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Sample records for aids relief pepfar

  1. 75 FR 60846 - Notice of Intent To Establish the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ... of Intent To Establish the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory... President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board, hereinafter referred to as ``the Board.'' The Board serves the Global AIDS Coordinator (``the Coordinator'') in a solely...

  2. 75 FR 78338 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-15

    ... of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory... Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board will meet on January 6-7, 2011 at the St.... Global AIDS Coordinator, Ambassador Eric Goosby, who leads implementation of the President's...

  3. 77 FR 70874 - Notice of Charter Renewal of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... of Charter Renewal of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory Board SUMMARY: The Office of the U.S. Global AIDS Coordinator (S/GAC) announces the charter renewal of... Office of the U.S. Global AIDS Coordinator, and led by Ambassador Eric Goosby, who leads...

  4. 78 FR 55326 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-10

    ... of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory... is open to the public. The meeting will be hosted by the Office of the U.S. Global AIDS Coordinator, and led by Ambassador Eric Goosby, who leads implementation of the President's Emergency Plan for...

  5. United States global health policy: HIV/AIDS, maternal and child health, and The President's Emergency Plan for AIDS Relief (PEPFAR).

    PubMed

    Leeper, Sarah C; Reddi, Anand

    2010-09-10

    The Obama administration has unveiled a new 6-year, $63 billion Global Health Initiative. In addition to the reauthorization of the President's Emergency Plan for AIDS Relief (PEPFAR) to fund HIV/AIDS, tuberculosis, and malaria, the plan also supports maternal and child health (MCH) initiatives that are rooted in a proposal known as the Mother and Child Campaign. The architects of the Obama administration's Global Health Initiative recommend funding the Mother and Child Campaign at the expense of future funding increases for PEPFAR. The idea that differing global health initiatives must compete with each other lacks not only ethical legitimacy but also scientific merit. We believe that MCH need not to be framed in opposition to PEPFAR. Confronting illness in isolation - whether by funding PEPFAR at the expense of programs that target MCH or vice versa - cannot be our way forward. Given the intimate connection between HIV/AIDS and MCH, we affirm supporting PEPFAR and MCH programs together. We argue that policies that de-emphasize PEPFAR threaten to undermine, rather than support, MCH in countries with high HIV/AIDS prevalence. PEPFAR has directly and indirectly supported the care and treatment of other milieu specific diseases, including those afflicting mothers and children, bringing about broad benefits to the primary healthcare systems of recipient countries. We advocate the vertical integration of MCH initiatives into PEPFAR in order to create a comprehensive approach to addressing MCH against the global backdrop of HIV/AIDS.

  6. 76 FR 52731 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ..., implementation, and policy issues related to the global response to HIV/AIDS. These issues will be of concern as... Board will determine procedures for public participation. For further information about the meeting, please contact Charles Holmes, Chief Medical Officer, Office of the U.S. Global AIDS Coordinator at...

  7. 77 FR 55891 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ..., implementation, and policy issues related to the global response to HIV/AIDS. These issues will be of concern as... possible to fulfill. For further information about the meeting, please contact Charles Holmes, Chief Medical Officer, Office of the U.S. Global AIDS Coordinator at (202) 663-2440 or...

  8. Lessons learned from PEPFAR.

    PubMed

    Dybul, Mark

    2009-11-01

    The United States President's Emergency Plan for AIDS Relief (PEPFAR), launched by President Bush with strong bipartisan support, was a historic moment in development both in size and scope. With $18.8 billion across its first 5 years, it is the largest international health initiative in history for a specific disease. In scope, it is the first global initiative to tackle a chronic disease and was based in a new philosophical foundation centered in country ownership, a results-based accountable approach, the engagement of all sectors, and good governance. With resources and a strong intellectual base, PEPFAR saved lives and provided lessons learned for effective development.

  9. PEPFAR Funding Associated With An Increase In Employment Among Males in Ten Sub-Saharan African Countries

    PubMed Central

    Wagner, Zachary; Barofsky, Jeremy; Sood, Neeraj

    2016-01-01

    The President's Emergency Plan for AIDS Relief (PEPFAR) has provided billions of US tax dollars to expand HIV treatment in sub-Saharan Africa. This investment has generated significant health gains, but much less is known about PEPFAR's population-level economic effects. We use a difference-in-differences approach to compare employment trends between 10 countries that received a large amount of PEPFAR funding against 11 countries that received little or no funding. We find that PEPFAR was associated with a 13% increase in employment among males (95% CI; 3.7%-22.1%), but observe no change in employment among females. In addition, we show that increasing PEPFAR per capita funding by $100 was associated with a 9.1 percentage point increase in employment among males. This rise in employment generates economic benefits equal to half of PEPFAR's cost. These findings suggest that PEPFAR's economic impact must also be taken into account when making aid allocation decisions. PMID:26056199

  10. Monitoring HIV and AIDS Related Policy Reforms: A Road Map to Strengthen Policy Monitoring and Implementation in PEPFAR Partner Countries.

    PubMed

    Lane, Jeffrey; Verani, Andre; Hijazi, Mai; Hurley, Erin; Hagopian, Amy; Judice, Nicole; MacInnis, Ron; Sanford, Sallie; Zelek, Sarah; Katz, Aaron

    2016-01-01

    Achieving an AIDS-free generation will require the adoption and implementation of critical health policy reforms. However, countries with high HIV burden often have low policy development, advocacy, and monitoring capacity. This lack of capacity may be a significant barrier to achieving the AIDS-free generation goals. This manuscript describes the increased focus on policy development and implementation by the United States President's Emergency Plan for AIDS Relief (PEPFAR). It evaluates the curriculum and learning modalities used for two regional policy capacity building workshops organized around the PEPFAR Partnership Framework agreements and the Road Map for Monitoring and Implementing Policy Reforms. A total of 64 participants representing the U.S. Government, partner country governments, and civil society organizations attended the workshops. On average, participants responded that their policy monitoring skills improved and that they felt they were better prepared to monitor policy reforms three months after the workshop. When followed-up regarding utilization of the Road Map action plan, responses were mixed. Reasons cited for not making progress included an inability to meet or a lack of time, personnel, or governmental support. This lack of progress may point to a need for building policy monitoring systems in high HIV burden countries. Because the success of policy reforms cannot be measured by the mere adoption of written policy documents, monitoring the implementation of policy reforms and evaluating their public health impact is essential. In many high HIV burden countries, policy development and monitoring capacity remains weak. This lack of capacity could hinder efforts to achieve the ambitious AIDS-free generation treatment, care and prevention goals. The Road Map appears to be a useful tool for strengthening these critical capacities.

  11. Monitoring HIV and AIDS Related Policy Reforms: A Road Map to Strengthen Policy Monitoring and Implementation in PEPFAR Partner Countries

    PubMed Central

    2016-01-01

    Achieving an AIDS-free generation will require the adoption and implementation of critical health policy reforms. However, countries with high HIV burden often have low policy development, advocacy, and monitoring capacity. This lack of capacity may be a significant barrier to achieving the AIDS-free generation goals. This manuscript describes the increased focus on policy development and implementation by the United States President’s Emergency Plan for AIDS Relief (PEPFAR). It evaluates the curriculum and learning modalities used for two regional policy capacity building workshops organized around the PEPFAR Partnership Framework agreements and the Road Map for Monitoring and Implementing Policy Reforms. A total of 64 participants representing the U.S. Government, partner country governments, and civil society organizations attended the workshops. On average, participants responded that their policy monitoring skills improved and that they felt they were better prepared to monitor policy reforms three months after the workshop. When followed-up regarding utilization of the Road Map action plan, responses were mixed. Reasons cited for not making progress included an inability to meet or a lack of time, personnel, or governmental support. This lack of progress may point to a need for building policy monitoring systems in high HIV burden countries. Because the success of policy reforms cannot be measured by the mere adoption of written policy documents, monitoring the implementation of policy reforms and evaluating their public health impact is essential. In many high HIV burden countries, policy development and monitoring capacity remains weak. This lack of capacity could hinder efforts to achieve the ambitious AIDS-free generation treatment, care and prevention goals. The Road Map appears to be a useful tool for strengthening these critical capacities. PMID:26914708

  12. Monitoring HIV and AIDS Related Policy Reforms: A Road Map to Strengthen Policy Monitoring and Implementation in PEPFAR Partner Countries.

    PubMed

    Lane, Jeffrey; Verani, Andre; Hijazi, Mai; Hurley, Erin; Hagopian, Amy; Judice, Nicole; MacInnis, Ron; Sanford, Sallie; Zelek, Sarah; Katz, Aaron

    2016-01-01

    Achieving an AIDS-free generation will require the adoption and implementation of critical health policy reforms. However, countries with high HIV burden often have low policy development, advocacy, and monitoring capacity. This lack of capacity may be a significant barrier to achieving the AIDS-free generation goals. This manuscript describes the increased focus on policy development and implementation by the United States President's Emergency Plan for AIDS Relief (PEPFAR). It evaluates the curriculum and learning modalities used for two regional policy capacity building workshops organized around the PEPFAR Partnership Framework agreements and the Road Map for Monitoring and Implementing Policy Reforms. A total of 64 participants representing the U.S. Government, partner country governments, and civil society organizations attended the workshops. On average, participants responded that their policy monitoring skills improved and that they felt they were better prepared to monitor policy reforms three months after the workshop. When followed-up regarding utilization of the Road Map action plan, responses were mixed. Reasons cited for not making progress included an inability to meet or a lack of time, personnel, or governmental support. This lack of progress may point to a need for building policy monitoring systems in high HIV burden countries. Because the success of policy reforms cannot be measured by the mere adoption of written policy documents, monitoring the implementation of policy reforms and evaluating their public health impact is essential. In many high HIV burden countries, policy development and monitoring capacity remains weak. This lack of capacity could hinder efforts to achieve the ambitious AIDS-free generation treatment, care and prevention goals. The Road Map appears to be a useful tool for strengthening these critical capacities. PMID:26914708

  13. A clinician's experience with the President's Emergency Plan for AIDS Relief in Nigeria: a transformative decade of hope.

    PubMed

    Idoko, John

    2012-07-01

    Prior to the start of the President's Emergency Plan for AIDS Relief (PEPFAR), Nigeria struggled to fight HIV/AIDS. PEPFAR changed everything. I witnessed this change firsthand by directing the response to AIDS, first in my hospital in Jos, in central Nigeria, and now as Nigeria's HIV/AIDS coordinator. When the first AIDS case was diagnosed in Nigeria in 1986, my country had one of the world's poorest health systems, and as the pandemic spread, most Nigerians with AIDS died. Eventually, effective new drugs were developed, but they were too costly for all but a few Nigerians. Then there was a miracle: PEPFAR gave us resources, direction, and expertise to treat hundreds of thousands of people around the country. Today, Nigeria is providing treatment to 500,000 people with AIDS, and 80 percent of them receive treatment supported by PEPFAR. The US effort did more than help us treat people with HIV/AIDS; it also enabled Nigeria to strengthen its health system, improve care for pregnant women and infants, increase the provision of vaccinations, build modern laboratories, and train thousands of new health care workers and technicians.

  14. U.S.: PEPFAR reauthorization bills pass House, Senate committee.

    PubMed

    Dolinsky, Anna

    2008-07-01

    On 2 April 2008, the U.S. House of Representatives passed a bill (H.R. 5501) to reauthorize the President's Emergency Plan for AIDS Relief (PEPFAR). The House bill would authorize the appropriation of US$50 billion over the next five years--40 percent more than the US$30 billion requested by President George W. Bush.

  15. Progress, challenges, and new opportunities for the prevention of mother-to-child transmission of HIV under the US President's Emergency Plan for AIDS Relief.

    PubMed

    Chi, Benjamin H; Adler, Michelle R; Bolu, Omotayo; Mbori-Ngacha, Dorothy; Ekouevi, Didier K; Gieselman, Anna; Chipato, Tsungai; Luo, Chewe; Phelps, B Ryan; McClure, Craig; Mofenson, Lynne M; Stringer, Jeffrey S A

    2012-08-15

    In June 2011, the Joint United Nations Programme on HIV/AIDS, the US President's Emergency Plan for AIDS Relief (PEPFAR), and other collaborators outlined a transformative plan to virtually eliminate pediatric AIDS worldwide. The ambitious targets of this initiative included a 90% reduction in new pediatric HIV infections and a 50% reduction in HIV-related maternal mortality--all by 2015. PEPFAR has made an unprecedented commitment to the expansion and improvement of prevention of mother-to-child HIV transmission (PMTCT) services globally and is expected to play a critical role in reaching the virtual elimination target. To date, PEPFAR has been instrumental in the success of many national programs, including expanded coverage of PMTCT services, an enhanced continuum of care between PMTCT and HIV care and treatment, provision of more efficacious regimens for antiretroviral prophylaxis, design of innovative but simplified PMTCT approaches, and development of new strategies to evaluate program effectiveness. These accomplishments have been made through collaborative efforts with host governments, United Nations agencies, other donors (eg, the Global Fund for AIDS, Tuberculosis, and Malaria), nongovernmental organizations, and private sector partners. To successfully meet the ambitious global targets to prevent new infant HIV infections, PEPFAR must continue to leverage the existing PMTCT platform, while developing innovative approaches to rapidly expand quality HIV services. PEPFAR must also carefully integrate PMTCT into the broader combination prevention agenda for HIV, so that real progress can be made toward an "AIDS-free generation" worldwide. PMID:22797744

  16. Progress, challenges, and new opportunities for the prevention of mother-to-child transmission of HIV under the US President's Emergency Plan for AIDS Relief.

    PubMed

    Chi, Benjamin H; Adler, Michelle R; Bolu, Omotayo; Mbori-Ngacha, Dorothy; Ekouevi, Didier K; Gieselman, Anna; Chipato, Tsungai; Luo, Chewe; Phelps, B Ryan; McClure, Craig; Mofenson, Lynne M; Stringer, Jeffrey S A

    2012-08-15

    In June 2011, the Joint United Nations Programme on HIV/AIDS, the US President's Emergency Plan for AIDS Relief (PEPFAR), and other collaborators outlined a transformative plan to virtually eliminate pediatric AIDS worldwide. The ambitious targets of this initiative included a 90% reduction in new pediatric HIV infections and a 50% reduction in HIV-related maternal mortality--all by 2015. PEPFAR has made an unprecedented commitment to the expansion and improvement of prevention of mother-to-child HIV transmission (PMTCT) services globally and is expected to play a critical role in reaching the virtual elimination target. To date, PEPFAR has been instrumental in the success of many national programs, including expanded coverage of PMTCT services, an enhanced continuum of care between PMTCT and HIV care and treatment, provision of more efficacious regimens for antiretroviral prophylaxis, design of innovative but simplified PMTCT approaches, and development of new strategies to evaluate program effectiveness. These accomplishments have been made through collaborative efforts with host governments, United Nations agencies, other donors (eg, the Global Fund for AIDS, Tuberculosis, and Malaria), nongovernmental organizations, and private sector partners. To successfully meet the ambitious global targets to prevent new infant HIV infections, PEPFAR must continue to leverage the existing PMTCT platform, while developing innovative approaches to rapidly expand quality HIV services. PEPFAR must also carefully integrate PMTCT into the broader combination prevention agenda for HIV, so that real progress can be made toward an "AIDS-free generation" worldwide.

  17. The United States President's Emergency Plan for AIDS Relief: a story of partnerships and smart investments to turn the tide of the global AIDS pandemic.

    PubMed

    Goosby, Eric; Dybul, Mark; Fauci, Anthony S; Fauci, Anthony A; Fu, Joe; Walsh, Thomas; Needle, Richard; Bouey, Paul

    2012-08-15

    The United States President's Emergency Plan for AIDS Relief (PEPFAR) has played a key leadership role in the global response to the HIV/AIDS pandemic. PEPFAR was inspired by the principles of the historic Monterrey Consensus (United Nations. Monterrey Consensus on Financing for Development, Monterrey, Mexico, March 18-22, 2002. New York: United Nations; 2002. Available at: http://www.un.org/esa/ffd/monterrey/MonterreyConsensus.pdf. Accessed April 21, 2012), which changed the underlying conceptual framework for international development, and therefore global health--a shift from paternalism to partnership that begins with country ownership and requires good governance, a results-based approach, and engagement of all sectors of society. PEPFAR began with a focus on the growing emergency of the HIV/AIDS pandemic by rapidly expanding HIV services, building clinical capacity, implementing strategic information systems, and building a coalition of partners to lead the response. Within the first years of implementation, there was a shift to sustainability, including the advent of Partnership Frameworks. The PEPFAR reauthorization in 2008 codified into law, the evolution in policies and programs for the next phase of implementation. In 2011 alone, PEPFAR supported nearly 4 million people on treatment, supported programs that provided more than 1.5 million HIV-positive pregnant women with antiretroviral drugs to prevent HIV transmission to their children, and supported HIV testing for more than 40 million people. This article provides an overview of how smart investments and partnerships across sectors and US agencies have helped achieve unprecedented results in increasing HIV/AIDS services and engaging partner countries and organizations in sharing the responsibility for an AIDS-free generation.

  18. The United States President's Emergency Plan for AIDS Relief: a story of partnerships and smart investments to turn the tide of the global AIDS pandemic.

    PubMed

    Goosby, Eric; Dybul, Mark; Fauci, Anthony S; Fauci, Anthony A; Fu, Joe; Walsh, Thomas; Needle, Richard; Bouey, Paul

    2012-08-15

    The United States President's Emergency Plan for AIDS Relief (PEPFAR) has played a key leadership role in the global response to the HIV/AIDS pandemic. PEPFAR was inspired by the principles of the historic Monterrey Consensus (United Nations. Monterrey Consensus on Financing for Development, Monterrey, Mexico, March 18-22, 2002. New York: United Nations; 2002. Available at: http://www.un.org/esa/ffd/monterrey/MonterreyConsensus.pdf. Accessed April 21, 2012), which changed the underlying conceptual framework for international development, and therefore global health--a shift from paternalism to partnership that begins with country ownership and requires good governance, a results-based approach, and engagement of all sectors of society. PEPFAR began with a focus on the growing emergency of the HIV/AIDS pandemic by rapidly expanding HIV services, building clinical capacity, implementing strategic information systems, and building a coalition of partners to lead the response. Within the first years of implementation, there was a shift to sustainability, including the advent of Partnership Frameworks. The PEPFAR reauthorization in 2008 codified into law, the evolution in policies and programs for the next phase of implementation. In 2011 alone, PEPFAR supported nearly 4 million people on treatment, supported programs that provided more than 1.5 million HIV-positive pregnant women with antiretroviral drugs to prevent HIV transmission to their children, and supported HIV testing for more than 40 million people. This article provides an overview of how smart investments and partnerships across sectors and US agencies have helped achieve unprecedented results in increasing HIV/AIDS services and engaging partner countries and organizations in sharing the responsibility for an AIDS-free generation. PMID:22797740

  19. Low-cost generic drugs under the President's Emergency Plan for AIDS Relief drove down treatment cost; more are needed.

    PubMed

    Venkatesh, Kartik K; Mayer, Kenneth H; Carpenter, Charles C J

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR) was originally authorized in 2003 with the goal of supporting HIV prevention, treatment, and care within fifteen focus countries in the developing world. By September 2011 nearly 13 million people around the world were receiving HIV/AIDS-related care through PEPFAR, and 3.9 million were receiving antiretroviral treatment. However, in the early years of the program, access to antiretroviral drugs was hampered by the lack of a licensing process that the US government recognized for generic versions of these medications. Ultimately, the obstacle to approval of generic antiretroviral drugs was removed, which led to PEPFAR's considerable success at making these treatments widely available. This article outlines PEPFAR's evolving use of generic antiretroviral drugs to treat HIV in the developing world, highlights ongoing initiatives to increase access to generic antiretrovirals, and points to the need for mechanisms that will speed up the approval of new generic drugs. The striking decline in antiretroviral treatment costs, from $1,100 per person annually in 2004 to $335 per person annually in 2012, is due to the availability of effective generic antiretrovirals. Given growing resistance to existing drugs and the planned expansion of treatment to millions more people, access to newer generations of generic antiretrovirals will have to be expedited.

  20. The expanding role of civil society in the global HIV/AIDS response: what has the President's Emergency Program For AIDS Relief's role been?

    PubMed

    Coutinho, Alex; Roxo, Uchechi; Epino, Henry; Muganzi, Alex; Dorward, Emily; Pick, Billy

    2012-08-15

    Civil society has been part of the HIV/AIDS response from the very beginning of the epidemic, often becoming engaged before national governments. Traditional roles of civil society--advocacy, activism, serving as government watchdog, and acting as community caretaker--have been critical to the response. In addition, civil society organizations (CSOs) play an integral part in providing world-class HIV prevention and treatment services and helping to ensure continuity of care. The President's Emergency Program for AIDS Relief (PEPFAR) has significantly increased the global scale-up of combination antiretroviral therapy reaching for more than 5 million people in developing countries, as well as implementation of effective evidence-based combination prevention approaches. PEPFAR databases in 5 countries and annual reports from a centrally managed initiative were mined and analyzed to determine the numbers and types of CSOs funded by PEPFAR over a 5-year period (2006-2011). Data are also presented from Uganda showing the overall resource growth in CSO working for HIV. Case studies document the evolution of 3 indigenous CSOs that increased the capacity to implement activities with PEPFAR funding. A legacy of PEPFAR has been the growth of civil society to address social and health issues as well as recognition by governments that partnerships with beneficiaries and civil society result in better outcomes. Scale-up of the global response could not have happened without the involvement of civil society and people living with HIV. This game changing partnership to jointly tackle the problems that countries face may well be the greatest benefit emerging from the HIV epidemic.

  1. PEPFAR support for the scaling up of collaborative TB/HIV activities.

    PubMed

    Howard, Andrea A; Gasana, Michel; Getahun, Haileyesus; Harries, Anthony; Lawn, Stephen D; Miller, Bess; Nelson, Lisa; Sitienei, Joseph; Coggin, William L

    2012-08-15

    The US President's Emergency Plan for AIDS Relief (PEPFAR) has supported a comprehensive package of care in which interventions to address HIV-related tuberculosis (TB) have received increased funding and support in recent years. PEPFAR's TB/HIV programming is based on the World Health Organization's 12-point policy for collaborative TB/HIV activities, which are integrated into PEPFAR annual guidance. PEPFAR implementing partners have provided crucial support to TB/HIV collaboration, and as a result, PEPFAR-supported countries in sub-Saharan Africa have made significant gains in HIV testing and counseling of TB patients and linkages to HIV care and treatment, intensified TB case finding, and TB infection control. PEPFAR's support of TB/HIV integration has also included significant investment in health systems, including improved laboratory services and educating and enlarging the workforce. The scale-up of antiretroviral therapy along with support of programs to increase HIV counseling and testing and improve linkage and retention in HIV care may have considerable impact on TB morbidity and mortality, if used synergistically with isoniazid preventive therapy, intensified case finding, and infection control. Issues to be addressed by future programming include accelerating implementation of isoniazid preventive therapy, increasing access and ensuring appropriate use of new TB diagnostics, supporting early initiation of antiretroviral therapy for HIV-infected TB patients, and strengthening systems to monitor and evaluate program implementation.

  2. PEPFAR Funding and Reduction in HIV Infection Rates in 12 Focus Sub-Saharan African Countries: A Quantitative Analysis

    PubMed Central

    Chin, Roger J.; Sangmanee, Domrongphol; Piergallini, Lisa

    2015-01-01

    Background: HIV and AIDS continue to have a calamitous effect on individuals living on the continent of Africa. U.S. President George W. Bush implemented the President’s Emergency Plan for AIDS Relief (PEPFAR) with the objective of committing approximately $15 billion from 2004 through 2008 to assist with the reduction of the HIV pandemic worldwide. The majority of the PEPFAR policy and funding focused on 12 countries in sub-Saharan Africa: Botswana, Cote d’Ivoire, Ethiopia, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, and Zambia. The policy question this research paper seeks to analyze is whether the PEPFAR funding (as a % of Gross Domestic Product (GDP)) allocated to the 12 countries in Africa had any effect on the decrease of HIV infection rates of males and females between the ages of 15 and 49. Methods: A fixed-effects panel regression analysis was conducted to determine if this association exists. This study examined the 12 African countries that received PEPFAR funding over the years 2002 to 2010; even though PEPFAR was only active from 2004 through 2008, this research included two years prior and two years after this timeframe in order to better estimate the effect of PEPFAR funding on HIV reduction. Results: The results illustrate that on average, ceteris paribus, for every 1 percentage point increase in PEPFAR funding per GDP a country received, the country’s HIV infection rate decreased by 0.355 percentage points. Conclusions and Global Health Implications: While the empirical findings in this study suggested that the correlation between PEPFAR funding and HIV reduction is statistically significant, the practical significance is perhaps less obvious. Arguably, the reduction rate should be higher given the extent of funding targeted to this project. The conclusion of this research provides suggestions on future research and the policy implications of PEPFAR.

  3. PEPFAR Funding and Reduction in HIV Infection Rates in 12 Focus Sub-Saharan African Countries: A Quantitative Analysis

    PubMed Central

    Chin, Roger J.; Sangmanee, Domrongphol; Piergallini, Lisa

    2015-01-01

    Background: HIV and AIDS continue to have a calamitous effect on individuals living on the continent of Africa. U.S. President George W. Bush implemented the President’s Emergency Plan for AIDS Relief (PEPFAR) with the objective of committing approximately $15 billion from 2004 through 2008 to assist with the reduction of the HIV pandemic worldwide. The majority of the PEPFAR policy and funding focused on 12 countries in sub-Saharan Africa: Botswana, Cote d’Ivoire, Ethiopia, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, and Zambia. The policy question this research paper seeks to analyze is whether the PEPFAR funding (as a % of Gross Domestic Product (GDP)) allocated to the 12 countries in Africa had any effect on the decrease of HIV infection rates of males and females between the ages of 15 and 49. Methods: A fixed-effects panel regression analysis was conducted to determine if this association exists. This study examined the 12 African countries that received PEPFAR funding over the years 2002 to 2010; even though PEPFAR was only active from 2004 through 2008, this research included two years prior and two years after this timeframe in order to better estimate the effect of PEPFAR funding on HIV reduction. Results: The results illustrate that on average, ceteris paribus, for every 1 percentage point increase in PEPFAR funding per GDP a country received, the country’s HIV infection rate decreased by 0.355 percentage points. Conclusions and Global Health Implications: While the empirical findings in this study suggested that the correlation between PEPFAR funding and HIV reduction is statistically significant, the practical significance is perhaps less obvious. Arguably, the reduction rate should be higher given the extent of funding targeted to this project. The conclusion of this research provides suggestions on future research and the policy implications of PEPFAR. PMID:27621994

  4. Countries where HIV is concentrated among most-at-risk populations get disproportionally lower funding from PEPFAR.

    PubMed

    Grosso, Ashley L; Tram, Khai Hoan; Ryan, Owen; Baral, Stefan

    2012-07-01

    The legislation reauthorizing the President's Emergency Plan for AIDS Relief (PEPFAR) in 2008 recognized the need for HIV/AIDS programs directed to most-at-risk populations, including men who have sex with men and people who inject drugs. To examine whether that goal is being met, we analyzed data from PEPFAR's Operational Plans for fiscal years 2009 and 2010. The eighteen countries in our study accounted for nearly two-thirds of overall PEPFAR financing for those fiscal years and approximately 60 percent of the total number of people living with HIV in the world in 2010. After controlling in each country for the number of people living with HIV, total population, and per capita income, we found that countries where HIV transmission occurs primarily among men who have sex with men and people who inject drugs received on average $235 million less in 2009 and 2010 than countries with widespread HIV epidemics among the general population. These findings raise questions about whether the country allocations of PEPFAR fully address needs based on the epidemiology of HIV infection in individual countries. Administrators should ensure that funding allocations directed to various countries reflect the best epidemiological data and latest science and best practices, and are devoid of bias against most-at-risk populations; they should also be more transparent about where PEPFAR's dollars go. Otherwise, it is unlikely that PEPFAR will realize its established goal of achieving an AIDS-free generation. PMID:22778341

  5. 77 FR 47489 - 30-Day Notice of Proposed Information Collection: Form DS-4213, PEPFAR Program Expenditures; OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... Emergency Plan for AIDS Relief (PEPFAR). Estimated Number of Respondents: 1,583. Estimated Number of Responses: 1,583. Average Hours per Response: 24. Total Estimated Burden: 37,992 hours. Frequency: Annually... accuracy of our estimate of the burden of the proposed collection, including the validity of...

  6. Lessons from the President's Emergency Plan for AIDS Relief: from quick ramp-up to the role of strategic partnership.

    PubMed

    Simonds, R J; Carrino, Constance A; Moloney-Kitts, Michele

    2012-07-01

    In its first five years, the President's Emergency Plan for AIDS Relief (PEPFAR)--the largest commitment ever by any nation to combat a single disease--succeeded in getting 2.1 million people on antiretroviral treatment and 10.1 million people in care; prevented an estimated 237,600 HIV infections in infants; and saved an estimated 3.28 million adult years of life. Much of the global program's success can be attributed to early decisions to implement new structures and approaches designed to meet its ambitious targets quickly, overcome bureaucratic inertia, and ensure continued progress. A unified US government program was created with a single coordinator. There was a focus on quick ramp-up, strategic partnerships, and sustainable local ownership. Accountability and performance were emphasized. These new approaches played critical roles in translating the unprecedented resources and political support for PEPFAR into improved health for millions of people. Successful aspects of the way in which PEPFAR was organized and implemented, along with less successful or deficient ones, offer lessons for any large, complex international health initiative.

  7. PEPFAR's past and future efforts to cut costs, improve efficiency, and increase the impact of global HIV programs.

    PubMed

    Holmes, Charles B; Blandford, John M; Sangrujee, Nalinee; Stewart, Scott R; DuBois, Amy; Smith, Tyler R; Martin, Julia C; Gavaghan, Ann; Ryan, Caroline A; Goosby, Eric P

    2012-07-01

    Amid the global economic crisis, the President's Emergency Plan for AIDS Relief (PEPFAR) and other organizations have been pressed to do more with constrained resources to meet unmet needs in the worldwide HIV/AIDS pandemic. PEPFAR has approached this challenge through the development of an Impact and Efficiency Acceleration Plan, which includes improving the collection and use of economic and financial data, increasing the efficiency of HIV/AIDS program implementation, and collaborating with governments and multilateral organizations to maximize the impact of the resources provided by the United States. For example, by linking financial data with program outputs, PEPFAR was able to help its implementing partners in Mozambique reduce mean unit expenditures for people receiving antiretroviral treatment by 45 percent, from $265 to $145 per person, between 2009 and 2011. This article describes the plan's elements, provides examples of progress and challenges to its implementation, and assesses the prospects for further improvements in efficiency and impact. PMID:22778345

  8. Abstinence Promotion Under PEPFAR: The Shifting Focus of HIV Prevention For Youth

    PubMed Central

    Santelli, John S.; Speizer, Ilene S.; Edelstein, Zoe R.

    2013-01-01

    Abstinence-until-marriage (AUM) – strongly supported by religious conservatives in the U.S. - became a key element of initial HIV prevention efforts under the President’s Emergency Plan for AIDS Relief (PEPFAR). AUM programs have demonstrated limited efficacy in changing behaviors, promoted medically inaccurate information, and withheld life-saving information about risk reduction. A focus on AUM also undermined national efforts in Africa to create integrated youth HIV prevention programs. PEPFAR prevention efforts after 2008 shifted to science-based programming, however vestiges of AUM remain. Primary prevention programs within PEPFAR are essential and nations must be able to design HIV prevention based on local needs and prevention science. PMID:23327516

  9. Prevention of sexually transmitted HIV infections through the President's Emergency Plan for AIDS Relief: a history of achievements and lessons learned.

    PubMed

    Ryan, Caroline A; Conly, Shanti R; Stanton, David L; Hasen, Nina S

    2012-08-15

    HIV prevention in the President's Emergency Plan for AIDS Relief (PEPFAR) began when both data on HIV prevalence and the toolbox of interventions for prevention of sexual transmission were relatively limited. PEPFAR's early focus was on scaling-up information, education, and communication programs that included messaging on abstinence for youth and faithfulness primarily through nongovernmental organizations, including faith-based organizations. Additional activities included condom promotion, distribution, and social marketing. In epidemics concentrated within key populations, PEPFAR's prevention efforts focused on a minimum package of services including outreach, information, education, and communication programs, STI treatment (where appropriate), and condom promotion and distribution. As more epidemiological data became available and with experience gleaned in these early efforts, the need for tailored and flexible approaches became evident. The next iteration of prevention efforts still emphasized behavioral interventions, but incorporated a sharper focus on key epidemic drivers, especially multiple partners; a data-driven emphasis on high transmission areas and populations, including prevention with people living with HIV; and a more strategic and coordinated approach at the national level. Recently, the paradigm for prevention efforts has shifted yet again. Evidence that biomedical interventions such as male circumcision, treatment for prevention of vertical and horizontal transmission, and treatment itself could lead to declines in incidence has refocused PEPFAR's prevention portfolio. New guidance on sexually transmitted HIV focuses on combination prevention, emphasizing biomedical, behavioral and structural approaches. Landmark speeches by the President and the Secretary of State and new ambitious targets for PEPFAR point toward a new goal: an AIDS-free generation.

  10. PEPFAR Investments In Governance And Health Systems Were One-Fifth Of Countries' Budgeted Funds, 2004-14.

    PubMed

    Moucheraud, Corrina; Sparkes, Susan; Nakamura, Yoriko; Gage, Anna; Atun, Rifat; Bossert, Thomas J

    2016-05-01

    Launched in 2003, the US President's Emergency Plan for AIDS Relief (PEPFAR) is the largest disease-focused assistance program in the world. We analyzed PEPFAR budgets for governance and systems for the period 2004-14 to ascertain whether PEPFAR's stated emphasis on strengthening health systems has been manifested financially. The main outcome variable in our analysis, the first of its kind using these data, was the share of PEPFAR's total annual budget for a country that was designated for governance and systems. The share of planned PEPFAR funding for governance and systems increased from 14.9 percent, on average, in 2004 to 27.5 percent in 2013, but it declined in 2014 to 20.8 percent. This study shows that the size of a country's PEPFAR budget was negatively associated with the share allocated for governance and systems (compared with other budget program areas); it also shows that there was no significant relationship between budgets for governance and systems and HIV prevalence. It is crucial for the global health policy community to better understand how such investments are allocated and used for health systems strengthening.

  11. The President's Emergency Plan for AIDS Relief: from successes of the emergency response to challenges of sustainable action.

    PubMed

    Merson, Michael H; Curran, James W; Griffith, Caroline Hope; Ragunanthan, Braveen

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR) has made a major contribution to the reduction of the global HIV/AIDS burden. The program initially focused on rapidly scaling up treatment and prevention services in fifteen low-income countries, then transitioned to an approach that emphasizes sustainability, defined as the capacity to maintain program services after financial, managerial, and technical assistance from the United States and other external donors essentially ceases. Today, PEPFAR continues to expand its HIV prevention, treatment, and care activities while also supporting capacity-building initiatives, coordination efforts, and implementation science. The latter is research focused on improving service delivery, maximizing cost-effectiveness, and achieving public health impact. Recent advances in both scientific knowledge and the provision of prevention, treatment, and care services have bred cautious optimism about greatly reducing the spread of HIV. However, success will require a substantial increase in resources, strengthened health systems, renewed commitment to HIV prevention, and well-financed efforts to develop an effective HIV vaccine.

  12. The use of epidemiological data to inform the PEPFAR response.

    PubMed

    Lyerla, Rob; Murrill, Christopher S; Ghys, Peter D; Calleja-Garcia, Jesus M; DeCock, Kevin M

    2012-08-15

    The history of the HIV epidemic and the response to the epidemic is fundamentally a history of an emergency response to a global crisis. Trends and projections from initially available data were instrumental in establishing the President's Emergency Plan for AIDS Relief (PEPFAR) and in determining the direction of the program. Additionally, PEPFAR was built on data and the potential impact of interventions, and required the constant monitoring of the epidemic to report on the progress of the program. The response to the HIV epidemic saw the development of international guidelines and recommendations for data collection and epidemiological modeling. Although it is true that the urgency of the response often meant that data from data-poor countries suffered from incompleteness and bias, fortunately, as the response matured, the quality of the data and the infrastructure supporting data collection also matured. PEPFAR investments in surveillance and surveys were and remain critical for responding to the epidemic. The future of the response is reflected in growing country capacities to collect valid and reliable data, and using those data for decision making.

  13. Four principles for expanding PEPFAR's role as a vital force in US health diplomacy abroad.

    PubMed

    Collins, Chris; Isbell, Michael; Sohn, Annette; Klindera, Kent

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR) is the leading platform for US health diplomacy and a symbol of American capacity to achieve constructive and beneficial change. The program now faces an evolving context for its work that includes, on the one hand, domestic fiscal pressures in the United States, but on the other, the potential for substantial gains against the AIDS epidemic around the world. Continued success in advancing America's humanitarian and diplomatic interests through global health requires the United States to maintain robust investments in PEPFAR; implement a strategic plan to achieve an AIDS-free generation; use the program as a foundation to strengthen health systems generally and enable them to address broader health issues, such as chronic and noncommunicable diseases; carefully manage the transition to country "ownership" of the fight against HIV; and achieve greater coherence in US government health-related policy. PMID:22778348

  14. Four principles for expanding PEPFAR's role as a vital force in US health diplomacy abroad.

    PubMed

    Collins, Chris; Isbell, Michael; Sohn, Annette; Klindera, Kent

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR) is the leading platform for US health diplomacy and a symbol of American capacity to achieve constructive and beneficial change. The program now faces an evolving context for its work that includes, on the one hand, domestic fiscal pressures in the United States, but on the other, the potential for substantial gains against the AIDS epidemic around the world. Continued success in advancing America's humanitarian and diplomatic interests through global health requires the United States to maintain robust investments in PEPFAR; implement a strategic plan to achieve an AIDS-free generation; use the program as a foundation to strengthen health systems generally and enable them to address broader health issues, such as chronic and noncommunicable diseases; carefully manage the transition to country "ownership" of the fight against HIV; and achieve greater coherence in US government health-related policy.

  15. How PEPFAR's public-private partnerships achieved ambitious goals, from improving labs to strengthening supply chains.

    PubMed

    Sturchio, Jeffrey L; Cohen, Gary M

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR), established in 2003, is widely recognized as one of the most ambitious and successful bilateral programs ever implemented to address a single disease. Part of the program's success is attributable to the participation of the private sector, working in partnership with the US and local governments and implementing organizations to maximize the reach and effectiveness of every dollar spent. We examined key public-private partnerships that grew out of PEPFAR to identify features that have made them effective. For example, PEPFAR's Supply Chain Management System took advantage of private industry's best practices in logistics, and a partnership with the medical technology company BD (Becton, Dickinson and Company) improved laboratory systems throughout sub-Saharan Africa. We found that setting ambitious goals, enlisting both global and local partners, cultivating a culture of collaboration, careful planning, continuous monitoring and evaluation, and measuring outcomes systematically led to the most effective programs. The Office of the US Global AIDS Coordinator and PEPFAR should continue to strengthen their capacity for private-sector partnerships, learning from a decade of experience and identifying new ways to make smart investments that will make the most efficient use of taxpayer resources, expand proven interventions more rapidly, and help ensure the sustainability of key programs.

  16. How PEPFAR's public-private partnerships achieved ambitious goals, from improving labs to strengthening supply chains.

    PubMed

    Sturchio, Jeffrey L; Cohen, Gary M

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR), established in 2003, is widely recognized as one of the most ambitious and successful bilateral programs ever implemented to address a single disease. Part of the program's success is attributable to the participation of the private sector, working in partnership with the US and local governments and implementing organizations to maximize the reach and effectiveness of every dollar spent. We examined key public-private partnerships that grew out of PEPFAR to identify features that have made them effective. For example, PEPFAR's Supply Chain Management System took advantage of private industry's best practices in logistics, and a partnership with the medical technology company BD (Becton, Dickinson and Company) improved laboratory systems throughout sub-Saharan Africa. We found that setting ambitious goals, enlisting both global and local partners, cultivating a culture of collaboration, careful planning, continuous monitoring and evaluation, and measuring outcomes systematically led to the most effective programs. The Office of the US Global AIDS Coordinator and PEPFAR should continue to strengthen their capacity for private-sector partnerships, learning from a decade of experience and identifying new ways to make smart investments that will make the most efficient use of taxpayer resources, expand proven interventions more rapidly, and help ensure the sustainability of key programs. PMID:22778334

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

    PubMed Central

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

    2015-01-01

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

  18. Beyond indicators: advances in global HIV monitoring and evaluation during the PEPFAR era.

    PubMed

    Porter, Laura E; Bouey, Paul D; Curtis, Sian; Hochgesang, Mindy; Idele, Priscilla; Jefferson, Bobby; Lemma, Wuleta; Myrick, Roger; Nuwagaba-Biribonwoha, Harriet; Prybylski, Dimitri; Souteyrand, Yves; Tulli, Tuhuma

    2012-08-15

    Monitoring and evaluation (M&E) is fundamental to global HIV program implementation and has been a cornerstone of the President's Emergency Plan for AIDS Relief (PEPFAR). Rapid results were crucial to demonstrating feasibility and scalability of HIV care and treatment services early in PEPFAR. When national HIV M&E systems were nascent, the rapid influx of funds and the emergency expansion of HIV services contributed to the development of uncoordinated "parallel" information systems to serve donor demands for information. Close collaboration of PEPFAR with multilateral and national partners improved harmonization of indicators, standards, methods, tools, and reports. Concurrent PEPFAR investments in surveillance, surveys, program monitoring, health information systems, and human capacity development began to show signs of progress toward sustainable country-owned systems. Awareness of the need for and usefulness of data increased, far beyond discussions of indicators and reporting. Emphasis has turned toward ensuring the quality of data and using available data to improve the quality of care. Assessing progress toward an AIDS-free generation requires that the global community can measure the reduction of new HIV infections in children and adults and monitor the coverage, quality, and outcomes of highly efficacious interventions in combination. Building national M&E systems requires sustained efforts over long periods of time with effective leadership and coordination. PEPFAR, in close collaboration with its global and national partners, is well positioned to transform the successes and challenges associated with early rapid scale-up into future opportunities for sustainable, cost-effective, country-owned programs and systems. PMID:22797733

  19. Beyond indicators: advances in global HIV monitoring and evaluation during the PEPFAR era.

    PubMed

    Porter, Laura E; Bouey, Paul D; Curtis, Sian; Hochgesang, Mindy; Idele, Priscilla; Jefferson, Bobby; Lemma, Wuleta; Myrick, Roger; Nuwagaba-Biribonwoha, Harriet; Prybylski, Dimitri; Souteyrand, Yves; Tulli, Tuhuma

    2012-08-15

    Monitoring and evaluation (M&E) is fundamental to global HIV program implementation and has been a cornerstone of the President's Emergency Plan for AIDS Relief (PEPFAR). Rapid results were crucial to demonstrating feasibility and scalability of HIV care and treatment services early in PEPFAR. When national HIV M&E systems were nascent, the rapid influx of funds and the emergency expansion of HIV services contributed to the development of uncoordinated "parallel" information systems to serve donor demands for information. Close collaboration of PEPFAR with multilateral and national partners improved harmonization of indicators, standards, methods, tools, and reports. Concurrent PEPFAR investments in surveillance, surveys, program monitoring, health information systems, and human capacity development began to show signs of progress toward sustainable country-owned systems. Awareness of the need for and usefulness of data increased, far beyond discussions of indicators and reporting. Emphasis has turned toward ensuring the quality of data and using available data to improve the quality of care. Assessing progress toward an AIDS-free generation requires that the global community can measure the reduction of new HIV infections in children and adults and monitor the coverage, quality, and outcomes of highly efficacious interventions in combination. Building national M&E systems requires sustained efforts over long periods of time with effective leadership and coordination. PEPFAR, in close collaboration with its global and national partners, is well positioned to transform the successes and challenges associated with early rapid scale-up into future opportunities for sustainable, cost-effective, country-owned programs and systems.

  20. 'Low-hanging fruit': counting and accounting for children in PEPFAR-funded HIV/AIDS programmes in South Africa.

    PubMed

    Reynolds, Lindsey J

    2014-01-01

    The article traces the social life of a policy that aimed to define and circumscribe the ambiguous and contested category of 'orphaned and vulnerable children' (or OVC) in South Africa at the height of the 'emergency response' to HIV/AIDS. Drawing on several months of institutional ethnographic research conducted over the course of five years with South African organisations receiving funding from the US President's Emergency Plan for AIDS Relief to provide services to 'OVC', the project interrogates the influence of governmental forms of counting and accounting on health policy and practice in South Africa. Focusing on the experiences of one organisation, the article describes a process of policy 'translation' typified by a series of disconnects between the intentions of a policy and the exigencies of implementation, structured by the ambiguous and flexible nature of the 'OVC' category. In this context, the article argues that the uncertainty produced by the implementation of the guidelines was not simply an artefact of a poorly designed policy, but rather signals an underlying epistemological tension in the practice of 'global health', in which quantitative metrics designed for monitoring and evaluation are often incapable of approximating the complexities of everyday life.

  1. PEPFAR Scale-up of Pediatric HIV Services: Innovations, Achievements, and Challenges

    PubMed Central

    Abrams, Elaine J.; Simonds, R. J.; Modi, Surbhi; Rivadeneira, Emilia; Vaz, Paula; Kankasa, Chipepo; Tindyebwa, Denis; Phelps, B. Ryan; Bowsky, Sara; Teasdale, Chloe A.; Koumans, Emilia; Ruff, Andrea J.

    2016-01-01

    HIV/AIDS has had a profound impact on children around the world since the start of the epidemic. There are currently 3.4 million children under the age of 15 years living with HIV globally, and more than 450,000 children currently receiving lifesaving antiretroviral treatment. This article describes efforts supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) to expand access to treatment for children living with HIV in high-burden countries. The article also highlights a series of case studies that illustrate the impact that the PEPFAR initiative has had on the pediatric HIV epidemic. Through its support of host governments and partner organizations, the PEPFAR initiative has expanded HIV testing and treatment for pregnant women to reduce vertical transmission of HIV, increased access to early infant diagnosis for HIV-exposed infants, improved training and resources for clinicians who provide pediatric care and antiretroviral treatment, and, through public–private partnerships with pharmaceutical manufacturers, helped increase the number of medications available for the treatment of HIV-infected children in resource-limited settings. PMID:22797731

  2. PEPFAR scale-up of pediatric HIV services: innovations, achievements, and challenges.

    PubMed

    Abrams, Elaine J; Simonds, R J; Modi, Surbhi; Rivadeneira, Emilia; Vaz, Paula; Kankasa, Chipepo; Tindyebwa, Denis; Phelps, B Ryan; Bowsky, Sara; Teasdale, Chloe A; Koumans, Emilia; Ruff, Andrea J

    2012-08-15

    HIV/AIDS has had a profound impact on children around the world since the start of the epidemic. There are currently 3.4 million children under the age of 15 years living with HIV globally, and more than 450,000 children currently receiving lifesaving antiretroviral treatment. This article describes efforts supported by the President's Emergency Plan for AIDS Relief (PEPFAR) to expand access to treatment for children living with HIV in high-burden countries. The article also highlights a series of case studies that illustrate the impact that the PEPFAR initiative has had on the pediatric HIV epidemic. Through its support of host governments and partner organizations, the PEPFAR initiative has expanded HIV testing and treatment for pregnant women to reduce vertical transmission of HIV, increased access to early infant diagnosis for HIV-exposed infants, improved training and resources for clinicians who provide pediatric care and antiretroviral treatment, and, through public-private partnerships with pharmaceutical manufacturers, helped increase the number of medications available for the treatment of HIV-infected children in resource-limited settings.

  3. PEPFAR scale-up of pediatric HIV services: innovations, achievements, and challenges.

    PubMed

    Abrams, Elaine J; Simonds, R J; Modi, Surbhi; Rivadeneira, Emilia; Vaz, Paula; Kankasa, Chipepo; Tindyebwa, Denis; Phelps, B Ryan; Bowsky, Sara; Teasdale, Chloe A; Koumans, Emilia; Ruff, Andrea J

    2012-08-15

    HIV/AIDS has had a profound impact on children around the world since the start of the epidemic. There are currently 3.4 million children under the age of 15 years living with HIV globally, and more than 450,000 children currently receiving lifesaving antiretroviral treatment. This article describes efforts supported by the President's Emergency Plan for AIDS Relief (PEPFAR) to expand access to treatment for children living with HIV in high-burden countries. The article also highlights a series of case studies that illustrate the impact that the PEPFAR initiative has had on the pediatric HIV epidemic. Through its support of host governments and partner organizations, the PEPFAR initiative has expanded HIV testing and treatment for pregnant women to reduce vertical transmission of HIV, increased access to early infant diagnosis for HIV-exposed infants, improved training and resources for clinicians who provide pediatric care and antiretroviral treatment, and, through public-private partnerships with pharmaceutical manufacturers, helped increase the number of medications available for the treatment of HIV-infected children in resource-limited settings. PMID:22797731

  4. Scale-up of HIV treatment through PEPFAR: a historic public health achievement.

    PubMed

    El-Sadr, Wafaa M; Holmes, Charles B; Mugyenyi, Peter; Thirumurthy, Harsha; Ellerbrock, Tedd; Ferris, Robert; Sanne, Ian; Asiimwe, Anita; Hirnschall, Gottfried; Nkambule, Rejoice N; Stabinski, Lara; Affrunti, Megan; Teasdale, Chloe; Zulu, Isaac; Whiteside, Alan

    2012-08-15

    Since its inception in 2003, the US President's Emergency Plan for AIDS Relief (PEPFAR) has been an important driving force behind the global scale-up of HIV care and treatment services, particularly in expansion of access to antiretroviral therapy. Despite initial concerns about cost and feasibility, PEPFAR overcame challenges by leveraging and coordinating with other funders, by working in partnership with the most affected countries, by supporting local ownership, by using a public health approach, by supporting task-shifting strategies, and by paying attention to health systems strengthening. As of September 2011, PEPFAR directly supported initiation of antiretroviral therapy for 3.9 million people and provided care and support for nearly 13 million people. Benefits in terms of prevention of morbidity and mortality have been reaped by those receiving the services, with evidence of societal benefits beyond the anticipated clinical benefits. However, much remains to be accomplished to achieve universal access, to enhance the quality of programs, to ensure retention of patients in care, and to continue to strengthen health systems. PMID:22797746

  5. Scale-up of HIV treatment through PEPFAR: a historic public health achievement.

    PubMed

    El-Sadr, Wafaa M; Holmes, Charles B; Mugyenyi, Peter; Thirumurthy, Harsha; Ellerbrock, Tedd; Ferris, Robert; Sanne, Ian; Asiimwe, Anita; Hirnschall, Gottfried; Nkambule, Rejoice N; Stabinski, Lara; Affrunti, Megan; Teasdale, Chloe; Zulu, Isaac; Whiteside, Alan

    2012-08-15

    Since its inception in 2003, the US President's Emergency Plan for AIDS Relief (PEPFAR) has been an important driving force behind the global scale-up of HIV care and treatment services, particularly in expansion of access to antiretroviral therapy. Despite initial concerns about cost and feasibility, PEPFAR overcame challenges by leveraging and coordinating with other funders, by working in partnership with the most affected countries, by supporting local ownership, by using a public health approach, by supporting task-shifting strategies, and by paying attention to health systems strengthening. As of September 2011, PEPFAR directly supported initiation of antiretroviral therapy for 3.9 million people and provided care and support for nearly 13 million people. Benefits in terms of prevention of morbidity and mortality have been reaped by those receiving the services, with evidence of societal benefits beyond the anticipated clinical benefits. However, much remains to be accomplished to achieve universal access, to enhance the quality of programs, to ensure retention of patients in care, and to continue to strengthen health systems.

  6. The convergence of American and Nigerian religious conservatism in a biopolitical shaping of Nigeria's HIV/AIDS prevention programmes

    PubMed Central

    Jappah, Jlateh V.

    2013-01-01

    Nigeria has the largest number of HIV/AIDS cases in West Africa, with 3.3 million people estimated to be living with the disease. The country remains a fragile democratic state and has allocated insufficient resources to combat the spread of HIV/AIDS among its citizens. The preponderance of President's Emergency Plan for AIDS Relief (PEPFAR) dollars, expert knowledge, conservative ideology and activities has shaped the direction of HIV/AIDS sexual-transmission prevention programmes in Nigeria. PEPFAR channels significant resources through Nigerian faith-based organisations (FBOs), and considers these organisations integral for HIV prevention strategies. In many instances, HIV/AIDS prevention programmes managed by FBOs reflect their ideologies of morality and sexuality. There is a convergence of religious ideology concerning morality and HIV infectivity between American and Nigerian conservatives; this produces a fertile ground for the influence and expansion of the conservative activities of PEPFAR in Nigeria. The paper highlights this nexus and draws attention to the biopolitical underpinning of PEPFAR in shaping Nigeria's HIV prevention programmes. The paper further notes both positive and negative effects of PEPFAR activities and attempts by the Obama administration to redirect PEPFAR to a more holistic approach in order to optimise outcomes. PMID:23391163

  7. Voluntary medical male circumcision: an HIV prevention priority for PEPFAR.

    PubMed

    Reed, Jason Bailey; Njeuhmeli, Emmanuel; Thomas, Anne Goldzier; Bacon, Melanie C; Bailey, Robert; Cherutich, Peter; Curran, Kelly; Dickson, Kim; Farley, Tim; Hankins, Catherine; Hatzold, Karin; Justman, Jessica; Mwandi, Zebedee; Nkinsi, Luke; Ridzon, Renee; Ryan, Caroline; Bock, Naomi

    2012-08-15

    As the science demonstrating strong evidence for voluntary medical male circumcision (VMMC) for HIV prevention has evolved, the President's Emergency Plan for AIDS Relief (PEPFAR) has collaborated with international agencies, donors, and partner country governments supporting VMMC programming. Mathematical models forecast that quickly reaching a large number of uncircumcised men with VMMC in strategically chosen populations may dramatically reduce community-level HIV incidence and save billions of dollars in HIV care and treatment costs. Because VMMC is a 1-time procedure that confers life-long partial protection against HIV, programs for adult men are vital short-term investments with long-term benefits. VMMC also provides a unique opportunity to reach boys and men with HIV testing and counseling services and referrals for other HIV services, including treatment. After formal recommendations by WHO in 2007, priority countries have pursued expansion of VMMC. More than 1 million males have received VMMC thus far, with the most notable successes coming from Kenya's Nyanza Province. However, a myriad of necessary cultural, political, and ethical considerations have moderated the pace of overall success. Because many millions more uncircumcised men would benefit from VMMC services now, US President Barack Obama committed PEPFAR to provide 4.7 million males with VMMC by 2014. Innovative circumcision methods-such as medical devices that remove the foreskin without injected anesthesia and/or sutures-are being rigorously evaluated. Incorporation of safe innovations into surgical VMMC programs may provide the opportunity to reach more men more quickly with services and dramatically reduce HIV incidence for all. PMID:22797745

  8. Voluntary medical male circumcision: an HIV prevention priority for PEPFAR.

    PubMed

    Reed, Jason Bailey; Njeuhmeli, Emmanuel; Thomas, Anne Goldzier; Bacon, Melanie C; Bailey, Robert; Cherutich, Peter; Curran, Kelly; Dickson, Kim; Farley, Tim; Hankins, Catherine; Hatzold, Karin; Justman, Jessica; Mwandi, Zebedee; Nkinsi, Luke; Ridzon, Renee; Ryan, Caroline; Bock, Naomi

    2012-08-15

    As the science demonstrating strong evidence for voluntary medical male circumcision (VMMC) for HIV prevention has evolved, the President's Emergency Plan for AIDS Relief (PEPFAR) has collaborated with international agencies, donors, and partner country governments supporting VMMC programming. Mathematical models forecast that quickly reaching a large number of uncircumcised men with VMMC in strategically chosen populations may dramatically reduce community-level HIV incidence and save billions of dollars in HIV care and treatment costs. Because VMMC is a 1-time procedure that confers life-long partial protection against HIV, programs for adult men are vital short-term investments with long-term benefits. VMMC also provides a unique opportunity to reach boys and men with HIV testing and counseling services and referrals for other HIV services, including treatment. After formal recommendations by WHO in 2007, priority countries have pursued expansion of VMMC. More than 1 million males have received VMMC thus far, with the most notable successes coming from Kenya's Nyanza Province. However, a myriad of necessary cultural, political, and ethical considerations have moderated the pace of overall success. Because many millions more uncircumcised men would benefit from VMMC services now, US President Barack Obama committed PEPFAR to provide 4.7 million males with VMMC by 2014. Innovative circumcision methods-such as medical devices that remove the foreskin without injected anesthesia and/or sutures-are being rigorously evaluated. Incorporation of safe innovations into surgical VMMC programs may provide the opportunity to reach more men more quickly with services and dramatically reduce HIV incidence for all.

  9. Voluntary Medical Male Circumcision: An HIV Prevention Priority for PEPFAR

    PubMed Central

    Reed, Jason Bailey; Njeuhmeli, Emmanuel; Thomas, Anne Goldzier; Bacon, Melanie C.; Bailey, Robert; Cherutich, Peter; Curran, Kelly; Dickson, Kim; Farley, Tim; Hankins, Catherine; Hatzold, Karin; Justman, Jessica; Mwandi, Zebedee; Nkinsi, Luke; Ridzon, Renee; Ryan, Caroline; Bock, Naomi

    2013-01-01

    As the science demonstrating strong evidence for voluntary medical male circumcision (VMMC) for HIV prevention has evolved, the President’s Emergency Plan for AIDS Relief (PEPFAR) has collaborated with international agencies, donors, and partner country governments supporting VMMC programming. Mathematical models forecast that quickly reaching a large number of uncircumcised men with VMMC in strategically chosen populations may dramatically reduce community-level HIV incidence and save billions of dollars in HIV care and treatment costs. Because VMMC is a 1-time procedure that confers life-long partial protection against HIV, programs for adult men are vital short-term investments with long-term benefits. VMMC also provides a unique opportunity to reach boys and men with HIV testing and counseling services and referrals for other HIV services, including treatment. After formal recommendations by WHO in 2007, priority countries have pursued expansion of VMMC. More than 1 million males have received VMMC thus far, with the most notable successes coming from Kenya’s Nyanza Province. However, a myriad of necessary cultural, political, and ethical considerations have moderated the pace of overall success. Because many millions more uncircumcised men would benefit from VMMC services now, US President Barack Obama committed PEPFAR to provide 4.7 million males with VMMC by 2014. Innovative circumcision methods—such as medical devices that remove the foreskin without injected anesthesia and/or sutures—are being rigorously evaluated. Incorporation of safe innovations into surgical VMMC programs may provide the opportunity to reach more men more quickly with services and dramatically reduce HIV incidence for all. PMID:22797745

  10. 78 FR 33144 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-03

    ... Acting Director of the Office of Research and Science, and the Designated Federal Officer for the SAB... prevention studies and implementation science awards; recommendations to Ambassador Goosby on lubricant safety, and data management. The public may call into this conference call at the following number:...

  11. 78 FR 31626 - Notice of Public Meeting of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ... Acting Director of the Office of Research and Science, and the Designated Federal Officer for the SAB... prevention studies and implementation science awards; recommendations to Ambassador Goosby on lubricant safety, and data management. The public may call into this conference call at the following number:...

  12. PEPFAR's evolving HIV prevention approaches for key populations--people who inject drugs, men who have sex with men, and sex workers: progress, challenges, and opportunities.

    PubMed

    Needle, Richard; Fu, Joe; Beyrer, Chris; Loo, Virginia; Abdul-Quader, Abu S; McIntyre, James A; Li, Zhijun; Mbwambo, Jessie K K; Muthui, Mercy; Pick, Billy

    2012-08-15

    In most countries, the burden of HIV among people who inject drugs, men who have sex with men, and sex workers is disproportionately high compared with that in the general population. Meanwhile, coverage rates of effective interventions among those key populations (KPs) are extremely low, despite a strong evidence base about the effectiveness of currently available interventions. In its first decade, President's Emergency Plan for AIDS Relief (PEPFAR) is making progress in responding to HIV/AIDS, its risk factors, and the needs of KPs. Recent surveillance, surveys, and size estimation activities are helping PEPFAR country programs better estimate the HIV disease burden, understand risk behavior trends, and determine coverage and resources required for appropriate scale-up of services for KPs. To expand country planning of programs to further reduce HIV burden and increase coverage among KPs, PEPFAR has developed a strategy consisting of technical documents on the prevention of HIV among people who inject drugs (July 2010) and prevention of HIV among men who have sex with men (May 2011), linked with regional meetings and assistance visits to guide the adoption and scale-up of comprehensive packages of evidence-based prevention services for KPs. The implementation and scaling up of available and targeted interventions adapted for KPs are important steps in gaining better control over the spread and impact of HIV/AIDS among these populations.

  13. 78 FR 46952 - Relief-Mart, Inc.; Analysis of Proposed Consent Order To Aid Public Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... Marketing Claims, 77 FR 62, 122, 62,123 (Oct. 11, 2012). Parts III though VI require Relief-Mart to: Keep... Relief-Mart, Inc.; Analysis of Proposed Consent Order To Aid Public Comment AGENCY: Federal Trade.... The attached Analysis to Aid Public Comment describes both the allegations in the draft complaint...

  14. ‘Low-hanging fruit’: Counting and accounting for children in PEPFAR-funded HIV/AIDS programmes in South Africa

    PubMed Central

    Reynolds, Lindsey J.

    2014-01-01

    The article traces the social life of a policy that aimed to define and circumscribe the ambiguous and contested category of the ‘orphaned and vulnerable children’ (OVC) in South Africa at the height of the ‘emergency response’ to HIV/AIDS. Drawing on several months of institutional ethnographic research conducted over the course of five years with South African organisations receiving funding from the US President’s Emergency Plan for AIDS Relief to provide services to ‘OVC’, the project interrogates the influence of governmental forms of counting and accounting on health policy and practice in South Africa. Focusing on the experiences of one organisation, the article describes a process of policy ‘translation’ typified by a series of disconnects between the intentions of a policy and the exigencies of implementation, structured by the ambiguous and flexible nature of the category of the ‘orphaned and vulnerable child’. In this context, the article argues, the uncertainty produced by the implementation of the guidelines was not simply an artifact of a poorly designed policy, but rather signals an underlying epistemological tension in the practice of ‘global health’, in which quantitative metrics designed for monitoring and evaluation are often incapable of approximating the complexities of everyday life. PMID:24498970

  15. PEPFAR Transitions to Country Ownership: Review of Past Donor Transitions and Application of Lessons Learned to the Eastern Caribbean.

    PubMed

    Vogus, Abigail; Graff, Kylie

    2015-01-01

    The US President's Emergency Plan for AIDS Relief (PEPFAR) has shifted from an emergency response to a sustainable, country-owned response. The process of transition to country ownership is already underway in the Eastern Caribbean; the Office of the US Global AIDS Coordinator (OGAC) has advised the region that PEPFAR funding is being redirected away from the Eastern Caribbean toward Caribbean countries with high disease burden to strengthen services for key populations. This article seeks to highlight and apply lessons learned from other donor transitions to support a successful transition of HIV programs in the Eastern Caribbean. Based on a rapid review of both peer-reviewed and gray literature on donor transitions to country ownership in family planning, HIV, and other areas, we identified 48 resources that addressed key steps in the transition process and determinants of readiness for transition. Analysis of the existing literature revealed 6 steps that could help ensure successful transition, including developing a clear roadmap articulated through high-level diplomacy; investing in extensive stakeholder engagement; and supporting monitoring and evaluation during and after the transition to adjust course as needed. Nine specific areas to assess a country's readiness for transition include: leadership and management capacity, political and economic factors, the policy environment, identification of alternative funding sources, integration of HIV programs into the wider health system, the institutionalization of processes, the strength of procurement and supply chain management, identification of staffing and training needs, and engagement of civil society and the private sector. In the Caribbean, key areas requiring strengthening to ensure countries in the region can maintain the gains made under PEPFAR include further engaging civil society and the private sector, building the capacity of NGOs to take on essential program functions, and maintaining donor

  16. PEPFAR Transitions to Country Ownership: Review of Past Donor Transitions and Application of Lessons Learned to the Eastern Caribbean.

    PubMed

    Vogus, Abigail; Graff, Kylie

    2015-06-17

    The US President's Emergency Plan for AIDS Relief (PEPFAR) has shifted from an emergency response to a sustainable, country-owned response. The process of transition to country ownership is already underway in the Eastern Caribbean; the Office of the US Global AIDS Coordinator (OGAC) has advised the region that PEPFAR funding is being redirected away from the Eastern Caribbean toward Caribbean countries with high disease burden to strengthen services for key populations. This article seeks to highlight and apply lessons learned from other donor transitions to support a successful transition of HIV programs in the Eastern Caribbean. Based on a rapid review of both peer-reviewed and gray literature on donor transitions to country ownership in family planning, HIV, and other areas, we identified 48 resources that addressed key steps in the transition process and determinants of readiness for transition. Analysis of the existing literature revealed 6 steps that could help ensure successful transition, including developing a clear roadmap articulated through high-level diplomacy; investing in extensive stakeholder engagement; and supporting monitoring and evaluation during and after the transition to adjust course as needed. Nine specific areas to assess a country's readiness for transition include: leadership and management capacity, political and economic factors, the policy environment, identification of alternative funding sources, integration of HIV programs into the wider health system, the institutionalization of processes, the strength of procurement and supply chain management, identification of staffing and training needs, and engagement of civil society and the private sector. In the Caribbean, key areas requiring strengthening to ensure countries in the region can maintain the gains made under PEPFAR include further engaging civil society and the private sector, building the capacity of NGOs to take on essential program functions, and maintaining donor

  17. PEPFAR Transitions to Country Ownership: Review of Past Donor Transitions and Application of Lessons Learned to the Eastern Caribbean

    PubMed Central

    Vogus, Abigail; Graff, Kylie

    2015-01-01

    The US President’s Emergency Plan for AIDS Relief (PEPFAR) has shifted from an emergency response to a sustainable, country-owned response. The process of transition to country ownership is already underway in the Eastern Caribbean; the Office of the US Global AIDS Coordinator (OGAC) has advised the region that PEPFAR funding is being redirected away from the Eastern Caribbean toward Caribbean countries with high disease burden to strengthen services for key populations. This article seeks to highlight and apply lessons learned from other donor transitions to support a successful transition of HIV programs in the Eastern Caribbean. Based on a rapid review of both peer-reviewed and gray literature on donor transitions to country ownership in family planning, HIV, and other areas, we identified 48 resources that addressed key steps in the transition process and determinants of readiness for transition. Analysis of the existing literature revealed 6 steps that could help ensure successful transition, including developing a clear roadmap articulated through high-level diplomacy; investing in extensive stakeholder engagement; and supporting monitoring and evaluation during and after the transition to adjust course as needed. Nine specific areas to assess a country’s readiness for transition include: leadership and management capacity, political and economic factors, the policy environment, identification of alternative funding sources, integration of HIV programs into the wider health system, the institutionalization of processes, the strength of procurement and supply chain management, identification of staffing and training needs, and engagement of civil society and the private sector. In the Caribbean, key areas requiring strengthening to ensure countries in the region can maintain the gains made under PEPFAR include further engaging civil society and the private sector, building the capacity of NGOs to take on essential program functions, and maintaining donor

  18. Understanding HIV-infected patients' experiences with PEPFAR-associated transitions at a Centre of Excellence in KwaZulu Natal, South Africa: a qualitative study.

    PubMed

    Katz, Ingrid T; Bogart, Laura M; Cloete, Christie; Crankshaw, Tamaryn L; Giddy, Janet; Govender, Tessa; Gaynes, Melanie R; Leone, Dominick; Losina, Elena; Bassett, Ingrid V

    2015-01-01

    South Africa was the largest recipient of funding from the President's Emergency Plan for AIDS Relief (PEPFAR) for antiretroviral therapy (ART) programs from 2004 to 2012. Funding decreases have led to transfers from hospital and non-governmental organization-based care to government-funded, community-based clinics. We conducted semi-structured interviews with 36 participants to assess patient experiences related to transfer of care from a PEPFAR-funded, hospital-based clinic in Durban to either primary care clinics or hospital-based clinics. Participant narratives revealed the importance of connectedness between patients and the PEPFAR-funded clinic program staff, who were described as respectful and conscientious. Participants reported that transfer clinics were largely focused on dispensing medication and on throughput, rather than holistic care. Although participants appreciated the free treatment at transfer sites, they expressed frustration with long waiting times and low perceived quality of patient-provider communication, and felt that they were treated disrespectfully. These factors eroded confidence in the quality of the care. The transfer was described by participants as hurried with an apparent lack of preparation at transfer clinics for new patient influx. Formal (e.g., counseling) and informal (e.g., family) social supports, both within and beyond the PEPFAR-funded clinic, provided a buffer to challenges faced during and after the transition in care. These data support the importance of social support, adequate preparation for transfer, and improving the quality of care in receiving clinics, in order to optimize retention in care and long-term adherence to treatment. PMID:26300297

  19. Training for Better Management: Avante Zambézia, PEPFAR and Improving the Quality of Administrative Services

    PubMed Central

    Schwarcz, Sandra K.; Rutherford, George W.; Horvath, Hacsi

    2015-01-01

    The United States President’s Emergency Plan for AIDS Relief (PEPFAR) emphasizes health systems strengthening as a cornerstone of programmatic success. Health systems strengthening, among other things, includes effective capacity building for clinical care, administrative management and public health practice. Avante Zambézia is a district-level in-service training program for administrative staff. It is associated with improved accounting practices and human resources and transportation management but not monitoring and evaluation. We discuss other examples of successful administrative training programs that vary in the proportion of time that is spent learning on the job and the proportion of time spent in classrooms. We suggest that these programs be more rigorously evaluated so that lessons learned can be generalized to other countries and regions. PMID:26673340

  20. Increased utilisation of PEPFAR-supported laboratory services by non-HIV patents in Tanzania

    PubMed Central

    McNairy, Margaret L.; Gwynn, Charon; Rabkin, Miriam; Antelman, Gretchen; Wu, Yingfeng; Alemayehu, Bereket; Lim, Travis; Imtiaz, Rubina; Mosha, Fausta; Mwasekaga, Michael; Othman, Asha A.; Justman, Jessica

    2016-01-01

    Background It is unknown to what extent the non-HIV population utilises laboratories supported by the President's Emergency Plan for AIDS Relief (PEPFAR). Objectives We aimed to describe the number and proportion of laboratory tests performed in 2009 and 2011 for patients referred from HIV and non-HIV services (NHSs) in a convenience sample collected from 127 laboratories supported by PEPFAR in Tanzania. We then compared changes in the proportions of tests performed for patients referred from NHSs in 2009 vs 2011. Methods Haematology, chemistry, tuberculosis and syphilis test data were collected from available laboratory registers. Referral sources, including HIV services, NHSs, or lack of a documented referral source, were recorded. A generalised linear mixed model reported the odds that a test was from a NHS. Results A total of 94 132 tests from 94 laboratories in 2009 and 157 343 tests from 101 laboratories in 2011 were recorded. Half of all tests lacked a documented referral source. Tests from NHSs constituted 42% (66 084) of all tests in 2011, compared with 31% (29 181) in 2009. A test in 2011 was twice as likely to have been referred from a NHS as in 2009 (adjusted odds ratio: 2.0 [95% confidence interval: 2.0–2.1]). Conclusion Between 2009 and 2011, the number and proportion of tests from NHSs increased across all types of test. This finding may reflect increased documentation of NHS referrals or that the laboratory scale-up originally intended to service the HIV-positive population in Tanzania may be associated with a ‘spillover effect’ amongst the general population. PMID:26962475

  1. An analysis of the implementation of PEPFAR's anti-prostitution pledge and its implications for successful HIV prevention among organizations working with sex workers

    PubMed Central

    Ditmore, Melissa Hope; Allman, Dan

    2013-01-01

    Introduction Since 2003, US government funding to address the HIV and AIDS pandemic has been subject to an anti-prostitution clause. Simultaneously, the efficacy of some HIV prevention efforts for sex work in areas receiving US government funding has diminished. This article seeks to explain why. Methods This analysis utilizes a case story approach to build a narrative of defining features of organizations in receipt of funding from the President's Emergency Plan for AIDS Relief (PEPFAR) and other US funding sources. For this analysis, multiple cases were compiled within a single narrative. This helps show restrictions imposed by the anti-prostitution clause, any lack of clarity of guidelines for implementation and ways some agencies, decision-making personnel, and staff on the ground contend with these restrictions. Results Responses to PEPFAR's anti-prostitution clause vary widely and have varied over time. Organizational responses have included ending services for sex workers, gradual phase-out of services, cessation of seeking US government HIV funds and increasing isolation of sex workers. Guidance issued in 2010 did not clarify what was permitted. Implementation and enforcement has been dependent in part on the interpretations of this policy by individuals, including US government representatives and organizational staff. Conclusions Different interpretations of the anti-prostitution clause have led to variations in programming, affecting the effectiveness of work with sex workers. The case story approach proved ideal for working with information like this that is highly sensitive and vulnerable to breach of anonymity because the method limits the potential to betray confidences and sources, and limits the potential to jeopardize funding and thereby jeopardize programming. This method enabled us to use specific examples without jeopardizing the organizations and individuals involved while demonstrating unintended consequences of PEPFAR's anti

  2. The President's Emergency Plan for AIDS Relief: Report on Education

    ERIC Educational Resources Information Center

    US Department of State, 2006

    2006-01-01

    For too many children, education has been a casualty of the HIV/AIDS pandemic. Yet schooling remains an essential element of a robust individual and societal future, and partnerships with the education sector provide important opportunities to fight back against the pandemic. The United States Government (USG) supports efforts to address the…

  3. Improving the Quality of Voluntary Medical Male Circumcision through Use of the Continuous Quality Improvement Approach: A Pilot in 30 PEPFAR-Supported Sites in Uganda

    PubMed Central

    Opio, Alex; Calnan, Jacqueline; Njeuhmeli, Emmanuel

    2015-01-01

    Background Uganda adopted voluntary medical male circumcision (VMMC) (also called Safe Male Circumcision in Uganda), as part of its HIV prevention strategy in 2010. Since then, the Ministry of Health (MOH) has implemented VMMC mostly with support from the United States President’s Emergency Plan for AIDS Relief (PEPFAR) through its partners. In 2012, two PEPFAR-led external quality assessments evaluated compliance of service delivery sites with minimum quality standards. Quality gaps were identified, including lack of standardized forms or registers, lack of documentation of client consent, poor preparedness for emergencies and use of untrained service providers. In response, PEPFAR, through a USAID-supported technical assistance project, provided support in quality improvement to the MOH and implementing partners to improve quality and safety in VMMC services and build capacity of MOH staff to continuously improve VMMC service quality. Methods and Findings Sites were supported to identify barriers in achieving national standards, identify possible solutions to overcome the barriers and carry out improvement plans to test these changes, while collecting performance data to objectively measure whether they had bridged gaps. A 53-indicator quality assessment tool was used by teams as a management tool to measure progress; teams also measured client-level indicators through self-assessment of client records. At baseline (February-March 2013), less than 20 percent of sites scored in the “good” range (>80%) for supplies and equipment, patient counseling and surgical procedure; by November 2013, the proportion of sites scoring “good” rose to 67 percent, 93 percent and 90 percent, respectively. Significant improvement was noted in post-operative follow-up at 48 hours, sexually transmitted infection assessment, informed consent and use of local anesthesia but not rate of adverse events. Conclusion Public sector providers can be engaged to address the quality of

  4. Art therapy for relief of symptoms associated with HIV/AIDS.

    PubMed

    Rao, Deepa; Nainis, Nancy; Williams, Lisa; Langner, Daughon; Eisin, Audra; Paice, Judith

    2009-01-01

    Symptom management for persons living with HIV/AIDS is an extremely important component of care management. The importance of pharmacologic interventions for management of symptoms is well recognized, and non-pharmacologic strategies such as art therapy are gaining interest in lay and professional communities. The aim of this research project was to test the feasibility and effectiveness of art therapy for relief of symptoms experienced by people living with HIV/AIDS. In this randomized clinical trial of art therapy, the primary objective was to assess change in physical and psychological symptoms. Participants were recruited from a large urban hospital's inpatient population and outpatient HIV clinic. Seventy-nine people with a diagnosis of HIV infection provided socio-demographic information, participated in either a one-hour art therapy session or viewed a videotape about art therapy, and completed pre- and posttest measures of psychological and physical symptoms. Two separate analysis of covariance models were used to identify if the treatment condition influenced psychological and physical symptoms, after adjusting for pretest score, age, gender, and race/ethnicity. The analyses showed that physical symptom mean scores were better for those who participated in the art therapy compared to those who viewed the videotape, and this difference between conditions was statistically significant (p<0.05). Thus, the study demonstrated the potential benefits of one session of art therapy in relation to symptoms associated with HIV/AIDS.

  5. Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

    PubMed Central

    Noguchi, Norihito; Inoue, Satoshi; Shimanoe, Chisato; Shibayama, Kaoru; Shinchi, Koichi

    2016-01-01

    Background Although nurses play an important role in humanitarian aid and disaster relief (HA/DR), little is known about the nursing activities that are performed in HA/DR. We aimed to clarify the nursing activities performed by Japanese nurses in HA/DR and to examine the factors associated with the frequency of nursing activities. Methods A self-administered questionnaire survey was completed by 147 nurses with HA/DR experience. The survey extracted information on demographic characteristics, past experience (e.g., disaster medical training experience, HA/DR experience), circumstances surrounding their dispatched to HA/DR (e.g., team size, disaster type, post-disaster phase, mission term), and the frequency of nursing activities performed under HA/DR. The frequency of nursing activities was rated on a 5-point Likert scale. Evaluation of nursing activities was conducted based on the “nursing activity score”, which represents the frequency of each nursing activity. Factors related to the nursing activity score were evaluated by multiple logistic regression analysis. Results Nurses were involved in 27 nursing activities in HA/DR, 10 of which were performed frequently. On analysis, factors significantly associated with nursing activity score were nursing license as a registered nurse (OR 7.79, 95% CI 2.95–20.57), two or more experiences with disaster medical training (OR 2.90 95%, CI 1.12–7.49) and a post-disaster phase of three weeks or longer (OR 8.77, 95% CI 2.59–29.67). Conclusions These results will contribute to the design of evidence-based disaster medical training that improves the quality of nursing activities. PMID:26959351

  6. Saving lives for a lifetime: supporting orphans and vulnerable children impacted by HIV/AIDS.

    PubMed

    Nyberg, Beverly J; Yates, Dee Dee; Lovich, Ronnie; Coulibaly-Traore, Djeneba; Sherr, Lorraine; Thurman, Tonya Renee; Sampson, Anita; Howard, Brian

    2012-08-15

    President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. In launching this international emergency effort and transitioning it toward sustainable local systems, PEPFAR helped establish both the technical content and the central importance of care and support for OVC as a necessary complement to biomedical efforts to end the HIV/AIDS epidemic. Critical services are reaching millions of HIV-affected children and families through vast networks of community-based responders and strengthened national systems of care. But rapid program scale-up has at times resulted in inconsistent responses, failure to match resources to properly assessed needs, and a dearth of rigorous program evaluations. Key investments should continue to be directed toward more sustainable and effective responses. These include greater attention to children's most significant developmental stages, a focus on building the resilience of families and communities, a proper balance of government and civil society investments, and more rigorous evaluation and research to ensure evidence-based programming. Even as HIV prevalence declines and medical treatment improves and expands, the impacts of HIV/AIDS on children, families, communities, economies, and societies will continue to accumulate for generations. Protecting the full potential of children-and thus of societies-requires sustained and strategic global investments aligned with experience and science. PMID:22797734

  7. Saving lives for a lifetime: supporting orphans and vulnerable children impacted by HIV/AIDS.

    PubMed

    Nyberg, Beverly J; Yates, Dee Dee; Lovich, Ronnie; Coulibaly-Traore, Djeneba; Sherr, Lorraine; Thurman, Tonya Renee; Sampson, Anita; Howard, Brian

    2012-08-15

    President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. In launching this international emergency effort and transitioning it toward sustainable local systems, PEPFAR helped establish both the technical content and the central importance of care and support for OVC as a necessary complement to biomedical efforts to end the HIV/AIDS epidemic. Critical services are reaching millions of HIV-affected children and families through vast networks of community-based responders and strengthened national systems of care. But rapid program scale-up has at times resulted in inconsistent responses, failure to match resources to properly assessed needs, and a dearth of rigorous program evaluations. Key investments should continue to be directed toward more sustainable and effective responses. These include greater attention to children's most significant developmental stages, a focus on building the resilience of families and communities, a proper balance of government and civil society investments, and more rigorous evaluation and research to ensure evidence-based programming. Even as HIV prevalence declines and medical treatment improves and expands, the impacts of HIV/AIDS on children, families, communities, economies, and societies will continue to accumulate for generations. Protecting the full potential of children-and thus of societies-requires sustained and strategic global investments aligned with experience and science.

  8. Training for Better Management: Avante Zambézia, PEPFAR and Improving the Quality of Administrative Services Comment on "Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique".

    PubMed

    Schwarcz, Sandra K; Rutherford, George W; Horvath, Hacsi

    2015-07-23

    The United States President's Emergency Plan for AIDS Relief (PEPFAR) emphasizes health systems strengthening as a cornerstone of programmatic success. Health systems strengthening, among other things, includes effective capacity building for clinical care, administrative management and public health practice. Avante Zambézia is a district-level in-service training program for administrative staff. It is associated with improved accounting practices and human resources and transportation management but not monitoring and evaluation. We discuss other examples of successful administrative training programs that vary in the proportion of time that is spent learning on the job and the proportion of time spent in classrooms. We suggest that these programs be more rigorously evaluated so that lessons learned can be generalized to other countries and regions.

  9. Training for Better Management: Avante Zambézia, PEPFAR and Improving the Quality of Administrative Services Comment on "Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique".

    PubMed

    Schwarcz, Sandra K; Rutherford, George W; Horvath, Hacsi

    2015-01-01

    The United States President's Emergency Plan for AIDS Relief (PEPFAR) emphasizes health systems strengthening as a cornerstone of programmatic success. Health systems strengthening, among other things, includes effective capacity building for clinical care, administrative management and public health practice. Avante Zambézia is a district-level in-service training program for administrative staff. It is associated with improved accounting practices and human resources and transportation management but not monitoring and evaluation. We discuss other examples of successful administrative training programs that vary in the proportion of time that is spent learning on the job and the proportion of time spent in classrooms. We suggest that these programs be more rigorously evaluated so that lessons learned can be generalized to other countries and regions. PMID:26673340

  10. 78 FR 22361 - 60-Day Notice of Proposed Information Collection: PEPFAR Program Expenditures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ... program monitoring, the interagency Finance and Economics Work Group supporting PEPFAR has added reporting... monitoring and evaluation on an ongoing basis. Summaries of these data provide key information about program costs under PEPFAR on a global level. Applying expenditure results will improve strategic...

  11. Reconciling State Aid and Property Tax Relief for Urban Schools: Birthing a New STAR in New York State

    ERIC Educational Resources Information Center

    Eom, Tae Ho; Killeen, Kieran M.

    2007-01-01

    Similar to many property tax relief programs, New York State's School Tax Relief (STAR) program has been shown to exacerbate school resource inequities across urban, suburban, and rural schools. STAR's inherent conflict with the wealth equalization policies of New York State's school finance system are highlighted in a manner that effectively…

  12. Intervening in global markets to improve access to HIV/AIDS treatment: an analysis of international policies and the dynamics of global antiretroviral medicines markets

    PubMed Central

    2010-01-01

    Background Universal access to antiretroviral therapy (ART) in low- and middle-income countries faces numerous challenges: increasing numbers of people needing ART, new guidelines recommending more expensive antiretroviral (ARV) medicines, limited financing, and few fixed-dose combination (FDC) products. Global initiatives aim to promote efficient global ARV markets, yet little is known about market dynamics and the impact of global policy interventions. Methods We utilize several data sources, including 12,958 donor-funded, adult first-line ARV purchase transactions, to describe the market from 2002-2008. We examine relationships between market trends and: World Health Organization (WHO) HIV/AIDS treatment guidelines; WHO Prequalification Programme (WHO Prequal) and United States (US) Food and Drug Administration (FDA) approvals; and procurement policies of the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM), US President's Emergency Plan for AIDS Relief (PEPFAR) and UNITAID. Results WHO recommended 7, 4, 24, and 6 first-line regimens in 2002, 2003, 2006 and 2009 guidelines, respectively. 2009 guidelines replaced a stavudine-based regimen ($88/person/year) with more expensive zidovudine- ($154-260/person/year) or tenofovir-based ($244-465/person/year) regimens. Purchase volumes for ARVs newly-recommended in 2006 (emtricitabine, tenofovir) increased >15-fold from 2006 to 2008. Twenty-four generic FDCs were quality-approved for older regimens but only four for newer regimens. Generic FDCs were available to GFATM recipients in 2004 but to PEPFAR recipients only after FDA approval in 2006. Price trends for single-component generic medicines mirrored generic FDC prices. Two large-scale purchasers, PEPFAR and UNITAID, together accounted for 53%, 84%, and 77% of market volume for abacavir, emtricitabine, and tenofovir, respectively, in 2008. PEPFAR and UNITAID purchases were often split across two manufacturers. Conclusions Global initiatives facilitated the

  13. A Computer-Aided Diagnosis System for Dynamic Contrast-Enhanced MR Images Based on Level Set Segmentation and ReliefF Feature Selection

    PubMed Central

    Zhu, Dongmei; Li, Li

    2015-01-01

    This study established a fully automated computer-aided diagnosis (CAD) system for the classification of malignant and benign masses via breast magnetic resonance imaging (BMRI). A breast segmentation method consisting of a preprocessing step to identify the air-breast interfacing boundary and curve fitting for chest wall line (CWL) segmentation was included in the proposed CAD system. The Chan-Vese (CV) model level set (LS) segmentation method was adopted to segment breast mass and demonstrated sufficiently good segmentation performance. The support vector machine (SVM) classifier with ReliefF feature selection was used to merge the extracted morphological and texture features into a classification score. The accuracy, sensitivity, and specificity measurements for the leave-half-case-out resampling method were 92.3%, 98.2%, and 76.2%, respectively. For the leave-one-case-out resampling method, the measurements were 90.0%, 98.7%, and 73.8%, respectively. PMID:25628755

  14. Did PEPFAR investments result in health system strengthening? A retrospective longitudinal study measuring non-HIV health service utilization at the district level.

    PubMed

    Luboga, Samuel Abimerech; Stover, Bert; Lim, Travis W; Makumbi, Frederick; Kiwanuka, Noah; Lubega, Flavia; Ndizihiwe, Assay; Mukooyo, Eddie; Hurley, Erin K; Borse, Nagesh; Wood, Angela; Bernhardt, James; Lohman, Nathaniel; Sheppard, Lianne; Barnhart, Scott; Hagopian, Amy

    2016-09-01

    OBJECTIVES : PEPFAR's initial rapid scale-up approach was largely a vertical effort focused fairly exclusively on AIDS. The purpose of our research was to identify spill-over health system effects, if any, of investments intended to stem the HIV epidemic over a 6-year period with evidence from Uganda. The test of whether there were health system expansions (aside from direct HIV programming) was evidence of increases in utilization of non-HIV services-such as outpatient visits, in-facility births or immunizations-that could be associated with varying levels of PEPFAR investments at the district level. METHODS : Uganda's Health Management Information System article-based records were available from mid-2005 onwards. We visited all 112 District Health offices to collect routine monthly reports (which contain data aggregated from monthly facility reports) and annual reports (which contain data aggregated from annual facility reports). Counts of individuals on anti-retroviral therapy (ART) at year-end served as our primary predictor variable. We grouped district-months into tertiles of high, medium or low PEPFAR investment based on their total reported number of patients on ART at the end of the year. We generated incidence-rate ratios, interpreted as the relative rate of the outcome measure in relation to the lowest investment PEPFAR tertile, holding constant control variables in the model. RESULTS : We found PEPFAR investment overall was associated with small declines in service volumes in several key areas of non-HIV care (outpatient care for young children, TB tests and in-facility deliveries), after adjusting for sanitation, elementary education and HIV prevalence. For example, districts with medium and high ART investment had 11% fewer outpatient visits for children aged 4 and younger compared with low investment districts, incidence rate ratio (IRR) of 0.89 for high investment compared with low (95% CI, 0.85-0.94) and IRR of 0.93 for medium compared with

  15. Did PEPFAR investments result in health system strengthening? A retrospective longitudinal study measuring non-HIV health service utilization at the district level.

    PubMed

    Luboga, Samuel Abimerech; Stover, Bert; Lim, Travis W; Makumbi, Frederick; Kiwanuka, Noah; Lubega, Flavia; Ndizihiwe, Assay; Mukooyo, Eddie; Hurley, Erin K; Borse, Nagesh; Wood, Angela; Bernhardt, James; Lohman, Nathaniel; Sheppard, Lianne; Barnhart, Scott; Hagopian, Amy

    2016-09-01

    OBJECTIVES : PEPFAR's initial rapid scale-up approach was largely a vertical effort focused fairly exclusively on AIDS. The purpose of our research was to identify spill-over health system effects, if any, of investments intended to stem the HIV epidemic over a 6-year period with evidence from Uganda. The test of whether there were health system expansions (aside from direct HIV programming) was evidence of increases in utilization of non-HIV services-such as outpatient visits, in-facility births or immunizations-that could be associated with varying levels of PEPFAR investments at the district level. METHODS : Uganda's Health Management Information System article-based records were available from mid-2005 onwards. We visited all 112 District Health offices to collect routine monthly reports (which contain data aggregated from monthly facility reports) and annual reports (which contain data aggregated from annual facility reports). Counts of individuals on anti-retroviral therapy (ART) at year-end served as our primary predictor variable. We grouped district-months into tertiles of high, medium or low PEPFAR investment based on their total reported number of patients on ART at the end of the year. We generated incidence-rate ratios, interpreted as the relative rate of the outcome measure in relation to the lowest investment PEPFAR tertile, holding constant control variables in the model. RESULTS : We found PEPFAR investment overall was associated with small declines in service volumes in several key areas of non-HIV care (outpatient care for young children, TB tests and in-facility deliveries), after adjusting for sanitation, elementary education and HIV prevalence. For example, districts with medium and high ART investment had 11% fewer outpatient visits for children aged 4 and younger compared with low investment districts, incidence rate ratio (IRR) of 0.89 for high investment compared with low (95% CI, 0.85-0.94) and IRR of 0.93 for medium compared with

  16. PEPFAR, health system strengthening, and promoting sustainability and country ownership.

    PubMed

    Palen, John; El-Sadr, Wafaa; Phoya, Ann; Imtiaz, Rubina; Einterz, Robert; Quain, Estelle; Blandford, John; Bouey, Paul; Lion, Ann

    2012-08-15

    Evidence demonstrates that scale-up of HIV services has produced stronger health systems and, conversely, that stronger health systems were critical to the success of the HIV scale-up. Increased access to and effectiveness of HIV treatment and care programs, attention to long-term sustainability, and recognition of the importance of national governance, and country ownership of HIV programs have resulted in an increased focus on structures that compromise the broader health system. Based on a review published literature and expert opinion, the article proposes 4 key health systems strengthening issues as a means to promote sustainability and country ownership of President's Emergency Plan for AIDS Relief and other global health initiatives. First, development partners need provide capacity building support and to recognize and align resources with national government health strategies and operational plans. Second, investments in human capital, particularly human resources for health, need to be guided by national institutions and supported to ensure the training and retention of skilled, qualified, and relevant health care providers. Third, a range of financing strategies, both new resources and improved efficiencies, need to be pursued as a means to create more fiscal space to ensure sustainable and self-reliant systems. Finally, service delivery models must adjust to recent advancements in areas of HIV prevention and treatment and aim to establish evidence-based delivery models to reduce HIV transmission rates and the overall burden of disease. The article concludes that there needs to be ongoing efforts to identify and implement strategic health systems strengthening interventions and address the inherent tension and debate over investments in health systems.

  17. Health and human rights in today’s fight against HIV/AIDS

    PubMed Central

    Stemple, Lara

    2012-01-01

    The development of the health and human rights framework coincided with the beginning of the rapid spread of HIV/AIDS. Since then, the international community has increasingly turned to human rights language and instruments to address the disease. Not only are human rights essential to addressing a disease that impacts marginalized groups most severely, but the spread of HIV/AIDS itself exacerbates inequality and impedes the realization of a range of human rights. Policy developments of the past decade include the United Nations (UN) Committee on Economic, Social and Cultural Rights’ General Comment on the ‘Right to Health’, the UN Declaration of Commitment on HIV/AIDS, and the UN’s International Guidelines on HIV/AIDS and Human Rights, among others. Rights-related setbacks include the failure of the Declaration and its 5-year follow-up specifically to address men who have sex with men, sex workers, and intravenous drug users, political restrictions placed on urgently needed US President’s Emergency Plan for AIDS Relief (PEPFAR) funds, and the failure of many countries to decriminalize same-sex sex and outlaw discrimination against people living with HIV/AIDS. Male circumcision as an HIV prevention measure is a topic around which important debate, touching on gender, informed consent and children’s rights, serves to illustrate the ongoing vitality of the health and human rights dialogue. Mechanisms to increase state accountability for addressing HIV/AIDS should be explored in greater depth. Such measures might include an increase in the use of treaty-based judicial mechanisms, the linking of human rights compliance with preferential trade agreements, and rights requirements tied to HIV/ AIDS funding. PMID:18641463

  18. Did PEPFAR investments result in health system strengthening? A retrospective longitudinal study measuring non-HIV health service utilization at the district level

    PubMed Central

    Luboga, Samuel Abimerech; Stover, Bert; Lim, Travis W; Makumbi, Frederick; Kiwanuka, Noah; Lubega, Flavia; Ndizihiwe, Assay; Mukooyo, Eddie; Hurley, Erin K; Borse, Nagesh; Wood, Angela; Bernhardt, James; Lohman, Nathaniel; Sheppard, Lianne; Barnhart, Scott; Hagopian, Amy

    2016-01-01

    Objectives PEPFAR’s initial rapid scale-up approach was largely a vertical effort focused fairly exclusively on AIDS. The purpose of our research was to identify spill-over health system effects, if any, of investments intended to stem the HIV epidemic over a 6-year period with evidence from Uganda. The test of whether there were health system expansions (aside from direct HIV programming) was evidence of increases in utilization of non-HIV services—such as outpatient visits, in-facility births or immunizations—that could be associated with varying levels of PEPFAR investments at the district level. Methods Uganda’s Health Management Information System article-based records were available from mid-2005 onwards. We visited all 112 District Health offices to collect routine monthly reports (which contain data aggregated from monthly facility reports) and annual reports (which contain data aggregated from annual facility reports). Counts of individuals on anti-retroviral therapy (ART) at year-end served as our primary predictor variable. We grouped district-months into tertiles of high, medium or low PEPFAR investment based on their total reported number of patients on ART at the end of the year. We generated incidence-rate ratios, interpreted as the relative rate of the outcome measure in relation to the lowest investment PEPFAR tertile, holding constant control variables in the model. Results We found PEPFAR investment overall was associated with small declines in service volumes in several key areas of non-HIV care (outpatient care for young children, TB tests and in-facility deliveries), after adjusting for sanitation, elementary education and HIV prevalence. For example, districts with medium and high ART investment had 11% fewer outpatient visits for children aged 4 and younger compared with low investment districts, incidence rate ratio (IRR) of 0.89 for high investment compared with low (95% CI, 0.85–0.94) and IRR of 0.93 for medium compared

  19. Drumlin relief

    NASA Astrophysics Data System (ADS)

    Spagnolo, Matteo; Clark, Chris D.; Hughes, Anna L. C.

    2012-06-01

    Drumlin relief is a key parameter for testing predictions of models of drumlin formation. Although this metric is commonly described in textbooks as being of the order of a few tens of metres, our critical review of the literature suggests an average value of about 13 m, but with much uncertainty. Here we investigate a large sample of drumlins (25,848) mapped from a high resolution digital terrain model of Britain, which allowed the identification of extremely shallow drumlins. Results indicate that most drumlins have a relief between 0.5 and 40 m (with a surprisingly low average value of only 7.1 m) a mode of 3.5-4 m, and with 41% of all drumlins characterized by a relief < 5 m. Drumlin relief is found to never exceed 7% of the width and is positively correlated with this parameter, possibly indicating that drumlins need a large base to stand against the flow of the ice. Drumlin relief is also positively correlated with the length, which shows that drumlins do not grow in length by redistributing sediments from their summits to their downflow (lee) end, as previously hypothesised.

  20. The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control

    PubMed Central

    Biesma, Regien G; Brugha, Ruairí; Harmer, Andrew; Walsh, Aisling; Spicer, Neil; Walt, Gill

    2009-01-01

    This paper reviews country-level evidence about the impact of global health initiatives (GHIs), which have had profound effects on recipient country health systems in middle and low income countries. We have selected three initiatives that account for an estimated two-thirds of external funding earmarked for HIV/AIDS control in resource-poor countries: the Global Fund to Fight AIDS, TB and Malaria, the World Bank Multi-country AIDS Program (MAP) and the US President's Emergency Plan for AIDS Relief (PEPFAR). This paper draws on 31 original country-specific and cross-country articles and reports, based on country-level fieldwork conducted between 2002 and 2007. Positive effects have included a rapid scale-up in HIV/AIDS service delivery, greater stakeholder participation, and channelling of funds to non-governmental stakeholders, mainly NGOs and faith-based bodies. Negative effects include distortion of recipient countries’ national policies, notably through distracting governments from coordinated efforts to strengthen health systems and re-verticalization of planning, management and monitoring and evaluation systems. Sub-national and district studies are needed to assess the degree to which GHIs are learning to align with and build the capacities of countries to respond to HIV/AIDS; whether marginalized populations access and benefit from GHI-funded programmes; and about the cost-effectiveness and long-term sustainability of the HIV and AIDS programmes funded by the GHIs. Three multi-country sets of evaluations, which will be reporting in 2009, will answer some of these questions. PMID:19491291

  1. Improve relief valve reliability

    SciTech Connect

    Nelson, W.E.

    1993-01-01

    This paper reports on careful evaluation of safety relief valves and their service conditions which can improve reliability and permit more time between testing. Some factors that aid in getting long-run results are: Use of valves suitable for service, Attention to design of the relieving system (including use of block valves) and Close attention to repair procedures. Use these procedures for each installation, applying good engineering practices. The Clean Air Act of 1990 and other legislation limiting allowable fugitive emissions in a hydrocarbon processing plant will greatly impact safety relief valve installations. Normal leakage rate from a relief valve will require that it be connected to a closed vent system connected to a recovery or control device. Tying the outlet of an existing valve into a header system can cause accelerated corrosion and operating difficulties. Reliability of many existing safety relief valves may be compromised when they are connected to an outlet header without following good engineering practices. The law has been enacted but all the rules have not been promulgated.

  2. Caught in the middle: the contested politics of HIV/AIDS and health policy in Vietnam.

    PubMed

    Hirsch, Jennifer S; Giang, Le Minh; Parker, Richard G; Duong, Le Bach

    2015-02-01

    Drawing on the changing landscape of responses to HIV in Vietnam, this article describes the key players and analyzes the relationships between global players and local interests, including both the omnipresent state and an emerging civil society presence. We discuss the critical importance of timing for policy intervention and the role of health policy in shaping the broader social terrain. The interventions of external actors such as the US President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund were instrumental in improving both policies and programs at a critical juncture, when the national responses to the epidemic had been ineffective. At the same time, those global interventions met resistance and led to unintended consequences, both welcome and unwelcome. Furthermore, the looming specter of donor withdrawal and the very gradually emerging national ownership raise many questions about capacity for scale-up and sustainability of the significant achievements to date. Further monitoring and in-depth analysis of the Vietnamese responses to the HIV epidemic in the next few years or so, we contend, have the potential to provide unique insights into the challenges faced by developing countries caught in the complex webs of health politics and policies at both the global and the national levels.

  3. Caught in the middle: the contested politics of HIV/AIDS and health policy in Vietnam.

    PubMed

    Hirsch, Jennifer S; Giang, Le Minh; Parker, Richard G; Duong, Le Bach

    2015-02-01

    Drawing on the changing landscape of responses to HIV in Vietnam, this article describes the key players and analyzes the relationships between global players and local interests, including both the omnipresent state and an emerging civil society presence. We discuss the critical importance of timing for policy intervention and the role of health policy in shaping the broader social terrain. The interventions of external actors such as the US President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund were instrumental in improving both policies and programs at a critical juncture, when the national responses to the epidemic had been ineffective. At the same time, those global interventions met resistance and led to unintended consequences, both welcome and unwelcome. Furthermore, the looming specter of donor withdrawal and the very gradually emerging national ownership raise many questions about capacity for scale-up and sustainability of the significant achievements to date. Further monitoring and in-depth analysis of the Vietnamese responses to the HIV epidemic in the next few years or so, we contend, have the potential to provide unique insights into the challenges faced by developing countries caught in the complex webs of health politics and policies at both the global and the national levels. PMID:25480849

  4. A multi-disciplinary approach to implementation science: the NIH-PEPFAR PMTCT implementation science alliance.

    PubMed

    Sturke, Rachel; Harmston, Christine; Simonds, R J; Mofenson, Lynne M; Siberry, George K; Watts, D Heather; McIntyre, James; Anand, Nalini; Guay, Laura; Castor, Delivette; Brouwers, Pim; Nagel, Joan D

    2014-11-01

    In resource-limited countries, interventions to prevent mother-to-child HIV transmission (PMTCT) have not yet realized their full potential health impact, illustrating the common gap between the scientific proof of an intervention's efficacy and effectiveness and its successful implementation at scale into routine health services. For PMTCT, this gap results, in part, from inadequate adaptation of PMTCT interventions to the realities of the implementation environment, including client and health care worker behaviors and preferences, health care policies and systems, and infrastructure and resource constraints. Elimination of mother-to-child HIV transmission can only be achieved through understanding of key implementation barriers and successful adaptation of scientifically proven interventions to the local environment. Central to such efforts is implementation science (IS), which aims to investigate and address major bottlenecks that impede effective implementation and to test new approaches to identifying, understanding, and overcoming barriers to the adoption, adaptation, integration, scale-up, and sustainability of evidence-based interventions. Advancing IS will require deliberate and strategic efforts to facilitate collaboration, communication, and relationship-building among researchers, implementers, and policy-makers. To speed the translation of effective PMTCT interventions into practice and advance IS more broadly, the US National Institutes of Health, in collaboration with the President's Emergency Plan for AIDS Relief launched the National Institutes of Health/President's Emergency Plan for AIDS Relief PMTCT IS Alliance, comprised of IS researchers, PMTCT program implementers, and policy-makers as an innovative platform for interaction and coordination. PMID:25310124

  5. Petroleum industry assists hurricane relief

    SciTech Connect

    Not Available

    1992-09-14

    This paper reports that the petroleum industry is aiding victims of last month's Hurricane Andrew with cash, clothing, food, water, and other supplies. Cash contributions announced as of last week totaled more than $2.7 million for distribution in South Florida and South Louisiana. Petroleum industry employees were collecting relief items such as bottled water and diapers for distribution in those areas.

  6. Social support seeking and self-efficacy-building strategies in enhancing the emotional well-being of informal HIV/AIDS caregivers in Ibadan, Oyo state, Nigeria.

    PubMed

    Okeke, Bernedette Okwuchukwu

    2016-01-01

    This study examined the relative efficacy of social support seeking (SSS) and self-efficacy building (SEB) in the management of emotional well-being of caregivers of people suffering from HIV/AIDS. It was based at the United States President's Emergency Plan for AIDS Relief (PEPFAR) center in the University College Hospital, Ibadan, Oyo state, being the first and the largest teaching hospital in Nigeria. A 3 × 2 factorial design consisting of treatment and a control group was used. The columns have two levels of gender being male and female caregivers. One-hundred and sixty-five (165) caregivers who were taking care of people that are suffering from HIV/AIDS were purposively selected and randomly assigned to the treatment groups and control. The treatment was carried out for a period of eight weeks. Two null hypotheses were tested, both at .05 levels of significance. Data were collected with the use of standardized intruments rating scale; social support scale, general self-efficacy scale and emotional well-being scale. ANCOVA was used to establish significant treatment effects with the pretest as covariate. Even though SSS and SEB were both found to be effective in enhancing the emotional well-being of informal caregivers in this study when compared to the controls, SSS was significantly more effective than SEB in achieving this goal. Since the HIV/AIDS patients cannot be adequately cared for in the hospital settings due to severe shortages of material, personnel and time, serious efforts should be made by the three levels of the health care system viz: the primary, secondary and tertiary health care systems, to encourage the employment of the psychological management of caregivers of people suffering from HIV/AIDS. Also, the psychologists, clinical psychologists and the significant others should be encouraged to employ this psychological management in the care of HIV/AIDS informal caregivers.

  7. Crisis Communication Practices at an International Relief Agency

    ERIC Educational Resources Information Center

    Genova, Gina L.

    2006-01-01

    When a disaster strikes, the affected population relies upon the swift response and aid rendered by relief organizations such as the California-based Direct Relief International. Since 1948, Direct Relief's mission has been to provide essential material resources to locally run health programs in areas affected by natural disasters, wars, and…

  8. The Global Health Strategy of the Department of Health and Human Services: building on the lessons of PEPFAR.

    PubMed

    Daulaire, Nils

    2012-07-01

    Building on its experience as a principal participant in the President's Emergency Plan for AIDS Relief, the Department of Health and Human Services has embarked on a new era of global initiatives that ultimately will protect the health of Americans. The Global Health Strategy announced by health and human services secretary Kathleen Sebelius in January 2012 recognizes that the health of Americans is intertwined with that of the rest of the world. The initiative features ten objectives that range from enhanced global health surveillance and preventing infectious diseases and health threats to health diplomacy. The Global Health Strategy is designed to make optimal use of the department's many specialty agencies and their considerable technical and programmatic expertise. The strategy moves beyond the President's Emergency Plan for AIDS Relief to redefine Health and Human Services' role outside US borders in addressing the health challenges of the twenty-first century. PMID:22778347

  9. Multi-centred mixed-methods PEPFAR HIV care & support public health evaluation: study protocol

    PubMed Central

    2010-01-01

    Background A public health response is essential to meet the multidimensional needs of patients and families affected by HIV disease in sub-Saharan Africa. In order to appraise curret provision of HIV care and support in East Africa, and to provide evidence-based direction to future care programming, and Public Health Evaluation was commissioned by the PEPFAR programme of the US Government. Methods/Design This paper described the 2-Phase international mixed methods study protocol utilising longitudinal outcome measurement, surveys, patient and family qualitative interviews and focus groups, staff qualitative interviews, health economics and document analysis. Aim 1) To describe the nature and scope of HIV care and support in two African countries, including the types of facilities available, clients seen, and availability of specific components of care [Study Phase 1]. Aim 2) To determine patient health outcomes over time and principle cost drivers [Study Phase 2]. The study objectives are as follows. 1) To undertake a cross-sectional survey of service configuration and activity by sampling 10% of the facilities being funded by PEPFAR to provide HIV care and support in Kenya and Uganda (Phase 1) in order to describe care currently provided, including pharmacy drug reviews to determine availability and supply of essential drugs in HIV management. 2) To conduct patient focus group discussions at each of these (Phase 1) to determine care received. 3) To undertake a longitudinal prospective study of 1200 patients who are newly diagnosed with HIV or patients with HIV who present with a new problem attending PEPFAR care and support services. Data collection includes self-reported quality of life, core palliative outcomes and components of care received (Phase 2). 4) To conduct qualitative interviews with staff, patients and carers in order to explore and understand service issues and care provision in more depth (Phase 2). 5) To undertake document analysis to appraise

  10. Searching for approval. Tax-exempt hospitals, systems may find some relief through FHLB letters of credit in last week's housing aid bill.

    PubMed

    Evans, Melanie

    2008-08-01

    The bill to aid homeowners that Congress passed last week also offered a gift for tax-exempt healthcare borrowers. The law allows the Federal Home Loan Banks to back tax-exempt bonds with letters of credit, thus letting borrowers benefit from those banks' credit strength. But don't expect the floodgates to open. "Banks are preserving their capital for less risky endeavors," says Kelly Arduino, left, of Wipfli.

  11. Building laboratory capacity to support HIV care in Nigeria: Harvard/APIN PEPFAR, 2004–2012

    PubMed Central

    Hamel, Donald J.; Sankalé, Jean-Louis; Samuels, Jay Osi; Sarr, Abdoulaye D.; Chaplin, Beth; Ofuche, Eke; Meloni, Seema T.; Okonkwo, Prosper; Kanki, Phyllis J.

    2015-01-01

    Introduction From 2004–2012, the Harvard/AIDS Prevention Initiative in Nigeria, funded through the US President’s Emergency Plan for AIDS Relief programme, scaled up HIV care and treatment services in Nigeria. We describe the methodologies and collaborative processes developed to improve laboratory capacity significantly in a resource-limited setting. These methods were implemented at 35 clinic and laboratory locations. Methods Systems were established and modified to optimise numerous laboratory processes. These included strategies for clinic selection and management, equipment and reagent procurement, supply chains, laboratory renovations, equipment maintenance, electronic data management, quality development programmes and trainings. Results Over the eight-year programme, laboratories supported 160 000 patients receiving HIV care in Nigeria, delivering over 2.5 million test results, including regular viral load quantitation. External quality assurance systems were established for CD4+ cell count enumeration, blood chemistries and viral load monitoring. Laboratory equipment platforms were improved and standardised and use of point-of-care analysers was expanded. Laboratory training workshops supported laboratories toward increasing staff skills and improving overall quality. Participation in a World Health Organisation-led African laboratory quality improvement system resulted in significant gains in quality measures at five laboratories. Conclusions Targeted implementation of laboratory development processes, during simultaneous scale-up of HIV treatment programmes in a resource-limited setting, can elicit meaningful gains in laboratory quality and capacity. Systems to improve the physical laboratory environment, develop laboratory staff, create improvements to reduce costs and increase quality are available for future health and laboratory strengthening programmes. We hope that the strategies employed may inform and encourage the development of other

  12. COPD - quick-relief drugs

    MedlinePlus

    COPD - quick-relief drugs; Chronic obstructive pulmonary disease - control drugs; Chronic obstructive airways disease - quick-relief drugs; Chronic obstructive lung disease - quick-relief drugs; Chronic bronchitis - quick-relief ...

  13. [Private companies: an opportunity for hepatitis B virus (HBV) prevention and care in Ivory Coast in the wake of HIV/AIDS?].

    PubMed

    Bekelynck, A

    2015-02-01

    In the 1990s, defenders of "aids exceptionnalism" have promised that the inequities caused by HIV/AIDS could provide leverage in the care of other health issues later. Fifteen years later, this argument can be rethought at the light of the current context of hepatitis B virus (HBV) in Ivory Coast. In fact, in this country, the challenges caused by HBVecho those of HIV/AIDS fifteen years ago: high prevalence (8-10%), ignorance of the disease, and high cost of care. To this end, this article compares the role of private companies in the fights against HIV/AIDS in the 2000s and its role in the fight against HBV today. Although some private firms played a critical role in the promotion of universal access to ART, today, they are one of the few places where HBV screening, vaccination and treatment are offered in the country. HIV/AIDS opened the door for private companies to address other diseases through their health care systems. However, many challenges still need to be met: the absence of qualitative ongoing training for health professionals, illness representations and the costs of treatments, which are all related to the lack of international and national collective action. In Ivory Coast, at the early stage of the HIV/AIDS epidemic, national authorities took up the leadership in the fight against AIDS in West Africa, by developing extraverted strategies (Xth ICASA's organization, Unaids initiative hosting). The exceptional international mobilization and the creation of innovative funding mechanisms [International Therapeutic Solidarity Fund (ITSF), Global Fund (GM), and President's Emergency Plan for AIDS Relief (PEPFAR)] have facilitated easy access to ARV. Although 380 million people are infected by chronic HBV in the world, even so, international and national collective actions are fledgling and remained weak. Moreover, private firms have represented leverage for testing, treatment, and the provision of universal access to medication in the context of the HIV/AIDS

  14. "What took you so long?" The impact of PEPFAR on the expansion of HIV testing and counseling services in Africa.

    PubMed

    Marum, Elizabeth; Taegtmeyer, Miriam; Parekh, Bharat; Mugo, Nelly; Lembariti, Salama; Phiri, Mannasseh; Moore, Jan; Cheng, Alison S

    2012-08-15

    HIV testing and counseling services in Africa began in the early 1990s, with limited availability and coverage. Fears of stigma and discrimination, complex laboratory systems, and lack of available care and treatment services hampered expansion. Use of rapid point-of-care tests, introduction of services to prevent mother-to-child transmission, and increasing provision of antiretroviral drugs were key events in the late 1990s and early 2000s that facilitated the expansion of HIV testing and counseling services. Innovations in service delivery included providing HIV testing in both clinical and community sites, including mobile and home testing. Promotional campaigns were conducted in many countries, and evolutions in policies and guidance facilitated expansion and uptake. Support from President's Emergency Plan for AIDS Relief and national governments, other donors, and the Global Fund for AIDS, Tuberculosis, and Malaria contributed to significant increases in the numbers of persons tested in many countries. Quality of both testing and counseling, limited number of health care workers, uptake by couples, and effectiveness of linkages and referral systems remain challenges. Expansion of antiretroviral treatment, especially in light of the evidence that treatment contributes to prevention of transmission, will require greater yet strategic coverage of testing services, especially in clinical settings and in combination with other high-impact HIV prevention strategies. Continued support from President's Emergency Plan for AIDS Relief, governments, and other donors is required for the expansion of testing needed to achieve international targets for the scale-up of treatment and universal access to knowledge of HIV status. PMID:22797742

  15. "What took you so long?" The impact of PEPFAR on the expansion of HIV testing and counseling services in Africa.

    PubMed

    Marum, Elizabeth; Taegtmeyer, Miriam; Parekh, Bharat; Mugo, Nelly; Lembariti, Salama; Phiri, Mannasseh; Moore, Jan; Cheng, Alison S

    2012-08-15

    HIV testing and counseling services in Africa began in the early 1990s, with limited availability and coverage. Fears of stigma and discrimination, complex laboratory systems, and lack of available care and treatment services hampered expansion. Use of rapid point-of-care tests, introduction of services to prevent mother-to-child transmission, and increasing provision of antiretroviral drugs were key events in the late 1990s and early 2000s that facilitated the expansion of HIV testing and counseling services. Innovations in service delivery included providing HIV testing in both clinical and community sites, including mobile and home testing. Promotional campaigns were conducted in many countries, and evolutions in policies and guidance facilitated expansion and uptake. Support from President's Emergency Plan for AIDS Relief and national governments, other donors, and the Global Fund for AIDS, Tuberculosis, and Malaria contributed to significant increases in the numbers of persons tested in many countries. Quality of both testing and counseling, limited number of health care workers, uptake by couples, and effectiveness of linkages and referral systems remain challenges. Expansion of antiretroviral treatment, especially in light of the evidence that treatment contributes to prevention of transmission, will require greater yet strategic coverage of testing services, especially in clinical settings and in combination with other high-impact HIV prevention strategies. Continued support from President's Emergency Plan for AIDS Relief, governments, and other donors is required for the expansion of testing needed to achieve international targets for the scale-up of treatment and universal access to knowledge of HIV status.

  16. 38 CFR 17.194 - Aid for domiciliary care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Aid for domiciliary care. 17.194 Section 17.194 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Aid to States for Care of Veterans in State Homes § 17.194 Aid for domiciliary care. Aid may be...

  17. Disaster relief, inc.

    PubMed

    Thomas, Anisya; Fritz, Lynn

    2006-11-01

    When disaster strikes, many corporations respond generously. After the 2004 tsunami, for instance, U.S. firms alone contributed more than half a billion dollars in cash and in-kind donations. But a host of reactive efforts don't produce the best results-and may even get in the way. To make the most of their humanitarian efforts, companies need to address two fundamental questions: What kind of aid do we want to contribute--philanthropic (money and in-kind donations) or integrative (backroom, operational assistance)? And how do we want to contribute it--by working one-on-one with a single agency or by joining a consortium? The permutations of those two decisions lead to four different approaches, each with its own strengths and challenges. Single-company philanthropic partnerships work well when there's a good match between what a company wants to contribute and what an agency needs, as with Coca-Cola's donations of water to the Red Cross. More diffuse, but also potentially more effective, are the benefits of joining a multicompany philanthropic partnership, which enables the resources of many firms to be matched to the missions of many agencies. More difficult to establish but more fundamental in its impact is a single-company integrative partnership, in which a corporation works to improve the way an aid agency operates, as the logistics giant TNT has done to help the distribution efforts of the World Food Programme. And most difficult to implement--but potentially most effective-is a multicompany integrative partnership, which brings to bear the collective best practices of many companies to improve the response capabilities of multiple agencies. It's easy to see why the image of a relief worker carrying a sack of grain delivers an emotional wallop, but the behind-the-scenes work of process enhancement is just as crucial to humanitarian efforts. The sooner executives realize this, the better positioned the world will be to respond to global disasters.

  18. Disaster relief, inc.

    PubMed

    Thomas, Anisya; Fritz, Lynn

    2006-11-01

    When disaster strikes, many corporations respond generously. After the 2004 tsunami, for instance, U.S. firms alone contributed more than half a billion dollars in cash and in-kind donations. But a host of reactive efforts don't produce the best results-and may even get in the way. To make the most of their humanitarian efforts, companies need to address two fundamental questions: What kind of aid do we want to contribute--philanthropic (money and in-kind donations) or integrative (backroom, operational assistance)? And how do we want to contribute it--by working one-on-one with a single agency or by joining a consortium? The permutations of those two decisions lead to four different approaches, each with its own strengths and challenges. Single-company philanthropic partnerships work well when there's a good match between what a company wants to contribute and what an agency needs, as with Coca-Cola's donations of water to the Red Cross. More diffuse, but also potentially more effective, are the benefits of joining a multicompany philanthropic partnership, which enables the resources of many firms to be matched to the missions of many agencies. More difficult to establish but more fundamental in its impact is a single-company integrative partnership, in which a corporation works to improve the way an aid agency operates, as the logistics giant TNT has done to help the distribution efforts of the World Food Programme. And most difficult to implement--but potentially most effective-is a multicompany integrative partnership, which brings to bear the collective best practices of many companies to improve the response capabilities of multiple agencies. It's easy to see why the image of a relief worker carrying a sack of grain delivers an emotional wallop, but the behind-the-scenes work of process enhancement is just as crucial to humanitarian efforts. The sooner executives realize this, the better positioned the world will be to respond to global disasters. PMID

  19. Adjustable safety relief valve

    SciTech Connect

    Taylor, W.L.

    1990-06-12

    This patent describes a pressure relief valve having a relief set pressure. It comprises: a valve body having a fluid inlet and outlet, a spherical, metal valve seat associated with the inlet and a valve member comprising at least a portion of a spherical,metal ball attached to a ball holding element, the valve member being biased against the valve seat and thus providing a metal-to-metal seal preventing the passage of fluids past the valve seat when the fluid pressure in the inlet is below the relief pressure setting of the valve.

  20. Pressure Relief Devices

    NASA Astrophysics Data System (ADS)

    Manha, William D.

    2010-09-01

    Pressure relief devices are used in pressure systems and on pressure vessels to prevent catastrophic rupture or explosion from excessive pressure. Pressure systems and pressure vessels have manufacturers maximum rated operating pressures or maximum design pressures(MDP) for which there are relatively high safety factors and minimum risk of rupture or explosion. Pressure systems and pressure vessels that have a potential to exceed the MDP by being connected to another higher pressure source, a compressor, or heat to water(boiler) are required to have over-pressure protecting devices. Such devices can be relief valves and/or burst discs to safely relieve potentially excessive pressure and prevent unacceptable ruptures and explosions which result in fail-safe pressure systems and pressure vessels. Common aerospace relief valve and burst disc requirements and standards will be presented. This will include the NASA PSRP Interpretation Letter TA-88-074 Fault Tolerance of Systems Using Specially Certified Burst Disks that dictates burst disc requirements for payloads on Shuttle. Two recent undesirable manned space payloads pressure relief devices and practices will be discussed, as well as why these practices should not be continued. One example for discussion is the use of three burst discs that have been placed in series to comply with safety requirements of three controls to prevent a catastrophic hazard of the over-pressurization and rupture of pressure system and/or vessels. The cavities between the burst discs are evacuated and are the reference pressures for activating the two upstream burst discs. If the upstream burst disc leaks into the reference cavity, the reference pressure increases and it can increase the burst disc activating pressure and potentially result in the burst disc assembly being ineffective for over pressure protection. The three burst discs-in-series assembly was found acceptable because the burst discs are designed for minimum risk(DFMR) of

  1. Notes from the Field: Tetanus Cases After Voluntary Medical Male Circumcision for HIV Prevention--Eastern and Southern Africa, 2012-2015.

    PubMed

    Grund, Jonathan M; Toledo, Carlos; Davis, Stephanie M; Ridzon, Renee; Moturi, Edna; Scobie, Heather; Naouri, Boubker; Reed, Jason B; Njeuhmeli, Emmanuel; Thomas, Anne G; Benson, Francis Ndwiga; Sirengo, Martin W; Muyenzi, Leon Ngeruka; Lija, Gissenge J I; Rogers, John H; Mwanasalli, Salli; Odoyo-June, Elijah; Wamai, Nafuna; Kabuye, Geoffrey; Zulu, James Exnobert; Aceng, Jane Ruth; Bock, Naomi

    2016-01-22

    Voluntary medical male circumcision (VMMC) decreases the risk for female-to-male HIV transmission by approximately 60%, and the President's Emergency Plan for AIDS Relief (PEPFAR) is supporting the scale-up of VMMC for adolescent and adult males in countries with high prevalence of human immunodeficiency virus (HIV) and low coverage of male circumcision. As of September 2015, PEPFAR has supported approximately 8.9 million VMMCs.

  2. 38 CFR 17.197 - Amount of aid payable.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Amount of aid payable. 17.197 Section 17.197 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Aid to States for Care of Veterans in State Homes § 17.197 Amount of aid payable. The amount of...

  3. 38 CFR 17.197 - Amount of aid payable.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Amount of aid payable. 17.197 Section 17.197 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Aid to States for Care of Veterans in State Homes § 17.197 Amount of aid payable. The amount of...

  4. 38 CFR 3.504 - Parents; aid and attendance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Parents; aid and attendance. 3.504 Section 3.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... because of the parent's need for aid and attendance will be the day of last payment if need for aid...

  5. 38 CFR 3.504 - Parents; aid and attendance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Parents; aid and attendance. 3.504 Section 3.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... because of the parent's need for aid and attendance will be the day of last payment if need for aid...

  6. 38 CFR 3.504 - Parents; aid and attendance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Parents; aid and attendance. 3.504 Section 3.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... because of the parent's need for aid and attendance will be the day of last payment if need for aid...

  7. Hydrogen gas relief valve

    DOEpatents

    Whittlesey, Curtis C.

    1985-01-01

    An improved battery stack design for an electrochemical system having at least one cell from which a gas is generated and an electrolyte in communication with the cell is described. The improved battery stack design features means for defining a substantially closed compartment for containing the battery cells and at least a portion of the electrolyte for the system, and means in association with the compartment means for selectively venting gas from the interior of the compartment means in response to the level of the electrolyte within the compartment means. The venting means includes a relief valve having a float member which is actuated in response to the level of the electrolyte within the compartment means. This float member is adapted to close the relief valve when the level of the electrolyte is above a predetermined level and open the relief valve when the level of electrolyte is below this predetermined level.

  8. [Mental health support for disaster relief personnel].

    PubMed

    Takahashi, Sho

    2014-01-01

    personnel and volunteers to safeguard their mental health. However, programs on these subjects remain insufficient. We extend our utmost respect and appreciation to the disaster relief workforce for doing their best to save lives. We hope that this aids in the reconstruction process of such affected areas.

  9. [Mental health support for disaster relief personnel].

    PubMed

    Takahashi, Sho

    2014-01-01

    personnel and volunteers to safeguard their mental health. However, programs on these subjects remain insufficient. We extend our utmost respect and appreciation to the disaster relief workforce for doing their best to save lives. We hope that this aids in the reconstruction process of such affected areas. PMID:24783446

  10. Collaborative Geospatial Data as Applied to Disaster Relief: Haiti 2010

    NASA Astrophysics Data System (ADS)

    Clark, A. J.; Holliday, Patton; Chau, Robyn; Eisenberg, Harris; Chau, Melinda

    The aftermath of Haiti's January 12 earthquake typified disaster relief in that efficiency and situational awareness were reduced by the chaotic, uncoordinated influx of relief and aid. The lack of an environment in which information could be shared was a major component of this chaos. The application of geographic information (GIS) technology was a significant contribution to the relief efforts due to the centrality of location to issues of danger, resources, safety, communications, and so on, and due to the universal understanding of information rendered geospatially using 3-D globes.

  11. Vent Relief Valve Test

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Shown is the disassembly, examination, refurbishment and testing of the LH2 ( liquid hydrogen) and LOX (liquid oxygen) vent and relief valves for the S-IVB-211 engine stage in support of the Constellation/Ares project. This image is extracted from high definition video and is the highest resolution available.

  12. High Relief Block Printing.

    ERIC Educational Resources Information Center

    Foster, Michael

    1989-01-01

    Explains a method of block printing using styrofoam shapes to make high relief. Describes the creation of the block design as well as the actual printing process. Uses a range of paper types for printing so children can see the results of using different media. (LS)

  13. Targeting cyclone relief within the village: kinship, sharing, and capture.

    PubMed

    Takasaki, Yoshito

    2011-01-01

    This article investigates the targeting of cyclone relief within villages in Fiji. It focuses on how relief allocation is linked with informal risk sharing and elite capture, both of which are directly related to kinship. The results are as follows. First, food aid is initially targeted toward kin groups according to their aggregate shocks and then shared among group members. Right after the cyclone, when aid is scarce, households with damage to their housing and with greater crop damage are allocated less aid within the group. Instead, they receive greater net private transfers in other forms, especially in labor sharing. Consistent patterns are found in village, cropping, and housing rehabilitations. Second, there is no elite capture of food aid in the kin group, and instead, traditional kin leaders share food with others; however, non-kin-based community leaders capture aid when it is allocated across kin groups. Third, distinct from food aid demanded by all, tarpaulins demanded by victims only strongly target individual housing damage at the village level—not the kin group—independent of social status. As with food aid, victims with greater crop damage are given a lower priority. Implications for relief policies are discussed. PMID:21174884

  14. Targeting cyclone relief within the village: kinship, sharing, and capture.

    PubMed

    Takasaki, Yoshito

    2011-01-01

    This article investigates the targeting of cyclone relief within villages in Fiji. It focuses on how relief allocation is linked with informal risk sharing and elite capture, both of which are directly related to kinship. The results are as follows. First, food aid is initially targeted toward kin groups according to their aggregate shocks and then shared among group members. Right after the cyclone, when aid is scarce, households with damage to their housing and with greater crop damage are allocated less aid within the group. Instead, they receive greater net private transfers in other forms, especially in labor sharing. Consistent patterns are found in village, cropping, and housing rehabilitations. Second, there is no elite capture of food aid in the kin group, and instead, traditional kin leaders share food with others; however, non-kin-based community leaders capture aid when it is allocated across kin groups. Third, distinct from food aid demanded by all, tarpaulins demanded by victims only strongly target individual housing damage at the village level—not the kin group—independent of social status. As with food aid, victims with greater crop damage are given a lower priority. Implications for relief policies are discussed.

  15. American Foundation for AIDS Research

    MedlinePlus

    ... many more! More An Announcement That Stunned the World amfAR Trustee Dr. Mervyn Silverman reflects on the ... 1991 that he was HIV positive. More The World Without PEPFAR amfAR infographic illustrates the advances on ...

  16. 78 FR 70090 - 30-Day Notice of Proposed Information Collection: PEPFAR Program Expenditures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ...) to support the global response to HIV/AIDS. In order to improve program monitoring, the Finance and... country level for monitoring and evaluation on an ongoing basis. Summaries of these data provide key... strategic budgeting, identification of efficient means of delivering services, accuracy in defining...

  17. Fluid relief and check valve

    DOEpatents

    Blaedel, K.L.; Lord, S.C.; Murray, I.

    1986-07-17

    A passive fluid pressure relief and check valve allows the relief pressure to be slaved to a reference pressure independently of the exhaust pressure. The pressure relief valve is embodied by a submerged vent line in a sealing fluid, the relief pressure being a function of the submerged depth. A check valve is embodied by a vertical column of fluid (the maximum back pressure being a function of the height of the column of fluid). The pressure is vented into an exhaust system which keeps the exhaust out of the area providing the reference pressure.

  18. 38 CFR 3.504 - Parents; aid and attendance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Parents; aid and... § 3.504 Parents; aid and attendance. The effective date of discontinuance of an increased award because of the parent's need for aid and attendance will be the day of last payment if need for aid...

  19. 38 CFR 17.149 - Sensori-neural aids.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Sensori-neural aids. 17... Prosthetic, Sensory, and Rehabilitative Aids § 17.149 Sensori-neural aids. (a) Notwithstanding any other provision of this part, VA will furnish needed sensori-neural aids (i.e., eyeglasses, contact...

  20. 38 CFR 17.149 - Sensori-neural aids.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Sensori-neural aids. 17... Prosthetic, Sensory, and Rehabilitative Aids § 17.149 Sensori-neural aids. (a) Notwithstanding any other provision of this part, VA will furnish needed sensori-neural aids (i.e., eyeglasses, contact...

  1. 38 CFR 17.149 - Sensori-neural aids.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Sensori-neural aids. 17... Prosthetic, Sensory, and Rehabilitative Aids § 17.149 Sensori-neural aids. (a) Notwithstanding any other provision of this part, VA will furnish needed sensori-neural aids (i.e., eyeglasses, contact...

  2. Waiver Plan Generates Relief, Fret

    ERIC Educational Resources Information Center

    Klein, Alyson; McNeil, Michele

    2011-01-01

    While the Obama administration's plan to offer states relief from parts of the No Child Left Behind (NCLB) Act--if they agree to embrace unspecified education redesign priorities--has drawn kudos from some quarters, it isn't sitting well in others. Officials in a number of states have praised the idea as an opportunity for badly needed relief from…

  3. Compression relief engine brake

    SciTech Connect

    Meneely, V.A.

    1987-10-06

    A compression relief brake is described for four cycle internal-combustion engines, comprising: a pressurized oil supply; means for selectively pressurizing a hydraulic circuit with oil from the oil supply; a master piston and cylinder communicating with a slave piston and cylinder via the hydraulic circuit; an engine exhaust valve mechanically coupled to the engine and timed to open during the exhaust cycle of the engine the exhaust valve coupled to the slave piston. The exhaust valve is spring-based in a closed state to contact a valve seat; a sleeve frictionally and slidably disposed within a cavity defined by the slave piston which cavity communicates with the hydraulic circuit. When the hydraulic circuit is selectively pressurized and the engine is operating the sleeve entraps an incompressible volume of oil within the cavity to generate a displacement of the slave piston within the slave cylinder, whereby a first gap is maintained between the exhaust valve and its associated seat; and means for reciprocally activating the master piston for increasing the pressure within the previously pressurized hydraulic circuit during at least a portion of the expansion cycle of the engine whereby a second gap is reciprocally maintained between the exhaust valve and its associated seat.

  4. 77 FR 27266 - 60-Day Notice of Proposed Information Collection: Form DS-4213, PEPFAR Program Expenditures; OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-09

    .../AIDS, Tuberculosis, and Malaria Act of 2003 (Pub. L. 108-25), as amended by the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act...

  5. First Aid Procedures for Dental Emergencies.

    ERIC Educational Resources Information Center

    Barsky, Nancy Happel; Londeree, Kathy

    1982-01-01

    Guidelines for first aid procedures for temporary relief of dental emergencies include information on: (1) dental first aid supplies; (2) treatment of oral injuries; (3) orthodontic emergencies; (4) toothaches; and (5) prolonged bleeding due to an extraction. Consulting a dentist as soon as possible is strongly recommended. (JN)

  6. 38 CFR 17.196 - Aid for hospital care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Aid for hospital care. 17... to States for Care of Veterans in State Homes § 17.196 Aid for hospital care. Aid may be paid to the designated State official for hospital care furnished in a recognized State home for any veteran if: (a)...

  7. [Reminiscence of the "Relief Houses" that operated in rural Chile between 1931 and 1945].

    PubMed

    Laval, Enrique

    2016-06-01

    In June 1929, the medical charity inspectors (Isauro Torres and Enrique Laval M.) submitted to the Direction of the Institution a plan for the normalization of all hospitals, which was approved by the Central Board at its meeting on 19 July of that year. The plan was to phase in the hospital action from the First-aid Posts or "Relief Houses" to the large referral hospitals. The "Relief House" would become the initial phase of hospital organization, located in rural areas. Finally, we emphasize that the Relief Houses were establishments for preventive and curative medicine in rural areas. PMID:27598285

  8. LOX, GOX and Pressure Relief

    NASA Technical Reports Server (NTRS)

    McLeod, Ken; Stoltzfus, Joel

    2006-01-01

    Oxygen relief systems present a serious fire hazard risk with often severe consequences. This presentation offers a risk management solution strategy which encourages minimizing ignition hazards, maximizing best materials, and utilizing good practices. Additionally, the relief system should be designed for cleanability and ballistic flow. The use of the right metals, softgoods, and lubricants, along with the best assembly techniques, is stressed. Materials should also be tested if data is not available and a full hazard analysis should be conducted in an effort to minimize risk and harm.

  9. A disaster relief exercise

    NASA Astrophysics Data System (ADS)

    Quagliotti, Fulvia; Novaro Mascarello, Laura

    2016-04-01

    The Remotely Piloted Aircraft Systems (RPAS) is an effective tool for military applications, both for properly military operations, such as research missions and road surveillance, and for civilian support after natural disasters, like landslides, floods, and earthquakes, when reaching victims is often hard or it would take too much time for their survival. Information are needed without hazarding the life of the military troops. When roads, bridges and other communication ways are usually not available, the unmanned platform is the only easy and fast way to contact people. It can be launched directly from the operation site and it could take crucial information or carry medication, necessaries and everything that could help rescue teams. The unmanned platform can also be used for the first aid in an emergency situation when the use of a helicopter is too dangerous and other troops could be involved in heavy fighting. The RPAS has some advantages. First is the reduced cost, compared to traditional aircraft, that could enable the user to have several operating units. Secondly, pilots are not on board and therefore, if needed, the crew' rotation and rest do not imply the need to stop operations. The third fact is that, depending on the type of delivery that is used, the operations may take place on a twenty-four hours' base. The main benefit achieved with these three facts is that continuous operation may take place and eventually make up the capacity difference. To sum up, the main motivation behind this employment of UAS is to replace human lives on the cockpits and to assure the execution of Dangerous, Dull and Dirty missions. In May 2015, the ERIDANO Exercise was performed in Moncalieri city, near Turin (Italy) and it was a joint exercise between the Italian Army, National Emergency Service and Politecnico of Turin. The aim was the control and management of emergency situations due to natural disasters. In particular, a flood was simulated. A multicopter was used

  10. What does sustainability mean in the HIV and AIDS response?

    PubMed

    Oberth, Gemma; Whiteside, Alan

    2016-01-01

    Immense progress has been made in the fight against HIV and AIDS. Achieving and exceeding the AIDS targets for the Millennium Development Goals (MDGs) was accomplished, in large part, due to an unprecedented financial investment from the international community. Following an $800 million dip in donor disbursements in 2010, the discourse has since shifted to the need for greater sustainability of funding. But what does sustainability mean? Current efforts focus heavily on fiscal imperatives such as increasing domestic funding. This is important - needs are increasing at a faster rate than donor funding, especially with increased treatment coverage. The problem is that measures of financial sustainability tell very little about the actual sustainability of specific programmes, disease trajectories or enabling environments. Recognising that current definitions of sustainability lack clarity and depth, we offer a new six-tenet conceptualisation of what sustainability means in the HIV and AIDS response: (1) financial, (2) epidemiological, (3) political, (4) structural, (5) programmatic, and (6) human rights. Based on these, we examine examples of donor transitions for their approach to sustainability, including PEPFAR in South Africa, the Global Fund in Eastern Europe, and the Bill and Melinda Gates Foundation in India (Avahan). We conclude that sustainability must be understood within a broader framework beyond funding stability. We also recommend that certain interventions, such as programming for key populations, may have to continue to receive external support even if affected countries can afford to pay. PMID:26785676

  11. What does sustainability mean in the HIV and AIDS response?

    PubMed

    Oberth, Gemma; Whiteside, Alan

    2016-01-01

    Immense progress has been made in the fight against HIV and AIDS. Achieving and exceeding the AIDS targets for the Millennium Development Goals (MDGs) was accomplished, in large part, due to an unprecedented financial investment from the international community. Following an $800 million dip in donor disbursements in 2010, the discourse has since shifted to the need for greater sustainability of funding. But what does sustainability mean? Current efforts focus heavily on fiscal imperatives such as increasing domestic funding. This is important - needs are increasing at a faster rate than donor funding, especially with increased treatment coverage. The problem is that measures of financial sustainability tell very little about the actual sustainability of specific programmes, disease trajectories or enabling environments. Recognising that current definitions of sustainability lack clarity and depth, we offer a new six-tenet conceptualisation of what sustainability means in the HIV and AIDS response: (1) financial, (2) epidemiological, (3) political, (4) structural, (5) programmatic, and (6) human rights. Based on these, we examine examples of donor transitions for their approach to sustainability, including PEPFAR in South Africa, the Global Fund in Eastern Europe, and the Bill and Melinda Gates Foundation in India (Avahan). We conclude that sustainability must be understood within a broader framework beyond funding stability. We also recommend that certain interventions, such as programming for key populations, may have to continue to receive external support even if affected countries can afford to pay.

  12. Digital relief generation from 3D models

    NASA Astrophysics Data System (ADS)

    Wang, Meili; Sun, Yu; Zhang, Hongming; Qian, Kun; Chang, Jian; He, Dongjian

    2016-09-01

    It is difficult to extend image-based relief generation to high-relief generation, as the images contain insufficient height information. To generate reliefs from three-dimensional (3D) models, it is necessary to extract the height fields from the model, but this can only generate bas-reliefs. To overcome this problem, an efficient method is proposed to generate bas-reliefs and high-reliefs directly from 3D meshes. To produce relief features that are visually appropriate, the 3D meshes are first scaled. 3D unsharp masking is used to enhance the visual features in the 3D mesh, and average smoothing and Laplacian smoothing are implemented to achieve better smoothing results. A nonlinear variable scaling scheme is then employed to generate the final bas-reliefs and high-reliefs. Using the proposed method, relief models can be generated from arbitrary viewing positions with different gestures and combinations of multiple 3D models. The generated relief models can be printed by 3D printers. The proposed method provides a means of generating both high-reliefs and bas-reliefs in an efficient and effective way under the appropriate scaling factors.

  13. HIV / AIDS

    MedlinePlus

    ... Marketing Share this: Main Content Area Understanding HIV/AIDS AIDS was first reported in the United States in ... and has since become a major worldwide epidemic. AIDS is caused by the human immunodeficiency virus, or ...

  14. 7 CFR 1470.34 - Equitable relief.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... be eligible for equitable relief under 7 CFR part 635. The financial or technical liability for any... equitable relief under 7 CFR part 635. ... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General...

  15. Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and PEPFAR-funded HIV-activities

    PubMed Central

    2013-01-01

    Background Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health (HRH) was not initially considered by GHIs, countries, to allow ARV scale-up, implemented short-term HRH strategies, adapted to GHI-funding conditionality. Such strategies differed from one country to another and slowly evolved to long-term HRH policies. The processes and content of HRH policy shifts in 5 countries in Sub-Saharan Africa were examined. Methods A multi-country study was conducted from 2007 to 2011 in 5 countries (Angola, Burundi, Lesotho, Mozambique and South Africa), to assess the impact of GHIs on the health system, using a mixed methods design. This paper focuses on the impact of GFATM and PEPFAR on HRH policies. Qualitative data consisted of semi-structured interviews undertaken at national and sub-national levels and analysis of secondary data from national reports. Data were analysed in order to extract countries’ responses to HRH challenges posed by implementation of HIV-related activities. Common themes across the 5 countries were selected and compared in light of each country context. Results In all countries successful ARV roll-out was observed, despite HRH shortages. This was a result of mostly short-term emergency response by GHI-funded Non-Governmental Organizations (NGOs) and to a lesser extent by governments, consisting of using and increasing available HRH for HIV tasks. As challenges and limits of short-term HRH strategies were revealed and HIV became a chronic disease, the 5 countries slowly implemented mid to long-term HRH strategies, such as formalisation of pilot initiatives, increase in HRH production and mitigation

  16. Argon Dewar Required Relief Flow Capacity

    SciTech Connect

    Fitzpatrick, J.B.; /Fermilab

    1987-09-28

    This report calculates the required fire relief valve flow capacity, the required vaporizer failure relief valve flow capacity, and the required loss of vacuum relief valve flow capacity of the liquid argon storage tank in use at the D-Zero site.

  17. 47 CFR 69.727 - Regulatory relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Regulatory relief. 69.727 Section 69.727 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) ACCESS CHARGES Pricing Flexibility § 69.727 Regulatory relief. (a) Phase I relief. Upon satisfaction of the Phase...

  18. 47 CFR 69.727 - Regulatory relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Regulatory relief. 69.727 Section 69.727 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) ACCESS CHARGES Pricing Flexibility § 69.727 Regulatory relief. (a) Phase I relief. Upon satisfaction of the Phase...

  19. 47 CFR 69.727 - Regulatory relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Regulatory relief. 69.727 Section 69.727 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) ACCESS CHARGES Pricing Flexibility § 69.727 Regulatory relief. (a) Phase I relief. Upon satisfaction of the Phase...

  20. 47 CFR 69.727 - Regulatory relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Regulatory relief. 69.727 Section 69.727 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) ACCESS CHARGES Pricing Flexibility § 69.727 Regulatory relief. (a) Phase I relief. Upon satisfaction of the Phase...

  1. 47 CFR 69.727 - Regulatory relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Regulatory relief. 69.727 Section 69.727 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) ACCESS CHARGES Pricing Flexibility § 69.727 Regulatory relief. (a) Phase I relief. Upon satisfaction of the Phase...

  2. 7 CFR 636.20 - Equitable relief.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., the participant may request equitable relief under 7 CFR 635.3. (b) If, during the term of a WHIP cost... provision, the participant may be eligible for equitable relief under 7 CFR 635.4. ... AGRICULTURE LONG TERM CONTRACTING WILDLIFE HABITAT INCENTIVES PROGRAM § 636.20 Equitable relief. (a) If...

  3. 29 CFR 4041.4 - Disaster relief.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Disaster relief. 4041.4 Section 4041.4 Labor Regulations...-EMPLOYER PLANS General Provisions § 4041.4 Disaster relief. When the President of the United States declares that, under the Disaster Relief Act (42 U.S.C. 5121, 5122(2), 5141(b)), a major disaster...

  4. 29 CFR 4041.4 - Disaster relief.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Disaster relief. 4041.4 Section 4041.4 Labor Regulations...-EMPLOYER PLANS General Provisions § 4041.4 Disaster relief. When the President of the United States declares that, under the Disaster Relief Act (42 U.S.C. 5121, 5122(2), 5141(b)), a major disaster...

  5. 29 CFR 4041.4 - Disaster relief.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Disaster relief. 4041.4 Section 4041.4 Labor Regulations...-EMPLOYER PLANS General Provisions § 4041.4 Disaster relief. When the President of the United States declares that, under the Disaster Relief Act (42 U.S.C. 5121, 5122(2), 5141(b)), a major disaster...

  6. 29 CFR 4041.4 - Disaster relief.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Disaster relief. 4041.4 Section 4041.4 Labor Regulations...-EMPLOYER PLANS General Provisions § 4041.4 Disaster relief. When the President of the United States declares that, under the Disaster Relief Act (42 U.S.C. 5121, 5122(2), 5141(b)), a major disaster...

  7. Photovoltaic application for disaster relief

    SciTech Connect

    Young, W.R. Jr.

    1995-11-01

    Hurricanes, floods, tornados, and earthquakes are natural disasters that can happen at any time destroying homes, businesses, and natural surroundings. One such disaster, Hurricane Andrew, devastated South Florida leaving several hundred-thousand people homeless. Many people were without electrical service, functioning water and sewage systems, communications, and medical services for days, even weeks in the aftermath of the storm. Emergency management teams, the military, and countless public and private organizations staged a massive relief effort. Dependency on electrical utility power became a pronounced problem as emergency services were rendered to survivors and the rebuilding process started. Many of the energy needs of emergency management organizations, relief workers, and the general public can be satisfied with solar electric energy systems. Photovoltaic (PV) power generated from solar energy is quiet, safe, inexhaustible and pollution-free. Previously, photovoltaics have supplied emergency power for Hurricanes Hugo and Andrew, and the earthquake at Northridge in Southern California. This document focuses on photovoltaic technology and its application to disaster relief efforts.

  8. Optimizing hurricane disaster relief goods distribution: model development and application with respect to planning strategies.

    PubMed

    Horner, Mark W; Downs, Joni A

    2010-07-01

    Over the last few years, hurricane emergencies have been among the most pervasive major disruptions in the United States, particularly in the south-east region of the country. A key aspect of managing hurricane disasters involves logistical planning to facilitate the distribution and transportation of relief goods to populations in need. This study shows how a variant of the capacitated warehouse location model can be used to manage the flow of goods shipments to people in need. In this application, the model is used with protocols set forth in Florida's Comprehensive Emergency Plan and tested in a smaller city in north Florida. Scenarios explore the effects of alternate goods distribution strategies on the provision of disaster relief. Results show that measures describing people's accessibility to relief goods are affected by the distribution infrastructure used to provide relief, as well as assumptions made regarding the population(s) assumed to be in need of aid.

  9. Disaster relief: helping the survivors of the Haiti earthquake.

    PubMed

    Lau, Deb

    2010-03-01

    Haiti shares the island of Hispaniola with the Dominican Republic in the Caribbean Sea. On January 12, the country was the site of an earthquake, measuring 7.0 on the Richter scale, with the epicentre about 16 miles west of the capital, Port-au-Prince. The earthquake caused widespread loss of life and damage, and many organisations responded to appeals from the Haitian people for humanitarian aid. Among these was the UK-based charity Merlin. Calderdale and Huddersfield NHS Foundation Trust emergency nurse Deb Lau works for Merlin and here she describes what happened when she travelled to Haiti to help provide medical relief.

  10. Disaster relief: helping the survivors of the Haiti earthquake.

    PubMed

    Lau, Deb

    2010-03-01

    Haiti shares the island of Hispaniola with the Dominican Republic in the Caribbean Sea. On January 12, the country was the site of an earthquake, measuring 7.0 on the Richter scale, with the epicentre about 16 miles west of the capital, Port-au-Prince. The earthquake caused widespread loss of life and damage, and many organisations responded to appeals from the Haitian people for humanitarian aid. Among these was the UK-based charity Merlin. Calderdale and Huddersfield NHS Foundation Trust emergency nurse Deb Lau works for Merlin and here she describes what happened when she travelled to Haiti to help provide medical relief. PMID:20364780

  11. Tsunami relief. After the wave.

    PubMed

    Nolan, Alexis; Forrest, Emma

    2005-03-01

    With the official toll from the Boxing Day tsunami now standing at 300,000, Alexis Nolan and Emma Forrest talk to health service managers who gave more than money to the relief effort--they travelled to the disaster area and gave their time and expertise. The impact on their professional and personal lives was considerable. As Mathi Chandrakumar, clinical director of Kent Health Protection Unit, puts it: 'My heart is there, I feel very sad. I will probably go back.' PMID:15787421

  12. AIDS (image)

    MedlinePlus

    AIDS (acquired immune deficiency syndrome) is caused by HIV (human immunodeficiency virus), and is a syndrome that ... life-threatening illnesses. There is no cure for AIDS, but treatment with antiviral medicine can suppress symptoms. ...

  13. Hearing Aids

    MedlinePlus

    ... more in both quiet and noisy situations. Hearing aids help people who have hearing loss from damage ... your doctor. There are different kinds of hearing aids. They differ by size, their placement on or ...

  14. Hearing Aids

    MedlinePlus

    ... type and degree of loss. Are there different styles of hearing aids? Styles of hearing aids Source: NIH/NIDCD Behind-the- ... the ear canal and are available in two styles. The in-the-canal (ITC) hearing aid is ...

  15. Federal Student Aid Program. Bulletin, 1935, No. 14

    ERIC Educational Resources Information Center

    Kelly, Fred J.; McNeely, John H.

    1935-01-01

    The Federal student aid program is the first instance in American history in which the National Government has assisted needy youth to work their way through college. Inaugurated by the Federal Emergency Relief Administration (F.E.R.A.) the plan provides financial aid to qualified young men and women who lack sufficient funds to attend college.…

  16. AIDS, Empire and the US Politics of Giving

    ERIC Educational Resources Information Center

    Hill, Robert J.

    2004-01-01

    This essay explores the intersection of US Empire on HIV/AIDS policies and the politics of "gifting." It does so from an analysis of several key US initiatives: the Project for a New American Century, the US National Security Strategy, and the President's Emergency Plan for AIDS Relief. History provides numerous examples where US international aid…

  17. Hurricane Aid Is on the Way to Districts, Private Schools

    ERIC Educational Resources Information Center

    Robelen, Erik W.; Davis, Michelle R.

    2006-01-01

    The U.S. Department of Education in early January of 2006 sent out the first installment--more than $250 million--in education aid to states affected by Hurricanes Katrina and Rita, just days after President Bush signed the measure into law. The $1.6 billion relief package has drawn fire from some education groups because it provides aid not just…

  18. 76 FR 57082 - Premium Penalty Relief; Alternative Premium Funding Target Election Relief

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... CORPORATION Premium Penalty Relief; Alternative Premium Funding Target Election Relief AGENCY: Pension Benefit... from certain premium penalties and in certain situations involving alternative premium funding target... provided in Technical Update 10-2 (Variable Rate Premiums; Alternative Premium Funding Target...

  19. Shaded Relief, Kamchatka Peninsula, Russia

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This topographic image shows the western side of the volcanically active Kamchatka Peninsula, Russia. The data are from the first C-band mapping swath of the Shuttle Radar Topography Mission (SRTM). On the left side are four rivers, which flow northwest to the Sea of Okhotsk. These rivers are, from the south to north, Tigil, Amanina, Voyampolka, and Zhilovaya. The broad, flat floodplains of the rivers are shown in blue. These rivers are important spawning grounds for salmon. In the right side of the image is the Sredinnyy Khrebet, the volcanic mountain range that makes up the 3spine2 of the peninsula. The cluster of hills to the lower right is a field of small dormant volcanoes. High resolution SRTM topographic data will be used by geologists to study how volcanoes form and understand the hazards posed by future eruptions.

    This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Colors show the elevation as measured by SRTM. Colors range from blue at the lowest elevations to white at the highest elevations. This image contains about 2300 meters (7500 feet) of total relief. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11,2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200-foot) mast, an additional C-band imaging antenna and

  20. AIDS: ushering in a new era of shared responsibility for global health.

    PubMed

    Buse, Kent; Martin, Greg

    2012-01-01

    For the first time since AIDS erupted as worldwide emergency, global leaders, the scientific community, activists and people living with HIV are venturing to speak about the end to the pandemic. Signs of hope abound: over 8 million people are receiving life-saving treatment, the number of new infections is on significant decline, the remarkable evidence of treatment's impact on preventing new infections and the aspiration of zero new HIV infections among children is firmly within grasp. This progress, won by people living with HIV and countries with support from partners such as the US programme PEPFAR, the Clinton Health Access Initiative and untold more, embodies global solidarity to bring about an AIDS-free generation. Shared responsibility and global solidarity represents a normative ideal to which both individual stakeholders and the global community must subscribe and embrace if our collective vision of an AIDS-free world is to be realised. The idea of shared responsibility and global solidarity needs to goes further than raising and investing resources and extend to the level of control countries take of their AIDS response. This editorial explores five areas that require further attention. PMID:22809397

  1. AIDS: ushering in a new era of shared responsibility for global health.

    PubMed

    Buse, Kent; Martin, Greg

    2012-01-01

    For the first time since AIDS erupted as worldwide emergency, global leaders, the scientific community, activists and people living with HIV are venturing to speak about the end to the pandemic. Signs of hope abound: over 8 million people are receiving life-saving treatment, the number of new infections is on significant decline, the remarkable evidence of treatment's impact on preventing new infections and the aspiration of zero new HIV infections among children is firmly within grasp. This progress, won by people living with HIV and countries with support from partners such as the US programme PEPFAR, the Clinton Health Access Initiative and untold more, embodies global solidarity to bring about an AIDS-free generation. Shared responsibility and global solidarity represents a normative ideal to which both individual stakeholders and the global community must subscribe and embrace if our collective vision of an AIDS-free world is to be realised. The idea of shared responsibility and global solidarity needs to goes further than raising and investing resources and extend to the level of control countries take of their AIDS response. This editorial explores five areas that require further attention.

  2. Disaster relief in post-earthquake Haiti: unintended consequences of humanitarian volunteerism.

    PubMed

    Jobe, Kathleen

    2011-01-01

    This article provides an overview of US humanitarian relief efforts in Haiti following the earthquake on January 12, 2010. Humanitarian aid arrived rapidly from many sources and was largely provided by organized and skilled humanitarian volunteers. There are however multiple impacts on the existing health care systems, as well as the pharmaceutical and medical supply chain created by massive relief efforts involving personnel, medicines, supplies and equipment that should be considered even in the immediate post-disaster period. Additionally the consequences of short-term medical missions by secular and non-secular NGOs should be considered carefully both in the post-disaster period and as ongoing support to underserved populations.

  3. 7 CFR 636.20 - Equitable relief.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... with 7 CFR part 635. Where a participant believes that detrimental reliance on the advice or action of... equitable relief under 7 CFR 635.3. The financial or technical liability for any action by a participant... that provision, the participant may be eligible for equitable relief under 7 CFR 635.4....

  4. 7 CFR 636.20 - Equitable relief.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... with 7 CFR part 635. Where a participant believes that detrimental reliance on the advice or action of... equitable relief under 7 CFR 635.3. The financial or technical liability for any action by a participant... that provision, the participant may be eligible for equitable relief under 7 CFR 635.4....

  5. 7 CFR 636.20 - Equitable relief.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... with 7 CFR part 635. Where a participant believes that detrimental reliance on the advice or action of... equitable relief under 7 CFR 635.3. The financial or technical liability for any action by a participant... that provision, the participant may be eligible for equitable relief under 7 CFR 635.4....

  6. 7 CFR 636.20 - Equitable relief.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... with 7 CFR part 635. Where a participant believes that detrimental reliance on the advice or action of... equitable relief under 7 CFR 635.3. The financial or technical liability for any action by a participant... that provision, the participant may be eligible for equitable relief under 7 CFR 635.4....

  7. Analysis of inservice inspection relief requests

    SciTech Connect

    Aldrich, D.A.; Cook, J.F.

    1989-08-01

    Nuclear Regulatory Commission (NRC) regulations require inspection (ISI) of boiling or pressurized water-cooled nuclear power plants be performed in accordance with a referenced edition and addenda of Section XI, ``Rules for Inservice Inspection of Nuclear Power Plant components,`` of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code. The regulations permit licensees to request relief from the NRC from specific ASME Code requirements that are determined to be impractical for the specific licensee. The NRC evaluates these requests and may grant such relief, but the NRC may also impose alternative or augmented inspections to assure structural reliability. The purpose,of this task was to evaluate the basis for ISI nondestructive examination (NDE) relief requests and to evaluate the effect of proposed ASME Code changes that would reduce the need for such requests or provide for more complete information in relief requests. This report contains the results of an analysis of an ISI relief request data base that has been expanded to include 1195 ISI relief requests versus the 296 relief requests covered in the first report in April 1987, EGG-SD-7430. Also relief requests were added to the data base which came from both first and second 10-year inspection intervals for several facilities. This provided the means to analyze the effect of recently approved ASME Code cases and updated Code requirements, some of which have been published as a result of earlier work on this task.

  8. Inexpensive tamper proof safety relief valve

    NASA Technical Reports Server (NTRS)

    Frankewich, P. A.

    1970-01-01

    Basic relief valve has added safety relief valve capability that relieves overpressure before failure can occur. It may be installed in inaccesible areas with a high degree of reliability, constructed from a variety of materials, and adapted to the user's specific application.

  9. 29 CFR 4041.4 - Disaster relief.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Disaster relief. 4041.4 Section 4041.4 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY CORPORATION PLAN TERMINATIONS TERMINATION OF SINGLE-EMPLOYER PLANS General Provisions § 4041.4 Disaster relief. When the President of the United...

  10. Relief and Distress after Marital Separation.

    ERIC Educational Resources Information Center

    Spanier, Graham B.; Thompson, Linda

    1983-01-01

    Examined relief and distress as responses to the termination of marriage in a study of 205 individuals soon after their final separation. Results showed that relief is a frequent response to marital separation. Group differences in response were associated with the rewards and costs of ending a marriage. (JAC)

  11. Relief device for a vacuum vessel

    DOEpatents

    Fast, R.W.

    1987-04-28

    A pressure relief device for a vessel having redundant pressure relief capabilities is disclosed. An annular plate overlies a surface which has an aperture to the vessel. A seal is formed between the surface and annular plate. A solid plate overlies the annular plate. A seal is formed between the solid plate and annular plate. The relief device will open at a first predetermined pressure by lifting the solid plate. In the event the seal between solid plate and annular plate should stick the relief device will open at a second slightly higher, predetermined pressure by lifting the annular plate and solid plate together. Hinging means are provided to reclose the pressure relief device when conditions return to normal. 2 figs.

  12. RTLS entry load relief parameter optimization

    NASA Technical Reports Server (NTRS)

    Crull, T. J.

    1975-01-01

    The results are presented of a study of a candidate load relief control law for use during the pullup phase of Return-to-Launch-Site (RTLS) abort entries. The control law parameters and cycle time which optimized performance of the normal load factor limiting phase (load relief phase) of an RTLS entry are examined. A set of control law gains, a smoothing parameter, and a normal force coefficient curve fit are established which resulted in good load relief performance considering the possible aerodynamic coefficient uncertainties defined. Also, the examination of various guidance cycle times revealed improved load relief performance with decreasing cycle time. A .5 second cycle provided smooth and adequate load relief in the presence of all the aerodynamic uncertainties examined.

  13. Relief device for a vacuum vessel

    DOEpatents

    Fast, Ronald W.

    1987-04-28

    A pressure relief device 5 for a vessel having redundant pressure relief capabilities. An annular plate 12 overlies a surface 11 which has an aperature to the vessel. A seal is formed between the surface 11 and annular plate 12. A solid plate 13 overlies the annular plate 12. A seal is formed between the solid plate 13 and annular plate 12. The relief device 5 will open at a first predetermined pressure by lifting the solid plate 13. In the event the seal between solid plate 13 and annular plate 12 should stick the relief device 5 will open at a second slightly higher, predetermined pressure by lifting the annular plate 12 and solid plate 13 together. Hinging means 6 are provided to reclose the pressure relief device 5 when conditions return to normal.

  14. 48 CFR 5706.302-70 - Impairment of foreign aid programs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Impairment of foreign aid... Impairment of foreign aid programs. (a) Full and open competition need not be obtained when it would impair or otherwise have an adverse effect on programs conducted for the purposes of foreign aid, relief...

  15. 48 CFR 706.302-70 - Impairment of foreign aid programs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Impairment of foreign aid... Impairment of foreign aid programs. (a) Authority. (1) Citation: 40 U.S.C. 474. (2) Full and open competition... the purposes of foreign aid, relief, and rehabilitation. (b) Application. This authority may be...

  16. Applying photovoltaics to disaster relief

    SciTech Connect

    Young, W. Jr.

    1996-11-01

    Hurricanes, floods, tornados, earthquakes and other disasters can happen at any time, often with little or no advance warning. They can be as destructive as Hurricane Andrew leaving several hundred-thousand people homeless or as minor as an afternoon thunderstorm knocking down local power lines to your home. Major disasters leave many people without adequate medical services, potable water, electrical service and communications. In response to a natural disaster, photovoltaic (solar electric) modules offer a source of quiet, safe, pollution-free electrical power. Photovoltaic (PV) power systems are capable of providing the electrical needs for vaccine refrigerators, microscopes, medical equipment, lighting, radios, fans, communications, traffic devices and other general electrical needs. Stand alone PV systems do not require refueling and operate for long period of time from the endless energy supplied by the sun, making them beneficial during recovery efforts. This report discusses the need for electrical power during a disaster, and the capability of PV to fill that need. Applications of PV power used during previous disaster relief efforts are also presented.

  17. Financial Aid.

    ERIC Educational Resources Information Center

    Graves, Mary A.

    This workbook assists college and vocational school bound American Indian students in determining their financial needs and in locating sources of financial aid. A checklist helps students assess the state of their knowledge of financial programs; a glossary defines terms pertinent to the realm of financial aid (i.e., graduate study programs,…

  18. Teaching AIDS.

    ERIC Educational Resources Information Center

    Tonks, Douglas

    This book presents a curriculum to educate students about the risk of AIDS and HIV infection. The opening chapters of the book presents a discussion of: how teachers can create an environment of support for an AIDS education program; the political and educational implications of winning principal, district, and parental support for an AIDS…

  19. Navigating the profits and pitfalls of governmental partnerships: the ICRC and intergovernmental relief, 1918-23.

    PubMed

    Lowe, Kimberly A

    2015-10-01

    The International Committee of the Red Cross (ICRC) is today a staunch proponent of the need for humanitarian organisations to remain independent of state interests, yet it deliberately solicited intergovernmental intervention in international relief after the First World War of 1914-18. This paper examines why an organisation committed to upholding the independence and impartiality of humanitarian action might still choose to partner with governmental bodies. It also highlights the historical beginnings of a linkage between international aid and geopolitics. To secure governmental funding for refugee relief during the 1920s, the ICRC argued that the humanitarian crises of the post-war years were a threat to the political and social stability of Europe. While this has become axiomatic, the interwar history of the ICRC demonstrates that the perceived connection between relief and geopolitical stability is historically constructed, and that it must continue to be asserted persuasively to be effective. PMID:26395109

  20. Navigating the profits and pitfalls of governmental partnerships: the ICRC and intergovernmental relief, 1918-23.

    PubMed

    Lowe, Kimberly A

    2015-10-01

    The International Committee of the Red Cross (ICRC) is today a staunch proponent of the need for humanitarian organisations to remain independent of state interests, yet it deliberately solicited intergovernmental intervention in international relief after the First World War of 1914-18. This paper examines why an organisation committed to upholding the independence and impartiality of humanitarian action might still choose to partner with governmental bodies. It also highlights the historical beginnings of a linkage between international aid and geopolitics. To secure governmental funding for refugee relief during the 1920s, the ICRC argued that the humanitarian crises of the post-war years were a threat to the political and social stability of Europe. While this has become axiomatic, the interwar history of the ICRC demonstrates that the perceived connection between relief and geopolitical stability is historically constructed, and that it must continue to be asserted persuasively to be effective.

  1. Changing disaster relief regimes in China: an analysis using four famines between 1876 and 1962.

    PubMed

    Fuller, Pierre

    2015-10-01

    Once afflicted by frequent episodes of famine, China--particularly the Chinese state--is growing in importance as a player in the overseas aid and development sector. This paper examines four famines in modern China-defined as the period since the First Opium War of 1839-42-to shed light on the changing nature of state involvement in disaster relief in the country, while also demonstrating the breadth and diversity of relief agency in the past. It makes the case that traditional disaster relief principles and methods were active well into the twentieth century, and that the statist model of today's People's Republic is not an essential characteristic of Chinese humanitarian organisation. Rather, the extent to which the Chinese state will continue to assume a dominant role in the country's re-emerging civic and charity sector is, as in earlier times, a function of the political developments and struggles that lie ahead. PMID:26395106

  2. Avoid common relief-valve pitfalls

    SciTech Connect

    Bravo, F.; Contreras, D.; Jester, D.

    1995-08-01

    From the moment that the decision is made to add a relief valve to a process system and, continuing through its installation and operating life, engineers are involved with evaluations, sizing calculations, and documentation. Relief valves are critical to the safe, efficient operation of process systems. However, many times, these devices are not afforded the emphasis that they deserve and this can cause problems. The purpose of this article is to help the engineer to avoid some of the problems that are typically encountered with relief valves. In today`s competitive and quality-driven world, it is important to do it right the first time.

  3. Rain Hampers Tsunami Relief Efforts

    NASA Technical Reports Server (NTRS)

    2005-01-01

    The cleanup and relief efforts from the recent tsunamis continue in coastal communities that were ravaged by the waves all across the Indian Ocean. Heavy rains have further complicated the matter and added to the misery in parts of eastern Sri Lanka. Between December 28, 2004, and January 5, 2005, up to 10 to 15 inches of rain may have fallen along the southeast coast of the island, and as much as 20 inches (red areas) fell just offshore. This rainfall map was created by the TRMM-based, near-real time Multi-satellite Precipitation Analysis (MPA) at the NASA Goddard Space Flight Center, which monitors rainfall over the global tropics. The map shows that many other regions around the Indian Ocean were also affected by the rains, including Malaysia and parts of Sumatra. The heaviest rains fell on December 31 and January 4. The rains were likely the result of a combination of the northeast monsoon interacting with the topography and an active phase of what is known as the Madden-Julian Oscillation (MJO) (or 30-60 day oscillation). The MJO is a large-scale disturbance that propagates eastward from the Indian Ocean into the West Pacific Ocean, bringing extended periods of unsettled weather with it. Individual convective complexes within the MJO can last on the order of a day. TRMM is a joint mission between NASA and the Japanese space agency JAXA. NASA image produced by Hal Pierce (SSAI/NASA GSFC) and caption by Steve Lang (SSAI/NASA GSFC).

  4. Debt relief and financing climate change action

    NASA Astrophysics Data System (ADS)

    Fenton, Adrian; Wright, Helena; Afionis, Stavros; Paavola, Jouni; Huq, Saleemul

    2014-08-01

    Slow progress in scaling-up climate finance has emerged as a major bottleneck in international negotiations. Debt relief for climate finance swaps could provide an alternative source for financing mitigation and adaptation action in developing countries.

  5. Brain Circuits Encoding Reward from Pain Relief

    PubMed Central

    Navratilova, Edita; Atcherley, Christopher; Porreca, Frank

    2015-01-01

    Relief from pain in humans is rewarding and pleasurable. Primary rewards, or reward predictive cues, are encoded in brain reward/motivational circuits. While considerable advances have been made in our understanding of reward circuits underlying positive reinforcement, less is known about the circuits underlying the hedonic and reinforcing actions of pain relief. We review findings from electrophysiological, neuroimaging and behavioral studies supporting the concept that the rewarding effect of pain relief requires opioid signaling in the anterior cingulate cortex, activation of midbrain dopamine neurons and release of dopamine in the nucleus accumbens. Understanding of circuits that govern the reward of pain relief may allow the discovery of more effective and satisfying therapies for patients with acute and chronic pain. PMID:26603560

  6. Part and Whole in Pictorial Relief

    PubMed Central

    Koenderink, Jan; van Doorn, Andrea

    2015-01-01

    What are “natural parts” of pictorial reliefs? Intuitively, and suggested by common lore from the visual arts, they are the bulges that stick out toward the observer. Each such bulge contains a (locally) nearest point and is bounded by one or (usually) more curvilinear ruts. The latter meet in “passes” or saddle points. This divides the relief into “natural districts”. From a formal analysis one knows that reliefs can be divided into “hill districts” or “dale districts”, these two “natural” parcellations being fully distinct. We report empirical results that strongly suggest that visual awareness is based on a partition in bulges, which are mutually only weakly connected. Such a notion immediately explains why inverted reliefs or surfaces illuminated from below appear so different as to be mutually not recognizable. PMID:27551359

  7. Relief diffracted elements recorded on absorbent photopolymers.

    PubMed

    Gallego, S; Márquez, A; Ortuño, M; Francés, J; Pascual, I; Beléndez, A

    2012-05-01

    Relief surface changes provide interesting possibilities for storing diffractive optical elements on photopolymers and are an important source of information for characterizing and understanding the material behavior. In this paper we use a 3-dimensional model, based on direct parameter measurements, for predicting the relief structures generated on without-coverplate photopolymers. We have analyzed different spatial frequency and recording intensity distributions such as binary and blazed periodic patterns. This model was successfully applied to different photopolymers with different values of monomer diffusion.

  8. Martian relief and the coming opposition.

    PubMed

    Harris, D H

    1967-06-16

    In the report "Martian relief and the coming opposition" (3 Mar., p. 1100), D. H. Harris stated that, "... the reduced contrast with decreasing (terminator distance) just balances the increase in visibility due to shadow length." This is obviously erroneous. A more careful examination of the problem shows that for favorable values of the Aerocentric EarthSun Sun angle, visibility of relief increases toward the terminator, clouds not withstanding.

  9. The relief of existential suffering.

    PubMed

    Kissane, David W

    2012-10-22

    Advanced and progressive illnesses bring existential suffering to patients as an inevitable consequence of the disease and its treatment. Physicians need a typology of existential distress to aid its recognition and improved management. The major forms of existential challenge include (1) death anxiety, (2) loss and change, (3) freedom with choice or loss of control, (4) dignity of the self, (5) fundamental aloneness, (6) altered quality of relationships, (7) our search for meaning, and (8) mystery about what seems unknowable. An adaptive response to each challenge promotes equanimity, peace, and fulfillment while sustaining engagement with life, creativity, and joy. Physicians can do much to nurture courage and maintain each person's sense of meaning, value, and purpose. PMID:22945389

  10. Pressure relief valve types and selection

    SciTech Connect

    Emerson, G.B.

    1988-05-01

    Pressure relief valves are one of the few types of equipment purchased and installed with the hope that they'll never be used. From the production viewpoint, a pressure relief valve produces nothing, yet it is very capable of disrupting a production operation or process. From a safety standpoint, a pressure relief valve must open in certain emergency conditions and also close when the emergency condition has been alleviated. Much depends upon proper selection of the type of pressure relief valve best suited for the intended service. The six figures in this article provide a summary of basic pressure relief valve types - weight loaded, direct spring operated, and pilot operated - outlining the operation and some pros and cons of each type. It is intended to be relative and not absolute. The specific application, prior experience, available commercial or special valve configurations, coupled with various accessories (such as a pilot filter for pilot operated valves in dirty service or a rupture disc upstream of a pressure relief valve), and the location of the valve in the system may allow the use of an otherwise unacceptable valve type.

  11. [The Red Cross System for War Relief during the Second World War and Actual Conditions of Its Efforts in Burma].

    PubMed

    Kawahara, Yukari

    2015-12-01

    This paper aims to show the system for relief provided by the Japanese Red Cross relief units during the Second World War, as well as the actual activities of sixteen of its relief units dispatched to Burma. The Red Cross wartime relief efforts involved using personnel and funding prepared beforehand to provide aid to those injured in war, regardless of their status as ally or enemy. Thus they were able to receive support from the army in order to ensure safety and provide supplies. Nurses dispatched to Burma took care of many patients who suffered from malnutrition and physical injuries amidst the outbreak of infectious diseases typical of tropical areas, without sufficient replacement members. Base hospitals not meant for the front lines also came under attack, and the nurses' lives were thus in mortal danger. Of the 374 original members, 29 died or went missing in action.

  12. Hearing Aid

    MedlinePlus

    ... and Food and Drug Administration Staff FDA permits marketing of new laser-based hearing aid with potential ... feeds Follow FDA on Twitter Follow FDA on Facebook View FDA videos on YouTube View FDA photos ...

  13. Operation PATWIN: HMS DARING's experience of providing humanitarian disaster relief following super-Typhoon Haiyan.

    PubMed

    Butterworth, S J

    2014-01-01

    Super-Typhoon Haiyan struck the Philippines on 7 November 2013. The initial reports estimated 10 000 fatalities and four million displaced persons. As the United Kingdom's initial response to this disaster, HMS DARING was diverted from her deployment to take part in humanitarian aid, named Operation PATWIN. This article will outline the medical aspects of the relief effort undertaken and aim to identify any lessons that may inform future operations.

  14. 49 CFR 179.400-20 - Pressure relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Pressure relief devices. 179.400-20 Section 179...-20 Pressure relief devices. (a) The tank must be provided with pressure relief devices for the... safety appliances. Vent or weep holes in pressure relief devices are prohibited. All main pressure...

  15. 49 CFR 179.400-20 - Pressure relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.400-20 Section 179... and 107A) § 179.400-20 Pressure relief devices. (a) The tank must be provided with pressure relief... structure, trucks and safety appliances. Vent or weep holes in pressure relief devices are prohibited....

  16. 46 CFR 154.806 - Capacity of pressure relief valves.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Capacity of pressure relief valves. 154.806 Section 154... Equipment Cargo Vent Systems § 154.806 Capacity of pressure relief valves. Pressure relief valves for each cargo tank must have a combined relief capacity, including the effects of back pressure from vent...

  17. 49 CFR 179.400-20 - Pressure relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Pressure relief devices. 179.400-20 Section 179...-20 Pressure relief devices. (a) The tank must be provided with pressure relief devices for the... safety appliances. Vent or weep holes in pressure relief devices are prohibited. All main pressure...

  18. 49 CFR 179.400-20 - Pressure relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Pressure relief devices. 179.400-20 Section 179...-20 Pressure relief devices. (a) The tank must be provided with pressure relief devices for the... safety appliances. Vent or weep holes in pressure relief devices are prohibited. All main pressure...

  19. 46 CFR 154.806 - Capacity of pressure relief valves.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Capacity of pressure relief valves. 154.806 Section 154... Equipment Cargo Vent Systems § 154.806 Capacity of pressure relief valves. Pressure relief valves for each cargo tank must have a combined relief capacity, including the effects of back pressure from vent...

  20. 46 CFR 154.806 - Capacity of pressure relief valves.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Capacity of pressure relief valves. 154.806 Section 154... Equipment Cargo Vent Systems § 154.806 Capacity of pressure relief valves. Pressure relief valves for each cargo tank must have a combined relief capacity, including the effects of back pressure from vent...

  1. 46 CFR 154.806 - Capacity of pressure relief valves.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 5 2014-10-01 2014-10-01 false Capacity of pressure relief valves. 154.806 Section 154... Equipment Cargo Vent Systems § 154.806 Capacity of pressure relief valves. Pressure relief valves for each cargo tank must have a combined relief capacity, including the effects of back pressure from vent...

  2. 46 CFR 64.65 - Vacuum relief device.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Vacuum relief device. 64.65 Section 64.65 Shipping COAST... HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.65 Vacuum relief device. (a) Each MPT that is designed for an external pressure of less than 7.5 psig must have a...

  3. 46 CFR 64.65 - Vacuum relief device.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Vacuum relief device. 64.65 Section 64.65 Shipping COAST... HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.65 Vacuum relief device. (a) Each MPT that is designed for an external pressure of less than 7.5 psig must have a...

  4. 46 CFR 64.65 - Vacuum relief device.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Vacuum relief device. 64.65 Section 64.65 Shipping COAST... HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.65 Vacuum relief device. (a) Each MPT that is designed for an external pressure of less than 7.5 psig must have a...

  5. 46 CFR 64.65 - Vacuum relief device.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Vacuum relief device. 64.65 Section 64.65 Shipping COAST... HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.65 Vacuum relief device. (a) Each MPT that is designed for an external pressure of less than 7.5 psig must have a...

  6. 46 CFR 64.65 - Vacuum relief device.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Vacuum relief device. 64.65 Section 64.65 Shipping COAST... HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.65 Vacuum relief device. (a) Each MPT that is designed for an external pressure of less than 7.5 psig must have a...

  7. 46 CFR 154.519 - Piping relief valves.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Piping relief valves. 154.519 Section 154.519 Shipping... Process Piping Systems § 154.519 Piping relief valves. (a) The liquid relief valve that protects the cargo... cargo that is specially approved by the Commandant (CG-522). (b) A relief valve on a cargo pump...

  8. 49 CFR 230.49 - Setting of safety relief valves.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Setting of safety relief valves. 230.49 Section... Appurtenances Safety Relief Valves § 230.49 Setting of safety relief valves. (a) Qualifications of individual who adjusts. Safety relief valves shall be set and adjusted by a competent person who is...

  9. 46 CFR 154.806 - Capacity of pressure relief valves.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Capacity of pressure relief valves. 154.806 Section 154... Equipment Cargo Vent Systems § 154.806 Capacity of pressure relief valves. Pressure relief valves for each... pressure above the set pressure of the relief valves: (a) The maximum capacity of an installed cargo...

  10. 46 CFR 154.519 - Piping relief valves.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Piping relief valves. 154.519 Section 154.519 Shipping... Process Piping Systems § 154.519 Piping relief valves. (a) The liquid relief valve that protects the cargo... cargo that is specially approved by the Commandant (CG-522). (b) A relief valve on a cargo pump...

  11. 49 CFR 230.49 - Setting of safety relief valves.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Setting of safety relief valves. 230.49 Section... Appurtenances Safety Relief Valves § 230.49 Setting of safety relief valves. (a) Qualifications of individual who adjusts. Safety relief valves shall be set and adjusted by a competent person who is...

  12. 46 CFR 154.519 - Piping relief valves.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Piping relief valves. 154.519 Section 154.519 Shipping... Process Piping Systems § 154.519 Piping relief valves. (a) The liquid relief valve that protects the cargo... cargo that is specially approved by the Commandant (CG-ENG). (b) A relief valve on a cargo pump...

  13. 43 CFR 4.1367 - Request for temporary relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Transfer, Assignment Or Sale of Rights Granted Under Permit (federal Program; Federal Lands Program... setting forth the reasons why relief should be granted; (2) A statement of the specific relief requested... granting or denying such temporary relief. Temporary relief may be granted only if— (1) All parties to...

  14. 49 CFR 179.500-12 - Pressure relief devices.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... reduce air pressure to 30 percent of the marked test pressure within 3 minutes after pressure relief... 49 Transportation 3 2012-10-01 2012-10-01 false Pressure relief devices. 179.500-12 Section 179...-12 Pressure relief devices. (a) Tank shall be equipped with one or more pressure relief devices...

  15. AIDS lymphomas.

    PubMed

    Middleton, G W; Lau, R K

    1992-01-01

    Chronically immunosuppressed individuals are susceptible to lymphoreticular tumors. Up to 15% of patients with congenital deficiencies such as ataxia=telangiectasia may develop malignancies, mainly high-grade B cell non=Hodgkin's lymphomas (NHLs). AIDS lymphomas are comprised of NHLs including Burkitt's lymphoma (BL) and primary cerebral lymphomas (PCLs). Almost 3% of all AIDS patients (2824 of 97,258 cases) developed NHL. Epstein-Barr virus (EBV) as a co-factor in AIDS lymphomagenesis has been studied: in 12 cases of 24 AIDS lymphomas EBV by DNA in situ hybridization was found. In an analysis of 6 primary cerebral lymphomas, .5 were positive for EBV DNA by Southern blotting. In Burkitt's lymphoma the characteristic genetic alteration affects the c-myc oncogene. In 1/3 of BL p53 mutations were found but none in the 43 NHLs suggesting that p53 mutations and c-myc activation act synergistically in the pathogenesis of these tumors. Cytotoxic agents dideoxyinosine, dideoxycytosine, and zidovudine may cause secondary neoplasia. 8 of 55 AIDS patients under zidovudine treatment developed high-grade lymphoma 23.8 months subsequently; recently doses were reduced. PCL was found in 21 of 90 patients. A 5.2 months survival was associated with combined treatment with cyclophosphamide, Oncovin (vincristine), methotrexate, etoposide, and cytosine arabinoside compared with 11.3 months with chemotherapy. Colony-stimulating factors (CSFs) alleviate drug-induced myelotoxicity and zidovudine-induced neutropenia, however, l8 of 11 patients receiving granulocyte-macrophage CSF developed hematological toxicity. Interleukine-2 produced by T-helper cells enhancing tumor cells cytotoxicity has been used in AIDS-associated cryptosporidial diarrhea and in 4 patients with AIDS lymphoma with modest response, but its stimulation of the HIV-infected substrate may increase viral proliferation.

  16. Confronting AIDS.

    PubMed

    Squire, L

    1998-03-01

    By 2020, HIV/AIDS will be the leading infectious killer of young and middle-aged adults in the developing world. Past gains in life expectancy are already being eroded in some countries. Millions of lives can, however, be saved if developing country governments, the international community, and nongovernmental organizations act now. Although more than 11 million people have already died of AIDS, 2.3 billion people live in developing countries in which the disease has not yet spread beyond certain risk groups. If the spread of HIV is checked, the quality of care available to people who are infected with HIV will probably be better than it would be in the context of a full-blown AIDS epidemic. However, while governments need to respond urgently to HIV/AIDS, using resources to help people with AIDS will reduce the resources available for other investments, such as child education, providing safe drinking water, and building roads. Economics can help governments set priorities as they decide how best to allocate their available resources. Externalities, public goods, and redistribution are discussed. All countries will need to use some combination of preventive and coping measures. PMID:12293445

  17. Efficiently evaluate complex pressure relief systems

    SciTech Connect

    Wright, R.K.; Walker, A.G.

    1997-01-01

    This article will present the steps necessary to perform a comprehensive analysis of complex pressure relief systems. The goal is not to discuss detailed calculations for proper valve sizing and selection, but rather to analyze and verify existing system configurations. Sizing and selection have been covered in detail by the American Petroleum Institute (API) RP 520, API RP 521, various AIChE Design Institute for Emergency Relief Systems (DIERS) publications, and other sources. In their work with industry, the authors have noticed a tendency for some engineers to proceed with detailed calculations without first preparing an overall strategy and implementation plan to make sure that the calculations yield the desired results. They have seen detailed pressure relief system analyses costing hundreds of thousands of dollars which, for any number of reasons, are incorrect. The old adage GIGO (garbage in/garbage out) certainly applies to pressure relief system analysis. They will address the thought processes and actions necessary to correctly and efficiently evaluate complex pressure relief systems.

  18. Pain relief as an opponent process: a psychophysical investigation.

    PubMed

    Leknes, Siri; Brooks, Jonathan C W; Wiech, Katja; Tracey, Irene

    2008-08-01

    Relief from pain in humans is frequently measured by computing the reduction on an 11-point pain intensity scale. However, this definition of relief may be insufficient to capture the utility of pain relief for the individual. Based on pain literature and evidence from studies examining relief and reward, it is clear that pain relief is a broad concept comprising several factors, only one of which is pain intensity reduction. According to opponent process theory, all sensations consist of a primary process and a slow 'opponent process' of opposite valence, the purpose of which is to reduce the deviation from homeostatic balance. Here, opponent process theory provided a framework to explore the interaction between pain, relief and reward. We devised three psychophysical studies examining the temporal (Experiment I) and magnitude (Experiments I and II) relationships between pain severity and its subsequent relief. In Experiment III, we further manipulated the magnitude and pleasantness of relief experienced by applying innocuous cooling following noxious heat stimulation of capsaicin-sensitized skin. Results confirmed predictions from opponent process theory and showed that pain intensity reduction was significantly stronger than relief intensity ratings. Furthermore, continuous relief ratings appeared to reflect the speed of pain intensity reduction. Varying pain intensity parametrically confirmed that relief increases with pain intensity. That innocuous cooling following primary hyperalgesia intervention significantly increased the intensity, pleasantness and duration of relief provides further evidence that pain relief encapsulates more than a reduction in pain intensity. Importantly, the high relief pleasantness ratings confirmed the hypothesized link between relief and reward.

  19. Cryoanalgesia for post-thoracotomy pain relief.

    PubMed

    Joucken, K; Michel, L; Schoevaerdts, J C; Mayné, A; Randour, P

    1987-01-01

    A randomized study comparing the postoperative requirements of narcotics of three groups of patients (Group I: no analgesia; Group II: internal intercostal nerve block; Group III: cryoanalgesia) was conducted. This study was performed in order to assess the efficiency of cryoanalgesia versus internal intercostal nerve block to obtain pain relief after thoracotomy. Regarding post-operative narcotic requirements (Piritramide-Dipidolor), there was no significant difference between Group I and Group II patients, but patients from Group III required a significantly lower amount of narcotics during the first 36 postoperative hours (p less than 0.01). We conclude that, although cryoanalgesia does not provide complete post-thoracotomy pain relief, it is however an easy and safe method and is more efficient than internal intercostal nerve block for pain relief after thoracotomy. PMID:2889313

  20. Glovebox pressure relief and check valve

    SciTech Connect

    Blaedel, K.L.

    1986-03-17

    This device is a combined pressure relief valve and check valve providing overpressure protection and preventing back flow into an inert atmosphere enclosure. The pressure relief is embodied by a submerged vent line in a mercury reservior, the releif pressure being a function of the submerged depth. The pressure relief can be vented into an exhaust system and the relieving pressure is only slightly influenced by the varying pressure in the exhaust system. The check valve is embodied by a ball which floats on the mercury column and contacts a seat whenever vacuum exists within the glovebox enclosure. Alternatively, the check valve is embodied by a vertical column of mercury, the maximum back pressure being a function of the height of the column of mercury.

  1. Classroom Aids

    ERIC Educational Resources Information Center

    Science Activities: Classroom Projects and Curriculum Ideas, 2007

    2007-01-01

    This article describes 6 aids for science instruction, including (1) the use of fudge to represent lava; (2) the "Living by Chemistry" program, designed to make high school chemistry more accessible to a diverse pool of students without sacrificing content; (3) NOAA and NSTA's online coral reef teaching tool, a new web-based "science toolbox" for…

  2. Dietitian Aide.

    ERIC Educational Resources Information Center

    Texas Tech. Univ., Lubbock. School of Home Economics.

    This course of study for the dietitian aide is one of a series available for use by teacher-coordinators and students in Grade 11 and 12 home economics cooperative education programs. Based on job analysis interviews with health care facilities personnel, this course was prepared by teachers and Instructional Materials Center staff, field-tested,…

  3. Floriculture Aide.

    ERIC Educational Resources Information Center

    Martin, Joyce; Looney, Era

    Designed for use in a self-paced, open-entry/open-exit vocational training program for a floriculture aide, this program guide is one of six for teachers of adult women offenders from a correctional institution. Module topic outlines and sample lesson plans are presented on eleven topics: occupational opportunities in the retail florist industry;…

  4. Emergency relief system design: The DIERS users group safety relief valve example problem

    SciTech Connect

    Fisher, H.G.

    1995-12-31

    Emergency relief system design involving two-phase flow is an evolving and complex technology. Aspects of alternative design techniques have been published. Well-documented, comprehensive design methods for safety relief valves, rupture disks and breather vents, however, are not readily available and example problems supported by data do not exist. Design Institute for Emergency Relief Systems (DIERS) Users Group members recently completed an example rating problem consisting of a safety relief valve mounted in a typical industrial configuration. Participants were asked to compute the flow through the device and to calculate the inlet pipe irreversible pressure loss and discharge pipe back pressure. Case studies involving various flows and physical conditions were formulated. A {open_quotes}Modified Delphi{close_quotes} technique was used to encourage participants to work until the {open_quotes}consensus{close_quotes} result was achieved. The exercise served to educate participants in the complexities and subtleties of emergency relief system design involving safety relief installations as compared to ideal nozzle calculations. All learned from the various calculation techniques used by others to solve the problem. Participants corrected parts of their computer codes and/or added procedures to address aspects of the problem. The present example problem is not supported by data. Available safety relief valve two-phase flow data suggest complexity not presently included in problem solutions. Future modification of the results may be required as additional considerations are incorporated into existing analytical methods and computer codes. 20 refs., 21 tabs.

  5. 38 CFR 17.151 - Invalid lifts for recipients of aid and attendance allowance or special monthly compensation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Invalid lifts for recipients of aid and attendance allowance or special monthly compensation. 17.151 Section 17.151 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Prosthetic, Sensory,...

  6. 75 FR 75091 - Mortgage Assistance Relief Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-01

    ... promulgates to implement the Omnibus Appropriations Act, therefore, cannot cover the practices of banks... rule included provisions that would: \\16\\ See Mortgage Assistance Relief Services, 74 FR 26130 (June 1... Services, 75 FR 10707 (Mar. 9, 2010) (MARS NPRM). Prohibit MARS providers from making false or...

  7. Recommendations on frequently encountered relief requests

    SciTech Connect

    Hartley, R.S.; Ransom, C.B.

    1992-09-01

    This paper is based on the review of a large database of requests for relief from enservice testing (1ST) requirements for pumps and valves. From the review, the paper identifies areas where enhancements to either the relief request process or the applicable test codes can improve IST of pumps and valves. Certain types of requests occur frequently. The paper examines some frequent requests and considers possible changes to the requirements to determine if the frequent requests can be eliminated. Recommended changes and their bases will be discussed. IST of safety-related pumps and valves at commercial nuclear power plants is done according to the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code (the Code), Section XI. Because of the design and function of some safety systems in nuclear plants, performing Code testing of certain pumps and valves is impractical or a hardship without a compensating increase in the level of safety. Deviations from the Code are allowed by law, as reviewed and approved by the United States Nuclear Regulatory Commission (NRC), through the relief request process. Because of similarities in plant design and system function, many problems encountered in testing components are similar from plant to plant. Likewise, there are often common problems associated with test methods or equipment. Therefore, many relief requests received by the NRC from various plants are similar. Identifying and addressing the root causes for these common requests will greatly improve IST.

  8. Recommendations on frequently encountered relief requests

    SciTech Connect

    Hartley, R.S.; Ransom, C.B.

    1992-01-01

    This paper is based on the review of a large database of requests for relief from enservice testing (1ST) requirements for pumps and valves. From the review, the paper identifies areas where enhancements to either the relief request process or the applicable test codes can improve IST of pumps and valves. Certain types of requests occur frequently. The paper examines some frequent requests and considers possible changes to the requirements to determine if the frequent requests can be eliminated. Recommended changes and their bases will be discussed. IST of safety-related pumps and valves at commercial nuclear power plants is done according to the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code (the Code), Section XI. Because of the design and function of some safety systems in nuclear plants, performing Code testing of certain pumps and valves is impractical or a hardship without a compensating increase in the level of safety. Deviations from the Code are allowed by law, as reviewed and approved by the United States Nuclear Regulatory Commission (NRC), through the relief request process. Because of similarities in plant design and system function, many problems encountered in testing components are similar from plant to plant. Likewise, there are often common problems associated with test methods or equipment. Therefore, many relief requests received by the NRC from various plants are similar. Identifying and addressing the root causes for these common requests will greatly improve IST.

  9. 24 CFR 965.508 - Individual relief.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Individual relief. 965.508 Section 965.508 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... PHA-OWNED OR LEASED PROJECTS-GENERAL PROVISIONS Resident Allowances for Utilities § 965.508...

  10. Cryoanalgesia. A new approach to pain relief.

    PubMed

    Lloyd, J W; Barnard, J D; Glynn, C J

    1976-10-30

    Cryotherapy has been clinically applied to relieve pain using a new cryosurgical probe to block peripheral nerve function to achieve analgesia. Sixty-four patients with intractable pain were treated with cryoanalgesia. Fifty-two obtained relief of pain for a median duration of 11 days and a range of up to 224 days. PMID:62163

  11. 24 CFR 220.753 - Forbearance relief.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... INSURANCE AND INSURED IMPROVEMENT LOANS FOR URBAN RENEWAL AND CONCENTRATED DEVELOPMENT AREAS Contract Rights... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Forbearance relief. 220.753 Section 220.753 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  12. 24 CFR 220.753 - Forbearance relief.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... INSURANCE AND INSURED IMPROVEMENT LOANS FOR URBAN RENEWAL AND CONCENTRATED DEVELOPMENT AREAS Contract Rights... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Forbearance relief. 220.753 Section 220.753 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  13. 24 CFR 220.753 - Forbearance relief.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... INSURANCE AND INSURED IMPROVEMENT LOANS FOR URBAN RENEWAL AND CONCENTRATED DEVELOPMENT AREAS Contract Rights... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Forbearance relief. 220.753 Section 220.753 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  14. 24 CFR 220.753 - Forbearance relief.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... INSURANCE AND INSURED IMPROVEMENT LOANS FOR URBAN RENEWAL AND CONCENTRATED DEVELOPMENT AREAS Contract Rights... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Forbearance relief. 220.753 Section 220.753 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  15. 24 CFR 220.753 - Forbearance relief.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... INSURANCE AND INSURED IMPROVEMENT LOANS FOR URBAN RENEWAL AND CONCENTRATED DEVELOPMENT AREAS Contract Rights... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Forbearance relief. 220.753 Section 220.753 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  16. Tsunami-Relief Groups Advise K-12

    ERIC Educational Resources Information Center

    Hurst, Marianne D.

    2005-01-01

    As American schools pitch in with an array of charitable projects in response to the tsunami in South Asia, experts say educators and students should consider carefully how they can most effectively support relief groups, avoid fund-raising scams, and incorporate their efforts into service-learning programs. When students returned to school after…

  17. 78 FR 19136 - Emergency Relief Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-29

    ..., 2000 (65 FR 19477). Docket: For access to the docket to read background documents and comments received... first $2 billion (78 FR 8691). In accordance with the statute, the remainder of the appropriated funds... Register notice of availability of emergency relief funds for Hurricane Sandy (78 FR 8691, Feb. 6,...

  18. 75 FR 10707 - MORTGAGE ASSISTANCE RELIEF SERVICES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-09

    ... are needed to prevent harm to consumers.\\15\\ \\13\\ Mortgage Assistance Relief Services, 74 FR 26130... mortgage loans. Mortgage Acts and Practices, 74 FR 26118 (June 1, 2009). The Commission anticipates that it will publish an NPRM relating to other mortgage practices in the near future. \\15\\ MARS ANPR, 74 FR...

  19. 24 CFR 221.761 - Forbearance relief.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER AUTHORITIES LOW COST AND... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Forbearance relief. 221.761 Section 221.761 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  20. 24 CFR 221.761 - Forbearance relief.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... DEVELOPMENT MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER AUTHORITIES LOW COST AND... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Forbearance relief. 221.761 Section 221.761 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  1. 49 CFR 1108.4 - Relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... herein, an Arbitrator may grant the following types of relief: (1) Monetary damages, to the extent... Arbitrator. (2) Specific performance of statutory obligations (including the prescription of reasonable rates), but for a period not to exceed 3 years from the effective date of the Arbitrator's award. (b) A...

  2. Federal Aid to Postsecondary Students: Tax Allowances and Alternative Subsidies.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Congressional Budget Office.

    Various aspects of tax allowances for the expenses of higher education, and alternative subsidies are analyzed. A tax allowance for education is presented as one way to give more financial relief to middle-income families. The current distribution of student aid among income groups is discussed and data on college enrollment rates, family incomes,…

  3. Setting Research Priorities for HIV/AIDS-related research in a post-graduate training programme: lessons learnt from the Nigeria Field Epidemiology and Laboratory Training Programme scientific workshop

    PubMed Central

    Poggensee, Gabriele; Waziri, Ndadilnasiya Endie; Bashorun, Adebobola; Nguku, Patrick Mboya; Fawole, Olufunmilayo Ibitola; Sabitu, Kabir

    2014-01-01

    In Nigeria the current prevalence of HIV is 4.1% with over 3.5 million infected and estimated 1.5 million in need of anti-retroviral treatment. Epidemiological and implementation studies are necessary for monitoring and evaluation of interventions. To define research areas which can be addressed by participants of the Nigeria Field Epidemiology and Training Programme (NFELTP) a workshop was held in April 2013 in Abuja, Nigeria. Priority research areas were identified using criteria lists for ranking of the relevance of research questions. Based on a research matrix, NFELTP residents developed the aims and objectives, study design for HIV-related research proposals. This workshop was the first workshop held by the NFELTP to establish an inventory of research questions which can be addressed by the residents within their training period. This inventory will help to increase HIV/AIDS-related activities of NFELTP which are in accordance with research needs in Nigeria and PEPFAR objectives. PMID:25426209

  4. Digital Shaded-Relief Image of Alaska

    USGS Publications Warehouse

    Riehle, J.R.; Fleming, Michael D.; Molnia, B.F.; Dover, J.H.; Kelley, J.S.; Miller, M.L.; Nokleberg, W.J.; Plafker, George; Till, A.B.

    1997-01-01

    Introduction One of the most spectacular physiographic images of the conterminous United States, and the first to have been produced digitally, is that by Thelin and Pike (USGS I-2206, 1991). The image is remarkable for its crispness of detail and for the natural appearance of the artificial land surface. Our goal has been to produce a shaded-relief image of Alaska that has the same look and feel as the Thelin and Pike image. The Alaskan image could have been produced at the same scale as its lower 48 counterpart (1:3,500,000). But by insetting the Aleutian Islands into the Gulf of Alaska, we were able to print the Alaska map at a larger scale (1:2,500,000) and about the same physical size as the Thelin and Pike image. Benefits of the 1:2,500,000 scale are (1) greater resolution of topographic features and (2) ease of reference to the U.S. Geological Survey (USGS) (1987) Alaska Map E and the statewide geologic map (Beikman, 1980), which are both 1:2,500,000 scale. Manually drawn, shaded-relief images of Alaska's land surface have long been available (for example, Department of the Interior, 1909; Raisz, 1948). The topography depicted on these early maps is mainly schematic. Maps showing topographic contours were first available for the entire State in 1953 (USGS, 1:250,000) (J.H. Wittmann, USGS, written commun., 1996). The Alaska Map E was initially released in 1954 in both planimetric (revised in 1973 and 1987) and shaded-relief versions (revised in 1973, 1987, and 1996); topography depicted on the shaded-relief version is based on the 1:250,000-scale USGS topographic maps. Alaska Map E was later modified to include hypsometric tinting by Raven Maps and Images (1989, revised 1993) as copyrighted versions. Other shaded-relief images were produced for The National Geographic Magazine (LaGorce, 1956; 1:3,000,000) or drawn by Harrison (1970; 1:7,500,000) for The National Atlas of the United States. Recently, the State of Alaska digitally produced a shaded-relief image

  5. 49 CFR 601.42 - Emergency relief docket.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Emergency Relief Docket in the publicly accessible DOT Docket Management System (DMS) (http://dms.dot.gov... message on its web page (http://www.fta.dot.gov) indicating the Emergency Relief Docket has been...

  6. Enforcing Compliance with IDEA: Dispute Resolution and Appropriate Relief.

    ERIC Educational Resources Information Center

    Dagley, David

    1995-01-01

    This discussion of dispute resolution and remedies under the Individuals with Disabilities Education Act focuses on the due process hearing as well as alternative dispute resolution, appropriate relief, reimbursements, compensatory relief, punitive damages, and attorneys' fees. (DB)

  7. HIV/AIDS Basics

    MedlinePlus

    ... Enter ZIP code or city Follow Act Against AIDS Act Against AIDS @talkHIV Act Against AIDS Get Email Updates on AAA Anonymous Feedback HIV/AIDS Media Infographics Syndicated Content Podcasts Slide Sets HIV/ ...

  8. 49 CFR 179.15 - Pressure relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Pressure relief devices. 179.15 Section 179.15... § 179.15 Pressure relief devices. Except for DOT Class 106, 107, 110, and 113 tank cars, tanks must have a pressure relief device, made of material compatible with the lading, that conforms to...

  9. 49 CFR 179.500-12 - Pressure relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Pressure relief devices. 179.500-12 Section 179...-12 Pressure relief devices. (a) Tank shall be equipped with one or more pressure relief devices of... pressure equal to 70 percent of the marked test pressure of tank, flow capacity will be sufficient...

  10. 49 CFR 179.15 - Pressure relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Pressure relief devices. 179.15 Section 179.15... § 179.15 Pressure relief devices. Except for DOT Class 106, 107, 110, and 113 tank cars, tanks must have a pressure relief device, made of material compatible with the lading, that conforms to...

  11. 49 CFR 179.15 - Pressure relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.15 Section 179.15... Design Requirements § 179.15 Pressure relief devices. Except for DOT Class 106, 107, 110, and 113 tank cars, tanks must have a pressure relief device, made of material compatible with the lading,...

  12. 49 CFR 179.500-12 - Pressure relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Pressure relief devices. 179.500-12 Section 179...-12 Pressure relief devices. (a) Tank shall be equipped with one or more pressure relief devices of... pressure equal to 70 percent of the marked test pressure of tank, flow capacity will be sufficient...

  13. 46 CFR 154.1846 - Relief valves: Changing set pressure.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Relief valves: Changing set pressure. 154.1846 Section... Relief valves: Changing set pressure. The master shall: (a) Supervise the changing of the set pressure of relief valves under § 154.802(b); (b) Enter the change of set pressure in the vessel's log; and...

  14. 49 CFR 178.346-3 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 3 2012-10-01 2012-10-01 false Pressure relief. 178.346-3 Section 178.346-3... Containers for Motor Vehicle Transportation § 178.346-3 Pressure relief. (a) Each cargo tank must be equipped with a pressure relief system in accordance with § 178.345-10 and this section. (b) Type...

  15. 46 CFR 154.1846 - Relief valves: Changing set pressure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Relief valves: Changing set pressure. 154.1846 Section... Relief valves: Changing set pressure. The master shall: (a) Supervise the changing of the set pressure of relief valves under § 154.802(b); (b) Enter the change of set pressure in the vessel's log; and...

  16. 49 CFR 179.15 - Pressure relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Pressure relief devices. 179.15 Section 179.15... § 179.15 Pressure relief devices. Except for DOT Class 106, 107, 110, and 113 tank cars, tanks must have a pressure relief device, made of material compatible with the lading, that conforms to...

  17. 49 CFR 178.346-3 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Pressure relief. 178.346-3 Section 178.346-3... Containers for Motor Vehicle Transportation § 178.346-3 Pressure relief. (a) Each cargo tank must be equipped with a pressure relief system in accordance with § 178.345-10 and this section. (b) Type...

  18. 49 CFR 179.500-12 - Pressure relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Pressure relief devices. 179.500-12 Section 179...-12 Pressure relief devices. (a) Tank shall be equipped with one or more pressure relief devices of... pressure equal to 70 percent of the marked test pressure of tank, flow capacity will be sufficient...

  19. 49 CFR 178.346-3 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Pressure relief. 178.346-3 Section 178.346-3... Containers for Motor Vehicle Transportation § 178.346-3 Pressure relief. (a) Each cargo tank must be equipped with a pressure relief system in accordance with § 178.345-10 and this section. (b) Type...

  20. 49 CFR 178.346-3 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... equipped with one or more vacuum relief devices; (2) When intended for use only for lading meeting the...) Each vacuum relief device must be set to open at no more than 6 ounces vacuum. (d) Venting capacities...(e) may be rated at these same pressures. (2) Each vacuum relief system must have sufficient...

  1. 49 CFR 178.348-4 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tanks designed to be loaded by vacuum or built to withstand full vacuum. (c) Pressure settings of relief valves. The setting of the pressure...

  2. 46 CFR 105.10-20 - Pressure vacuum relief valve.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Pressure vacuum relief valve. 105.10-20 Section 105.10... Pressure vacuum relief valve. (a) The term pressure vacuum relief valve means any device or assembly of a mechanical, liquid, weight, or other type used for the automatic regulation of pressure or vacuum in...

  3. 46 CFR 64.59 - Spring loaded pressure relief valve.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Spring loaded pressure relief valve. 64.59 Section 64.59 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.59...

  4. 46 CFR 64.59 - Spring loaded pressure relief valve.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Spring loaded pressure relief valve. 64.59 Section 64.59 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.59...

  5. 49 CFR 178.347-4 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... must be equipped with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and Construction. Vacuum relief devices are not required for cargo tanks designed to be loaded by vacuum or built to withstand full vacuum. (c) Pressure settings of relief valves. The...

  6. 46 CFR 105.10-20 - Pressure vacuum relief valve.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Pressure vacuum relief valve. 105.10-20 Section 105.10... Pressure vacuum relief valve. (a) The term pressure vacuum relief valve means any device or assembly of a mechanical, liquid, weight, or other type used for the automatic regulation of pressure or vacuum in...

  7. 46 CFR 64.59 - Spring loaded pressure relief valve.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Spring loaded pressure relief valve. 64.59 Section 64.59 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.59...

  8. 46 CFR 64.57 - Acceptance of pressure relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Acceptance of pressure relief devices. 64.57 Section 64.57 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs §...

  9. 49 CFR 178.348-4 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tanks designed to be loaded by vacuum or built to withstand full vacuum. (c) Pressure settings of relief valves. The setting of the pressure...

  10. 46 CFR 64.57 - Acceptance of pressure relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Acceptance of pressure relief devices. 64.57 Section 64.57 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs §...

  11. 46 CFR 64.71 - Marking of pressure relief devices.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Marking of pressure relief devices. 64.71 Section 64.71 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.71...

  12. 46 CFR 64.71 - Marking of pressure relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Marking of pressure relief devices. 64.71 Section 64.71 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.71...

  13. 46 CFR 105.10-20 - Pressure vacuum relief valve.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Pressure vacuum relief valve. 105.10-20 Section 105.10... Pressure vacuum relief valve. (a) The term pressure vacuum relief valve means any device or assembly of a mechanical, liquid, weight, or other type used for the automatic regulation of pressure or vacuum in...

  14. 46 CFR 64.71 - Marking of pressure relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Marking of pressure relief devices. 64.71 Section 64.71 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.71...

  15. 46 CFR 64.71 - Marking of pressure relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Marking of pressure relief devices. 64.71 Section 64.71 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.71...

  16. 49 CFR 178.346-3 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... cargo tank must be equipped with one or more vacuum relief devices; (2) When intended for use only for... pressures. (2) Each vacuum relief device must be set to open at no more than 6 ounces vacuum. (d) Venting....345-10(e) may be rated at these same pressures. (2) Each vacuum relief system must have...

  17. 46 CFR 105.10-20 - Pressure vacuum relief valve.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Pressure vacuum relief valve. 105.10-20 Section 105.10... Pressure vacuum relief valve. (a) The term pressure vacuum relief valve means any device or assembly of a mechanical, liquid, weight, or other type used for the automatic regulation of pressure or vacuum in...

  18. 46 CFR 64.59 - Spring loaded pressure relief valve.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Spring loaded pressure relief valve. 64.59 Section 64.59 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.59...

  19. 46 CFR 64.71 - Marking of pressure relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Marking of pressure relief devices. 64.71 Section 64.71 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.71...

  20. 46 CFR 105.10-20 - Pressure vacuum relief valve.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Pressure vacuum relief valve. 105.10-20 Section 105.10... Pressure vacuum relief valve. (a) The term pressure vacuum relief valve means any device or assembly of a mechanical, liquid, weight, or other type used for the automatic regulation of pressure or vacuum in...

  1. 46 CFR 64.57 - Acceptance of pressure relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Acceptance of pressure relief devices. 64.57 Section 64.57 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs §...

  2. 49 CFR 178.348-4 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tanks designed to be loaded by vacuum or built to withstand full vacuum. (c) Pressure settings of relief valves. The setting of the pressure...

  3. 46 CFR 64.59 - Spring loaded pressure relief valve.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Spring loaded pressure relief valve. 64.59 Section 64.59 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.59...

  4. 49 CFR 178.348-4 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tanks designed to be loaded by vacuum or built to withstand full vacuum. (c) Pressure settings of relief valves. The setting of the pressure...

  5. 49 CFR 178.348-4 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... must be equipped with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tanks designed to be loaded by vacuum or built to withstand full vacuum. (c) Pressure settings of relief valves. The...

  6. 46 CFR 64.57 - Acceptance of pressure relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Acceptance of pressure relief devices. 64.57 Section 64.57 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs §...

  7. 46 CFR 64.57 - Acceptance of pressure relief devices.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Acceptance of pressure relief devices. 64.57 Section 64.57 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs §...

  8. 19 CFR 171.3 - Oral presentations seeking relief.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Oral presentations seeking relief. 171.3 Section... OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.3 Oral... make an oral presentation seeking relief in accordance with this paragraph. (b) Other...

  9. 19 CFR 171.3 - Oral presentations seeking relief.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Oral presentations seeking relief. 171.3 Section... OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.3 Oral... make an oral presentation seeking relief in accordance with this paragraph. (b) Other...

  10. 19 CFR 171.3 - Oral presentations seeking relief.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Oral presentations seeking relief. 171.3 Section... OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.3 Oral... make an oral presentation seeking relief in accordance with this paragraph. (b) Other...

  11. 19 CFR 171.3 - Oral presentations seeking relief.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Oral presentations seeking relief. 171.3 Section... OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.3 Oral... make an oral presentation seeking relief in accordance with this paragraph. (b) Other...

  12. 19 CFR 171.3 - Oral presentations seeking relief.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 2 2013-04-01 2013-04-01 false Oral presentations seeking relief. 171.3 Section... OF THE TREASURY (CONTINUED) FINES, PENALTIES, AND FORFEITURES Application for Relief § 171.3 Oral... make an oral presentation seeking relief in accordance with this paragraph. (b) Other...

  13. 46 CFR 154.1846 - Relief valves: Changing set pressure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Relief valves: Changing set pressure. 154.1846 Section... Relief valves: Changing set pressure. The master shall: (a) Supervise the changing of the set pressure of relief valves under § 154.802(b); (b) Enter the change of set pressure in the vessel's log; and...

  14. 46 CFR 154.1846 - Relief valves: Changing set pressure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Relief valves: Changing set pressure. 154.1846 Section... Relief valves: Changing set pressure. The master shall: (a) Supervise the changing of the set pressure of relief valves under § 154.802(b); (b) Enter the change of set pressure in the vessel's log; and...

  15. 7 CFR 2902.59 - Topical pain relief products.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Topical pain relief products. 2902.59 Section 2902.59... Items § 2902.59 Topical pain relief products. (a) Definition. Products that can be balms, creams and other topical treatments used for the relief of muscle, joint, headache, and nerve pain, as well...

  16. 7 CFR 3201.59 - Topical pain relief products.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Topical pain relief products. 3201.59 Section 3201.59... Designated Items § 3201.59 Topical pain relief products. (a) Definition. Products that can be balms, creams and other topical treatments used for the relief of muscle, joint, headache, and nerve pain, as...

  17. 7 CFR 3201.59 - Topical pain relief products.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Topical pain relief products. 3201.59 Section 3201.59... Designated Items § 3201.59 Topical pain relief products. (a) Definition. Products that can be balms, creams and other topical treatments used for the relief of muscle, joint, headache, and nerve pain, as...

  18. 7 CFR 3201.59 - Topical pain relief products.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 15 2012-01-01 2012-01-01 false Topical pain relief products. 3201.59 Section 3201.59... Designated Items § 3201.59 Topical pain relief products. (a) Definition. Products that can be balms, creams and other topical treatments used for the relief of muscle, joint, headache, and nerve pain, as...

  19. 30 CFR 203.53 - What relief will BSEE grant?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 2 2013-07-01 2013-07-01 false What relief will BSEE grant? 203.53 Section 203... MINERALS REVENUE MANAGEMENT RELIEF OR REDUCTION IN ROYALTY RATES OCS Oil, Gas, and Sulfur General § 203.53... twice the relief volume amount. (b) Regardless of the level of production or prices (see §...

  20. 30 CFR 203.53 - What relief will BSEE grant?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false What relief will BSEE grant? 203.53 Section 203... MINERALS REVENUE MANAGEMENT RELIEF OR REDUCTION IN ROYALTY RATES OCS Oil, Gas, and Sulfur General § 203.53... twice the relief volume amount. (b) Regardless of the level of production or prices (see §...

  1. 30 CFR 203.53 - What relief will MMS grant?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What relief will MMS grant? 203.53 Section 203.53 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR MINERALS REVENUE MANAGEMENT RELIEF OR REDUCTION IN ROYALTY RATES OCS Oil, Gas, and Sulfur General Royalty Relief for...

  2. 20 CFR 631.86 - Limitations on disaster relief employment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Limitations on disaster relief employment... PROGRAMS UNDER TITLE III OF THE JOB TRAINING PARTNERSHIP ACT Disaster Relief Employment Assistance § 631.86 Limitations on disaster relief employment. No individual shall be employed under this subpart for more than...

  3. 20 CFR 631.86 - Limitations on disaster relief employment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Limitations on disaster relief employment... PROGRAMS UNDER TITLE III OF THE JOB TRAINING PARTNERSHIP ACT Disaster Relief Employment Assistance § 631.86 Limitations on disaster relief employment. No individual shall be employed under this subpart for more than...

  4. 48 CFR 252.229-7001 - Tax relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Tax relief. 252.229-7001... Clauses 252.229-7001 Tax relief. As prescribed in 229.402-70(a), use the following clause: Tax Relief (JUN 1997) (a) Prices set forth in this contract are exclusive of all taxes and duties from which the...

  5. 48 CFR 252.229-7001 - Tax relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Tax relief. 252.229-7001... Clauses 252.229-7001 Tax relief. As prescribed in 229.402-70(a), use the following clause: Tax Relief (JUN 1997) (a) Prices set forth in this contract are exclusive of all taxes and duties from which the...

  6. 48 CFR 252.229-7001 - Tax relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Tax relief. 252.229-7001... Clauses 252.229-7001 Tax relief. As prescribed in 229.402-70(a), use the following clause: Tax Relief (JUN 1997) (a) Prices set forth in this contract are exclusive of all taxes and duties from which the...

  7. 20 CFR 631.86 - Limitations on disaster relief employment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Limitations on disaster relief employment... PROGRAMS UNDER TITLE III OF THE JOB TRAINING PARTNERSHIP ACT Disaster Relief Employment Assistance § 631.86 Limitations on disaster relief employment. No individual shall be employed under this subpart for more than...

  8. 21 CFR 358.310 - Ingrown toenail relief active ingredient.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 5 2014-04-01 2014-04-01 false Ingrown toenail relief active ingredient. 358.310 Section 358.310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Toenail Relief Drug Products § 358.310 Ingrown toenail relief active ingredient. The active ingredient...

  9. 21 CFR 358.310 - Ingrown toenail relief active ingredient.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 5 2011-04-01 2011-04-01 false Ingrown toenail relief active ingredient. 358.310 Section 358.310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Toenail Relief Drug Products § 358.310 Ingrown toenail relief active ingredient. The active ingredient...

  10. 21 CFR 358.310 - Ingrown toenail relief active ingredient.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 5 2012-04-01 2012-04-01 false Ingrown toenail relief active ingredient. 358.310 Section 358.310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Toenail Relief Drug Products § 358.310 Ingrown toenail relief active ingredient. The active ingredient...

  11. 43 CFR 1815.1-1 - Relief granted.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Relief granted. 1815.1-1 Section 1815.1-1 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT....1-1 Relief granted. (a) Where an existing timber sale contract does not provide relief to the...

  12. 43 CFR 1815.1-1 - Relief granted.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Relief granted. 1815.1-1 Section 1815.1-1 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT....1-1 Relief granted. (a) Where an existing timber sale contract does not provide relief to the...

  13. 43 CFR 1815.1-1 - Relief granted.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Relief granted. 1815.1-1 Section 1815.1-1 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT....1-1 Relief granted. (a) Where an existing timber sale contract does not provide relief to the...

  14. 48 CFR 252.229-7001 - Tax relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Tax relief. 252.229-7001... Clauses 252.229-7001 Tax relief. As prescribed in 229.402-70(a), use the following clause: Tax Relief (JUN 1997) (a) Prices set forth in this contract are exclusive of all taxes and duties from which the...

  15. 21 CFR 358.310 - Ingrown toenail relief active ingredient.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 5 2013-04-01 2013-04-01 false Ingrown toenail relief active ingredient. 358.310 Section 358.310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Toenail Relief Drug Products § 358.310 Ingrown toenail relief active ingredient. The active ingredient...

  16. 21 CFR 358.310 - Ingrown toenail relief active ingredient.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 5 2010-04-01 2010-04-01 false Ingrown toenail relief active ingredient. 358.310 Section 358.310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Toenail Relief Drug Products § 358.310 Ingrown toenail relief active ingredient. The active ingredient...

  17. 19 CFR 210.68 - Complainant's temporary relief bond.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 3 2014-04-01 2014-04-01 false Complainant's temporary relief bond. 210.68 Section 210.68 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.68 Complainant's temporary relief bond. (a) In every investigation under...

  18. 19 CFR 210.68 - Complainant's temporary relief bond.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 3 2013-04-01 2013-04-01 false Complainant's temporary relief bond. 210.68 Section 210.68 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.68 Complainant's temporary relief bond. (a) In every investigation under...

  19. 46 CFR 154.801 - Pressure relief systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Vent Systems § 154.801 Pressure relief systems. (a) Each cargo tank that has a volume of 20m3 (706 ft.3) or less must have at least one pressure relief valve. (b) Each cargo tank that has a volume of more... 46 Shipping 5 2014-10-01 2014-10-01 false Pressure relief systems. 154.801 Section...

  20. Television News and International Earthquake Relief.

    ERIC Educational Resources Information Center

    Simon, Adam F.

    1997-01-01

    Develops an instrument based on earthquake-related deaths to provide an exogenous measure of media coverage. Finds that more U.S. network news coverage increased aggregate donations by private citizens; but that the amount of such coverage was not associated with government assistance or international aid, although these forms of aid were highly…

  1. Relief of pain by transcutaneous stimulation.

    PubMed

    Loeser, J D; Black, R G; Christman, A

    1975-03-01

    A series of 198 patients with chronic pain of diverse etiology was carefully analyzed for epidemiologic and descriptive factors which might influence the response to transcutaneous stimulation. The overall series included 12 1/2% with long-term success, and 68% with partial or short-term relief. There were no consistent specific diagnoses, or epidemiologic or descriptive factors that made good results from stimulation predictable. Stimulation of the painful area itself was not always necessary for pain relief. Favorable responses to transcutaneous stimulation were usually correlated with the continued existence of significant sensory input from the painful region. The authors conclude that transcutaneous stimulation is a valuable therapeutic modality for some patients with chronic pain.

  2. Intraoperative cryoanalgesia for postthoracotomy pain relief.

    PubMed

    Müller, L C; Salzer, G M; Ransmayr, G; Neiss, A

    1989-07-01

    In a randomized study, 63 patients were investigated for the benefits of cryoanalgesia after thoracotomy. Analgesia and its dependent effects such as enhancement of mobility, respiratory function, and reduced need of narcotics were evaluated. No significant differences in these variables were observed between the cryoanalgesia group and the control group. However, moderate to severe neuralgia was found in a number of patients in the cryoanalgesia group in the late postoperative period. Cryoanalgesia for pain relief after thoracotomy is not recommended. PMID:2764595

  3. Relief Evolution in Tectonically Active Mountain Ranges

    NASA Technical Reports Server (NTRS)

    Whipple, Kelin X.

    2004-01-01

    The overall aims of this 3-yr project, as originally proposed were to: (1) investigate quantitatively the roles of fluvial and glacial erosion in the evolution of relief in mountainous regions, and (2) test rigorously the quality and accuracy of SRTM topographic data in areas of rugged relief - both the most challenging and of greatest interest to geomorphic, neotectonic, and hazards applications. Natural laboratories in both the western US and the Southern Alps of New Zealand were identified as most promising. The project has been both successful and productive, despite the fact that no SRTM data for our primary field sites in New Zealand were released on the time frame of the work effort. Given the delayed release of SRTM data, we pursued the scientific questions of the roles of fluvial and, especially, glacial erosion in the evolution of relief in mountainous regions using available digital elevation models (DEMs) for the Southern Alps of New Zealand (available at both 25m and 50m pixel sizes), and USGS 10m and 30m DEMs within the Western US. As emphasized in the original proposal, we chose the emphasis on the role of glacial modification of topographic relief because there has been little quantitative investigation of glacial erosion processes at landscape scale. This is particularly surprising considering the dramatic sculpting of most mid- and high-latitude mountain ranges, the prodigious quantities of glacially-derived sediment in terrestrial and marine basins, and the current cross-disciplinary interest in the role of denudational processes in orogenesis and the evolution of topography in general. Moreover, the evolution of glaciated landscapes is not only a fundamental problem in geomorphology in its own right, but also is at the heart of the debate over Late Cenozoic linkages between climate and tectonics.

  4. Introducing embedded indigenous psychological support teams: a suggested addition to psychological first aid in an international context.

    PubMed

    Edwards-Stewart, Amanda; Ahmad, Zeba S; Thoburn, John W; Furman, Rich; Lambert, Ashly J; Shelly, Lauren; Gunn, Ginger

    2012-01-01

    The current article introduces Embedded Indigenous Psychological Support Teams (IPST) as a possible addition to current disaster relief efforts. This article highlights psychological first aid in an international context by drawing on mainstream disaster relief models such as The American Red Cross, Critical Incident Stress Management, and Flexible Psychological First Aid. IPST are explained as teams utilizing techniques from both CISM and FPFA with a focus on resiliency. It is currently theorized that in utilizing IPST existing disaster relief models may be more effective in mitigating negative physical or mental health consequences post-disaster.

  5. Are current debt relief initiatives an option for scaling up health financing in beneficiary countries?

    PubMed

    Kaddar, M; Furrer, E

    2008-11-01

    One central goal of the enhanced Heavily Indebted Poor Countries (HIPC) Initiative and the more recent Multilateral Debt Relief Initiative (MDRI) is to free up additional resources for public spending on poverty reduction. The health sector was expected to benefit from a considerable share of these funds. The volume of released resources is important enough in certain countries to make a difference for priority programmes that have been underfunded so far. However, the relevance of these initiatives in terms of boosting health expenditure depends essentially, at the global level, on the compliance of donors with their aid commitments and, at the domestic level, on the success of health officials in advocating for an adequate share of the additional fiscal space. Advocacy efforts are often limited by a state of asymmetric information whereby some ministries are not well aware of the economic consequences of debt relief on public finances and of the management systems in place to deal with savings from debt relief. A thorough comprehension of these issues seems essential for health advocates to increase their bargaining power and for a wider public to readjust expectations of what debt relief can realistically achieve and of what can be measured. This paper intends to narrow the information gap by classifying debt relief savings management systems observed in practice. We illustrate some of the major advantages and stated drawbacks and outline the policy implications for health officials operating in the countries concerned. There should be careful monitoring of fungibility (i.e. where untraceable funds risk substitution) and additionality (i.e. the extent to which new inputs add to existing inputs at national and international level).

  6. Relief of some small landforms on Venus

    NASA Technical Reports Server (NTRS)

    Moore, H. J.; Plaut, J. J.; Parker, T. J.

    1993-01-01

    Three sets of radar images have been acquired under different viewing conditions by the Magellan synthetic aperture radar: (1) left-looking with varied incidence angles (cycle 1); (2) right-looking with nearly constant incidence angles (cycle 2); and (3) left-looking with varied incidence angles, most of which were smaller than those in (1) except for those acquired on passes across Maxwell Montes with incidence angles larger than those in (1) (cycle 3). Image displacements in the radar images that are caused by the relief of landforms provide several methods of estimating this relief: (1) monoscopic measurements of foreshortening of landforms that are symmetrical in the plane of the look-direction of the radar (includes radial symmetry); (2) stereoscopic measurements of parallax in same-side image pairs (cycles 1-2 and 3); and (3) measurements of parallax in opposite-side image pairs (cycles 1-2 and/or 2-3). Success in methods 2 and 3 (especially 3) depends on identifying conjugate image points in the two images. Here, we report our preliminary results for five impact craters, seven small volcanic edifices, and two lava flows. The three methods mentioned above lead to the interesting result that Venusian impact craters have depth-diameter ratios like those on Mars rather than those on Earth, but some appear partly filled. Our results for de Lalande and Melba also suggest filling, but there may be other causes for their relatively small depth-diameter ratios. A host of small volcanic edifices have relief that can be crudely estimated using the above methods. Relief/diameter ratios for our cratered cones are about the same as those of Icelandic lava shields; some Venusian cones resemble the Martian shields of Mareotis-Tempe and Ceraunius Fossae, but the Venusian relief diameter ratios are larger. The smallest cratered dome is similar in size and profile to a Martian dome north of Uranius Patera; the smallest cratered cone resembles one in Chryse Planitia. Lava flows

  7. Manufacturing Aids

    NASA Technical Reports Server (NTRS)

    1989-01-01

    During a research program, MMTC/Textron invented a computer-aided automatic robotic system for spraying hot plasma onto a turbine blade. The need to control the thickness of the plasma deposit led to the development of advanced optical gaging techniques to monitor and control plasma spray build-up on blade surfaces. The techniques led to computerized optical gages for inspecting aircraft, industrial turbine blades, etc. MMTC offers 10 standard commercial robotic gages. The system also generates two dimensional profiles for assessing status and specifying repairs to the electromechanical cathodes used to make the parts. It is capable of accuracies to a ten-thousandth of an inch. An expanded product line is currently marketed. The gages offer multiple improvements in quality control and significant savings.

  8. Curvature matching and strain relief in bucky-tori: usage of sp3-hybridization and nonhexagonal rings.

    PubMed

    Babić, D; Klein, D J; Schmalz, T G

    2001-01-01

    The relief of different types of curvature strain in bucky-tori of elemental carbon is considered in a general formal framework. This theory then is used to aid in the design of several structures, which are treated via molecular mechanics. Novel illustrations of the remnant strain are made, and some modest conclusions as to the nature of the structure of the experimentally observed bucky-tori are suggested.

  9. Digital shaded-relief map of Venezuela

    USGS Publications Warehouse

    Garrity, Christopher P.; Hackley, Paul C.; Urbani, Franco

    2004-01-01

    The Digital Shaded-Relief Map of Venezuela is a composite of more than 20 tiles of 90 meter (3 arc second) pixel resolution elevation data, captured during the Shuttle Radar Topography Mission (SRTM) in February 2000. The SRTM, a joint project between the National Geospatial-Intelligence Agency (NGA) and the National Aeronautics and Space Administration (NASA), provides the most accurate and comprehensive international digital elevation dataset ever assembled. The 10-day flight mission aboard the U.S. Space Shuttle Endeavour obtained elevation data for about 80% of the world's landmass at 3-5 meter pixel resolution through the use of synthetic aperture radar (SAR) technology. SAR is desirable because it acquires data along continuous swaths, maintaining data consistency across large areas, independent of cloud cover. Swaths were captured at an altitude of 230 km, and are approximately 225 km wide with varying lengths. Rendering of the shaded-relief image required editing of the raw elevation data to remove numerous holes and anomalously high and low values inherent in the dataset. Customized ArcInfo Arc Macro Language (AML) scripts were written to interpolate areas of null values and generalize irregular elevation spikes and wells. Coastlines and major water bodies used as a clipping mask were extracted from 1:500,000-scale geologic maps of Venezuela (Bellizzia and others, 1976). The shaded-relief image was rendered with an illumination azimuth of 315? and an altitude of 65?. A vertical exaggeration of 2X was applied to the image to enhance land-surface features. Image post-processing techniques were accomplished using conventional desktop imaging software.

  10. Relief memory consolidation requires protein synthesis within the nucleus accumbens.

    PubMed

    Bruning, Johann E A; Breitfeld, Tino; Kahl, Evelyn; Bergado-Acosta, Jorge R; Fendt, Markus

    2016-06-01

    Relief learning refers to the association of a stimulus with the relief from an aversive event. The thus-learned relief stimulus then can induce, e.g., an attenuation of the startle response or approach behavior, indicating positive valence. Previous studies revealed that the nucleus accumbens is essential for the acquisition and retrieval of relief memory. Here, we ask whether the nucleus accumbens is also the brain site for consolidation of relief memory into a long-term form. In rats, we blocked local protein synthesis within the nucleus accumbens by local infusions of anisomycin at different time points during a relief conditioning experiment. Accumbal anisomycin injections immediately after the relief conditioning session, but not 4 h later, prevented the consolidation into long-term relief memory. The retention of already consolidated relief memory was not affected by anisomycin injections. This identifies a time window and site for relief memory consolidation. These findings should complement our understanding of the full range of effects of adverse experiences, including cases of their distortion in humans such as post-traumatic stress disorder and/or phobias. PMID:26792192

  11. Shaded Relief of Rio Sao Francisco, Brazil

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This topographic image acquired by SRTM shows an area south of the Sao Francisco River in Brazil. The scrub forest terrain shows relief of about 400 meters (1300 feet). Areas such as these are difficult to map by traditional methods because of frequent cloud cover and local inaccessibility. This region has little topographic relief, but even subtle changes in topography have far-reaching effects on regional ecosystems. The image covers an area of 57 km x 79 km and represents one quarter of the 225 km SRTM swath. Colors range from dark blue at water level to white and brown at hill tops. The terrain features that are clearly visible in this image include tributaries of the Sao Francisco, the dark-blue branch-like features visible from top right to bottom left, and on the left edge of the image, and hills rising up from the valley floor. The San Francisco River is a major source of water for irrigation and hydroelectric power. Mapping such regions will allow scientists to better understand the relationships between flooding cycles, forestation and human influences on ecosystems.

    This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11, 2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter

  12. [Body integrity identity disorder, relief after amputation].

    PubMed

    Blom, R M; Braam, A W; de Boer-Kreeft, N; Sonnen, M P A M

    2014-01-01

    Body integrity identity disorder (BIID) is a rare condition in which a person, for no apparent physical reason, is tormented by the experience that a body-part, such as a limb, does not really belong to the body. Patients experience an intense desire for the limb to be amputated (a 'desire' formerly referred to as 'apotemnophilia'). We report on a 58-year-old male patient with BIID who froze one of his legs so that he could amputate it himself. A surgeon ultimately intervened and amputated the leg professionally. The patient was extremely relieved and was still experiencing relief at a follow-up three years later.

  13. Crawling Aid

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The Institute for the Achievement of Human Potential developed a device known as the Vehicle for Initial Crawling (VIC); the acronym is a tribute to the crawler's inventor, Hubert "Vic" Vykukal; is an effective crawling aid. The VIC is used by brain injured children who are unable to crawl due to the problems of weight-bearing and friction, caused by gravity. It is a rounded plywood frame large enough to support the child's torso, leaving arms and legs free to move. On its underside are three aluminum discs through which air is pumped to create an air-bearing surface that has less friction than a film of oil. Upper side contains the connection to the air supply and a pair of straps which restrain the child and cause the device to move with him. VIC is used with the intent to recreate the normal neurological connection between brain and muscles. Over repetitive use of the device the child develops his arm and leg muscles as well as coordination. Children are given alternating therapy, with and without the VIC until eventually the device is no longer needed.

  14. HIV-AIDS Connection

    MedlinePlus

    ... Marketing Share this: Main Content Area The HIV-AIDS Connection AIDS was first recognized in 1981 and ... is there overwhelming scientific consensus that HIV causes AIDS? Before HIV infection became widespread in the human ...

  15. Heart attack first aid

    MedlinePlus

    First aid - heart attack; First aid - cardiopulmonary arrest; First aid - cardiac arrest ... of patients with unstable angina/non-ST-elevation myocardial infarction (updating the 2007 guideline and replacing the 2011 ...

  16. Splinter, First Aid

    MedlinePlus

    ... and rashes clinical tools newsletter | contact Share | Splinter, First Aid A A A First Aid for Splinter: View ... wet, it makes the area prone to infection. First Aid Guide Self-care measures to remove a splinter ...

  17. What a Relief: Using Paper Relief Sculpture to Teach Topographic Map Skills

    ERIC Educational Resources Information Center

    Price, Kelly

    2005-01-01

    While the struggle persists in science classes to help students visualize in three dimensions, art classes are creating unique sculptures out of paper that produce three-dimensional displays from two-dimensional resources. The translation of paper relief sculpting from the art classroom to the science classroom adds dimension to the teaching of…

  18. Postoperative pain relief by demand analgesia.

    PubMed

    Peeters, M; Brugmans, J

    1980-01-01

    Postoperative pain relief is only apparently an easy task. A brief survey of literature investigating the discomfort experienced in the postoperative phase is all but encouraging. One can identify four basic problems in obtaining adequate results by delivery of analgesic drugs: a) the biological variability among individual patients, b) the unpredictable uptake of the drug administered intramuscularly, c) the time lag involved between request by the patient and the subsequent administration of a single dose and d) the lack of knowledge about the nature of the discomfort and its remedies. An alternative strategy introducing "On-Demand" analgesia administering prescribed doses at the right moment is presented and analysed a) as an operant conditioning process implementing a particular reinforcement schedule (behavioural sciences), as well as b) a negative feedback control loop that entrust the central judgement to the patient (system theory). Both approaches give insight into the results: the technique copes with biological variability; anticipating pain induced by fear disappears; the feedback strategy works well and patients adapt to a wide range in prescriptions; intermittent administration makes more efficient use of the analgesic; an optimal result is demonstrated in studies comparing on-demand analgesia with the normal IM-regime and epidural analgesia; continuity in pain relief can be obtained in routine clinical practice.

  19. Increasing the Useful Life of Quench Reliefs with Inconel Bellows

    SciTech Connect

    Soyars, W. M.

    1999-01-01

    Reliable quench relief valves are an important part of superconducting magnet systems. Fermilab developed bellows-actuated cryogenic quench reliefs which have been in use since the early l 980's. The original design uses a stainless steel bellows. A high frequency, low amplitude vibration during relieving events has resulted in fatigue failures in the original design. To take advantage of the improved resistance to fatigue of Inconel, a nickel-chromium alloy, reliefs using Inconel 625 bellows were made. Design, development, and testing of the new version reliefs will be discussed. Tests show that relief valve lifetimes using Inconel bellows are more than five times greater than when using the original stainless steel bellows. Inconel bellows show great promise in increasing the lifetime of quench relief valves, and thus the reliability of accelerator cryogenic systems.

  20. Ergogenic aids.

    PubMed

    Coyle, E F

    1984-07-01

    The catabolism of bodily fuels provides the energy for muscular work. Work output can be limited by the size of fuel reserves, the rate of their catabolism, the build-up of by-products, or the neurologic activation of muscle. A substance that favorably affects a step that is normally limiting, and thus increases work output, can be considered an ergogenic aid. The maximal amount of muscular force generated during brief contractions can be acutely increased during hypnosis and with the ingestion of a placebo or psychomotor stimulant. This effect is most obvious in subjects under laboratory conditions and is less evident in athletes who are highly motivated prior to competition. Fatigue is associated with acidosis in the working musculature when attempts are made to maximize work output during a 4 to 15-minute period. Sodium bicarbonate ingestion may act to buffer the acid produced, provided that blood flow to the muscle is adequate. Prolonged intense exercise can be maintained for approximately two hours before carbohydrate stores become depleted. Carbohydrate feedings delay fatigue during prolonged exercise, especially in subjects who display a decline in blood glucose during exercise in the fasting state. Caffeine ingestion prior to an endurance bout has been reported to allow an individual to exercise somewhat more intensely than he or she would otherwise. Its effect may be mediated by augmenting fat metabolism or by altering the perception of effort. Amphetamines may act in a similar manner. Water ingestion during prolonged exercise that results in dehydration and hyperthermia can offset fluid losses and allow an individual to better maintain work output while substantially reducing the risk of heat-related injuries. PMID:6100848

  1. 46 CFR 154.801 - Pressure relief systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Pressure relief systems. 154.801 Section 154.801... Vent Systems § 154.801 Pressure relief systems. (a) Each cargo tank that has a volume of 20m3 (706 ft.3) or less must have at least one pressure relief valve. (b) Each cargo tank that has a volume of...

  2. 46 CFR 154.801 - Pressure relief systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Pressure relief systems. 154.801 Section 154.801... Vent Systems § 154.801 Pressure relief systems. (a) Each cargo tank that has a volume of 20m3 (706 ft.3) or less must have at least one pressure relief valve. (b) Each cargo tank that has a volume of...

  3. 46 CFR 154.801 - Pressure relief systems.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Pressure relief systems. 154.801 Section 154.801... Vent Systems § 154.801 Pressure relief systems. (a) Each cargo tank that has a volume of 20m3 (706 ft.3) or less must have at least one pressure relief valve. (b) Each cargo tank that has a volume of...

  4. 46 CFR 154.801 - Pressure relief systems.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Pressure relief systems. 154.801 Section 154.801... Vent Systems § 154.801 Pressure relief systems. (a) Each cargo tank that has a volume of 20m3 (706 ft.3) or less must have at least one pressure relief valve. (b) Each cargo tank that has a volume of...

  5. 49 CFR 601.41 - Petitions for relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF TRANSPORTATION ORGANIZATION, FUNCTIONS, AND PROCEDURES Emergency Procedures for Public... for temporary relief from the provisions of any policy statement, circular, guidance document or rule....

  6. 4. HISTORIC PHOTOGRAPH, DETAIL OF ABUTMENT, GRIFFIN RELIEF SCULPTURE, CA. ...

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

    4. HISTORIC PHOTOGRAPH, DETAIL OF ABUTMENT, GRIFFIN RELIEF SCULPTURE, CA. 1940. COLLECTION CONNECTICUT DEPARTMENT OF TRANSPORTATION. - Merritt Parkway, Grumman Avenue Bridge, Spanning Merritt Parkway, Norwalk, Fairfield County, CT

  7. Shaded Relief Color Wrapped, Kamchatka Peninsula, Russia

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This shaded relief topographic image shows the western side of the volcanically active Kamchatka Peninsula, Russia. The data are from the first C-band mapping swath of the Shuttle Radar Topography Mission (SRTM). On the left side are five rivers, which flow northwest to the Sea of Okhotsk. These rivers are, from the south to north, Tigil, Amanina, Voyampolka, Zhilovaya, and Kakhtana. The broad, flat floodplains of the rivers are shown in yellow. These rivers are important spawning grounds for salmon. In the right side of the image is the Sredinnyy Khrebet, the volcanic mountain range that makes up the 3spine2 of the peninsula. The cluster of hills to the lower right is a field of small dormant volcanoes. High resolution SRTM topographic data will be used by geologists to study how volcanoes form and understand the hazards posed by future eruptions.

    This image was generated using topographic data from the Shuttle Radar Topography Mission. Colors show the elevation as measured by SRTM. Each cycle of colors (from red through green back to red) represents an equal amount of elevation difference (400 meters, or 1300 feet)similar to contour lines on a standard topographic map. This image contains about 2300 meters (7500 feet) of total relief. For the shading, a computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11,2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200-foot) mast

  8. Shaded relief of Bahia State, Brazil

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This topographic image is the first to show the full 240-kilometer-wide (150 mile)swath collected by the Shuttle Radar Topography Mission (SRTM). The area shown is in the state of Bahia in Brazil. The semi-circular mountains along the left side of the image are the Serra Da Jacobin, which rise to 1100 meters (3600 feet) above sea level. The total relief shown is approximately 800 meters (2600 feet). The top part of the image is the Sertao, a semi-arid region, that is subject to severe droughts during El Nino events. A small portion of the San Francisco River, the longest river (1609 kilometers or 1000 miles) entirely within Brazil, cuts across the upper right corner of the image. This river is a major source of water for irrigation and hydroelectric power. Mapping such regions will allow scientists to better understand the relationships between flooding cycles, drought and human influences on ecosystems.

    This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Colors show the elevation as measured by SRTM. Colors range from green at the lowest elevations to reddish at the highest elevations. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11, 2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200-foot) mast, an additional C

  9. Shaded relief, color as height Patagonia, Argentina

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This topographic image of Patagonia, Argentina shows a spectacular landscape formed by volcanoes, rivers, and wind. The area is located just east of the narrow range of the Andes Mountains, about 100 kilometers (62 miles) east of the border with Chile. Interesting features include basalt-capped mesas with sinkholes (lower center), arcuate ridges of windblown beach sands downwind from a salty desert lake (upper center), young volcanic cones(right), and at least one case of what geologists call 'inverted relief'. This happens when lava flows down a valley in soft material and then the soft material is eroded away leaving the former valley as a ridge of lava. These ridges can be seen on the slopes of the volcano in the upper right. Geologists will use SRTM topographic data to study the interaction of volcanic, climatic and erosional processes.

    This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Colors show the elevation as measured by SRTM. Colors range from blue at the lowest elevations to white at the highest elevations. This image contains about 1100 meters(3600 feet) of total relief. White speckles on the face of some of the mountains are holes in the data caused by steep terrain. These will be filled using coverage from an intersecting pass.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11,2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added

  10. Food aid in emergencies: a case for wheat?

    PubMed

    Landman, J

    1999-05-01

    As disasters and conflict increase, a higher proportion of total food aid is given as humanitarian aid. Most food aid is in the form of cereals, primarily wheat. The main donors are the USA and the EU, but there is an increase in the numbers of donors, including non-governmental organizations, buying food rather than using surpluses. Alongside the greater diversity and complexity of food aid, there is more controversy about policy and practice. If disasters are development failures, emergency food aid must be a step in the continuum from relief to rehabilitation. Comparisons of the seventeen countries that were major recipients of food aid (> 10,000 t) in 1997, show diversity in social development, dietary pattern, number of refugees, relative food inadequacy and wasting (i.e. % standard weight-for-height > 2 SD). In the absence of information of consistent quality, what influences the scale of emergency aid is unclear and susceptible to politicization, so that need and supply may not be matched. Local considerations seem to be as important as external food aid for the nutrition of the recipients. Challenges for the future include assuring the nutritional quality of rations to solve deficiency problems. The implications for the professional public health nutritionist working on emergency food provision include continuing professional development to enhance the technical expertise necessary to design appropriate feeds or rations. These public health nutritionists, more than others, require a grounding in social science theories that underpin management, ethics of professionalism and the politics of food aid. PMID:10466177

  11. Satellite communications for disaster relief operations

    NASA Technical Reports Server (NTRS)

    Sivo, J. N.

    1979-01-01

    The use of existing and planned communication satellite systems to provide assistance in the implementation of disaster relief operations on a global basis was discussed along with satellite communications system implications and their potential impact on field operations in disaster situations. Consideration are given to the utilization of both INTELSAT and MARISAT systems operating at frequencies ranging from 1.5 to 4 GHz and to the size and type of ground terminals necessary for satellite access. Estimates of communication requirements for a global system are given. Some discussion of cost estimates for satellite services to support operations are included. Studies of communication satellites for both pre and post disaster applications conducted for NOAA are included as well as recent experiments conducted in conjunction with the Office of Foreign Disaster Assistance of the Agency for International Development.

  12. Maternal health considerations during disaster relief.

    PubMed

    Nour, Nawal N

    2011-01-01

    When disasters strike resource-poor nations, women are often the most affected. They represent the majority of the poor, the most malnourished, and the least educated, and they account for more than 75% of displaced persons. The predisaster familial duties of women are magnified and expanded, and they have significantly less support and fewer resources than they had before the incident. Moreover, after the disaster, they bear the responsibility of caring for their children, the elderly, the injured, and the sick. Besides the effects of the disaster, women become more vulnerable to reproductive and sexual health problems and are at increased risk for physical and sexual violence. Women become both victims and the primary caretakers. Health practitioners are often not aware of these issues when providing emergency care. Developing a disaster relief team with experts in maternal health is necessary to improve women's health outcome. PMID:21629495

  13. Pain relief by touch: a quantitative approach.

    PubMed

    Mancini, Flavia; Nash, Thomas; Iannetti, Gian Domenico; Haggard, Patrick

    2014-03-01

    Pain relief by touch has been studied for decades in pain neuroscience. Human perceptual studies revealed analgesic effects of segmental tactile stimulation, as compared to extrasegmental touch. However, the spatial organisation of touch-pain interactions within a single human dermatome has not been investigated yet. In 2 experiments we tested whether, how, and where within a dermatome touch modulates the perception of laser-evoked pain. We measured pain perception using intensity ratings, qualitative descriptors, and signal detection measures of sensitivity and response bias. Touch concurrent with laser pulses produced a significant analgesia, and reduced the sensitivity in detecting the energy of laser stimulation, implying a functional loss of information within the ascending Aδ pathway. Touch also produced a bias to judge laser stimuli as less painful. This bias decreased linearly when the distance between the laser and tactile stimuli increased. Thus, our study provides evidence for a spatial organisation of intrasegmental touch-pain interactions.

  14. The Master Hearing Aid

    PubMed Central

    Curran, James R.

    2013-01-01

    As early as the 1930s the term Master Hearing Aid (MHA) described a device used in the fitting of hearing aids. In their original form, the MHA was a desktop system that allowed for simulated or actual adjustment of hearing aid components that resulted in a changed hearing aid response. Over the years the MHA saw many embodiments and contributed to a number of rationales for the fitting of hearing aids. During these same years, the MHA was viewed by many as an inappropriate means of demonstrating hearing aids; the audio quality of the desktop systems was often superior to the hearing aids themselves. These opinions and the evolution of the MHA have molded the modern perception of hearing aids and the techniques used in the fitting of hearing aids. This article reports on a history of the MHA and its influence on the fitting of hearing aids. PMID:23686682

  15. 46 CFR 76.15-40 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 3 2014-10-01 2014-10-01 false Pressure relief. 76.15-40 Section 76.15-40 Shipping... Carbon Dioxide Extinguishing Systems, Details § 76.15-40 Pressure relief. (a) Where necessary, relatively... means for relieving excessive pressure accumulating within the compartment when the carbon dioxide...

  16. 46 CFR 56.50-20 - Pressure relief piping.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Pressure relief piping. 56.50-20 Section 56.50-20... APPURTENANCES Design Requirements Pertaining to Specific Systems § 56.50-20 Pressure relief piping. (a) General... pressure-relieving safety devices shall be designed to facilitate drainage. (c) Stop valves. Stop...

  17. 46 CFR 76.15-40 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 3 2012-10-01 2012-10-01 false Pressure relief. 76.15-40 Section 76.15-40 Shipping... Carbon Dioxide Extinguishing Systems, Details § 76.15-40 Pressure relief. (a) Where necessary, relatively... means for relieving excessive pressure accumulating within the compartment when the carbon dioxide...

  18. 49 CFR 178.345-10 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Pressure relief. 178.345-10 Section 178.345-10... Containers for Motor Vehicle Transportation § 178.345-10 Pressure relief. (a) Each cargo tank must be equipped to relieve pressure and vacuum conditions in conformance with this section and the...

  19. 46 CFR 154.802 - Alternate pressure relief settings.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Alternate pressure relief settings. 154.802 Section 154... Equipment Cargo Vent Systems § 154.802 Alternate pressure relief settings. Cargo tanks with more than one...) Change the set pressure without pressure testing to verify the new setting; and (2) Can be...

  20. 46 CFR 154.802 - Alternate pressure relief settings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Alternate pressure relief settings. 154.802 Section 154... Equipment Cargo Vent Systems § 154.802 Alternate pressure relief settings. Cargo tanks with more than one...) Change the set pressure without pressure testing to verify the new setting; and (2) Can be...

  1. 46 CFR 154.802 - Alternate pressure relief settings.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Alternate pressure relief settings. 154.802 Section 154... Equipment Cargo Vent Systems § 154.802 Alternate pressure relief settings. Cargo tanks with more than one...) Change the set pressure without pressure testing to verify the new setting; and (2) Can be...

  2. 46 CFR 56.50-20 - Pressure relief piping.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Pressure relief piping. 56.50-20 Section 56.50-20... APPURTENANCES Design Requirements Pertaining to Specific Systems § 56.50-20 Pressure relief piping. (a) General... pressure-relieving safety devices shall be designed to facilitate drainage. (c) Stop valves. Stop...

  3. 46 CFR 154.517 - Piping: Liquid pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Piping: Liquid pressure relief. 154.517 Section 154.517... and Process Piping Systems § 154.517 Piping: Liquid pressure relief. The cargo loading and discharge crossover headers, cargo hoses, and cargo loading arms must have means to relieve cargo pressure and...

  4. 49 CFR 178.345-10 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief. 178.345-10 Section 178.345-10... Specifications for Containers for Motor Vehicle Transportation § 178.345-10 Pressure relief. (a) Each cargo tank must be equipped to relieve pressure and vacuum conditions in conformance with this section and...

  5. 46 CFR 76.15-40 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 3 2011-10-01 2011-10-01 false Pressure relief. 76.15-40 Section 76.15-40 Shipping... Carbon Dioxide Extinguishing Systems, Details § 76.15-40 Pressure relief. (a) Where necessary, relatively... means for relieving excessive pressure accumulating within the compartment when the carbon dioxide...

  6. 46 CFR 95.16-35 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Pressure relief. 95.16-35 Section 95.16-35 Shipping... EQUIPMENT Fixed Clean Agent Gas Extinguishing Systems, Details § 95.16-35 Pressure relief. Tight... excessive pressure within the compartment when the extinguishing agent is injected....

  7. 49 CFR 179.300-15 - Pressure relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Pressure relief devices. 179.300-15 Section 179... Specifications for Multi-Unit Tank Car Tanks (Classes DOT-106A and 110AW) § 179.300-15 Pressure relief devices... shall be sufficient to prevent building up pressure in tank in excess of 82.5 percent of the tank...

  8. 46 CFR 193.15-40 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Pressure relief. 193.15-40 Section 193.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 193.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  9. 49 CFR 178.345-10 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Pressure relief. 178.345-10 Section 178.345-10... Containers for Motor Vehicle Transportation § 178.345-10 Pressure relief. (a) Each cargo tank must be equipped to relieve pressure and vacuum conditions in conformance with this section and the...

  10. 49 CFR 179.500-12 - Pressure relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.500-12 Section 179... and 107A) § 179.500-12 Pressure relief devices. (a) Tank shall be equipped with one or more pressure..., with tank filled with air at pressure equal to 70 percent of the marked test pressure of tank,...

  11. 46 CFR 193.15-40 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Pressure relief. 193.15-40 Section 193.15-40 Shipping... EQUIPMENT Carbon Dioxide and Clean Agent Extinguishing Systems, Details § 193.15-40 Pressure relief. (a... be provided with suitable means for relieving excessive pressure accumulating within the...

  12. 49 CFR 179.300-15 - Pressure relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Pressure relief devices. 179.300-15 Section 179... Specifications for Multi-Unit Tank Car Tanks (Classes DOT-106A and 110AW) § 179.300-15 Pressure relief devices... shall be sufficient to prevent building up pressure in tank in excess of 82.5 percent of the tank...

  13. 46 CFR 154.517 - Piping: Liquid pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Piping: Liquid pressure relief. 154.517 Section 154.517... and Process Piping Systems § 154.517 Piping: Liquid pressure relief. The cargo loading and discharge crossover headers, cargo hoses, and cargo loading arms must have means to relieve cargo pressure and...

  14. 46 CFR 154.517 - Piping: Liquid pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Piping: Liquid pressure relief. 154.517 Section 154.517... and Process Piping Systems § 154.517 Piping: Liquid pressure relief. The cargo loading and discharge crossover headers, cargo hoses, and cargo loading arms must have means to relieve cargo pressure and...

  15. 46 CFR 193.15-40 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Pressure relief. 193.15-40 Section 193.15-40 Shipping... EQUIPMENT Carbon Dioxide and Clean Agent Extinguishing Systems, Details § 193.15-40 Pressure relief. (a... be provided with suitable means for relieving excessive pressure accumulating within the...

  16. 46 CFR 95.15-40 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Pressure relief. 95.15-40 Section 95.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  17. 46 CFR 154.802 - Alternate pressure relief settings.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Alternate pressure relief settings. 154.802 Section 154... Equipment Cargo Vent Systems § 154.802 Alternate pressure relief settings. Cargo tanks with more than one...) Change the set pressure without pressure testing to verify the new setting; and (2) Can be...

  18. 46 CFR 95.15-40 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Pressure relief. 95.15-40 Section 95.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  19. 49 CFR 178.345-10 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 3 2012-10-01 2012-10-01 false Pressure relief. 178.345-10 Section 178.345-10... Containers for Motor Vehicle Transportation § 178.345-10 Pressure relief. (a) Each cargo tank must be equipped to relieve pressure and vacuum conditions in conformance with this section and the...

  20. 49 CFR 178.345-10 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Pressure relief. 178.345-10 Section 178.345-10... Containers for Motor Vehicle Transportation § 178.345-10 Pressure relief. (a) Each cargo tank must be equipped to relieve pressure and vacuum conditions in conformance with this section and the...

  1. 46 CFR 95.16-35 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Pressure relief. 95.16-35 Section 95.16-35 Shipping... EQUIPMENT Fixed Clean Agent Gas Extinguishing Systems, Details § 95.16-35 Pressure relief. Tight... excessive pressure within the compartment when the extinguishing agent is injected....

  2. 46 CFR 95.15-40 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Pressure relief. 95.15-40 Section 95.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  3. 46 CFR 56.50-20 - Pressure relief piping.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Pressure relief piping. 56.50-20 Section 56.50-20... APPURTENANCES Design Requirements Pertaining to Specific Systems § 56.50-20 Pressure relief piping. (a) General... pressure-relieving safety devices shall be designed to facilitate drainage. (c) Stop valves. Stop...

  4. 46 CFR 76.15-40 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 3 2010-10-01 2010-10-01 false Pressure relief. 76.15-40 Section 76.15-40 Shipping... Carbon Dioxide Extinguishing Systems, Details § 76.15-40 Pressure relief. (a) Where necessary, relatively... means for relieving excessive pressure accumulating within the compartment when the carbon dioxide...

  5. 46 CFR 76.15-40 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 3 2013-10-01 2013-10-01 false Pressure relief. 76.15-40 Section 76.15-40 Shipping... Carbon Dioxide Extinguishing Systems, Details § 76.15-40 Pressure relief. (a) Where necessary, relatively... means for relieving excessive pressure accumulating within the compartment when the carbon dioxide...

  6. 46 CFR 56.50-20 - Pressure relief piping.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Pressure relief piping. 56.50-20 Section 56.50-20... APPURTENANCES Design Requirements Pertaining to Specific Systems § 56.50-20 Pressure relief piping. (a) General... pressure-relieving safety devices shall be designed to facilitate drainage. (c) Stop valves. Stop...

  7. 46 CFR 95.16-35 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Pressure relief. 95.16-35 Section 95.16-35 Shipping... EQUIPMENT Fixed Clean Agent Gas Extinguishing Systems, Details § 95.16-35 Pressure relief. Tight... excessive pressure within the compartment when the extinguishing agent is injected....

  8. 46 CFR 56.50-20 - Pressure relief piping.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Pressure relief piping. 56.50-20 Section 56.50-20... APPURTENANCES Design Requirements Pertaining to Specific Systems § 56.50-20 Pressure relief piping. (a) General... pressure-relieving safety devices shall be designed to facilitate drainage. (c) Stop valves. Stop...

  9. 46 CFR 95.15-40 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Pressure relief. 95.15-40 Section 95.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  10. 46 CFR 193.15-40 - Pressure relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Pressure relief. 193.15-40 Section 193.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 193.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  11. 49 CFR 179.300-15 - Pressure relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Pressure relief devices. 179.300-15 Section 179... Pressure relief devices. (a) Unless prohibited in part 173 of this subchapter, tanks shall be equipped with... total discharge capacity shall be sufficient to prevent building up pressure in tank in excess of...

  12. 46 CFR 95.15-40 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Pressure relief. 95.15-40 Section 95.15-40 Shipping... EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-40 Pressure relief. (a) Where necessary... suitable means for relieving excessive pressure accumulating within the compartment when the carbon...

  13. 46 CFR 193.15-40 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Pressure relief. 193.15-40 Section 193.15-40 Shipping... EQUIPMENT Carbon Dioxide and Clean Agent Extinguishing Systems, Details § 193.15-40 Pressure relief. (a... be provided with suitable means for relieving excessive pressure accumulating within the...

  14. 46 CFR 154.517 - Piping: Liquid pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Piping: Liquid pressure relief. 154.517 Section 154.517... and Process Piping Systems § 154.517 Piping: Liquid pressure relief. The cargo loading and discharge crossover headers, cargo hoses, and cargo loading arms must have means to relieve cargo pressure and...

  15. 49 CFR 179.300-15 - Pressure relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Pressure relief devices. 179.300-15 Section 179... Specifications for Multi-Unit Tank Car Tanks (Classes DOT-106A and 110AW) § 179.300-15 Pressure relief devices... shall be sufficient to prevent building up pressure in tank in excess of 82.5 percent of the tank...

  16. 78 FR 49242 - Relief From Joint and Several Liability

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ... (TD 9003, 67 FR 47278). Sections 1.6015-2, 1.6015-3, and 1.6015-4 of the final regulations provide... Internal Revenue Service 26 CFR Part 1 RIN 1545-BK51 Relief From Joint and Several Liability AGENCY... contains proposed regulations relating to relief from joint and several tax liability under section 6015...

  17. 49 CFR 178.347-4 - Pressure relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tank motor vehicles that are designed to be loaded by vacuum in accordance with § 178.347-1(c) or built to withstand full vacuum in accordance...

  18. 49 CFR 178.347-4 - Pressure relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tank motor vehicles that are designed to be loaded by vacuum in accordance with § 178.347-1(c) or built to withstand full vacuum in accordance...

  19. 49 CFR 178.347-4 - Pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tank motor vehicles that are designed to be loaded by vacuum in accordance with § 178.347-1(c) or built to withstand full vacuum in accordance...

  20. 49 CFR 178.347-4 - Pressure relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... with a pressure and vacuum relief system in accordance with § 178.345-10 and this section. (b) Type and construction. Vacuum relief devices are not required for cargo tank motor vehicles that are designed to be loaded by vacuum in accordance with § 178.347-1(c) or built to withstand full vacuum in accordance...

  1. 32 CFR 2.2 - Statutory relief for participating programs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... reporting on a defense acquisition program may be waived. (c) The requirements in section 809 of Public Law... 32 National Defense 1 2010-07-01 2010-07-01 false Statutory relief for participating programs. 2.2... PROGRAM POLICY § 2.2 Statutory relief for participating programs. (a) Within the limitations...

  2. 32 CFR 2.2 - Statutory relief for participating programs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... reporting on a defense acquisition program may be waived. (c) The requirements in section 809 of Public Law... 32 National Defense 1 2011-07-01 2011-07-01 false Statutory relief for participating programs. 2.2... PROGRAM POLICY § 2.2 Statutory relief for participating programs. (a) Within the limitations...

  3. 12 CFR 742.4 - RegFlex relief.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false RegFlex relief. 742.4 Section 742.4 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS REGULATORY FLEXIBILITY PROGRAM § 742.4 RegFlex relief. (a) Exemptions. RegFlex credit unions are exempt from the...

  4. 12 CFR 742.4 - RegFlex relief.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false RegFlex relief. 742.4 Section 742.4 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS REGULATORY FLEXIBILITY PROGRAM § 742.4 RegFlex relief. (a) Exemptions. RegFlex credit unions are exempt from the...

  5. 30 CFR 203.53 - What relief will MMS grant?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false What relief will MMS grant? 203.53 Section 203.53 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR MINERALS REVENUE MANAGEMENT RELIEF OR REDUCTION IN ROYALTY RATES OCS Oil, Gas, and...

  6. 18 CFR 1308.11 - Contractor's request for relief.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Contractor's request for relief. 1308.11 Section 1308.11 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY CONTRACT DISPUTES Contracting Officers § 1308.11 Contractor's request for relief. Any request...

  7. 46 CFR 560.3 - Petitions for relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 9 2014-10-01 2014-10-01 false Petitions for relief. 560.3 Section 560.3 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES... PORTS § 560.3 Petitions for relief. (a) Filing. (1) Any owner or operator of a liner, bulk, tramp...

  8. 46 CFR 560.3 - Petitions for relief.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 9 2013-10-01 2013-10-01 false Petitions for relief. 560.3 Section 560.3 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES... PORTS § 560.3 Petitions for relief. (a) Filing. (1) Any owner or operator of a liner, bulk, tramp...

  9. 46 CFR 560.3 - Petitions for relief.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 9 2011-10-01 2011-10-01 false Petitions for relief. 560.3 Section 560.3 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES... PORTS § 560.3 Petitions for relief. (a) Filing. (1) Any owner or operator of a liner, bulk, tramp...

  10. 46 CFR 560.3 - Petitions for relief.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false Petitions for relief. 560.3 Section 560.3 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES... PORTS § 560.3 Petitions for relief. (a) Filing. (1) Any owner or operator of a liner, bulk, tramp...

  11. 46 CFR 560.3 - Petitions for relief.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 9 2012-10-01 2012-10-01 false Petitions for relief. 560.3 Section 560.3 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES... PORTS § 560.3 Petitions for relief. (a) Filing. (1) Any owner or operator of a liner, bulk, tramp...

  12. 48 CFR 252.229-7001 - Tax Relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Tax Relief. 252.229-7001... Clauses 252.229-7001 Tax Relief. As prescribed in 229.402-70(a), use one of the following clauses: Basic. As prescribed at 229.402-70(a)(1), use the following clause. TAX RELIEF—BASIC (SEP 2014) (a)...

  13. 12 CFR 268.501 - Remedies and relief.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 4 2013-01-01 2013-01-01 false Remedies and relief. 268.501 Section 268.501 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM (CONTINUED) RULES REGARDING EQUAL OPPORTUNITY Remedies and Enforcement § 268.501 Remedies and relief. (a) When the Board, or the Commission, in...

  14. 46 CFR 154.912 - Inerted spaces: Relief devices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Inerted spaces: Relief devices. 154.912 Section 154.912 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Atmospheric Control in Cargo Containment Systems § 154.912 Inerted spaces: Relief devices. Inerted spaces...

  15. 7 CFR 635.7 - Procedures for granting equitable relief.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Procedures for granting equitable relief. 635.7 Section 635.7 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE LONG TERM CONTRACTING EQUITABLE RELIEF FROM INELIGIBILITY §...

  16. 46 CFR 154.912 - Inerted spaces: Relief devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Inerted spaces: Relief devices. 154.912 Section 154.912 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Atmospheric Control in Cargo Containment Systems § 154.912 Inerted spaces: Relief devices. Inerted spaces...

  17. 46 CFR 154.912 - Inerted spaces: Relief devices.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Inerted spaces: Relief devices. 154.912 Section 154.912 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Atmospheric Control in Cargo Containment Systems § 154.912 Inerted spaces: Relief devices. Inerted spaces...

  18. 46 CFR 154.912 - Inerted spaces: Relief devices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 5 2014-10-01 2014-10-01 false Inerted spaces: Relief devices. 154.912 Section 154.912 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Atmospheric Control in Cargo Containment Systems § 154.912 Inerted spaces: Relief devices. Inerted spaces...

  19. 46 CFR 154.912 - Inerted spaces: Relief devices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Inerted spaces: Relief devices. 154.912 Section 154.912 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Atmospheric Control in Cargo Containment Systems § 154.912 Inerted spaces: Relief devices. Inerted spaces...

  20. 31 CFR 306.111 - Procedure for applying for relief.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... SECURITIES Relief for Loss, Theft, Destruction, Mutilation, or Defacement of Securities § 306.111 Procedure for applying for relief. Prompt report of the loss, theft, destruction, mutilation or defacement of a... person, the capacity in which he represents the owner. (b) The identity of the security by title of...

  1. 31 CFR 306.111 - Procedure for applying for relief.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... GOVERNING U.S. SECURITIES Relief for Loss, Theft, Destruction, Mutilation, or Defacement of Securities § 306.111 Procedure for applying for relief. Prompt report of the loss, theft, destruction, mutilation or... some other person, the capacity in which he represents the owner. (b) The identity of the security...

  2. 46 CFR 154.517 - Piping: Liquid pressure relief.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 5 2014-10-01 2014-10-01 false Piping: Liquid pressure relief. 154.517 Section 154.517... and Process Piping Systems § 154.517 Piping: Liquid pressure relief. The cargo loading and discharge... remove liquid cargo....

  3. Emergency relief venting of the infrared telescope liquid helium dewar

    NASA Astrophysics Data System (ADS)

    Urban, E. W.

    1980-03-01

    An analysis is made of the emergency relief venting of the liquid helium dewar of the Spacelab 2 infrared telescope experiment in the event of a massive failure of the dewar guard vacuum. Such a failure, resulting from a major accident, could cause rapid heating and pressurization of the liquid helium in the dewar and lead to relief venting through the emergency relief system. The heat input from an accident is estimated for various fluid conditions in the dewar and the relief process as it takes place through one or both of the emergency relief paths is considered. It is shown that under all reasonable circumstances the dewar will safely relieve itself, and the pressure will not exceed 85 percent of the proof pressure or 63 percent of the burst pressure.

  4. Emergency relief venting of the infrared telescope liquid helium dewar

    NASA Technical Reports Server (NTRS)

    Urban, E. W.

    1980-01-01

    An analysis is made of the emergency relief venting of the liquid helium dewar of the Spacelab 2 infrared telescope experiment in the event of a massive failure of the dewar guard vacuum. Such a failure, resulting from a major accident, could cause rapid heating and pressurization of the liquid helium in the dewar and lead to relief venting through the emergency relief system. The heat input from an accident is estimated for various fluid conditions in the dewar and the relief process as it takes place through one or both of the emergency relief paths is considered. It is shown that under all reasonable circumstances the dewar will safely relieve itself, and the pressure will not exceed 85 percent of the proof pressure or 63 percent of the burst pressure.

  5. Implementing the global health security agenda: lessons from global health and security programs.

    PubMed

    Paranjape, Suman M; Franz, David R

    2015-01-01

    The Global Health Security Agenda (GHSA) describes a vision for a world that is safe and secure from infectious disease threats; it underscores the importance of developing the international capacity to prevent, detect, and respond to pandemic agents. In February 2014, the United States committed to support the GHSA by expanding and intensifying ongoing efforts across the US government. Implementing these goals will require interagency coordination and harmonization of diverse health security elements. Lessons learned from the Global Health Initiative (GHI), the President's Emergency Program for AIDS Relief (PEPFAR), and the Cooperative Threat Reduction (CTR) program underscore that centralized political, technical, and fiscal authority will be key to developing robust, sustainable, and integrated global health security efforts across the US government. In this article, we review the strengths and challenges of GHI, PEPFAR, and CTR and develop recommendations for implementing a unified US global health security program.

  6. HIV treatment as prevention: how scientific discovery occurred and translated rapidly into policy for the global response.

    PubMed

    Cohen, Myron S; Holmes, Charles; Padian, Nancy; Wolf, Megan; Hirnschall, Gottfried; Lo, Ying-Ru; Goosby, Eric

    2012-07-01

    In 2011 interim results of HIV Prevention Trials Network study 052, a National Institutes of Health study designed to test the effectiveness of antiretroviral treatment against the spread of HIV, were reported. These results showed that in a stable relationship in which one member of the couple was infected with HIV, treatment of the infected partner with antiretroviral drugs, combined with couples counseling and condom use, resulted in a 96 percent reduction in sexual transmission of HIV-1. This finding led to the use of antiretroviral treatment as a cornerstone of HIV prevention. Independent advisory committees of the President's Emergency Plan for AIDS Relief (PEPFAR) and the World Health Organization (WHO) have since issued analyses that set the stage for broader use of antiretroviral agents in treatment and prevention. This article describes the separate PEPFAR and WHO recommendations and outlines the design of prospective new trials to test how best to maximize the benefits of early treatment for prevention. PMID:22778333

  7. Shaded relief, color as height, Fiji

    NASA Technical Reports Server (NTRS)

    2000-01-01

    The Sovereign Democratic Republic of the Fiji Islands, commonly known as Fiji, is an independent nation consisting of some 332 islands surrounding the Koro Sea in the South Pacific Ocean. This topographic image shows Viti Levu, the largest island in the group. With an area of 10,429 square kilometers (about 4000 square miles), it comprises more than half the area of the Fiji Islands. Suva, the capital city, lies on the southeast shore. The Nakauvadra, the rugged mountain range running from north to south, has several peaks rising above 900 meters (about 3000 feet). Mount Tomanivi, in the upper center, is the highest peak at 1324 meters (4341 feet). The distinct circular feature on the north shore is the Tavua Caldera, the remnant of a large shield volcano that was active about 4 million years ago. Gold has been mined on the margin of the caldera since the 1930's. The Nadrau plateau is the low relief highland in the center of the mountain range. The coastal plains in the west, northwest and southeast account for only 15 percent of Viti Levu's area but are the main centers of agriculture and settlement.

    This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Colors show the elevation as measured by SRTM. Colors range from green at the lowest elevations top ink at the highest elevations. This image contains about 1300 meters(4300 feet) of total relief.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11,2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to

  8. Bowenwork for Migraine Relief: a Case Report

    PubMed Central

    Gustafson, Sandra L.

    2016-01-01

    Introduction Migraine is a complex neurological disorder characterized by episodic, neurogenic, cerebrovascular inflammation and hypersensitization of brain tissues and the central nervous system, causing severe pain and debility. Research literature points mostly to pharmaceutical prophylactic and symptomatic treatments, nonpharmaceutical, complementary and alternative medicine (CAM) approaches, acupuncture, massage and bodywork studies, and none has been published on Bowenwork for migraine intervention. This prospective case report describes one migraineur’s response to Bowenwork (a soft-tissue bodywork technique) with cessation of migraine, neck pain, and analgesic consumption, and improved well-being and activity function. Methods The client received 14 Bowenwork sessions over a four-month period using the self-reporting Measure Yourself Medical Outcome Profile version 2 (MYMOP2) to evaluate clinically meaningful changes. Baseline MYMOP2 data were recorded prior to the first and subsequent Bowenwork sessions to track changes in migraine and neck pain occurrences, other symptoms, medication use, functional ability and sense of well-being. Specific Bowenwork procedures were applied in each session to address various symptoms. The client did not receive other migraine treatment during this study. Participant A 66-year-old Caucasian female with a history of debilitating migraine since childhood, and severe neck pain and jaw injuries resulting from two motor vehicle accidents (MVAs) sustained as an adult. She had previously sought medical, pharmaceutical and CAM treatments for migraine, neck pain, and right-sided thoracic outlet syndrome (TOS) symptoms, with no satisfactory relief. Results The client progressively reported decreased migraine and neck pain until acquiring a respiratory infection with prolonged coughing spells causing symptoms to recur (session 11). Prior to session 12, she experienced an allergic reaction to ingesting an unknown food allergen

  9. Slipping processes in residual badlands reliefs

    NASA Astrophysics Data System (ADS)

    Díaz-Hernández, Jose Luis; Yepes, Jorge

    2010-05-01

    We define slips as structures developed by more or less saturated colloidal suspension that slide down the walls of residual reliefs found in badlands. These suspensions seem to originate in the soils crowning gully reliefs and also from rainwater dripping onto the walls of poorly cemented sediments such as siltstone. We call this process slipping and the resulting morphologies represent a group of minor badlands forms, often linked to piping and fluting. Slipping occurs according to the following sequence of forms: 1. Mud droplets. These are irregular linear structures caused by mud droplets sliding down sub-vertical walls. The droplet is usually found at the end of a small channel. These morphologies represent the course of the sliding droplets that become fossilized and not the impact of the droplets on the sediment. 2. Slips sensu stricto. These are uninterrupted surface structures covering sub-vertical walls to a greater or lesser extent. The thickness of this type of covering varies from a few millimetres to 5cm. The inner structure of the slips consists of small laminas (» 100mm) and on the exterior they often present drip channels. A special case of these forms is butterfly structures, which appear in isolation, with repetitive patterns and the appearance of a winged insect stuck to the wall. 3. Pseudo-stalactites. These are free-standing conical regrowths with some similarity to stalactites in a karst cave. They occur when slips grow to over 5cm thick. The growth of these forms is similar to that of slips, with external superposition of fine, concentric layers with no central pore. A variety of these pseudo-stalactites are nodulous stalactites whose genesis is unknown. In this context, we should mention the existence of occasional stalagmites. In other cases, curtains of pseudo-stalactites can be found where these patterns are repeated finely. A more evolved stage of this form is the coalescence of pseudo-stalactites, representing a massive advance of

  10. Analysis of topography and relief as a function of the tectonic - geomorphologic evolution of the Eastern Alps

    NASA Astrophysics Data System (ADS)

    Bungies, Nadin; Rosenberg, Claudio

    2014-05-01

    Alpine topography and relief vary regionally (Frisch et al., 1997), even on the scale of tens of kilometers. The causes of these differences are the aim of this work that is based on a geomorphological study of the eastern Alps. Earlier investigations on the topography of the Central Alps (Rosenberg & Garcia, 2013) show, by using 50 km, 75 km, and 100 km swath profiles, that the relief northward of the Insubric Line increases westward, whereas the relief southwards of the Insubric Line decreases eastward. This trend reflects collisional shortening trends recently observed in the Central Alps (Rosenberg & Kissling, 2013). In this work, we analyse the topography of the eastern Alps from the Brenner Area in the west to the Steiermark Area in the east, based on satellite images and digital terrain models, that cover an area of 36 000 km2 in the Austrian and Italian Alps. Based on these data, new GIS-aided datasets containing selected relief factors have been derived. These data are set in relationship to the eastward decrease in collisional shortening to test whether the latter trend has a geomorphic expression. In order to assess such a relationship north-south striking profiles, subparallel to the shortening direction and in addition to an E-W profile are investigated. It can be shown that the total relief of 3100 m (500-3600 m asl.) in the west of the working area is more pronounced than the total relief of 2300 m (700-3000 m asl) in the east of the working area. Furthermore slopes have higher amplitudes in the west when compared to the east. In the west approximately 65% of the slope profile show slopes larger than 50° while in the east approximately 40% of slopes are larger than 50° (based on 30 m topographic data). The evaluation of potential influencing factors will be achieved by conducting spatial and statistical data analysis and interpretation and is complemented by local studies investigating the evolution of relief for selected geologic units. Here

  11. Answering the AIDS denialists: is AIDS real?

    PubMed

    Mirken, B

    2000-12-01

    This article looks at theories that say AIDS does not exist, or is not a new disease but only a collection of old ones--and explains some of the history behind earlier changes in the official definition of AIDS in the U.S., changes which caused some public confusion. PMID:12171004

  12. Transcutaneous Electrical Nerve Stimulation (TENS) A Possible Aid for Pain Relief in Developing Countries?

    PubMed Central

    Tashani, O; Johnson, MI

    2009-01-01

    Transcutaneous electrical nerve stimulation (TENS) refers to the delivery of electrical currents through the skin to activate peripheral nerves. The technique is widely used in developed countries to relieve a wide range of acute and chronic pain conditions, including pain resulting from cancer and its treatment. There are many systematic reviews on TENS although evidence is often inconclusive because of shortcomings in randomised control trials methodology. In this overview the basic science behind TENS will be discussed, the evidence of its effectiveness in specific clinical conditions analysed and a case for its use in pain management in developing countries will be made. PMID:21483510

  13. A Sigh of Relief: The First-Aid Handbook for Childhood Emergencies.

    ERIC Educational Resources Information Center

    Green, Martin I.

    This manual contains tips on preventing childhood accidents and instructions for handling those accidents which do occur. Part One outlines ways of preventing accidents involving the home, infant equipment, toys, school, cars, bicycles, playgrounds, sports, hiking, camping, and water; it also provides blank forms for a family's emergency medical…

  14. Transcutaneous Electrical Nerve Stimulation (TENS) A Possible Aid for Pain Relief in Developing Countries?

    PubMed

    Tashani, O; Johnson, Mi

    2009-06-01

    Transcutaneous electrical nerve stimulation (TENS) refers to the delivery of electrical currents through the skin to activate peripheral nerves. The technique is widely used in developed countries to relieve a wide range of acute and chronic pain conditions, including pain resulting from cancer and its treatment. There are many systematic reviews on TENS although evidence is often inconclusive because of shortcomings in randomised control trials methodology. In this overview the basic science behind TENS will be discussed, the evidence of its effectiveness in specific clinical conditions analysed and a case for its use in pain management in developing countries will be made.

  15. Technology and Information Sharing in Disaster Relief.

    PubMed

    Bjerge, Benedikte; Clark, Nathan; Fisker, Peter; Raju, Emmanuel

    2016-01-01

    This paper seeks to examine the extent to which technological advances can enhance inter-organizational information sharing in disaster relief. Our case is the Virtual OSOCC (On-Site Operations Coordination Centre) which is a part of the Global Disaster Alert and Coordination System (GDACS) under the United Nations Office for Coordination of Humanitarian Affairs (UN OCHA). The online platform, which has been developing for more than a decade, provides a unique insight into coordination behaviour among disaster management agencies and individual actors. We build our study on the analysis of a complete database of user interaction including more than 20,000 users and 11,000 comments spread across approximately 300 disaster events. Controlling for types and severities of the events, location-specific vulnerabilities, and the overall trends, we find that the introduction of new features have led to increases in user activity. We supplement the data-driven approach with evidence from semi-structured interviews with administrators and key users, as well as a survey among all users specifically designed to capture and assess the elements highlighted by both interviews and data analysis. PMID:27584053

  16. Image ghosting reduction in lenticular relief prints

    NASA Astrophysics Data System (ADS)

    Baar, Teun; Shahpaski, Marjan; Ortiz Segovia, Maria V.

    2014-02-01

    Commonly known lenticular prints use a lens-like system superimposed on a standard 2D print to control the light sent into each direction. Thanks to our 2.5D or relief printing system, we are capable of creating a lenticular effect embedded directly on the prints that does not require the use of a system of lenses. On a zigzag-shaped surface composed of continuous small triangles two source images are interlaced and printed on the sides of the triangular structures, each side corresponding to one of the two intended views. The effect of crosstalk or ghosting is often encountered in lenticular prints. Ghosting occurs when some parts of one source image remain visible for the illumination or viewing direction corresponding to the other source image. In this work, we use an image-content-driven technique that identifies the regions in the source images that are prone to cause ghosting for a given set of viewing angles. For the purpose of eliminating this artefact, a model of the ghosting effect appearance is implemented and used for compensation. We have observed improvements in the quality of the lenticular effect, however the impact on the quality of the prints still needs to be evaluated.

  17. Technology and Information Sharing in Disaster Relief

    PubMed Central

    Bjerge, Benedikte; Clark, Nathan; Fisker, Peter; Raju, Emmanuel

    2016-01-01

    This paper seeks to examine the extent to which technological advances can enhance inter-organizational information sharing in disaster relief. Our case is the Virtual OSOCC (On-Site Operations Coordination Centre) which is a part of the Global Disaster Alert and Coordination System (GDACS) under the United Nations Office for Coordination of Humanitarian Affairs (UN OCHA). The online platform, which has been developing for more than a decade, provides a unique insight into coordination behaviour among disaster management agencies and individual actors. We build our study on the analysis of a complete database of user interaction including more than 20,000 users and 11,000 comments spread across approximately 300 disaster events. Controlling for types and severities of the events, location-specific vulnerabilities, and the overall trends, we find that the introduction of new features have led to increases in user activity. We supplement the data-driven approach with evidence from semi-structured interviews with administrators and key users, as well as a survey among all users specifically designed to capture and assess the elements highlighted by both interviews and data analysis. PMID:27584053

  18. Influence of relief on permanent preservation areas.

    PubMed

    dos Santos, Alexandre Rosa; Chimalli, Tessa; Peluzio, João Batista Esteves; da Silva, Aderbal Gomes; dos Santos, Gleissy Mary Amaral Dino Alves; Lorenzon, Alexandre Simões; Teixeira, Thaisa Ribeiro; de Castro, Nero Lemos Martins; Soares Ribeiro, Carlos Antonio Alvares

    2016-01-15

    Many countries have environmental legislation to protecting natural resources on private property. In Brazil, the Brazilian Forestry Code determines specific areas to maintain with natural vegetation cover, known as areas of permanent preservation (APP). Currently, there are few studies that relate topographic variables on APP. In this context, we sought to evaluate the influence of relief on the conservation of areas of permanent preservation (APP) in the areas surrounding Caparaó National Park, Brazil. By using the chi-squared statistical test, we verified that the presence of forest cover is closely associated with altitude. The classes of APP in better conservation status are slopes in addition to hilltops and mountains, whereas APP streams and springs are among the areas most affected by human activities. The most deforested areas are located at altitudes below 1100.00 m and on slopes less than 45°. All orientations of the sides were significant for APP conservation status, with the southern, southeastern, and southwestern sides showing the lower degrees of impact. The methodology can be adjusted to environmental legislation to other countries. PMID:26476068

  19. Donation to disaster relief campaigns: underlying social cognitive factors exposed.

    PubMed

    Oosterhof, Liesbeth; Heuvelman, Ard; Peters, Oscar

    2009-05-01

    A number of very serious natural disasters have put an enormous pressure on relief organizations in the last few years. The present study exposes underlying social cognitive factors for donation to relief campaigns. A causal model was constructed, based on social cognitive theory, research on attitudes, and the impact of media exposure. The aim was to expand and improve an already existing model by Cheung and Chan [Cheung, C. K., & Chan, C. M. (2000). Social-cognitive factors of donating money to charity, with special attention to an international relief organisation. Evaluation and Program Planning, 23, 241-253]. The expanded model showed a better fit. Furthermore, the expanded model explained two-thirds of the variance of the intention to donate to a disaster relief campaign. The greatest predictor of the intention to donate proved to be "Past donation to disaster relief campaigns." The factor "News exposure" was indicated to be a valuable additional factor, as it had a significant direct effect on "Awareness of a disaster relief campaign" and was the only factor that had a total effect on all other factors, including "Intention to donate to a disaster relief campaign."

  20. Rapidly design safety relief valve inlet piping systems

    SciTech Connect

    Westman, M.A.

    1997-03-01

    Safety relief valves (SRVs) used to protect against overpressure require well-designed inlet piping for proper operation. The engineer`s job is to produce these designs from a thorough understanding of the inlet piping as a key component in the safety relief system and the correct application of the governing fluid dynamics principles. This article will present a technique for analysis and design using classical ideal-gas adiabatic fluid flow principles. Also, it will discuss the advantages of using the personal computer (PC) to quickly arrive at accurate designs. This work applies to SRVs in which relief flows are limited by sonic conditions at their nozzles.

  1. Hybrid surface-relief/volume one dimensional holographic gratings

    NASA Astrophysics Data System (ADS)

    Lucchetta, D. E.; Spegni, P.; Di Donato, A.; Simoni, F.; Castagna, R.

    2015-04-01

    Many one dimensional optically patterned photopolymers exist as surface relief or volume phase gratings. However, as far as we know, holographically recorded acrylate-based gratings in which both configurations are present are not described in literature. In this work we report a two steps fabrication process in which a large-area high-resolution hybrid volume/surface relief grating phase gratings is created in a thin film of multiacrylate material spinned on a proper designed substrate. Optical and morphological investigations, made on the optically patterned area, confirm the presence of a one dimensional double (surface relief and Bragg volume phase) periodic structure.

  2. How HIV Causes AIDS

    MedlinePlus

    ... Share this: Main Content Area How HIV Causes AIDS HIV destroys CD4 positive (CD4+) T cells, which ... and disease, ultimately resulting in the development of AIDS. Most people who are infected with HIV can ...

  3. AIDS Myths and Misunderstandings

    MedlinePlus

    ... 21, 2014 Select a Language: Fact Sheet 158 AIDS Myths and Misunderstandings WHY ARE THERE SO MANY ... support this belief. Myth: Current medications can cure AIDS. It’s no big deal if you get infected. ...

  4. HIV/AIDS

    MedlinePlus

    ... at risk for serious infections and certain cancers. AIDS stands for acquired immunodeficiency syndrome. It is the final stage of infection with HIV. Not everyone with HIV develops AIDS. HIV most often spreads through unprotected sex with ...

  5. Students with AIDS.

    ERIC Educational Resources Information Center

    Broadwell, Cathy Allen; Strope, John L., Jr.

    1989-01-01

    Addresses the law as it pertains to Acquired Immune Deficiency Syndrome (AIDS) in public elementary and secondary schools. Section 504 of the Rehabilitation Act of 1973 has been used successfully in the majority of the AIDS cases discussed. (MLF)

  6. Unconsciousness - first aid

    MedlinePlus

    Loss of consciousness - first aid; Coma - first aid; Mental status change; Altered mental status ... person is unconscious and: Does not return to consciousness quickly (within a minute) Has fallen down or ...

  7. Frostbite, First Aid

    MedlinePlus

    ... and rashes clinical tools newsletter | contact Share | Frostbite, First Aid A A A Severe frostbite can result in ... became frozen). Frostbite is often associated with hypothermia. First Aid Guide In the case of mild frostbite, the ...

  8. Heat Exhaustion, First Aid

    MedlinePlus

    ... rashes clinical tools newsletter | contact Share | Heat Exhaustion, First Aid A A A Heat exhaustion signs and symptoms ... specific to the other stages of heat illness. First Aid Guide Use a combination of the following measures ...

  9. Heat Cramps, First Aid

    MedlinePlus

    ... rashes clinical tools newsletter | contact Share | Heat Cramps, First Aid A A A Heat cramp signs and symptoms ... if later stages of heat illness are suspected. First Aid Guide Use a combination of the following measures, ...

  10. Heatstroke, First Aid

    MedlinePlus

    ... and rashes clinical tools newsletter | contact Share | Heatstroke, First Aid A A A Heatstroke signs and symptoms can ... specific to the earlier stages of heat illness. First Aid Guide When heatstroke is suspected, seek emergency medical ...

  11. Bruises, First Aid

    MedlinePlus

    ... and rashes clinical tools newsletter | contact Share | Bruises, First Aid A A A Bruises lighten and change color ... Bruises can be a sign of internal bleeding. First Aid Guide If there is external bleeding in addition ...

  12. Tick Bites, First Aid

    MedlinePlus

    ... rashes clinical tools newsletter | contact Share | Tick Bites, First Aid A A A It is important to inspect ... temporary paralysis in their host (called tick paralysis). First Aid Guide To remove an embedded tick: Wash your ...

  13. First Aid: Influenza (Flu)

    MedlinePlus

    ... to Know About Zika & Pregnancy First Aid: The Flu KidsHealth > For Parents > First Aid: The Flu Print ... tiredness What to Do If Your Child Has Flu Symptoms: Call your doctor. Encourage rest. Keep your ...

  14. 77 FR 58818 - Notice of Proposed Information Collection Requests; Federal Student Aid; William D. Ford Federal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-24

    ... Notice of Proposed Information Collection Requests; Federal Student Aid; William D. Ford Federal Direct Loan Program Regulations-- Servicemembers Civil Relief Act SUMMARY: Upon a loan holder's receipt of a...)) that may be charged on Federal Family Education Loan Program loans made prior to the borrower...

  15. Expanded Federal Activities and the Impact Aid Program: An Operational View.

    ERIC Educational Resources Information Center

    Curley, John R.

    The Public Law (PL) 81-874 Impact Aid Program (IAP), first authorized in 1950, was originally designed to provide financial relief to local education agencies (LEAs) that had been impacted by the expanded activities of the armed forces and other federal activities. This document describes the expansion of military activities at Fort Drum, New…

  16. Hearing-aid tester

    NASA Technical Reports Server (NTRS)

    Kessinger, R.; Polhemus, J. T.; Waring, J. G.

    1977-01-01

    Hearing aids are automatically checked by circuit that applies half-second test signal every thirty minutes. If hearing-aid output is distorted, too small, or if battery is too low, a warning lamp is activated. Test circuit is incorporated directly into hearing-aid package.

  17. HIV and AIDS

    MedlinePlus

    ... I Help a Friend Who Cuts? HIV and AIDS KidsHealth > For Teens > HIV and AIDS Print A A A Text Size What's in ... in human history. HIV causes a condition called acquired immunodeficiency syndrome — better known as AIDS . HIV destroys a type ...

  18. Designing State Aid Formulas

    ERIC Educational Resources Information Center

    Zhao, Bo; Bradbury, Katharine

    2009-01-01

    This paper designs a new equalization-aid formula based on fiscal gaps of local communities. When states are in transition to a new local aid formula, the issue of whether and how to hold existing aid harmless poses a challenge. The authors show that some previous studies and the formulas derived from them give differential weights to existing and…

  19. AIDS Education Curriculum Guide.

    ERIC Educational Resources Information Center

    Horry County Board of Education, Conway, SC.

    This curriculum guide was developed, based on sound principles of human growth and development, to present the most recently available information on AIDS (Acquired Immune Deficiency Syndrome). The curriculum presents information on the known facts about AIDS and the AIDS virus infection. It also addresses the potential for adolescents and adults…

  20. First Aid: Rashes

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Rashes KidsHealth > For Parents > First Aid: Rashes Print A A A Text Size Rashes ... For Kids For Parents MORE ON THIS TOPIC First Aid: Skin Infections Poison Ivy Erythema Multiforme Hives (Urticaria) ...

  1. First Aid: Burns

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Burns KidsHealth > For Parents > First Aid: Burns Print A A A Text Size Scald ... THIS TOPIC Kitchen: Household Safety Checklist Fireworks Safety First Aid: Sunburn Firesetting Fire Safety Burns Household Safety: Preventing ...

  2. First Aid: Croup

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Croup KidsHealth > For Parents > First Aid: Croup Print A A A Text Size Croup ... For Kids For Parents MORE ON THIS TOPIC First Aid: Coughing X-Ray Exam: Neck Why Is Hand ...

  3. First Aid: Falls

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Falls KidsHealth > For Parents > First Aid: Falls Print A A A Text Size en ... Floors, Doors & Windows, Furniture, Stairways: Household Safety Checklist First Aid: Broken Bones Head Injuries Preventing Children's Sports Injuries ...

  4. First Aid: Choking

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Choking KidsHealth > For Parents > First Aid: Choking Print A A A Text Size Choking ... usually are taught as part of any basic first-aid course. Reviewed by: Steven Dowshen, MD Date reviewed: ...

  5. First Aid: Dehydration

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Dehydration KidsHealth > For Parents > First Aid: Dehydration Print A A A Text Size Dehydration ... MORE ON THIS TOPIC Summer Safety Heat Illness First Aid: Heat Illness Sun Safety Dehydration Diarrhea Vomiting Word! ...

  6. First Aid: Animal Bites

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Animal Bites KidsHealth > For Parents > First Aid: Animal Bites Print A A A Text Size ... For Kids For Parents MORE ON THIS TOPIC First Aid & Safety Center Infections That Pets Carry Dealing With ...

  7. A Teaching Aids Exhibition.

    ERIC Educational Resources Information Center

    Mahanja, Salah

    1985-01-01

    Describes an exhibition for the benefit of teachers of English in Arab Primary Schools, which was prepared by third-year students at the Teachers College for Arab Teachers. The exhibition included games, songs, audiovisual aids, crossword puzzles, vocabulary, spelling booklets, preposition aids, and worksheet and lesson planning aids. (SED)

  8. Disaster relief activities of the Japan self-defense force following the Great East Japan Earthquake.

    PubMed

    Nishiyama, Yasumasa

    2014-06-01

    Cooperation between civilian and military forces, including the Japan Self-Defense Force (JSDF), enabled wide-ranging disaster relief after the Great East Japan Earthquake. Nevertheless, many preventable fatalities occurred, particularly related to an inability to treat chronic disease, indicating the need to plan for the provision of long-term medical aid after natural disasters in stricken areas and evacuation shelters. To assist in this effort, this report (1) provides an overview of the consequences of the medical response to the Great East Japan Earthquake, the largest natural disaster ever to hit Japan, focusing on the role and actions of the JSDF; (2) discusses the lessons learned regarding the provision of medical aid and management by the JSDF after this disaster, looking at the special challenges of meeting the needs of a rapidly aging population in a disaster situation; and (3) provides recommendations for the development of strategies for the long-term medical aid and support after natural disasters, especially with regard to the demographics of the Japanese population.

  9. South America, Shaded Relief and Colored Height

    NASA Technical Reports Server (NTRS)

    2003-01-01

    This image of South America was generated with data from the Shuttle Radar Topography Mission (SRTM). For this broad view the resolution of the data was first reduced to 30 arcseconds (about 928 meters north-south but variable east-west), matching the best previously existing global digital topographic data set called GTOPO30. The data were then resampled to a Mercator projection with approximately square pixels (about one kilometer, or 0.6 miles, on each side). Even at this decreased resolution the variety of landforms comprising the South American continent is readily apparent.

    Topographic relief in South America is dominated by the Andes Mountains, which extend all along the Pacific Coast. These mountains are created primarily by the convergence of the Nazca and South American tectonic plates. The Nazca Plate, which underlies the eastern Pacific Ocean, slides under western South America resulting in crustal thickening, uplift, and volcanism. Another zone of plate convergence occurs along the northwestern coast of South America where the Caribbean Plate also slides under the South American Plate and forms the northeastern extension of the Andes Mountains.

    East of the Andes, much of northern South America drains into the Amazon River, the world's largest river in terms of both watershed area and flow volume. Topographic relief is very low in much of the Amazon Basin but SRTM data provide an excellent detailed look at the basin's three-dimensional drainage pattern, including the geologic structural trough (syncline) that hosts the eastern river channel.

    North of the Amazon, the Guiana Highlands commonly stand in sharp contrast to the surrounding lowlands, indeed hosting the world's tallest waterfall, Angel Falls (979 meters or 3212 feet). Folded and fractured bedrock structures are distinctive in the topographic pattern.

    South of the Amazon, the Brazilian Highlands show a mix of landforms, including some broad areas of consistent topographic patterns

  10. Zagros Mountains, Iran, SRTM Shaded Relief Anaglyph

    NASA Technical Reports Server (NTRS)

    2004-01-01

    The Zagros Mountains in Iran offer a visually stunning topographic display of geologic structure in layered sedimentary rocks. This scene is nearly 100 kilometers (62 miles) wide but is only a small part of similar terrain that covers much of southern Iran. This area is actively undergoing crustal shortening, as global tectonics moves Arabia toward Asia. Consequently, layers of sedimentary rock are folding much like a carpet will fold if pushed. The convex upward folds create structures called anticlines, which are prominently seen here. The convex downward folds (between the anticlines) create structures called synclines, which are mostly buried and hidden by sediments eroding off the anticlines. Layers having differing erosional resistance create distinctive patterns, often sawtooth triangular facets, that encircle the anticlines. Local relief between the higher mountain ridges and their intervening valleys is about 1,200 meters (about 4,000 feet).

    Salt extrusions and salt 'glaciers' are another set of geologic features readily evident in the topography. Salt deposits, likely created by the evaporation of an ancient inland sea, were buried by the sediments that now make up the layers of the anticlines and synclines. But salt is less dense than most other rocks, so it tends to migrate upward through Earth's crust in vertical columns called 'diapirs'. The compressive folding process has probably facilitated the formation of these diapirs, and the diapirs, in turn, are probably enhancing some anticlines by 'inflating' them with salt. Where the diapirs reach the surface, the salt extrudes, much like lava from a volcano, and the salt flows. Two prominent salt flows are evident in the same valley, leaking from neighboring anticlines, just north of the scene center.

    This anaglyph was created by deriving a shaded relief image from the SRTM data, draping it back over the SRTM elevation model, and then generating two differing perspectives, one for each eye

  11. Zagros Mountains, Iran, SRTM Shaded Relief

    NASA Technical Reports Server (NTRS)

    2004-01-01

    The Zagros Mountains in Iran offer a visually stunning topographic display of geologic structure in layered sedimentary rocks. This scene is nearly 100 kilometers (62 miles) wide but is only a small part of similar terrain that covers much of southern Iran. This area is actively undergoing crustal shortening, as global tectonics moves Arabia toward Asia. Consequently, layers of sedimentary rock are folding much like a carpet will fold if pushed. The convex upward folds create structures called anticlines, which are prominently seen here. The convex downward folds (between the anticlines) create structures called synclines, which are mostly buried and hidden by sediments eroding off the anticlines. Layers having differing erosional resistance create distinctive patterns, often sawtooth triangular facets, that encircle the anticlines. Local relief between the higher mountain ridges and their intervening valleys is about 1200 meters (about 4000 feet).

    Salt extrusions and salt 'glaciers' are another set of geologic features readily evident in the topography. Salt deposits, likely created by the evaporation of an ancient inland sea, were buried by the sediments that now make up the layers of the anticlines and synclines. But salt is less dense than most other rocks, so it tends to migrate upward through Earth's crust in vertical columns called 'diapirs'. The compressive folding process has probably facilitated the formation of these diapirs, and the diapirs, in turn, are probably enhancing some anticlines by 'inflating' them with salt. Where the diapirs reach the surface, the salt extrudes, much like lava from a volcano, and the salt flows. Two prominent salt flows are evident in the same valley, leaking from neighboring anticlines, just north of the scene center.

    This shaded relief image was created directly from an SRTM elevation model by computing topographic slope in the north-south direction. Northern slopes appear bright and southern slopes appear

  12. Shaded relief, color as height, Salalah, Oman

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This elevation map shows a part of the southern coast of the Arabian Peninsula including parts of the countries of Oman and Yemen. The narrow coastal plain on the right side of the image includes the city of Salahlah, the second largest city in Oman. Various crops, including coconuts, papayas and bananas, are grown on this plain. The abrupt topography of the coastal mountains wrings moisture from the monsoon, enabling agriculture in the otherwise dry environment of the Arabian Peninsula. These mountains are historically significant as well: Some scholars believe these mountains are the 'southern mountains' of the book of Genesis.

    This image brightness corresponds to shading illumination from the right, while colors show the elevation as measured by the Shuttle Radar Topography Mission. Colors range from green at the lowest elevations to brown at the highest elevations. This image contains about 1400 meters (4600 feet) of total relief. The Arabian Sea is colored blue.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11, 2000, used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission was designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200-foot) mast, an additional C-band imaging antenna and improved tracking and navigation devices. The mission is a cooperative project between the National Aeronautics and Space Administration (NASA), the National Imagery and Mapping Agency (NIMA) and the German (DLR) and Italian (ASI)space agencies. It is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Earth Science Enterprise, Washington, DC.

    Size: 149 by 40 kilometers (92 by 25 miles) Location: 16.9 deg. North lat., 53.7 deg. East lon. Orientation: North at top right Date Acquired: February 15, 2000 Image: NASA/JPL/NIMA

  13. Space Derived Health Aids (AID, Heart Monitor)

    NASA Technical Reports Server (NTRS)

    1981-01-01

    CPI's spinoff from miniaturized pace circuitry is the new heart-assist device, the AID implantable automatic pulse generator. AID pulse generator monitors the heart continuously, recognizes onset of fibrillation, then administers a corrective electrical shock. A mini- computer, a power source, and two electrodes which sense heart activity are included in the unit. An associated system was also developed. It includes an external recorder to be worn by AID patients and a physician's console to display the data stored by the recorder. System provides a record of fibrillation occurrences and the ensuing defibrillation.

  14. 49 CFR 390.23 - Relief from regulations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... police officer for tow trucks to move wrecked or disabled motor vehicles. (ii) This exemption shall not... commerce to transport cargo not destined for the emergency relief effort, or when the motor...

  15. 49 CFR 390.23 - Relief from regulations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... police officer for tow trucks to move wrecked or disabled motor vehicles. (ii) This exemption shall not... commerce to transport cargo not destined for the emergency relief effort, or when the motor...

  16. Medical Marijuana's Pain Relief May Work Better for Men

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_160603.html Medical Marijuana's Pain Relief May Work Better for Men Study ... a new study indicates. Researchers asked 42 recreational marijuana smokers to place one hand in extremely cold ...

  17. Myofascial pain: relief by post-isometric relaxation.

    PubMed

    Lewit, K; Simons, D G

    1984-08-01

    The post-isometric relaxation technique begins by placing the muscle in a stretched position. Then an isometric contraction is exerted against minimal resistance. Relaxation and then gentle stretch follow as the muscle releases. This technique was applied to tight, tender muscles that are commonly associated with musculoskeletal pain and was systematically tested on 351 muscle groups in 244 patients. The method produced immediate pain relief in 94%, lasting pain relief in 63%, as well as lasting relief of point tenderness in 23% of the sites treated. Patients who practiced autotherapy on a home program were more likely to realize lasting relief. Pain was relieved in both the muscle itself and at tender insertion points. The technique is useful in addition to, or in place of, local anesthetic injection or dry needling. These results confirm other observations that the increased tension of the affected muscles and the resulting pain and dysfunction are both relieved by restoring the full stretch length of the muscle.

  18. 29. First floor elevator doors with reliefs by E. R. ...

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

    29. First floor elevator doors with reliefs by E. R. Stewart, nearest door shows construction worker - St. Paul City Hall & Ramsey County Courthouse, 15 West Kellogg Boulevard, Saint Paul, Ramsey County, MN

  19. Rectangular Relief Diffraction Gratings for Coherent Lidar Beam Scanning

    NASA Technical Reports Server (NTRS)

    Cole, H. J.; Chambers, D. M.; Dixit, S. N.; Britten, J. A.; Shore, B. W.; Kavaya, M. J.

    1999-01-01

    The application of specialized rectangular relief transmission gratings to coherent lidar beam scanning is presented. Two types of surface relief transmission grating approaches are studied with an eye toward potential insertion of a constant thickness, diffractive scanner where refractive wedges now exist. The first diffractive approach uses vertically oriented relief structure in the surface of an optical flat; illumination of the diffractive scanner is off-normal in nature. The second grating design case describes rectangular relief structure slanted at a prescribed angle with respect to the surface. In this case, illumination is normal to the diffractive scanner. In both cases, performance predictions for 2.0 micron, circularly polarized light at beam deflection angles of 30 or 45 degrees are presented.

  20. North exterior elevation of Pope Quadrangle. Note the bas relief ...

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

    North exterior elevation of Pope Quadrangle. Note the bas relief sculpture over the doorway, which includes the school motto, Aspirando et Perseverando. - Avon Old Farms School, 500 Avon Old Farms Road, Avon, Hartford County, CT

  1. Careful: Acetaminophen in Pain Relief Medicines Can Cause Liver Damage

    MedlinePlus

    ... Careful: Acetaminophen in pain relief medicines can cause liver damage Share Tweet Linkedin Pin it More sharing ... word or may have the abbreviation "APAP." Severe liver damage may occur and may lead to death ...

  2. Surface relief model for photopolymers without cover plating.

    PubMed

    Gallego, S; Márquez, A; Ortuño, M; Francés, J; Marini, S; Beléndez, A; Pascual, I

    2011-05-23

    Relief surface changes provide interesting possibilities for storing diffractive optical elements on photopolymers and are an important source of information to characterize and understand the material behaviour. In this paper we present a 3-dimensional model based on direct measurements of parameters to predict the relief structures generated on the material. This model is successfully applied to different photopolymers with different values of monomer diffusion. The importance of monomer diffusion in depth is also discussed.

  3. Method for residual stress relief and retained austenite destabilization

    DOEpatents

    Ludtka, Gerard M.

    2004-08-10

    A method using of a magnetic field to affect residual stress relief or phase transformations in a metallic material is disclosed. In a first aspect of the method, residual stress relief of a material is achieved at ambient temperatures by placing the material in a magnetic field. In a second aspect of the method, retained austenite stabilization is reversed in a ferrous alloy by applying a magnetic field to the alloy at ambient temperatures.

  4. Inversion of relief — a component of landscape evolution

    NASA Astrophysics Data System (ADS)

    Pain, C. F.; Oilier, C. D.

    1995-05-01

    Inversion of relief occurs when materials on valley floors are, or become, more resistant to erosion than the adjacent valley slopes. As erosion proceeds, the valley floor becomes a ridge bounded by newly formed valleys on each side. Areas of lava flows contain many examples of inversion of relief, but it is also common in areas of duricrusts. Inversion of relief is so widespread in some areas that it should be regarded as a general component in a model of landscape evolution. Inversion of relief has some important implications. Drainage lines will shift significantly over time. Slope-soil relationships (catenas) have to be reassessed, because the regolith on the upper part of a hill slope may have developed under very different conditions from those existing at present. The resulting catena is not a simple expression of soils and response to landscape position. This also has important implications for geochemistry. Where present day ridge tops were once valley floors, geochemical signatures will reflect lateral water movement in the old landscape rather than simple in situ weathering and vertical redistribution in the present landscape. Finally, inversion of relief can produce erosion surfaces of very low relief that cannot be termed peneplains, pediplains or etchplains because they have a very different genesis. This underlines the importance of determining the complexities of landscape evolution before such genetic terms are applied to any landscape.

  5. Statistical Performance Evaluation Of Soft Seat Pressure Relief Valves

    SciTech Connect

    Harris, Stephen P.; Gross, Robert E.

    2013-03-26

    Risk-based inspection methods enable estimation of the probability of failure on demand for spring-operated pressure relief valves at the United States Department of Energy's Savannah River Site in Aiken, South Carolina. This paper presents a statistical performance evaluation of soft seat spring operated pressure relief valves. These pressure relief valves are typically smaller and of lower cost than hard seat (metal to metal) pressure relief valves and can provide substantial cost savings in fluid service applications (air, gas, liquid, and steam) providing that probability of failure on demand (the probability that the pressure relief valve fails to perform its intended safety function during a potentially dangerous over pressurization) is at least as good as that for hard seat valves. The research in this paper shows that the proportion of soft seat spring operated pressure relief valves failing is the same or less than that of hard seat valves, and that for failed valves, soft seat valves typically have failure ratios of proof test pressure to set pressure less than that of hard seat valves.

  6. Surface relief of TiNiCu thin films

    NASA Astrophysics Data System (ADS)

    Cheng, Xiulan; Xu, Dong; Cai, Bingchu; Wang, Li; Chen, Jian; Li, Gang; Xu, Shi

    2001-10-01

    TiNiCu thin film shape memory alloys are potential materials for microactuator. In our previous research, the various natural surface relief of crystallized TiNiCu thin film was observed, and it was related with compositions and the sputtering deposition conditions. In order to understand the origin and nature of the surface relief, the temperature-resistance measurement, X-ray diffraction and atomic fore microscopic study were performed. For Ti48.4Ni46.3Cu5.3 thin films, the transformation temperatures are below 0 degree(s)C, and the natural surface is smooth at 12 degree(s)C since the microstructure is austenite. For Ti51Ni44Cu5 thin films, two typical kinds of surface relief, e.g., chrysanthemum and rock candy, were observed at 12 degree(s)C. The chrysanthemum on the martensitic block relief is Ti-rich G.P. zone and will not disappear in thermal cycles later. It is also found that the Ti-rich G.P. zone is related with the thin films formed under lower sputtering Ar pressure. The rock candy relief is a typical martensite surface relief and will disappear when heating to the austenite phase. During crystallization process, the inherent compressive stress introduced under the condition of higher sputtering pressure is helpful to the transition from G.P. zones to Ti2(NiCu) precipitates and the increase of the transformation temperatures.

  7. Hearing Aid Assembly

    NASA Technical Reports Server (NTRS)

    Grugel, Richard N. (Inventor)

    2002-01-01

    Progress in hearing aids has come a long way. Yet despite such progress hearing aids are not the perfect answer to many hearing problems. Some adult ears cannot accommodate tightly fitting hearing aids. Mouth movements such as chewing, talking, and athletic or other active endeavors also lead to loosely fitting ear molds. It is well accepted that loosely fitting hearing aids are the cause of feedback noise. Since feedback noise is the most common complaint of hearing aid wearers it has been the subject of various patents. Herein a hearing aid assembly is provided eliminating feedback noise. The assembly includes the combination of a hearing aid with a headset developed to constrict feedback noise.

  8. HIV, AIDS, and the Future

    MedlinePlus

    ... Navigation Bar Home Current Issue Past Issues HIV / AIDS HIV, AIDS, and the Future Past Issues / Summer 2009 Table ... and your loved ones from HIV/AIDS. The AIDS Memorial Quilt In 1987, a total of 1, ...

  9. Sinai Peninsula, Shaded Relief and Colored Height

    NASA Technical Reports Server (NTRS)

    2004-01-01

    The Sinai Peninsula, located between Africa and Asia, is a result of those two continents pulling apart from each other. Earth's crust is cracking, stretching, and lowering along the two northern branches of the Red Sea, namely the Gulf of Suez, seen here on the west (left), and the Gulf of Aqaba, seen to the east (right). This color-coded shaded relief image shows the triangular nature of the peninsula, with the coast of the Mediterranean Sea forming the northern side of the triangle. The Suez Canal can be seen as the narrow vertical blue line in the upper left connecting the Red Sea to the Mediterranean.

    The peninsula is divided into three distinct parts; the northern region consisting chiefly of sandstone, plains and hills, the central area dominated by the Tih Plateau, and the mountainous southern region where towering peaks abound. Much of the Sinai is deeply dissected by river valleys, or wadis, that eroded during an earlier geologic period and break the surface of the plateau into a series of detached massifs with a few scattered oases.

    Two visualization methods were combined to produce the image: shading and color coding of topographic height. The shade image was derived by computing topographic slope in the northwest-southeast direction, so that northwest slopes appear bright and southeast slopes appear dark. Color coding is directly related to topographic height, with green at the lower elevations, rising through yellow and tan, to white at the highest elevations.

    Elevation data used in this image were acquired by the Shuttle Radar Topography Mission aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to collect 3-D measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter (approximately 200-foot

  10. Ireland, Shaded Relief and Colored Height

    NASA Technical Reports Server (NTRS)

    2005-01-01

    The island of Ireland comprises a large central lowland of limestone with a relief of hills surrounded by a discontinuous border of coastal mountains which vary greatly in geological structure. The mountain ridges of the south are composed of old red sandstone separated by limestone river valleys. Granite predominates in the mountains of Galway, Mayo and Donegal in the west and north-west and in Counties Down and Wicklow on the east coast, while a basalt plateau covers much of the north-east of the country. The central plain, which is broken in places by low hills, is extensively covered with glacial deposits of clay and sand. It has considerable areas of bog and numerous lakes. The island has seen at least two general glaciations and everywhere ice-smoothed rock, mountain lakes, glacial valleys and deposits of glacial sand, gravel and clay mark the passage of the ice.

    Two visualization methods were combined to produce this image: shading and color coding of topographic height. The shade image was derived by computing topographic slope in the northwest-southeast direction, so that northwest slopes appear bright and southeast slopes appear dark. Color coding is directly related to topographic height, with green at the lower elevations, rising through yellow and tan, to white at the highest elevations.

    Elevation data used in this image were acquired by the Shuttle Radar Topography Mission aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to collect 3-D measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter (approximately 200-foot) mast, installed additional C-band and X-band antennas, and improved tracking and navigation devices. The mission is a cooperative project between NASA, the National Geospatial

  11. Bali, Shaded Relief and Colored Height

    NASA Technical Reports Server (NTRS)

    2004-01-01

    The volcanic nature of the island of Bali is evident in this shaded relief image generated with data from the Shuttle Radar Topography Mission (SRTM).

    Bali, along with several smaller islands, make up one of the 27 Provinces of Indonesia. It lies over a major subduction zone where the Indo-Australian tectonic plate collides with the Sunda plate, creating one of the most volcanically active regions on the planet.

    The most significant feature on Bali is Gunung Agung, the symmetric, conical mountain at the right-center of the image. This 'stratovolcano,' 3,148 meters (10,308 feet) high, is held sacred in Balinese culture, and last erupted in 1963 after being dormant and thought inactive for 120 years. This violent event resulted in over 1,000 deaths, and coincided with a purification ceremony called Eka Dasa Rudra, meant to restore the balance between nature and man. This most important Balinese rite is held only once per century, and the almost exact correspondence between the beginning of the ceremony and the eruption is though to have great religious significance.

    Two visualization methods were combined to produce the image: shading and color coding of topographic height. The shade image was derived by computing topographic slope in the northwest-southeast direction, so that northwest slopes appear bright and southeast slopes appear dark. Color coding is directly related to topographic height, with green at the lower elevations, rising through yellow and tan, to white at the highest elevations.

    Elevation data used in this image were acquired by the Shuttle Radar Topography Mission aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to collect 3-D measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter

  12. Cost-effectiveness analysis of humanitarian relief interventions: visceral leishmaniasis treatment in the Sudan.

    PubMed

    Griekspoor, A; Sondorp, E; Vos, T

    1999-03-01

    Spending by aid agencies on emergencies has quadrupled over the last decade, to over US$6 billion. To date, cost-effectiveness has seldom been considered in the prioritization and evaluation of emergency interventions. The sheer volume of resources spent on humanitarian aid and the chronicity of many humanitarian interventions call for more attention to be paid to the issue of 'value for money'. In this paper we present data from a major humanitarian crisis, an epidemic of visceral leishmaniasis (VL) in war-torn Sudan. The special circumstances provided us, in retrospect, with unusually accurate data on excess mortality, costs of the intervention and its effects, thus allowing us to express cost-effectiveness as the cost per Disability Adjusted Life Year (DALY) averted. The cost-effectiveness ratio, of US$18.40 per DALY (uncertainty range between US$13.53 and US$27.63), places the treatment of VL in Sudan among health interventions considered 'very good value for money' (interventions of less than US$25 per DALY). We discuss the usefulness of this analysis to the internal management of the VL programme, the procurement of funds for the programme, and more generally, to priority setting in humanitarian relief interventions. We feel that in evaluations of emergency interventions attempts could be made more often to perform cost-effectiveness analyses, including the use of DALYs, provided that the outcomes of these analyses are seen in the broad context of the emergency situation and its consequences on the affected population. This paper provides a first contribution to what is hoped to become an international database of cost-effectiveness studies of health interventions during relief operations, which use a comparable measure of health outcome such as the DALY. PMID:10351471

  13. South America, Shaded Relief and Colored Height

    NASA Technical Reports Server (NTRS)

    2003-01-01

    This image of South America was generated with data from the Shuttle Radar Topography Mission (SRTM). For this broad view the resolution of the data was first reduced to 30 arcseconds (about 928 meters north-south but variable east-west), matching the best previously existing global digital topographic data set called GTOPO30. The data were then resampled to a Mercator projection with approximately square pixels (about one kilometer, or 0.6 miles, on each side). Even at this decreased resolution the variety of landforms comprising the South American continent is readily apparent.

    Topographic relief in South America is dominated by the Andes Mountains, which extend all along the Pacific Coast. These mountains are created primarily by the convergence of the Nazca and South American tectonic plates. The Nazca Plate, which underlies the eastern Pacific Ocean, slides under western South America resulting in crustal thickening, uplift, and volcanism. Another zone of plate convergence occurs along the northwestern coast of South America where the Caribbean Plate also slides under the South American Plate and forms the northeastern extension of the Andes Mountains.

    East of the Andes, much of northern South America drains into the Amazon River, the world's largest river in terms of both watershed area and flow volume. Topographic relief is very low in much of the Amazon Basin but SRTM data provide an excellent detailed look at the basin's three-dimensional drainage pattern, including the geologic structural trough (syncline) that hosts the eastern river channel.

    North of the Amazon, the Guiana Highlands commonly stand in sharp contrast to the surrounding lowlands, indeed hosting the world's tallest waterfall, Angel Falls (979 meters or 3212 feet). Folded and fractured bedrock structures are distinctive in the topographic pattern.

    South of the Amazon, the Brazilian Highlands show a mix of landforms, including some broad areas of consistent topographic patterns

  14. A sigh of relief or a sigh to relieve: The psychological and physiological relief effect of deep breaths.

    PubMed

    Vlemincx, Elke; Van Diest, Ilse; Van den Bergh, Omer

    2016-10-15

    Both animal and human research have revealed important associations between sighs and relief. Previously we argued to conceive of sighs as resetters which temporarily induce relief. The present study aimed to investigate the psychological and physiological relief effect of sighs by instructed deep breaths and spontaneous sighs compared to a control breathing maneuver. Participants completed three blocks of 40 trials during which uncertainty cues were followed by either safety cues followed by a positive picture, or danger cues followed by a negative picture. One block was presented without breathing instructions, two subsequent blocks with breathing instructions. During the presentation of the safety and danger cues, an instruction was given to either 'take a deep breath' or 'postpone the next inhalation for 2 s (breath hold). Continuously, participants rated relief and Frontalis electromyography was recorded. Trait anxiety sensitivity was assessed by the Anxiety Sensitivity Index. Self-reported relief and physiological tension were compared 5s before and after instructed deep breaths and breath holds, and before and after spontaneous deep breaths and breath holds in the respective blocks. Results show that self-reported relief following an instructed deep breath was higher than before. Physiological tension decreased following a spontaneous sigh in high anxiety sensitive persons and following a spontaneous breath hold in low anxiety sensitive persons. These results are the first to show that a deep breath relieves and, in anxiety sensitive persons, reduces physiological tension. These findings support the hypothesis that sighs are psychological and physiological resetters. PMID:27404329

  15. A sigh of relief or a sigh to relieve: The psychological and physiological relief effect of deep breaths.

    PubMed

    Vlemincx, Elke; Van Diest, Ilse; Van den Bergh, Omer

    2016-10-15

    Both animal and human research have revealed important associations between sighs and relief. Previously we argued to conceive of sighs as resetters which temporarily induce relief. The present study aimed to investigate the psychological and physiological relief effect of sighs by instructed deep breaths and spontaneous sighs compared to a control breathing maneuver. Participants completed three blocks of 40 trials during which uncertainty cues were followed by either safety cues followed by a positive picture, or danger cues followed by a negative picture. One block was presented without breathing instructions, two subsequent blocks with breathing instructions. During the presentation of the safety and danger cues, an instruction was given to either 'take a deep breath' or 'postpone the next inhalation for 2 s (breath hold). Continuously, participants rated relief and Frontalis electromyography was recorded. Trait anxiety sensitivity was assessed by the Anxiety Sensitivity Index. Self-reported relief and physiological tension were compared 5s before and after instructed deep breaths and breath holds, and before and after spontaneous deep breaths and breath holds in the respective blocks. Results show that self-reported relief following an instructed deep breath was higher than before. Physiological tension decreased following a spontaneous sigh in high anxiety sensitive persons and following a spontaneous breath hold in low anxiety sensitive persons. These results are the first to show that a deep breath relieves and, in anxiety sensitive persons, reduces physiological tension. These findings support the hypothesis that sighs are psychological and physiological resetters.

  16. 31 CFR 256.60 - How do I get paid for a Private Relief Bill?

    Code of Federal Regulations, 2010 CFR

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  18. 46 CFR 64.79 - Inspection of pressure and vacuum relief device.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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  19. 46 CFR 64.79 - Inspection of pressure and vacuum relief device.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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  20. 46 CFR 64.79 - Inspection of pressure and vacuum relief device.

    Code of Federal Regulations, 2013 CFR

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