Rocky Flats surface, Front Range, Colorado

    NASA Astrophysics Data System (ADS)

    Riihimaki, Catherine A.; Anderson, Robert S.; Safran, Elizabeth B.; Dethier, David P.; Finkel, Robert C.; Bierman, Paul R.

    2006-08-01

    The post-orogenic evolution of the Laramide landscape of the western U.S. has been characterized by late Cenozoic channel incision of basins and their adjacent ranges. One means of constraining the incision history of basins is dating the remnants of gravel-capped surfaces above modern streams. Here, we focus on an extensive remnant of the Rocky Flats surface between Golden and Boulder, Colorado, and use in situ-produced 10Be and 26Al concentrations in terrace alluvium to constrain the Quaternary history of this surface. Coal and Ralston Creeks, both tributaries of the South Platte River, abandoned the Rocky Flats surface and formed the Verdos and Slocum pediments, which are cut into Cretaceous bedrock between Rocky Flats and the modern stream elevations. Rocky Flats alluvium ranges widely in age, from > 2 Ma to ˜ 400 ka, with oldest ages to the east and younger ages closer to the mountain front. Numerical modeling of isotope concentration depth profiles suggests that individual sites have experienced multiple resurfacing events. Preliminary results indicate that Verdos and Slocum alluvium along Ralston Creek, which is slightly larger than Coal Creek, is several hundred thousand years old. Fluvial incision into these surfaces appears therefore to progress headward in response to downcutting of the South Platte River. The complex ages of these surfaces call into question any correlation of such surfaces based solely on their elevation above the modern channel.

  15. Refusal skill ability: an examination of adolescent perceptions of effectiveness.

    PubMed

    Nichols, Tracy R; Birnel, Sara; Graber, Julia A; Brooks-Gunn, Jeanne; Botvin, Gilbert J

    2010-06-01

    This pilot study examined whether refusal assertion as defined by a proven drug prevention program was associated with adolescent perceptions of effectiveness by comparing two sets of coded responses to adolescent videotaped refusal role-plays (N = 63). The original set of codes was defined by programmatic standards of refusal assertion and the second by a group of high school interns. Consistency with programming criteria was found for interns' ratings of several indicators of verbal and non-verbal assertiveness. However, a strategy previously defined by the program as effective was perceived as ineffective by adolescents while another deemed ineffective and problematic by intervention developers was viewed as effective. Interns endorsed presenting detailed and reasonable arguments as an effective refusal strategy while short, simple statements were deemed ineffective. This study suggests the importance of including adolescent perspectives in the design, delivery, and evaluation of drug prevention strategies.

  16. 21 CFR 1315.27 - Abandonment of quota.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 9 2013-04-01 2013-04-01 false Abandonment of quota. 1315.27 Section 1315.27 Food... may at any time abandon his right to manufacture all or any part of the quota by filing with the Drug... to manufacture. The Administrator may, in his discretion, allocate the amount among the other...

  17. 21 CFR 1315.27 - Abandonment of quota.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 9 2012-04-01 2012-04-01 false Abandonment of quota. 1315.27 Section 1315.27 Food... may at any time abandon his right to manufacture all or any part of the quota by filing with the Drug... to manufacture. The Administrator may, in his discretion, allocate the amount among the other...

  18. 21 CFR 1315.27 - Abandonment of quota.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Abandonment of quota. 1315.27 Section 1315.27 Food... may at any time abandon his right to manufacture all or any part of the quota by filing with the Drug... to manufacture. The Administrator may, in his discretion, allocate the amount among the other...

  19. 21 CFR 1315.27 - Abandonment of quota.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 9 2014-04-01 2014-04-01 false Abandonment of quota. 1315.27 Section 1315.27 Food... may at any time abandon his right to manufacture all or any part of the quota by filing with the Drug... to manufacture. The Administrator may, in his discretion, allocate the amount among the other...

  20. 21 CFR 1315.27 - Abandonment of quota.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 9 2011-04-01 2011-04-01 false Abandonment of quota. 1315.27 Section 1315.27 Food... may at any time abandon his right to manufacture all or any part of the quota by filing with the Drug... to manufacture. The Administrator may, in his discretion, allocate the amount among the other...

  1. 43 CFR 3162.3-4 - Well abandonment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Well abandonment. 3162.3-4 Section 3162.3... Operating Rights Owners and Operators § 3162.3-4 Well abandonment. (a) The operator shall promptly plug and... newly completed or recompleted well in which oil or gas is not encountered in paying quantities or which...

  2. 43 CFR 3162.3-4 - Well abandonment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Well abandonment. 3162.3-4 Section 3162.3... Operating Rights Owners and Operators § 3162.3-4 Well abandonment. (a) The operator shall promptly plug and... newly completed or recompleted well in which oil or gas is not encountered in paying quantities or which...

  3. 43 CFR 3162.3-4 - Well abandonment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Well abandonment. 3162.3-4 Section 3162.3... Operating Rights Owners and Operators § 3162.3-4 Well abandonment. (a) The operator shall promptly plug and... newly completed or recompleted well in which oil or gas is not encountered in paying quantities or which...

  4. 43 CFR 3162.3-4 - Well abandonment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Well abandonment. 3162.3-4 Section 3162.3... Operating Rights Owners and Operators § 3162.3-4 Well abandonment. (a) The operator shall promptly plug and... newly completed or recompleted well in which oil or gas is not encountered in paying quantities or which...

  5. Delay and refusal of human papillomavirus vaccine for girls, national immunization survey-teen, 2010.

    PubMed

    Dorell, Christina; Yankey, David; Jeyarajah, Jenny; Stokley, Shannon; Fisher, Allison; Markowitz, Lauri; Smith, Philip J

    2014-03-01

    Human papillomavirus (HPV) vaccine coverage among girls is low. We used data reported by parents of 4103 girls, 13 to 17 years old, to assess associations with, and reasons for, delaying or refusing HPV vaccination. Sixty-nine percent of parents neither delayed nor refused vaccination, 11% delayed only, 17% refused only, and 3% both delayed and refused. Eighty-three percent of girls who delayed only, 19% who refused only, and 46% who both delayed and refused went on to initiate the vaccine series or intended to initiate it within the next 12 months. A significantly higher proportion of parents of girls who were non-Hispanic white, lived in households with higher incomes, and had mothers with higher education levels, delayed and/or refused vaccination. The most common reasons for nonvaccination were concerns about lasting health problems from the vaccine, wondering about the vaccine's effectiveness, and believing the vaccine is not needed.

  6. Roof instability characteristics and pre-grouting of the roof caving zone in residual coal mining

    NASA Astrophysics Data System (ADS)

    Zhao, Tong; Liu, Changyou

    2017-12-01

    Abandoned roadways and roof caving zones are commonly found in residual coal, and can destroy the integrity of the coal seam and roof. Resulting from mining-induced stress, continuous collapse and fracture instability in roof caving zones (RCZs) jeopardize the safety and efficiency of residual coal mining. Based on the engineering geology conditions of remining face 3101 in Shenghua Mine, the roof fracture and instability features of the RCZ were analyzed through physical simulation, theoretical analysis, and field measurements. In this case, influenced by the RCZ, the main roof across the RCZ fractured and rotated towards the goaf, greatly increasing the working resistance, and crushing the supports. The sudden instability of the coal pillars weakened its support of the main roof, thus resulting in long-key blocks across the RCZ and hinged roof structures, which significantly decreased the stability of the underlying immediate roof. This study establishes a mechanical model for the interactions between the surrounding rock and the supports in the RCZ, determines the reasonable working resistance, and examines the use of pre-grouting solidification restoration technology (PSRT) to solidify the RCZ and reinforce the coal pillars—thus increasing their bearing capacity. Field measurements revealed no roof flaking, inhomogeneous loading or support crushing, indicating that the PSRT effectively controlled the surrounding rock of the RCZ.

  7. 19 CFR 19.9 - General order, abandoned, and seized merchandise.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false General order, abandoned, and seized merchandise... Provisions § 19.9 General order, abandoned, and seized merchandise. (a) Acceptance of merchandise. The... storing. General order, abandoned, and seized goods and articles shall be recorded and stored in the...

  8. 19 CFR 19.9 - General order, abandoned, and seized merchandise.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false General order, abandoned, and seized merchandise... Provisions § 19.9 General order, abandoned, and seized merchandise. (a) Acceptance of merchandise. The... storing. General order, abandoned, and seized goods and articles shall be recorded and stored in the...

  9. Perceived Quality of Informed Refusal Process: A Cross-Sectional Study from Iranian Patients' Perspectives.

    PubMed

    Farzandipour, Mehrdad; Sheikhtaheri, Abbas; Sadeqi Jabali, Monireh

    2015-12-01

    Patients have the right to refuse their treatment; however, this refusal should be informed. We evaluated the quality of the informed refusal process in Iranian hospitals from patients' viewpoints. To this end, we developed a questionnaire that covered four key aspects of the informed refusal process including; information disclosure, voluntariness, comprehension, and provider-patient relationship. A total of 284 patients who refused their treatment from 12 teaching hospitals in the Isfahan Province, Iran, were recruited and surveyed to produce a convenience sample. Patients' perceptions about the informed refusal process were scored and the mean scores of the four components were calculated. The findings showed that the practice of information disclosure (9.6 ± 6.4 out of 22 points) was perceived to be moderate, however, comprehension (2.3 ± 1.4 out of 4 points), voluntariness (8.7 ± 1.5 out of 12 points) and provider-patient relationship (10.2 ± 5.2 out of 16 points) were perceived to be relatively good. We found that patients, who refused their care before any treatment had commenced, reported a lower quality of information disclosure and voluntariness. Patients informed by nurses and those who had not had a previous related admission, reported lower scores for comprehension and relationship. In conclusion, the process of obtaining informed refusal was relatively satisfactory except for levels of information disclosure. To improve current practices, Iranian patients need to be better informed about; different treatment options, consequences of treatment refusal, costs of not continuing treatment and follow-ups after refusal. Developing more informative refusal forms is needed. © 2014 John Wiley & Sons Ltd.

  10. Central Nervous System Disease, Education, and Race Impact Radiation Refusal in Pediatric Cancer Patients.

    PubMed

    Patel, Chirayu G; Stavas, Mark; Perkins, Stephanie; Shinohara, Eric T

    2017-07-01

    To investigate the determinants of radiation therapy refusal in pediatric cancer, we used the Surveillance, Epidemiology, and End Results registry to identify 24,421 patients who met the eligibility criteria, diagnosed between 1974 and 2012. Patients had any stage of cancer, were aged 0 to 19, and received radiation therapy or refused radiation therapy when it was recommended. One hundred twenty-eight patients (0.52%) refused radiation therapy when it was recommended. Thirty-two percent of patients who refused radiation therapy ultimately died from their cancer, at a median of 7 months after diagnosis (95% confidence interval, 3-11 mo), as compared with 29.0% of patients who did not refuse radiation therapy died from their cancer, at a median of 17 months after diagnosis (95% confidence interval, 17-18 mo). On multivariable analysis, central nervous system (CNS) site, education, and race were associated with radiation refusal. The odds ratio for radiation refusal for patients with CNS disease was 1.62 (P=0.009) as compared with patients without CNS disease. For patients living in a county with ≥10% residents having less than ninth grade education, the odds ratio for radiation refusal was 1.71 (P=0.008) as compared with patients living in a county with <10% residents having less than ninth grade education. Asian, Pacific Islander, Alaska Native, and American Indian races had an odds ratio of 2.12 (P=0.002) for radiation refusal as compared with black or white race. Although the radiation refusal rate in the pediatric cancer population is low, we show that CNS site, education level, and race are associated with a significant difference in radiation refusal.

  11. Heroin refusal self-efficacy and preference for medication-assisted treatment after inpatient detoxification.

    PubMed

    Kenney, Shannon R; Bailey, Genie L; Anderson, Bradley J; Stein, Michael D

    2017-10-01

    An individual's self-efficacy to refuse using heroin in high-risk situations is believed to minimize the likelihood for relapse. However, among individuals completing inpatient heroin detoxification, perceived refusal self-efficacy may also reduce one's perceived need for medication-assisted treatment (MAT), an effective and recommended treatment for opioid use disorder. In the current study, we examined the relationship between heroin refusal self-efficacy and preference for MAT following inpatient detoxification. Participants (N=397) were interviewed at the start of brief inpatient opioid detoxification. Multiple logistic regression was used to estimate the adjusted association of background characteristics, depressed mood, and perceived heroin refusal self-efficacy with preference for MAT. Controlling for other covariates, depressed mood and lower perceived refusal self-efficacy were associated with a significantly greater likelihood of expressing preference for MAT (versus no MAT). Perceived ability to refuse heroin after leaving detox is inversely associated with a heroin user's desire for MAT. An effective continuum of care model may benefit from greater attention to patient's perceived refusal self-efficacy during detoxification which may impact preference for MAT and long-term recovery. Copyright © 2017. Published by Elsevier Ltd.

  12. Abandoned floodplain plant communities along a regulated dryland river

    USGS Publications Warehouse

    Reynolds, L. V.; Shafroth, Patrick B.; House, P. K.

    2014-01-01

    Rivers and their floodplains worldwide have changed dramatically over the last century because of regulation by dams, flow diversions and channel stabilization. Floodplains no longer inundated by river flows following dam-induced flood reduction comprise large areas of bottomland habitat, but the effects of abandonment on plant communities are not well understood. Using a hydraulic flow model, geomorphic mapping and field surveys, we addressed the following questions along the Bill Williams River, Arizona: (i) What per cent of the bottomland do abandoned floodplains comprise? and (ii) Are abandoned floodplains quantitatively different from adjacent xeric and riparian surfaces in terms of vegetation composition and surface sediment? We found that nearly 70% of active channel and floodplain area was abandoned following dam installation. Abandoned floodplains along the Bill Williams River tend to be similar to each other yet distinct from neighbouring habitats: they have been altered physically from their historic state, leading to distinct combinations of surface sediments, hydrology and plant communities. Abandoned floodplains may transition to xeric communities over time but are likely to retain some riparian qualities as long as there is access to relatively shallow ground water. With expected increases in water demand and drying climatic conditions in many regions, these surfaces and associated vegetation will continue to be extensive in riparian landscapes worldwide

  13. A plea for uniform European definitions for organ donor potential and family refusal rates.

    PubMed

    Jansen, Nichon E; Haase-Kromwijk, Bernadette J J M; van Leiden, Hendrik A; Weimar, Willem; Hoitsma, Andries J

    2009-11-01

    Conversion of potential organ donors to actual donors is negatively influenced by family refusals. Refusal rates differ strongly among countries. Is it possible to compare refusal rates in order to be able to learn from countries with the best practices? We searched in the literature for reviews of donor potential and refusal rates for organ donation in intensive care units. We found 14 articles pertinent to this study. There is an enormous diversity among the performed studies. The definitions of potential organ donors and family refusal differed substantially. We tried to re-calculate the refusal rates. This method failed because of the influence caused by the registered will on donation in the Donor Register. We therefore calculated the total refusal rate. This strategy was also less satisfactory considering possible influence of the legal consent system on the approach of family. Because of lack of uniform definitions, we can conclude that the refusal rates for organ donation can not be used for a sound comparison among countries. To be able to learn from well-performing countries, it is necessary to establish uniform definitions regarding organ donation and registration of all intensive care deaths.

  14. "The Giver" and "Shade's Children": Future Views of Child Abandonment and Murder.

    ERIC Educational Resources Information Center

    Gross, Melissa

    1999-01-01

    Examines reasons for child abandonment and murder and how it relates to abandonment in traditional literature. Considers new views of child abandonment and murder (focusing not on overcoming their abandonment, but changing and restructuring their entire society) presented in "The Giver" and "Shade's Children." Discusses the…

  15. Localized Detection of Abandoned Luggage

    NASA Astrophysics Data System (ADS)

    Chang, Jing-Ying; Liao, Huei-Hung; Chen, Liang-Gee

    2010-12-01

    Abandoned luggage represents a potential threat to public safety. Identifying objects as luggage, identifying the owners of such objects, and identifying whether owners have left luggage behind are the three main problems requiring solution. This paper proposes two techniques which are "foreground-mask sampling" to detect luggage with arbitrary appearance and "selective tracking" to locate and to track owners based solely on looking only at the neighborhood of the luggage. Experimental results demonstrate that once an owner abandons luggage and leaves the scene, the alarm fires within few seconds. The average processing speed of the approach is 17.37 frames per second, which is sufficient for real world applications.

  16. Effect of bio-column composed of aged refuse on methane abatement--a novel configuration of biological oxidation in refuse landfill.

    PubMed

    Han, Dan; Zhao, Youcai; Xue, Binjie; Chai, Xiaoli

    2010-01-01

    An experimental bio-column composed of aged refuse was installed around the exhaust pipe as a new way to mitigate methane in refuse landfill. One of the objectives of this work was to assess the effect of aged refuse thickness in bio-column on reducing CH4 emissions. Over the study period, methane oxidation was observed at various thicknesses, 5 cm (small size), 10 cm (middle size) and 15 cm (large size), representing one to three times of pipeline diameters. The middle and large size both showed over 90% methane conversion, and the highest methane conversion rate of above 95% occurred in the middle-size column cell. Michaelis-Menten equation addressed the methanotrophs diffusion in different layers of the bio-columns. Maximum methanotrophic activity (Vmax) measured at the three thicknesses ranged from 6.4 x 10(-3) to 15.6 x 10(-3) units, and the half-saturation value (K(M)) ranged from 0.85% to 1.67%. Both the highest Vmax and K(M) were observed at the middle-size of the bio-column, as well as the largest methanotrophs population, suggesting a significant efficiency of methane mitigation happened in the optimum zone with greatest affinity and methanotrophic bacteria activities. Therefore, bio-column is a potential style for methane abatement in landfill, and the aged refuse both naturally formed and artificially placed in the column plays a critical role in CH4 emission.

  17. Social Skills, Competence, and Drug Refusal Efficacy as Predictors of Adolescent Alcohol Use.

    ERIC Educational Resources Information Center

    Scheier, Lawrence M.; Botvin, Gilbert J.; Diaz, Tracy; Griffin, Kenneth W.

    1999-01-01

    Examines the extent to which assertiveness and related social skills, personal competence, and refusal efficacy predict alcohol involvement in adolescents. Males were at higher risk for poor refusal skills and reported higher alcohol involvement. Youth characterized by poor social skill development reported lower refusal efficacy, lower grades,…

  18. 9 CFR 590.160 - Refusal, suspension, or withdrawal of service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... INSPECTION ACT) Denial of Service § 590.160 Refusal, suspension, or withdrawal of service. (a) The... service. 590.160 Section 590.160 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE...) may refuse to provide or may withdraw inspection service under this part with respect to any plant if...

  19. 9 CFR 590.160 - Refusal, suspension, or withdrawal of service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... INSPECTION ACT) Denial of Service § 590.160 Refusal, suspension, or withdrawal of service. (a) The... service. 590.160 Section 590.160 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE...) may refuse to provide or may withdraw inspection service under this part with respect to any plant if...

  20. Nanometre-sized pores in coal: Variations between coal basins and coal origin

    USGS Publications Warehouse

    Sakurovs, Richard; Koval, Lukas; Grigore, Mihaela; Sokolava, Anna; Ruppert, Leslie F.; Melnichenko, Yuri B.

    2018-01-01

    We have used small angle neutron scattering (SANS) to investigate the differences in methane and hexane penetration in pores in bituminous coal samples from the U.S., Canada, South Africa, and China, and maceral concentrates from Australian coals. This work is an extension of previous work that showed consistent differences between the extent of penetration by methane into 10–20 nm size pores in inertinite in bituminous coals from Australia, North America and Poland.In this study we have confirmed that there are differences in the response of inertinite to methane and hexane penetration in coals sourced from different coal basins. Inertinite in Permian Australian coals generally has relatively high numbers of pores in the 2.5–250 nm size range and the pores are highly penetrable by methane and hexane; coals sourced from Western Canada had similar penetrability to these Australian coals. However, the penetrability of methane and hexane into inertinite from the Australian Illawarra Coal Measures (also Permian) is substantially less than that of the other Australian coals; there are about 80% fewer 12 nm pores in Illawarra inertinite compared to the other Australian coals examined. The inertinite in coals sourced from South Africa and China had accessibility intermediate between the Illawarra coals and the other Australian coals.The extent of hexane penetration was 10–20% less than CD4 penetration into the same coal and this difference was most pronounced in the 5–50 nm pore size range. Hexane and methane penetrability into the coals showed similar trends with inertinite content.The observed variations in inertinite porosity between coals from different coal regions and coal basins may explain why previous studies differ in their observations of the relationships between gas sorption behavior, permeability, porosity, and maceral composition. These variations are not simply a demarcation between Northern and Southern Hemisphere coals.

  1. Refusal of Emergency Medical Treatment: Case Studies and Ethical Foundations.

    PubMed

    Marco, Catherine A; Brenner, Jay M; Kraus, Chadd K; McGrath, Norine A; Derse, Arthur R

    2017-11-01

    Informed consent is an important component of emergency medical treatment. Most emergency department patients can provide informed consent for treatment upon arrival. Informed consent should also be obtained for emergency medical interventions that may entail significant risk. A related concept to informed consent is informed refusal of treatment. Patients may refuse emergency medical treatment during their evaluation and treatment. This article addresses important considerations for patients who refuse treatment, including case studies and discussion of definitions, epidemiology, assessment of decisional capacity, information delivery, medicolegal considerations, and alternative care plans. Copyright © 2017 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  2. 22 CFR 92.9 - Refusals of requests for notarial services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Refusals of requests for notarial services. 92.9 Section 92.9 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES NOTARIAL AND RELATED... services should be refused only after the most careful deliberation. [22 FR 10858, Dec. 27, 1957, as...

  3. Selected worldwide coal activities of the U.S. Geological Survey, with emphasis on their environmental applications

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    SanFilipo, J.R.; Warwick, P.D.

    1995-12-31

    Many of the underdeveloped and developing nations of the world face severe shortages of energy fuels, and many of the industrialized nations that are abandoning centrally-planned economies face collapsing energy distribution networks. These energy-poor nations are typically among the most environmentally stressed. This results in part from the direct effects of outmoded energy technologies and the low quality of available fuel, but it is also a result of the poverty and lack of social and technological infrastructure that invariably attends energy deficits. For such nations, the orderly development of underutilized indigenous coal resources and the upgrading of existing coal technologiesmore » can lead to economically viable sources of energy that are relatively benign from an environmental standpoint, and can contribute to long-term political stability as well. The US Geological Survey has participated in coal studies in a variety of such international settings in recent years. Most of these studies have been commodity related, focusing on coal resource assessments in nations with acute energy shortages and coal quality studies in areas where development has had recognizable environmental impacts. Training of counterparts from the host countries and the transfer of technology are an integral part of the international programs, with the primary goal of developing the ability of the host country to integrate geosciences into energy-policy decision-making.« less

  4. [Analysis of the refusal of the flu vaccination (REGRIVI study)].

    PubMed

    Méijome-Blanco, S; González-Cristobo, G; Regueiro-Martínez, A Á

    2018-02-10

    The objective of this study is to determine the reasons for refusing the flu vaccination in the Primary Care Health Centre of Vilanova de Arousa, Spain, as well as to evaluate the flu vaccination coverage after an educational intervention. A quasi-experimental before and after study was conducted after an educational intervention on a total of 73 people that included those Primary Care Health Centre patients from Vilanova de Arousa who had refused the flu vaccination in 2014, and who did not meet the exclusion criteria (death during 2014 and 2015 campaigns, non-acceptance of participation, vaccine registration mistakes, contraindication or no indication for the vaccine, inability to contact). After a brief educational intervention, vaccination data from those patients in the 2015 and 2016 campaigns were checked. A descriptive analysis of the variables under study was then carried out. Of the 73 patients initially included, 72 completed the study. The main reasons for refusing a vaccination were the concerns about the adverse effects and patient perception of good health. Vaccination coverage was 50.7% in 2015, and 48.6% in 2016. The reasons for refusing vaccination are approachable with a brief intervention since the refusal decreases by half in the long-term. Copyright © 2018 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan.

    PubMed

    Shafi, Salman Tahir; Saleem, Mohammad; Anjum, Roshina; Abdullah, Wajid; Shafi, Tahir

    2018-01-01

    In Pakistan, patients with chronic kidney disease (CKD) are commonly diagnosed at a late stage. There is little information about the refusal of hemodialysis by hospitalized CKD patients who need hemodialysis (HD) and reasons for acceptance and refusal among these patients. All patients with Stage V CKD who had medical indications to undergo HD and were hospitalized at a tertiary care facility over a six-month period were invited to participate in this study. Patients were surveyed regarding acceptance or refusing of HD and reasons for their decisions. Demographic, socioeconomic, and clinical characteristics of patients were compared between patients who accepted or refused HD. A total of 125 patients were included in the study. The mean age of the patients was 47.9 ±12.1 years. The mean duration of diagnosis of CKD was 2.5 ± 0.6 months. Of all patients, 72 (57.6%) agreed to do HD and 53 (42.4%) refused HD. Patients with arteriovenous fistula in place (27.1 vs. 9.1%, P 0.02) and those in the middle- or higher-income group (64.4% vs. 38.6%, p = 0.03) were more willing to undergo HD. Trust in doctor's advice (86.1%) was the most common reason for acceptance of HD. Frequency of HD per week (52.8%), lifelong and permanent nature of HD (50.9%), advice by family members or friends (37.7%), perception of poor quality of life on HD (35.8%), and fear of HD needles and complications during HD (33.9%) were the most common reasons for refusal. Refusal of HD is common among hospitalized CKD patients with medical indications to undergo HD, especially in lower income group.

  6. 17 CFR 230.155 - Integration of abandoned offerings.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Integration of abandoned... GENERAL RULES AND REGULATIONS, SECURITIES ACT OF 1933 General § 230.155 Integration of abandoned offerings... from integration of private and registered offerings. Because of the objectives of Rule 155 and the...

  7. Physician switching after drug request refusal.

    PubMed

    Lee, Doohee; Begley, Charles E

    2011-10-01

    Physician switching is a barometer of the quality of the relationship between a patient and a physician. Understanding the factors associated with physician switching in the context of direct-to-consumer advertising (DTCA) of prescription drugs has been largely unexamined. A total of 818 of 2,988 participants in a national telephone survey (27.4%) who had received DTCA reported asking their physician for a prescription drug, and 196 (24.0%) reported that their physician refused to prescribe the drug. Of those whose physicians refused, 13.9% (n = 27 of 194 with data) switched doctors. We found that individuals with regular medical-seeking behavior, full prescription drug coverage, with certain chronic conditions, and of African American origin were significantly more likely to switch physicians in this context.

  8. Well Abandonment at Various Sites, John F. Kennedy Space Center, Florida

    NASA Technical Reports Server (NTRS)

    Damphousse, Sarah Joan

    2016-01-01

    Between January 29 and March 9, 2016, a total of 23 monitoring wells were properly abandoned-in-place at five KSC sites (OPF-1&2, OPF-3, RDG, SRB, and HSB). The total abandonment encompassed 489.06 linear feet. The wells abandoned were constructed of PVC with diameters ranging from 1-inch to 2-inches. The shallowest well abandoned was measured to be 11.6 ft bls (OPF) and the deepest well abandoned was documented to be 51.45 feet bls (HSB). All aboveground completions were removed and each area was re-graded and/or grouted to surface to match existing surroundings. All materials (concrete pads, well casings, etc.) were disposed of accordingly.

  9. 21 CFR 514.110 - Reasons for refusing to file applications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of the applicant and to receive communications on all matters pertaining to the application. (7) The... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Reasons for refusing to file applications. 514.110... Applications § 514.110 Reasons for refusing to file applications. (a) The date of receipt of an application for...

  10. Blood Transfusion in Children: The Refusal of Jehovah's Witness Parents'.

    PubMed

    Conti, Adelaide; Capasso, Emanuele; Casella, Claudia; Fedeli, Piergiorgio; Salzano, Francesco Antonio; Policino, Fabio; Terracciano, Lucia; Delbon, Paola

    2018-01-01

    In Italy, both parents have parental responsibility; as a general principle they have the power to give or withhold consent to medical procedures on their children, including consent for blood transfusion; however these rights are not absolute and exist only to promote the welfare of children. The Authors discuss ethical and legal framework for Jehovah's Witness parents' refusal of blood transfusion in Italy. They searched national judgments concerning Jehovah's Witness parents' refusal of blood transfusion - and related comments - in national legal databases and national legal journals, and literature on medical literature databases. In the case of Jehovah's Witness parents' refusal of blood transfusion for their child, Italian Courts adopt measures that prevents the parents from exercise their parental responsibility not in the child's best interest. In the event that refusal by the parents, outside of emergency situations, exposes the child's health to serious risk, health workers must proceed by notifying the competent authority, according also to the Italian Code of Medical Ethics. When the patient is a minor, the child's best interest always come first.

  11. 76 FR 29796 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Refuse...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... for OMB Review; Comment Request; Refuse Piles and Impounding Structures, Recordkeeping and Reporting... Administration (MSHA) sponsored information collection request (ICR) titled, ``Refuse Piles and Impounding... to submit annual reports and certification on refuse piles and impoundments to the agency and to keep...

  12. Autonomy, religious values, and refusal of lifesaving medical treatment.

    PubMed

    Wreen, M J

    1991-09-01

    The principal question of this paper is: Why are religious values special in refusal of lifesaving medical treatment? This question is approached through a critical examination of a common kind of refusal of treatment case, one involving a rational adult. The central value cited in defence of honouring such a patient's refusal is autonomy. Once autonomy is isolated from other justificatory factors, however, possible cases can be imagined which cast doubt on the great valuational weight assigned it by strong anti-paternalists. This weight is sufficient, in their estimation, to justify honouring the patient's refusal. There is thus a tension between the strong anti-paternalist's commitment to the sufficiency of autonomy and our intuitions respecting such cases. Attempts can be made to relieve this tension, such as arguing that patients aren't really rational in the circumstances envisaged, or that other values, such as privacy or bodily integrity, if added to autonomy, are sufficient to justify an anti-paternalistic stance. All such attempts fail, however. But what does not fail is the addition of religious freedom, freedom respecting a patient's religious beliefs and values. Why religious freedom reduces the tension is then explained, and the specialness of religious beliefs and values examined.

  13. Autonomy, religious values, and refusal of lifesaving medical treatment.

    PubMed Central

    Wreen, M J

    1991-01-01

    The principal question of this paper is: Why are religious values special in refusal of lifesaving medical treatment? This question is approached through a critical examination of a common kind of refusal of treatment case, one involving a rational adult. The central value cited in defence of honouring such a patient's refusal is autonomy. Once autonomy is isolated from other justificatory factors, however, possible cases can be imagined which cast doubt on the great valuational weight assigned it by strong anti-paternalists. This weight is sufficient, in their estimation, to justify honouring the patient's refusal. There is thus a tension between the strong anti-paternalist's commitment to the sufficiency of autonomy and our intuitions respecting such cases. Attempts can be made to relieve this tension, such as arguing that patients aren't really rational in the circumstances envisaged, or that other values, such as privacy or bodily integrity, if added to autonomy, are sufficient to justify an anti-paternalistic stance. All such attempts fail, however. But what does not fail is the addition of religious freedom, freedom respecting a patient's religious beliefs and values. Why religious freedom reduces the tension is then explained, and the specialness of religious beliefs and values examined. PMID:1941952

  14. The Refusal of Palliative Radiation in Metastatic Non-Small Cell Lung Cancer and Its Prognostic Implications.

    PubMed

    Stavas, Mark J; Arneson, Kyle O; Ning, Matthew S; Attia, Albert A; Phillips, Sharon E; Perkins, Stephanie M; Shinohara, Eric T

    2015-06-01

    Patients with metastatic non-small cell lung cancer (NSCLC) have limited survival. Population studies have evaluated the impact of radiation refusal in the curative setting; however, no data exist concerning the prognostic impact of radiation refusal in the palliative care setting. To investigate the patterns of radiation refusal in newly diagnosed patients with metastatic NSCLC. Patients with Stage IV NSCLC diagnosed between 1988 and 2010 were identified in the Surveillance, Epidemiology, and End Results database. Univariate and multivariate analyses were used to identify predictors for refusal of radiation and the impact of radiation and refusal on survival in the palliative setting. A total of 285,641 patients were initially included in the analysis. Palliative radiation was recommended in 42% and refused by 3.1% of patients. Refusal rates remained consistent across included years of study. On multivariate analysis, older, nonblack/nonwhite, unmarried females were more likely to refuse radiation (P < 0.001 in all cases). Median survival for patients refusing radiation was three months vs. five months for those receiving radiation and two months for those whom radiation was not recommended. Patients with metastatic NSCLC who refuse recommended palliative radiation have a poor survival. Radiation refusal or the recommendation against treatment can serve as a trigger for integrating palliative care services sooner and contributes greatly to prognostic awareness. Further investigation into this survival difference and the factors behind refusal are warranted. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  15. 12 CFR 563g.11 - Withdrawal or abandonment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Withdrawal or abandonment. 563g.11 Section 563g.11 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY SECURITIES OFFERINGS § 563g.11 Withdrawal or abandonment. (a) Any offering circular, amendment, or exhibit may be withdrawn...

  16. Using a Preventive Social Work Program for Reducing School Refusal

    ERIC Educational Resources Information Center

    Elsherbiny, Mohamed Mohamed

    2017-01-01

    This article describes a study aimed at solving the problem of school refusal by implementing a preventive program and raising the awareness of parents, social workers, and school personnel. The school children involved in this study were reported by their parents and school social workers to refuse to go to school, and according to the children's…

  17. Arsenic-bearing pyrite and marcasite in the Fire Clay coal bed, Middle Pennsylvanian Breathitt Formation, eastern Kentucky

    USGS Publications Warehouse

    Ruppert, L.F.; Hower, J.C.; Eble, C.F.

    2005-01-01

    Arsenic concentrations determined on 11 lithotype samples from the Middle Pennsylvanian Breathitt Group Fire Clay coal bed, Leslie County, KY, range from 1 to 418 ppm (whole coal basis). The 11 lithotype samples, which vary in thickness from 4 to 18 cm, were sampled from a continuous 1.38 m channel sample, and were selected based on megascopic appearance (vitrain-rich versus attrital-rich). A lithotype that contains 418 ppm As is located near the top of the coal bed and is composed of 10.5 cm of bright clarain bands containing fusain that, within short distances, grade laterally into Fe sulfide bands. To determine the mode of occurrence of As in this lithotype, the coal was examined with scanning electron microscopy and analyzed by energy dispersive X-ray fluorescence. Massive, framboidal, cell filling, cell-wall replacement, and radiating forms of Fe sulfide were observed in the high As lithotype; many of the radiating Fe sulfide forms, and one of the cell-wall replacements contained As. Examination of the grains with optical light microscopy shows that the majority of radiating morphologies are pyrite, the remainder are marcasite. Selected Fe sulfide grains were also analyzed by electron microprobe microscopy. Arsenic concentrations within individual grains range from 0.0 wt.% to approximately 3.5 wt.%. On the basis of morphology, these Fe sulfides are presumed to be of syngenetic origin and would probably be removed from the coal during physical coal cleaning, thus eliminating a potential source of As from the coal combustion process. However, because the grains are radiating and have high surface area, dissolution and release of As could occur if the pyrite is oxidized in refuse ponds.

  18. A novel aerobic sulfate reduction process in landfill mineralized refuse.

    PubMed

    Liu, Weijia; Long, Yuyang; Fang, Yuan; Ying, Luyao; Shen, Dongsheng

    2018-05-08

    It is thought that mineralized refuse could be excavated from almost-full landfill sites to provide space for the increasing burden of municipal solid waste. When excavating, however, the H 2 S emissions from the mineralized waste need to be considered carefully. In an attempt to understand how H 2 S emissions might change during this excavation process, we carried out a series of tests, including exposing anaerobic mineralized refuse to oxygen, isolating and determining possible functional bacteria, and characterizing the electron donors and/or acceptors. The results showed that H 2 S would be released when landfill mineralized refuse was exposed to oxygen (O 2 ), and could reach concentrations of 6 mg m -3 , which was 3 times the concentrations of H 2 S released from anaerobic mineralized refuse. Sulfur-metabolized microorganisms accounted for only 0.5% of the microbial functional bacteria (MFB) derived from the mineralized refuse when exposed to O 2 for 60 days, and SRB were not present. The MFB maintained H 2 S production by aerobic sulfate reduction using SO 4 2- and S 2 O 3 2- as electron acceptors, and sulfate-reducing rates of 16% and 55%, respectively, were achieved. Lactate and S 2 O 3 2- were the preferred electron donor and acceptor, respectively. By enhancing the carbon source and electron transfer, MFB may undergo strong aerobic sulfate reduction even at low abundances of sulfur-metabolized microorganisms. Copyright © 2018 Elsevier B.V. All rights reserved.

  19. Metagenomic analysis of antibiotic resistance genes (ARGs) during refuse decomposition.

    PubMed

    Liu, Xi; Yang, Shu; Wang, Yangqing; Zhao, He-Ping; Song, Liyan

    2018-04-12

    Landfill is important reservoirs of residual antibiotics and antibiotic resistance genes (ARGs), but the mechanism of landfill application influence on antibiotic resistance remains unclear. Although refuse decomposition plays a crucial role in landfill stabilization, its impact on the antibiotic resistance has not been well characterized. To better understand the impact, we studied the dynamics of ARGs and the bacterial community composition during refuse decomposition in a bench-scale bioreactor after long term operation (265d) based on metagenomics analysis. The total abundances of ARGs increased from 431.0ppm in the initial aerobic phase (AP) to 643.9ppm in the later methanogenic phase (MP) during refuse decomposition, suggesting that application of landfill for municipal solid waste (MSW) treatment may elevate the level of ARGs. A shift from drug-specific (bacitracin, tetracycline and sulfonamide) resistance to multidrug resistance was observed during the refuse decomposition and was driven by a shift of potential bacteria hosts. The elevated abundance of Pseudomonas mainly contributed to the increasing abundance of multidrug ARGs (mexF and mexW). Accordingly, the percentage of ARGs encoding an efflux pump increased during refuse decomposition, suggesting that potential bacteria hosts developed this mechanism to adapt to the carbon and energy shortage when biodegradable substances were depleted. Overall, our findings indicate that the use of landfill for MSW treatment increased antibiotic resistance, and demonstrate the need for a comprehensive investigation of antibiotic resistance in landfill. Copyright © 2018. Published by Elsevier B.V.

  20. Artesian Well Abandonment at Launch Complex 39A

    NASA Technical Reports Server (NTRS)

    Morgan, Lindsay; Johansen, Deda

    2015-01-01

    The artesian well tasked for abandonment was located on the LOX side (northwest area) of the launch complex. The exact date of well installation is unknown. The well was no longer in use at the time of the abandonment request, but was previously utilized under St. Johns River Water Management District (SJRWMD) consumptive use permit (No. 50054) for the Floridian Aquifer. The exact construction details of the LOX artesian well were also unknown; however, a similar-type artesian well was previously located on the LH2 side of the site, which was abandoned in 2012. Based on discussions with the NASA RPM and review of the LH2 artesian well abandonment completion report, the LH2 artesian well was reported to be an 8-inch diameter, 330-foot deep well. The NASA RPM communicated that the LOX artesian well was likely to be an 8-inch diameter, 380-foot deep well. This information was used for scoping, and was subsequently confirmed to be substantially accurate. No additional information could be found for the LOX artesian well using the NASA Remediation Information System (RIS).

  1. Legislation and refusal of blood transfusion by a minor Jehovah-Witness in Belgium.

    PubMed

    Deneyer, M; Matthys, D; Ramet, J; Michel, L; Holsters, D; Vandenplas, Y

    2011-01-01

    The refusal of blood transfusion by Jehovah's Witnesses in critical situations constitutes an ethical and juridical dilemma. The refusal to receive blood products by Jehovah's Witnesses is based on biblical verses. Recurring arguments to sustain this refusal regard the right to self-determination and the right to freedom of faith. If minors are involved, the problem is rendered even more difficult as the parental authority over young children needs to be taken into account. When adolescents are concerned, the situation if even more ambiguous since adolescents might be considered as mature enough to provide autonomous consent. On the basis of three cases, the most frequent bottlenecks that can come up in paediatric emergency services are highlighted: (1) the refusal of a blood transfusion by the parents of a young child; (2) the refusal by an adolescent and (3) prior refusal based on a "No Blood"-document. Regarding minors, the law on patients' rights in Belgium contains safety mechanisms concerning the preservation of physical integrity. Therefore, a key responsibility has been assigned to the physician. A step-by-step plan and a synoptic diagram are presented.

  2. Conscientious refusal in healthcare: the Swedish solution.

    PubMed

    Munthe, Christian

    2017-04-01

    The Swedish solution to the legal handling of professional conscientious refusal in healthcare is described. No legal right to conscientious refusal for any profession or class of professional tasks exists in Sweden, regardless of the religious or moral background of the objection. The background of this can be found in strong convictions about the importance of public service provision and related civic duties, and ideals about rule of law, equality and non-discrimination. Employee's requests to change work tasks are handled on a case-by-case basis within the frames of labour law, ensuring full voluntariness, and also employer's privilege regarding the organisation and direction of work, and duties of public institutions to provide services. Two complicating aspects of this solution related to the inclusion of 'alternative medical' service providers in a national health service, and professional insistence on conscientious refusal rights to accept legalised assisted dying are discussed. The latter is found to undermine the pragmatic reasons behind recent attempts by prolife groups to challenge the Swedish solution related to legal abortion in courts. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  3. Reasons for family refusal of ocular tissue donation.

    PubMed

    Hermann, K C; Pagnussato, F; Franke, C A; de Oliveira, M L B

    2014-01-01

    Corneal donations do not fill the transplant demand. The waiting list had 5512 individuals in Brazil and 143 in Rio Grande do Sul in December 2012. The aim of this study was to identify the reasons for family refusal of ocular tissues donation. This retrospective study analyzed interview records for ocular tissue procurement performed in a general, public university hospital located in Southern Brazil between January 2008 and December 2012. It identified the reasons of family refusal for ocular tissue donation. A total of 1010 interviews for ocular tissues procurement were performed. From these, 513 (50.79%) refused donation with the following reasons: 60 (11.69%) family members were unaware of the desire of the potential donor, 153 (29.82%) of potential donors spoke against donation in life, 113 (22.02%) family members were undecided about the donation, 156 (30.40%) family members were against donation, 3 (0.58%) family members were unhappy with the service, 11 (2.14%) family members were afraid of body release delay, 6 (1.16%) families expressed religious convictions against donation, and 11 (2.14%) family members wanted to keep the body intact. There are many reasons for ocular tissues donation refusal, and the knowledge provides better strategies for family interviews. In this study, most of the reasons, around 90%, can be related to lack of information or communication about the subject. Greater awareness of the population about the subject can be a good way to increase ocular tissue procurement indexes. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. School Refusal Behavior Associated with Separation Anxiety Disorder: A Cognitive-Behavioral Approach to Treatment

    ERIC Educational Resources Information Center

    Doobay, Alissa F.

    2008-01-01

    School refusal behavior can lead to disruptions in both educational attainment and social development. One of the common causes of school refusal behavior is separation anxiety disorder (SAD). Research suggests that children with SAD and school refusal behavior show an increased rate of psychiatric consultation and a decreased likelihood of…

  5. Family Influences on Treatment Refusal in School-Linked Mental Health Services

    ERIC Educational Resources Information Center

    Keeley, Mary L.; Wiens, Brenda A.

    2008-01-01

    This study analyzed family influences on treatment refusal in school-linked mental health services (SLMHS). Specifically, it assessed whether levels of family cohesion, conflict, and organization were related to whether a family refused to initiate recommended treatment. Children (N = 133) referred for emotional and behavioral problems and their…

  6. Risk taking and refusal assertiveness in a longitudinal model of alcohol use among inner-city adolescents.

    PubMed

    Epstein, J A; Griffin, K W; Botvin, G J

    2001-09-01

    Risk taking and refusal assertiveness have been shown to be important determinants of adolescent alcohol use. However, it remains unclear whether youth predisposed to risk taking would be less likely to assertively refuse. This study examined the relationships among risk taking, refusal assertiveness, and alcohol use in a sample of inner-city minority students (N = 1,459), using a cross-lagged longitudinal structural equation model. Data collectors administered the questionnaire to students following a standardized protocol during a 40-min class period. Based on the tested model, risk taking was more stable over time than refusal assertiveness. Furthermore, high risk takers reported less frequent subsequent refusal assertiveness, and less frequent refusal assertiveness predicted greater drinking. A predisposition toward risk taking appears to be an enduring characteristic that is associated with low refusal assertiveness and increased alcohol use. These findings suggest that alcohol prevention programs that emphasize refusal skills training may be less effective for high risk takers. But programs that focus on enhancing competence or reducing normative expectations for peer alcohol use might be more effective for high risk-taking youth.

  7. Burnout control at the Albright coal-waste-bank fire. Rept. of investigations/1991

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chaiken, R.F.; Bayles, L.G.

    1991-01-01

    Burnout Control is a process developed by the U.S. Bureau of Mines for accelerating the burning of wasted coal fires in situ, while at the same time controlling the heat and fumes produced. The Albright fire project is a first field trial of Burnout Control as applied to a coal waste bank. An exhaust ventilation system was designed and constructed and then operated over a 1-year period at the site of an existing abandoned mine land fire near the town of Albright, W.V. While predicted exhaust gas temperatures of 900 C and thermal power levels of 5 MW were achievedmore » at 20- to 30-in H2O vacuum levels, problems were encountered with engineering designs, equipment breakdown, and fuel-rich combustion that curtailed the time period of satisfactory operation. Effective afterburning of the exhaust gases (as they were drawn from the bank) corrected the problems associated with combustion stoichiometry and led to high thermal outputs. It is believed that with (1) improvements in engineering design and construction, (2) better control of the afterburning process, and (3) the use of conventional stack gas air-pollution controls, Burnout Control can be applied successfully to a coal waste bank fire.« less

  8. State Right to Refuse Medication Laws and Procedures: Impact on Homicide and Suicide.

    PubMed

    Edwards, Griffin

    2016-09-01

    As part of the expansive overhaul of the mental health system that occurred in the latter half of the 20th Century, many states passed laws that allow, under certain conditions, voluntary and involuntarily committed patients to refuse medication. While some predicted the consequences of these laws would be dire, the effect on violent behavior remains untested. The aim is to decipher any differences state right to refuse medication laws may have on violence. Using the homicide rate of every US state between 1972 and 2001 (N = 1,479), and the suicide rate between 1981 and 2001 (N = 1,071). The study compares the difference in homicide/suicide rates before and after a law change to that same difference in a set of control states to estimate the effect of laws aimed at extending the right to refuse medication to both voluntary and involuntarily committed mental health patients. Laws designed to allow voluntarily committed patients to refuse medication are associated with a 0.8 increase in homicides per 100,000 of the state population while laws dictating an involuntarily committed patient's right to request refusal of medication are negative but statistically insignificant using standard t test. Laws designed to allow voluntarily committed patients to refuse medication have no statistically significant effect on suicides while laws dictating an involuntarily committed patient's right to request refusal of medication, specifically when the request is reviewed by independent mental health professionals, are associated with a statistically significant reduction in suicides. Allowing voluntarily committed patients to refuse medication may entice some to enter in-patient facilities, but the brief and optional exposure to medication and their side effects may actually discourage treatment and increase violence.

  9. [Refusal of initiation of dialysis by elderly patients with chronic renal failure].

    PubMed

    Fujimaki, Hiroshi; Kasuya, Yutaka; Kawaguchi, Sachiko; Hara, Shino; Koga, Shiro; Takahashi, Tadao; Mizuno, Shoichi

    2005-07-01

    Refusal of dialysis is not uncommon in elderly patients with chronic renal failure. In this study, we retrospectively inspected our dealings with patients who refused our offer to initiate dialysis. In addition, we discussed how to grasp the meaning of this phenomenon. We treated 152 patients with advanced chronic renal failure aged 60 years and over at Tokyo Metropolitan Geriatric Hospital. The patients fulfilling the following two criteria were considered to be refusal cases. The first criterion was that an acceptance of the initiation of dialysis could not be obtained in spite of repeated counseling. The second criterion was that a definite outcome was precipitated by the development of severe uremic symptoms. In every refusal case, clinical characteristics and household members were surveyed. Verbal expressions of the reasons for refusal were retrieved from medical charts. The outcome was also studied. The two criteria were fulfilled in 7 cases. The male/female ratio was 5:2. The age was 78 +/- 7 years (mean +/- standard deviation). All but one cases were ambulatory, and all cases had normal cognitive function. Four cases were married, and the other cases had lost their partners. The number of household members was 3.9 +/- 1.8. We speculated that every case could maintain a good quality of life even after the initiation of dialysis. Representative expressions of the reasons for refusal were "I have already lived fully" and "I would prefer to accept death rather than dialysis". The outcome was urgent initiation of dialysis (five cases) and death (two cases). The time between initial counseling and the outcome was 115 +/- 37 days. Accepting or refusing dialysis therapy is a selection related to life or death. We must make an effort to obtain consent to initiating dialysis if patients are assessed as suitable for dialysis.

  10. 4. INTERIOR OF ABANDONED SANTA ANA CANAL TUNNEL, SHOWING CEMENT ...

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

    4. INTERIOR OF ABANDONED SANTA ANA CANAL TUNNEL, SHOWING CEMENT TROUGH FLOOR AND UNFINISHED GRANITE ROOF. VIEW TO SOUTHWEST. - Santa Ana River Hydroelectric System, Abandoned Tunnel, Redlands, San Bernardino County, CA

  11. Polycyclic aromatic hydrocarbon (PAH)-containing soils from coal gangue stacking areas contribute to epithelial to mesenchymal transition (EMT) modulation on cancer cell metastasis.

    PubMed

    Yun, Yang; Gao, Rui; Yue, Huifeng; Liu, Xiaofang; Li, Guangke; Sang, Nan

    2017-02-15

    The total accumulative stockpiles of gangue in China comprise 4.5billion metric tons, and approximately 659million tons of additional gangue are generated per year. Considering the stacking characteristics are highly heterogeneous, the potential cancer risks from the presence of polycyclic aromatic hydrocarbons (PAHs) remain elusive. This study aimed to determine whether PAH-containing soil around coal gangue stacking areas poses a potential cancer risk and contributes to cancer cell metastasis. The results indicate that eighteen PAHs, primarily originated from coal gangue, exhibited distance variations from the coal gangues to the downstream villages, and the abandoned colliery posed increased potential carcinogenic risks for humans as a result of long-term stacking of coal gangue. Furthermore, soil samples stimulated HepG2 cell migration and invasion in a PAH-dependent manner, and the action was involved in PPARγ-mediated epithelial to mesenchymal transition (EMT) modulation. These findings highlight the potential cancer risk of PAH-containing soil samples around coal gangue stacking areas, and identify important biomarkers underlying the risk and targets preventing the outcomes in polluted areas. Copyright © 2016 Elsevier B.V. All rights reserved.

  12. Knowledge-based fault diagnosis system for refuse collection vehicle

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tan, CheeFai; Juffrizal, K.; Khalil, S. N.

    The refuse collection vehicle is manufactured by local vehicle body manufacturer. Currently; the company supplied six model of the waste compactor truck to the local authority as well as waste management company. The company is facing difficulty to acquire the knowledge from the expert when the expert is absence. To solve the problem, the knowledge from the expert can be stored in the expert system. The expert system is able to provide necessary support to the company when the expert is not available. The implementation of the process and tool is able to be standardize and more accurate. The knowledgemore » that input to the expert system is based on design guidelines and experience from the expert. This project highlighted another application on knowledge-based system (KBS) approached in trouble shooting of the refuse collection vehicle production process. The main aim of the research is to develop a novel expert fault diagnosis system framework for the refuse collection vehicle.« less

  13. Refusals in Chinese: How Do L1 and L2 Differ?

    ERIC Educational Resources Information Center

    Hong, Wei

    2011-01-01

    This article reports on an empirical study of refusal strategies in Chinese by native speakers (NS) and nonnative Chinese learners (NNS). Sixty subjects (perceived as "students") were to refuse an invitation by "the professor" to a Chinese New Year's party. The study found that the NS group produced 10 strategies, whereas the…

  14. Manual of good practices for sanitation in coal mining operations

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    The purpose of the manual was to act as a guideline, setting reasonable recommendations relative to mine sanitation which will enable mines to install adequate facilities and make appropriate alterations conserving and improving the health and welfare of the mine worker. A systematic evaluation was undertaken of the sanitation facilities and maintenance at coal mines. Consideration was given to central facilities including building, floors, walls, partitions, ceilings, lockers, baskets and benches, showers, toilets, lavatories, lighting, ventilation and temperature control, and maintenance. Also discussed were food vending machines, water source, water quality, water treatment, water delivery systems for underground and surfacemore » mines, sanitary waste disposal, workplace toilets in underground and surface mines, refuse control and handling for underground and surface mines, and pest control.« less

  15. 30 CFR 938.20 - Approval of Pennsylvania abandoned mine land reclamation plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Approval of Pennsylvania abandoned mine land... PENNSYLVANIA § 938.20 Approval of Pennsylvania abandoned mine land reclamation plan. The Pennsylvania Abandoned... are available at the following locations: (a) Pennsylvania Department of Environmental Resources...

  16. Determinants of tuberculosis transmission and treatment abandonment in Fortaleza, Brazil.

    PubMed

    Harling, Guy; Lima Neto, Antonio S; Sousa, Geziel S; Machado, Marcia M T; Castro, Marcia C

    2017-05-25

    Tuberculosis (TB) remains a public health problem, despite recent achievements in reducing incidence and mortality rates. In Brazil, these achievements were above the worldwide average, but marked by large regional heterogeneities. In Fortaleza (5th largest city in Brazil), the tuberculosis cure rate has been declining and treatment abandonment has been increasing in the past decade, despite a reduction in incidence and an increase in directly observed therapy (DOT). These trends put efforts to eliminate tuberculosis at risk. We therefore sought to determine social and programmatic determinants of tuberculosis incidence and treatment abandonment in Fortaleza. We analyzed sociodemographic and clinical data for all new tuberculosis cases notified in the Notifiable Diseases Information System (SINAN) from Fortaleza between 2007 and 2014. We calculated incidence rates for 117 neighborhoods in Fortaleza, assessed their spatial clustering, and used spatial regression models to quantify associations between neighborhood-level covariates and incidence rates. We used hierarchical logistic regression models to evaluate how individual- and neighborhood-level covariates predicted tuberculosis treatment abandonment. There were 12,338 new cases reported during the study period. Case rates across neighborhoods were significantly positively clustered in two low-income areas close to the city center. In an adjusted model, tuberculosis rates were significantly higher in neighborhoods with lower literacy, higher sewerage access and homicide rates, and a greater proportion of self-reported black residents. Treatment was abandoned in 1901 cases (15.4%), a rate that rose by 71% between 2007 and 2014. Abandonment was significantly associated with many individual sociodemographic and clinical factors. Notably, being recommended for DOT was protective for those who completed DOT, but associated with abandonment for those who did not. Low socioeconomic status areas have higher tuberculosis

  17. 37 CFR 1.295 - Review of decision finally refusing to publish a statutory invention registration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... refusing to publish a statutory invention registration. 1.295 Section 1.295 Patents, Trademarks, and... decision finally refusing to publish a statutory invention registration. (a) Any requester who is dissatisfied with the final refusal to publish a statutory invention registration for reasons other than...

  18. Patient refusal of glaucoma surgery and associated factors in Lagos, Nigeria.

    PubMed

    Adekoya, Bola Josephine; Akinsola, Feyisayo B; Balogun, Bola Grace; Balogun, Modupe Medinat; Ibidapo, Olajumoke O

    2013-01-01

    To determine the prevalence of patient refusal of glaucoma surgery (GSR) and the associated factors in Lagos, Nigeria. A multicenter cross-sectional survey was conducted in Lagos state, Nigeria. Twelve centres were invited to participate, but data collection was completed in 10. Newly diagnosed glaucoma patients were recruited and interviewed from these sites over a four week period on prior awareness of glaucoma, surgery refusal, and reason(s) for the refusal. Presenting visual acuity was recorded from the patient files. The odds ratio and 95% confidence intervals (CI) were calculated. A total of 208 newly diagnosed glaucoma patients were recruited. Sixty-five (31.2%) patients refused surgery. Fear of surgery (31 (47.7%) patients), and fear of going blind (19 (29.2%) patients) were the most common reasons. The odds ratio of surgery refusal were marital status - not married versus married (2.0; 95% CI, 1.02-3.94), use of traditional medication - users versus non users (2.4; 95% CI, 1.1-5.2), perception of glaucoma causing blindness - no versus yes (3.7; 95% CI, 1.3-10.5), type of institution - government versus private (5.7; 95% CI, 1.3-25.1), and visual acuity in the better eye - normal vision versus visual impairment (2.3; 95% CI, 1.1-4.9). Age, gender, level of education, family history of glaucoma, and prior awareness of the diagnosis of glaucoma, were not significantly associated with surgery refusal. Perception of patients concerning glaucoma blindness was the strongest factor on multivariate analysis. GSR was relatively low in this study. Unmarried status, use of traditional medications, perception that glaucoma cannot cause blindness, government hospital patients, and good vision in the better eye were associated with GSR. These factors might help in the clinical setting in identifying appropriate individuals for targeted counseling, as well as the need for increased public awareness about glaucoma.

  19. New Report Compares Performance of Compressed Natural Gas Refuse Haulers to

    Science.gov Websites

    Diesel-Powered Trucks Report Compares Performance of Compressed Natural Gas Refuse Haulers to Diesel-Powered Trucks For more information contact: e:mail: Public Affairs A new report that compares the performance of compressed natural gas (CNG) refuse haulers in New York City to similar diesel-powered trucks

  20. Installation of a stoker-coal preparation plant in Krakow, Poland. Quarterly technical progress report No. 1, May--July, 1994

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Rozelle, P.

    1996-01-01

    This report describes the progress made during the first Quarter of a two year project to demonstrate that the air pollution from a traveling grate stoker being used to heat water at a central heating plant in Krakow Poland can be reduced significantly by replacing the unwashed, unsized coal now being used with a mechanically cleaned, double sized stoker fuel and by optimizing the operating parameters of the stoker. It is anticipated that these improvements will prove to be cost effective and hence be adopted in the other central heating plants in Krakow and indeed throughout Eastern European cities wheremore » coal is the primary source of heating fuel. EFH Coal Company has formed a partnership with two Polish institutions -- MPEC a central heating company in Krakow and Naftokrak-Naftobudowa, preparation plant designers and fabricators, for this effort. An evaluation of the washability characteristics of five samples of two coals (Piast and Janina) showed that {open_quotes}compliance-quality{close_quotes} stoker coals could be produced which contained less than 640 g of SO{sub 2}/KJ (1.5 lbs SO{sub 2}/MMBtu) at acceptable plant yields by washing in heavy media cyclones. A search for long-term sources of raw coal to feed the proposed new 300 tph stoker coal preparation plant was initiated. As the quantity of stoker coal that will be produced (300 tph) at the new plant will exceed the demand by MPEC, a search for other and additional potential markets was begun. Because the final cost of the stoker coal will be influenced by such factors as the plant`s proximity to both the raw coal supply and the customers, the availability and cost of utilities, and the availability of suitable refuse disposal areas, these concerns were the topic of discussions at the many meetings that were held between EFH Coal and the Polish Partners.« less

  1. 77 FR 35751 - Wisconsin Central Ltd.-Abandonment Exemption-in Manitowoc County, WI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-14

    ... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 303 (Sub-No. 39X)] Wisconsin Central Ltd.--Abandonment Exemption--in Manitowoc County, WI Wisconsin Central Ltd. (WCL) has filed a verified notice of exemption under 49 CFR part 1152 subpart F--Exempt Abandonments to abandon 6...

  2. Chemical analyses of coal, coal-associated rocks and coal combustion products collected for the National Coal Quality Inventory

    USGS Publications Warehouse

    Hatch, Joseph R.; Bullock, John H.; Finkelman, Robert B.

    2006-01-01

    In 1999, the USGS initiated the National Coal Quality Inventory (NaCQI) project to address a need for quality information on coals that will be mined during the next 20-30 years. At the time this project was initiated, the publicly available USGS coal quality data was based on samples primarily collected and analyzed between 1973 and 1985. The primary objective of NaCQI was to create a database containing comprehensive, accurate and accessible chemical information on the quality of mined and prepared United States coals and their combustion byproducts. This objective was to be accomplished through maintaining the existing publicly available coal quality database, expanding the database through the acquisition of new samples from priority areas, and analysis of the samples using updated coal analytical chemistry procedures. Priorities for sampling include those areas where future sources of compliance coal are federally owned. This project was a cooperative effort between the U.S. Geological Survey (USGS), State geological surveys, universities, coal burning utilities, and the coal mining industry. Funding support came from the Electric Power Research Institute (EPRI) and the U.S. Department of Energy (DOE).

  3. Outsourcing in the public refuse collection sector: exploiting old certainties or exploring new possibilities?

    PubMed

    Gustafsson, Ove; Saksvik, Per Øystein

    2005-01-01

    An outsourcing process in a medium-size city, by Norwegian standards, provided the background for our study. In 1996, the city council decided to contract out the refuse collection in half of its total area (the western part of the city), and to let the public refuse collection enterprise continue to collect in the other half of the area. The public enterprise also participated in the competitive tender, without success, however. The bid submitted by the public refuse collection enterprise was used as the basis for a benchmarking process performed by the chief administrative officer of the city in May 1999. The process resulted in the requirement that the public enterprise downsize its number of refuse collectors by 27 per cent. The city thus acquired a more cost-effective refuse collection system both in the western part, now run by a private company, and in the rest of the city, where the collection remained the responsibility of the public enterprise, in its newly pared-down and reorganized version. Detectable changes in the refuse collectors' health status in the three-year period immediately following the outsourcing constitute our main focus in this study. We found that the downsizing and reorganization of the public enterprise had a negative impact on the refuse collectors' health status. One year after the downsizing, six of the 27 refuse collectors remaining in the public enterprise had been diagnosed with heart problems or musculoskeletal pains that were sufficiently serious to form the basis of their individual approaches to secure a disability pension, which all six were in the process of acquiring. The registered sick leave among the refuse collectors showed a dramatic increase during the same period. We found clear indications that the refuse collectors remaining in the employment of the public enterprise had no alternatives in the labour market. Although not the focus of this study, we found that the totality of costs and benefits, not only for the

  4. Vaccine refusal and the endgame: walking the last mile first.

    PubMed

    Saint-Victor, Diane S; Omer, Saad B

    2013-08-05

    As multiple papers within this special issue illustrate, the dynamics of disease eradication are different from disease control. When it comes to disease eradication, 'the last mile is longest'. For social and ecological reasons such as vaccine refusal, further ending incidence of a disease when it has reached low levels is frequently complex. Issues of non-compliance within a target population often influence the outcome of disease eradication efforts. Past eradication efforts confronted such obstacles towards the tail end of the campaign, when disease incidence was lowest. This article provides a comparison of non-compliance within polio, measles and smallpox campaigns, demonstrating the tendency of vaccine refusal to rise as disease incidence falls. In order to overcome one of the most intractable challenges to eradication, future disease eradication efforts must prioritize vaccine refusal from the start, i.e. 'walk the last mile first'.

  5. Responding to the refusal of care in the emergency department.

    PubMed

    Nelson, Jennifer; Venkat, Arvind; Davenport, Moira

    2014-01-01

    The emergency department (ED) serves as the primary gateway for acute care and the source of health care of last resort. Emergency physicians are commonly expected to rapidly assess and treat patients with a variety of life-threatening conditions. However, patients do refuse recommended therapy, even when the consequences are significant morbidity and even mortality. This raises the ethical dilemma of how emergency physicians and ED staff can rapidly determine whether patient refusal of treatment recommendations is based on intact decision-making capacity and how to respond in an appropriate manner when the declining of necessary care by the patient is lacking a basis in informed judgment. This article presents a case that illustrates the ethical tensions raised by the refusal of life-sustaining care in the ED and how such situations can be approached in an ethically appropriate manner.

  6. 32 CFR 635.31 - Lost, abandoned, or unclaimed property.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Lost, abandoned, or unclaimed property. 635.31 Section 635.31 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Offense Reporting § 635.31 Lost, abandoned, or unclaimed property. This is...

  7. [Maternal refusal to consent to a cesarean delivery, stillbirth].

    PubMed

    Defline, A; Obadia, M; El Djerbi, A; Plevy, P; Lepercq, J

    2014-01-01

    The doctor-lawyer perspective that we discuss is a maternal refusal to consent to a cesarean delivery for a fetal indication in June 2011. Despite repeated information of the risks during a three-week hospitalization for pre-eclampsia, after being assured of the proper understanding of the seriousness of the situation by the patient and spouse, and after consideration to transfer to another hospital, the reiterated refusal led to a late fetal extraction resulting in term stillbirth. Copyright © 2013. Published by Elsevier Masson SAS.. All rights reserved.

  8. Nurses' Attitudes and Knowledge of Their Roles in Newborn Abandonment

    PubMed Central

    Cesario, Sandra K.

    2003-01-01

    The practice of abandoning newborns shortly after birth has always existed. Occurring in primitive and contemporary societies, the motivations for newborn abandonment are varied and dependent upon the social norms of a specific geographic region at a given point in time. Because the desire to abandon an infant has had no support system in American society, such unwanted infants have been abandoned in a manner leading to their deaths. In response, many states have passed safe-haven legislation to save the lives of unwanted newborns. The laws typically specify a mother's ability to “abandon” her child to a medical service provider. However, judgmental attitudes and a lack of accurate information may impede a health care provider's ability to carry out a safe-haven law. The study described here examines a sample of nurses in a state with a safe-haven law. The study revealed no significant correlation between a nurse's knowledge, attitude, and self-perception of preparedness to manage a newborn abandonment event. owever, the outcomes highlight the negative attitudes and lack of knowledge many nurses possess regarding newborn abandonment and the women who commit this act. Educational programs for all health care providers and the community are essential to the efficacy of the legislation that currently exists. Continued multidisciplinary strategizing and general awareness are needed to serve as catalysts to build supports for unwanted newborns and their safe assimilation into the community. PMID:17273338

  9. Refusal of care: the physician-patient relationship and decisionmaking capacity.

    PubMed

    Simon, Jeremy R

    2007-10-01

    Problems of refusal of care, among the most common ethical dilemmas in the emergency department, are also often the most difficult to resolve, pitting 2 conflicting duties, that of helping patients and that of respecting their autonomy, against each other. Using a case presentation as a backdrop, this article offers a practical approach to patients who refuse treatment, including assessment of decisionmaking capacity but emphasizing the role of trust, communication, and compromise in these cases.

  10. Jehovah's Witnesses and autonomy: honouring the refusal of blood transfusions.

    PubMed

    Bock, Gregory L

    2012-11-01

    This paper explores the scriptural and theological reasons given by Jehovah's Witnesses (JWs) to refuse blood transfusions. Julian Savulescu and Richard W Momeyer argue that informed consent should be based on rational beliefs and that the refusal of blood transfusions by JWs is irrational, but after examining the reasons given by JWs, I challenge the claim that JW beliefs are irrational. I also question whether we should give up the traditional notion of informed consent.

  11. Dialysis patients refusing kidney transplantation: data from the Slovenian Renal Replacement Therapy Registry.

    PubMed

    Buturović-Ponikvar, Jadranka; Gubenšek, Jakob; Arnol, Miha; Bren, Andrej; Kandus, Aljoša; Ponikvar, Rafael

    2011-06-01

    Kidney transplantation is considered the best renal replacement therapy (RRT) for patients with end-stage renal disease; nevertheless, some dialysis patients refuse to be transplanted. The aim of our registry-based, cross-sectional study was to compare kidney transplant candidates to dialysis patients refusing transplantation. Data were collected from the Slovenian Renal Replacement Therapy Registry database, as of 31 December 2008. Demographic and some RRT data were compared between the groups. There were 1448 dialysis patients, of whom 1343 were treated by hemodialysis and 105 by peritoneal dialysis (PD); 132 (9%) were on the waiting list for transplantation, 208 (14%) were preparing for enrollment (altogether 340 [23%] dialysis patients were kidney transplant candidates); 200 (13.7%) patients were reported to refuse transplantation, all ≤ 65 years of age; 345 (24%) were not enrolled due to medical contraindications, 482 (33%) due to age, and 82 (6%) due to other or unknown reasons. No significant difference was found in age, gender, or presence of diabetes between kidney transplant candidates vs. patients refusing transplantation (mean age 50.5 ± 13.9 vs. 51.3 ± 9.6 years, males 61% vs. 63%, diabetics 18% vs. 17%). The proportion of patients ≤ 65 years old who were refusing transplantation was 28% (187/661) for hemodialysis and 17% (13/79) for PD patients (P = 0.03). There is a considerable group of dialysis patients in Slovenia refusing kidney transplantation. Compared to the kidney transplant candidates, they are similar in age, gender and prevalence of diabetes. Patients treated by peritoneal dialysis refuse kidney transplantation less often than hemodialysis patients. © 2011 The Authors. Therapeutic Apheresis and Dialysis © 2011 International Society for Apheresis.

  12. Using a Nonaversive Procedure to Decrease Refusals.

    ERIC Educational Resources Information Center

    Spooner, Fred; And Others

    1990-01-01

    A nonaversive technique was used to teach a severely handicapped woman to decrease her refusals. The technique employed precision teaching via precise daily measurement strategies, environmental analysis, and a focus on building appropriate behavior. (JDD)

  13. 40 CFR 60.53b - Standards for municipal waste combustor operating practices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Circulating fluidized bed combustor 100 4 Pulverized coal/refuse-derived fuel mixed fuel-fired combustor 150 4 Spreader stoker coal/refuse-derived fuel mixed fuel-fired combustor 150 24 a Measured at the combustor... activated carbon injection rate during dioxin/furan or mercury testing. [60 FR 65419, Dec. 19, 1995, as...

  14. Resource recycling technique of abandoned TNT-RDX-AL mixed explosive

    NASA Astrophysics Data System (ADS)

    Chen, Siyang; Ding, Yukui

    2017-08-01

    TNT-RDX-AL mixed explosive is a kind of high energy mixed explosive. It has the detonation characteristics even when reaching the scrapping standard. Inappropriate disposal often causes serious accident. Employing the resource recycling technique, the abandoned TNT-RDX-AL mixed explosive can be recycled. This paper summarized the progress of recycling of abandoned mixed explosive. What's more, three kinds of technological process of resource recycling abandoned TNT-RDX-AL mixed explosives are introduced. The author analysis of the current recovery processes and provided a reference for the recycling of the other same type explosive.

  15. Bio-coal briquettes using low-grade coal

    NASA Astrophysics Data System (ADS)

    Estiaty, L. M.; Fatimah, D.; Widodo

    2018-02-01

    The technology in using briquettes for fuel has been widely used in many countries for both domestic and industrial purposes. Common types of briquette used are coal, peat, charcoal, and biomass. Several researches have been carried out in regards to the production and the use of briquettes. Recently, researches show that mixing coal and biomass will result in an environmentally friendly briquette with better combustion and physical characteristics. This type of briquette is known as bio-coal briquettes. Bio-coal briquettes are made from agriculture waste and coal, which are readily available, cheap and affordable. Researchers make these bio-coal briquettes with different aims and objectives, depending on the issues to address, e.g. utilizing agricultural waste as an alternative energy to replace fossil fuels that are depleting its reserves, adding coal to biomass in order to add calorific value to bio-coal briquette, and adding biomass to coal to improve its chemical and physical properties. In our research, biocoal briquettes are made to utilize low grade coal. The biomass we use, however, is different from the ones used in past researches because it has undergone fermentation. The benefits of using such biomass are 1. Fermentation turns the hemi cellulose into a simpler form, so that the burning activation energy decreases while the calorific value increases. 2. Enzym produced will bind to heavy metals from coal as co-factors, forming metals that are environmentally friendly.

  16. Numerical Simulation of Abandoned Gob Methane Drainage through Surface Vertical Wells

    PubMed Central

    Hu, Guozhong

    2015-01-01

    The influence of the ventilation system on the abandoned gob weakens, so the gas seepage characteristics in the abandoned gob are significantly different from those in a normal mining gob. In connection with this, this study physically simulated the movement of overlying rock strata. A spatial distribution function for gob permeability was derived. A numerical model using FLUENT for abandoned gob methane drainage through surface wells was established, and the derived spatial distribution function for gob permeability was imported into the numerical model. The control range of surface wells, flow patterns and distribution rules for static pressure in the abandoned gob under different well locations were determined using the calculated results from the numerical model. PMID:25955438

  17. CoalVal-A coal resource valuation program

    USGS Publications Warehouse

    Rohrbacher, Timothy J.; McIntosh, Gary E.

    2010-01-01

    CoalVal is a menu-driven Windows program that produces cost-of-mining analyses of mine-modeled coal resources. Geological modeling of the coal beds and some degree of mine planning, from basic prefeasibility to advanced, must already have been performed before this program can be used. United States Geological Survey mine planning is done from a very basic, prefeasibility standpoint, but the accuracy of CoalVal's output is a reflection of the accuracy of the data entered, both for mine costs and mine planning. The mining cost analysis is done by using mine cost models designed for the commonly employed, surface and underground mining methods utilized in the United States. CoalVal requires a Microsoft Windows? 98 or Windows? XP operating system and a minimum of 1 gigabyte of random access memory to perform operations. It will not operate on Microsoft Vista?, Windows? 7, or Macintosh? operating systems. The program will summarize the evaluation of an unlimited number of coal seams, haulage zones, tax entities, or other area delineations for a given coal property, coalfield, or basin. When the reader opens the CoalVal publication from the USGS website, options are provided to download the CoalVal publication manual and the CoalVal Program. The CoalVal report is divided into five specific areas relevant to the development and use of the CoalVal program: 1. Introduction to CoalVal Assumptions and Concepts. 2. Mine Model Assumption Details (appendix A). 3. CoalVal Project Tutorial (appendix B). 4. Program Description (appendix C). 5. Mine Model and Discounted Cash Flow Formulas (appendix D). The tutorial explains how to enter coal resource and quality data by mining method; program default values for production, operating, and cost variables; and ones own operating and cost variables into the program. Generated summary reports list the volume of resource in short tons available for mining, recoverable short tons by mining method; the seam or property being mined

  18. 21 CFR 1316.12 - Refusal to allow inspection with an administrative warrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Refusal to allow inspection with an administrative warrant. 1316.12 Section 1316.12 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE ADMINISTRATIVE FUNCTIONS, PRACTICES, AND PROCEDURES Administrative Inspections § 1316.12 Refusal to allow...

  19. Surface coal mine land reclamation using a dry flue gas desulfurization product: Short-term and long-term water responses.

    PubMed

    Chen, Liming; Stehouwer, Richard; Tong, Xiaogang; Kost, Dave; Bigham, Jerry M; Dick, Warren A

    2015-09-01

    Abandoned coal-mined lands are a worldwide concern due to their potential negative environmental impacts, including erosion and development of acid mine drainage. A field study investigated the use of a dry flue gas desulfurization product for reclamation of abandoned coal mined land in USA. Treatments included flue gas desulfurization product at a rate of 280 Mg ha(-1) (FGD), FGD at the same rate plus 112 Mg ha(-1) yard waste compost (FGD/C), and conventional reclamation that included 20 cm of re-soil material plus 157 Mg ha(-1) of agricultural limestone (SOIL). A grass-legume sward was planted after treatment applications. Chemical properties of surface runoff and tile water (collected from a depth of 1.2m below the ground surface) were measured over both short-term (1-4 yr) and long-term (14-20 yr) periods following reclamation. The pH of surface runoff water was increased from approximately 3, and then sustained at 7 or higher by all treatments for up to 20 yr, and the pH of tile flow water was also increased and sustained above 5 for 20 yr. Compared with SOIL, concentrations of Ca, S and B in surface runoff and tile flow water were generally increased by the treatments with FGD product in both short- and long-term measurements and concentrations of the trace elements were generally not statistically increased in surface runoff and tile flow water over the 20-yr period. However, concentrations of As, Ba, Cr and Hg were occasionally elevated. These results suggest the use of FGD product for remediating acidic surface coal mined sites can provide effective, long-term reclamation. Copyright © 2015. Published by Elsevier Ltd.

  20. Refusal to participate in heart failure studies: do age and gender matter?

    PubMed Central

    Harrison, Jordan M; Jung, Miyeon; Lennie, Terry A; Moser, Debra K; Smith, Dean G; Dunbar, Sandra B; Ronis, David L; Koelling, Todd M; Giordani, Bruno; Riley, Penny L; Pressler, Susan J

    2018-01-01

    Aims and objectives The objective of this retrospective study was to evaluate reasons heart failure patients decline study participation, to inform interventions to improve enrollment. Background Failure to enrol older heart failure patients (age > 65) and women in studies may lead to sampling bias, threatening study validity. Design This study was a retrospective analysis of refusal data from four heart failure studies that enrolled 788 patients in four states. Methods Chi-Square and a pooled t-test were computed to analyse refusal data (n = 300) obtained from heart failure patients who were invited to participate in one of the four studies but declined. Results Refusal reasons from 300 patients (66% men, mean age 65 33) included: not interested (n = 163), too busy (n = 64), travel burden (n = 50), too sick (n = 38), family problems (n = 14), too much commitment (n = 13) and privacy concerns (n = 4). Chi-Square analyses showed no differences in frequency of reasons (p > 0 05) between men and women. Patients who refused were older, on average, than study participants. Conclusions Some reasons were patient-dependent; others were study-dependent. With ‘not interested’ as the most common reason, cited by over 50% of patients who declined, recruitment measures should be targeted at stimulating patients’ interest. Additional efforts may be needed to recruit older participants. However, reasons for refusal were consistent regardless of gender. Relevance to clinical practice Heart failure researchers should proactively approach a greater proportion of women and patients over age 65. With no gender differences in type of reasons for refusal, similar recruitment strategies can be used for men and women. However, enrolment of a representative proportion of women in heart failure studies has proven elusive and may require significant effort from researchers. Employing strategies to stimulate interest in studies is essential for recruiting heart failure patients, who

  1. Characterization of Coal Porosity for Naturally Tectonically Stressed Coals in Huaibei Coal Field, China

    PubMed Central

    Li, Xiaoshi; Hou, Quanlin; Li, Zhuo; Wei, Mingming

    2014-01-01

    The enrichment of coalbed methane (CBM) and the outburst of gas in a coal mine are closely related to the nanopore structure of coal. The evolutionary characteristics of 12 coal nanopore structures under different natural deformational mechanisms (brittle and ductile deformation) are studied using a scanning electron microscope (SEM) and low-temperature nitrogen adsorption. The results indicate that there are mainly submicropores (2~5 nm) and supermicropores (<2 nm) in ductile deformed coal and mesopores (10~100 nm) and micropores (5~10 nm) in brittle deformed coal. The cumulative pore volume (V) and surface area (S) in brittle deformed coal are smaller than those in ductile deformed coal which indicates more adsorption space for gas. The coal with the smaller pores exhibits a large surface area, and coal with the larger pores exhibits a large volume for a given pore volume. We also found that the relationship between S and V turns from a positive correlation to a negative correlation when S > 4 m2/g, with pore sizes <5 nm in ductile deformed coal. The nanopore structure (<100 nm) and its distribution could be affected by macromolecular structure in two ways. Interconversion will occur among the different size nanopores especially in ductile deformed coal. PMID:25126601

  2. Predictors of intensive care unit refusal in French intensive care units: a multiple-center study.

    PubMed

    Garrouste-Orgeas, Maité; Montuclard, Luc; Timsit, Jean-François; Reignier, Jean; Desmettre, Thibault; Karoubi, Philippe; Moreau, Delphine; Montesino, Laurent; Duguet, Alexandre; Boussat, Sandrine; Ede, Christophe; Monseau, Yannick; Paule, Thierry; Misset, Benoit; Carlet, Jean

    2005-04-01

    To identify factors associated with granting or refusing intensive care unit (ICU) admission, to analyze ICU characteristics and triage decisions, and to describe mortality in admitted and refused patients. Observational, prospective, multiple-center study. Four university hospitals and seven primary-care hospitals in France. None. Age, underlying diseases (McCabe score and Knaus class), dependency, hospital mortality, and ICU characteristics were recorded. The crude ICU refusal rate was 23.8% (137/574), with variations from 7.1% to 63.1%. The reasons for refusal were too well to benefit (76/137, 55.4%), too sick to benefit (51/137, 37.2%), unit too busy (9/137, 6.5%), and refusal by the family (1/137). In logistic regression analyses, two patient-related factors were associated with ICU refusal: dependency (odds ratio [OR], 14.20; 95% confidence interval [CI], 5.27-38.25; p < .0001) and metastatic cancer (OR, 5.82; 95% CI, 2.22-15.28). Other risk factors were organizational, namely, full unit (OR, 3.16; 95% CI, 1.88-5.31), center (OR, 3.81; 95% CI, 2.27-6.39), phone admission (OR, 0.23; 95% CI, 0.14-0.40), and daytime admission (OR, 0.52; 95% CI, 0.32-0.84). The Standardized Mortality Ratio was 1.41 (95% CI, 1.19-1.69) for immediately admitted patients, 1.75 (95% CI, 1.60-1.84) for refused patients, and 1.03 (95% CI, 0.28-1.75) for later-admitted patients. ICU refusal rates varied greatly across ICUs and were dependent on both patient and organizational factors. Efforts to define ethically optimal ICU admission policies might lead to greater homogeneity in refusal rates, although case-mix variations would be expected to leave an irreducible amount of variation across ICUs.

  3. 10 CFR 709.13 - Implications of refusal to take a polygraph examination.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Implications of refusal to take a polygraph examination. 709.13 Section 709.13 Energy DEPARTMENT OF ENERGY COUNTERINTELLIGENCE EVALUATION PROGRAM CI Evaluation Protocols and Protection of National Security § 709.13 Implications of refusal to take a polygraph...

  4. Detecting abandoned objects using interacting multiple models

    NASA Astrophysics Data System (ADS)

    Becker, Stefan; Münch, David; Kieritz, Hilke; Hübner, Wolfgang; Arens, Michael

    2015-10-01

    In recent years, the wide use of video surveillance systems has caused an enormous increase in the amount of data that has to be stored, monitored, and processed. As a consequence, it is crucial to support human operators with automated surveillance applications. Towards this end an intelligent video analysis module for real-time alerting in case of abandoned objects in public spaces is proposed. The overall processing pipeline consists of two major parts. First, person motion is modeled using an Interacting Multiple Model (IMM) filter. The IMM filter estimates the state of a person according to a finite-state, discrete-time Markov chain. Second, the location of persons that stay at a fixed position defines a region of interest, in which a nonparametric background model with dynamic per-pixel state variables identifies abandoned objects. In case of a detected abandoned object, an alarm event is triggered. The effectiveness of the proposed system is evaluated on the PETS 2006 dataset and the i-Lids dataset, both reflecting prototypical surveillance scenarios.

  5. Abandonment of newborn infants: a Danish forensic medical survey 1997-2008.

    PubMed

    Gheorghe, Alexandra; Banner, Jytte; Hansen, Steen Holger; Stolborg, Uffe; Lynnerup, Niels

    2011-12-01

    Concealment of pregnancy and newborn infant abandonment are closely associated with neonaticide, the killing of an infant within the first 24 h of life or less than 28-30 days depending on the jurisdiction. Abandonment of newborn infants occurs throughout the world and often the outcome for the infant is death. Together with neonaticide it is felt to be one of the least preventable crimes. In this retrospective study we present all forensically known Danish cases of abandoned newborn infant corpses, covering the period from 1997 to 2008. Eleven newborn infant corpses were found; we registered characteristics of the newborn infants and the circumstances of the cases based on autopsy reports. One further newborn infant was included, dating back to 1992, as it was found to be connected with one of the later cases. The mean age of the women who abandoned their newborn infants was 22 years, and five of the autopsied newborn infants were probably alive when abandoned. In two cases the newborn infants were half siblings and abandoned by the same mother. The time span from abandonment to when the newborn infant was found ranged from hours to 7 years. Two-thirds of the newborn infants were girls (66.6%). The most common means of disposal was in a plastic bag (~60%); only one newborn infant was wearing clothes when found. Causes of death were usually given as asphyxia, brain injury or simply undetermined. Two-thirds of the newborn infants showed signs of violence. None of the newborn infants had congenital malformations.

  6. Vaccine refusal and the endgame: walking the last mile first

    PubMed Central

    Saint-Victor, Diane S.; Omer, Saad B.

    2013-01-01

    As multiple papers within this special issue illustrate, the dynamics of disease eradication are different from disease control. When it comes to disease eradication, ‘the last mile is longest’. For social and ecological reasons such as vaccine refusal, further ending incidence of a disease when it has reached low levels is frequently complex. Issues of non-compliance within a target population often influence the outcome of disease eradication efforts. Past eradication efforts confronted such obstacles towards the tail end of the campaign, when disease incidence was lowest. This article provides a comparison of non-compliance within polio, measles and smallpox campaigns, demonstrating the tendency of vaccine refusal to rise as disease incidence falls. In order to overcome one of the most intractable challenges to eradication, future disease eradication efforts must prioritize vaccine refusal from the start, i.e. ‘walk the last mile first’. PMID:23798696

  7. Impact of interventions for patients refusing emergency medical services transport.

    PubMed

    Alicandro, J; Hollander, J E; Henry, M C; Sciammarella, J; Stapleton, E; Gentile, D

    1995-06-01

    To evaluate the effect of a documentation checklist and on-line medical control contact on ambulance transport of out-of-hospital patients refusing medical assistance. Consecutive patients served by four suburban ambulance services who initially refused emergency medical services (EMS) transport to the hospital were prospectively enrolled. In phase 1 (control phase), all patients who initially refused medical attention or transport had an identifying data card completed. In phase 2 (documentation phase), out-of-hospital providers completed a similar data card that contained a checklist of high-risk criteria for a poor outcome if not transported. In phase 3 (intervention phase), a data card similar to that used in phase 2 was completed, and on-line medical control was contacted for all patients with high-risk criteria who refused transport. The primary endpoint was the percentage of patients transported to the hospital. A total of 361 patients were enrolled. Transport rate varied by phase: control, 17 of 144 (12%); documentation, 11 of 150 (7%); and intervention, 12 of 67 (18%) (chi-square, p = 0.023). Transport of high-risk patients improved with each intervention: control, two of 60 (3%); documentation, seven of 70 (10%); and intervention, 12 of 34 (35%) (chi-square, p = 0.00003). Transport of patients without high-risk criteria decreased with each intervention: control, 15 of 84 (18%); documentation, four of 80 (5%); and intervention, 0 of 33 (0%) (p = 0.0025). Of the 28 patients for whom medical control was contacted, 12 (43%) were transported to the hospital, and only three of these 12 patients (25%) were released from the ED. Contact with on-line medical control increased the likelihood of transport of high-risk patients who initially refused medical assistance. The appropriateness of the decreased transport rate of patients not meeting high-risk criteria needs further evaluation.

  8. Quantification of Methane Leaks from Abandoned Oil and Gas Wells in California

    NASA Astrophysics Data System (ADS)

    Lebel, E.; Kang, M.; Lu, H.; Jackson, R. B.

    2016-12-01

    Abandoned oil and gas wells can provide a pathway for subterranean methane and other gases to be emitted to the atmosphere. However, abandoned wells are unaccounted for in greenhouse gas emissions inventories. While relatively little is known about abandoned wells, previous studies have shown that emissions from abandoned wells contribute approximately 4-7% of anthropogenic methane emissions in Pennsylvania (Kang et al. 2014) and <1% of regional methane emissions in oil and gas producing regions of Colorado, Utah, Ohio, and Wyoming (Townsend-Small et al. 2015). Another study (Boothroyd et al. 2016) has shown that 30% of abandoned wells in the UK have a positive surface methane flux. California has a long history of oil and gas production, beginning from the 1860s, and currently ranks third in oil production by state. As a result, there are more than 100,000 wells across the state. Our study uses static flux chambers to measure individual abandoned wells in California to estimate state-wide methane emissions from these wells. In addition to measuring methane concentrations, we measure ethane, propane, isobutane, n-butane, and 13-CH4 to understand whether this methane has a biogenic or thermogenic source. We hope that our research will determine whether or not abandoned oil and gas wells are a significant source of anthropogenic methane emissions in California. Our results along with measurements in other parts of the United States can be used to scale up methane emission estimates to the national level, accounting for the millions of abandoned wells in the country.

  9. Mental health consequences of abortion and refused abortion.

    PubMed

    Watter, W W

    1980-02-01

    There is no scientific evidence to support the hypothesis put forth by Dr. Philip Ney in a recent article published in the Canadian Journal of Psychiatry that induced abortion is associated with an increase in child abuse. There are, however, numerous studies which support the contention that mandatory motherhood adversely affects the mental health of both the mother and the offspring. Studies conducted in Sweden, Scotland, and Czechoslovakia revealed that women who were refused abortions frequently experienced serious psychosocial difficulties for long periods of time following abortion refusal. Case controlled follow-up studies, conducted in Sweden and Czechoslovakia, of offspring born to women who were refused abortions demonstrated that a higher proportion of the unwanted children required psychiatric services, engaged in criminal behavior, and did less well in school than the controlled children. These studies have implications for the current Canadian law which permits a woman to obtain an abortion if pregnancy continuation will endanger her health. In view of the above statistical evidence, and the fact that mortality and morbidity are known to be lower for abortion than for childbirth, any person who denies a woman the right to have an abortion is increasing the risk that the health of the woman will be endangered. By law, therefore, all abortion requests should be honored.

  10. Using Descriptive Assessment in the Treatment of Bite Acceptance and Food Refusal

    ERIC Educational Resources Information Center

    Casey, Sean D.; Perrin, Christopher J.; Lesser, Aaron D.; Perrin, Stefanie H.; Casey, Cheryl L.; Reed, Gregory K.

    2009-01-01

    The feeding behaviors of two children who maintained failure to thrive diagnoses and displayed food refusal are assessed in their homes. Descriptive assessments are used to identify schedules of consequence provided by each child's care providers for bite acceptance and food refusal behaviors. Assessments reveal rich schedules of praise and access…

  11. 41 CFR 109-45.902-2 - Abandonment or destruction without notice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... UTILIZATION AND DISPOSAL 45-SALE, ABANDONMENT, OR DESTRUCTION OF PERSONAL PROPERTY 45.9-Abandonment or... destruction without public notice of personal property. The OPMO shall review and coordinate on the findings. ...

  12. The impact of municipal refuse utilization on energy and our environment

    NASA Technical Reports Server (NTRS)

    1978-01-01

    The incinerator/boiler configuration is stressed as the most reliable method of waste utilization. It is also pointed out that the high cost of refuse disposal and the ever increasing cost of energy, have made this method attractive. A plan is outlined for operating a waste utilization plant. Community participation is encouraged in investigating the feasibility of refuse to energy facilities in their area.

  13. Coal Tar and Coal-Tar Pitch

    Cancer.gov

    Learn about coal-tar products, which can raise your risk of skin cancer, lung cancer, and other types of cancer. Examples of coal-tar products include creosote, coal-tar pitch, and certain preparations used to treat skin conditions such as eczema, psoriasis, and dandruff.

  14. Factors associated with abandonment of therapy by children diagnosed with solid tumors in Peru.

    PubMed

    Vasquez, Liliana; Diaz, Rosdali; Chavez, Sharon; Tarrillo, Fanny; Maza, Ivan; Hernandez, Eddy; Oscanoa, Monica; García, Juan; Geronimo, Jenny; Rossell, Nuria

    2018-06-01

    Abandonment of treatment is a major cause of treatment failure and poor survival in children with cancer in low- and middle-income countries. The incidence of treatment abandonment in Peru has not been reported. The aim of this study was to examine the prevalence of and factors associated with treatment abandonment by pediatric patients with solid tumors in Peru. We retrospectively reviewed the sociodemographic and clinical data of children referred between January 2012 and December 2014 to the two main tertiary centers for childhood cancer in Peru. The definition of treatment abandonment followed the International Society of Paediatric Oncology, Paediatric Oncology in Developing Countries, Abandonment of Treatment recommendation. Data from 1135 children diagnosed with malignant solid tumors were analyzed, of which 209 (18.4%) abandoned treatment. Bivariate logistic regression analysis showed significantly higher abandonment rates in children living outside the capital city, Lima (forest; odds ratio [OR] 3.25; P < 0.001), those living in a rural setting (OR 3.44; P < 0.001), and those whose parent(s) lacked formal employment (OR 4.39; P = 0.001). According to cancer diagnosis, children with retinoblastoma were more likely to abandon treatment compared to children with other solid tumors (OR 1.79; P = 0.02). In multivariate regression analyses, rural origin (OR 2.02; P = 0.001) and lack of formal parental employment (OR 2.88; P = 0.001) were independently predictive of abandonment. Treatment abandonment prevalence of solid tumors in Peru is high and closely related to sociodemographical factors. Treatment outcomes could be substantially improved by strategies that help prevent abandonment of therapy based on these results. © 2018 Wiley Periodicals, Inc.

  15. Assessment and analysis of aged refuse as ammonium-removal media for the treatment of landfill leachate.

    PubMed

    He, Yan; Li, Dan; Zhao, Youcai; Huang, Minsheng; Zhou, Gongming

    2017-11-01

    This is the first attempt to explore the sustainability of aged refuse as ammonium-removal media. Batch experiments combined with the aged-refuse-based reactor were performed to examine how the adsorption and desorption processes are involved in the ammonia removal via aged refuse media in this research. The results showed that the adsorption of ammonium by aged refuse occurred instantly and the adsorbed ammonium was stable and less exchangeable. The adsorption data fit the Freundlich isotherms well and the n value of 0.1-0.5 indicated that the adsorption of ammonium occurred easily. The maximum adsorbed ammonium occupied less than 10% of the cation exchange capacity in aged-refuse-based reactors owing to the high solid/liquid ratios (50:1-120:1). The synergistic transformations of ammonium within the aged-refuse-based reactor indicated that the cation exchange sites only provide temporary storage of ammonium, and the subsequent nitrification process can be considered the predominant restoration pathway of ammonium adsorption capacity of the reactor. It seems reasonable to assume that there is no expiry for the aged-refuse-based reactor in terms of ammonium removal owing to its bioregeneration via nitrification.

  16. Children and refusal of medical treatment: in urgent need of reform.

    PubMed

    Lennings, Nicholas

    2013-09-01

    The ability of children to refuse medical treatment is far from certain. The New South Wales Law Reform Commission report on this topic, released in 2008, addressed a number of key concerns. As yet, no action on that report has been taken. Neither the present statutory nor common law regime provides sufficient guidance on this issue. The case of Gillick v West Norfolk and Wisbech Area Health Authority [1986] AC 112, while important, is not as far-reaching as it first appeared and has been subject to substantial limitations regarding refusals of treatment. Specifically, the position in relation to the assessment of competency, and the weight of a competent decision, remains outstanding. The ability of children to refuse medical treatment is in urgent need of attention and rectification.

  17. Prediction of acid mine drainage generation potential of various lithologies using static tests: Etili coal mine (NW Turkey) as a case study.

    PubMed

    Yucel, Deniz Sanliyuksel; Baba, Alper

    2016-08-01

    The Etili neighborhood in Can County (northwestern Turkey) has large reserves of coal and has been the site of many small- to medium-scale mining operations since the 1980s. Some of these have ceased working while others continue to operate. Once activities cease, the mining facilities and fields are usually abandoned without rehabilitation. The most significant environmental problem is acid mine drainage (AMD). This study was carried out to determine the acid generation potential of various lithological units in the Etili coal mine using static test methods. Seventeen samples were selected from areas with high acidic water concentrations: from different alteration zones belonging to volcanic rocks, from sedimentary rocks, and from coals and mine wastes. Static tests (paste pH, standard acid-base accounting, and net acid generation tests) were performed on these samples. The consistency of the static test results showed that oxidation of sulfide minerals, especially pyrite-which is widely found not only in the alteration zones of volcanic rocks but also in the coals and mine wastes-is the main factor controlling the generation of AMD in this mine. Lack of carbonate minerals in the region also increases the occurrence of AMD.

  18. Book review: old fields: dynamics and restoration of abandoned farmland

    USDA-ARS?s Scientific Manuscript database

    The 2007 volume, “Old Fields: Dynamics and Restoration of Abandoned Farmland”, edited by VA Cramer and RJ Hobbs and published by the Society for Ecological Restoration International (Island Press), is a valuable attempt to synthesize a dozen case studies on agricultural abandonment from all of the ...

  19. 40 CFR 144.62 - Cost estimate for plugging and abandonment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... must revise the plugging and abandonment cost estimate whenever a change in the plugging and... 40 Protection of Environment 23 2011-07-01 2011-07-01 false Cost estimate for plugging and abandonment. 144.62 Section 144.62 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER...

  20. Coal blending preparation for non-carbonized coal briquettes

    NASA Astrophysics Data System (ADS)

    Widodo; Fatimah, D.; Estiaty, L. M.

    2018-02-01

    Referring to the national energy policy targets for the years 2025, the government has launched the use of coal briquettes as an alternative energy replacement for kerosene and firewood. Non-carbonized briquettes in the form of coal briquettes as well as bio-coal briquettes are used in many small-medium industries and households, and are rarely used by large industries. The standard quality of coal briquettes used as raw material for non-carbonized briquettes is a minimum calorific value of 4,400 kcal/kg (adb); total sulfur at a maximum of 1% (adb), and water content at <12% (adb). The formation of coal deposits depends on the origin of the coal-forming materials (plants), the environment of deposition, and the geological conditions of the surrounding area, so that the coal deposits in each region will be different as well as the amount and also the quality. Therefore, the quantity and the quality of coal in each area are different to be eligible in the making of briquettes to do blending. In addition to the coal blending, it is also necessary to select the right materials in the making of coal briquettes and bio-coal briquettes. The formulation of the right mixture of material in the making of briquettes, can be produced of good quality and environmental friendly.

  1. 76 FR 1211 - Union Pacific Railroad Company-Abandonment Exemption-In Wright County, IA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-07

    ... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 33 (Sub-No. 293X)] Union Pacific Railroad Company--Abandonment Exemption--In Wright County, IA Union Pacific Railroad Company (UP) filed a verified notice of exemption under 49 CFR 1152 subpart F--Exempt Abandonments to abandon a line...

  2. Production and characterization refuse derived fuel (RDF) from high organic and moisture contents of municipal solid waste (MSW)

    NASA Astrophysics Data System (ADS)

    Dianda, P.; Mahidin; Munawar, E.

    2018-03-01

    Many cities in developing countries is facing a serious problems to dealing with huge municipal solid waste (MSW) generated. The main approach to manage MSW is causes environmental impact associated with the leachate and landfill gas emissions. On the other hand, the energy available also limited by rapid growth of population and economic development due to shortage of the natural resource. In this study, the potential utilized of MSW to produce refuse derived fuel (RDF) was investigate. The RDF was produced with various organic waste content. Then, the RDF was subjected to laboratory analysis to determine its characteristic including the calorific value. The results shows the moisture content was increased by increasing organic waste content, while the calorific value was found 17-36 MJ/kg. The highest calorific value was about 36 MJ/kg obtained at RDF with 40% organic waste content. This results indicated that the RDF can be use to substitute coal in main burning process and calcinations of cement industry.

  3. The global potential of bioenergy on abandoned agriculture lands.

    PubMed

    Campbell, J Elliott; Lobell, David B; Genova, Robert C; Field, Christopher B

    2008-08-01

    Converting forest lands into bioenergy agriculture could accelerate climate change by emitting carbon stored in forests, while converting food agriculture lands into bioenergy agriculture could threaten food security. Both problems are potentially avoided by using abandoned agriculture lands for bioenergy agriculture. Here we show the global potential for bioenergy on abandoned agriculture lands to be less than 8% of current primary energy demand, based on historical land use data, satellite-derived land cover data, and global ecosystem modeling. The estimated global area of abandoned agriculture is 385-472 million hectares, or 66-110% of the areas reported in previous preliminary assessments. The area-weighted mean production of above-ground biomass is 4.3 tons ha(-1) y(-1), in contrast to estimates of up to 10 tons ha(-1) y(-1) in previous assessments. The energy content of potential biomass grown on 100% of abandoned agriculture lands is less than 10% of primary energy demand for most nations in North America, Europe, and Asia, but it represents many times the energy demand in some African nations where grasslands are relatively productive and current energy demand is low.

  4. 9 CFR 156.8 - Refusal of service; denial or withdrawal of service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Refusal of service; denial or withdrawal of service. 156.8 Section 156.8 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.8 Refusal of...

  5. 9 CFR 156.8 - Refusal of service; denial or withdrawal of service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Refusal of service; denial or withdrawal of service. 156.8 Section 156.8 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.8 Refusal of...

  6. 9 CFR 156.8 - Refusal of service; denial or withdrawal of service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Refusal of service; denial or withdrawal of service. 156.8 Section 156.8 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.8 Refusal of...

  7. 9 CFR 156.8 - Refusal of service; denial or withdrawal of service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Refusal of service; denial or withdrawal of service. 156.8 Section 156.8 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.8 Refusal of...

  8. Insulin therapy refusal among type II diabetes mellitus patients in Kubang Pasu district, Kedah, Malaysia

    PubMed Central

    Tan, Wei Leong; Asahar, Siti Fairus; Harun, Noor Liani

    2015-01-01

    INTRODUCTION Diabetes mellitus is a rising non-communicable disease in Malaysia. Insulin therapy refusal is a challenge for healthcare providers, as it results in delayed insulin initiation. This study was conducted to determine the prevalence of insulin therapy refusal and its associated factors. METHODS This cross-sectional study was conducted at seven public health clinics in Kubang Pasu district of Kedah, Malaysia, from March to October 2012. A newly developed and validated questionnaire was used and participants were selected via systematic random sampling. Only patients diagnosed with type II diabetes mellitus (T2DM) and under the public health clinic care in Kubang Pasu were included in the study. Multiple logistic regression was used to study the association between insulin therapy refusal and its associated factors. RESULTS There were 461 respondents and the response rate was 100%. Among these 461 patients with T2DM, 74.2% refused insulin therapy. The most common reason given for refusal was a lack of confidence in insulin injection (85.4%). Multiple logistic regression revealed that respondents who had secondary education were 55.0% less likely to refuse insulin therapy than those who had primary education or no formal education (adjusted odds ratio [OR] 0.45, 95% confidence interval [CI] 0.25–0.82, p = 0.009). There was also a significant inverse association between glycated haemoglobin (HbA1c) level and insulin therapy refusal (adjusted OR 0.87, 95% CI 0.76–1.00, p = 0.047). CONCLUSION Insulin therapy refusal is common in Kubang Pasu. Educational status and HbA1c level should be taken into consideration when counselling patients on insulin therapy initiation. PMID:25532511

  9. Process for coal liquefaction employing selective coal feed

    DOEpatents

    Hoover, David S.; Givens, Edwin N.

    1983-01-01

    An improved coal liquefaction process is provided whereby coal conversion is improved and yields of pentane soluble liquefaction products are increased. In this process, selected feed coal is pulverized and slurried with a process derived solvent, passed through a preheater and one or more dissolvers in the presence of hydrogen-rich gases at elevated temperatures and pressures, following which solids, including mineral ash and unconverted coal macerals, are separated from the condensed reactor effluent. The selected feed coals comprise washed coals having a substantial amount of mineral matter, preferably from about 25-75%, by weight, based upon run-of-mine coal, removed with at least 1.0% by weight of pyritic sulfur remaining and exhibiting vitrinite reflectance of less than about 0.70%.

  10. How to justify enforcing a Ulysses contract when Ulysses is competent to refuse.

    PubMed

    Davis, John K

    2008-03-01

    Sometimes the mentally ill have sufficient mental capacity to refuse treatment competently, and others have a moral duty to respect their refusal. However, those with episodic mental disorders may wish to precommit themselves to treatment, using Ulysses contracts known as "mental health advance directives." How can health care providers justify enforcing such contracts over an agent's current, competent refusal? I argue that providers respect an agent's autonomy not retrospectively--by reference to his or her past wishes-and not merely synchronically--so that the agent gets what he or she wants right now-but diachronically and prospectively, acting so that the agent can shape his or her circumstances as the agent wishes over time, for the agent will experience the consequences of providers' actions over time. Mental health directives accomplish this, so they are a way of respecting the agent's autonomy even when providers override the agent's current competent refusal.

  11. Examining the ethico-legal aspects of the right to refuse treatment in Turkey.

    PubMed

    Sert, Gurkan; Guven, Tolga

    2013-10-01

    This paper examines the ethico-legal problems regarding the right to refuse treatment in Turkey's healthcare system. We discuss these problems in the light of a recent case that was directly reported to us. We first summarise the experience of a chronically dependent patient (as recounted by her daughter) and her family during their efforts to refuse treatment and receive palliative care only. This is followed by a summary of the legal framework governing the limits of the right to refuse treatment in Turkey. With the help of this background information on the legal framework, we re-examine the ethico-legal aspects of the case and explain the underlying reasons for the problems the family and the patient experienced. Finally, we conclude that Turkey's legal framework relating to the right to refuse treatment needs to be clarified and amended in accordance with international conventions and fundamental human rights.

  12. [Tuberculosis and refusal of treatment: resorting to legislation on serious health threats].

    PubMed

    Bouvet, R; Le Gueut, M

    2013-06-01

    Clinicians are regularly confronted with the question of refusal of treatment from patients with tuberculosis. For several years, the French public health authorities have been studying the possibility of compelling treatment or isolation, but no plan has been implemented even though European and American experiences have shown the effectiveness of restrictive measures. Neither the statutory exceptions to the principle of consent to medical treatment nor the conditions of implementation of "required care" allow legally binding measures against patients refusing care or isolation. The legislation on serious health threats has recently been applied to the situation of a refusal of treatment in the context of tuberculosis. It allowed the patient to be ordered to observe prescribed care and the possibility of forced isolation in the event of breach of this order. The legislation on serious health threats is a response to the question of refusal of treatment from patients with tuberculosis. However the opinion of the legal authority as to its necessity and proportionality to the risk remains unknown. Copyright © 2013 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  13. 75 FR 65047 - Union Pacific Railroad Company-Abandonment Exemption-in Pulaski County, AR

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 33 (Sub-No. 289X)] Union Pacific Railroad Company--Abandonment Exemption--in Pulaski County, AR Union Pacific Railroad Company (UP) filed a verified notice of exemption under 49 CFR part 1152 subpart F-Exempt Abandonments to abandon a 4...

  14. Risk Factors For Abandonment of Wilms Tumor Therapy in Kenya

    PubMed Central

    Libes, Jaime; Oruko, Oliver; Abdallah, Fatmah; Githanga, Jessie; Ndung’u, James; Musimbi, Joyce; Njuguna, Festus; Patel, Kirtika; White, John; Axt, Jason R.; O’Neill, James A.; Shrubsole, Martha; Li, Ming; Lovvorn, Harold N.

    2014-01-01

    Background Survival from Wilms tumor (WT) in sub-Saharan Africa remains dismal as a result of on-therapy mortality and treatment abandonment. Review of patients diagnosed from 2008–2011 in our Kenyan Wilms Tumor Registry showed a loss to follow up (LTFU) rate approaching 50 percent. The purpose of this study was to trace those LTFU, estimate the survival rate, and identify risk factors for treatment abandonment. Procedure We administered a comprehensive survey to parents of patients with WT at the two largest referral hospitals in Kenya to identify barriers to care. We also telephoned families who had abandoned care to determine vital status and identify risk factors for treatment abandonment. Results Of 136 registered patients, 77 were confirmed dead (56.7%), 38 remained alive (27.9%), and the vital status of 21 patients remains unknown (15.4%). After contacting 33 of the patients who either abandoned curative treatment (n=34) or did not attend off-therapy visits (n=20), the best estimate of 2-year overall survival of patients with WT in Kenya approaches 36%. Sixty-three percent of parents misunderstood treatment plans and 55% encountered financial barriers. When asked how to increase comfort with the child’s treatment, 27% of parents volunteered improving inefficient services and 26% volunteered reducing drug-unavailability. Conclusions Treatment abandonment remains a significant problem contributing to increased mortality from WT in developing countries. This multi-center survey identified the barriers to treatment completion from the parental perspective to be lack of education about WT and treatment, financial constraints, need for quality improvement, and drug-unavailability. PMID:25382257

  15. 16 CFR 1210.18 - Refusal of importation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....18 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SAFETY STANDARD FOR CIGARETTE LIGHTERS Certification Requirements § 1210.18 Refusal of importation. (a... in this part is violated. (b) For noncompliance with this standard and for lack of a certification...

  16. Geochemical characteristics of dissolved rare earth elements in acid mine drainage from abandoned high-As coal mining area, southwestern China.

    PubMed

    Li, Xuexian; Wu, Pan

    2017-09-01

    Acid mine drainage (AMD) represents a major source of water pollution in the small watershed of Xingren coalfield in southwestern Guizhou Province. A detailed geochemical study was performed to investigate the origin, distribution, and migration of REEs by determining the concentrations of REEs and major solutes in AMD samples, concentrations of REEs in coal, bedrocks, and sediment samples, and modeling REEs aqueous species. The results highlighted that all water samples collected in the mining area are identified as low pH, high concentrations of Fe, Al, SO 4 2- and distinctive As and REEs. The spatial distributions of REEs showed a peak in where it is nearby the location of discharging of AMD, and then decrease significantly with distance away from the mining areas. Lots of labile REEs have an origin of coal and bedrocks, whereas the acid produced by the oxidation of pyrite is a prerequisite to cause the dissolution of coal and bedrocks, and then promoting REEs release in AMD. The North American Shale Composite (NASC)-normalized REE patterns of coal and bedrocks are enriched in light REEs (LREEs) and middle REEs (MREEs) relative to heavy REEs (HREEs). Contrary to these solid samples, AMD samples showed slightly enrichment of MREEs compared with LREEs and HREEs. This behavior implied that REEs probably fractionate during acid leaching, dissolution of bedrocks, and subsequent transport, so that the MREEs is primarily enriched in AMD samples. Calculation of REEs inorganic species for AMD demonstrated that sulfate complexes (Ln(SO 4 ) + and Ln(SO 4 ) 2 - ) predominate in these species, accounting for most of proportions for the total REEs species. The high concentrations of dissolved SO 4 2- and low pH play a decisive role in controlling the presence of REEs in AMD, as these conditions are necessary for formation of stable REEs-sulfate complexes in current study. The migration and transportation of REEs in AMD are more likely constrained by adsorption and co

  17. Childhood vaccine refusal and hesitancy intentions in Croatia: insights from a population-based study.

    PubMed

    Repalust, Anja; Šević, Sandra; Rihtar, Stanko; Štulhofer, Aleksandar

    2017-10-01

    Considering that programmatic data suggest a recent rise in vaccine refusal in Croatia, this study, first of its kind in Southeast Europe, aimed to estimate the prevalence, and sociodemographic, and sociocultural determinants of childhood vaccine refusal and hesitancy (CVRH) intentions among Croatian adults. Multi-stage stratified population-based survey included 1000 individuals aged 18-88 years (M age  = 47.7, SD = 17.8), of whom 51.7% were women. The outcome, a categorical indicator, distinguished among individuals who would approve vaccinating their children (vaccine accepting), those who would approve some but not all vaccines (vaccine hesitant), and those who would refuse vaccination (vaccine refusing). A sizeable minority of participants was characterized by childhood vaccine refusal (10.6%) and hesitancy intentions (19.5%). In a multivariate assessment controlling for parenthood, the odds of vaccine hesitancy were significantly increased by a younger age (AOR = 1.96-3.03, p < .01). Religiosity (AOR = 1.12, p < .05) and the use of alternative medicine (AOR = 2.85, p < .001) increased the odds of vaccine refusal. However, individual characteristics seem to be relatively poor predictors of CVRH intentions in Croatia. Following the social contagion model, future research should move beyond individual-level approach and take into account social interaction and social network effects.

  18. Outcomes of nighttime refusal of admission to the intensive care unit: The role of the intensivist in triage.

    PubMed

    Hinds, Nicholas; Borah, Amit; Yoo, Erika J

    2017-06-01

    To compare outcomes of patients refused medical intensive care unit (MICU) admission overnight to those refused during the day and to examine the impact of the intensivist in triage. Retrospective, observational study of patients refused MICU admission at an urban university hospital. Of 294 patients, 186 (63.3%) were refused admission overnight compared to 108 (36.7%) refused during the day. Severity-of-illness by the Mortality Probability Model was similar between the two groups (P=.20). Daytime triage refusals were more likely to be staffed by an intensivist (P=.01). After risk-adjustment, daytime refusals had a lower odds of subsequent ICU admission (OR 0.46, 95% CI 0.22-0.95, P=.04) than patients triaged at night. There was no evidence for interaction between time of triage and intensivist staffing of the patient (P=.99). Patients refused MICU admission overnight are more likely to be later admitted to an ICU than patients refused during the day. However, the mechanism for this observation does not appear to depend on the intensivist's direct evaluation of the patient. Further investigation into the clinician-specific effects of ICU triage and identification of potentially modifiable hospital triage practices will help to improve both ICU utilization and patient safety. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Wind Power Potential at Abandoned Mines in Korea

    NASA Astrophysics Data System (ADS)

    jang, M.; Choi, Y.; Park, H.; Go, W.

    2013-12-01

    This study performed an assessment of wind power potential at abandoned mines in the Kangwon province by analyzing gross energy production, greenhouse gas emission reduction and economic effects estimated from a 600 kW wind turbine. Wind resources maps collected from the renewable energy data center in Korea Institute of Energy Research(KIER) were used to determine the average wind speed, temperature and atmospheric pressure at hub height(50 m) for each abandoned mine. RETScreen software developed by Natural Resources Canada(NRC) was utilized for the energy, emission and financial analyses of wind power systems. Based on the results from 5 representative mining sites, we could know that the average wind speed at hub height is the most critical factor for assessing the wind power potential. Finally, 47 abandoned mines that have the average wind speed faster than 6.5 m/s were analyzed, and top 10 mines were suggested as relatively favorable sites with high wind power potential in the Kangwon province.

  20. Coal systems analysis: A new approach to the understanding of coal formation, coal quality and environmental considerations, and coal as a source rock for hydrocarbons

    USGS Publications Warehouse

    Warwick, Peter D.

    2005-01-01

    Coal is an important and required energy source for today's world. Current rates of world coal consumption are projected to continue at approximately the same (or greater) levels well into the twenty-first century. This paper will provide an introduction to the concept of coal systems analysis and the accompanying volume of papers will provide examples of how coal systems analysis can be used to understand, characterize, and evaluate coal and coal gas resources. Coal systems analysis incorporates the various disciplines of coal geology to provide a complete characterization of the resource. The coal system is divided into four stages: (1) accumulation, (2) preservation-burial, (3) diagenesis-coalification, and (4) coal and hydrocarbon resources. These stages are briefly discussed and key references and examples of the application of coal systems analysis are provided.

  1. Health and environmental effects of refuse derived fuel (RDF) production and RDF/coal co-firing technologies

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    O'Toole, J.J.; Wessels, T.E.; Lynch, J.F.

    1981-10-01

    Six facilities, representing the scope of different co-firing techniques with their associated RDF production systems were reviewed in detail for combustion equipment, firing modes, emission control systems, residue handling/disposal, and effluent wastewater treatment. These facilities encompass all currently operational or soon to be operational co-firing plants and associated RDF production systems. Occupational health and safety risks for these plants were evaluated on the basis of fatal and nonfatal accidents and disease arising from the respective fuel cycles, coal and RDF. Occupational risks include exposure to pathogenic organisms in the workplace. Unusual events that are life threatening in the RDF processingmore » industry (e.g., explosions) are also discussed and remedial and safety measures reviewed. 80 refs., 4 figs., 30 tabs.« less

  2. Vaccine refusal - what we need to know.

    PubMed

    Succi, Regina Célia de Menezes

    2018-04-12

    Opposition to vaccines is not a new event, and appeared soon after the introduction of the smallpox vaccine in the late 18th century. The purpose of this review is to educate healthcare professionals about vaccine hesitancy and refusal, its causes and consequences, and make suggestions to address this challenge. A comprehensive and non-systematic search was carried out in the PubMed, LILACS, and ScieLo databases from 1980 to the present day, using the terms "vaccine refusal," "vaccine hesitancy," and "vaccine confidence." The publications considered as the most relevant by the author were critically selected. The beliefs and arguments of the anti-vaccine movements have remained unchanged in the past two centuries, but new social media has facilitated the dissemination of information against vaccines. Studies on the subject have intensified after 2010, but the author did not retrieve any published studies to quantify this behavior in Brazil. The nomenclature on the subject (vaccine hesitancy) was standardized by the World Health Organization in 2012. Discussions have been carried out on the possible causes of vaccine hesitancy and refusal, as well as on the behavior of families and health professionals. Proposals for interventions to decrease public doubts, clarify myths, and improve confidence in vaccines have been made. Guides for the health care professional to face the problem are emerging. The healthcare professional is a key element to transmit information, resolve doubts and increase confidence in vaccines. They must be prepared to face this new challenge. Copyright © 2018 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  3. Repeated use of an abandoned vehicle by nesting Turkey vultures (Cathartes aura)

    USGS Publications Warehouse

    Igl, L.D.; Peterson, S.L.

    2010-01-01

    Turkey Vultures (Cathartes aura) lay their eggs on an existing substrate in the dark recesses of a variety of natural sites (Kirk and Mossman 1998). Although an important requirement of Turkey Vulture nest-site selection is isolation from human disturbances (Kirk and Mossman 1998), their nests have been reported in abandoned buildings since at least the early 1800s (Nuttall 1832). Depopulation of rural areas in North America in recent decades has resulted in many abandoned buildings within the Turkey Vulture's breeding range (Peck 2003). Increased use of abandoned buildings by nesting Turkey Vultures has been implicated in the species' recent northward range expansion (Peck 2003, Nelson et al. 2005, Houston et al. 2007). Although abandoned or inoperative vehicles also are widespread in rural areas, we found no published literature documenting Turkey Vultures' use of these potential nest sites. Herein, we summarize the first documented incidence of a Turkey Vulture nesting in an abandoned vehicle.

  4. 30 CFR 931.20 - Approval of the New Mexico abandoned mine reclamation plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Approval of the New Mexico abandoned mine..., DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.20 Approval of the New Mexico abandoned mine reclamation plan. The New Mexico Abandoned Mine...

  5. 78 FR 79726 - Norfolk Southern Railway Company-Abandonment Exemption-in Gaston County, NC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 290 (Sub-No. 339X)] Norfolk Southern Railway Company--Abandonment Exemption--in Gaston County, NC Norfolk Southern Railway Company (NSR) has filed a verified notice of exemption under 49 CFR part 1152 subpart F-Exempt Abandonments to abandon approximately 0.5 miles of rail...

  6. 30 CFR 931.20 - Approval of the New Mexico abandoned mine reclamation plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Approval of the New Mexico abandoned mine..., DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.20 Approval of the New Mexico abandoned mine reclamation plan. The New Mexico Abandoned Mine...

  7. 30 CFR 931.20 - Approval of the New Mexico abandoned mine reclamation plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Approval of the New Mexico abandoned mine..., DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.20 Approval of the New Mexico abandoned mine reclamation plan. The New Mexico Abandoned Mine...

  8. 30 CFR 931.20 - Approval of the New Mexico abandoned mine reclamation plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Approval of the New Mexico abandoned mine..., DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.20 Approval of the New Mexico abandoned mine reclamation plan. The New Mexico Abandoned Mine...

  9. 30 CFR 931.20 - Approval of the New Mexico abandoned mine reclamation plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Approval of the New Mexico abandoned mine..., DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE NEW MEXICO § 931.20 Approval of the New Mexico abandoned mine reclamation plan. The New Mexico Abandoned Mine...

  10. Parents who refuse or delay HPV vaccine: Differences in vaccination behavior, beliefs, and clinical communication preferences

    PubMed Central

    Gilkey, Melissa B.; Calo, William A.; Marciniak, Macary W.

    2017-01-01

    ABSTRACT Background: We sought to estimate the national prevalence of HPV vaccine refusal and delay in a nationally-representative sample of parents of adolescents. We also compared parents who refused versus delayed HPV vaccine in terms of their vaccination beliefs and clinical communication preferences. Methods: In 2014 to 2015, we conducted an online survey of 1,484 US parents who reported on an 11- to 17-year-old child in their household. We used weighted multinomial logistic regression to assess correlates of HPV vaccine refusal and delay. Results: Overall, 28% of parents reported that they had ever “refused or decided not to get” HPV vaccine for their child, and an additional 8% of parents reported that they had “delayed or put off getting” HPV vaccine. Compared to no refusal/delay, refusal was associated with lower confidence in adolescent vaccination (relative risk ratio [RRR] = 0.66, 95% confidence interval [CI], 0.48–0.91), lower perceived HPV vaccine effectiveness (RRR = 0.68, 95% CI, 0.50–0.91), and higher perceived harms (RRR = 3.49, 95% CI, 2.65–4.60). In contrast, delay was associated with needing more information (RRR = 1.76, 95% CI, 1.08–2.85). Most parents rated physicians and information sheets as helpful for making decisions about HPV vaccination, although parents who reported refusal endorsed these resources less often. Conclusions: Our findings suggest that HPV vaccine refusal is common among parents of adolescents and may have increased relative to previous estimates. Because the vaccination beliefs and communication preferences of parents who refuse appear to differ from those who delay, targeted communication strategies may be needed to effectively address HPV vaccine hesitancy. PMID:27763818

  11. 24 CFR 3282.354 - Submittal of false information or refusal to submit information.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Submittal of false information or... ENFORCEMENT REGULATIONS Primary Inspection Agencies § 3282.354 Submittal of false information or refusal to submit information. The submittal of false information or the refusal to submit information required...

  12. [Nursing ethics in the face of the refusal of nursing care].

    PubMed

    Dauchy, Sarah; Charles, Cécile; Vérotte, Nelly; Block, Véronique; Adam, Virginie

    2016-10-01

    Caregivers can find themselves faced with a refusal of nursing care. A number of questions are then raised. While it is firstly important to understand the reasons for this refusal and what is at stake for the patient, there are a number of nursing strategies in place, not least of all dialogue and analysis. The role of the multi-disciplinary team is essential in such situations. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  13. Glionitrin A, an antibiotic-antitumor metabolite derived from competitive interaction between abandoned mine microbes

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Park, H.B.; Kown, H.C.; Lee, C.H.

    The nutrient conditions present in abandoned coal mine drainages create an extreme environment where defensive and offensive microbial interactions could be critical for survival and fitness. Coculture of a mine drainage-derived Sphingomonas bacterial strain, KMK-001, and a mine drainage-derived Aspergillus fumigatus fungal strain, KMC-901, resulted in isolation of a new diketopiperazine disulfide, glionitrin A (1). Compound 1 was not detected in monoculture broths of KMK-001 or KMC-901. The structure of 1, a (3S,10aS) diketopiperazine disulfide containing a nitro aromatic ring, was based on analysis of MS, NMR, and circular dichroism spectra and confirmed by X-ray crystal data. Glionitrin A displayedmore » significant antibiotic activity against a series of microbes including methicillin-resistant Staphylococcus aureus. An in vitro MTT cytotoxicity assay revealed that 1 had potent submicromolar cytotoxic activity against four human cancer cell lines: HCT-116, A549, AGS, and DU145. The results provide further evidence that microbial coculture can produce novel biologically relevant molecules.« less

  14. Risk factors and reasons for treatment abandonment among children with lymphoma in Malawi.

    PubMed

    Stanley, Christopher C; van der Gronde, Toon; Westmoreland, Kate D; Salima, Ande; Amuquandoh, Amy; Itimu, Salama; Manda, Agness; Mtete, Idah; Butia, Mercy; Mpasa, Atupele; Wachepa, Stella; Fox, Paula; Wasswa, Peter; Kazembe, Peter; El-Mallawany, Nader K; Gopal, Satish

    2018-03-01

    Lymphoma is the commonest pediatric cancer in sub-Saharan Africa (SSA). Frequent treatment abandonment contributes to suboptimal outcomes. We examined risk factors and reasons for treatment abandonment for this population in Malawi. We conducted a mixed methods study among children < 18 years old with newly diagnosed lymphoma, prospectively enrolled during 2013-2016. All children received standardized diagnosis and treatment, and were followed for up to 2 years. Treatment abandonment was defined as failure to attend prescribed chemotherapy within 4 weeks, or post-treatment visit within 3 months. Child, guardian, and household characteristics associated with treatment abandonment were assessed. Semi-structured interviews were conducted with primary caregivers of children experiencing treatment abandonment. Of 121 children with newly diagnosed lymphoma, 72 (60%) had complete information regarding child, guardian, and household characteristics. Of these, 56 (78%) had Burkitt's and 16 (22%) Hodgkin's lymphoma. Forty-nine (68%) were male, median age was 10.6 years (interquartile range [IQR] 7.9-13.0), and 26 (36%) experienced treatment abandonment. Lack of guardian education and travel time ≥ 4 h to clinic were independently associated with treatment abandonment, with adjusted hazard ratio (aHR) 3.8 [95% confidence interval (CI) 1.5-8.9, p = 0.005] and aHR 2.9 (95% CI 1.2-6.9, p = 0.019), respectively. Commonest reasons for treatment abandonment endorsed by 15 guardians were community influence, suboptimal clinic environment, logistical challenges, transport costs, treatment toxicities, loss of hope, alternative healers, and beliefs about cure. These findings highlight families at risk for treatment abandonment, underlying reasons, and opportunities to improve retention in care for pediatric cancer patients in SSA.

  15. Childhood acute lymphoblastic leukemia: refusal and abandonmentof treatment in the southeast of Iran.

    PubMed

    Naderi, Majid; Esmaeili Reykande, Samira; Tabibian, Shadi; Alizadeh, Shaban; Dorgalaleh, Akbar; Shamsizadeh, Morteza

    2016-04-19

    Acute lymphoblastic leukemia (ALL) accounts for 25% of all malignancies in children. ALL treatment has standard protocols, and treatment abandonment is a main cause of treatment failure. Therefore, this study aimed to assess the relationship between socioeconomic status and rate as well as cause of abandoned treatment in children with ALL in the southeast of Iran. This retrospective, descriptive cohort study was conducted with ALL patients at the Ali Asghar Hospital in the city of Zahedan. The study population included 22 children with different subtypes of ALL who had abandoned their treatment. A structural questionnaire was filled out by patients or their parents. Results were assessed using descriptive and analytical tests. The rate of treatment abandonment was 24.4% (22 patients).We had 18 ALL-L1 (78.3%) and four ALL-L2 (17.4%) patients. Reasons for treatment abandonment were low family income, transportation difficulties, the father's education status, conviction about ALL's incurability, and reference to spiritual means, respectively. Low family income, transportation difficulties, the father's education status, belief about ALL's incurability, and reference to spiritual means were the most common associations with ALL treatment abandonment in that order. Financial problems in this part of the country can impose high costs to the healthcare system.

  16. Acquisition of cup drinking using previously refused foods as positive and negative reinforcement.

    PubMed

    Kelley, Michael E; Piazza, Cathleen C; Fisher, Wayne W; Oberdorff, Amanda J

    2003-01-01

    We used previously refused foods as positive and negative reinforcement in the acquisition of cup drinking. Cup drinking increased with positive and negative reinforcement, both alone and in combination (without escape extinction), indicating that treatment of food refusal can establish some foods as appetitive stimuli whereas others remain aversive.

  17. Variability of Mercury Content in Coal Matter From Coal Seams of The Upper Silesia Coal Basin

    NASA Astrophysics Data System (ADS)

    Wierzchowski, Krzysztof; Chećko, Jarosław; Pyka, Ireneusz

    2017-12-01

    The process of identifying and documenting the quality parameters of coal, as well as the conditions of coal deposition in the seam, is multi-stage and extremely expensive. The taking and analyzing of seam samples is the method of assessment of the quality and quantity parameters of coals in deep mines. Depending on the method of sampling, it offers quite precise assessment of the quality parameters of potential commercial coals. The main kind of seam samples under consideration are so-called "documentary seam samples", which exclude dirt bands and other seam contaminants. Mercury content in coal matter from the currently accessible and exploited coal seams of the Upper Silesian Coal Basin (USCB) was assessed. It was noted that the mercury content in coal seams decreases with the age of the seam and, to a lesser extent, seam deposition depth. Maps of the variation of mercury content in selected lithostratigraphic units (layers) of the Upper Silesian Coal Basin have been created.

  18. Pollution concentrations in runoff water from refuse piles

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Guin, J.A.

    1977-03-01

    In the processes of removal, refinement and disposal of raw materials, large quantities of waste products become exposed to weathering forces. Subsequent percolation, flushing, and oxidation results in the pollution of waterways, low-lying farmlands and underground aquifers with acidity, alkalinity, hardness, heavy metals, and undesirable organic materials such as tannin and lignin. The need for methodology for estimating the chemical nature and quantity of these leachates becomes more compelling as the extraction of natural materials accelerates. In this work a mass transfer model is formulated which describes the leaching of such pollutants from refuse piles. The model is applied tomore » an actual refuse pile under natural precipitation and weathering conditions and found to adequately represent the pollutant concentrations in the rainfall runoff.« less

  19. What component of coal causes coal workers' pneumoconiosis?

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    McCunney, R.J.; Morfeld, P.; Payne, S.

    2009-04-15

    The objective was to evaluate the component of coal responsible for coal workers' pneumoconiosis (CWP). A literature search of PubMED was conducted to address studies that have evaluated the risk of CWP based on the components of coal. The risk of CWP (CWP) depends on the concentration and duration of exposure to coal dust. Epidemiology studies have shown inverse links between CWP and quartz content. Coal from the USA and Germany has demonstrated links between iron content and CWP; these same studies indicate virtually no role for quartz. In vitro studies indicate strong mechanistic links between iron content in coalmore » and reactive oxygen species, which play a major role in the inflammatory response associated with CWP. The active agent within coal appears to be iron, not quartz. By identifying components of coal-before mining activities, the risk of developing CWP may be reduced.« less

  20. Wetland mitigation in abandoned gravel pits.

    DOT National Transportation Integrated Search

    2010-03-01

    It is becoming increasingly difficult to provide on-site mitigation for wetland impacts due to road construction in : northeastern Minnesota counties that retain greater than 80 percent of their pre-settlement wetlands. Abandoned : gravel pits are on...

  1. Drink refusal training as part of a combined behavioral intervention: Effectiveness and mechanisms of change

    PubMed Central

    Witkiewitz, Katie; Donovan, Dennis M.; Hartzler, Bryan

    2012-01-01

    Objective Many trials have demonstrated the effectiveness of cognitive behavioral interventions for alcohol dependence, yet few studies have examined why particular treatments are effective. This study was designed to evaluate whether drink refusal training was an effective component of a combined behavioral intervention (CBI) and whether change in self-efficacy was a mechanism of change following drink refusal training for individuals with alcohol dependence. Method The current study is a secondary analysis of data from the COMBINE study, a randomized clinical trial that combined pharmacotherapy with behavioral intervention in the treatment of alcohol dependence. The goal of the current study was to examine whether a drink refusal skills training module, administered as part of a 16-week CBI (n=776; 31% female, 23% non-White, average age=44) predicted changes in drinking frequency and self-efficacy during and following the CBI, and whether changes in self-efficacy following drink refusal training predicted changes in drinking frequency up to one year following treatment. Results Participants (n=302) who received drink refusal skills training had significantly fewer drinking days during treatment (d=0.50) and up to one year following treatment (d=0.23). In addition the effect of the drink refusal skills training module on drinking outcomes following treatment was significantly mediated by changes in self-efficacy, even after controlling for changes in drinking outcomes during treatment (proportion mediated = 0.47). Conclusions Drink refusal training is an effective component of CBI and some of the effectiveness may be attributed to changes in client self-efficacy. PMID:22289131

  2. 27 CFR 46.273 - Refusing entry or examination.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Ttb Authorities § 46.273 Refusing entry or examination. If...

  3. 27 CFR 46.273 - Refusing entry or examination.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Ttb Authorities § 46.273 Refusing entry or examination. If...

  4. 27 CFR 46.273 - Refusing entry or examination.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Ttb Authorities § 46.273 Refusing entry or examination. If...

  5. 27 CFR 46.273 - Refusing entry or examination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Ttb Authorities § 46.273 Refusing entry or examination. If...

  6. Coal systems analysis

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Warwick, P.D.

    This collection of papers provides an introduction to the concept of coal systems analysis and contains examples of how coal systems analysis can be used to understand, characterize, and evaluate coal and coal gas resources. Chapter are: Coal systems analysis: A new approach to the understanding of coal formation, coal quality and environmental considerations, and coal as a source rock for hydrocarbons by Peter D. Warwick. Appalachian coal assessment: Defining the coal systems of the Appalachian Basin by Robert C. Milici. Subtle structural influences on coal thickness and distribution: Examples from the Lower Broas-Stockton coal (Middle Pennsylvanian), Eastern Kentucky Coalmore » Field, USA by Stephen F. Greb, Cortland F. Eble, and J.C. Hower. Palynology in coal systems analysis The key to floras, climate, and stratigraphy of coal-forming environments by Douglas J. Nichols. A comparison of late Paleocene and late Eocene lignite depositional systems using palynology, upper Wilcox and upper Jackson Groups, east-central Texas by Jennifer M.K. O'Keefe, Recep H. Sancay, Anne L. Raymond, and Thomas E. Yancey. New insights on the hydrocarbon system of the Fruitland Formation coal beds, northern San Juan Basin, Colorado and New Mexico, USA by W.C. Riese, William L. Pelzmann, and Glen T. Snyder.« less

  7. 21 CFR 515.21 - Refusal to approve a medicated feed mill license application.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Refusal to approve a medicated feed mill license... SERVICES (CONTINUED) ANIMAL DRUGS, FEEDS, AND RELATED PRODUCTS MEDICATED FEED MILL LICENSE Administrative Actions on Licenses § 515.21 Refusal to approve a medicated feed mill license application. (a) The...

  8. 76 FR 59424 - Notice of Proposed Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... request for the Abandoned Mine Reclamation Fund--Fee Collection and Coal Production Reporting and the form... cost. DATES: OMB has up to 60 days to approve or disapprove the information collections but may respond... 30 CFR 870--Abandoned Mine Reclamation Fund--Fee Collection and Coal Production Reporting and the...

  9. EEOC claims employer refused reasonable accommodation. Equal Employment Opportunity Commission.

    PubMed

    1995-06-30

    The Equal Employment Opportunity Commission (EEOC) has sued Spectacor, one of the largest stadium-management companies, on behalf of employee [name removed]. [Name removed], who claimed his employer refused to grant him flexible work hours to accommodate his AIDS diagnosis. [Name removed] had submitted a note from one of his doctors stating that [name removed] had AIDS and was taking an experimental medicine. The doctors requested some added flexibility in working hours to enable [name removed] to prepare special meals and take showers to reduce the discomfort of the experimental medicines he was taking. Spectacor, instead of granting the request, informed [name removed] that his job was in jeopardy and that he would be discharged because of absenteeism and declining productivity. The suit alleges Spectacor violated the Americans with Disabilities Act (ADA) by refusing to grant [name removed] a reasonable accommodation for his disability and that the employer had breached its obligation to keep confidential his medical information. Spectacor denied that its refusal to accommodate [name removed]'s scheduling requests constituted a violation of the ADA.

  10. The role of men in abandonment of female genital mutilation: a systematic review.

    PubMed

    Varol, Nesrin; Turkmani, Sabera; Black, Kirsten; Hall, John; Dawson, Angela

    2015-10-08

    Men in their roles as fathers, husbands, community and religious leaders may play a pivotal part in the continuation of female genital mutilation (FGM). However, the research on their views of FGM and their potential role in its abandonment are not well described. We undertook a systematic review of all publications between 2004 and 2014 that explored men's attitudes, beliefs, and behaviours in regards to FGM, as well as their ideas about FGM prevention and abandonment. We included twenty peer-reviewed articles from 15 countries in the analysis. Analysis revealed ambiguity of men's wishes in regards to the continuation of FGM. Many men wished to abandon this practice because of the physical and psychosexual complications to both women and men. Social obligation and the silent culture between the sexes were posited as major obstacles for change. Support for abandonment was influenced by notions of social obligation, religion, education, ethnicity, urban living, migration, and understanding of the negative sequelae of FGM. The strongest influence was education. The level of education of men was one of the most important indicators for men's support for abandonment of FGM. Social obligation and the lack of dialogue between men and women were two key issues that men acknowledged as barriers to abandonment. Advocacy by men and collaboration between men and women's health and community programs may be important steps forward in the abandonment process.

  11. Coal resource assessments using coal availability and recoverability methods

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Rohrbacher, T.J.

    1997-12-01

    The U.S. Geological Survey (USGS), in conjunction with state geological surveys and other federal agencies, has initiated a study and developed methodology to reassess the nation`s major coal resources. This study differs from previous coal resource assessments of the USGS, U.S. Bureau of Mines, and the Department of Energy`s Energy Information Administration, because this program: (1) Identifies and characterizes the coal beds and coal zones that will provide the bulk of the nation`s coal-derived energy during the first quarter of the twenty-first century; (2) organizes geologic, chemical, environmental, and geographic information in digital format and makes these data available tomore » the public through the Internet or other digital media, such as CD ROMs; (3) includes coal resource availability and coal recoverability analyses for selected areas; (4) provides economic assessments and coal recoverability analyses for selected areas; (5) provides methodology to perform socio-economic impact analysis related to coal mining in specific geographical areas as small as a county.« less

  12. Hybrid Technology of Hard Coal Mining from Seams Located at Great Depths

    NASA Astrophysics Data System (ADS)

    Czaja, Piotr; Kamiński, Paweł; Klich, Jerzy; Tajduś, Antoni

    2014-10-01

    Learning to control fire changed the life of man considerably. Learning to convert the energy derived from combustion of coal or hydrocarbons into another type of energy, such as steam pressure or electricity, has put him on the path of scientific and technological revolution, stimulating dynamic development. Since the dawn of time, fossil fuels have been serving as the mankind's natural reservoir of energy in an increasingly great capacity. A completely incomprehensible refusal to use fossil fuels causes some local populations, who do not possess a comprehensive knowledge of the subject, to protest and even generate social conflicts as an expression of their dislike for the extraction of minerals. Our times are marked by the search for more efficient ways of utilizing fossil fuels by introducing non-conventional technologies of exploiting conventional energy sources. During apartheid, South Africa demonstrated that cheap coal can easily satisfy total demand for liquid and gaseous fuels. In consideration of current high prices of hydrocarbon media (oil and gas), gasification or liquefaction of coal seems to be the innovative technology convergent with contemporary expectations of both energy producers as well as environmentalists. Known mainly from literature reports, underground coal gasification technologies can be brought down to two basic methods: - shaftless method - drilling, in which the gasified seam is uncovered using boreholes drilled from the surface, - shaft method, in which the existing infrastructure of underground mines is used to uncover the seams. This paper presents a hybrid shaft-drilling approach to the acquisition of primary energy carriers (methane and syngas) from coal seams located at great depths. A major advantage of this method is the fact that the use of conventional coal mining technology requires the seams located at great depths to be placed on the off-balance sheet, while the hybrid method of underground

  13. Studies find more alternatives to soil cover

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1984-02-01

    Researchers from Southern Illinois University at Carbondale have experimented with planting forage grasses on acid coal refuse after deeply incorporating sewage sludge and limestone. Studies were conducted at Peabody Coal Co.'s Will Scarlet Mine, two miles north of Stonefort, IL. Digested liquid sewage sludge was hauled from the Chicago Sanitation District and deposited one meter deep into holding basins adjacent to the study site. The material was then dried in these basins for two years. In 1979, a specially modified cable trencher opened trenches 8 cm wide to depths of 30 cm and 60 cm for various treatments. Researchers depositedmore » the dried sludge using a silage wagon and spread the limestone by hand. Eleven different treatments of sludge and limestone were deposited at the two different incorporation depths. In March 1981 three grasses--reed canary grass, red top, and tall fescue--were seeded in a randomized complete block design within each of the eleven treatments. The deep incorporation of sewage sludge and/or limestone improved the physical and chemical properties of the coal refuse sufficiently to establish and maintain good stands of these forage grasses. Also, in spite of the high concentration of heavy metals in coal refuse amended with sewage sludge, the plant uptake was less than the maximum suggested level for feed. Analysis showed that the sewage sludge increased the organic matter of the coal refuse and decreased the bulk density. Water retention was higher in the sewage sludge amended treatments, but there were no differences in the availability of water. The pH of coal refuse increased from 2.5 to 5.0 at higher rates of sludge or limestone.« less

  14. 36 CFR 1002.14 - Sanitation and refuse.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Sanitation and refuse. 1002.14 Section 1002.14 Parks, Forests, and Public Property PRESIDIO TRUST RESOURCE PROTECTION, PUBLIC USE... vehicle, except in facilities provided for such purpose. (5) Bathing, or washing food, clothing, dishes...

  15. 36 CFR 1002.14 - Sanitation and refuse.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Sanitation and refuse. 1002.14 Section 1002.14 Parks, Forests, and Public Property PRESIDIO TRUST RESOURCE PROTECTION, PUBLIC USE... vehicle, except in facilities provided for such purpose. (5) Bathing, or washing food, clothing, dishes...

  16. 19 CFR 127.41 - Government title to unclaimed and abandoned merchandise.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... SECURITY; DEPARTMENT OF THE TREASURY GENERAL ORDER, UNCLAIMED, AND ABANDONED MERCHANDISE Title to Unclaimed... part, at which time merchandise having thus remained in Customs custody is considered as unclaimed and abandoned, the port director, with the concurrence of the Assistant Commissioner, Office of Field Operations...

  17. Feasibility of CO2 Sequestration as a Closure Option for Underground Coal Mine

    NASA Astrophysics Data System (ADS)

    Ray, Sutapa; Dey, Kaushik

    2018-04-01

    The Kyoto Protocol, 1998, was signed by member countries to reduce greenhouse gas (GHG) emissions to a minimum acceptable level. India agreed to Kyoto Protocol since 2002 and started its research on GHG mitigation. Few researchers have carried out research work on CO2 sequestration in different rock formations. However, CO2 sequestration in abandoned mines has yet not drawn its attention largely. In the past few years or decades, a significant amount of research and development has been done on Carbon Capture and Storage (CCS) technologies, since it is a possible solution for assuring less emission of CO2 to the atmosphere from power plants and some other major industrial plants. CCS mainly involves three steps: (a) capture and compression of CO2 from source (power plants and industrial areas), (b) transportation of captured CO2 to the storage mine and (c) injecting CO2 into underground mine. CO2 is stored at an underground mine mainly in three forms: (1) adsorbed in the coals left as pillars of the mine, (2) absorbed in water through a chemical process and (3) filled in void with compressed CO2. Adsorption isotherm is a graph developed between the amounts of adsorbate adsorbed on the surface of adsorbent and the pressure at constant temperature. Various types of adsorption isotherms are available, namely, Freundlich, Langmuir and BET theory. Indian coal is different in origin from most of the international coal deposits and thus demands isotherm experiments of the same to arrive at the right adsorption isotherm. To carry out these experiments, adsorption isotherm set up is fabricated in the laboratory with a capacity to measure the adsorbed volume up to a pressure level of 100 bar. The coal samples are collected from the pillars and walls of the underground coal seam using a portable drill machine. The adsorption isotherm experiments have been carried out for the samples taken from a mine. From the adsorption isotherm experiments, Langmuir Equation is found to be

  18. 13. Coal ejectors mounted on aft bulkhead of coal bunker. ...

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

    13. Coal ejectors mounted on aft bulkhead of coal bunker. Ejectors were used to flush overboard live coals and clinkers from firebed (pipe for carrying coals overboard has been removed from ejector in foreground). Coal doors from bunker appear beside ejector in foreground). Coal doors from bunker appear beside ejectors at deck; note firing shovels in background against hull. - Steamboat TICONDEROGA, Shelburne Museum Route 7, Shelburne, Chittenden County, VT

  19. Appalachian coal assessment: Defining the coal systems of the Appalachian basin

    USGS Publications Warehouse

    Milici, R.C.

    2005-01-01

    The coal systems concept may be used to organize the geologic data for a relatively large, complex area, such as the Appalachian basin, in order to facilitate coal assessments in the area. The concept is especially valuable in subjective assessments of future coal production, which would require a detailed understanding of the coal geology and coal chemistry of the region. In addition, subjective assessments of future coal production would be enhanced by a geographical information system that contains the geologic and geochemical data commonly prepared for conventional coal assessments. Coal systems are generally defined as one or more coal beds or groups of coal beds that have had the same or similar genetic history from their inception as peat deposits, through their burial, diagenesis, and epigenesis to their ultimate preservation as lignite, bituminous coal, or anthracite. The central and northern parts of the Appalachian basin contain seven coal systems (Coal Systems A-G). These systems may be defined generally on the following criteria: (1) on the primary characteristics of their paleopeat deposits, (2) on the stratigraphic framework of the Paleozoic coal measures, (3) on the relative abundance of coal beds within the major stratigraphic groupings, (4) on the amount of sulfur related to the geologic and climatic conditions under which paleopeat deposits accumulated, and (5) on the rank of the coal (lignite to anthracite). ??2005 Geological Society of America.

  20. Medication Refusal in Schizophrenia: Preventive and Reactive Ethical Considerations.

    PubMed

    Sabin, James

    2016-06-01

    Clinicians treating patients with recurrent psychosis should encourage contingency planning with patients and families for how to respond to potential recurrences. Whether or not patients create a formal psychiatric advance directive, patients, families, and clinicians will be better prepared to deal with emergencies if they include "scenario planning" as part of ongoing clinical care. In the case under discussion this was not done, resulting in an ethical conundrum as to whether it was ethically justifiable to override the proxy decision maker's refusal of medication. Law on this question is unsettled, but the author argues that from the perspective of ethics, overriding medication refusal is sometimes ethically permissible. © 2016 American Medical Association. All Rights Reserved. ISSN 2376-6980.