Quality of natural product clinical trials: a comparison of those published in alternative medicine versus conventional medicine journals.

PubMed

Cochrane, Zara Risoldi; Gregory, Philip; Wilson, Amy

2011-06-01

To compare the quality of natural product clinical trials published in alternative medicine journals versus those published in conventional medicine journals. Systematic search and review of the literature. Randomized controlled trials of natural products were included if they were published in English between 2003 and 2008. Articles were categorized by their journal of publication (alternative medicine versus conventional medicine). Two independent reviewers evaluated study quality using guidelines from the Cochrane Collaboration. The results with respect to the primary outcome (positive or negative) were also assessed. Thirty articles were evaluated, 15 published in alternative medicine journals and 15 in conventional medicine journals. Of articles published in alternative medicine journals, 33.33% (n = 5) were considered low quality, and none were considered high quality. Of articles published in conventional medicine journals, 26.67% (n = 4) were considered low quality and 6.67% (n = 1) were considered high quality. Two thirds of all trials reviewed were of unclear quality, due to inadequate reporting of information relating to the study's methodology. Similar proportions of positive and negative primary outcomes were found in alternative and conventional medicine journals, and low-quality articles were not more likely to report a positive primary outcome (Fisher's exact test, two-tailed p = .287). The quality of natural product randomized controlled trials was similar among alternative and conventional medicine journals. Efforts should be made to improve the reporting of natural product clinical trials for accurate determinations of study quality to be possible.

Students: Customers, Clients or Pawns?

ERIC Educational Resources Information Center

Tight, Malcolm

2013-01-01

The metaphor of the student as a consumer or customer is widely used within contemporary higher education, and impacts on the ways in which students, academics and institutions behave. These, and a number of alternative metaphors for the student, are critically reviewed. The alternatives considered include both contemporary (student as client or…

Alternatives To Dissection. Second Edition.

ERIC Educational Resources Information Center

DeRosa, Bill, Ed.; Winiarskyj, Lesia, Ed.

This packet attempts to provide educationally sound alternatives to dissection in the classroom, thereby making it possible for teachers to eliminate dissection from the curriculum. This packet can also be used by educators who include dissection in their curricula but consider it important to respect the expression of students' ethical, moral, or…

75 FR 37390 - Caribbean Fishery Management Council; Public Hearings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-29

...; rather, all are calculated based on landings data averaged over alternative time series. The overfished... the USVI, and recreational landings data recorded during 2000-2001. These time series were considered... Calculated Based on the Alternative Time Series Described in Section 4.2.1. Also Included Are the Average...

Megawatt Class Nuclear Space Power Systems (MCNSPS) conceptual design and evaluation report. Volume 3, technologies 2: Power conversion

NASA Technical Reports Server (NTRS)

Wetch, J. R.

1988-01-01

The major power conversion concepts considered for the Megawatt Class Nuclear Space Power System (MCNSPS) are discussed. These concepts include: (1) Rankine alkali-metal-vapor turbine alternators; (2) in-core thermionic conversion; (3) Brayton gas turbine alternators; and (4) free piston Stirling engine linear alternators. Considerations important to the coupling of these four conversion alternatives to an appropriate nuclear reactor heat source are examined along with the comparative performance characteristics of the combined systems meeting MCNSPS requirements.

Multi-criteria analysis for municipal solid waste management in a Brazilian metropolitan area.

PubMed

Santos, Simone Machado; Silva, Maisa Mendonça; Melo, Renata Maciel; Gavazza, Savia; Florencio, Lourdinha; Kato, Mario T

2017-10-15

The decision-making process involved in municipal solid waste management (MSWM) must consider more than just financial aspects, which makes it a difficult task in developing countries. The Recife Metropolitan Region (RMR) in the Northeast of Brazil faces a MSWM problem that has been ongoing since the 1970s, with no common solution. In order to direct short-term solutions, three MSWM alternatives were outlined for the RMR, considering the current and future situations, the time and cost involved and social/environmental criteria. A multi-criteria approach, based on the Preference Ranking Organization Method for Enrichment Evaluations (PROMETHEE), was proposed to rank these alternatives. The alternative that included two private landfill sites and seven transfer, sorting and composting stations was confirmed as the most suitable and stable option for short-term MSWM, considering the two scenarios for the criteria weights. Sensitivity analysis was also performed to support the robustness of the results. The implementation of separate collections would minimize the amount of waste buried, while maximizing the useful life of landfill sites and increasing the timeframe of the alternative. Overall, the multi-criteria analysis was helpful and accurate during the alternative selection process, considering the similarities and restrictions of each option, which can lead to difficulties during the decision-making process.

42 CFR 431.424 - Evaluation requirements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... evaluations. Demonstration evaluations will include the following: (1) Quantitative research methods. (i... of appropriate evaluation strategies (including experimental and other quantitative and qualitative... demonstration. (ii) CMS will consider alternative evaluation designs when quantitative designs are technically...

42 CFR 431.424 - Evaluation requirements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... evaluations. Demonstration evaluations will include the following: (1) Quantitative research methods. (i... of appropriate evaluation strategies (including experimental and other quantitative and qualitative... demonstration. (ii) CMS will consider alternative evaluation designs when quantitative designs are technically...

42 CFR 431.424 - Evaluation requirements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... evaluations. Demonstration evaluations will include the following: (1) Quantitative research methods. (i... of appropriate evaluation strategies (including experimental and other quantitative and qualitative... demonstration. (ii) CMS will consider alternative evaluation designs when quantitative designs are technically...

76 FR 53500 - Notice of the Nuclear Regulatory Commission Issuance of Materials License SUA-1598 and Record of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-26

... (ADAMS), which provides text and image files of the NRC's public documents in the NRC Library at http... considered, but eliminated from detailed analysis, include conventional uranium mining and milling, conventional mining and heap leach processing, alternate lixiviants, and alternative wastewater disposal...

76 FR 6496 - Special Flight Rules Area in the Vicinity of Grand Canyon National Park, Draft Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-04

... being considered include: Alternative A Current Condition: Key elements are corridors open year round, annual allocation cap of 93,971, and no quiet technology incentive. Current tours for helicopters and... to quiet technology aircraft. Alternative F Modified Current Condition: Key elements are similar to...

Tertiary-Tier PBIS in Alternative, Residential and Correctional School Settings: Considering Intensity in the Delivery of Evidence-Based Practice

ERIC Educational Resources Information Center

Scott, Terrance M.; Cooper, Justin

2013-01-01

Students in alternative, residential, and correctional settings present challenges in the classroom and facility due to the complexity and intensity of their behaviors. In addition, the factors typically associated with these settings including crowding, inconsistency, and conflicting staff perspectives on education and discipline present…

A New Lesson for eLearning Programs: "E" Is for Entrepreneurship.

ERIC Educational Resources Information Center

Robinson, Evan T.

2002-01-01

Considers how much entrepreneurship should be included in electronic learning (elearning) programs in higher education. Discusses planning; knowledge of the market; available resources in a usable form; considering new audiences; measuring ROI (return on investment); and alternative sources of revenue. (LRW)

Changing Landscape: From Cottage Monopoly to Competitive Industry.

ERIC Educational Resources Information Center

Munitz, Barry

2000-01-01

Considers the changing academic education landscape in light of the technology-driven Internet. Topics include alternative educational opportunities, including part-time and distance learning; additional education needed by employed workers; new competitors, including corporate universities; using technology to integrate education, work, and…

A Brief Review of the Current Status of Alternatives of Chlorine Disinfection of Water

PubMed Central

Anderson, A. C.; Reimers, R. S.; DeKernion, P.

1982-01-01

This paper briefly outlines some of the alternative disinfectants being considered in lieu of chlorination. Methods currently in use as well as those in the research stage are included. Each method is assessed with respect to disinfection efficiency and environmental impact. (Am J Public Health 1982; 72:1290-1293.) PMID:7125035

Radiation protective structure alternatives for habitats of a lunar base research outpost

NASA Technical Reports Server (NTRS)

Bell, Fred J.; Foo, Lai T.; Mcgrew, William P.

1988-01-01

The solar and galactic cosmic radiation levels on the Moon pose a hazard to extended manned lunar missions. Lunar soil represents an available, economical material to be used for radiation shielding. Several alternatives have been suggested to use lunar soil to protect the inhabitants of a lunar base research outpost from radiation. The Universities Space Research Association has requested that a comparative analysis of the alternatives be performed, with the purpose of developing the most advantageous design. Eight alternatives have been analyzed, including an original design which was developed to satisfy the identified design criteria. The original design consists of a cylindrical module and airlock, partially buried in the lunar soil, at a depth sufficient to achieve adequate radiation shielding. The report includes descriptions of the alternatives considered, the method of analysis used, and the final design selected.

Pros and Cons of the Interpenetrating Panel Design

Treesearch

Paul C. Van Deusen

2000-01-01

The interpenetrating sample design has been selected for the USDA Forest Service's Annual Forest Inventory System. The advantages and disadvantages of this design are discussed by considering alternatives such as the formerly used periodic design, a concentrated grid design, and disturbance based sampling. Factors considered for each design include fulfilling 1998...

Potential end-to-end imaging information rate advantages of various alternative communication systems

NASA Technical Reports Server (NTRS)

Rice, R. F.

1978-01-01

Various communication systems were considered which are required to transmit both imaging and a typically error sensitive, class of data called general science/engineering (gse) over a Gaussian channel. The approach jointly treats the imaging and gse transmission problems, allowing comparisons of systems which include various channel coding and data compression alternatives. Actual system comparisons include an Advanced Imaging Communication System (AICS) which exhibits the rather significant potential advantages of sophisticated data compression coupled with powerful yet practical channel coding.

An analysis of alternative funding for physicians practicing gynecologic oncology in Ontario, Canada prior to 2001.

PubMed

Elit, L

2006-01-01

To consider the policy issue of physician reimbursement by examining the events that preceded the Ontario Gynecologic Oncologists moving from a fee-for-service environment to an alternate payment plan in 2001. The sources of information included a literature search, reviewing Canadian newspapers, interactions with key leaders in the field (Ontario Medication Association, University physicians), and meeting minutes from both university and provincial groups considering alternate payment plans. The problem for Ontario Gynecologic Oncologists involved the goal of providing excellent clinical care, undergraduate and postgraduate education, research and administration in the midst of problems with recruitment, retention and remuneration. Multiple causes for this problem included limitations in health care spending and a fee for service payment schedule that did not adequately reimburse complex care. This funding problem got on the agenda as a result of a front page article in the national newspaper and letters of concern solicited from local members of the provincial parliament. The policy formulation needed to account for alternate financial options and the roles of institutional structures such as the universities, Cancer Care Ontario and the Ontario University Health Science Centers. The influences on the evolution of the new funding policy included the actors, their interests, their values, research on the topic and institutions. The tensions between the goal of excellence in care, education, research and administration and difficulties with recruitment, retention and reimbursement, led the Ontario Gynecologic Oncologists to seek an alternate mechanism of reimbursement from the fee-for-service model.

43 CFR 404.16 - What information must I include in my statement of interest?

Code of Federal Regulations, 2010 CFR

2010-10-01

... BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404... water supply project, including: (1) Geographical scope; (2) Demographics; and (3) Existing rural water... description of project alternatives that may be considered in the investigation, including: (1) Water supply...

Information for Consumers about Alternative Fuel Conversions

EPA Pesticide Factsheets

Here are some factors to be aware of if you are considering fuel conversion, including background information on fuel conversion, instructions for demonstrating compliance, and other related information.

Study of alternate methods of disposal of propellants and gases at KSC

NASA Technical Reports Server (NTRS)

Moore, W. I.

1970-01-01

A comprehensive study was conducted at KSC launch support facilities to determine the nature and extent of potential hazards from propellant and gas releases to the environment. The results of the study, alternate methods for reducing or eliminating the hazards, and recommendations pertaining to these alternatives are presented. The operational modes of the propellant or hazardous gas systems considered include: system charging, system standby, system operation, and post-test operations. The results are outlined on an area-by-area basis.

A Subjective Assessment of Alternative Mission Architecture Operations Concepts for the Human Exploration of Mars at NASA Using a Three-Dimensional Multi-Criteria Decision Making Model

NASA Technical Reports Server (NTRS)

Tavana, Madjid

2003-01-01

The primary driver for developing missions to send humans to other planets is to generate significant scientific return. NASA plans human planetary explorations with an acceptable level of risk consistent with other manned operations. Space exploration risks can not be completely eliminated. Therefore, an acceptable level of cost, technical, safety, schedule, and political risks and benefits must be established for exploratory missions. This study uses a three-dimensional multi-criteria decision making model to identify the risks and benefits associated with three alternative mission architecture operations concepts for the human exploration of Mars identified by the Mission Operations Directorate at Johnson Space Center. The three alternatives considered in this study include split, combo lander, and dual scenarios. The model considers the seven phases of the mission including: 1) Earth Vicinity/Departure; 2) Mars Transfer; 3) Mars Arrival; 4) Planetary Surface; 5) Mars Vicinity/Departure; 6) Earth Transfer; and 7) Earth Arrival. Analytic Hierarchy Process (AHP) and subjective probability estimation are used to captures the experts belief concerning the risks and benefits of the three alternative scenarios through a series of sequential, rational, and analytical processes.

Integrated nonthermal treatment system study

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

Biagi, C.; Bahar, D.; Teheranian, B.

1997-01-01

This report presents the results of a study of nonthermal treatment technologies. The study consisted of a systematic assessment of five nonthermal treatment alternatives. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The alternatives considered were innovative nonthermal treatments for organic liquids and sludges, process residue, soil and debris. Vacuum desorption or various washing approaches are considered for treatment of soil, residue and debris. Organic destruction methods include mediatedmore » electrochemical oxidation, catalytic wet oxidation, and acid digestion. Other methods studied included stabilization technologies and mercury separation of treatment residues. This study is a companion to the integrated thermal treatment study which examined 19 alternatives for thermal treatment of MLLW waste. The quantities and physical and chemical compositions of the input waste are based on the inventory database developed by the US Department of Energy. The Integrated Nonthermal Treatment Systems (INTS) systems were evaluated using the same waste input (2,927 pounds per hour) as the Integrated Thermal Treatment Systems (ITTS). 48 refs., 68 figs., 37 tabs.« less

33 CFR 1.05-10 - Regulatory process overview.

Code of Federal Regulations, 2011 CFR

2011-07-01

... regulation, alternatives considered, and potential cost and benefits, including possible environmental... or for changes to an existing regulation. The need may arise due to statutory changes, or be based on... Federal Register. These may include regulatory evaluations, environmental analyses, requests for comments...

33 CFR 1.05-10 - Regulatory process overview.

Code of Federal Regulations, 2010 CFR

2010-07-01

... regulation, alternatives considered, and potential cost and benefits, including possible environmental... or for changes to an existing regulation. The need may arise due to statutory changes, or be based on... Federal Register. These may include regulatory evaluations, environmental analyses, requests for comments...

Integrating Exposure into Chemical Alternatives Assessment ...

EPA Pesticide Factsheets

Most alternatives assessments (AA) published to date are largely hazard-based rankings, and as such may not represent a fully informed consideration of the advantages and disadvantages of possible alternatives. With an assessment goal of identifying an alternative chemical that is more sustainable, other attributes beyond hazard are also important, including exposure, risk, life-cycle impacts, performance, cost, and social responsibility. Building on the 2014 recommendations by the U.S. National Academy of Sciences to improve AA decisions by including comparative exposure assessment, the HESISustainable Chemical Alternatives Technical Committee, which consists of scientists from academia, industry, government, and NGOs, has developed a qualitative comparative exposure approach. Conducting such a comparison can screen for alternatives that are expected to have a higher exposure potential, which could trigger a higher-tiered, more quantitative exposure assessment on the alternatives being considered. This talk will demonstrate an approach for including chemical- and product-related exposure information in a qualitative AA comparison. Starting from existing hazard AAs, a series of four chemical-product application scenarios were examined to test the concept, to understand the effort required, and to determine the value of exposure data in AA decision-making. The group has developed a classification approach for ingredient and product parameters to support compariso

Assessment of a satellite power system and six alternative technologies

NASA Technical Reports Server (NTRS)

Wolsko, T.; Whitfield, R.; Samsa, M.; Habegger, L. S.; Levine, E.; Tanzman, E.

1981-01-01

The satellite power system is assessed in comparison to six alternative technologies. The alternatives are: central-station terrestrial photovoltaic systems, conventional coal-fired power plants, coal-gasification/combined-cycle power plants, light water reactor power plants, liquid-metal fast-breeder reactors, and fusion. The comparison is made regarding issues of cost and performance, health and safety, environmental effects, resources, socio-economic factors, and institutional issues. The criteria for selecting the issues and the alternative technologies are given, and the methodology of the comparison is discussed. Brief descriptions of each of the technologies considered are included.

An Investigation into the Understanding of Earth Sciences among Students Teachers

ERIC Educational Resources Information Center

Dal, Burckin

2009-01-01

In this article, the students teachers' opinions, including rock formation and improper terms related to or different from these ideas, all of which are considered or must be considered in geology classes, have been analyzed. Alternative conception is used to inform our understanding of students teachers' ideas and describe any conceptual…

Nuclear deposturing and US public opinion. Master's thesis

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

Hinote, S.C.

USSTRATCOM is currently developing a rational framework for evaluating deposturing alternatives that range from distancing the 'nuclear football' from the President to storing land-based ICBM's away from their soils. One of the areas that may be considered by USSTRATCOM when evaluating these alternatives is the political feasibility of implementing different alternatives. An important determinant of this political feasibility is domestic public opinion, as it can encourage or constrain the actions of the elected officials who are directly accountable to the people. This Policy Analysis Exercise helps USSTRATCOM take public opinion into account in the analysis by considering the views thatmore » U.S. citizens hold on defense issues and recommending how these views should be included in the evaluation of different deposturing measures.« less

Modelling the effect of an alternative host population on the spread of citrus Huanglongbing

NASA Astrophysics Data System (ADS)

d'A. Vilamiu, Raphael G.; Ternes, Sonia; Laranjeira, Francisco F.; de C. Santos, Tâmara T.

2013-10-01

The objective of this work was to model the spread of citrus Huanglongbing (HLB) considering the presence of a population of alternative hosts (Murraya paniculata). We developed a compartmental deterministic mathematical model for representing the dynamics of HLB disease in a citrus orchard, including delays in the latency and incubation phases of the disease in the plants and a delay period on the nymphal stage of Diaphorina citri, the insect vector of HLB in Brazil. The results of numerical simulations indicate that alternative hosts should not play a crucial role on HLB dynamics considering a typical scenario for the Recôncavo Baiano region in Brazil . Also, the current policy of removing symptomatic plants every three months should not be expected to significantly hinder HLB spread.

7 CFR 650.5 - Environmental evaluation in planning.

Code of Federal Regulations, 2010 CFR

2010-01-01

... alternatives that are in keeping with the Water Resources Council's Principles and Standards are considered, if appropriate. (4) To perform other related investigations and analyses as needed, including economic evaluation...

23 CFR 973.210 - Indian lands bridge management system (BMS).

Code of Federal Regulations, 2013 CFR

2013-04-01

... analysis (as appropriate, considering size of structure, traffic volume, and structural condition). The investment analysis may include the ability to: (1) Identify alternative strategies to improve bridge... analyzing data for all bridges in the inventory or any subset. The minimum analyses shall include: (i) A...

Alternatives to Testosterone Therapy: A Review.

PubMed

Lo, Eric M; Rodriguez, Katherine M; Pastuszak, Alexander W; Khera, Mohit

2018-01-01

Although testosterone therapy (TTh) is an effective treatment for hypogonadism, recent concerns regarding its safety have been raised. In 2015, the US Food and Drug Administration issued a warning about potential cardiovascular risks resulting from TTh. Fertility preservation is another reason to search for viable alternative therapies to conventional TTh, and in this review we evaluate the literature examining these alternatives. To review the role and limitations of non-testosterone treatments for hypogonadism. A literature search was conducted using PubMed to identify relevant studies examining medical and non-medical alternatives to TTh. Search terms included hypogonadism, testosterone replacement therapy, testosterone therapy, testosterone replacement alternatives, diet and exercise and testosterone, varicocele repair and testosterone, stress reduction and testosterone, and sleep apnea and testosterone. Review of peer-reviewed literature. Medical therapies examined include human chorionic gonadotropins, aromatase inhibitors, and selective estrogen receptor modulators. Non-drug therapies that are reviewed include lifestyle modifications including diet and exercise, improvements in sleep, decreasing stress, and varicocele repair. The high prevalence of obesity and metabolic syndrome in the United States suggests that disease modification could represent a viable treatment approach for affected men with hypogonadism. These alternatives to TTh can increase testosterone levels and should be considered before TTh. Lo EM, Rodriguez KM, Pastuszak AW, Khera M. Alternatives to Testosterone Therapy: A Review. Sex Med Rev 2018;6:106-113. Copyright © 2017. Published by Elsevier Inc.

Pedestrian and bicycle accommodations on superstreets.

DOT National Transportation Integrated Search

2014-01-01

The objective of this research was to consider the unique challenges for pedestrians and bicyclists at superstreet intersections and : recommend crossing alternatives for both users. For pedestrians the options included the diagonal cross, median cro...

Environmental Assessment for the Strategic Petroleum Reserve West Hackberry Facility Raw Water Intake Pipeline Replacement Cameron and Calcasieu Parishes, Louisiana

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

N /A

The proposed action and three alternatives, including a No Build alternative, were evaluated along the existing RWIPL alignment to accommodate the placement of the proposed RWIPL. Construction feasibility, reasonableness and potential environmental impacts were considered during the evaluation of the four actions (and action alternatives) for the proposed RWIPL activities. Reasonable actions were identified as those actions which were considered to be supported by common sense and sound technical principles. Feasible actions were those actions which were considered to be capable of being accomplished, practicable and non-excessive in terms of cost. The evaluation process considered the following design specifications, whichmore » were determined to be important to the feasibility of the overall project. The proposed RWIPL replacement project must therefore: (1) Comply with the existing design basis and criteria, (2) Maintain continuity of operation of the facility during construction, (3)Provide the required service life, (4) Be cost effective, (5)Improve the operation and maintenance of the pipeline, and (6) Maintain minimal environmental impact while meeting the performance requirements. Sizing of the pipe, piping construction materials, construction method (e.g., open-cut trench, directional drilling, etc.) and the acquisition of new Right-of-Way (ROW) were additionally evaluated in the preliminary alternative identification, selection and screening process.« less

Seduction and Betrayal: An Insider's View of Insider Theft of Rare Materials.

ERIC Educational Resources Information Center

Traister, Daniel

1994-01-01

Discusses alternatives for dealing with insider theft of rare library materials, including publicizing losses and prosecuting. An example of insider theft is detailed. Ideas for preventing theft, including hiring practices and restricting access to materials, are considered. Suggestions for thinking through procedures to deal with the…

Accelerating the commercialization on new technologies. [free market operation of federal alternate energy sources programs

NASA Technical Reports Server (NTRS)

Kuehn, T. J.; Nawrocki, P. M.

1978-01-01

It is suggested that federal programs for hastening the adoption of alternative energy sources must operate within the free market structure. Five phases of the free market commercialization process are described. Federal role possibilities include information dissemination and funding to stimulate private sector activities within these five phases, and federally sponsored procedures for accelerating commercialization of solar thermal small power systems are considered.

Laboratory Evaluation of Drop-in Solvent Alternatives to n-Propyl Bromide for Vapor Degreasing

NASA Technical Reports Server (NTRS)

Mitchell, Mark A.; Lowrey, Nikki M.

2012-01-01

Based on this limited laboratory study, solvent blends of trans-1,2 dichloroethylene with HFEs, HFCs, or PFCs appear to be viable alternatives to n-propyl bromide for vapor degreasing. The lower boiling points of these blends may lead to greater solvent loss during use. Additional factors must be considered when selecting a solvent substitute, including stability over time, VOC, GWP, toxicity, and business considerations.

76 FR 5209 - Notice of Availability of the Environmental Assessment for New Low Security Beds

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-28

... inmates. The alternatives considered for this proposed action include: Lee Adjustment Center, Beattyville...: County of Lee Public Library, 123 Center Street, Beattyville, KY. Groesbeck Public Library (Maffet...

Design of a vibration isolation system for a cycle ergometer to be used onboard the Space Shuttle

NASA Technical Reports Server (NTRS)

Pearson, Lillian; Tait, Steven; Trevino, Maurice

1991-01-01

Low frequency vibrations generated during exercise using the cycle ergometer onboard the Space Shuttle are disrupting sensitive microgravity experiments. The design team is asked by NASA/USRA to generate alternatives for the design of a vibration isolation system for the cycle ergometer. It is the design team's objective to present alternative designs and a problem solution for a vibration isolation system for an exercise cycle ergometer to be used onboard the Space Shuttle. In the development of alternative designs, the design team emphasizes passive systems as opposed to active control systems. This decision is made because the team feels that passive systems are less complex than active control systems, external energy sources are not required, and mass is reduced due to the lack of machinery such as servomotors or compressors typical of active control systems. Eleven alternative designs are developed by the design team. From these alternatives, three active control systems are included to compare the benefits of active and passive systems. Also included in the alternatives is an isolation system designed by an independent engineer that was acquired late in the project. The eight alternatives using passive isolation systems are narrowed down by selection criteria to four considered to be the most promising by the design team. A feasibility analysis is performed on these four passive isolation systems. Based on the feasibility analysis, a final design solution is chosen and further developed. From the development of the design, the design team has concluded that passive systems are not effective at isolating vibrations for the low frequencies considered for this project. Recommendations are made for guidelines of passive isolation design and application of such systems.

Scaling Impacts in Life Support Architecture and Technology Selection

NASA Technical Reports Server (NTRS)

Lange, Kevin

2016-01-01

For long-duration space missions outside of Earth orbit, reliability considerations will drive higher levels of redundancy and/or on-board spares for life support equipment. Component scaling will be a critical element in minimizing overall launch mass while maintaining an acceptable level of system reliability. Building on an earlier reliability study (AIAA 2012-3491), this paper considers the impact of alternative scaling approaches, including the design of technology assemblies and their individual components to maximum, nominal, survival, or other fractional requirements. The optimal level of life support system closure is evaluated for deep-space missions of varying duration using equivalent system mass (ESM) as the comparative basis. Reliability impacts are included in ESM by estimating the number of component spares required to meet a target system reliability. Common cause failures are included in the analysis. ISS and ISS-derived life support technologies are considered along with selected alternatives. This study focusses on minimizing launch mass, which may be enabling for deep-space missions.

Columbia River System Operation Review : Final Environmental Impact Statement, Appendix N: Wildlife.

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

Columbia River System Operation Review

1995-11-01

The Columbia River System is a vast and complex combination of Federal and non-Federal facilities used for many purposes including power production, irrigation, navigation, flood control, recreation, fish and wildlife habitat and municipal and industrial water supply. Each river use competes for the limited water resources in the Columbia River Basin. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. The environmental impact statement (EIS) itself and some of the other appendices present analyses of the alternative approaches to the other three decisions considered as part of the SOR. This documentmore » is the product of the Wildlife Work Group, focusing on wildlife impacts but not including fishes. Topics covered include the following: scope and process; existing and affected environment, including specific discussion of 18 projects in the Columbia river basin. Analysis, evaluation, and alternatives are presented for all projects. System wide impacts to wildlife are also included.« less

Economics and policy environments for forest regeneration.

Treesearch

Donald F. Flora

1970-01-01

MOST OF YOUR DAILY CONCERNS IN FOREST REGENERATION are biologic, technologic, and mechanical. But periodically, perhaps once a year, many of you must consider regeneration in a context that includes alternative uses for the financial resources you have.

Special experimental project (SEP-14) alternate surfacing bidding [summary].

DOT National Transportation Integrated Search

2008-01-01

The Kansas Department of Transportation (KDOT) has a pavement type selection process that includes the comparison of initial and life cycle costs for different pavement types. Those cost differences and secondary factors are considered when selecting...

77 FR 40846 - Santa Fe National Forest; New Mexico; Southwest Jemez Mountains Landscape Restoration Project...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-11

... disturbances such as high-severity wildfire, climate change, or insects. Proposed actions include improving... considered. The no-action alternative represents no change and serves as the baseline for the comparison...

Potential of Diesel Engines, Fuels and Lubrication Technology

DOT National Transportation Integrated Search

1980-03-01

The chemical and physical properties of diesel fuel are reviewed along with their relationships to the fuel economy and emissions of diesel powered automobiles and light trucks. The fuels considered include both conventional and alternative diesel fu...

Observational studies are complementary to randomized controlled trials.

PubMed

Grootendorst, Diana C; Jager, Kitty J; Zoccali, Carmine; Dekker, Friedo W

2010-01-01

Randomized controlled trials (RCTs) are considered the gold standard study design to investigate the effect of health interventions, including treatment. However, in some situations, it may be unnecessary, inappropriate, impossible, or inadequate to perform an RCT. In these special situations, well-designed observational studies, including cohort and case-control studies, may provide an alternative to doing nothing in order to obtain estimates of treatment effect. It should be noted that such studies should be performed with caution and correctly. The aims of this review are (1) to explain why RCTs are considered the optimal study design to evaluate treatment effects, (2) to describe the situations in which an RCT is not possible and observational studies are an adequate alternative, and (3) to explain when randomization is not needed and can be approximated in observational studies. Examples from the nephrology literature are used for illustration. Copyright 2009 S. Karger AG, Basel.

Enroute flight-path planning - Cooperative performance of flight crews and knowledge-based systems

NASA Technical Reports Server (NTRS)

Smith, Philip J.; Mccoy, Elaine; Layton, Chuck; Galdes, Deb

1989-01-01

Interface design issues associated with the introduction of knowledge-based systems into the cockpit are discussed. Such issues include not only questions about display and control design, they also include deeper system design issues such as questions about the alternative roles and responsibilities of the flight crew and the computer system. In addition, the feasibility of using enroute flight path planning as a context for exploring such research questions is considered. In particular, the development of a prototyping shell that allows rapid design and study of alternative interfaces and system designs is discussed.

The use of hydrazine as an alternate source of energy

NASA Technical Reports Server (NTRS)

Carvalho, J. A., Jr.; Bressan, C.; Ferreira, J. L.

1984-01-01

The potentials of using hydrazine as an alternative source of energy was studied. Three chemical reactions are considered: oxidation with air, oxidation with hydrogen peroxide, and thermocatalytic decomposition. Performance data of gasoline, ethylic alcohol, and propane are compared. An item about the NO(x) emissions by the various investigated reactions is included. Promising results are shown, mainly those regarding the available energy per unit volume of unburned gases (vaporized fuel and oxidizer).

Nuclear Reactors for Space Power, Understanding the Atom Series.

ERIC Educational Resources Information Center

Corliss, William R.

The historical development of rocketry and nuclear technology includes a specific description of Systems for Nuclear Auxiliary Power (SNAP) programs. Solar cells and fuel cells are considered as alternative power supplies for space use. Construction and operation of space power plants must include considerations of the transfer of heat energy to…

Legal Aspects of Program Closure.

ERIC Educational Resources Information Center

Hample, Stephen R.

1982-01-01

Legal issues in program discontinuance and resulting lawsuits are considered, including liability to the faculty, students, and other constituencies; freedom of speech; due process; contractual obligations; legal defense; and consideration of program alternatives. A list of related resources is appended. (MSE)

Hierarchical distance-based fuzzy approach to evaluate urban water supply systems in a semi-arid region.

PubMed

Yekta, Tahereh Sadeghi; Khazaei, Mohammad; Nabizadeh, Ramin; Mahvi, Amir Hossein; Nasseri, Simin; Yari, Ahmad Reza

2015-01-01

Hierarchical distance-based fuzzy multi-criteria group decision making was served as a tool to evaluate the drinking water supply systems of Qom, a semi-arid city located in central part of Iran. A list of aspects consisting of 6 criteria and 35 sub-criteria were evaluated based on a linguistic term set by five decision-makers. Four water supply alternatives including "Public desalinated distribution system", "PET Bottled Drinking Water", "Private desalinated water suppliers" and "Household desalinated water units" were assessed based on criteria and sub-criteria. Data were aggregated and normalized to apply Performance Ratings of Alternatives. Also, the Performance Ratings of Alternatives were aggregated again to achieve the Aggregate Performance Ratings. The weighted distances from ideal solution and anti-ideal solution were calculated after secondary normalization. The proximity of each alternative to the ideal solution was determined as the final step. The alternatives were ranked based on the magnitude of ideal solutions. Results showed that "Public desalinated distribution system" was the most appropriate alternative to supply the drinking needs of Qom population. Also, "PET Bottled Drinking Water" was the second acceptable option. A novel classification of alternatives to satisfy the drinking water requirements was proposed which is applicable for the other cities located in semi-arid regions of Iran. The health issues were considered as independent criterion, distinct from the environmental issues. The constraints of high-tech alternatives were also considered regarding to the level of dependency on overseas.

A Review of Some Alternative Approaches to Drug Management of Hyperactivity in Children.

ERIC Educational Resources Information Center

Walden, Everett L.; Thompson, Sheila A.

1981-01-01

Literature is cited on such classroom management techniques as environmental manipulations, curriculum modifications, behavior modification, and dealing with affective attitude. Also considered are home management techniques and self-control programs including biofeedback and relaxation training. (SB)

16 CFR 1204.6 - Findings.

Code of Federal Regulations, 2012 CFR

2012-01-01

... directional antennas can obtain greater reception and transmitting capabilities in one or more directions than... manufacturers, including one or two of the major producers, to abandon production of omnidirectional CB base.... (5) The Commission also considered alternative technical approaches to reducing or eliminating...

16 CFR 1204.6 - Findings.

Code of Federal Regulations, 2010 CFR

2010-01-01

... directional antennas can obtain greater reception and transmitting capabilities in one or more directions than... manufacturers, including one or two of the major producers, to abandon production of omnidirectional CB base.... (5) The Commission also considered alternative technical approaches to reducing or eliminating...

16 CFR 1204.6 - Findings.

Code of Federal Regulations, 2014 CFR

2014-01-01

... directional antennas can obtain greater reception and transmitting capabilities in one or more directions than... manufacturers, including one or two of the major producers, to abandon production of omnidirectional CB base.... (5) The Commission also considered alternative technical approaches to reducing or eliminating...

16 CFR 1204.6 - Findings.

Code of Federal Regulations, 2011 CFR

2011-01-01

... directional antennas can obtain greater reception and transmitting capabilities in one or more directions than... manufacturers, including one or two of the major producers, to abandon production of omnidirectional CB base.... (5) The Commission also considered alternative technical approaches to reducing or eliminating...

DOD Space Systems: Additional Knowledge Would Better Support Decisions about Disaggregating Large Satellites

DTIC Science & Technology

2014-10-01

considering new approaches. According to Air Force Space Command, U.S. space systems face intentional and unintentional threats , which have increased...life cycle costs • Demand for more satellites may stimulate new entrants and competition to lower acquisition costs. • Smaller, less complex...Fiscal constraints and growing threats to space systems have led DOD to consider alternatives for acquiring space-based capabilities, including

Environmental evaluation of alternatives for long-term management of Defense high-level radioactive wastes at the Idaho Chemical Processing Plant

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

Not Available

1982-09-01

The U.S. Department of Energy (DOE) is considering the selection of a strategy for the long-term management of the defense high-level wastes at the Idaho Chemical Processing Plant (ICPP). This report describes the environmental impacts of alternative strategies. These alternative strategies include leaving the calcine in its present form at the Idaho National Engineering Laboratory (INEL), or retrieving and modifying the calcine to a more durable waste form and disposing of it either at the INEL or in an offsite repository. This report addresses only the alternatives for a program to manage the high-level waste generated at the ICPP. 24more » figures, 60 tables.« less

Monitoring real-time navigation processes using the automated reasoning tool (ART)

NASA Technical Reports Server (NTRS)

Maletz, M. C.; Culbert, C. J.

1985-01-01

An expert system is described for monitoring and controlling navigation processes in real-time. The ART-based system features data-driven computation, accommodation of synchronous and asynchronous data, temporal modeling for individual time intervals and chains of time intervals, and hypothetical reasoning capabilities that consider alternative interpretations of the state of navigation processes. The concept is illustrated in terms of the NAVEX system for monitoring and controlling the high speed ground navigation console for Mission Control at Johnson Space Center. The reasoning processes are outlined, including techniques used to consider alternative data interpretations. Installation of the system has permitted using a single operator, instead of three, to monitor the ascent and entry phases of a Shuttle mission.

[Gastroesophageal reflux and obstructive sleep apnea syndrome].

PubMed

Esteller, E; Modolell, I; Segarra, F; Matiño, E; Enrique, A; Ademà, J M; Estivill, E

2005-11-01

Patients with mild or moderate Sleep Apnea Syndrome (SAS) need wider therapeutic scope options according to their disease severity. To consider including proton pump inhibitors (PPI) to the therapeutical alternatives of these patients. A prospective study was designed, among patients with SAS. Nocturnal polysomnography and double channel pHmetry were performed simultaneously. From the 18 patients included in this preliminary phase, in three (16.7%) nocturnal proximal ph monitoring was positive. These 3 patients were treated with PPI during at least 3 months with a very satisfactory outcome in two of them. Treatment with PPI may be a useful therapeutical alternative in patients with mild to moderate SAS.

Alternative High Performance Polymers for Ablative Thermal Protection Systems

NASA Technical Reports Server (NTRS)

Boghozian, Tane; Stackpoole, Mairead; Gonzales, Greg

2015-01-01

Ablative thermal protection systems are commonly used as protection from the intense heat during re-entry of a space vehicle and have been used successfully on many missions including Stardust and Mars Science Laboratory both of which used PICA - a phenolic based ablator. Historically, phenolic resin has served as the ablative polymer for many TPS systems. However, it has limitations in both processing and properties such as char yield, glass transition temperature and char stability. Therefore alternative high performance polymers are being considered including cyanate ester resin, polyimide, and polybenzoxazine. Thermal and mechanical properties of these resin systems were characterized and compared with phenolic resin.

Conceptual design of thermal energy storage systems for near-term electric utility applications

NASA Technical Reports Server (NTRS)

Hall, E. W.

1980-01-01

Promising thermal energy storage systems for midterm applications in conventional electric utilities for peaking power generation are evaluated. Conceptual designs of selected thermal energy storage systems integrated with conventional utilities are considered including characteristics of alternate systems for peaking power generation, viz gas turbines and coal fired cycling plants. Competitive benefit analysis of thermal energy storage systems with alternate systems for peaking power generation and recommendations for development and field test of thermal energy storage with a conventional utility are included. Results indicate that thermal energy storage is only marginally competitive with coal fired cycling power plants and gas turbines for peaking power generation.

Nitrite, nitrite alternatives, and the control of Clostridium botulinum in cured meats.

PubMed

Pierson, M D; Smoot, L A

1982-01-01

Historically, nitrite has been a component of meat-curing additives for several centuries. In recent years the safety of nitrite as an additive in cured meats has been questioned mainly because of the possible formation of carcinogenic nitrosamines. Nitrite has many important functions in meat curing including its role in color development, flavor, antioxidant properties, and antimicrobial activity. The inhibition of Clostridium botulinum growth and toxin production is an especially important antimicrobial property of nitrite. This review discusses the effects of processing, curing ingredients (especially nitrite), and storage of cured meats in relation to the control of C. botulinum. If nitrite is eliminated from cured meats or the level of usage decreased, then alternatives for the antibotulinal function of nitrite need to be considered. Several potential alternatives including sorbates, parabens, and biological acidulants are discussed.

40 CFR 60.4805 - What is a siting analysis?

Code of Federal Regulations, 2012 CFR

2012-07-01

... siting analysis must consider air pollution control alternatives that minimize, on a site-specific basis, to the maximum extent practicable, potential risks to public health or the environment, including... Section 60.4805 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

40 CFR 60.4805 - What is a siting analysis?

Code of Federal Regulations, 2014 CFR

2014-07-01

... siting analysis must consider air pollution control alternatives that minimize, on a site-specific basis, to the maximum extent practicable, potential risks to public health or the environment, including... Section 60.4805 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

40 CFR 60.4805 - What is a siting analysis?

Code of Federal Regulations, 2013 CFR

2013-07-01

... siting analysis must consider air pollution control alternatives that minimize, on a site-specific basis, to the maximum extent practicable, potential risks to public health or the environment, including... Section 60.4805 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

Cleveland Clinic experience with interstitial laser coagulation of the prostate

NASA Astrophysics Data System (ADS)

Ulchaker, James C.; Ng, Christopher S.; Palone, David; Angie, Michelle; Kursh, Elroy D.

2000-05-01

Transurethral resection of the prostate (TURP) has long been considered the gold standard therapy for benign prostatic hyperplasia (BPH). The problems associated with the TURP, which have been extensively described, include significant bleeding, TUR syndrome, incontinence, stricture, bladder neck contracture, and sexual dysfunction. The desire for simpler, less morbid alternative therapies to TURP has led to an eruption of research and development in the last decade. This is fueled by the continued research for more economical alternatives in our current high cost health care system.

Environmental Assessment for the NASA First Response Facility

NASA Technical Reports Server (NTRS)

Kennedy, Carolyn

2003-01-01

NASA intends to construct a First Response Facility for integrated emergency response and health management. This facility will consolidate the Stennis Space Center fire department, medical clinic, security operations, emergency operations and the energy management and control center. The alternative considered is the "No Action Alternative". The proposed action will correct existing operational weaknesses and enhance capabilities to respond to medical emergencies and mitigate any other possible threats. Environmental impacts include are emissions, wetlands disturbance, solid waste generation, and storm water control.

Conceptual design of a thermal control system for an inflatable lunar habitat module

NASA Technical Reports Server (NTRS)

Gadkari, Ketan; Goyal, Sanjay K.; Vanniasinkam, Joseph

1991-01-01

NASA is considering the establishment of a manned lunar base within the next few decades. To house and protect the crew from the harsh lunar environment, a habitat is required. A proposed habitat is an spherical, inflatable module. Heat generated in the module must be rejected to maintain a temperature suitable for human habitation. This report presents a conceptual design of a thermal control system for an inflatable lunar module. The design solution includes heat acquisition, heat transport, and heat rejection subsystems. The report discusses alternative designs and design solutions for each of the three subsystems mentioned above. Alternative subsystems for heat acquisition include a single water-loop, a single air-loop, and a double water-loop. The vapor compression cycle, vapor absorption cycle, and metal hydride absorption cycle are the three alternative transport subsystems. Alternative rejection subsystems include flat plate radiators, the liquid droplet radiator, and reflux boiler radiators. Feasibility studies on alternatives of each subsystem showed that the single water-loop, the vapor compression cycle, and the reflux boiler radiator were the most feasible alternatives. The design team combined the three subsystems to come up with an overall system design. Methods of controlling the system to adapt it for varying conditions within the module and in the environment are presented. Finally, the report gives conclusions and recommendations for further study of thermal control systems for lunar applications.

Evidence that "brain-specific" FOX-1, FOX-2, and nPTB alternatively spliced isoforms are produced in the lens.

PubMed

Bitel, Claudine L; Nathan, Rachel; Wong, Patrick; Kuppasani, Sunil; Matsushita, Masafumi; Kanazawa, Hrioshi; Frederikse, Peter H

2011-04-01

Alternative RNA splicing is essential in development and more rapid physiological processes that include disease mechanisms. Studies over the last 20 years demonstrated that RNA binding protein families, which mediate the alternative splicing of a large percentage of genes in mammals, contain isoforms with mutually exclusive expression in non-neural and neural progenitor cells vs. post-mitotic neurons, and regulate the comprehensive reprogramming of alternative splicing during neurogenesis. Polypyrimidine tract binding (PTB) proteins and Fox-1 proteins also undergo mutually exclusive alternative splicing in neural and non-neural cells that regulates their tissue-specific expression and splicing activities. Over the past 50 years, striking morphological similarities noted between lens fiber cells and neurons suggested that cell biology processes and gene expression profiles may be shared as well. Here, we examined mouse and rat lenses to determine if alternative splicing of neuronal nPTB and Fox-1/Fox-2 isoforms also occurs in lenses. Immunoblot, immunofluorescence, and RT-PCR were used to examine expression and alternative splicing of transcripts in lens and brain. We demonstrated that exon 10 is predominantly included in nPTB transcripts consistent with nPTB protein in lenses, and that alternatively spliced Fox-1/-2 lens transcripts contain exons that have been considered neuron-specific. We identified a 3' alternative Fox-1 exon in lenses that encodes a nuclear localization signal consistent with its protein distribution detected in fiber cells. Neuronal alternative splicing of kinesin KIF1Bβ2 has been associated with PTB/nPTB and Fox-2, and we found that two 'neuron-specific' exons are also included in lenses. The present study provides evidence that alternative neuronal nPTB and Fox-1/Fox-2 isoforms are also produced in lenses. These findings raise questions regarding the extent these factors contribute to a similar reprogramming of alternative splicing during lens differentiation, and the degree that alternative gene transcripts produced during neurogenesis are also expressed in the lens.

Supplemental citrulline is more efficient than arginine to increase systemic arginine availability in mice

USDA-ARS?s Scientific Manuscript database

Arginine is considered an essential amino acid in various (patho)physiological conditions of high demand. However, dietary arginine supplementation (ARG) suffers various drawbacks, including extensive first-pass extraction. Citrulline supplementation (CIT) may be a better alternative than arginine, ...

Standards for Community College Library Facilities.

ERIC Educational Resources Information Center

California State Postsecondary Education Commission, Sacramento.

This report contains proposed standards for community college library facilities developed by the California Postsecondary Education Commission. Formulae for calculating stack space, staff space, reader station space, and total space are included in the report. Three alternative models for revising the present library standards were considered:…

Family Policy: Recommendations for State Action.

ERIC Educational Resources Information Center

Romig, Candace L., Ed.

This publication on family policy reviews federal and state policies and offers recommendations for state action. Initial discussion covers changes in the American family, demographics, and the economy. Issues of family maintenance considered include: family welfare policy and welfare reform; child abuse and neglect; alternatives to out-of-home…

Situational Marketing: Application for Higher Education Institutions.

ERIC Educational Resources Information Center

Taylor, Raymond E.; Reed, Rosetta R.

1995-01-01

Marketing higher education has been criticized for its consumer (interpreted as student) orientation. An alternative concept, situational marketing, considers the student as one of a number of environmental forces on which the marketing mix focuses. Other forces include funding and regulatory agencies, businesses, alumni, faculty, parents, the…

Development of a Value Inquiry Model in Biology Education.

ERIC Educational Resources Information Center

Jeong, Eun-Young; Kim, Young-Soo

2000-01-01

Points out the rapid advances in biology, increasing bioethical issues, and how students need to make rational decisions. Introduces a value inquiry model development that includes identifying and clarifying value problems; understanding biological knowledge related to conflict situations; considering, selecting, and evaluating each alternative;…

Regional Forum on Distance Learning. A Report.

ERIC Educational Resources Information Center

O'Connor, Bridget; Levinson, Cynthia, Ed.

The audio teleconference summarized in this report joined six state education agencies (Arkansas, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas) and the National Institute of Education with experts nationally and abroad for 3 days in April 1984. Presentations summarized include (1) "The Need to Consider Alternative Delivery,"…

Beyond Needs Analysis: Soft Systems Methodology for Meaningful Collaboration in EAP Course Design

ERIC Educational Resources Information Center

Tajino, Akira; James, Robert; Kijima, Kyoichi

2005-01-01

Designing an EAP course requires collaboration among various concerned stakeholders, including students, subject teachers, institutional administrators and EAP teachers themselves. While needs analysis is often considered fundamental to EAP, alternative research methodologies may be required to facilitate meaningful collaboration between these…

40 CFR 60.2050 - What is a siting analysis?

Code of Federal Regulations, 2012 CFR

2012-07-01

... Analysis § 60.2050 What is a siting analysis? (a) The siting analysis must consider air pollution control... include the consideration of air pollution control alternatives specified in paragraph (a) of this section... Section 60.2050 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

77 FR 60667 - EPAAR Clause for Printing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-04

... to illustrate your concerns, and suggest alternatives. Explain your views as clearly as possible... by a color inkjet or color laser printer. This is not considered ``printing.'' However, if the output... include microfiche and microfilm. The contractor may make up to two sets of microform files for archival...

Alternative Approaches to Organizing the School Day and Year.

ERIC Educational Resources Information Center

Anderson, Julia

1994-01-01

Since 1991, the National Education Commission on Time and Learning has been examining the quality and adequacy of student learning time. Innovations being considered address provision of additional learning opportunities, children's well-being, employee productivity concerns, and efficient use of school facilities. Promising practices include the…

Multicriteria decision analysis applied to Glen Canyon Dam

USGS Publications Warehouse

Flug, M.; Seitz, H.L.H.; Scott, J.F.

2000-01-01

Conflicts in water resources exist because river-reservoir systems are managed to optimize traditional benefits (e.g., hydropower and flood control), which are historically quantified in economic terms, whereas natural and environmental resources, including in-stream and riparian resources, are more difficult or impossible to quantify in economic terms. Multicriteria decision analysis provides a quantitative approach to evaluate resources subject to river basin management alternatives. This objective quantification method includes inputs from special interest groups, the general public, and concerned individuals, as well as professionals for each resource considered in a trade-off analysis. Multicriteria decision analysis is applied to resources and flow alternatives presented in the environmental impact statement for Glen Canyon Dam on the Colorado River. A numeric rating and priority-weighting scheme is used to evaluate 29 specific natural resource attributes, grouped into seven main resource objectives, for nine flow alternatives enumerated in the environmental impact statement.

Specification, testing, and interpretation of gene-by-measured-environment interaction models in the presence of gene-environment correlation

PubMed Central

Rathouz, Paul J.; Van Hulle, Carol A.; Lee Rodgers, Joseph; Waldman, Irwin D.; Lahey, Benjamin B.

2009-01-01

Purcell (2002) proposed a bivariate biometric model for testing and quantifying the interaction between latent genetic influences and measured environments in the presence of gene-environment correlation. Purcell’s model extends the Cholesky model to include gene-environment interaction. We examine a number of closely-related alternative models that do not involve gene-environment interaction but which may fit the data as well Purcell’s model. Because failure to consider these alternatives could lead to spurious detection of gene-environment interaction, we propose alternative models for testing gene-environment interaction in the presence of gene-environment correlation, including one based on the correlated factors model. In addition, we note mathematical errors in the calculation of effect size via variance components in Purcell’s model. We propose a statistical method for deriving and interpreting variance decompositions that are true to the fitted model. PMID:18293078

Is complementary and alternative therapy effective for women in the climacteric period?

PubMed

Kim, Mi Young; Choi, Seung Do; Ryu, Aeli

2015-04-01

Vasomotor symptoms start about 2 years prior to menopause in women who are approaching menopause, and early menopause symptoms appear including emotional disturbance and anxiety, followed by physical changes such as vaginal dryness, urinary incontinence and skin wrinkles. As time progresses, osteoporosis, cardiovascular diseases, and dementia occur consecutively. Hormone therapy is primarily considered for the relief of menopause symptoms in postmenopausal women. However, as hormone replacement has emerged as a therapy that increases the potential risk of thrombosis, cerebral infarction and breast cancer, complementary and alternative medicine has drawn much attention. This study aimed to examine the types and effects of evidence-based complementary and alternative therapies that are currently used.

Evaluating New Technology.

PubMed

Carniol, Paul J; Heffelfinger, Ryan N; Grunebaum, Lisa D

2018-05-01

There are multiple complex issues to consider when evaluating any new technology. First evaluate the efficacy of the device. Then considering your patient population decide whether this technology brings an added benefit to your patients. If it meets these 2 criteria, then proceed to the financial analysis of acquiring this technology. The complete financial analysis has several important components that include but are not limited to cost, value, alternatives, return on investment, and associated marketing expense. Copyright © 2018 Elsevier Inc. All rights reserved.

Considerations of the Impact of Neoliberalism and Alternative Regimes on Learning and Its Outcomes: An Empirical Example Based on the Level and Distribution of Adult Learning

ERIC Educational Resources Information Center

Desjardins, Richard

2013-01-01

This study considers the extensive critique of the impact of the "market" or "neoliberal" model on learning and its outcomes in the light of alternative models. The purpose is to consider the potential impacts of the market on learning and its outcomes and to contextualise critique by considering alternative coordination…

The fish embryo toxicity test as an animal alternative method in hazard and risk assessment and scientific research.

PubMed

Embry, Michelle R; Belanger, Scott E; Braunbeck, Thomas A; Galay-Burgos, Malyka; Halder, Marlies; Hinton, David E; Léonard, Marc A; Lillicrap, Adam; Norberg-King, Teresa; Whale, Graham

2010-04-15

Animal alternatives research has historically focused on human safety assessments and has only recently been extended to environmental testing. This is particularly for those assays that involve the use of fish. A number of alternatives are being pursued by the scientific community including the fish embryo toxicity (FET) test, a proposed replacement alternative to the acute fish test. Discussion of the FET methodology and its application in environmental assessments on a global level was needed. With this emerging issue in mind, the ILSI Health and Environmental Sciences Institute (HESI) and the European Centre for Ecotoxicology and Toxicology of Chemicals (ECETOC) held an International Workshop on the Application of the Fish Embryo Test as an Animal Alternative Method in Hazard and Risk Assessment and Scientific Research in March, 2008. The workshop included approximately 40 scientists and regulators representing government, industry, academia, and non-governmental organizations from North America, Europe, and Asia. The goal was to review the state of the science regarding the investigation of fish embryonic tests, pain and distress in fish, emerging approaches utilizing fish embryos, and the use of fish embryo toxicity test data in various types of environmental assessments (e.g., hazard, risk, effluent, and classification and labeling of chemicals). Some specific key outcomes included agreement that risk assessors need fish data for decision-making, that extending the FET to include eluethereombryos was desirable, that relevant endpoints are being used, and that additional endpoints could facilitate additional uses beyond acute toxicity testing. The FET was, however, not yet considered validated sensu OECD. An important action step will be to provide guidance on how all fish tests can be used to assess chemical hazard and to harmonize the diverse terminology used in test guidelines adopted over the past decades. Use of the FET in context of effluent assessments was considered and it is not known if fish embryos are sufficiently sensitive for consideration as a surrogate to the sub-chronic 7-day larval fish growth and survival test used in the United States, for example. Addressing these needs by via workshops, research, and additional data reviews were identified for future action by scientists and regulators.

Hydrogen for the subsonic transport. [aircraft design and fuel requirements

NASA Technical Reports Server (NTRS)

Korycinski, P. F.; Snow, D. B.

1975-01-01

Relations between air travel and fuel requirements are examined. Alternate fuels considered in connection with problems related to a diminishing supply of petroleum include synthetic jet fuel, methane, and hydrogen. A cruise flight of a subsonic aircraft on a hydrogen-fueled jet engine was demonstrated in 1957. However, more development work is required to provide a sound engineering base for a complete air transportation system using hydrogen as fuel. Aircraft designs for alternate fuels are discussed, giving attention to hydrogen-related technology already available and new developments which are needed.

Alternative Smoothing and Scaling Strategies for Weighted Composite Scores

ERIC Educational Resources Information Center

Moses, Tim

2014-01-01

In this study, smoothing and scaling approaches are compared for estimating subscore-to-composite scaling results involving composites computed as rounded and weighted combinations of subscores. The considered smoothing and scaling approaches included those based on raw data, on smoothing the bivariate distribution of the subscores, on smoothing…

Morphology and networks of sunflower wax crystals in organogel

USDA-ARS?s Scientific Manuscript database

Plant waxes are considered as promising alternatives to unhealthy solid fats such as trans fats and saturated fats in structured food products including margarines and spreads. Sunflower wax is of a great interest due to its strong gelling ability. Morphology of sunflower wax crystals formed in soyb...

Live feed enrichment with probiotics: current methods and future perspectives on increasing finfish larviculture success

USDA-ARS?s Scientific Manuscript database

Probiotics are considered an alternative to other treatments enhancing immune response, growth, or feed efficiency in animal rearing systems. While probiotics are extensively used in livestock practices, their use in aquaculture has not been as prevalent due to many factors, including a knowledge ga...

23 CFR 645.117 - Cost development and reimbursement.

Code of Federal Regulations, 2010 CFR

2010-04-01

... of any alternate costing method should consider the factors listed in paragraphs (b) through (g) of... worked on the project are reimbursable when supported by adequate records. This includes labor associated... the utility may be reimbursed for the time worked directly on the project when supported by adequate...

Proceedings of a Conference on Medical Information Systems.

ERIC Educational Resources Information Center

Health Services and Mental Health Administration (DHEW), Bethesda, MD.

The purposes of this conference are: to define the current state of technology; to identify the problems, needs and emerging technology; and to consider alternative computer applications to multiple-facility medical information systems for the delivery of medical care and for health services research. The papers presented include: (1) General…

Trend Shifts Evident on College Campuses.

ERIC Educational Resources Information Center

Blackburn, Richard D.

1987-01-01

Campus issues and trends identified by college union and student activities administrators are considered. The major college issue is alcohol and its impact on the campus. Since all but eight states have adopted the 21 drinking age, there are many administrative concerns, including monitoring campus alcohol service and finding alternatives for pub…

32 CFR 651.43 - Format of the EIS.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Environmental Impact Statement § 651.43 Format of the EIS. The... following (detailed content is discussed in appendix E of this part): (a) Cover sheet. (b) Summary. (c) Table of contents. (d) Purpose of and need for the action. (e) Alternatives considered, including...

An index-based robust decision making framework for watershed management in a changing climate.

PubMed

Kim, Yeonjoo; Chung, Eun-Sung

2014-03-01

This study developed an index-based robust decision making framework for watershed management dealing with water quantity and quality issues in a changing climate. It consists of two parts of management alternative development and analysis. The first part for alternative development consists of six steps: 1) to understand the watershed components and process using HSPF model, 2) to identify the spatial vulnerability ranking using two indices: potential streamflow depletion (PSD) and potential water quality deterioration (PWQD), 3) to quantify the residents' preferences on water management demands and calculate the watershed evaluation index which is the weighted combinations of PSD and PWQD, 4) to set the quantitative targets for water quantity and quality, 5) to develop a list of feasible alternatives and 6) to eliminate the unacceptable alternatives. The second part for alternative analysis has three steps: 7) to analyze all selected alternatives with a hydrologic simulation model considering various climate change scenarios, 8) to quantify the alternative evaluation index including social and hydrologic criteria with utilizing multi-criteria decision analysis methods and 9) to prioritize all options based on a minimax regret strategy for robust decision. This framework considers the uncertainty inherent in climate models and climate change scenarios with utilizing the minimax regret strategy, a decision making strategy under deep uncertainty and thus this procedure derives the robust prioritization based on the multiple utilities of alternatives from various scenarios. In this study, the proposed procedure was applied to the Korean urban watershed, which has suffered from streamflow depletion and water quality deterioration. Our application shows that the framework provides a useful watershed management tool for incorporating quantitative and qualitative information into the evaluation of various policies with regard to water resource planning and management. Copyright © 2013 Elsevier B.V. All rights reserved.

Air transportation energy efficiency - Alternatives and implications

NASA Technical Reports Server (NTRS)

Williams, L. J.

1976-01-01

Results from recent studies of air transportation energy efficiency alternatives are discussed, along with some of the implications of these alternatives. The fuel-saving alternatives considered include aircraft operation, aircraft modification, derivative aircraft, and new aircraft. In the near-term, energy efficiency improvements should be possible through small improvements in fuel-saving flight procedures, higher density seating, and higher load factors. Additional small near-term improvements could be obtained through aircraft modifications, such as the relatively inexpensive drag reduction modifications. Derivatives of existing aircraft could meet the requirements for new aircraft and provide energy improvements until advanced technology is available to justify the cost of a completely new design. In order to obtain significant improvements in energy efficiency, new aircraft must truly exploit advanced technology in such areas as aerodynamics, composite structures, active controls, and advanced propulsion.

Development of alternate paragraphs for the Logical Memory subtest of the Wechsler Memory Scale-IV.

PubMed

Morris, Jeri; Swier-Vosnos, Amy; Woodworth, Craig; Umfleet, Laura Glass; Czipri, Sheena; Kopald, Brandon

2014-01-01

The purpose of the two studies included in this article was to validate an alternate form, the Morris Revision-Fourth Edition (MR-IV), to the Logical Memory paragraphs of the Wechsler Memory Scale-Fourth Edition (LM-IV) for use when retesting of individuals is desired. Study I demonstrated high correlation with the LM-IV paragraphs. Study II was a replication that again demonstrated high correlation between the original LM-IV and the new MR-IV paragraphs. High interrater reliability also was demonstrated. Consequently, the MR-IV paragraphs can be considered an alternate form to the LM-IV paragraphs. Although other attempts have been made to develop alternate stories, these new paragraphs are the only ones that are equivalent in structure, affective tone, and number of scorable units. They have considerable clinical utility and research potential.

Intentional intra-arterial injection of midazolam in a patient with status epilepticus in the Intensive Care Unit

PubMed Central

Ali, Muhammad Asghar; Yahya, Muhammad

2017-01-01

Fundamental medical care includes intravenous (IV) access which provides prompt resuscitation and reliable delivery of analgesics, antibiotics, and vasoactive medication. Difficult access populations, especially in critical area, continue to challenge providers to consider and utilize alternative means to provide IV access. Potential options under such circumstances include intramuscular, intraosseous, and intratracheal drug administration, but in extreme cases where no other options are available, intra-arterial route might be considered. We present a case where midazolam was intentionally injected intra-arterially to abort seizure activity in a patient with status epilepticus in the Intensive Care Unit. PMID:29033730

GRADE guidelines: 10. Considering resource use and rating the quality of economic evidence.

PubMed

Brunetti, Massimo; Shemilt, Ian; Pregno, Silvia; Vale, Luke; Oxman, Andrew D; Lord, Joanne; Sisk, Jane; Ruiz, Francis; Hill, Suzanne; Guyatt, Gordon H; Jaeschke, Roman; Helfand, Mark; Harbour, Robin; Davoli, Marina; Amato, Laura; Liberati, Alessandro; Schünemann, Holger J

2013-02-01

In this article, we describe how to include considerations about resource utilization when making recommendations according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. We focus on challenges with rating the confidence in effect estimates (quality of evidence) and incorporating resource use into evidence profiles and Summary of Findings (SoF) tables. GRADE recommends that important differences in resource use between alternative management strategies should be included along with other important outcomes in the evidence profile and SoF table. Key steps in considering resources in making recommendations with GRADE are the identification of items of resource use that may differ between alternative management strategies and that are potentially important to decision makers, finding evidence for the differences in resource use, making judgments regarding confidence in effect estimates using the same criteria used for health outcomes, and valuing the resource use in terms of costs for the specific setting for which recommendations are being made. With our framework, decision makers will have access to concise summaries of recommendations, including ratings of the quality of economic evidence, and better understand the implications for clinical decision making. Copyright © 2013 Elsevier Inc. All rights reserved.

Final environmental impact statement. Waste Isolation Pilot Plant

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

Not Available

1980-10-01

This volume contains the appendices for the Final Environmental Impact Statement for the Waste Isolation Pilot Plant (WIPP). Alternative geologic environs are considered. Salt, crystalline rock, argillaceous rock, and tuff are discussed. Studies on alternate geologic regions for the siting of WIPP are reviewed. President Carter's message to Congress on the management of radioactive wastes and the findings and recommendations of the interagency review group on nuclear waste management are included. Selection criteria for the WIPP site including geologic, hydrologic, tectonic, physicochemical compatability, and socio-economic factors are presented. A description of the waste types and the waste processing procedures aremore » given. Methods used to calculate radiation doses from radionuclide releases during operation are presented. A complete description of the Los Medanos site, including archaeological and historic aspects is included. Environmental monitoring programs and long-term safety analysis program are described. (DMC)« less

Foothills Parkway Section 8B Final Environmental Report, Volume 6, Appendix N

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

Blasing, T.J.; Cada, G.F.; Carer, M.

1999-07-01

In 1994, Oak Ridge National Laboratory (ORNL) was tasked by the National Park Service (NPS) to prepare an Environmental Report (ER) for Section 8B of the Foothills Parkway in the Great Smoky Mountains National Park (GSMNP). Section 8B represents 27.7 km (14.2 miles) of a total of 115 km (72 miles) of the planned Foothills Parkway and would connect the Cosby community on the east to the incorporated town of Pittman Center to the west. The major deliverables for the project are listed. From August 1995 through October 1996, NPS, GSMNP, and ORNL staff interacted with Federal Highway Administration staffmore » to develop a conceptual design plan for Section 8B with the intent of protecting critical resources identified during the ER process to the extent possible. In addition, ORNL arranged for bioengineering experts to discuss techniques that might be employed on Section 8B with NPS, GSMNP, and ORNL staff during September 1996. For the purposes of this ER, there are two basic alternatives under consideration: (1) a build alternative and (2) a no-build alternative. Within the build alternative are a number of options including constructing Section 8B with no interchanges, constructing Section 8B with an interchange at SR 416 or U.S. 321, constructing Section 8B with a spur road on Webb Mountain, and considering operation of Section 8B both before and after the operation of Section 8C. The no-build alternative is considered the no-action alternative and is not to construct Section 8B. This volume of the ER documents the results of the architectural, historical, and cultural resources assessment for the entire Section 8B ROW that was completed in May 1995 to document the architectural, historical, and cultural resources located within the project area. The assessment included evaluation of the potential for cultural (i.e., rural historic) landscapes in the area of the ROW. The assessment showed that one National Register-listed property is located 0.3 mile south of the ROW, and seven properties appear to meet National Register criteria. For six of these seven sites, no audible or visual effects were predicted to result from the construction and operation of the build alternatives of Section 8B. Three areas were evaluated to determine if they could be considered rural historic landscapes: the Cosby Valley, Pittman Center, and Rocky Flats. None of these landscapes met National Register criteria for rural historic landscapes.« less

14 CFR 121.633 - Considering time-limited systems in planning ETOPS alternates.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Flight Release Rules § 121.633 Considering time-limited systems in planning ETOPS alternates. (a) For... planning ETOPS alternates. 121.633 Section 121.633 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... dispatch or flight release if the time needed to fly to that airport (at the approved one-engine...

14 CFR 121.633 - Considering time-limited systems in planning ETOPS alternates.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Flight Release Rules § 121.633 Considering time-limited systems in planning ETOPS alternates. (a) For... planning ETOPS alternates. 121.633 Section 121.633 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... dispatch or flight release if the time needed to fly to that airport (at the approved one-engine...

14 CFR 121.633 - Considering time-limited systems in planning ETOPS alternates.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Flight Release Rules § 121.633 Considering time-limited systems in planning ETOPS alternates. (a) For... planning ETOPS alternates. 121.633 Section 121.633 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... dispatch or flight release if the time needed to fly to that airport (at the approved one-engine...

14 CFR 121.633 - Considering time-limited systems in planning ETOPS alternates.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Flight Release Rules § 121.633 Considering time-limited systems in planning ETOPS alternates. (a) For... planning ETOPS alternates. 121.633 Section 121.633 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... dispatch or flight release if the time needed to fly to that airport (at the approved one-engine...

14 CFR 121.633 - Considering time-limited systems in planning ETOPS alternates.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Flight Release Rules § 121.633 Considering time-limited systems in planning ETOPS alternates. (a) For... planning ETOPS alternates. 121.633 Section 121.633 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... dispatch or flight release if the time needed to fly to that airport (at the approved one-engine...

Cost-Benefit Analysis for Alternatives to Aliphatic Isocyanate Polyurethanes

NASA Technical Reports Server (NTRS)

Lewis, Pattie

2007-01-01

NASA and Air Force Space Command (AFSPC) have similar missions and therefore similar facilities and structures in similar environments. The standard practice for protecting metallic substrates in atmospheric environments is the application of an applied coating system. The most common topcoats used in coating systems are polyurethanes that contain isocyanates. Isocyanates are classified as potential human carcinogens and are known to cause cancer in animals. The primary objective of this effort was to demonstrate and validate alternatives to aliphatic isocyanate polyurethanes resulting in one or more isocyanate-free coatings qualified for use at AFSPC and NASA installations participating in this project. This Cost-Benefit Analysis (CBA) quantifies the estimated capital and process costs of coating alternatives and cost savings relative to the current coatings. The estimates in this CBA are to be used for assessing the relative merits of the selected alternatives. The actual economic effects at any specific facility will depend on the alternative material or technology implemented, the number of actual applications converted, future workloads, and other factors . The participants initially considered eighteen (18) alternative coatings as described in the Potential Alternatives Report entitled Potential Alternatives Report for Validation of Alternatives to Aliphatic Isocyanate Polyurethanes, prepared by ITB. Of those, 8 alternatives were selected for testing in accordance with the Joint Test Protocol entitled Joint Test Protocol for Validation of Alternatives to Aliphatic Isocyanate Polyurethanes, and the Field Test Plan entitled Field Evaluations Test Plan for Validation of Alternatives 10 Aliphatic Isocyanate Polyurethanes, both of which were prepared by ITB. A joint Test Report entitled Joint Test Report for Validation of Alternatives to Aliphatic Isocyanate Polyurethanes, prepared by ITB, documents the results of the laboratory and field testing, as well as any test modifications made during the execution of the testing. The coatings selected for evaluation in this CBA are shown in the table below. Only one control coating system is considered in this analysis. These coatings were either downselected for Phase II or performed well enough to be included in the Qualified Products List in the NASA technical standard NASA-STD-5008, Protective Coating of Carbon Steel, Stainless Steel, and Aluminum on Launch Structures, Facilities, and Ground Support Equipment.

The Hidden Other Within: An Alternative to Psycho-Biological Interpretations of Intrapersonal Communication.

ERIC Educational Resources Information Center

Crouse, Janice Shaw; Crouse, Gilbert L.

Communication scholars have only recently begun to consider internal processes of thought as essential components of interpersonal communication. In 1964 a reorientation of thinking to include intrapersonal processes as integral to the communication process was first urged. The "hidden other" refers to the wellspring of the mind and its…

The effects of housing environment on liver health of laying hens

USDA-ARS?s Scientific Manuscript database

Fatty liver is a common energy metabolic disorder in caged hens. Considering that the egg industry is shifting from conventional cages to alternative housing systems such as enriched cages, the objective of this study was to determine the effects of type of housing, including access to perches, on f...

75 FR 52969 - Rim of the Valley Corridor Special Resource Study, Los Angeles and Ventura Counties, CA; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... government entities or private or non-profit organizations. The NPS will also consider: Alternative strategies for management, protection and use of significant resources within the overall study area, including management by other public agencies or the private sector; technical or financial assistance...

76 FR 5216 - Notice of Availability of Final Supplemental Environmental Impact Statement for the Nichols Ranch...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-28

... Uranium Recovery Project, located in the Pumpkin Buttes Uranium Mining District within the Powder River.... Alternatives that were considered, but were eliminated from detailed analysis, include conventional mining and... an Agencywide Documents and Management System (ADAMS), which provides text and image files of the NRC...

Feminist Theory and the Media Representation of a Woman-of-Color Superintendent: Is the World Ready for Cyborgs?

ERIC Educational Resources Information Center

Nozaki, Yoshiko

2000-01-01

Discusses recent feminist theory, in particular feminist theory related to "cyborg" identity and examines some media representations of a woman-of-color superintendent. Suggests that the cyborg image offers alternative ways to consider the issue of diversity and educational leadership, including the superintendency. (Author/SLD)

Documenting Student Learning in Music Performance: A Framework

ERIC Educational Resources Information Center

Wesolowski, Brian

2014-01-01

A fundamental aim of the Race to the Top agenda is to assess the effectiveness of teachers based on value-added growth measurement models of student achievement. However, in nontested grades and subject areas, such as music, alternative assessment types are being considered, including district-, school-, or teacher-developed measures. This article…

76 FR 44039 - Notice of Availability of the Draft Resource Management Plan Amendment, Draft Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-22

... proposal includes 1,000 wind turbine generators (WTG) and associated infrastructure, each capable of..., operation, maintenance, and reclamation of a wind farm on public lands. The No Action Alternative would deny...) considers authorizing wind development in PCW's application area to accommodate 1,000 turbines. This...

The Special Educator and the Hospital Ethics Committee.

ERIC Educational Resources Information Center

Lowenthal, Barbara; And Others

With the advent of Public Law 99-457, special educators may be expected to observe and/or serve on Hospital Ethics Committees (HECs) in order to better assist families who have seriously ill and handicapped infants and children. Issues considered by such committees include alternative viewpoints on infant euthanasia and their right to life, the…

40 CFR 142.20 - State-issued variances and exemptions under Section 1415(a) and Section 1416 of the Act.

Code of Federal Regulations, 2010 CFR

2010-07-01

... State must consider the availability of an alternative source of water, including the feasibility of... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER... responsibility may issue variances to public water systems (other than small system variances) from the...

Application and Testing of Transparent Plastics Used in Airplane Construction

NASA Technical Reports Server (NTRS)

Riechers, K; Olms, J

1938-01-01

This report concerns the efforts being made to remove the source of danger to passengers arising from the fracturing of silicate glass. Some of the alternatives presented include: single-layer safety glass, multi-layer safety glass, transparent plastic resins. Some of the resins considered are celluloid, cellulose acetates, and mixtures of polymers.

What Survivors Want: Understanding the Needs of Sexual Assault Survivors

ERIC Educational Resources Information Center

Munro-Kramer, Michelle L.; Dulin, Alexandra C.; Gaither, Caroline

2017-01-01

Objective: Sexual assault is a pervasive crime on our college campuses and many survivors do not seek post-assault resources. This study will explore components of alternative interventions to consider in the development of campus-based interventions for sexual assault survivors. Participants: Three stakeholder groups including survivors (n = 8),…

Nursing Education and Training: Alternative Federal Approaches. Budget Issue Paper for Fiscal Year 1979.

ERIC Educational Resources Information Center

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

Key issues pertinent to federal support of nursing education and training are considered. Policy options for nurse training include: support for programs to increase aggregate supply, support for programs to improve geographic distribution of nurses, support for programs to increase the availability of nurses with advanced training, and support…

Beating liquid helium: the technologies of cryogen-free superconducting magnets

NASA Astrophysics Data System (ADS)

Burgoyne, John

2015-03-01

Cryogen-free superconducting magnets have been available now for almost 15 years, but have only become standard commercial products in more recent years. In this review we will consider the pros and cons of ``dry'' design including superconducting wire development and selection, thermal budgeting, and the alternative methods for achieving magnet cooling.

24 CFR 55.20 - Decision making process.

Code of Federal Regulations, 2011 CFR

2011-04-01

... the affected public is largely non-English speaking. In addition, all notices must be published in an..., including public notices and an examination of practicable alternatives. The steps to be followed in the... public at the earliest possible time of a proposal to consider an action in a floodplain (or in the 500...

Implications to Postsecondary Faculty of Alternative Calculation Methods of Gender-Based Wage Differentials.

ERIC Educational Resources Information Center

Hagedorn, Linda Serra

1998-01-01

A study explored two distinct methods of calculating a precise measure of gender-based wage differentials among college faculty. The first estimation considered wage differences using a formula based on human capital; the second included compensation for past discriminatory practices. Both measures were used to predict three specific aspects of…

Savannah River Site Spent Nuclear Fuel Management Final Environmental Impact Statement

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

N /A

The proposed DOE action considered in this environmental impact statement (EIS) is to implement appropriate processes for the safe and efficient management of spent nuclear fuel and targets at the Savannah River Site (SRS) in Aiken County, South Carolina, including placing these materials in forms suitable for ultimate disposition. Options to treat, package, and store this material are discussed. The material included in this EIS consists of approximately 68 metric tons heavy metal (MTHM) of spent nuclear fuel 20 MTHM of aluminum-based spent nuclear fuel at SRS, as much as 28 MTHM of aluminum-clad spent nuclear fuel from foreign andmore » domestic research reactors to be shipped to SRS through 2035, and 20 MTHM of stainless-steel or zirconium-clad spent nuclear fuel and some Americium/Curium Targets stored at SRS. Alternatives considered in this EIS encompass a range of new packaging, new processing, and conventional processing technologies, as well as the No Action Alternative. A preferred alternative is identified in which DOE would prepare about 97% by volume (about 60% by mass) of the aluminum-based fuel for disposition using a melt and dilute treatment process. The remaining 3% by volume (about 40% by mass) would be managed using chemical separation. Impacts are assessed primarily in the areas of water resources, air resources, public and worker health, waste management, socioeconomic, and cumulative impacts.« less

A methodology for the comparative evaluation of alternative bioseparation technologies.

PubMed

Tran, Richard; Zhou, Yuhong; Lacki, Karol M; Titchener-Hooker, Nigel J

2008-01-01

Advances in upstream technologies and growing commercial demand have led to cell culture processes of ever larger volumes and expressing at higher product titers. This has increased the burden on downstream processing. Concerns regarding the capacity limitations of packed-bed chromatography have led process engineers to begin investigating new bioseparation techniques that may be considered as "alternatives" to chromatography, and which could potentially offer higher processing capacities but at a lower cost. With the wide range of alternatives, which are currently available, each with their own strengths and inherent limitations, coupled with the time pressures associated with process development, the challenge for process engineers is to determine which technologies are most worth investigating. This article presents a methodology based on a multiattribute decision making (MADM) analysis approach, utilizing both quantitative and qualitative data, which can be used to determine the "industrial attractiveness" of bioseparation technologies, accounting for trade-offs between their strengths and weaknesses. By including packed-bed chromatography in the analysis as a reference point, it was possible to determine the alternatives, which show the most promise for use in large-scale manufacturing processes. The results of this analysis show that although the majority of alternative techniques offer certain advantages over conventional packed-bed chromatography, their attractiveness overall means that currently none of these technologies may be considered as viable alternatives to chromatography. The methodology introduced in this study may be used to gain significant quantitative insight as to the key areas in which improvements are required for each technique, and thus may be used as a tool to aid in further technological development.

National Environmental Policy Act Hazards Assessment for the TREAT Alternative

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

Boyd D. Christensen; Annette L. Schafer

2013-11-01

This document provides an assessment of hazards as required by the National Environmental Policy Act for the alternative of restarting the reactor at the Transient Reactor Test (TREAT) facility by the Resumption of Transient Testing Program. Potential hazards have been identified and screening level calculations have been conducted to provide estimates of unmitigated dose consequences that could be incurred through this alternative. Consequences considered include those related to use of the TREAT Reactor, experiment assembly handling, and combined events involving both the reactor and experiments. In addition, potential safety structures, systems, and components for processes associated with operating TREAT andmore » onsite handling of nuclear fuels and experiments are listed. If this alternative is selected, a safety basis will be prepared in accordance with 10 CFR 830, “Nuclear Safety Management,” Subpart B, “Safety Basis Requirements.”« less

National Environmental Policy Act Hazards Assessment for the TREAT Alternative

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

Christensen, Boyd D.; Schafer, Annette L.

2014-02-01

This document provides an assessment of hazards as required by the National Environmental Policy Act for the alternative of restarting the reactor at the Transient Reactor Test (TREAT) facility by the Resumption of Transient Testing Program. Potential hazards have been identified and screening level calculations have been conducted to provide estimates of unmitigated dose consequences that could be incurred through this alternative. Consequences considered include those related to use of the TREAT Reactor, experiment assembly handling, and combined events involving both the reactor and experiments. In addition, potential safety structures, systems, and components for processes associated with operating TREAT andmore » onsite handling of nuclear fuels and experiments are listed. If this alternative is selected, a safety basis will be prepared in accordance with 10 CFR 830, “Nuclear Safety Management,” Subpart B, “Safety Basis Requirements.”« less

Adapting Evaluations of Alternative Payment Models to a Changing Environment.

PubMed

Grannemann, Thomas W; Brown, Randall S

2018-04-01

To identify the most robust methods for evaluating alternative payment models (APMs) in the emerging health care delivery system environment. We assess the impact of widespread testing of alternative payment models on the ability to find credible comparison groups. We consider the applicability of factorial research designs for assessing the effects of these models. The widespread adoption of alternative payment models could effectively eliminate the possibility of comparing APM results with a "pure" control or comparison group unaffected by other interventions. In this new environment, factorial experiments have distinct advantages over the single-model experimental or quasi-experimental designs that have been the mainstay of recent tests of Medicare payment and delivery models. The best prospects for producing definitive evidence of the effects of payment incentives for APMs include fractional factorial experiments that systematically vary requirements and payment provisions within a payment model. © Health Research and Educational Trust.

An Assessment of Alternate Thermal Protection Systems for the Space Shuttle Orbiter. Volume 1; Executive Summary

NASA Technical Reports Server (NTRS)

Hays, D.

1982-01-01

Alternate thermal protection system (TPS) concepts to the Space Shuttle Orbiter were assessed. Metallic, ablator, and carbon-carbon concepts which are the result of some previous design, manufacturing and testing effort were considered. Emphasis was placed on improved TPS durability, which could potentially reduce life cycle costs and improve Orbiter operational characteristics. Integrated concept/orbiter point designs were generated and analyzed on the basis of Shuttle design environments and criteria. A merit function evaluation methodology based on mission impact, life cycle costs, and risk was developed to compare the candidate concepts and to identify the best alternate. Voids and deficiencies in the technology were identified, along with recommended activities to overcome them. Finally, programmatic plans, including ROM costs and schedules, were developed for all activities required to bring the selected alternate system up to operational readiness.

High Rate of Alternative Diagnoses in Patients Referred for Presumed Clostridium difficile Infection

PubMed Central

Jackson, Melissa; Olefson, Sidney; Machan, Jason T.; Kelly, Colleen R.

2015-01-01

Goals We evaluated a cohort of patients referred to our center for presumed recurrent Clostridium difficile infection (CDI) to determine final diagnoses and outcomes. Background As rates of CDI have increased, more patients are diagnosed with recurrent CDI and other sequelae of the infection. Distinguishing symptomatic patients with CDI from those who are colonized with an alternative etiology of diarrheal symptoms may be challenging. Methods We performed a retrospective review of 117 patients referred to our center for recurrent CDI between January 2013 and June 2014. Data collected included demographics, referring provider, previous anti-CDI treatment, and significant medical conditions. Additionally we gathered data on atypical features of CDI and investigations obtained to investigate etiology of symptoms. Outcomes included rates of alternative diagnoses and the accuracy of CDI diagnosis by referral source. Results The mean age was 61 years and 70% were female. 29 patients (25%) were determined to have a non-CDI diagnosis. Most common alternative diagnoses included irritable bowel syndrome (18 patients: 62%) and inflammatory bowel disease (3:10 %). Age was inversely correlated with rate of non-CDI diagnosis (p=0.016). Of the remaining 88 (75%) patients with a confirmed diagnosis of CDI, 25 (28%) received medical therapy alone and 63 (72%) underwent fecal microbiota transplantation (FMT). Conclusion Among patients referred to our center for recurrent CDI, a considerable percentage did not have CDI, but rather an alternative diagnosis, most commonly IBS. The rate of alternative diagnosis correlated inversely with age. Providers should consider other etiologies of diarrhea in patients presenting with features atypical of recurrent CDI. PMID:26565971

Coal and peat in the sub-Saharan region of Africa: alternative energy options?

USGS Publications Warehouse

Weaver, J.N.; Landis, E.R.

1990-01-01

Coal and peat are essentially unused and in some cases unknown in sub-Saharan Africa. However, they might comprise valuable alternative energy sources in some or all of the developing nations of the region. The 11 countries considered in this appraisal reportedly contain coal and peat. On the basis of regional geology, another five countries might also contain coal-bearing rocks. If the resource potential is adequate, coal and peat might be utilized in a variety of ways including substituting for fuelwood, generating electricity, supplying process heat for local industry and increasing agricultural productivity. -from Author

Alternate aircraft fuels prospects and operational implications

NASA Technical Reports Server (NTRS)

Witcofski, R. D.

1977-01-01

The paper discusses NASA studies of the potentials of coal-derived aviation fuels, specifically synthetic aviation kerosene, liquid methane, and liquid hydrogen. Topics include areas of fuel production, air terminal requirements for aircraft fueling (for liquid hydrogen only), and the performance characteristics of aircraft designed to utilize alternate fuels. Energy requirements associated with the production of each of the three selected fuels are determined, and fuel prices are estimated. Subsonic commercial air transports using liquid hydrogen fuel have been analyzed, and their performance and the performance of aircraft which use commercial aviation kerosene are compared. Environmental and safety issues are considered.

Alternatives to argon for gas stopping volumes in the B194 neutron imager

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

Bleuel, D. L.; Anderson, S.; Caggiano, J. A.

2017-05-17

In a recent experiment at Lawrence Berkeley National Laboratory, the 40Ar(d,p)41Ar excitation function between 3-7 MeV was measured, confirming a previous estimation that there may be an intolerable radiation dose from 41Ar production by slowing to rest 6.74 MeV deuterons in the gas cell of the neutron imaging facility being constructed in B194. Gas alternatives to argon are considered, including helium, nitrogen (N2), neon, sulfur hexafluoride (SF6), krypton, and xenon, as well as high atomic number solid backings such as tantalum.

Treatment alternatives of congenital hand differences with thumb hypoplasia involvement.

PubMed

Papadogeorgou, Ellada V; Soucacos, Panayotis N

2008-01-01

Congenital thumb hypoplasia is a complex and heterogeneous congenital difference that is detrimental to hand function. Apart from its' classic form, which is now considered to be part of radial dysplasia, it can occur as part of other congenital anomalies including, syndactyly, symbrachydactyly, atypical cleft hand, bifid thumb, triphalangeal thumb, mirror hand, constriction band syndrome, as well as generalized anomalies and syndromes. Management is aimed primarily at restoring basic hand function, specifically, power grasp and precision pinch, and secondarily to improve cosmoses, which inevitably is going to be impaired. Several treatment alternatives have been proposed to manage the specific disabling condition and include, 1st web space reconstruction and opponensplasty, pollicization, toe-to-hand transfer, distraction lengthening, free toe phalangeal transfer or the use of allograft, stabilization of the metacarpophalangeal joint, and surgery of "spare parts." The purpose of this study is to evaluate the various alternatives available today and propose an algorithm applicable for the appropriate management of thumb deficiency, based on their specific characteristics. Copyright 2008 Wiley-Liss, Inc. Microsurgery, 2008.

100-KE REACTOR CORE REMOVAL PROJECT ALTERNATIVE ANALYSIS WORKSHOP REPORT

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

HARRINGTON RA

2010-01-15

On December 15-16, 2009, a 100-KE Reactor Core Removal Project Alternative Analysis Workshop was conducted at the Washington State University Consolidated Information Center, Room 214. Colburn Kennedy, Project Director, CH2M HILL Plateau Remediation Company (CHPRC) requested the workshop and Richard Harrington provided facilitation. The purpose of the session was to select the preferred Bio Shield Alternative, for integration with the Thermal Shield and Core Removal and develop the path forward to proceed with project delivery. Prior to this workshop, the S.A. Robotics (SAR) Obstruction Removal Alternatives Analysis (565-DLV-062) report was issued, for use prior to and throughout the session, tomore » all the team members. The multidisciplinary team consisted ofrepresentatives from 100-KE Project Management, Engineering, Radcon, Nuclear Safety, Fire Protection, Crane/Rigging, SAR Project Engineering, the Department of Energy Richland Field Office, Environmental Protection Agency, Washington State Department of Ecology, Defense Nuclear Facility Safety Board, and Deactivation and Decommission subject matter experts from corporate CH2M HILL and Lucas. Appendix D contains the workshop agenda, guidelines and expectations, opening remarks, and attendance roster going into followed throughout the workshop. The team was successful in selecting the preferred alternative and developing an eight-point path forward action plan to proceed with conceptual design. Conventional Demolition was selected as the preferred alternative over two other alternatives: Diamond Wire with Options, and Harmonic Delamination with Conventional Demolition. The teams preferred alternative aligned with the SAR Obstruction Removal Alternative Analysis report conclusion. However, the team identified several Path Forward actions, in Appendix A, which upon completion will solidify and potentially enhance the Conventional Demolition alternative with multiple options and approaches to achieve project delivery. In brief, the Path Forward was developed to reconsider potential open air demolition areas; characterize to determine if any zircaloy exists, evaluate existing concrete data to determine additional characterization needs, size the new building to accommodate human machine interface and tooling, consider bucket thumb and use ofshape-charges in design, and finally to utilize complex-wide and industry explosive demolition lessons learned in the design approach. Appendix B documents these results from the team's use ofValue Engineering process tools entitled Weighted Analysis Alternative Matrix, Matrix Conclusions, Evaluation Criteria, and Alternative Advantages and Disadvantages. These results were further supported with the team's validation of parking-lot information sheets: memories (potential ideas to consider), issues/concerns, and assumptions, contained in Appendix C. Appendix C also includes the recorded workshop flipchart notes taken from the SAR Alternatives and Project Overview presentations. The SAR workshop presentations, including a 3-D graphic illustration demonstration video have been retained in the CHPRC project file, and were not included in this report due to size limitations. The workshop concluded with a round robin close-out where each member was engaged for any last minute items and meeting utility. In summary, the team felt the session was value added and looked forward to proceeding with the recommended actions and conceptual design.« less

Use of complementary and alternative medicine by patients with hematological diseases experience at a university hospital in northeast Mexico.

PubMed

Jaime-Pérez, José Carlos; Chapa-Rodríguez, Adrián; Rodríguez-Martínez, Marisol; Colunga-Pedraza, Perla Rocío; Marfil-Rivera, Luis Javier; Gómez-Almaguer, David

2012-01-01

Complementary and alternative medicine includes a diverse group of medical and healthcare systems, practices and products not considered part of conventional medicine. Although there is information on unconventional practices in oncological diseases, specific data regarding the use of complementary and alternative medicine by hematology patients is scarce. The aim of this study is to document the prevalence of this modality of unconventional therapy in patients with malignant and benign hematological diseases, particularly children with acute lymphoblastic leukemia. An observational study of adult patients and guardians of children with malignant or benign hematological diseases was carried out by applying a structured questionnaire detailing the use and results of the most prevalent complementary and alternative medicine practices. One hundred and twenty patients were included; 104 had malignant and 16 had benign hematological diseases. The use of complementary and alternative medicine was greater in benign diseases but the difference was not statistically significant (64.7% versus 41.7%; p-value = 0.08). Patients and guardians with high school or college educations used these alternative practices more than patients with less schooling (60.7% versus 54.7%; p-value = 0.032). The use of folk remedies was most prevalent followed by herbal preparations and spiritual healing. Sixty-four percent of patients that used these unconventional practices reported improvement in their symptoms and increased capacity to perform daily activities. No significant difference was documented between patients with malignant or benign hematological diseases using these alternative practices. The majority of complementary and alternative medicine users reported improvement of the disease or chemotherapy-related symptoms.

Energy and cost saving results for advanced technology systems from the Cogeneration Technology Alternatives Study (CTAS)

NASA Technical Reports Server (NTRS)

Sagerman, G. D.; Barna, G. J.; Burns, R. K.

1979-01-01

An overview of the organization and methodology of the Cogeneration Technology Alternatives Study is presented. The objectives of the study were to identify the most attractive advanced energy conversion systems for industrial cogeneration applications in the future and to assess the advantages of advanced technology systems compared to those systems commercially available today. Advanced systems studied include steam turbines, open and closed cycle gas turbines, combined cycles, diesel engines, Stirling engines, phosphoric acid and molten carbonate fuel cells and thermionics. Steam turbines, open cycle gas turbines, combined cycles, and diesel engines were also analyzed in versions typical of today's commercially available technology to provide a base against which to measure the advanced systems. Cogeneration applications in the major energy consuming manufacturing industries were considered. Results of the study in terms of plant level energy savings, annual energy cost savings and economic attractiveness are presented for the various energy conversion systems considered.

The elusive life cycle of scyphozoan jellyfish - metagenesis revisited

NASA Astrophysics Data System (ADS)

Ceh, Janja; Gonzalez, Jorge; Pacheco, Aldo S.; Riascos, José M.

2015-07-01

Massive proliferations of scyphozoan jellyfish considerably affect human industries and irreversibly change food webs. Efforts to understand the role of jellyfish in marine ecosystems are based on a life cycle model described 200 years ago. According to this paradigm the pelagic medusae is considered seasonal and alternates with the benthic polyp stage from which it derives. However, we provide evidence that a) the occurrence of several species of medusae is not restricted to a season in the year, they overwinter, b) polyp- and medusa generations are neither temporally nor spatially separated, and c) “metagenesis” which is defined as the alternation between sexual and asexual generations does not always occur. Hence we recommend additions to the current model and argue that the scyphozoan life cycle should be considered multi-modal, rather than metagenetic. The implications of these findings for jellyfish proliferations, including possible consequences and associated environmental drivers, are discussed.

The elusive life cycle of scyphozoan jellyfish – metagenesis revisited

PubMed Central

Ceh, Janja; Gonzalez, Jorge; Pacheco, Aldo S.; Riascos, José M.

2015-01-01

Massive proliferations of scyphozoan jellyfish considerably affect human industries and irreversibly change food webs. Efforts to understand the role of jellyfish in marine ecosystems are based on a life cycle model described 200 years ago. According to this paradigm the pelagic medusae is considered seasonal and alternates with the benthic polyp stage from which it derives. However, we provide evidence that a) the occurrence of several species of medusae is not restricted to a season in the year, they overwinter, b) polyp- and medusa generations are neither temporally nor spatially separated, and c) “metagenesis” which is defined as the alternation between sexual and asexual generations does not always occur. Hence we recommend additions to the current model and argue that the scyphozoan life cycle should be considered multi-modal, rather than metagenetic. The implications of these findings for jellyfish proliferations, including possible consequences and associated environmental drivers, are discussed. PMID:26153534

The elusive life cycle of scyphozoan jellyfish--metagenesis revisited.

PubMed

Ceh, Janja; Gonzalez, Jorge; Pacheco, Aldo S; Riascos, José M

2015-07-08

Massive proliferations of scyphozoan jellyfish considerably affect human industries and irreversibly change food webs. Efforts to understand the role of jellyfish in marine ecosystems are based on a life cycle model described 200 years ago. According to this paradigm the pelagic medusae is considered seasonal and alternates with the benthic polyp stage from which it derives. However, we provide evidence that a) the occurrence of several species of medusae is not restricted to a season in the year, they overwinter, b) polyp- and medusa generations are neither temporally nor spatially separated, and c) "metagenesis" which is defined as the alternation between sexual and asexual generations does not always occur. Hence we recommend additions to the current model and argue that the scyphozoan life cycle should be considered multi-modal, rather than metagenetic. The implications of these findings for jellyfish proliferations, including possible consequences and associated environmental drivers, are discussed.

Alternatives to animal testing: research, trends, validation, regulatory acceptance.

PubMed

Huggins, Jane

2003-01-01

Current trends and issues in the development of alternatives to the use of animals in biomedical experimentation are discussed in this position paper. Eight topics are considered and include refinement of acute toxicity assays; eye corrosion/irritation alternatives; skin corrosion/irritation alternatives; contact sensitization alternatives; developmental/reproductive testing alternatives; genetic engineering (transgenic) assays; toxicogenomics; and validation of alternative methods. The discussion of refinement of acute toxicity assays is focused primarily on developments with regard to reduction of the number of animals used in the LD(50) assay. However, the substitution of humane endpoints such as clinical signs of toxicity for lethality in these assays is also evaluated. Alternative assays for eye corrosion/irritation as well as those for skin corrosion/irritation are described with particular attention paid to the outcomes, both successful and unsuccessful, of several validation efforts. Alternative assays for contact sensitization and developmental/reproductive toxicity are presented as examples of methods designed for the examination of interactions between toxins and somewhat more complex physiological systems. Moreover, genetic engineering and toxicogenomics are discussed with an eye toward the future of biological experimentation in general. The implications of gene manipulation for research animals, specifically, are also examined. Finally, validation methods are investigated as to their effectiveness, or lack thereof, and suggestions for their standardization and improvement, as well as implementation are reviewed.

An improved least cost routing approach for WDM optical network without wavelength converters

NASA Astrophysics Data System (ADS)

Bonani, Luiz H.; Forghani-elahabad, Majid

2016-12-01

Routing and wavelength assignment (RWA) problem has been an attractive problem in optical networks, and consequently several algorithms have been proposed in the literature to solve this problem. The most known techniques for the dynamic routing subproblem are fixed routing, fixed-alternate routing, and adaptive routing methods. The first one leads to a high blocking probability (BP) and the last one includes a high computational complexity and requires immense backing from the control and management protocols. The second one suggests a trade-off between performance and complexity, and hence we consider it to improve in our work. In fact, considering the RWA problem in a wavelength routed optical network with no wavelength converter, an improved technique is proposed for the routing subproblem in order to decrease the BP of the network. Based on fixed-alternate approach, the first k shortest paths (SPs) between each node pair is determined. We then rearrange the SPs according to a newly defined cost for the links and paths. Upon arriving a connection request, the sorted paths are consecutively checked for an available wavelength according to the most-used technique. We implement our proposed algorithm and the least-hop fixed-alternate algorithm to show how the rearrangement of SPs contributes to a lower BP in the network. The numerical results demonstrate the efficiency of our proposed algorithm in comparison with the others, considering different number of available wavelengths.

Large-Scale Transport Model Uncertainty and Sensitivity Analysis: Distributed Sources in Complex Hydrogeologic Systems

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

Sig Drellack, Lance Prothro

2007-12-01

The Underground Test Area (UGTA) Project of the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office is in the process of assessing and developing regulatory decision options based on modeling predictions of contaminant transport from underground testing of nuclear weapons at the Nevada Test Site (NTS). The UGTA Project is attempting to develop an effective modeling strategy that addresses and quantifies multiple components of uncertainty including natural variability, parameter uncertainty, conceptual/model uncertainty, and decision uncertainty in translating model results into regulatory requirements. The modeling task presents multiple unique challenges to the hydrological sciences as a result ofmore » the complex fractured and faulted hydrostratigraphy, the distributed locations of sources, the suite of reactive and non-reactive radionuclides, and uncertainty in conceptual models. Characterization of the hydrogeologic system is difficult and expensive because of deep groundwater in the arid desert setting and the large spatial setting of the NTS. Therefore, conceptual model uncertainty is partially addressed through the development of multiple alternative conceptual models of the hydrostratigraphic framework and multiple alternative models of recharge and discharge. Uncertainty in boundary conditions is assessed through development of alternative groundwater fluxes through multiple simulations using the regional groundwater flow model. Calibration of alternative models to heads and measured or inferred fluxes has not proven to provide clear measures of model quality. Therefore, model screening by comparison to independently-derived natural geochemical mixing targets through cluster analysis has also been invoked to evaluate differences between alternative conceptual models. Advancing multiple alternative flow models, sensitivity of transport predictions to parameter uncertainty is assessed through Monte Carlo simulations. The simulations are challenged by the distributed sources in each of the Corrective Action Units, by complex mass transfer processes, and by the size and complexity of the field-scale flow models. An efficient methodology utilizing particle tracking results and convolution integrals provides in situ concentrations appropriate for Monte Carlo analysis. Uncertainty in source releases and transport parameters including effective porosity, fracture apertures and spacing, matrix diffusion coefficients, sorption coefficients, and colloid load and mobility are considered. With the distributions of input uncertainties and output plume volumes, global analysis methods including stepwise regression, contingency table analysis, and classification tree analysis are used to develop sensitivity rankings of parameter uncertainties for each model considered, thus assisting a variety of decisions.« less

Quantifying phalangeal curvature: an empirical comparison of alternative methods.

PubMed

Stern, J T; Jungers, W L; Susman, R L

1995-05-01

It has been generally assumed and theoretically argued that the curvature of finger and toe bones seen in some nonhuman primates is associated with cheiridial use in an arboreal setting. Assessment of such curvature in fossil primates has been used to infer the positional behavior of these animals. Several methods of quantifying curvature of bones have been proposed. The measure most commonly applied to phalanges is that of included angle, but this has come under some criticism. We consider various other approaches for quantifying phalangeal curvature, demonstrating that some are equivalent to use of included angle, but that one--normalized curvature moment arm (NCMA)--represents a true alternative. A comparison of NCMA to included angle, both calculated on manual and pedal proximal phalanges of humans, apes, some monkeys, and the Hadar fossils, revealed that these two different measures of curvature are highly correlated and result in very similar distributional patterns.

78 FR 46676 - Environmental Impact Statement; Los Angeles and San Bernardino Counties, California; Notice of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-01

..., including the type of train technology (electric vs. diesel-electric), its location in relation to the HDC... of green energy technologies and a bike path along the alternative will also be considered. Four... would utilize proven steel wheel on steel track technology and have a maximum operating speed of 180...

North Branch Potomac River Basin mine drainage study. Phase I. Baseline survey. Final report

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

Not Available

1977-05-06

This baseline survey of the mine drainage and related water resources of the North Branch Potomac River Basin established the extent, magnitude, and effects of coal mine drainage pollution. Alternative abatement and reclamation solutions were considered. The study included an analysis of socioeconomic and environmental conditions as related to the mine drainage problem.

The Biasing Effects of Unmodeled ARMA Time Series Processes on Latent Growth Curve Model Estimates

ERIC Educational Resources Information Center

Sivo, Stephen; Fan, Xitao; Witta, Lea

2005-01-01

The purpose of this study was to evaluate the robustness of estimated growth curve models when there is stationary autocorrelation among manifest variable errors. The results suggest that when, in practice, growth curve models are fitted to longitudinal data, alternative rival hypotheses to consider would include growth models that also specify…

For the Article Writer...How to Win Acceptances by Psychology Journals: 21 Tips for Better Writing.

ERIC Educational Resources Information Center

Sternberg, Robert J.

1993-01-01

Twenty-one suggestions are offered for successful writing for psychology journals. Suggestions include tell readers why they should be interested, consider alternative interpretations of the data, give concrete examples, write for a somewhat broader and technically less skilled audience than you expect to read the article, and don't take…

76 FR 40798 - Antidrug and Alcohol Misuse Prevention Programs for Personnel Engaged in Specified Aviation...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-12

... includes contractors and subcontractors. Contracting companies have two testing options: Option one is for... case today and as such, there are no alternatives to the final rule that could have been considered and... stations would be classified as small business under NAICS 488180, the FAA reviewed a recent study...

Considering a Private Residential Treatment Program for a Troubled Teen? Questions for Parents and Guardians to Ask

ERIC Educational Resources Information Center

Federal Trade Commission, 2008

2008-01-01

Private residential treatment programs for young people offer a range of services, including drug and alcohol treatment, confidence building, military-style discipline, and psychological counseling for a variety of addiction, behavioral, and emotional problems. Many of these programs are intended to provide a less-restrictive alternative to…

Relocating alcohol advertising research: examining socially mediated relationships with alcohol.

PubMed

Cherrington, Jane; Chamberlain, Kerry; Grixti, Joe

2006-03-01

This article reviews, critiques and politicises the positivist approaches that presently dominate alcohol advertising health research, and considers the benefits of a culturalist alternative. Positivist research in this area is identified as: (1) atheoretical and methods-driven; (2) restricted in focus, leaving critical issues unconsidered; and (3) inappropriately conceptualizing the 'normal' drinking person as rational and safe. The culturist alternative proposed is argued to present a more adequate framework, which can include and address problematic issues that are presently excluded, including: the pleasures associated with alcohol use, the involvements of 'normal' people in problem drinking, the inadequacy of present risk categories and the complexities of wider mediatory processes about alcohol in society. We argue for the adoption of more informed, culturalist approaches to alcohol advertising research.

Evaluating group purchasing organizations.

PubMed

Kaldor, Dennis C; Kowalski, Jamie C; Tankersley, Mark A

2003-01-01

A formal evaluation process can help healthcare organizations assess the current and/or potential value of a group purchasing organization (GPO). Healthcare organizations should approach a GPO evaluation as if they were entering into a new relationship. The evaluation should include purchasing and financial services, value-added services, and corporate relations/business practices. Healthcare organizations should consider the potential economies of scale and other services offered by a GPO. Healthcare organizations should consider using acceptable substitutes for products currently used or seeking products through alternative sources if doing so achieves greater value.

Nowcasting and Forecasting the Monthly Food Stamps Data in the US Using Online Search Data

PubMed Central

Fantazzini, Dean

2014-01-01

We propose the use of Google online search data for nowcasting and forecasting the number of food stamps recipients. We perform a large out-of-sample forecasting exercise with almost 3000 competing models with forecast horizons up to 2 years ahead, and we show that models including Google search data statistically outperform the competing models at all considered horizons. These results hold also with several robustness checks, considering alternative keywords, a falsification test, different out-of-samples, directional accuracy and forecasts at the state-level. PMID:25369315

Nurse entrepreneurship: an alternative career choice worth considering.

PubMed

Sanoshy, J

1998-07-01

With consistent downsizing in today's healthcare arena, many nurses are considering alternative careers. Several ONS members have found creative ways to parlay their nursing education and experience into successful careers that are both fulfilling and profitable.

Break-even cost of cloning in genetic improvement of dairy cattle.

PubMed

Dematawewa, C M; Berger, P J

1998-04-01

Twelve different models for alternative progeny-testing schemes based on genetic and economic gains were compared. The first 10 alternatives were considered to be optimally operating progeny-testing schemes. Alternatives 1 to 5 considered the following combinations of technologies: 1) artificial insemination, 2) artificial insemination with sexed semen, 3) artificial insemination with embryo transfer, 4) artificial insemination and embryo transfer with few bulls as sires, and 5) artificial insemination, embryo transfer, and sexed semen with few bulls, respectively. Alternatives 6 to 12 considered cloning from dams. Alternatives 11 and 12 considered a regular progeny-testing scheme that had selection gains (intensity x accuracy x genetic standard deviation) of 890, 300, 600, and 89 kg, respectively, for the four paths. The sums of the generation intervals of the four paths were 19 yr for the first 8 alternatives and 19.5, 22, 29, and 29.5 yr for alternatives 9 to 12, respectively. Rates of genetic gain in milk yield for alternatives 1 to 5 were 257, 281, 316, 327, and 340 kg/yr, respectively. The rate of gain for other alternatives increased as number of clones increased. The use of three records per clone increased both accuracy and generation interval of a path. Cloning was highly beneficial for progeny-testing schemes with lower intensity and accuracy of selection. The discounted economic gain (break-even cost) per clone was the highest ($84) at current selection levels using sexed semen and three records on clones of the dam. The total cost associated with cloning has to be below $84 for cloning to be an economically viable option.

Multi objective decision making in hybrid energy system design

NASA Astrophysics Data System (ADS)

Merino, Gabriel Guillermo

The design of grid-connected photovoltaic wind generator system supplying a farmstead in Nebraska has been undertaken in this dissertation. The design process took into account competing criteria that motivate the use of different sources of energy for electric generation. The criteria considered were 'Financial', 'Environmental', and 'User/System compatibility'. A distance based multi-objective decision making methodology was developed to rank design alternatives. The method is based upon a precedence order imposed upon the design objectives and a distance metric describing the performance of each alternative. This methodology advances previous work by combining ambiguous information about the alternatives with a decision-maker imposed precedence order in the objectives. Design alternatives, defined by the photovoltaic array and wind generator installed capacities, were analyzed using the multi-objective decision making approach. The performance of the design alternatives was determined by simulating the system using hourly data for an electric load for a farmstead and hourly averages of solar irradiation, temperature and wind speed from eight wind-solar energy monitoring sites in Nebraska. The spatial variability of the solar energy resource within the region was assessed by determining semivariogram models to krige hourly and daily solar radiation data. No significant difference was found in the predicted performance of the system when using kriged solar radiation data, with the models generated vs. using actual data. The spatial variability of the combined wind and solar energy resources was included in the design analysis by using fuzzy numbers and arithmetic. The best alternative was dependent upon the precedence order assumed for the main criteria. Alternatives with no PV array or wind generator dominated when the 'Financial' criteria preceded the others. In contrast, alternatives with a nil component of PV array but a high wind generator component, dominated when the 'Environment' objective or the 'User/System compatibility' objectives were more important than the 'Financial' objectives and they also dominated when the three criteria were considered equally important.

Cogeneration Technology Alternatives Study (CTAS). Volume 6: Computer data. Part 2: Residual-fired nocogeneration process boiler

NASA Technical Reports Server (NTRS)

Knightly, W. F.

1980-01-01

About fifty industrial processes from the largest energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidate which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum based residual and distillate liquid fuels, and low Btu gas obtained through the on site gasification of coal. Computer generated reports of the fuel consumption and savings, capital costs, economics and emissions of the cogeneration energy conversion systems (ECS's) heat and power matched to the individual industrial processes are presented. National fuel and emissions savings are also reported for each ECS assuming it alone is implemented. Two nocogeneration base cases are included: coal fired and residual fired process boilers.

Cogeneration Technology Alternatives Study (CTAS). Volume 6: Computer data. Part 1: Coal-fired nocogeneration process boiler, section A

NASA Technical Reports Server (NTRS)

Knightly, W. F.

1980-01-01

About fifty industrial processes from the largest energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidate which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum based residual and distillate liquid fuels, and low Btu gas obtained through the on site gasification of coal. Computer generated reports of the fuels consumption and savings, capital costs, economics and emissions of the cogeneration energy conversion systems (ECS's) heat and power matched to the individual industrial processes are presented. National fuel and emissions savings are also reported for each ECS assuming it alone is implemented. Two nocogeneration base cases are included: coal fired and residual fired process boilers.

Cogeneration Technology Alternatives Study (CTAS). Volume 6: Computer data. Part 1: Coal-fired nocogeneration process boiler, section B

NASA Technical Reports Server (NTRS)

Knightly, W. F.

1980-01-01

About fifty industrial processes from the largest energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidate which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum based residual and distillate liquid fuels, and low Btu gas obtained through the on site gasification of coal. Computer generated reports of the fuel consumption and savings, capital costs, economics and emissions of the cogeneration energy conversion systems (ECS's) heat and power matched to the individual industrial processes are presented. National fuel and emissions savings are also reported for each ECS assuming it alone is implemented. Two nocogeneration base cases are included: coal fired and residual fired process boilers.

The use of neurocomputational models as alternatives to animal models in the development of electrical brain stimulation treatments.

PubMed

Beuter, Anne

2017-05-01

Recent publications call for more animal models to be used and more experiments to be performed, in order to better understand the mechanisms of neurodegenerative disorders, to improve human health, and to develop new brain stimulation treatments. In response to these calls, some limitations of the current animal models are examined by using Deep Brain Stimulation (DBS) in Parkinson's disease as an illustrative example. Without focusing on the arguments for or against animal experimentation, or on the history of DBS, the present paper argues that given recent technological and theoretical advances, the time has come to consider bioinspired computational modelling as a valid alternative to animal models, in order to design the next generation of human brain stimulation treatments. However, before computational neuroscience is fully integrated in the translational process and used as a substitute for animal models, several obstacles need to be overcome. These obstacles are examined in the context of institutional, financial, technological and behavioural lock-in. Recommendations include encouraging agreement to change long-term habitual practices, explaining what alternative models can achieve, considering economic stakes, simplifying administrative and regulatory constraints, and carefully examining possible conflicts of interest. 2017 FRAME.

Decision Making on Regional Landfill Site Selection in Hormozgan Province Using Smce

NASA Astrophysics Data System (ADS)

Majedi, A. S.; Kamali, B. M.; Maghsoudi, R.

2015-12-01

Landfill site selection and suitable conditions to bury hazardous wastes are among the most critical issues in modern societies. Taking several factors and limitations into account along with true decision making requires application of different decision techniques. To this end, current paper aims to make decisions about regional landfill site selection in Hormozgan province and utilizes SMCE technique combined with qualitative and quantitative criteria to select the final alternatives. To this respect, we first will describe the existing environmental situation in our study area and set the goals of our study in the framework of SMCE and will analyze the effective factors in regional landfill site selection. Then, methodological procedure of research was conducted using Delphi approach and questionnaires (in order to determine research validity, Chronbach Alpha (0.94) method was used). Spatial multi-criteria analysis model was designed in the form of criteria tree in SMCE using IL WIS software. Prioritization of respective spatial alternatives included: Bandar Abbas city with total 4 spatial alternatives (one zone with 1st priority, one zone with 3rd priority and two zones with 4thpriority) was considered the first priority, Bastak city with total 3 spatial alternatives (one zone with 2nd priority, one zone with 3rdpriorit and one zone with 4th priority) was the second priority and Bandar Abbas, Minab, Jask and Haji Abad cities were considered as the third priority.

Breast cancer screening among shift workers: a nationwide population-based survey in Korea.

PubMed

Son, Heesook; Kang, Youngmi

2017-04-01

We aimed to examine the association between shift work types and participation in breast cancer screening (BCS) programs by comparing rates of participation for BCS among regular daytime workers and alternative shift workers using data from a nationally representative, population-based survey conducted in Korea. In addition, the results were analyzed according to sociodemographic factors, including occupation, education, income, private health insurance, age, and number of working hours a week. This secondary cross-sectional analysis used data from the 2012 Korean National Health and Nutritional Examination Survey. The target population included women aged ≥ 40 years who responded as to whether they had undergone BCS in the previous year. Accordingly, we analyzed survey data for a total of 1,193 women and used a multivariate logistic regression analysis to evaluate the differences in factors affecting BCS between regular daytime and alternative shift workers. A logistic regression analysis was performed considering private health insurance as a significant sociodemographic factor for BCS among regular daytime shift workers. In contrast, none of the tested variables could significantly predict adherence to BCS among alternative shift workers. The results of this study suggest the need for the development of comprehensive workplace breast cancer prevention programs by considering shift work types. More attention should be given to female workers with low education levels, those who are uninsured, and young workers to improve the participation rate for BCS at the workplace.

33 CFR 156.107 - Alternatives.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Alternatives. 156.107 Section 156....107 Alternatives. (a) The COTP may consider and approve alternative procedures, methods, or equipment... operator submits a written request for the alternative at least 30 days before operations under the...

Should Title 24 Ventilation Requirements Be Amended to include an Indoor Air Quality Procedure?

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

Dutton, Spencer M.; Mendell, Mark J.; Chan, Wanyu R.

Minimum outdoor air ventilation rates (VRs) for buildings are specified in standards, including California?s Title 24 standards. The ASHRAE ventilation standard includes two options for mechanically-ventilated buildings ? a prescriptive ventilation rate procedure (VRP) that specifies minimum VRs that vary among occupancy classes, and a performance-based indoor air quality procedure (IAQP) that may result in lower VRs than the VRP, with associated energy savings, if IAQ meeting specified criteria can be demonstrated. The California Energy Commission has been considering the addition of an IAQP to the Title 24 standards. This paper, based on a review of prior data and newmore » analyses of the IAQP, evaluates four future options for Title 24: no IAQP; adding an alternate VRP, adding an equivalent indoor air quality procedure (EIAQP), and adding an improved ASHRAE-like IAQP. Criteria were established for selecting among options, and feedback was obtained in a workshop of stakeholders. Based on this review, the addition of an alternate VRP is recommended. This procedure would allow lower minimum VRs if a specified set of actions were taken to maintain acceptable IAQ. An alternate VRP could also be a valuable supplement to ASHRAE?s ventilation standard.« less

Physical Processes in the MAGO/MFT Systems

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

Garanin, Sergey F; Reinovsky, Robert E.

2015-03-23

The Monograph is devoted to theoretical discussion of the physical effects, which are most significant for the alternative approach to the problem of controlled thermonuclear fusion (CTF): the MAGO/MTF approach. The book includes the description of the approach, its difference from the major CTF systems—magnetic confinement and inertial confinement systems. General physical methods of the processes simulation in this approach are considered, including plasma transport phenomena and radiation, and the theory of transverse collisionless shock waves, the surface discharges theory, important for such kind of research. Different flows and magneto-hydrodynamic plasma instabilities occurring in the frames of this approach aremore » also considered. In virtue of the general physical essence of the considered phenomena the presented results are applicable to a wide range of plasma physics and hydrodynamics processes. The book is intended for the plasma physics and hydrodynamics specialists, post-graduate students, and senior students-physicists.« less

78 FR 76317 - Llano Seco Riparian Sanctuary Unit Restoration and Pumping Plant/Fish Screen Facility Protection...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-17

...We, the U.S. Fish and Wildlife Service (Service) and the California Department of Fish and Wildlife (CDFW), announce that the record of decision (ROD) for the Llano Seco Riparian Sanctuary Unit Restoration and Princeton, Codora, Glenn & Provident Irrigation Districts (PCGID-PID) Pumping Plan/Fish Screen Facility Protection Project is now available. The ROD includes a statement of the decisions made, the basis for the decisions, a description of the alternative considered, a description of the environmentally preferable alternative, an overview of the measures to minimize environmental impacts, and a summary of public involvement in the decision-making process.

Use of complementary and alternative medicine by patients with hematological diseases experience at a university hospital in northeast Mexico

PubMed Central

Jaime-Pérez, José Carlos; Chapa-Rodríguez, Adrián; Rodríguez-Martínez, Marisol; Colunga-Pedraza, Perla Rocío; Marfil-Rivera, Luis Javier; Gómez-Almaguer, David

2012-01-01

Background Complementary and alternative medicine includes a diverse group of medical and healthcare systems, practices and products not considered part of conventional medicine. Although there is information on unconventional practices in oncological diseases, specific data regarding the use of complementary and alternative medicine by hematology patients is scarce. Objective The aim of this study is to document the prevalence of this modality of unconventional therapy in patients with malignant and benign hematological diseases, particularly children with acute lymphoblastic leukemia. Methods An observational study of adult patients and guardians of children with malignant or benign hematological diseases was carried out by applying a structured questionnaire detailing the use and results of the most prevalent complementary and alternative medicine practices. Results One hundred and twenty patients were included; 104 had malignant and 16 had benign hematological diseases. The use of complementary and alternative medicine was greater in benign diseases but the difference was not statistically significant (64.7% versus 41.7%; p-value = 0.08). Patients and guardians with high school or college educations used these alternative practices more than patients with less schooling (60.7% versus 54.7%; p-value = 0.032). The use of folk remedies was most prevalent followed by herbal preparations and spiritual healing. Sixty-four percent of patients that used these unconventional practices reported improvement in their symptoms and increased capacity to perform daily activities. Conclusion No significant difference was documented between patients with malignant or benign hematological diseases using these alternative practices. The majority of complementary and alternative medicine users reported improvement of the disease or chemotherapy-related symptoms. PMID:23049401

Modular space station phase B extension period executive summary

NASA Technical Reports Server (NTRS)

Tischler, A. A.; Could, C. L.

1972-01-01

A narrative summary is presented of technical, programmatic, and planning information developed during the space station definition study extension period. The modular space station is emphasized, but tasks pertaining to shuttle sorties missions and information management advanced development are included. A series of program options considering technical, schedule, and programmatic alternatives to the baseline program are defined and evaluated.

Methotrexate for rheumatoid arthritis patients who are on hemodialysis.

PubMed

Al-Hasani, Hasanein; Roussou, Euthalia

2011-12-01

Methotrexate (MTX) can be toxic to patients suffering from end stage renal disease (ESRD) on hemodialysis even at low doses. This increase in toxicity is more notable in terms of bone marrow suppression in the form of pancytopenia. Many methods of elimination including dialysis itself have been proven ineffective, and alternate treatments with anti-TNF alpha blockers can be considered.

Chemistry of potentially prebiological natural products

NASA Astrophysics Data System (ADS)

Eschenmoser, Albert

1994-09-01

A relationship between what might be called a kinetic version of Le Chatelier's principle and chemical self-organization is considered. Some aspects of the search for a pre-RNA genetic system are discussed. Results of an experimental investigation on the pairing properties of alternative nucleic acid systems — including those of pyranosyl-RNA (‘p-RNA’), a constitutional isomer of RNA — are summarized.

Population crisis in the Arab world: an alternative view.

PubMed

Bean, L L

1981-01-01

Aspects of population policy that are relevant to the Arab world are examined. The topics considered include the relationship between population growth and socioeconomic development in the region, the diversity in conditions among countries, political factors, and legislation designed to have a demographic impact. The need for each country to develop a policy appropriate to its own perceived needs is stressed.

76 FR 17162 - Entergy Nuclear Operations, Inc.; Vermont Yankee Nuclear Power Station; Notice of Issuance of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-28

... that included the no-action alternative. The factors considered in the record of decision can be found... for an Additional 20-Year Period; Record of Decision Notice is hereby given that the U.S. Nuclear... renewed license and its technical specifications. The notice also serves as the record of decision for the...

Social cost considerations and legal constraints in implementing modular integrated utility systems

NASA Technical Reports Server (NTRS)

Lede, N. W.; Dixon, H. W.; King, O.; Hill, D. K.

1974-01-01

Social costs associated with the design, demonstration, and implementation of the Modular Integrated Utility System are considered including the social climate of communities, leadership patterns, conflicts and cleavages, specific developmental values, MIUS utility goal assessment, and the suitability of certian alternative options for use in a program of implementation. General considerations are discussed in the field of socio-technological planning. These include guidelines for understanding the conflict and diversity; some relevant goal choices and ideas useful to planners of the MIUS facility.

Optimization of a point-focusing, distributed receiver solar thermal electric system

NASA Technical Reports Server (NTRS)

Pons, R. L.

1979-01-01

This paper presents an approach to optimization of a solar concept which employs solar-to-electric power conversion at the focus of parabolic dish concentrators. The optimization procedure is presented through a series of trade studies, which include the results of optical/thermal analyses and individual subsystem trades. Alternate closed-cycle and open-cycle Brayton engines and organic Rankine engines are considered to show the influence of the optimization process, and various storage techniques are evaluated, including batteries, flywheels, and hybrid-engine operation.

Draft Environmental Impact Statement for the Ulysses Mission (Tier 2)

NASA Technical Reports Server (NTRS)

1990-01-01

This Draft Environmental Impact Statement (DEIS) addresses the environmental impacts which may be caused by the preparation and operation of the Ulysses spacecraft, including its planned launch on the Space Transportation System (STS) Shuttle and the alternative of canceling further work on the mission. The launch configuration will use the STS/Inertial Upper Stage (IUS)/Payload Assist Module-Special(PAM-S) combination. The Tier 1 EIS included a delay alternative which considered the Titan 4 launch vehicle as an alternative booster stage for launch in 1991 or later. However, the U.S. Air Force, which procures the Titan 4 for NASA, could not provide a Titan 4 vehicle for the 1991 launch opportunity because of high priority Department of Defense requirements. The only expected environmental effects of the proposed action are associated with normal Shuttle launch operations. These impacts are limited largely to the near-field at the launch pad, except for temporary stratospheric ozone effects during launch and occasional sonic boom effects near the landing site. These effects have been judged insufficient to preclude Shuttle launches. In the event of (1) an accident during launch, or (2) reentry of the spacecraft from earth orbit, there are potential adverse health and environmental effects associated with the possible release of plutonium dioxide from the spacecraft's radioisotope thermoelectric generators (RTG). The potential effects considered in this EIS include risks of air and water quality impacts, local land area contamination, adverse health and safety impacts, the disturbance of biotic resources, impacts on wetland areas or areas containing historical sites, and socioeconomic impacts. Intensive analysis of the possible accidents associated with the proposed action are underway and preliminary results indicate small health or environmental risks. The results of a Final Safety Analysis Report will be available for inclusion into the final EIS.

Assessing the environmental burdens of anaerobic digestion in comparison to alternative options for managing the biodegradable fraction of municipal solid wastes.

PubMed

Haight, M

2005-01-01

Biological treatment processes including anaerobic digestion (biogasification) and composting are increasingly being considered by waste management officials and planners as alternatives for managing the mainly organic residues of municipal solid wastes (MSW). The integrated waste management model which is based upon the application of life-cycle analysis was employed to compare the environmental burdens of landfilling, composting and anaerobic digestion of MSW at a mid-sized Canadian community. Energy consumption (or recovery), residue recoveries and emissions to air and water were quantified. Scenario comparisons were analyzed to demonstrate that the environmental burdens associated with anaerobic digestion are reduced in comparison with the alternative options. The major benefit occurs as a result of the electricity produced from burning the biogas and then supplying the 'green power' to the local electrical grid.

Technology, safety and costs of decommissioning reference independent spent fuel storage installations. [Contains glossary

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

Ludwick, J D; Moore, E B

1984-01-01

Safety and cost information is developed for the conceptual decommissioning of five different types of reference independent spent fuel storage installations (ISFSIs), each of which is being given consideration for interim storage of spent nuclear fuel in the United States. These include one water basin-type ISFSI (wet) and four dry ISFSIs (drywell, silo, vault, and cask). The reference ISFSIs include all component parts necessary for the receipt, handling and storage of spent fuel in a safe and efficient manner. Three decommissioning alternatives are studied to obtain comparisons between costs (in 1981 dollars), occupational radiation doses, and potential radiation doses tomore » the public. The alternatives considered are: DECON (immediate decontamination), SAFSTOR (safe storage followed by deferred decontamination), and ENTOMB (entombment followed by long-term surveillance).« less

[Classification of disposable medical plastics and search for alternatives without polyvinyl chloride in the Hospital Virgen de las Nieves (Granada, Spain)].

PubMed

Sañudo Hacar, P; Blanco, M G; Martínez, E; Duarte, J A; González, A; Hernández, M; Martínez, M; Cueto, E; Navajas, J A; Navarrete, M J

2012-01-01

To identify and classify disposable hospital products containing polyvinyl chloride (PVC), including the search and evaluation of cost-effective sustainable alternative products free of PVC. A descriptive observational analysis was performed, after classifying the latest research in major databases, and disposable products that could contain PVC. These were divided into 5 groups: cannulas, catheters, tubes, bags, and equipment, purchased in the period 2008-2009, differentiating between the technical and economic assessment of the materials. In the analysis of the composition of 492 articles selected, 234 (47.5%) contained PVC, and 19.4% were considered PVC-free alternatives, with only 11.3% of these being economically viable. This study highlights the advantages of the classification of PVC products, by showing that safe and efficient alternatives exist for some product lines that are consistent with patient safety and quality in the work by doctors. Copyright © 2011 SECA. Published by Elsevier Espana. All rights reserved.

Aspiration and tetracycline sclerotherapy of hydroceles.

PubMed

Levine, L A; DeWolf, W C

1988-05-01

Aspiration and sclerotherapy of hydroceles have been considered an effective outpatient procedure. We report on our experience with modification of this procedure in the treatment of 28 hydroceles. A 10 per cent solution of tetracycline hydrochloride was used as the sclerosant. In this series the mean followup was 15 months and there was an over-all 93 per cent success rate. A single treatment was successful in 75 per cent of the hydroceles. Complications included a hematoma in 2 patients and epididymitis in 1. We consider aspiration and sclerotherapy of hydroceles to be a reasonable alternative to an operation.

Sub-nanosecond ranging possibilities of optical radar at various signal levels and transmitted pulse widths

NASA Technical Reports Server (NTRS)

Poultney, S. K.

1971-01-01

The behavior of the photomultiplier is considered, as well as the method of derivation of the photomultiplier output pulse and its relation to the reflected light pulse width and amplitude, and the calibration of range precision and accuracy. Pulsed laser radars with light pulse widths of 30, 3, and 0.1 nanosec a considered, with the 0.1 nanosec system capable of highest precision in several modes of operation, including a high repetition rate, single photoelectron reception mode. An alternate calibration scheme using a fast, triggerable light pulser is described in detail.

Alternatives to neonicotinoid insecticides for pest control: case studies in agriculture and forestry.

PubMed

Furlan, Lorenzo; Kreutzweiser, David

2015-01-01

Neonicotinoid insecticides are widely used for control of insect pests around the world and are especially pervasive in agricultural pest management. There is a growing body of evidence indicating that the broad-scale and prophylactic uses of neonicotinoids pose serious risks of harm to beneficial organisms and their ecological function. This provides the impetus for exploring alternatives to neonicotinoid insecticides for controlling insect pests. We draw from examples of alternative pest control options in Italian maize production and Canadian forestry to illustrate the principles of applying alternatives to neonicotinoids under an integrated pest management (IPM) strategy. An IPM approach considers all relevant and available information to make informed management decisions, providing pest control options based on actual need. We explore the benefits and challenges of several options for management of three insect pests in maize crops and an invasive insect pest in forests, including diversifying crop rotations, altering the timing of planting, tillage and irrigation, using less sensitive crops in infested areas, applying biological control agents, and turning to alternative reduced risk insecticides. Continued research into alternatives is warranted, but equally pressing is the need for information transfer and training for farmers and pest managers and the need for policies and regulations to encourage the adoption of IPM strategies and their alternative pest control options.

Sensitivity and Specificity of Histoplasma Antigen Detection by Enzyme Immunoassay.

PubMed

Cunningham, Lauren; Cook, Audrey; Hanzlicek, Andrew; Harkin, Kenneth; Wheat, Joseph; Goad, Carla; Kirsch, Emily

2015-01-01

The objective of this study was to evaluate the sensitivity and specificity of an antigen enzyme immunoassay (EIA) on urine samples for the diagnosis of histoplasmosis in dogs. This retrospective medical records review included canine cases with urine samples submitted for Histoplasma EIA antigen assay between 2007 and 2011 from three veterinary institutions. Cases for which urine samples were submitted for Histoplasma antigen testing were reviewed and compared to the gold standard of finding Histoplasma organisms or an alternative diagnosis on cytology or histopathology. Sensitivity, specificity, negative predictive value, positive predictive value, and the kappa coefficient and associated confidence interval were calculated for the EIA-based Histoplasma antigen assay. Sixty cases met the inclusion criteria. Seventeen cases were considered true positives based on identification of the organism, and 41 cases were considered true negatives with an alternative definitive diagnosis. Two cases were considered false negatives, and there were no false positives. Sensitivity was 89.47% and the negative predictive value was 95.35%. Specificity and the positive predictive value were both 100%. The kappa coefficient was 0.9207 (95% confidence interval, 0.8131-1). The Histoplasma antigen EIA test demonstrated high specificity and sensitivity for the diagnosis of histoplasmosis in dogs.

Bioremediation strategies for chromium removal: Current research, scale-up approach and future perspectives.

PubMed

Fernández, Pablo M; Viñarta, Silvana C; Bernal, Anahí R; Cruz, Elías L; Figueroa, Lucía I C

2018-05-28

Industrial applications and commercial processes release a lot of chromium into the environment (soil, surface water or atmosphere) and resulting in serious human diseases because of their toxicity. Biological Cr-removal offers an alternative to traditional physic-chemical methods. This is considered as a sustainable technology of lower impact on the environment. Resistant microorganisms (e.g. bacteria, fungi, and algae) have been most extensively studied from this characteristic. Several mechanisms were developed by microorganisms to deal with chromium toxicity. These tools include biotransformation (reduction or oxidation), bioaccumulation and/or biosorption, and are considered as an alternative to remove the heavy metal. The aim of this review is summarizes Cr(VI)-bioremediation technologies oriented on practical applications at larger scale technologies. In the same way, the most relevant results of several investigations focused on process feasibility and the robustness of different systems (reactors and pilot scale) designed for chromium-removal capacity are highlighted. Copyright © 2018. Published by Elsevier Ltd.

A New Method to Directly Observe Tuberculosis Treatment: Skype Observed Therapy, a Patient-Centered Approach.

PubMed

Buchman, Tavora; Cabello, Celina

Tuberculosis (TB) treatment completion is in part determined by patient's adherence to long-term drug regimens. To best ensure compliance, directly observed therapy (DOT) is considered the standard of practice. Nassau County Department of Health TB Control is responsible for providing DOT to patients with TB. Tuberculosis Control sought to use and evaluate Skype Observed Therapy (SOT) as an alternative to DOT for eligible patients. The evaluation included analysis of patient's acceptance and adherence to drug regimen using SOT. Tuberculosis Control assessed staff efficiency and cost savings for this program. Percentages of SOT of patients and successful SOT visits, mileage, and travel time savings. Twenty percent of the caseload used SOT and 100% of patients who were eligible opted in. Average SOT success was 79%. Total mileage savings and time saved were $9,929.07 and 614 hours. Because SOT saves cost and time and is a suitable alternative to DOT for patients, it should be considered as part of new policies and practices in TB control programs.

Lipid-based nanocarriers as an alternative for oral delivery of poorly water- soluble drugs: peroral and mucosal routes.

PubMed

Silva, A C; Santos, D; Ferreira, D; Lopes, C M

2012-01-01

The hydrophobic character of most drug molecules and their potential for degradation under the hostile environment of the gastrointestinal tract (GIT) constitutes the main obstacle in the development of a successful oral drug delivery system, since these are related to limitations of bioavailability and absorption processes. However, according to the advantages of the oral route, alternative ways of drug administration in the oral cavity should be considered. In this context, it is essential to have a systematic knowledge of the GIT and the oral cavity components, for a better understanding of the processes taking place during the oral administration of drugs. This review gives an overview of those anatomical and physiological features and elucidates about the current approaches employed to enhance the bioavailability of oral poorly water-soluble drugs. Strategies including the uses of lipid-based nanocarriers, such as nanoemulsions, liposomes and lipid nanoparticles are discussed, considering their ability to improve solubility, dissolution kinetics, absorption and, consequently, biopharmaceutical properties. Some toxicological concerns are also highlighted.

On the optimal sizing of batteries for electric vehicles and the influence of fast charge

NASA Astrophysics Data System (ADS)

Verbrugge, Mark W.; Wampler, Charles W.

2018-04-01

We provide a brief summary of advanced battery technologies and a framework (i.e., a simple model) for assessing electric-vehicle (EV) architectures and associated costs to the customer. The end result is a qualitative model that can be used to calculate the optimal EV range (which maps back to the battery size and performance), including the influence of fast charge. We are seeing two technological pathways emerging: fast-charge-capable batteries versus batteries with much higher energy densities (and specific energies) but without the capability to fast charge. How do we compare and contrast the two alternatives? This work seeks to shed light on the question. We consider costs associated with the cells, added mass due to the use of larger batteries, and charging, three factors common in such analyses. In addition, we consider a new cost input, namely, the cost of adaption, corresponding to the days a customer would need an alternative form of transportation, as the EV would not have sufficient range on those days.

Maximum mutual information estimation of a simplified hidden MRF for offline handwritten Chinese character recognition

NASA Astrophysics Data System (ADS)

Xiong, Yan; Reichenbach, Stephen E.

1999-01-01

Understanding of hand-written Chinese characters is at such a primitive stage that models include some assumptions about hand-written Chinese characters that are simply false. So Maximum Likelihood Estimation (MLE) may not be an optimal method for hand-written Chinese characters recognition. This concern motivates the research effort to consider alternative criteria. Maximum Mutual Information Estimation (MMIE) is an alternative method for parameter estimation that does not derive its rationale from presumed model correctness, but instead examines the pattern-modeling problem in automatic recognition system from an information- theoretic point of view. The objective of MMIE is to find a set of parameters in such that the resultant model allows the system to derive from the observed data as much information as possible about the class. We consider MMIE for recognition of hand-written Chinese characters using on a simplified hidden Markov Random Field. MMIE provides improved performance improvement over MLE in this application.

Alternatives for jet engine control

NASA Technical Reports Server (NTRS)

Sain, M. K.

1980-01-01

Nonlinear modeling researches involving the use of tensor analysis are presented. Progress was achieved by extending the studies to a controlled equation and by considering more complex situations. Included in the report are calculations illustrating the modeling methodology for cases in which variables take values in real spaces of dimension up to three, and in which the degree of tensor term retention is as high as three.

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

Dowdy, M.W.; Couch, M.D.

A vehicle comparison methodology based on the Otto-Engine Equivalent (OEE) vehicle concept is described. As an illustration of this methodology, the concept is used to make projections of the fuel economy potential of passenger cars using various alternative power systems. Sensitivities of OEE vehicle results to assumptions made in the calculational procedure are discussed. Factors considered include engine torque boundary, rear axle ratio, performance criteria, engine transient response, and transmission shift logic.

A guide to taxable debt financing alternatives.

PubMed

Aderholdt, J M; Pardue, C R

1989-07-01

The 1986 Tax Reform Act placed new restrictions on the use of tax-exempt financing for certain healthcare projects, and policymakers are considering further restrictions. In light of these developments, financial managers should become familiar with the available taxable debt financing options. These include commercial paper, taxable variable rate demand notes, floating rate notes, medium-term notes, long-term domestic public offerings, and domestic private placements.

In-space propellant logistics. Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

1972-01-01

The study addresses the systems and operational problems associated with the transport, transfer, and storage of cryogenic propellants in low earth orbits. The safety problems connected with in-space propellant logistics operations are also considered.Correlation between the two projects was maintained by including safety considerations, resulting from the system safety analysis, in the trade studies and evaluations of alternate operating concepts in the systems operations analysis.

Married to the Minister: The Status of the Clergy Spouse as Part of a Two-Person Single Career

ERIC Educational Resources Information Center

Murphy-Geiss, Gail E.

2011-01-01

Clergy spouses have long been considered unpaid partners in two-person single careers, but a number of social forces may have begun to challenge that, including the ordination of women and increasingly accepted alternatives to traditional family forms. This study surveyed more than 3,000 United Methodist clergy spouses to assess the status of that…

Statistics of rain-rate estimates for a single attenuating radar

NASA Technical Reports Server (NTRS)

Meneghini, R.

1976-01-01

The effects of fluctuations in return power and the rain-rate/reflectivity relationship, are included in the estimates, as well as errors introduced in the attempt to recover the unattenuated return power. In addition to the Hitschfeld-Bordan correction, two alternative techniques are considered. The performance of the radar is shown to be dependent on the method by which attenuation correction is made.

Status of plutonium ceramic immobilization processes and immobilization forms

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

Ebbinghaus, B.B.; Van Konynenburg, R.A.; Vance, E.R.

1996-05-01

Immobilization in a ceramic followed by permanent emplacement in a repository or borehole is one of the alternatives currently being considered by the Fissile Materials Disposition Program for the ultimate disposal of excess weapons-grade plutonium. To make Pu recovery more difficult, radioactive cesium may also be incorporated into the immobilization form. Valuable data are already available for ceramics form R&D efforts to immobilize high-level and mixed wastes. Ceramics have a high capacity for actinides, cesium, and some neutron absorbers. A unique characteristic of ceramics is the existence of mineral analogues found in nature that have demonstrated actinide immobilization over geologicmore » time periods. The ceramic form currently being considered for plutonium disposition is a synthetic rock (SYNROC) material composed primarily of zirconolite (CaZrTi{sub 2}O{sub 7}), the desired actinide host phase, with lesser amounts of hollandite (BaAl{sub 2}Ti{sub 6}O{sub 16}) and rutile (TiO{sub 2}). Alternative actinide host phases are also being considered. These include pyrochlore (Gd{sub 2}Ti{sub 2}O{sub 7}), zircon (ZrSiO{sub 4}), and monazite (CePO{sub 4}), to name a few of the most promising. R&D activities to address important technical issues are discussed. Primarily these include moderate scale hot press fabrications with plutonium, direct loading of PuO{sub 2} powder, cold press and sinter fabrication methods, and immobilization form formulation issues.« less

Clinical outcomes of anti-androgen withdrawal and subsequent alternative anti-androgen therapy for advanced prostate cancer following failure of initial maximum androgen blockade

PubMed Central

MOMOZONO, HIROYUKI; MIYAKE, HIDEAKI; TEI, HIROMOTO; HARADA, KEN-ICHI; FUJISAWA, MASATO

2016-01-01

The present study aimed to investigate the significance of anti-androgen withdrawal and/or subsequent alternative anti-androgen therapy in patients with advanced prostate cancer (PC) who relapsed after initial maximum androgen blockade (MAB). The present study evaluated the clinical outcomes of 272 consecutive advanced PC patients undergoing anti-androgen withdrawal and/or subsequent alternative anti-androgen therapy with flutamide following the failure of initial MAB using bicalutamide. With the exception of 41 patients (15.1%) who did not undergo anti-androgen withdrawal due to the characteristics of PC suggesting aggressive diseases, prostate-specific antigen (PSA) declined from the baseline value in 83 patients (35.9%), including 18 (7.8%) with PSA decline >50%, but not in the remaining 148 (64.1%). No significant difference in the overall survival (OS) or cancer-specific survival (CSS) among the three groups was observed based on the response to anti-androgen withdrawal. Following the introduction of alternative anti-androgen therapy with flutamide, PSA decline was observed in 185 patients (68.0%), including 103 (37.9%) who achieved a PSA reduction of >50%; however, the PSA level continued to elevate in the remaining 87 (32.0%). Furthermore, of the numerous factors examined, only the duration of the initial MAB therapy was shown to be significantly correlated with the PSA decline following alternative anti-androgen therapy. Multivariate analysis of several factors identified revealed that only PSA decline following alternative anti-androgen therapy was an independent predictor of CSS and OS. If initial MAB is effective, the introduction of alternative anti-androgen therapy may be considered; however, anti-androgen withdrawal should be omitted, irrespective of the characteristics of advanced PC. PMID:27123292

77 FR 14583 - Notice to Manufacturers of Alternative Fuel Vans

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-12

... Alternative Fuel Vans AGENCY: Federal Aviation Administration (FAA), U.S. DOT. ACTION: Notice to Manufacturers of Alternative Fuel Vans. SUMMARY: Projects funded under the Airport Improvement Program (AIP) must... (FAA) is considering issuing waivers to foreign manufacturers of alternative fuel vans. This notice...

Possibility of heat recovery from gray water in residential building

NASA Astrophysics Data System (ADS)

Mazur, Aleksandra; Słyś, Daniel

2017-12-01

Recovery of waste heat from gray water can be an interesting alternative to other energy saving systems in a building, including alternative energy sources. Mainly, due to a number of advantages including independence from weather conditions, small investment outlay, lack of user support, or a slight interference with the installation system. The purpose of this article is to present the financial effectiveness of installations which provide hot, usable water to a detached house, using a Drain Water Heat Recovery (DWHR) system depending on the number of system users and the various combinations of bathing time in the shower, which has an influence on the daily warm water demand in each of the considered options. The economic analysis of the adopted installation variants is based on the Life Cycle Cost (LCC) method, which is characterized by the fact that it also includes the operating costs in addition to the capital expenditure during the entire analysis period. For each case, the necessary devices were selected and the cost of their installation was estimated.

An evaluation of negative-emission transportation-energy systems for the US

NASA Astrophysics Data System (ADS)

Larson, E. D.; Meerman, J. C.

2017-12-01

We present technical, economic, and carbon footprint evaluations of alternative technological pathways for negative emissions transportation energy from sustainably-sourced lignocellulosic biomass in the U.S. We combine the understanding of alternative technological pathways with spatially-resolved projections of the sustainable supply of lignocellulosic biomass and with future demands for transportation services to provide insights on the extent to which biomass-based energy might be able to help meet mid-century U.S. transportation energy needs and carbon mitigation targets. Biomass conversion routes included in our evaluations are biochemical, biocatalytic, thermocatalytic hydropyrolysis, and thermochemical gasification/synthesis to produce liquid fuels fungible with petroleum-derived fuels, and thermochemical conversion to hydrogen (for fuel cell vehicles) or electricity (for battery electric vehicles). Lifecycle net negative emissions are achieved for each system via soil carbon buildup during biomass production and/or capture of CO2 at the conversion facility and underground storage. Co-processing of some fossil fuel is considered in some cases to improve economics. For self-consistency in the analysis across systems, a common set of technical, economic and carbon footprint input parameters are adopted. Capital cost estimates are harmonized by taking into account scale of facilities, level of engineering details available in generating a cost estimate, and the technology readiness level (TRL) of components and the process as a whole. Implications for economics of future commercial plants are investigated, considering alternative prospective reductions in capital and operating costs (via "learning by doing") and alternative carbon mitigation policies.

Alternative management and funding options for aeronautics programs, Task 1

NASA Technical Reports Server (NTRS)

1975-01-01

Research and technology will be at lower program levels with basic military research for aviation decreasing as fewer aircraft programs are initiated and the present new aircraft programs move into the prototype and production status. The key question is can industry take on the management and financing role and meet the criteria and characteristics considered essential for a viable research and technology program. The criteria for evaluating alternative approaches include an examination of the nature of the product to be provided, responsiveness to changing needs, efficiency in terms of costs, ability to provide leadership, and to provide impartial and independent evaluation of approaches, and to provide technological inputs for regulating functions.

Multimodality: a basis for augmentative and alternative communication--psycholinguistic, cognitive, and clinical/educational aspects.

PubMed

Loncke, Filip T; Campbell, Jamie; England, Amanda M; Haley, Tanya

2006-02-15

Message generating is a complex process involving a number of processes, including the selection of modes to use. When expressing a message, human communicators typically use a combination of modes. This phenomenon is often termed multimodality. This article explores the use of models that explain multimodality as an explanatory framework for augmentative and alternative communication (AAC). Multimodality is analysed from a communication, psycholinguistic, and cognitive perspective. Theoretical and applied topics within AAC can be explained or described within the multimodality framework considering iconicity, simultaneous communication, lexical organization, and compatibility of communication modes. Consideration of multimodality is critical to understanding underlying processes in individuals who use AAC and individuals who interact with them.

DNA patenting: implications for public health research.

PubMed Central

Dutfield, Graham

2006-01-01

I weigh the arguments for and against the patenting of functional DNA sequences including genes, and find the objections to be compelling. Is an outright ban on DNA patenting the right policy response? Not necessarily. Governments may wish to consider options ranging from patent law reforms to the creation of new rights. There are alternative ways to protect DNA sequences that industry may choose if DNA patenting is restricted or banned. Some of these alternatives may be more harmful than patents. Such unintended consequences of patent bans mean that we should think hard before concluding that prohibition is the only response to legitimate concerns about the appropriateness of patents in the field of human genomics. PMID:16710549

Paediatric Pain Management: Using Complementary and Alternative Medicine.

PubMed

Evans, Subhadra; Tsao, Jennie C I; Zeltzer, Lonnie K

2008-09-01

Children undergo acute painful procedures and many also experience chronic pain.Due to their developing systems, infants and children may be at greater risk than adults for protracted pain sensitivity.There is a need to manage acute and chronic paediatric pain to reduce children's suffering and to prevent future pain problems.Consistent with a biopsychosocial perspective, complementary and alternative medicine (CAM) should be considered in management of acute and chronic paediatric pain.Although research is limited for paediatric pain, CAM interventions receiving the most empirical attention include hypnotherapy, acupuncture and music therapy. Evidence also exists for the therapeutic benefits of yoga, massage, humor therapy and the use of certain biological based therapies.

Impact of Rate Design Alternatives on Residential Solar Customer Bills. Increased Fixed Charges, Minimum Bills and Demand-based Rates

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

Bird, Lori; Davidson, Carolyn; McLaren, Joyce

With rapid growth in energy efficiency and distributed generation, electric utilities are anticipating stagnant or decreasing electricity sales, particularly in the residential sector. Utilities are increasingly considering alternative rates structures that are designed to recover fixed costs from residential solar photovoltaic (PV) customers with low net electricity consumption. Proposed structures have included fixed charge increases, minimum bills, and increasingly, demand rates - for net metered customers and all customers. This study examines the electricity bill implications of various residential rate alternatives for multiple locations within the United States. For the locations analyzed, the results suggest that residential PV customers offset,more » on average, between 60% and 99% of their annual load. However, roughly 65% of a typical customer's electricity demand is non-coincidental with PV generation, so the typical PV customer is generally highly reliant on the grid for pooling services.« less

Ecology of Fungus Gnats (Bradysia spp.) in Greenhouse Production Systems Associated with Disease-Interactions and Alternative Management Strategies.

PubMed

Cloyd, Raymond A

2015-04-09

Fungus gnats (Bradysia spp.) are major insect pests of greenhouse-grown horticultural crops mainly due to the direct feeding damage caused by the larvae, and the ability of larvae to transmit certain soil-borne plant pathogens. Currently, insecticides and biological control agents are being used successively to deal with fungus gnat populations in greenhouse production systems. However, these strategies may only be effective as long as greenhouse producers also implement alternative management strategies such as cultural, physical, and sanitation. This includes elimination of algae, and plant and growing medium debris; placing physical barriers onto the growing medium surface; and using materials that repel fungus gnat adults. This article describes the disease-interactions associated with fungus gnats and foliar and soil-borne diseases, and the alternative management strategies that should be considered by greenhouse producers in order to alleviate problems with fungus gnats in greenhouse production systems.

Women's labour and economic globalisation: a participatory workshop created by Alternative Women in Development (Alt-WID).

PubMed

Barton, C; Nazombei, E

2000-03-01

This article describes the aims, methods, materials and topics used in a participatory workshop created by Alternative Women in Development. The organization aims to bridge the gaps in analyzing human rights and economic justice in both North and South from a feminist perspective through a workshop. This workshop considers the varied roles that women play in the global economy and features a series of anecdotes to illustrate the diverse ways in which globalization affects women in all regions worldwide. The workshop runs for a minimum of 3 hours and is structured as follows: introduction; plenary: identifying the human rights of the women; small-group work, plenary: building a group analysis and discussion of alternatives to the existing policies; and individual and plenary evaluations. Furthermore, four anecdotes used at the workshop are presented. Among the outcomes of the workshop included the identification of the problem causes and development of strategies for action.

Difference in electrodynamic transduction between speaker and alternator in thermoacoustic applications.

PubMed

Gonen, Eran; Grossman, Gershon

2015-09-01

Conventional reciprocating pistons, normally found in thermoacoustic engines, tend to introduce complex impedance characteristics, including acoustic, mechanical, and electrical portions. System behavior and performance usually rely on proper tuning processes and selection of an optimal point of operation, affected substantially by complementary hardware, typically adjusted for the specific application. The present study proposes an alternative perspective on the alternator behavior, by considering the relative motion between gas and piston during the engine mode of operation. Direct analytical derivation of the velocity distribution inside a tight seal gap and the associated impedance is employed to estimate the electro-acoustic conversion efficiency, thus indicating how to improve the system performance. The influence of acoustic phase, gap dimensions, and working conditions is examined, suggesting the need to develop tighter and longer seal gaps, having increased impedance, to allow optimization for use in upcoming sustainable power generation solutions and smart grids.

Impact of Space Transportation System on planetary spacecraft and missions design

NASA Technical Reports Server (NTRS)

Barnett, P. M.

1975-01-01

Results of Jet Propulsion Laboratory (JPL) activities to define and understand alternatives for planetary spacecraft operations with the Space Transportation System (STS) are summarized. The STS presents a set of interfaces, operational alternatives, and constraints in the prelaunch, launch, and near-earth flight phases of a mission. Shuttle-unique features are defined and coupled with JPL's existing program experience to begin development of operationally efficient alternatives, concepts, and methods for STS-launched missions. The time frame considered begins with the arrival of the planetary spacecraft at Kennedy Space Center and includes prelaunch ground operations, Shuttle-powered flight, and near-earth operations, up to acquisition of the spacecraft signal by the Deep Space Network. The areas selected for study within this time frame were generally chosen because they represent the 'driving conditions' on planetary-mission as well as system design and operations.

Ecology of Fungus Gnats (Bradysia spp.) in Greenhouse Production Systems Associated with Disease-Interactions and Alternative Management Strategies

PubMed Central

Cloyd, Raymond A.

2015-01-01

Fungus gnats (Bradysia spp.) are major insect pests of greenhouse-grown horticultural crops mainly due to the direct feeding damage caused by the larvae, and the ability of larvae to transmit certain soil-borne plant pathogens. Currently, insecticides and biological control agents are being used successively to deal with fungus gnat populations in greenhouse production systems. However, these strategies may only be effective as long as greenhouse producers also implement alternative management strategies such as cultural, physical, and sanitation. This includes elimination of algae, and plant and growing medium debris; placing physical barriers onto the growing medium surface; and using materials that repel fungus gnat adults. This article describes the disease-interactions associated with fungus gnats and foliar and soil-borne diseases, and the alternative management strategies that should be considered by greenhouse producers in order to alleviate problems with fungus gnats in greenhouse production systems. PMID:26463188

33 CFR 154.107 - Alternatives.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Alternatives. 154.107 Section 154... FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK General § 154.107 Alternatives. (a) The COTP may consider and approve alternative procedures, methods, or equipment standards to be used by a facility...

10 CFR 503.36 - State or local requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Permanent Exemptions for New Facilities § 503... petitioner is not entitled to an exemption for lack of alternate fuel supply, site limitation, environmental... reasonable alternative site for the alternate fuel(s) considered; (5) At the proposed site and every...

Is Carbon Capture and Storage Really Needed?

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

Tsouris, Costas; Williams, Kent Alan; Aaron, D

2010-01-01

Two of the greatest contemporary global challenges are anthropogenic greenhouse gas emissions and energy sustainability. A popular proposed solution to the former problem is carbon capture and storage (CCS). Unfortunately, CCS has little benefit for energy sustainability and introduces significant long-term costs and risks. Thus, we propose the adoption of 'virtual CCS' by directing the resources that would have been spent on CCS to alternative energy technologies. (The term 'virtual' is used here because the concept described in this work satisfies the Merriam-Webster Dictionary definition of virtual: 'being such in essence or effect though not formally recognized or admitted.') Inmore » this example, we consider wind and nuclear power and use the funds that would have been required by CCS to invest in installation and operation of these technologies. Many other options exist in addition to wind and nuclear power including solar, biomass, geothermal, and others. These additional energy technologies can be considered in future studies. While CCS involves spending resources to concentrate CO{sub 2} in sinks, such as underground reservoirs, low-carbon alternative energy produces power, which will displace fossil fuel use while simultaneously generating revenues. Thus, these alternative energy technologies achieve the same objective as that of CCS, namely, the avoidance of atmospheric CO{sub 2} emissions.« less

Regulatory pathways to enable the licencing of alternatives to antibiotics.

PubMed

Ioannou, Faye; Burnsteel, Cindy; Mackay, David K J; Gay, Cyril G

2018-05-01

Effective alternatives to antibiotics (ATA) such as vaccines, antibodies, phage therapies, prebiotics, probiotics and herbal medicines can be used in place of traditional antibiotics in a way that does not compromise animal health as means of tackling the growing threat to both animal and human health from antimicrobial resistance (AMR). This paper reflects the key points on the approaches that were discussed during the 2nd International Symposium on ATA between regulatory agencies, veterinary product companies representing largely the pharmaceutical and feed-additive sectors, academia and other stakeholders on regulatory pathways to enable the licensing of alternatives to antibiotics for food producing animals. The need to demonstrate compliance with generally accepted standards for quality, safety and efficacy is considered a pre-requisite for all veterinary medicinal products receiving an authorisation including ATA, irrespective of the region in which they are approved. ATA are often based on novel technologies, with complex mechanisms of action; therefore, early and close communication with regulators is encouraged. In addition, strategic use by ATA applicants of all regulatory tools available to support innovation is highly recommended. The veterinary product manufacturers consider that the regulation of veterinary medicines should evolve to accommodate innovative ATA technologies and incentives from regulatory agencies provided to stimulate further ATA development. Copyright © 2018.

Take a Closer Look:Biofuels Can Support Environmental, Economic and Social Goals

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

Dale, Bruce E.; Anderson, James; Brown, Dr. Robert C.

The US Congress passed the Renewable Fuels Standard (RFS) seven years ago. Since then, biofuels have gone from darling to scapegoat for many environmentalists, policy makers, and the general public. The reasons for this shift are complex and include concerns about environmental degradation, uncertainties about impact on food security, new access to fossil fuels, and overly optimistic timetables. As a result, many people have written off biofuels. However, numerous studies indicate that biofuels, if managed sustainably, can help solve pressing environmental, social and economic problems (Figure 1). The scientific and policy communities should take a closer look by reviewing themore » key assumptions underlying opposition to biofuels and carefully consider the probable alternatives. Liquid fuels based on fossil raw materials are likely to come at increasing environmental cost. Sustainable futures require energy conservation, increased efficiency, and alternatives to fossil fuels, including biofuels.« less

Cogeneration Technology Alternatives Study (CTAS). Volume 5: Cogeneration systems results

NASA Technical Reports Server (NTRS)

Gerlaugh, H. E.; Hall, E. W.; Brown, D. H.; Priestley, R. R.; Knightly, W. F.

1980-01-01

The use of various advanced energy conversion systems is examined and compared with each other and with current technology systems for savings in fuel energy, costs, and emissions in individual plants and on a national level. About fifty industrial processes from the largest energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidate which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum based residual and distillate liquid fuels, and low Btu gas obtained through the on site gasification of coal. The methodology and results of matching the cogeneration energy conversion systems to approximately 50 industrial processes are described. Results include fuel energy saved, levelized annual energy cost saved, return on investment, and operational factors relative to the noncogeneration base cases.

Bonneville Power Administration Transmission System Vegetation Management Program Draft Environmental Impact Statement

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

N /A

Bonneville is responsible for maintaining a network of 24,000 kilometers (km) or 15,000 miles (mi.) of electric transmission lines and 350 substations in a region of diverse vegetation. This vegetation can interfere with electric power flow, pose safety problems for us and the public, and interfere with our ability to maintain these facilities. We need to (1) keep vegetation away from the electric facilities; (2) increase the program efficiency and consistency; (3) review herbicide use (under increased public scrutiny); and (4) maximize the range of tools we can use while minimizing environmental impact (Integrated Vegetation Management). This DEIS establishes Planningmore » Steps for managing vegetation for specific projects (to be tiered to this EIS). In addition to No Action (current practice), alternatives are presented for Rights-of-way, Electric Yards, and Non-electric Facilities (landscaping, work yards). Four vegetation control methods are analyzed: manual, mechanical, herbicide, and biological. Also evaluated are 24 herbicide active ingredients and 4 herbicide application techniques (spot, localized, broadcast, and aerial). For rights-of-way, they consider three sets of alternatives: alternative management approaches (time-driven or establishing low-growing plant communities); alternative method packages; and, if herbicides are in a methods package, alternative vegetation selections (noxious weeds, deciduous, or any vegetation). For electric yards, one herbicide-use alternative is considered. For non-electric facilities, two method package alternatives are considered. For rights-of-way, the environmentally preferred alternative(s) would use manual, mechanical, and biological control methods, as well as spot and localized herbicide applications for noxious and deciduous plant species; the BPA-preferred alternative(s) would add broadcast and aerial herbicide applications, and would use herbicides on any vegetation. Both would factor a management approach that fosters low-growing plant communities.« less

Women Choose Their Careers: A Study of Natural Decision Making.

ERIC Educational Resources Information Center

Eisenhart, Margaret A.

1985-01-01

Ethnographic interviews with 23 college-aged women revealed most considered few career alternatives, relied on easily accessible information sources, made choices early in life, stayed with the choice, and decided to either "earn money" or "stay at home." The others considered several alternatives, pursued them, and linked them to relationships…

The Psychopharmacology Algorithm Project at the Harvard South Shore Program: An Algorithm for Generalized Anxiety Disorder.

PubMed

Abejuela, Harmony Raylen; Osser, David N

2016-01-01

This revision of previous algorithms for the pharmacotherapy of generalized anxiety disorder was developed by the Psychopharmacology Algorithm Project at the Harvard South Shore Program. Algorithms from 1999 and 2010 and associated references were reevaluated. Newer studies and reviews published from 2008-14 were obtained from PubMed and analyzed with a focus on their potential to justify changes in the recommendations. Exceptions to the main algorithm for special patient populations, such as women of childbearing potential, pregnant women, the elderly, and those with common medical and psychiatric comorbidities, were considered. Selective serotonin reuptake inhibitors (SSRIs) are still the basic first-line medication. Early alternatives include duloxetine, buspirone, hydroxyzine, pregabalin, or bupropion, in that order. If response is inadequate, then the second recommendation is to try a different SSRI. Additional alternatives now include benzodiazepines, venlafaxine, kava, and agomelatine. If the response to the second SSRI is unsatisfactory, then the recommendation is to try a serotonin-norepinephrine reuptake inhibitor (SNRI). Other alternatives to SSRIs and SNRIs for treatment-resistant or treatment-intolerant patients include tricyclic antidepressants, second-generation antipsychotics, and valproate. This revision of the GAD algorithm responds to issues raised by new treatments under development (such as pregabalin) and organizes the evidence systematically for practical clinical application.

Evaluation of alternatives for best available technology treatment and retreatment of uranium-contaminated wastewater at the Paducah Gaseous Diffusion Plant C-400 Facility

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

Del Cul, G.D.; Osborne, P.E.; Beck, D.E.

1991-01-01

The Paducah Gaseous Diffusion Plant (PGDP) C-400 Decontamination Facility generates aqueous solutions that originate in drum washing, machine parts and equipment cleaning, and other decontamination processes. The chemical composition of the waste depends on the particular operation involved. In general, the waste contains uranyl, fluoride, carbonate, and nitrate ions, plus soaps, detergents, secondary contaminants, and particulate matter. The uranium content is rather variable ranging between 0.5 and 30 g/l. The main contaminants are fluoride, technetium, uranium, and other heavy metals. The plan included (1) a literature search to support best available technology (BAT) evaluation of treatment alternatives, (2) a qualitymore » assurance/quality control plan, (3) suggestion of alternative treatment options, (4) bench-scale tests studies of the proposed treatment alternatives, and (5) establishment of the final recommendation. The following report records the evaluation of items (1) to (3) of the action plan for the BAT evaluation of alternatives for the treatment and retreatment of uranium-contaminated wastewater at the PGDP C-400 treatment facility. After a thorough literature search, five major technologies were considered: (1) precipitation/coprecipitation, (2) reverse osmosis, (3) ultrafiltration, (4) supported liquid membranes, and (5) ion exchange. Biosorption was also considered, but as it is a fairly new technology with few demonstrations of its capabilities, it is mentioned only briefly in the report. Based on C-400's requirements and facilities, the precipitation/coprecipitation process appears to be the best suited for use at the plant. Four different treatment options using the precipitation/coprecipitation technology are proposed. Bench-scale studies of the four options are suggested. 37 refs.« less

An Alternate Approach to Alternating Sums: A Method to DIE for

ERIC Educational Resources Information Center

Benjamin, Arthur T.; Quinn, Jennifer J.

2008-01-01

Positive sums count. Alternating sums match. Alternating sums of binomial coefficients, Fibonacci numbers, and other combinatorial quantities are analyzed using sign-reversing involutions. In particular, we describe the quantity being considered, match positive and negative terms through an Involution, and count the Exceptions to the matching rule…

Alternative Fuel News, Vol. 4, No. 4

DOT National Transportation Integrated Search

2001-02-22

The Clean Cities network is growing, and more fleets are considering alternative fuels. : Industry old-timers that have been using alternative fuels since the passage of Energy Policy : Act of 1992 are beginning to replace their used alternativ...

Flood Hazard Mapping by Applying Fuzzy TOPSIS Method

NASA Astrophysics Data System (ADS)

Han, K. Y.; Lee, J. Y.; Keum, H.; Kim, B. J.; Kim, T. H.

2017-12-01

There are lots of technical methods to integrate various factors for flood hazard mapping. The purpose of this study is to suggest the methodology of integrated flood hazard mapping using MCDM(Multi Criteria Decision Making). MCDM problems involve a set of alternatives that are evaluated on the basis of conflicting and incommensurate criteria. In this study, to apply MCDM to assessing flood risk, maximum flood depth, maximum velocity, and maximum travel time are considered as criterion, and each applied elements are considered as alternatives. The scheme to find the efficient alternative closest to a ideal value is appropriate way to assess flood risk of a lot of element units(alternatives) based on various flood indices. Therefore, TOPSIS which is most commonly used MCDM scheme is adopted to create flood hazard map. The indices for flood hazard mapping(maximum flood depth, maximum velocity, and maximum travel time) have uncertainty concerning simulation results due to various values according to flood scenario and topographical condition. These kind of ambiguity of indices can cause uncertainty of flood hazard map. To consider ambiguity and uncertainty of criterion, fuzzy logic is introduced which is able to handle ambiguous expression. In this paper, we made Flood Hazard Map according to levee breach overflow using the Fuzzy TOPSIS Technique. We confirmed the areas where the highest grade of hazard was recorded through the drawn-up integrated flood hazard map, and then produced flood hazard map can be compared them with those indicated in the existing flood risk maps. Also, we expect that if we can apply the flood hazard map methodology suggested in this paper even to manufacturing the current flood risk maps, we will be able to make a new flood hazard map to even consider the priorities for hazard areas, including more varied and important information than ever before. Keywords : Flood hazard map; levee break analysis; 2D analysis; MCDM; Fuzzy TOPSIS Acknowlegement This research was supported by a grant (17AWMP-B079625-04) from Water Management Research Program funded by Ministry of Land, Infrastructure and Transport of Korean government.

The Otto-engine-equivalent vehicle concept

NASA Technical Reports Server (NTRS)

Dowdy, M. W.; Couch, M. D.

1978-01-01

A vehicle comparison methodology based on the Otto-Engine Equivalent (OEE) vehicle concept is described. As an illustration of this methodology, the concept is used to make projections of the fuel economy potential of passenger cars using various alternative power systems. Sensitivities of OEE vehicle results to assumptions made in the calculational procedure are discussed. Factors considered include engine torque boundary, rear axle ratio, performance criteria, engine transient response, and transmission shift logic.

Spacelab Program: Conversion of Spacelab to packet data format. Flight system study

NASA Technical Reports Server (NTRS)

1981-01-01

A study of packetization of the Spacelab data handling system, including the alternate approaches considered and the supporting rationale, is described. It is concluded that it is well within today's state of the art in microelectronics to implement either a full or hybrid packet data system on board the Spacelab. Of the two, the hybrid system is preferred because of the significant cost saving.

Purtscher-like retinopathy: A rare complication of peribulbar anesthesia.

PubMed

Narendran, Siddharth; Saravanan, V R; Pereira, Merlyn

2016-06-01

Purtscher and Purtscher-like retinopathy is a distinctive retinal syndrome characterized by ischemic retinal whitening in a peripapillary pattern. We report a case of Purtscher-like retinopathy in a healthy 64-year-old man after a routine peribulbar anesthetic injection for cataract surgery. Although peribulbar anesthesia is considered to be a safer alternative to retrobulbar anesthesia, it has been associated with unusual but grave complications including central retinal artery occlusion.

METACOGNITIVE SCAFFOLDS IMPROVE SELF-JUDGMENTS OF ACCURACY IN A MEDICAL INTELLIGENT TUTORING SYSTEM

PubMed Central

Feyzi-Behnagh, Reza; Azevedo, Roger; Legowski, Elizabeth; Reitmeyer, Kayse; Tseytlin, Eugene; Crowley, Rebecca S.

2013-01-01

In this study, we examined the effect of two metacognitive scaffolds on the accuracy of confidence judgments made while diagnosing dermatopathology slides in SlideTutor. Thirty-one (N = 31) first- to fourth-year pathology and dermatology residents were randomly assigned to one of the two scaffolding conditions. The cases used in this study were selected from the domain of Nodular and Diffuse Dermatitides. Both groups worked with a version of SlideTutor that provided immediate feedback on their actions for two hours before proceeding to solve cases in either the Considering Alternatives or Playback condition. No immediate feedback was provided on actions performed by participants in the scaffolding mode. Measurements included learning gains (pre-test and post-test), as well as metacognitive performance, including Goodman-Kruskal Gamma correlation, bias, and discrimination. Results showed that participants in both conditions improved significantly in terms of their diagnostic scores from pre-test to post-test. More importantly, participants in the Considering Alternatives condition outperformed those in the Playback condition in the accuracy of their confidence judgments and the discrimination of the correctness of their assertions while solving cases. The results suggested that presenting participants with their diagnostic decision paths and highlighting correct and incorrect paths helps them to become more metacognitively accurate in their confidence judgments. PMID:24532850

METACOGNITIVE SCAFFOLDS IMPROVE SELF-JUDGMENTS OF ACCURACY IN A MEDICAL INTELLIGENT TUTORING SYSTEM.

PubMed

Feyzi-Behnagh, Reza; Azevedo, Roger; Legowski, Elizabeth; Reitmeyer, Kayse; Tseytlin, Eugene; Crowley, Rebecca S

2014-03-01

In this study, we examined the effect of two metacognitive scaffolds on the accuracy of confidence judgments made while diagnosing dermatopathology slides in SlideTutor. Thirty-one ( N = 31) first- to fourth-year pathology and dermatology residents were randomly assigned to one of the two scaffolding conditions. The cases used in this study were selected from the domain of Nodular and Diffuse Dermatitides. Both groups worked with a version of SlideTutor that provided immediate feedback on their actions for two hours before proceeding to solve cases in either the Considering Alternatives or Playback condition. No immediate feedback was provided on actions performed by participants in the scaffolding mode. Measurements included learning gains (pre-test and post-test), as well as metacognitive performance, including Goodman-Kruskal Gamma correlation, bias, and discrimination. Results showed that participants in both conditions improved significantly in terms of their diagnostic scores from pre-test to post-test. More importantly, participants in the Considering Alternatives condition outperformed those in the Playback condition in the accuracy of their confidence judgments and the discrimination of the correctness of their assertions while solving cases. The results suggested that presenting participants with their diagnostic decision paths and highlighting correct and incorrect paths helps them to become more metacognitively accurate in their confidence judgments.

Dimethyl ether (DME) as an alternative fuel

NASA Astrophysics Data System (ADS)

Semelsberger, Troy A.; Borup, Rodney L.; Greene, Howard L.

With ever growing concerns on environmental pollution, energy security, and future oil supplies, the global community is seeking non-petroleum based alternative fuels, along with more advanced energy technologies (e.g., fuel cells) to increase the efficiency of energy use. The most promising alternative fuel will be the fuel that has the greatest impact on society. The major impact areas include well-to-wheel greenhouse gas emissions, non-petroleum feed stocks, well-to-wheel efficiencies, fuel versatility, infrastructure, availability, economics, and safety. Compared to some of the other leading alternative fuel candidates (i.e., methane, methanol, ethanol, and Fischer-Tropsch fuels), dimethyl ether appears to have the largest potential impact on society, and should be considered as the fuel of choice for eliminating the dependency on petroleum. DME can be used as a clean high-efficiency compression ignition fuel with reduced NO x, SO x, and particulate matter, it can be efficiently reformed to hydrogen at low temperatures, and does not have large issues with toxicity, production, infrastructure, and transportation as do various other fuels. The literature relevant to DME use is reviewed and summarized to demonstrate the viability of DME as an alternative fuel.

Nonpharmacological treatment of epilepsy

PubMed Central

Saxena, V. S.; Nadkarni, V. V.

2011-01-01

Nonpharmacological treatment of epilepsy includes surgery, vagal nerve stimulation, ketogenic diet, and other alternative/complementary therapies, e.g., yoga, Ayurveda, electroencephalography (EEG) biofeedback technique, aerobic exercise, music therapy, transcranial magnetic stimulation, acupuncture, and herbal remedies (traditional Chinese medicine). Alternative therapies, despite the term, should not be considered as an alternative to antiepileptic medication; they complement accepted drug treatment. Alternative therapies like yoga, through techniques that relax the body and mind, reduce stress, improve seizure control, and also improve quality of life. Ketogenic diet is a safe and effective treatment for intractable epilepsies; it has been recommended since 1921. The diet induces ketosis, which may control seizures. The most successful treatment of epilepsy is with modern antiepileptic drugs, which can achieve control of seizures in 70–80% cases. Patients opt for alternative therapies because they may be dissatisfied with antiepileptic drugs due to their unpleasant side effects, the long duration of treatment, failure to achieve control of seizures, cultural beliefs and, in the case of women, because they wish to get pregnant Surgical treatment may lead to physical and psychological sequelae and is an option only for a minority of patients. This article presents supportive evidence from randomized controlled trials done to assess the benefit of non-pharmacological treatment. PMID:22028523

The Importance of Considering Differences in Study Design in Network Meta-analysis: An Application Using Anti-Tumor Necrosis Factor Drugs for Ulcerative Colitis.

PubMed

Cameron, Chris; Ewara, Emmanuel; Wilson, Florence R; Varu, Abhishek; Dyrda, Peter; Hutton, Brian; Ingham, Michael

2017-11-01

Adaptive trial designs present a methodological challenge when performing network meta-analysis (NMA), as data from such adaptive trial designs differ from conventional parallel design randomized controlled trials (RCTs). We aim to illustrate the importance of considering study design when conducting an NMA. Three NMAs comparing anti-tumor necrosis factor drugs for ulcerative colitis were compared and the analyses replicated using Bayesian NMA. The NMA comprised 3 RCTs comparing 4 treatments (adalimumab 40 mg, golimumab 50 mg, golimumab 100 mg, infliximab 5 mg/kg) and placebo. We investigated the impact of incorporating differences in the study design among the 3 RCTs and presented 3 alternative methods on how to convert outcome data derived from one form of adaptive design to more conventional parallel RCTs. Combining RCT results without considering variations in study design resulted in effect estimates that were biased against golimumab. In contrast, using the 3 alternative methods to convert outcome data from one form of adaptive design to a format more consistent with conventional parallel RCTs facilitated more transparent consideration of differences in study design. This approach is more likely to yield appropriate estimates of comparative efficacy when conducting an NMA, which includes treatments that use an alternative study design. RCTs based on adaptive study designs should not be combined with traditional parallel RCT designs in NMA. We have presented potential approaches to convert data from one form of adaptive design to more conventional parallel RCTs to facilitate transparent and less-biased comparisons.

Cogeneration Technology Alternatives Study (CTAS). Volume 4: Energy conversion systems

NASA Technical Reports Server (NTRS)

Brown, D. H.; Gerlaugh, H. E.; Priestley, R. R.

1980-01-01

Industrial processes from the largest energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidate which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed-cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum-based residual and distillate liquid fuels, and low Btu gas obtained through the on-site gasification of coal. An attempt was made to use consistent assumptions and a consistent set of ground rules specified by NASA for determining performance and cost. The advanced and commercially available cogeneration energy conversion systems studied in CTAS are fined together with their performance, capital costs, and the research and developments required to bring them to this level of performance.

Taser and Conducted Energy Weapons.

PubMed

LeClair, Thomas G; Meriano, Tony

2015-01-01

It is clear that CEWs are an increasingly prevalent law enforcement tool, adopted to address a complex and challenging problem. The potential for serious injury from a single deployment of a CEW is extremely low. The debate regarding the link between these electrical weapons and sudden in-custody death is likely to continue because their use is often in complex and volatile situations. Any consideration of injuries has to be put into that context. One must also consider what injuries to a subject would result if an alternative force method was used. Furthermore, the potential benefits of CEWs, including reduction in injuries to the public and law-enforcement officers, need to be considered.

Flutter suppression and gust alleviation using active controls

NASA Technical Reports Server (NTRS)

Nissim, E.

1975-01-01

Application of the aerodynamic energy approach to some problems of flutter suppression and gust alleviation were considered. A simple modification of the control-law is suggested for achieving the required pitch control in the use of a leading edge - trailing edge activated strip. The possible replacement of the leading edge - trailing edge activated strip by a trailing edge - tab strip is also considered as an alternate solution. Parameters affecting the performance of the activated leading edge - trailing edge strip were tested on the Arava STOL Transport and the Westwind Executive Jet Transport and include strip location, control-law gains and a variation in the control-law itself.

Definition and Evolution of Transverse Momentum Distributions

NASA Astrophysics Data System (ADS)

Echevarría, Miguel G.; Idilbi, Ahmad; Scimemi, Ignazio

We consider the definition of unpolarized transverse-momentum-dependent parton distribution functions while staying on-the-light-cone. By imposing a requirement of identical treatment of two collinear sectors, our approach, compatible with a generic factorization theorem with the soft function included, is valid for all non-ultra-violet regulators (as it should), an issue which causes much confusion in the whole field. We explain how large logarithms can be resummed in a way which can be considered as an alternative to the use of Collins-Soper evolution equation. The evolution properties are also discussed and the gauge-invariance, in both classes of gauges, regular and singular, is emphasized.

Psychophysical Reverse Correlation with Multiple Response Alternatives

PubMed Central

Dai, Huanping; Micheyl, Christophe

2011-01-01

Psychophysical reverse-correlation methods such as the “classification image” technique provide a unique tool to uncover the internal representations and decision strategies of individual participants in perceptual tasks. Over the last thirty years, these techniques have gained increasing popularity among both visual and auditory psychophysicists. However, thus far, principled applications of the psychophysical reverse-correlation approach have been almost exclusively limited to two-alternative decision (detection or discrimination) tasks. Whether and how reverse-correlation methods can be applied to uncover perceptual templates and decision strategies in situations involving more than just two response alternatives remains largely unclear. Here, the authors consider the problem of estimating perceptual templates and decision strategies in stimulus identification tasks with multiple response alternatives. They describe a modified correlational approach, which can be used to solve this problem. The approach is evaluated under a variety of simulated conditions, including different ratios of internal-to-external noise, different degrees of correlations between the sensory observations, and various statistical distributions of stimulus perturbations. The results indicate that the proposed approach is reasonably robust, suggesting that it could be used in future empirical studies. PMID:20695712

Georgetown University Integrated Community Energy System (GU-ICES). Phase III, Stage I. Feasibility analysis. Final report. Volume 1

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

None

This Feasibility Analysis covers a wide range of studies and evaluations. The Report is divided into five parts. Section 1 contains all material relating to the Institutional Assessment including consideration of the requirements and position of the Potomac Electric Co. as they relate to cogeneration at Georgetown in parallel with the utility (Task 1). Sections 2 through 7 contain all technical information relating to the Alternative Subsystems Analysis (Task 4). This includes the energy demand profiles upon which the evaluations were based (Task 3). It further includes the results of the Life-Cycle-Cost Analyses (Task 5) which are developed in detailmore » in the Appendix for evaluation in the Technical Report. Also included is the material relating to Incremental Savings and Optimization (Task 6) and the Conceptual Design for candidate alternate subsystems (Task 7). Section 8 contains all material relating to the Environmental Impact Assessment (Task 2). The Appendix contains supplementary material including the budget cost estimates used in the life-cycle-cost analyses, the basic assumptions upon which the life-cycle analyses were developed, and the detailed life-cycle-cost anlysis for each subsystem considered in detail.« less

A call for innovative social media research in the field of augmentative and alternative communication.

PubMed

Hemsley, Bronwyn; Balandin, Susan; Palmer, Stuart; Dann, Stephen

2017-03-01

Augmentative and alternative communication (AAC) social media research is relatively new, and is built on a foundation of research on use of the Internet and social media by people with communication disabilities. Although the field is expanding to include a range of people who use AAC, there are limitations and gaps in research that will need to be addressed in order to keep pace with the rapid evolution of social media connectivity in assistive communication technologies. In this paper, we consider the aims, scope, and methodologies of AAC social media research, with a focus on social network sites. Lack of detailed attention to specific social network sites and little use of social media data limits the extent to which findings can be confirmed. Increased use of social media data across a range of platforms, including Instagram and YouTube, would provide important insights into the lives of people who use AAC and the ways in which they and their supporters use social media. New directions for AAC social media research are presented in line with those discussed at the social media research symposium at the International Society for Augmentative and Alternative Communication in Toronto, Canada, on August 12, 2016.

The relation of Complementary-Alternative Medicine use with glomerular filtration rate and depression in patients with chronic kidney disease at predialysis stage.

PubMed

Esen, Bennur; Atay, Ahmet Engin; Gokmen, Emel Saglam; Karakoc, Ayten; Sari, Hakan; Sarisakal, Samprie; Kahvecioglu, Serdar; Kayabasi, Hasan; Sit, Dede

2015-05-08

Complementary and alternative medicine is a broad field of health including all health care practices and methods; and their accompanying theories and beliefs. In the present study, we aimed to examine the frequency of complementary-alternative medicine use, and its relation with glomerular filtration rate and depression in patients with chronic kidney disease at predialysis stage. A total of 1053 predialysis patients; 518 female and 535 male, that were followed up with chronic kidney disease for at least 3 months were enrolled into the study. Demographic features, biochemical parameters and findings of physical examination were recorded. Their compliance to diet, and knowledge about disease were questioned. Beck depression inventory and questionnaire regarding to complementary-alternative medicine use were performed. The overall frequency of complementary-alternative medicine use was 40.3% . Total ratio of herbal products was 46%. Complementary-alternative medicine use was significantly more frequent in female or single patients, and patients that informed about chronic kidney disease or under strict diet (p:0.007, p:0.016, p:0.02, p:0.016; respectively). When glomerular filtration rate of participants were considered, complementary-alternative medicine use was similar in different stages of kidney disease. Depression was observed in 41.9% of patients and significantly frequent in patients with alternative method use (p:0.002). Depression score was higher as creatinine increases and glomerular filtration rate decreases (p:0.002; r: 0,093). We determined that complementary-alternative medicine use gradually increases at predialysis stage as glomerular filtration rate decreases and there is a strict relation between complementary-alternative medicine use and depression or female gender. Disorder related stressors may lead to seeking of alternative methods. This article is protected by copyright. All rights reserved.

Complementary and alternative medicine: is there a role in multiple sclerosis?

PubMed

Yadav, Vijayshree; Bourdette, Dennis

2006-05-01

Despite effective conventional therapies for multiple sclerosis (MS), many people with MS explore complementary and alternative medicine (CAM) therapies for their symptoms. Common CAM therapies that people use include dietary modification, nutritional and herbal supplementation, and mind-body therapies. There is a revival of interest among MS researchers about the therapeutic potential of low-fat diet and essential fatty acid supplementation in MS. The efficacy of specific vitamin supplementation remains unclear. Recently, cannabis and yoga have been studied in more controlled studies and have provided evidence that they may have some benefit. The research on CAM therapies in MS is still exploratory, but considering peoples' interest and common use of these therapies, further research in this area is clearly warranted.

Hydrogen production by Cyanobacteria.

PubMed

Dutta, Debajyoti; De, Debojyoti; Chaudhuri, Surabhi; Bhattacharya, Sanjoy K

2005-12-21

The limited fossil fuel prompts the prospecting of various unconventional energy sources to take over the traditional fossil fuel energy source. In this respect the use of hydrogen gas is an attractive alternate source. Attributed by its numerous advantages including those of environmentally clean, efficiency and renew ability, hydrogen gas is considered to be one of the most desired alternate. Cyanobacteria are highly promising microorganism for hydrogen production. In comparison to the traditional ways of hydrogen production (chemical, photoelectrical), Cyanobacterial hydrogen production is commercially viable. This review highlights the basic biology of cynobacterial hydrogen production, strains involved, large-scale hydrogen production and its future prospects. While integrating the existing knowledge and technology, much future improvement and progress is to be done before hydrogen is accepted as a commercial primary energy source.

Fuzzy architecture assessment for critical infrastructure resilience

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

Muller, George

2012-12-01

This paper presents an approach for the selection of alternative architectures in a connected infrastructure system to increase resilience of the overall infrastructure system. The paper begins with a description of resilience and critical infrastructure, then summarizes existing approaches to resilience, and presents a fuzzy-rule based method of selecting among alternative infrastructure architectures. This methodology includes considerations which are most important when deciding on an approach to resilience. The paper concludes with a proposed approach which builds on existing resilience architecting methods by integrating key system aspects using fuzzy memberships and fuzzy rule sets. This novel approach aids the systemsmore » architect in considering resilience for the evaluation of architectures for adoption into the final system architecture.« less

Study of a comet rendezvous mission, volume 1

NASA Technical Reports Server (NTRS)

1972-01-01

The feasibility, scientific objectives, modes of exploration and implementation alternatives of a rendezvous mission to Encke's comet in 1984 are considered. Principal emphasis is placed on developing the scientific rationale for such a mission, based on available knowledge and best estimates of this comet's physical characteristics, including current theories of its origin, evolution and composition. Studied are mission profile alternatives, performance tradeoffs, preferred exploration strategy, and a spacecraft design concept capable of performing this mission. The study showed that the major scientific objectives can be met by a Titan IIID/Centaur-launched 17.5 kw solar electric propulsion spacecraft which carries 60 kg of scientific instruments and is capable of extensive maneuvering within the comet envelope to explore the coma, tail and nucleus.

The 30/20 GHz communications satellite trunking network study

NASA Technical Reports Server (NTRS)

Kolb, W.

1981-01-01

Alternative transmission media for a CONUS-wide trunking network in the years 1990 and 2000 are examined. The alternative technologies comprised fiber optic cable, conventional C- and Ku-band satellites, and 30/20 GHz satellites. Three levels of implementation were considered - a 10-city network, a 20-city network, and a 40-city network. The cities selected were the major metropolitan areas with the greatest communications demand. All intercity voice, data, and video traffic carried more than 40 miles was included in the analysis. In the optimized network, traffic transmitted less than 500 miles was found to be better served by fiber optic cable in 1990. By the year 2000, the crossover point would be down to 200 miles, assuming availability of 30/20 GHz satellites.

Experience on healthcare utilization in seven administrative regions of Tanzania

PubMed Central

2012-01-01

Health care utilization in many developing countries, Tanzania included, is mainly through the use of traditional medicine (TRM) and its practitioners despite the presence of the conventional medicine. This article presents findings on the study that aimed to get an experience of health care utilization from both urban and rural areas of seven administrative regions in Tanzania. A total of 33 health facility managers were interviewed on health care provision and availability of supplies including drugs, in their respective areas. The findings revealed that the health facilities were overburden with higher population to serve than it was planned. Consequently essential drugs and other health supplies were available only in the first two weeks of the month. Conventional health practitioners considered traditional health practitioners to be more competent in mental health management, and overall, they were considered to handle more HIV/AIDS cases knowingly or unknowingly due to shear need of healthcare by this group. In general conventional health practitioners were positive towards traditional medicine utilization; and some of them admitted using traditional medicines. Traditional medicines like other medical health systems worldwide have side effects and some contentious ethical issues that need serious consideration and policy direction. Since many people will continue using traditional/alternative medicine, there is an urgent need to collaborate with traditional/alternative health practitioners through the institutionalization of basic training including hygiene in order to improved healthcare in the community and attain the Millennium Development Goals by 2015. PMID:22284539

Perspectives on the production, structural characteristics and potential applications of bioplastics derived from polyhydroxyalkanoates.

PubMed

Albuquerque, Priscilla B S; Malafaia, Carolina B

2018-02-01

Since the last two decades, the use of synthetic materials has increased and become more frequent in this capitalist system. Polymers used as raw materials are usually disposed very rapidly and considered serious damages when they return to the environment. Because of this behaviour, there was an increasing in the global awareness by minimizing the waste generated, in addition to the scientific community concern for technological alternatives to solve this problem. Alternatively, biodegradable polymers are attracting special interest due to their inherent properties, which are similar to the ones of the conventional plastics. Bioplastics covers plastics made from renewable resources, including plastics that biodegrade under controlled conditions at the end of their use phase. Polyhydroxyalkanoates (PHAs) are polyesters composed of hydroxy acids, synthesized by a variety of microorganisms as intracellular carbon and energy storage. These environmentally friendly biopolymers have excellent potential in domestic, agricultural, industrial and medical field, however their production on a large scale is still limited. This review considered the most recent scientific publications on the production of bioplastics based on PHAs, their structural characteristics and the exploitation of different renewable sources of raw materials. In addition, there were also considered the main biotechnological applications of these biopolymers. Copyright © 2017 Elsevier B.V. All rights reserved.

Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos).

PubMed

Mori, Yasuhisa; Itoi, Takao; Baron, Todd H; Takada, Tadahiro; Strasberg, Steven M; Pitt, Henry A; Ukai, Tomohiko; Shikata, Satoru; Noguchi, Yoshinori; Teoh, Anthony Yuen Bun; Kim, Myung-Hwan; Asbun, Horacio J; Endo, Itaru; Yokoe, Masamichi; Miura, Fumihiko; Okamoto, Kohji; Suzuki, Kenji; Umezawa, Akiko; Iwashita, Yukio; Hibi, Taizo; Wakabayashi, Go; Han, Ho-Seong; Yoon, Yoo-Seok; Choi, In-Seok; Hwang, Tsann-Long; Chen, Miin-Fu; Garden, O James; Singh, Harjit; Liau, Kui-Hin; Huang, Wayne Shih-Wei; Gouma, Dirk J; Belli, Giulio; Dervenis, Christos; de Santibañes, Eduardo; Giménez, Mariano Eduardo; Windsor, John A; Lau, Wan Yee; Cherqui, Daniel; Jagannath, Palepu; Supe, Avinash Nivritti; Liu, Keng-Hao; Su, Cheng-Hsi; Deziel, Daniel J; Chen, Xiao-Ping; Fan, Sheung Tat; Ker, Chen-Guo; Jonas, Eduard; Padbury, Robert; Mukai, Shuntaro; Honda, Goro; Sugioka, Atsushi; Asai, Koji; Higuchi, Ryota; Wada, Keita; Yoshida, Masahiro; Mayumi, Toshihiko; Hirata, Koichi; Sumiyama, Yoshinobu; Inui, Kazuo; Yamamoto, Masakazu

2018-01-01

Since the publication of the Tokyo Guidelines in 2007 and their revision in 2013, appropriate management for acute cholecystitis has been more clearly established. Since the last revision, several manuscripts, especially for alternative endoscopic techniques, have been reported; therefore, additional evaluation and refinement of the 2013 Guidelines is required. We describe a standard drainage method for surgically high-risk patients with acute cholecystitis and the latest developed endoscopic gallbladder drainage techniques described in the updated Tokyo Guidelines 2018 (TG18). Our study confirmed that percutaneous transhepatic gallbladder drainage should be considered the first alternative to surgical intervention in surgically high-risk patients with acute cholecystitis. Also, endoscopic transpapillary gallbladder drainage or endoscopic ultrasound-guided gallbladder drainage can be considered in high-volume institutes by skilled endoscopists. In the endoscopic transpapillary approach, either endoscopic naso-gallbladder drainage or gallbladder stenting can be considered for gallbladder drainage. We also introduce special techniques and the latest outcomes of endoscopic ultrasound-guided gallbladder drainage studies. Free full articles and mobile app of TG18 are available at: http://www.jshbps.jp/modules/en/index.php?content_id=47. Related clinical questions and references are also included. © 2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

Fuzzy weighted average based on left and right scores in Malaysia tourism industry

NASA Astrophysics Data System (ADS)

Kamis, Nor Hanimah; Abdullah, Kamilah; Zulkifli, Muhammad Hazim; Sahlan, Shahrazali; Mohd Yunus, Syaizzal

2013-04-01

Tourism is known as an important sector to the Malaysian economy including economic generator, creating business and job offers. It is reported to bring in almost RM30 billion of the national income, thanks to intense worldwide promotion by Tourism Malaysia. One of the well-known attractions in Malaysia is our beautiful islands. The islands continue to be developed into tourist spots and attracting a continuous number of tourists. Chalets, luxury bungalows and resorts quickly develop along the coastlines of popular islands like Tioman, Redang, Pangkor, Perhentian, Sibu and so many others. In this study, we applied Fuzzy Weighted Average (FWA) method based on left and right scores in order to determine the criteria weights and to select the best island in Malaysia. Cost, safety, attractive activities, accommodation and scenery are five main criteria to be considered and five selected islands in Malaysia are taken into accounts as alternatives. The most important criteria that have been considered by the tourist are defined based on criteria weights ranking order and the best island in Malaysia is then determined in terms of FWA values. This pilot study can be used as a reference to evaluate performances or solving any selection problems, where more criteria, alternatives and decision makers will be considered in the future.

Five Ethical Paradigms for Community College Leaders: Toward Constructing and Considering Alternative Courses of Action in Ethical Decision Making

ERIC Educational Resources Information Center

Wood, J. Luke; Hilton, Adriel A.

2012-01-01

This article encourages community college leaders to employ ethical paradigms when constructing and considering alternative courses of action in decision-making processes. The authors discuss four previously articulated paradigms (e.g., ethic of justice, ethic of critique, ethic of care, and ethic of the profession) and propose an additional…

A possible alternative to the error prone modified Hodge test to correctly identify the carbapenemase producing Gram-negative bacteria.

PubMed

Jeremiah, S S; Balaji, V; Anandan, S; Sahni, R D

2014-01-01

The modified Hodge test (MHT) is widely used as a screening test for the detection of carbapenemases in Gram-negative bacteria. This test has several pitfalls in terms of validity and interpretation. Also the test has a very low sensitivity in detecting the New Delhi metallo-β-lactamase (NDM). Considering the degree of dissemination of the NDM and the growing pandemic of carbapenem resistance, a more accurate alternative test is needed at the earliest. The study intends to compare the performance of the MHT with the commercially available Neo-Sensitabs - Carbapenemases/Metallo-β-Lactamase (MBL) Confirmative Identification pack to find out whether the latter could be an efficient alternative to the former. A total of 105 isolates of Klebsiella pneumoniae resistant to imipenem and meropenem, collected prospectively over a period of 2 years were included in the study. The study isolates were tested with the MHT, the Neo-Sensitabs - Carbapenemases/MBL Confirmative Identification pack and polymerase chain reaction (PCR) for detecting the blaNDM-1 gene. Among the 105 isolates, the MHT identified 100 isolates as carbapenemase producers. In the five isolates negative for the MHT, four were found to produce MBLs by the Neo-Sensitabs. The Neo-Sensitabs did not have any false negatives when compared against the PCR. The MHT can give false negative results, which lead to failure in detecting the carbapenemase producers. Also considering the other pitfalls of the MHT, the Neo-Sensitabs--Carbapenemases/MBL Confirmative Identification pack could be a more efficient alternative for detection of carbapenemase production in Gram-negative bacteria.

Understanding the complexity of trans fatty acid reduction in the American diet: American Heart Association Trans Fat Conference 2006: report of the Trans Fat Conference Planning Group.

PubMed

Eckel, Robert H; Borra, Susan; Lichtenstein, Alice H; Yin-Piazza, Shirley Y

2007-04-24

A 2-day forum was convened to discuss the current status and future implications of reducing trans fatty acids without increasing saturated fats in the food supply while maintaining functionality and consumer acceptance of packaged, processed, and prepared foods. Attendees represented the agriculture and oilseed industry and oil processing, food manufacturing, food service, government, food technology, and health and nutrition disciplines. Presentations included food science behind fatty acid technology, the health science of dietary fatty acids, alternatives to trans fatty acids, and the use of alternatives in food manufacturing and food service. The reduction of trans fatty acids in the food supply is a complex issue involving interdependent and interrelated stakeholders. Actions to reduce trans fatty acids need to carefully consider both intended and unintended consequences related to nutrition and public health. The unintended consequence of greatest concern is that fats and oils high in saturated fats, instead of the healthier unsaturated fats, might be used to replace fats and oils with trans fatty acids. Many different options of alternative oils and fats to replace trans fatty acids are available or in development. Decisions on the use of these alternatives need to consider availability, health effects, research and development investments, reformulated food quality and taste, supply-chain management, operational modifications, consumer acceptance, and cost. The conference demonstrated the value of collaboration between the food industry and health and nutrition professionals, and this conference model should be used to address other food development, processing, and/or technology issues.

Evaluation of alternatives for best available technology treatment and retreatment of uranium-contaminated solutions at the Paducah Gaseous Diffusion Plant C-400 Facility

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

Del Cul, G.D.

1991-02-01

The Paducah Gaseous Diffusion Plant C-400 Decontamination Facility generators aqueous solutions that originate in drum washing, machine parts and equipment cleaning, and other decontamination processes. In general, the waste contains uranyl, fluoride, carbonate, and nitrate ions, in addition to soaps, detergents, secondary contaminants, and particulate matter. The main contaminants are fluoride, technetium, uranium, and other heavy metals. In accordance with Department of Energy (DOE) Order 5400.5, the releases of radioactive materials must be as low as reasonably achievable and be below the derived concentration guide limits. To comply with the DOE order, an action plan was formulated. The action planmore » included a literature search to support best available technology evaluation of treatment alternatives, a quality assurance/quality control plan, suggestion of alternative treatment options, bench-scale test studies of the proposed treatment alternatives, and establishment of the final recommendation. Five major technologies were considered: precipitation/coprecipitation, reverse osmosis, ultrafiltration, supported liquid membranes, and ion exchange. Biosorption was also briefly considered. Based on C-400's requirements and facilities, the precipitation/coprecipitation process appears to be the best suited for use at the plant. Four different treatment options using the precipitation/coprecipitation technology were proposed. Bench-scale studies of all four options were suggested. Options 1 and 2 represent a combination of lime-softening and iron coprecipitation. Laboratory test evaluations were initiated and the results involving Options 1 and 2 reported here. 29 refs., 1 fig., 2 tabs.« less

Intelligent Mobile Autonomous System

DTIC Science & Technology

1987-01-01

used intermittently , and each of them characterizes the level of generalization. One cannot discern any another point within the tile, this is a...traversability space is not fast enough to be considered for actual control application. Alternatives to limit the computation time include (1) increasing the...error. (b) It must be concise and easy to "compute". In other words there must exist simple, fast procedures for instandating the "words" or "sentences

NSF presentation. [summary on energy conversion research program

NASA Technical Reports Server (NTRS)

Morse, F. H.

1973-01-01

Wind energy conversion research is considered in the framework of the national energy problem. Research and development efforts for the practical application of solar energy -- including wind energy -- as alternative energy supplies are assessed in: (1) Heating and cooling of buildings; (2) photovoltaic energy conversion; (3) solar thermal energy conversion; (4) wind energy conversion; (5) ocean thermal energy conversion; (6) photosynthetic production of organic matter; and (7) conversion of organic matter into fuels.

A national study of the streamflow data-collection program

USGS Publications Warehouse

Benson, Manuel A.; Carter, Rolland William

1973-01-01

The streamflow data program of the U.S. Geological Survey was evaluated in a nationwide study during 1970. The principal elements of the study were (1) establishing the objectives and goals of the program, (2) analyzing all available data to determine which of the goals have already been met, (3) considering alternate means of meeting the remaining goals, and (4) identifying the elements which should be included in the future program.

Maintenance Assistance and Instruction Team (MAIT) Concept Review (Project LEAP, Issue 104).

DTIC Science & Technology

1975-08-20

Reserve Component forces , to include identification of military and civilian authorized spaces, their associated equipment, salary, and travel costs...5) How many MAIT teams are authorized/assigned to each major command by installation (location)? (6) How many NIAIT are in support of Active Forces ... Forces , the USAR and the National Guard? (12) As a minimum, the following alternative courses of action should be considered: (a) Continue the MAIT

Purtscher-like retinopathy: A rare complication of peribulbar anesthesia

PubMed Central

Narendran, Siddharth; Saravanan, V R; Pereira, Merlyn

2016-01-01

Purtscher and Purtscher-like retinopathy is a distinctive retinal syndrome characterized by ischemic retinal whitening in a peripapillary pattern. We report a case of Purtscher-like retinopathy in a healthy 64-year-old man after a routine peribulbar anesthetic injection for cataract surgery. Although peribulbar anesthesia is considered to be a safer alternative to retrobulbar anesthesia, it has been associated with unusual but grave complications including central retinal artery occlusion. PMID:27488158

ecopa: a powerful concept in the way forward for alternative methods.

PubMed

Rogiers, Vera

2002-12-01

ecopa, the European Consensus-Platform on Alternatives, is an international not-for-profit organisation, based in Belgium and complying with Belgium Law. It is the only quadripartite organisation that promotes the Three Rs at the European level. Ecopa brings together national consensus platforms on alternative methods. Consensus means that all parties concerned are represented, including animal welfare, industry, academia and government. Ecopa currently includes the National Platforms of 14 EU Member State (or future Member State; eight full members, namely, Austria, Belgium, Finland, Germany, The Netherlands, Spain, Switzerland and the UK, and six associate members, being the Czech Republic, Denmark, Italy, Norway, Poland and Sweden). Ecopa also has three working groups, concerned with: a) the 6th Framework Programme of the EC for Research, Technological Development and Demonstration Activities; b) the EC White Paper Strategy for a Future EU Chemicals Policy; and c) the formation of educational programmes on alternative methods within the EU. Ecopa is thus uniquely placed and has huge expertise to offer to the debate around political topics, including the White Paper, the 6th Framework Programme, and the 7th Amendment of the EU Cosmetics Directive. Ecopa should be considered a key stakeholder by the European Commission and Parliament, and it is essential that the views of ecopa are fully incorporated into future legislation. Recently, the ecopa working groups made a strong common statement on the Chemicals Policy White Paper and made a number of recommendations to the Commission based on scientific, practical and realistic grounds. These are to be found on the ecopa Web site (http://www.ecopa.tsx.org/).

Consider the Alternative: The Effects of Causal Knowledge on Representing and Using Alternative Hypotheses in Judgments under Uncertainty

ERIC Educational Resources Information Center

Hayes, Brett K.; Hawkins, Guy E.; Newell, Ben R.

2016-01-01

Four experiments examined the locus of impact of causal knowledge on consideration of alternative hypotheses in judgments under uncertainty. Two possible loci were examined; overcoming neglect of the alternative when developing a representation of a judgment problem and improving utilization of statistics associated with the alternative…

Alternative Retirement Plans.

ERIC Educational Resources Information Center

Hogan, John D.

1984-01-01

Alternative college retirement programs and features of a desirable retirement program are discussed. The historical, social, and economic forces that prompt institutions to consider alternative programs are identified. The present position of college faculty in terms of retirement options is also addressed. Since its inception, the Teachers…

Community Alternatives.

ERIC Educational Resources Information Center

Little (Arthur D.), Inc., Washington, DC.

This resource booklet offers communities alternatives to juvenile detention and correctional facilities. The range of possibilities to be considered in lieu of incarceration is made available to planners, advocates, and decision-makers. The use of detention, correctional facilities and alternatives is a function of the social, political and…

Use of complementary and alternative medicine by patients with cancer in northern Turkey: analysis of cost and satisfaction.

PubMed

Aydin Avci, Ilknur; Koç, Zeliha; Sağlam, Zeynep

2012-03-01

The aims of this study were to determine (1) the prevalence of complementary and alternative medicine use among patients with cancer, (2) the method of use of the particular therapy, (3) the reasons for using complementary and alternative medicine therapies, (4) the benefits experienced by the use of complementary and alternative medicine, (5) the source of information about complementary and alternative medicine therapies and, (6) the satisfaction and cost of complementary and alternative medicine. Complementary and alternative medicine consists of diverse medical and healthcare systems, practices and products that are not considered at present to be a part of conventional medicine. The majority of patients who use complementary and alternative medicine use more than one method. Complementary and alternative medicine use is more common in cases of advanced disease or poor prognosis. This is a descriptive study of complementary and alternative medicine. This study was conducted in the Chemotherapy Unit at Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey, between 18 March 2008-30 June 2008. Two hundred fifty-three patients with cancer, among 281 patients who applied to the chemotherapy clinic between these dates, agreed to take part in the study with whom contact could be made were included. A questionnaire including descriptive characteristics in collecting data, characteristics about diseases and their treatments, complementary and alternative medicine information and implementation situations and a control list about complementary and alternative medicine implementations were given. The collected data were evaluated by computer using descriptive statistics, the chi-square test and Student's t-test. In this study, 94·1% of the patients were content with medical treatment, 58·9% of them used complementary and alternative medicine treatments, 41·1% did not use any complementary and alternative medicine treatments. The satisfaction level of the patients with complementary and alternative medicine methods was slightly above mediocre (2·33 SD 0·64, on a scale of 1-3). The average cost per capita spent by the patients using complementary and alternative medicine for all the different methods was US$288·26. It was determined that although patients did not have enough knowledge about complementary and alternative medicine methods, the prevalence of complementary and alternative medicine and satisfaction levels are high that complementary and alternative medicine users spend substantial sums of money for these methods. To sustain medical treatment and prognosis of cancer, it is important for nurses to consult with their patients regarding the use and potential risks of some complementary and alternative medicine. © 2011 Blackwell Publishing Ltd.

Development of a Larvicidal Nanoemulsion with Pterodon emarginatus Vogel Oil

PubMed Central

Oliveira, Anna E. M. F. M.; Duarte, Jonatas L.; Amado, Jesus R. R.; Cruz, Rodrigo A. S.; Rocha, Clarice F.; Souto, Raimundo N. P.; Ferreira, Ricardo M. A.; Santos, Karen; da Conceição, Edemilson C.; de Oliveira, Leandra A. R.; Kelecom, Alphonse; Fernandes, Caio P.; Carvalho, José C. T.

2016-01-01

Pterodon emarginatus Vogel is a Brazilian species that belongs to the family Fabaceae, popularly known as sucupira. Its oil has several biological activities, including potent larvicidal property against Aedes aegypti. This insect is the vector of dengue, a tropical disease that has been considered a critical health problem in developing countries, such as Brazil. Most of dengue control methods involve larvicidal agents suspended or diluted in water and making active lipophilic natural products available is therefore considered a technological challenge. In this context, nanoemulsions appear as viable alternatives to solve this major problem. The present study describes the development of a novel nanoemulsion with larvicidal activity against A. aegypti along with the required Hydrophile Lipophile Balance determination of this oil. It was suggested that the mechanism of action might involve reversible inhibition of acetylcholinesterase and our results also suggest that the P. emarginatus nanoemulsion is not toxic for mammals. Thus, it contributes significantly to alternative integrative practices of dengue control, as well as to develop sucupira based nanoproducts for application in aqueous media. PMID:26742099

Complementary and alternative health care in Israel

PubMed Central

2012-01-01

The paper explores the patterns of coexistence of alternative/complementary health care (CAM) and conventional medicine in Israel in the cultural, political, and social contexts of the society. The data are drawn from over ten years of sociological research on CAM in Israel, which included observation, survey research, and over one hundred in-depth interviews with a variety of CAM practitioners - many with bio-medical credentials - and with policy makers in the major medical institutions. The analysis considers the reasons for CAM use, number of practitioners, the frequency of CAM use and some of its correlates, and how CAM is regulated. The structure of the relationship between the conventional health care system and CAM is discussed in the public sector, which provides two-thirds of CAM services, and in the private sector, which provides about one-third. The history of the development of these structures and some of the dilemmas of their operation are discussed. A number of policy issues are considered against this background: regulation and licensing, CAM in primary care, reimbursement for CAM treatment, and the inclusion of CAM in education and training for the health professions. PMID:22913721

Advanced system demonstration for utilization of biomass as an energy source. Technical Appendix J: alternatives studies. Environmental report

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

McCollom, M.

1979-01-01

A comprehensive review of a wide range of alternatives to the proposed action, the commercial demonstration of an industrial cogenerating facility fired with wood fuels is provided. An extensive effort has been devoted to the evaluation of all reasonable alternatives to this project. A number of possible actions were also briefly considered, but, for various reasons, they were found not to be appropriate at present for a commercial-scale demonstration of an alternative energy source. The critical characteristics of the wood-fueled commercial demonstration project at Westbrook are considered to be: industrial cogeneration of power; the production of 510,000 pounds per hourmore » of industrial process steam; the production of approximately twenty-five megawatts of electric generating capacity, some of which would be available to a public utility in southern Maine; and the consumption of 2,000 tons of wood fuel per day. Each of the alternatives examined in this appendix offers a different option for one or several of the characteristics of the project listed above. As a whole, the appendix describes the range of possible actions that the US Department of Energy and its contractors have considered.« less

Bonneville Power Administration Transmission System Vegetation Management Program - Final Environmental Impact Statement

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

N /A

Bonneville is responsible for maintaining a network of 24,000 kilometers (km) or 15,000 miles (mi.) of electric transmission lines and 350 substations in a region of diverse vegetation. This vegetation can interfere with electric power flow, pose safety problems for us and the public, and interfere with our ability to maintain these facilities. We need to (1) keep vegetation away from our electric facilities; (2) increase our program efficiency and consistency; (3) review herbicide use (under increased public scrutiny); and (4) maximize the range of tools we can use while minimizing environmental impact (Integrated Vegetation Management). This Final Environmental Impactmore » Statement (FEIS) establishes Planning Steps for managing vegetation for specific projects (to be tiered to this Environmental Impact Statement (EIS)). In addition to No Action (current practice), alternatives are presented for Rights-of-way, Electric Yards, and Non-electric Facilities (landscaping, work yards). Four vegetation control methods are analyzed manual, mechanical, herbicide, and biological. Also evaluated are 23 herbicide active ingredients and 4 herbicide application techniques (spot, localized, broadcast, and aerial). For rights-of-way, we consider three sets of alternatives: alternative management approaches (time-driven or establishing low-growing plant communities); alternative method packages; and, if herbicides are in a methods package, alternative vegetation selections (noxious weeds, deciduous, or any vegetation). For electric yards, one herbicide-use alternative is considered. For non-electric facilities, two method package alternatives are considered. For rights-of-way, the environmentally preferred alternative(s) would use manual, mechanical, and biological control methods, as well as spot and localized herbicide applications for noxious and deciduous plant species; the BPA-preferred alternative(s) would add broadcast and aerial herbicide applications, and would use herbicides on any vegetation. Both would favor a management approach that fosters low-growing plant communities.« less

The Blackfeet Indian culture camp: Auditioning an alternative indigenous treatment for substance use disorders.

PubMed

Gone, Joseph P; Calf Looking, Patrick E

2015-05-01

American Indian and Alaska Native (AIAN) communities experience alarming health disparities, including high rates of substance use disorders (SUDs). Psychological services for AIANs, including SUDs treatment, are primarily funded by the federal Indian Health Service and typically administered by tribal governments. Tribal administration of SUDs treatment programs has routinely involved either inclusion of traditional cultural practices into program activities or adaptation of conventional treatment approaches to distinctive community sensibilities. In this article, we investigate a third possibility: the collaborative, community-based development of an alternative indigenous intervention that was implemented as a form of SUDs treatment in its own right and on its own terms. Specifically, in July of 2012, we undertook a trial implementation of a seasonal cultural immersion camp based on traditional Pikuni Blackfeet Indian cultural practices for 4 male clients from the reservation's federally funded SUDs treatment program. Given a variety of logistical and methodological constraints, the pilot offering of the culture camp primarily served as a demonstration of "proof of concept" for this alternative indigenous intervention. In presenting and reflecting on this effort, we consider many challenges associated with alternative indigenous treatment models, especially those associated with formal outcome evaluation. Indeed, we suggest that the motivation for developing local indigenous alternatives for AIAN SUDs treatment may work at cross-purposes to the rigorous assessment of therapeutic efficacy for such interventions. Nevertheless, we conclude that these efforts afford ample opportunities for expanding the existing knowledge base concerning the delivery of community-based psychological services for AIANs. (c) 2015 APA, all rights reserved).

Comparison of LIDAR system performance for alternative single-mode receiver architectures: modeling and experimental validation

NASA Astrophysics Data System (ADS)

Toliver, Paul; Ozdur, Ibrahim; Agarwal, Anjali; Woodward, T. K.

2013-05-01

In this paper, we describe a detailed performance comparison of alternative single-pixel, single-mode LIDAR architectures including (i) linear-mode APD-based direct-detection, (ii) optically-preamplified PIN receiver, (iii) PINbased coherent-detection, and (iv) Geiger-mode single-photon-APD counting. Such a comparison is useful when considering next-generation LIDAR on a chip, which would allow one to leverage extensive waveguide-based structures and processing elements developed for telecom and apply them to small form-factor sensing applications. Models of four LIDAR transmit and receive systems are described in detail, which include not only the dominant sources of receiver noise commonly assumed in each of the four detection limits, but also additional noise terms present in realistic implementations. These receiver models are validated through the analysis of detection statistics collected from an experimental LIDAR testbed. The receiver is reconfigurable into four modes of operation, while transmit waveforms and channel characteristics are held constant. The use of a diffuse hard target highlights the importance of including speckle noise terms in the overall system analysis. All measurements are done at 1550 nm, which offers multiple system advantages including less stringent eye safety requirements and compatibility with available telecom components, optical amplification, and photonic integration. Ultimately, the experimentally-validated detection statistics can be used as part of an end-to-end system model for projecting rate, range, and resolution performance limits and tradeoffs of alternative integrated LIDAR architectures.

Alternatives for NASTRAN maintenance, modification and dissemination

NASA Technical Reports Server (NTRS)

Schaeffer, H. G.

1977-01-01

Various alternatives to direct NASA support of the program are considered ranging from no support at one end of the spectrum to subsidizing a non profit user's group at the other. Of all the alternatives that are developed, the user group appears to be most viable. NASA's past and future roles in the development of computerized technology are also considered. The need for an institute for computational analysis is identified and NASA's possible involvement is described. The goals of the proposed institute and research funds to support an activity that has the potential of a much larger impact on the technical community are identified.

Final Environmental Impact Statement for the Galileo Mission (Tier 2)

NASA Technical Reports Server (NTRS)

1989-01-01

This Final Environmental Impact Statement (FEIS) addresses the proposed action of completing the preparation and operation of the Galileo spacecraft, including its planned launch on the Space Transportation System (STS) Shuttle in October 1989, and the alternative of canceling further work on the mission. The Tier 1 (program level) EIS (NASA 1988a) considered the Titan IV launch vehicle as an alternative booster stage for launch in May 1991 or later. The May 1991 Venus launch opportunity is considered a planetary back-up for the Magellan (Venus Radar Mapper) mission, the Galileo mission, and the Ulysses mission. Plans were underway to enable the use of a Titan IV launch vehicle for the planetary back-up. However, in November 1988, the U.S. Air Force, which procures the Titan IV for NASA, notified NASA that it could not provide a Titan IV vehicle for the May 1991 launch opportunity due to high priority Department of Defense requirements. Consequently, NASA terminated all mission planning for the Titan IV planetary back-up. A minimum of 3 years is required to implement mission-specific modifications to the basic Titan IV launch configuration; therefore, insufficient time is available to use a Titan IV vehicle in May 1991. Thus, the Titan IV launch vehicle is no longer a feasible alternative to the STS/Inertial Upper Stage (IUS) for the May 1991 launch opportunity.

Alternative Approaches to Assessing Nonresponse Bias in Longitudinal Survey Estimates: An Application to Substance-Use Outcomes Among Young Adults in the United States

PubMed Central

West, Brady Thomas; McCabe, Sean Esteban

2017-01-01

Abstract We evaluated alternative approaches to assessing and correcting for nonresponse bias in a longitudinal survey. We considered the changes in substance-use outcomes over a 3-year period among young adults aged 18–24 years (n = 5,199) in the United States, analyzing data from the National Epidemiologic Survey on Alcohol and Related Conditions. This survey collected a variety of substance-use information from a nationally representative sample of US adults in 2 waves: 2001–2002 and 2004–2005. We first considered nonresponse rates in the second wave as a function of key substance-use outcomes in wave 1. We then evaluated 5 alternative approaches designed to correct for nonresponse bias under different attrition mechanisms, including weighting adjustments, multiple imputation, selection models, and pattern-mixture models. Nonignorable attrition in a longitudinal survey can lead to bias in estimates of change in certain health behaviors over time, and only selected procedures enable analysts to assess the sensitivity of their inferences to different assumptions about the extent of nonignorability. We compared estimates based on these 5 approaches, and we suggest a road map for assessing the risk of nonresponse bias in longitudinal studies. We conclude with directions for future research in this area given the results of our evaluations. PMID:28338839

Alternative Splicing in Breast Cancer and the Potential Development of Therapeutic Tools.

PubMed

Martínez-Montiel, Nancy; Anaya-Ruiz, Maricruz; Pérez-Santos, Martín; Martínez-Contreras, Rebeca D

2017-10-05

Alternative splicing is a key molecular mechanism now considered as a hallmark of cancer that has been associated with the expression of distinct isoforms during the onset and progression of the disease. The leading cause of cancer-related deaths in women worldwide is breast cancer, and even when the role of alternative splicing in this type of cancer has been established, the function of this mechanism in breast cancer biology is not completely decoded. In order to gain a comprehensive view of the role of alternative splicing in breast cancer biology and development, we summarize here recent findings regarding alternative splicing events that have been well documented for breast cancer evolution, considering its prognostic and therapeutic value. Moreover, we analyze how the response to endocrine and chemical therapies could be affected due to alternative splicing and differential expression of variant isoforms. With all this knowledge, it becomes clear that targeting alternative splicing represents an innovative approach for breast cancer therapeutics and the information derived from current studies could guide clinical decisions with a direct impact in the clinical advances for breast cancer patients nowadays.

Air pollution exposure prediction approaches used in air pollution epidemiology studies.

PubMed

Özkaynak, Halûk; Baxter, Lisa K; Dionisio, Kathie L; Burke, Janet

2013-01-01

Epidemiological studies of the health effects of outdoor air pollution have traditionally relied upon surrogates of personal exposures, most commonly ambient concentration measurements from central-site monitors. However, this approach may introduce exposure prediction errors and misclassification of exposures for pollutants that are spatially heterogeneous, such as those associated with traffic emissions (e.g., carbon monoxide, elemental carbon, nitrogen oxides, and particulate matter). We review alternative air quality and human exposure metrics applied in recent air pollution health effect studies discussed during the International Society of Exposure Science 2011 conference in Baltimore, MD. Symposium presenters considered various alternative exposure metrics, including: central site or interpolated monitoring data, regional pollution levels predicted using the national scale Community Multiscale Air Quality model or from measurements combined with local-scale (AERMOD) air quality models, hybrid models that include satellite data, statistically blended modeling and measurement data, concentrations adjusted by home infiltration rates, and population-based human exposure model (Stochastic Human Exposure and Dose Simulation, and Air Pollutants Exposure models) predictions. These alternative exposure metrics were applied in epidemiological applications to health outcomes, including daily mortality and respiratory hospital admissions, daily hospital emergency department visits, daily myocardial infarctions, and daily adverse birth outcomes. This paper summarizes the research projects presented during the symposium, with full details of the work presented in individual papers in this journal issue.

When does atopic dermatitis warrant systemic therapy? Recommendations from an expert panel of the International Eczema Council.

PubMed

Simpson, Eric L; Bruin-Weller, Marjolein; Flohr, Carsten; Ardern-Jones, Michael R; Barbarot, Sebastien; Deleuran, Mette; Bieber, Thomas; Vestergaard, Christian; Brown, Sara J; Cork, Michael J; Drucker, Aaron M; Eichenfield, Lawrence F; Foelster-Holst, Regina; Guttman-Yassky, Emma; Nosbaum, Audrey; Reynolds, Nick J; Silverberg, Jonathan I; Schmitt, Jochen; Seyger, Marieke M B; Spuls, Phyllis I; Stalder, Jean-Francois; Su, John C; Takaoka, Roberto; Traidl-Hoffmann, Claudia; Thyssen, Jacob P; van der Schaft, Jorien; Wollenberg, Andreas; Irvine, Alan D; Paller, Amy S

2017-10-01

Although most patients with atopic dermatitis (AD) are effectively managed with topical medication, a significant minority require systemic therapy. Guidelines for decision making about advancement to systemic therapy are lacking. To guide those considering use of systemic therapy in AD and provide a framework for evaluation before making this therapeutic decision with the patient. A subgroup of the International Eczema Council determined aspects to consider before prescribing systemic therapy. Topics were assigned to expert reviewers who performed a topic-specific literature review, referred to guidelines when available, and provided interpretation and expert opinion. We recommend a systematic and holistic approach to assess patients with severe signs and symptoms of AD and impact on quality of life before systemic therapy. Steps taken before commencing systemic therapy include considering alternate or concomitant diagnoses, avoiding trigger factors, optimizing topical therapy, ensuring adequate patient/caregiver education, treating coexistent infection, assessing the impact on quality of life, and considering phototherapy. Our work is a consensus statement, not a systematic review. The decision to start systemic medication should include assessment of severity and quality of life while considering the individual's general health status, psychologic needs, and personal attitudes toward systemic therapies. Copyright © 2017 American Academy of Dermatology, Inc. All rights reserved.

75 FR 39200 - Periodic Reporting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-08

... using an alternative sample frame. Establishing this docket will allow the Commission to consider the... Information System/Revenue Pieces and Weight (ODIS/RPW) data by 20 percent. Id. at 3. In effect, Proposal Two... sample size to a special study utilizing an alternative sample frame. The alternative sample frame that...

Landscape establishment of woody ornamentals grown in alternative wood-based container substrates

USDA-ARS?s Scientific Manuscript database

Due to concerns over future pine bark (PB) availability for container plant production, recent research has focused on evaluating suitable alternatives. For alternatives to be considered suitable substrate replacements, they must not only have desirable characteristics as a container substrate (e.g....

Resisting the Bohr Atom: The Early British Opposition

NASA Astrophysics Data System (ADS)

Kragh, Helge

2011-03-01

When Niels Bohr's theory of atomic structure appeared in the summer and fall of 1913, it quickly attracted attention among British physicists. While some of the attention was supportive, others was critical. I consider the opposition to Bohr's theory from 1913 to about 1915, including attempts to construct atomic theories on a classical basis as alternatives to Bohr's. I give particular attention to the astrophysicist John W. Nicholson, who was Bohr's most formidable and persistent opponent in the early years. Although in the long run Nicholson's objections were inconsequential, for a short period of time his atomic theory was considered to be a serious rival to Bohr's. Moreover, Nicholson's theory is of interest in its own right.

Neural substrates of decision-making.

PubMed

Broche-Pérez, Y; Herrera Jiménez, L F; Omar-Martínez, E

2016-06-01

Decision-making is the process of selecting a course of action from among 2 or more alternatives by considering the potential outcomes of selecting each option and estimating its consequences in the short, medium and long term. The prefrontal cortex (PFC) has traditionally been considered the key neural structure in decision-making process. However, new studies support the hypothesis that describes a complex neural network including both cortical and subcortical structures. The aim of this review is to summarise evidence on the anatomical structures underlying the decision-making process, considering new findings that support the existence of a complex neural network that gives rise to this complex neuropsychological process. Current evidence shows that the cortical structures involved in decision-making include the orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), and dorsolateral prefrontal cortex (DLPFC). This process is assisted by subcortical structures including the amygdala, thalamus, and cerebellum. Findings to date show that both cortical and subcortical brain regions contribute to the decision-making process. The neural basis of decision-making is a complex neural network of cortico-cortical and cortico-subcortical connections which includes subareas of the PFC, limbic structures, and the cerebellum. Copyright © 2014 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.

Comparative evaluation of three alternative power cycles for waste heat recovery from the exhaust of adiabatic diesel engines

NASA Technical Reports Server (NTRS)

Bailey, M. M.

1985-01-01

Three alternative power cycles were compared in application as an exhaust-gas heat-recovery system for use with advanced adiabatic diesel engines. The power cycle alternatives considered were steam Rankine, organic Rankine with RC-1 as the working fluid, and variations of an air Brayton cycle. The comparison was made in terms of fuel economy and economic payback potential for heavy-duty trucks operating in line-haul service. The results indicate that, in terms of engine rated specific fuel consumption, a diesel/alternative-power-cycle engine offers a significant improvement over the turbocompound diesel used as the baseline for comparison. The maximum imporvement resulted from the use of a Rankine cycle heat-recovery system in series with turbocompounding. The air Brayton cycle alternatives studied, which included both simple-cycle and compression-intercooled configurations, were less effective and provided about half the fuel consumption improvement of the Rankine cycle alternatives under the same conditions. Capital and maintenance cost estimates were also developed for each of the heat-recovery power cycle systems. These costs were integrated with the fuel savings to identify the time required for net annual savings to pay back the initial capital investment. The sensitivity of capital payback time to arbitrary increases in fuel price, not accompanied by corresponding hardware cost inflation, was also examined. The results indicate that a fuel price increase is required for the alternative power cycles to pay back capital within an acceptable time period.

A proposed model for economic evaluations of major depressive disorder.

PubMed

Haji Ali Afzali, Hossein; Karnon, Jonathan; Gray, Jodi

2012-08-01

In countries like UK and Australia, the comparability of model-based analyses is an essential aspect of reimbursement decisions for new pharmaceuticals, medical services and technologies. Within disease areas, the use of models with alternative structures, type of modelling techniques and/or data sources for common parameters reduces the comparability of evaluations of alternative technologies for the same condition. The aim of this paper is to propose a decision analytic model to evaluate long-term costs and benefits of alternative management options in patients with depression. The structure of the proposed model is based on the natural history of depression and includes clinical events that are important from both clinical and economic perspectives. Considering its greater flexibility with respect to handling time, discrete event simulation (DES) is an appropriate simulation platform for modelling studies of depression. We argue that the proposed model can be used as a reference model in model-based studies of depression improving the quality and comparability of studies.

Components of an Anticancer Diet: Dietary Recommendations, Restrictions and Supplements of the Bill Henderson Protocol

PubMed Central

Mannion, Cynthia; Page, Stacey; Bell, Laurie Heilman; Verhoef, Marja

2010-01-01

The use of complementary and alternative medicines including dietary supplements, herbals and special diets to prevent or treat disease continues to be popular. The following paper provides a description of an alternative dietary approach to the self-management and treatment of cancer, the Bill Henderson Protocol (BHP). This diet encourages daily intake of raw foods, a combination of cottage cheese and flaxseed oil and a number of supplements. Some foods and food groups are restricted (e.g., gluten, meat, dairy). Early background theory that contributed to the protocol’s development is presented as is a summary of relevant evidence concerning the anti-cancer fighting properties of the individual components. Supplement intake is considered in relation to daily recommended intakes. Challenges and risks to protocol adherence are discussed. As with many complementary and alternative interventions, clear evidence of this dietary protocol’s safety and efficacy is lacking. Consumers of this protocol may require guidance on the ability of this protocol to meet their individual nutritional needs. PMID:22254073

Complementary and alternative medicine approaches to blood pressure reduction: An evidence-based review.

PubMed

Nahas, Richard

2008-11-01

ABSTRACTOBJECTIVETo review the evidence supporting complementary and alternative medicine approaches used in the treatment of hypertension.QUALITY OF EVIDENCEMEDLINE and EMBASE were searched from January 1966 to May 2008 combining the key words hypertension or blood pressure with acupuncture, chocolate, cocoa, coenzyme Q10, ubiquinone, melatonin, vitamin D, meditation, and stress reduction. Clinical trials, prospective studies, and relevant references were included.MAIN MESSAGEEvidence from systematic reviews supports the blood pressure-lowering effects of coenzyme Q10, polyphenol-rich dark chocolate, Qigong, slow breathing, and transcendental meditation. Vitamin D deficiency is associated with hypertension and cardiovascular risk; supplementation lowered blood pressure in 2 trials. Acupuncture reduced blood pressure in 3 trials; in 1 of these it was no better than an invasive placebo. Melatonin was effective in 2 small trials, but caution is warranted in patients taking pharmacotherapy.CONCLUSIONSeveral complementary and alternative medicine therapies can be considered as part of an evidence-based approach to the treatment of hypertension. The potential benefit of these interventions warrants further research using cardiovascular outcomes.

Fish as research tools: alternatives to in vivo experiments.

PubMed

Schaeck, Marlien; Van den Broeck, Wim; Hermans, Katleen; Decostere, Annemie

2013-07-01

The use of fish in scientific research is increasing worldwide, due to both the rapid expansion of the fish farming industry and growing awareness of questions concerning the humane use of mammalian models in basic research and chemical testing. As fish are lower on the evolutionary scale than mammals, they are considered to be less sentient. Fish models are providing researchers, and those concerned with animal welfare, with opportunities for adhering to the Three Rs principles of refinement, reduction and replacement. However, it should be kept in mind that fish should also be covered by the principles of the Three Rs. Indeed, various studies have shown that fish are capable of nociception, and of experiencing pain in a manner analogous to that in mammals. Thus, emphasis needs to be placed on the development of alternatives that replace, as much as possible, the use of all living vertebrate animals, including fish. This review gives the first comprehensive and critical overview of the existing alternatives for live fish experimental studies. The alternative methods described range from cell and tissue cultures, organ and perfusion models, and embryonic models, to in silico computer and mathematical models. This article aspires to guide scientists in the adoption of the correct alternative methods in their research, and, whenever possible, to reduce the use of live fish. 2013 FRAME.

[Complementary and alternative medicine: use in Montes Claros, Minas Gerais].

PubMed

Neto, Joao Felício Rodrigues; Faria, Anderson Antônio de; Figueiredo, Maria Fernanda Santos

2009-01-01

To determine prevalence of utilization and social and economic profile of those using complementary and alternative medicine in the medium sized Brazilian city of Montes Claros, MG. A transversal descriptive study was conducted. The sample of 3090 people was probabilistic, by clusters using the household as the sample unit for interview of both genders, older than 18 years. Data were collected by semi-structured questionnaires. Utilization of complementary and alternative medicine was of 8.9% when only those involving costs such as homeopathy, acupuncture, chiropractics, techniques of relaxation/ meditation and massage are considered and of 70.0%, when all therapies found were included. Prevalent were prayers to God (52.0%), popular medicines (30.9%), physical exercises (25.5%), faith healers (15.0%), popular diets (7.1%), massage (4.9%), relaxation/meditation (2.8%), homeopathy (2.4%), and groups of self-help (1.9%), chiropractics (1.7%), acupuncture (1.5%) and orthomolecular medicine (0.2%). Women, Catholic, married of higher income and education were positively associated with utilization of therapies involving expenses. Complementary and alternative medicine is used by a significant number of those interviewed. Gender, religion, marital status, income and education were positively associated with utilization of complementary and alternative medicine. Access of those with less income and education could increase the utilization of the options that involve expenses.

Use of complementary and alternative medicine by pediatric patients with functional and organic gastrointestinal diseases: results from a multicenter survey.

PubMed

Vlieger, Arine M; Blink, Marjolein; Tromp, Ellen; Benninga, Marc A

2008-08-01

Many pediatric patients use complementary and alternative medicine, especially when facing a chronic illness for which treatment options are limited. So far, research on the use of complementary and alternative medicine in patients with functional gastrointestinal disease has been scarce. This study was designed to assess complementary and alternative medicine use in children with different gastrointestinal diseases, including functional disorders, to determine which factors predicted complementary and alternative medicine use and to assess the willingness of parents to participate in future studies on complementary and alternative medicine efficacy and safety. The prevalence of complementary and alternative medicine use was assessed by using a questionnaire for 749 children visiting pediatric gastroenterology clinics of 9 hospitals in the Netherlands. The questionnaire consisted of 35 questions on the child's gastrointestinal disease, medication use, health status, past and future complementary and alternative medicine use, reasons for its use, and the necessity of complementary and alternative medicine research. In this study population, the frequency of complementary and alternative medicine use was 37.6%. A total of 60.3% of this group had used complementary and alternative medicine specifically for their gastrointestinal disease. This specific complementary and alternative medicine use was higher in patients with functional disorders than organic disorders (25.3% vs 17.2%). Adverse effects of allopathic medication, school absenteeism, age

Reinstitution of neuroleptic treatment with molindone in a patient with a history of neuroleptic malignant syndrome.

PubMed

Slack, T; Stoudemire, A

1989-09-01

The decision to reinstitute neuroleptic treatment in patients with a history of neuroleptic treatment is fraught with hazards. A case is reported in which neuroleptic treatment was successfully reintroduced with molindone after previous bouts of neuroleptic malignant syndrome (NMS) with trifluoperazine and thioridazine. Molindone may represent an alternative neuroleptic to consider in patients with a history of NMS, although all neuroleptics including clozapine and molindone may potentially precipitate this syndrome.

Space Station crew safety alternatives study. Volume 2: Threat development

NASA Technical Reports Server (NTRS)

Raasch, R. F.; Peercy, R. L., Jr.; Rockoff, L. A.

1985-01-01

The first 15 years of accumulated space station concepts for initial operational capability (IOC) during the early 1990's were considered. Twenty-five threats to the space station are identified and selected threats addressed as impacting safety criteria, escape and rescue, and human factors safety concerns. Of the 25 threats identified, eight are discussed including strategy options for threat control: fire, biological or toxic contamination, injury/illness, explosion, loss of pressurization, radiation, meteoroid penetration, and debris.

Space station crew safety alternatives study, volume 1

NASA Technical Reports Server (NTRS)

Peercy, R. L., Jr.; Raasch, R. F.; Rockoff, L. A.

1985-01-01

The first 15 years of accumulated space station concepts for initial operational capability (IOC) during the early 1990's were considered. Twenty-five threats to the space station are identified and selected threats addressed as impacting safety criteria, escape and rescue, and human factors safety concerns. Of the 25 threats identified, eight are discussed including strategy options for threat control: fire, biological or toxic contamination, injury/illness, explosion, loss of pressurization, radiation, meteoroid penetration and debris.

Solar Sea Power Plants (SSPP): A critical review and survey

NASA Technical Reports Server (NTRS)

Strauss, A. M.

1974-01-01

An overview of technical and economic matters relating to the eventual success or failure of the SSPP concept is presented, with emphasis on the pollution and energy problems which the SSPP would serve to eliminate. Factors discussed include cost, mariculture possibilities, siting, legal limitations, design materials, mooring and anchoring, and the human element involved. Several alternative power systems are considered for incorporation into SSPP design, such as Nitinol power, Claude cycle, and closed cycle engine systems.

Reply to "transforming oncology care": advancing value, accessing innovation.

PubMed

Paradis, Rebecca

2015-09-01

Alternative payment models in oncology are already successfully standardizing care, curbing costs, and improving the patient experience. Yet, it is unclear whether decision makers are adequately considering patient access to innovation when creating these models, which could have severe consequences for a robust innovation ecosystem and the lives of afflicted patients. The suggested chart includes recommendations on: Allowing for the adoption of new, promising therapies; Promoting the measurement of patient-centered outcomes; and Providing support for personalized medicine.

Populational Growth Models Proportional to Beta Densities with Allee Effect

NASA Astrophysics Data System (ADS)

Aleixo, Sandra M.; Rocha, J. Leonel; Pestana, Dinis D.

2009-05-01

We consider populations growth models with Allee effect, proportional to beta densities with shape parameters p and 2, where the dynamical complexity is related with the Malthusian parameter r. For p>2, these models exhibit a population dynamics with natural Allee effect. However, in the case of 1

The radiology manager as a servant leader.

PubMed

Scott, Jason

2011-01-01

Servant leadership utilizes an alternative approach to power-based models by considering the needs of followers and collaborating with them to achieve organizational goals,which can generate higher staff satisfaction and promote a more positive working environment. Servant leadership principles include: listening, empathy, healing, awareness, persuasion, conceptualization, foresight, stewardship, commitment to the growth of people,and community building. Many researchers have addressed the need for healthcare organizations to adopt a servant leadership model because healthcare has an inherent servant nature.

Older people's adoption of e-learning services: a qualitative study of facilitators and barriers.

PubMed

Bai, Xue; He, Yiqin; Kohlbacher, Florian

2018-05-14

This research investigates the facilitators and barriers for older people to adopt e-learning services using qualitative data of older people in a Chinese city. A qualitative approach was applied to explore the perceived facilitators and obstacles toward e-learning adoption with 10 older Chinese aged over 50. The results indicate the following: (1a) Age-related changes and cohort effects were found to be the internal barriers for the adoption of e-learning. (1b) Equipment problems, lack of time, and the availability of alternatives were found to have negative effects on the acceptance of e-learning services. It is notable that alternatives including the University of the Third Age (U3A) were found to be more attractive for older Chinese. (2a) Work requirements and flexibility of e-learning services were found to have direct effects on the acceptance of services. (2b) User-friendly design and stimulation from family would facilitate older people to adopt. Practical implications of this research include that policymakers should consider investing more in education in later life and introducing e-learning services in public lectures and tutorials and that the age-related barrier should be taken into consideration in the design phase of e-learning services. U3As should consider integrating e-learning approaches and cooperating with the community.

Preliminary assessment of the health and environmental impacts of transporting M55 rockets from Lexington-Blue Grass Depot activity, Anniston Army depot, and Umatilla depot activity to alternative disposal facilities

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

Carnes, S.A.; Breck, J.E.; Copenhaver, E.D.

1986-03-01

This assessment discusses the potential health and environmental impacts of transporting M55 rockets filled with nerve agent GB or VX from various existing Army storage depots to alternative Army depots for disposal. The origin depots include Anniston Army Depot in Alabama, Lexington-Blue Grass Depot Activity in Kentucky, and Umatilla Depot Activity in Oregon. The destination depots include Pine Bluff Arsenal in Arkansas, Tooele Army Depot in Utah, and the facility on Johnston Island in the central Pacific Ocean. This assessment considers the possible impacts of normal transport operations and of two postulated accident scenarios on the air quality, ground andmore » surface water, aquatic ecology, terrestrial ecology, human health, and cultural and socioeconomic resources of the various transport corridors involved. The impacts of these scenarios are assessed for truck, train, and air transport for each orgin-destination pair. The analysis considers three basic scenario during transport: (1) normal operations with no atmospheric release of nerve agent; (2) a minor agent spill (the contents of one rocket being released to the biosphere); and (3) a worst-case accident involving the release of a large, specified quantity of nerve agent to the biosphere. The extremely low probabilities of such accidents, which are reported elsewhere, are noted.« less

Alternative diagnosis in the putative ventilator-associated pneumonia patient not meeting lavage-based diagnostic criteria.

PubMed

Schoemakers, Rik J; Schnabel, Ronny; Oudhuis, Guy J; Linssen, Catharina F M; van Mook, Walther N K A; Verbon, Annelies; Bergmans, Dennis C J J

2014-12-01

The clinical picture of ventilator-associated pneumonia (VAP) can be mimicked by other infectious and non-infectious diseases. The aim of this study was to determine the alternative diagnoses and to develop a diagnostic flow chart for patients suspected of having VAP not meeting the diagnostic broncho-alveolar lavage (BAL) criteria. Adult intensive care patients with a clinical suspicion of VAP and negative BAL results were included. The clinical suspicion of VAP was based on the combination of clinical, radiological, and microbiological criteria. BAL was considered positive if cell differentiation revealed ≥ 2% cells with intracellular organisms and/or quantitative culture results of ≥ 10(4) cfu/ml. The most likely alternative diagnosis of fever and pulmonary densities was retrospectively determined by two authors independently. In all, 110 of 207 patients with suspected VAP did not meet the diagnostic BAL criteria and required further diagnostic evaluation. In 67 patients an alternative diagnosis for fever could be found. In 51 patients an alternative diagnosis of both fever and pulmonary densities could be established. In almost 40% of patients no alternative diagnosis could be provided. Non-bacterial pneumonia was diagnosed in 10 patients with Herpes simplex virus 1 (HSV-1) as the most common pathogen. In eight patients non-infectious pneumonitis was diagnosed. Due to the wide range of alternative diagnoses and applied tests the diagnostic work-up proved to be necessarily individualized and guided by repeated clinical assessment. The most frequently found alternative diagnoses were viral pneumonia and non-infectious pneumonitis.

[Effect of soybeans and soy sauce on vasomotor symptoms during menopause].

PubMed

Gutiérrez Martínez, María Del Mar; Riquelme Raya, Rebeca; Campos Martínez, Ana María; Lorite Garzón, Catalina; Strivens Vilchez, Helen; Ruiz Rodríguez, Concepción

2006-06-01

During menopause, some women experience symptoms which can interfere with their living quality. Some of these symptoms are the so-called vasomotor symptoms which include suffocations, hot flashes, and nocturnal sweats. Up to now, the most effective remedy was hormone treatment, but a study of isoflavines, such as soybean, suggests it is possible to alleviate the disturbances caused by menopause. Due to this study we consider that the addition of isoflavines can provide benefits to women. Therefore, it is correct to include them in the field of medicines which give an alternative to estrogen therapy. However, one must bear in mind that data about the efficiency and security of alternative medicines in the treatment of menopause symptoms are not conclusive since each woman is unique and it is necessary to have consensus on an individualized health plan which permits one to carry out adequate therapeutic adjustments in accordance to the needs which occur over the entire menopause process.

Protocol for monitoring metals in Ozark National Scenic Riverways, Missouri: Version 1.0

USGS Publications Warehouse

Schmitt, Christopher J.; Brumbaugh, William G.; Besser, John M.; Hinck, Jo Ellen; Bowles, David E.; Morrison, Lloyd W.; Williams, Michael H.

2008-01-01

The National Park Service is developing a monitoring plan for the Ozark National Scenic Riverways in southeastern Missouri. Because of concerns about the release of lead, zinc, and other metals from lead-zinc mining to streams, the monitoring plan will include mining-related metals. After considering a variety of alternatives, the plan will consist of measuring the concentrations of cadmium, cobalt, lead, nickel, and zinc in composite samples of crayfish (Orconectes luteus or alternate species) and Asian clam (Corbicula fluminea) collected periodically from selected sites. This document, which comprises a protocol narrative and supporting standard operating procedures, describes the methods to be employed prior to, during, and after collection of the organisms, along with procedures for their chemical analysis and quality assurance; statistical analysis, interpretation, and reporting of the data; and for modifying the protocol narrative and supporting standard operating procedures. A list of supplies and equipment, data forms, and sample labels are also included. An example based on data from a pilot study is presented.

Radiative transfer equation accounting for rotational Raman scattering and its solution by the discrete-ordinates method

NASA Astrophysics Data System (ADS)

Rozanov, Vladimir V.; Vountas, Marco

2014-01-01

Rotational Raman scattering of solar light in Earth's atmosphere leads to the filling-in of Fraunhofer and telluric lines observed in the reflected spectrum. The phenomenological derivation of the inelastic radiative transfer equation including rotational Raman scattering is presented. The different forms of the approximate radiative transfer equation with first-order rotational Raman scattering terms are obtained employing the Cabannes, Rayleigh, and Cabannes-Rayleigh scattering models. The solution of these equations is considered in the framework of the discrete-ordinates method using rigorous and approximate approaches to derive particular integrals. An alternative forward-adjoint technique is suggested as well. A detailed description of the model including the exact spectral matching and a binning scheme that significantly speeds up the calculations is given. The considered solution techniques are implemented in the radiative transfer software package SCIATRAN and a specified benchmark setup is presented to enable readers to compare with own results transparently.

Satellite Power System (SPS) concept definition study (Exhibit D). Volume 2: Systems/subsystems analyses

NASA Technical Reports Server (NTRS)

Hanley, G. M.

1981-01-01

Modifications to the reference concept were studied and the best approaches defined. The impact of the high efficiency multibandgap solar array on the reference concept design is considered. System trade studies for several solid state concepts, including the sandwich concept and a separate antenna/solar concept, are described. Two solid state concepts were selected and a design definition is presented for each. Magnetrons as an alternative to the reference klystrons for dc/RF conversion are evaluated. System definitions are presented for the preferred klystron and solid state concepts. Supporting systems are analyzed, with major analysis in the microwave, structures, and power distribution areas. Results of studies for thermal control, attitude control, stationkeeping, and details of a multibandgap solar cell study are included. Advanced laser concepts and the meteorological effects of a laser beam power transmission concept are considered.

Riparian and Related Values Associated with Flood Control Project Alternatives at Wildcat and San Pablo Creeks

Treesearch

Philip A. Meyer

1989-01-01

This analysis will consider Riparian benefits from alternative project designs at Wildcat and San Pablo Creeks. Particular emphasis will be placed on quantification of riparian values and on the relationship of projects benefits for each project alternative to estimated costs of implementation.

Role of Contrastive and Noncontrastive Associates in the Interpretation of Focus Particles

ERIC Educational Resources Information Center

Gotzner, Nicole; Spalek, Katharina

2017-01-01

The present research examines the mechanisms underlying the comprehension of focus alternatives. In particular, we investigate whether listeners determine alternatives based on general semantic priming mechanisms or whether they only consider contrastive alternatives, elements that can replace the expression in focus. In a probe recognition…

Final Environmental Assessment for Shared Use Paths (SUP), Eglin Air Force Base, Florida

DTIC Science & Technology

2011-07-01

NEPA; 40 Code of Federal Regulations [CFR] 1500-1508); the USAF environmental impact analysis process as effectuated by 32 CFR Part 989; and DoD...alternatives were considered, but not carried forward for analysis . Alternative B This alternative would consist of constructing a 10’ wide SUP...EA Section 2.3.1, page 12) No-Action Alternative This alternative also was carried forward for analysis . (EA Section 2.4.1, page 16) ENVIRONMENTAL

Environmental Assessment for ’Community Beach Center’ (RCS 04-899 & 05-350)

DTIC Science & Technology

2005-12-19

with the olive ridley , the Kemp’s ridley (Lepidocheyls kempi) is the smallest of the sea turtle species. Kemp’s ridleys are considered to be the most...Alternative C is the preferred alternative. No Action Alternative: Under the No Action Altemative, a Community Beach Center would not be constructed at...funding permits, expand the facility along the lines of Alternative A. This is preferred alternative. Figure 6 illustrates the site plan for the

Abnormal Eye Movements in Creutzfeldt-Jakob Disease

NASA Technical Reports Server (NTRS)

Grant, Michael P.; Cohen, Mark; Petersen, Robert B.; Halmagyi, G. Michael; McDougall, Alan; Tusa, Ronald J.; Leigh, R. John

1993-01-01

We report 3 patients with autopsy-proven Creutzfeldt-Jakob disease who, early in their course, developed abnormal eye movements that included periodic alternating nystagmus and slow vertical saccades. These findings suggested involvement of the cerebellar nodulus and uvula, and the brainstem reticular formation, respectively. Cerebellar ataxia was also an early manifestation and, in one patient, a frontal lobe brain biopsy was normal at a time when ocular motor and cerebellar signs were conspicuous. As the disease progressed, all saccades and quick phases of nystagmus were lost, but periodic alternating gaze deviation persisted. At autopsy, 2 of the 3 patients had pronounced involvement of the cerebellum, especially of the midline structures. Creutzfeldt-Jakob disease should be considered in patients with subacute progressive neurological disease when cognitive changes are overshadowed by ocular motor findings or ataxia.

Investigation of storage system designs and techniques for optimizing energy conservation in integrated utility systems. Volume 2: (Application of energy storage to IUS)

NASA Technical Reports Server (NTRS)

1976-01-01

The applicability of energy storage devices to any energy system depends on the performance and cost characteristics of the larger basic system. A comparative assessment of energy storage alternatives for application to IUS which addresses the systems aspects of the overall installation is described. Factors considered include: (1) descriptions of the two no-storage IUS baselines utilized as yardsticks for comparison throughout the study; (2) discussions of the assessment criteria and the selection framework employed; (3) a summary of the rationale utilized in selecting water storage as the primary energy storage candidate for near term application to IUS; (4) discussion of the integration aspects of water storage systems; and (5) an assessment of IUS with water storage in alternative climates.

Hydrogen production by Cyanobacteria

PubMed Central

Dutta, Debajyoti; De, Debojyoti; Chaudhuri, Surabhi; Bhattacharya, Sanjoy K

2005-01-01

The limited fossil fuel prompts the prospecting of various unconventional energy sources to take over the traditional fossil fuel energy source. In this respect the use of hydrogen gas is an attractive alternate source. Attributed by its numerous advantages including those of environmentally clean, efficiency and renew ability, hydrogen gas is considered to be one of the most desired alternate. Cyanobacteria are highly promising microorganism for hydrogen production. In comparison to the traditional ways of hydrogen production (chemical, photoelectrical), Cyanobacterial hydrogen production is commercially viable. This review highlights the basic biology of cynobacterial hydrogen production, strains involved, large-scale hydrogen production and its future prospects. While integrating the existing knowledge and technology, much future improvement and progress is to be done before hydrogen is accepted as a commercial primary energy source. PMID:16371161

A utility-based design for randomized comparative trials with ordinal outcomes and prognostic subgroups.

PubMed

Murray, Thomas A; Yuan, Ying; Thall, Peter F; Elizondo, Joan H; Hofstetter, Wayne L

2018-01-22

A design is proposed for randomized comparative trials with ordinal outcomes and prognostic subgroups. The design accounts for patient heterogeneity by allowing possibly different comparative conclusions within subgroups. The comparative testing criterion is based on utilities for the levels of the ordinal outcome and a Bayesian probability model. Designs based on two alternative models that include treatment-subgroup interactions are considered, the proportional odds model and a non-proportional odds model with a hierarchical prior that shrinks toward the proportional odds model. A third design that assumes homogeneity and ignores possible treatment-subgroup interactions also is considered. The three approaches are applied to construct group sequential designs for a trial of nutritional prehabilitation versus standard of care for esophageal cancer patients undergoing chemoradiation and surgery, including both untreated patients and salvage patients whose disease has recurred following previous therapy. A simulation study is presented that compares the three designs, including evaluation of within-subgroup type I and II error probabilities under a variety of scenarios including different combinations of treatment-subgroup interactions. © 2018, The International Biometric Society.

Life cycle models of conventional and alternative-fueled automobiles

NASA Astrophysics Data System (ADS)

Maclean, Heather Louise

This thesis reports life cycle inventories of internal combustion engine automobiles with feasible near term fuel/engine combinations. These combinations include unleaded gasoline, California Phase 2 Reformulated Gasoline, alcohol and gasoline blends (85 percent methanol or ethanol combined with 15 percent gasoline), and compressed natural gas in spark ignition direct and indirect injection engines. Additionally, I consider neat methanol and neat ethanol in spark ignition direct injection engines and diesel fuel in compression ignition direct and indirect injection engines. I investigate the potential of the above options to have a lower environmental impact than conventional gasoline-fueled automobiles, while still retaining comparable pricing and consumer benefits. More broadly, the objective is to assess whether the use of any of the alternative systems will help to lead to the goal of a more sustainable personal transportation system. The principal tool is the Economic Input-Output Life Cycle Analysis model which includes inventories of economic data, environmental discharges, and resource use. I develop a life cycle assessment framework to assemble the array of data generated by the model into three aggregate assessment parameters; economics, externalities, and vehicle attributes. The first step is to develop a set of 'comparable cars' with the alternative fuel/engine combinations, based on characteristics of a conventional 1998 gasoline-fueled Ford Taurus sedan, the baseline vehicle for the analyses. I calculate the assessment parameters assuming that these comparable cars can attain the potential thermal efficiencies estimated by experts for each fuel/engine combination. To a first approximation, there are no significant differences in the assessment parameters for the vehicle manufacture, service, fixed costs, and the end-of-life for any of the options. However, there are differences in the vehicle operation life cycle components and the state of technology development for the combinations. Overall, none of the alternatives emerges as a clear winner, lowering the externalities and improving sustainability, while considering technology issues and vehicle attributes. The majority of the alternatives are not likely to displace the baseline automobile. However, the attractiveness of the alternatives depends on the focus of future regulations, government priorities, and technology development. If long-term global sustainability is the principal concern, then improvements in fuel economy alone will not provide the level of reduction in impact required. A switch to renewable fuels (e.g., alcohols or diesel produced from biomass) to power the vehicles will likely be necessary. (Abstract shortened by UMI.)

Alternatives to Dam Building: Deindustrialization and the Redevelopment of Waterways in the Northeast During the Twentieth Century

NASA Astrophysics Data System (ADS)

Taber, J. S.; Pompeii, B. J.; Nicoletti, C.; Lopez-Morales, C. A.

2010-12-01

The Northeast United States contains more dams than any other region in the country but it lacks structures on the scale of the Hoover or Bonneville dams in the American West. This work addresses why the Northeast lacks such large dams and how the pattern of small dams within the region shaped its social development. During the twentieth century, changing social and economic conditions rendered the initial purposes of many dams in the region moot, but these structures continued to influence hydrologic conditions and the provision of ecosystem services to an expanding population. The continued existence of many of these dams resulted from a worldview unable to conceive of dam removal as it did to the economic or environmental services provided by the structure. Documenting the process by which society developed alternatives to dam building in this region can contextualize the origins and contingent character of ideas about dam removal. The overarching theme in this process is the deindustrialization of the Northeast, which pitted the interests of industrial cities undergoing economic reorganization, emerging suburban communities, and growing service industries in the region. This paper considers changing attitudes toward dams as part of a four step process: (1) although the mill dams of the industrial revolution remained after electrification rendered manufacturers independent of direct water power in the early twentieth century, deindustrialization reshaped the political and legal responses to flooding by stregnthening the political and economic position of service industries and suburban residential interests; (2) the most tangible response to this development was proposed federal investment in dam building in the region between the 1930s and the 1950s; (3) political conflicts between local interests and federal proposals for dam construction slowed down the dam building process and enabled people to consider alternative strategies for flood control and power generation; and (4) these alternatives included conservation measures such as the preservation of wetlands, but they also included the construction of coal and nuclear power plants in place of hydroelectric dams. Documenting the complexities underlying dam building and its alternatives in a deindustrializing region saddled with obsolete dams can contextualize contemporary debates regarding the maintenance or removal of old dams.

Invertebrates in testing of environmental chemicals: are they alternatives?

PubMed Central

Lagadic, L; Caquet, T

1998-01-01

An enlarged interpretation of alternatives in toxicology testing includes the replacement of one animal species with another, preferably a nonmammalian species. This paper reviews the potential of invertebrates in testing environmental chemicals and provides evidence of their usefulness in alternative testing methodologies. The first part of this review addresses the use of invertebrates in laboratory toxicology testing. Problems in extrapolating results obtained in invertebrates to those obtained from vertebrates are noted, suggesting that invertebrates can essentially be used in addition to rather than as replacements for vertebrates in laboratory toxicity tests. However, evaluation of the ecologic impact of environmental chemicals must include defining end points that may frequently differ from those classically used in biomedical research. In this context, alternative approaches using invertebrates may be more pertinent. The second part of the review therefore focuses on the use of invertebrates in situ to assess the environmental impact of pollutants. Advantages of invertebrates in ecotoxicologic investigation are presented for their usefulness for seeking mechanistic links between effects occurring at the individual level and consequences for higher levels of biologic organization (e.g., population and community). In the end, it is considered that replacement of vertebrates by invertebrates in ecotoxicity testing is likely to become a reality when basic knowledge of metabolic, physiologic, and developmental patterns in the latter will be sufficient to assess the effect of a given chemical through end points that could be different between invertebrates and vertebrates. PMID:9599707

Controversies in Poland Syndrome: Alternative Diagnoses in Patients With Congenital Pectoral Muscle Deficiency.

PubMed

Baas, Martijn; Burger, Elise B; Sneiders, Dimitri; Galjaard, Robert-Jan H; Hovius, Steven E R; van Nieuwenhoven, Christianne A

2018-02-01

Poland syndrome was first described as a deficiency of the pectoral muscle with ipsilateral symbrachydactyly. Currently, numerous case reports describe variations of Poland syndrome in which pectoral muscle deficiency is often used as the only defining criterion. However, more syndromes can present with pectoral muscle deficiency. The aim of this review is to illustrate the diversity of the phenotypic spectrum of Poland syndrome and to create more awareness for alternative diagnoses in pectoral muscle deficiency. A systematic literature search was performed. Articles containing phenotypical descriptions of Poland syndrome were included. Data extraction included number of patients, sex, familial occurrence, and the definition of Poland syndrome used. In addition, hand deformities, thoracic deformities, and other deformities in each patient were recorded. Alternative syndrome diagnoses were identified in patients with a combination of hand, thorax, and other deformities. One hundred-and-thirty-six articles were included, describing 627 patients. Ten different definitions of Poland syndrome were utilized. In 58% of the cases, an upper extremity deformity was found and 43% of the cases had an associated deformity. Classic Poland syndrome was seen in 29%. Fifty-seven percent of the patients with a pectoral malformation, a hand malformation, and another deformity had at least 1feature that matched an alternative syndrome. Pectoral muscle hypoplasia is not distinctive for Poland syndrome alone but is also present in syndromes with other associated anomalies with a recognized genetic cause. Therefore, in patients with an atypical phenotype, we recommend considering other diagnoses and/or syndromes before diagnosing a patient with Poland syndrome. This can prevent diagnostic and prognostic errors. Differentiating Poland syndrome from the alternative diagnoses has serious consequences for the patient and their family in terms of inheritance and possible related anomalies. Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Impact of aviation non-CO₂ combustion effects on the environmental feasibility of alternative jet fuels.

PubMed

Stratton, Russell W; Wolfe, Philip J; Hileman, James I

2011-12-15

Alternative fuels represent a potential option for reducing the climate impacts of the aviation sector. The climate impacts of alternatives fuel are traditionally considered as a ratio of life cycle greenhouse gas (GHG) emissions to those of the displaced petroleum product; however, this ignores the climate impacts of the non-CO(2) combustion effects from aircraft in the upper atmosphere. The results of this study show that including non-CO(2) combustion emissions and effects in the life cycle of a Synthetic Paraffinic Kerosene (SPK) fuel can lead to a decrease in the relative merit of the SPK fuel relative to conventional jet fuel. For example, an SPK fuel option with zero life cycle GHG emissions would offer a 100% reduction in GHG emissions but only a 48% reduction in actual climate impact using a 100-year time window and the nominal climate modeling assumption set outlined herein. Therefore, climate change mitigation policies for aviation that rely exclusively on relative well-to-wake life cycle GHG emissions as a proxy for aviation climate impact may overestimate the benefit of alternative fuel use on the global climate system.

Systematic review of the methodological and reporting quality of case series in surgery.

PubMed

Agha, R A; Fowler, A J; Lee, S-Y; Gundogan, B; Whitehurst, K; Sagoo, H K; Jeong, K J L; Altman, D G; Orgill, D P

2016-09-01

Case series are an important and common study type. No guideline exists for reporting case series and there is evidence of key data being missed from such reports. The first step in the process of developing a methodologically sound reporting guideline is a systematic review of literature relevant to the reporting deficiencies of case series. A systematic review of methodological and reporting quality in surgical case series was performed. The electronic search strategy was developed by an information specialist and included MEDLINE, Embase, Cochrane Methods Register, Science Citation Index and Conference Proceedings Citation index, from the start of indexing to 5 November 2014. Independent screening, eligibility assessments and data extraction were performed. Included articles were then analysed for five areas of deficiency: failure to use standardized definitions, missing or selective data (including the omission of whole cases or important variables), transparency or incomplete reporting, whether alternative study designs were considered, and other issues. Database searching identified 2205 records. Through the process of screening and eligibility assessments, 92 articles met inclusion criteria. Frequencies of methodological and reporting issues identified were: failure to use standardized definitions (57 per cent), missing or selective data (66 per cent), transparency or incomplete reporting (70 per cent), whether alternative study designs were considered (11 per cent) and other issues (52 per cent). The methodological and reporting quality of surgical case series needs improvement. The data indicate that evidence-based guidelines for the conduct and reporting of case series may be useful. © 2016 BJS Society Ltd Published by John Wiley & Sons Ltd.

Draft environmental impact statement for the Galileo Mission (Tier 2)

NASA Technical Reports Server (NTRS)

1988-01-01

This Draft Environmental Impact Statement (DEIS) addresses the environmental impacts which may be caused by the preparation and operation of the Galileo spacecraft, including its planned launch on the Space Transportation System (STS) Shuttle and the alternative of canceling further work on the mission. The launch configuration will use the STS/Inertial Upper Stage (IUS)/Payload Assist Module-Special (PAM-S) combination. The Tier 1 EIS included a delay alternative which considered the Titan 4 launch vehicle as an alternative booster stage for launch in 1991 or later. However, the U.S. Air Force, which procures the Titan 4 for NASA, could not provide a Titan 4 vehicle for the 1991 launch opportunity because of high priority Department of Defense requirements. The only expected environmental effects of the proposed action are associated with normal Shuttle launch operations. These impacts are limited largely to the near-field at the launch pad, except for temporary stratospheric ozone effects during launch and occasional sonic boom effects near the landing site. These effects have been judged insufficient to preclude Shuttle launches. In the event of: (1) an accident during launch, or (2) reentry of the spacecraft from earth orbit, there are potential adverse health and environmental effects associated with the possible release of plutonium dioxide from the spacecraft's radioisotope thermoelectric generators (RTG).

Probiotic therapy - recruiting old friends to fight new foes

PubMed Central

2010-01-01

Against a backdrop of increasing antibiotic resistance, and the emergence of new and evolving pathogens, clinicians are increasingly forced to consider alternative therapies - probiotics are one such alternative. PMID:20579345

78 FR 53187 - Early Scoping Notification for the Alternatives Analysis of the GA 400 Transit Initiative in...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-28

... (MARTA) issue this early scoping notice to advise other agencies and the public that they intend to... the public and agency officials to help support the ongoing alternatives analysis and system planning... considered, the transportation problems that are being addressed by the alternatives analysis study, public...

Alternative Models of Service, Centralized Machine Operations. Phase II Report. Volume II.

ERIC Educational Resources Information Center

Technology Management Corp., Alexandria, VA.

A study was conducted to determine if the centralization of playback machine operations for the national free library program would be feasible, economical, and desirable. An alternative model of playback machine services was constructed and compared with existing network operations considering both cost and service. The alternative model was…

Next Steps for the 1980s in Student Financial Aid. A Fourth Alternative. Comments and Recommendations by the Carnegie Council on Policy Studies in Higher Education.

ERIC Educational Resources Information Center

Carnegie Council on Policy Studies in Higher Education, Berkeley, CA.

In 1979 the Congress and the administration will consider legislation to extend and revise the Higher Education Act and, in the process, will review the structure of the student-aid system. Several alternatives are likely to be considered, but a fourth is proposed here: a major overhaul of the existing package of programs to make them more…

75 FR 9921 - San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-04

... fossalis; threatened), thread-leaved brodiaea (Brodiaea filifolia; threatened), and willowy monardella... alternative. Two other alternatives were considered during the planning process, but were not evaluated in the...

Alternatives to type II cement : final report.

DOT National Transportation Integrated Search

1978-01-01

Concrete mixtures incorporating fly ash were investigated as possible alternatives to mixtures utilizing Type II cements. The mixture characteristics considered were strength, resistance to freezing and thawing and sulfates, heat of hydration, and vo...

The first record of American visceral leishmaniasis in domestic cats from Rio de Janeiro, Brazil.

PubMed

da Silva, Alba Valéria Machado; de Souza Cândido, Claudia Dias; de Pita Pereira, Daniela; Brazil, Reginaldo Peçanha; Carreira, João Carlos Araujo

2008-01-01

This paper is the first to report visceral leishmaniasis in domestic cats (Felis catus domesticus) from an endemic area in Rio de Janeiro state, Brazil. A relatively high seroprevalence of 25% was observed although none of them have presented any symptom. Our results support the observation of previous authors, suggesting that cats may be considered as alternative domestic hosts of visceral leishmaniasis and should be included in serological investigations performed in endemic areas.

The Art of Camouflage: When Can a Revision Rhinoplasty Be Nonsurgical?

PubMed

Kontis, Theda C

2018-06-01

Rhinoplasty surgery is known to have revision rates up to 20%. Surgical revisions include the risk of anesthesia and scarring. The skilled injector may offer nonsurgical alternatives to patients when considering revision surgery. Injections can be done to improve symmetry or improve/camouflage deformities that are possibly too minor for surgery but bothersome to the patient. Injections can be performed using different filler materials, but these treatments also carry inherent risks. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Military Uniforms: Issues Related to the Supply of Flame Resistant Fibers for the Production of Military Uniforms

DTIC Science & Technology

2011-06-30

fibers. A variety of fibers may be used to create a fabric blend, including FR rayon, Nomex®, Twaron®, Kevlar®, FR cotton, polybenzimidazole ( PBI ...as meta-aramids (e.g., Nomex®), modacrylic, PBI , and FR-treated cotton. o For example, the Army is currently testing fabrics in an attempt to...considering fabric blends containing FR-treated cotton as a potential alternative. o The Marine Corps uses PBI fibers in its balaclava (a protective

Choroidal neovascular membrane.

PubMed

Bhatt, N S; Diamond, J G; Jalali, S; Das, T

1998-06-01

Choroidal neovascular membrane in the macular area is one of the leading causes of severe visual loss. Usually a manifestation in elderly population, it is often associated with age-related macular degeneration. The current mainstay of management is early diagnosis, usually by fundus examination, aided by angiography and photocoagulation in selected cases. Various other modalities of treatment including surgery are being considered as alternate options, but with limited success. The purpose of this review is to briefly outline the current concepts and the management strategy from a clinician's viewpoint.

Space Station crew safety alternatives study. Volume 4: Appendices

NASA Technical Reports Server (NTRS)

Peercy, R. L., Jr.; Raasch, R. F.; Rockoff, L. A.

1985-01-01

The scope of this study considered the first 15 years of accumulated space station concepts for Initial Operational Capability (10C) during the early 1990's. Twenty-five threats to the space station are identified and selected threats addressed as impacting safety criteria, escape and rescue, and human factors safety concerns. Of the 25 threats identified, eight are discussed including strategy options for threat control: fire, biological or toxic contamination, injury/illness, explosion, loss of pressurization, radiation, meteoroid penetration and debris.

Near-term hybrid vehicle program, phase 1

NASA Technical Reports Server (NTRS)

1979-01-01

The preliminary design of a hybrid vehicle which fully meets or exceeds the requirements set forth in the Near Term Hybrid Vehicle Program is documented. Topics addressed include the general layout and styling, the power train specifications with discussion of each major component, vehicle weight and weight breakdown, vehicle performance, measures of energy consumption, and initial cost and ownership cost. Alternative design options considered and their relationship to the design adopted, computer simulation used, and maintenance and reliability considerations are also discussed.

A Soldier’s Morality, Religion, and Our Professional Ethic: Does the Army’s Culture Facilitate Integration, Character Development, and Trust in the Profession?

DTIC Science & Technology

2014-04-01

Month.” Not all religious Americans consider homosexual behavior to be in vio- lation of their own moral understandings, but many, including within...to join in the institutional endorsement and celebration of homosexual behavior . That, many soldiers of religious faith cannot in good conscience...professions. Of course, the alternative without such trust is for the Services simply to revert to the char- acter and behavior of a government

Sterilization of space hardware.

NASA Technical Reports Server (NTRS)

Pflug, I. J.

1971-01-01

Discussion of various techniques of sterilization of space flight hardware using either destructive heating or the action of chemicals. Factors considered in the dry-heat destruction of microorganisms include the effects of microbial water content, temperature, the physicochemical properties of the microorganism and adjacent support, and nature of the surrounding gas atmosphere. Dry-heat destruction rates of microorganisms on the surface, between mated surface areas, or buried in the solid material of space vehicle hardware are reviewed, along with alternative dry-heat sterilization cycles, thermodynamic considerations, and considerations of final sterilization-process design. Discussed sterilization chemicals include ethylene oxide, formaldehyde, methyl bromide, dimethyl sulfoxide, peracetic acid, and beta-propiolactone.

Operational alternatives for LANDSAT in California

NASA Technical Reports Server (NTRS)

Wilson, P.; Gialdini, M. J.

1981-01-01

Data integration is defined and examined as the means of promoting data sharing among the various governmental and private geobased information systems in California. Elements of vertical integration considered included technical factors (such as resolution and classification) and institutional factors (such as organizational control, and legal and political barriers). Attempts are made to fit the theoretical elements of vertical integration into a meaningful structure for looking at the problem from a statewide focus. Both manual (mapped) and machine readable data systems are included. Special attention is given to LANDSAT imagery because of its strong potential for integrated use and its primary in the California Integrated Remote Sensing System program.

Cost-effectiveness of medical, endovascular and surgical management of peripheral vascular disease☆

PubMed Central

Fanari, Zaher; Weintraub, William S.

2015-01-01

Peripheral arterial disease (PAD) is responsible for 20% of all US hospital admissions. Management of PAD has evolved over time to include many medical and transcatheter interventions in addition to the traditional surgical approach. Non-invasive interventions including supervised exercise programs and antiplatelets use are economically attractive therapies that should be considered in all patients at risk. While surgery offers so far a clinically and economically appropriate option, the improvement of percutaneous transluminal angioplasty (PTA) technique with the addition of drug-coated balloons offers a reasonably clinically and economically attractive alternative that will continue to evolve in the future. PMID:26238266

Alternative Endpoints and Approaches Selected for the Remediation of Contaminated Groundwater at Complex Sites

NASA Astrophysics Data System (ADS)

Deeb, R. A.; Hawley, E.

2011-12-01

This presentation will focus on findings, statistics, and case studies from a recently-completed report for the Department of Defense's Environmental Security Technology Certification Program (ESTCP) (Project ER-0832) on alternative endpoints and alternative remedial strategies for groundwater remediation under a variety of Federal and state cleanup programs, including technical impracticability (TI) and other Applicable or Relevant and Appropriate Requirement (ARAR) waivers, state and local designations such as groundwater management zones, Alternate Concentration Limits (ACLs), use of monitored natural attenuation (MNA) over long timeframes, and more. The primary objective of the project was to provide environmental managers and regulators with tools, metrics, and information needed to evaluate alternative endpoints for groundwater remediation at complex sites. A statistical analysis of Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) sites receiving TI waivers will be presented as well as case studies of other types of alternative endpoints and alternative remedial strategies to illustrate the variety of approaches used at complex sites and the technical analyses used to predict and document cost, timeframe, and potential remedial effectiveness. Case studies provide examples of the flexible, site-specific, application of alternative endpoints and alternative remedial strategies that have been used in the past to manage and remediate groundwater contamination at complex sites. For example, at least 13 states consider some designation for groundwater containment in their corrective action policies, such as groundwater management zones, containment zones, and groundwater classification exemption areas. These designations typically indicate that groundwater contamination is present above permissible levels. Soil and groundwater within these zones are managed to protect human health and the environment. Lesson learned for the analyses conducted and the case studies evaluated allow for a more careful consideration of alternative, beneficial, and cost-effective cleanup objectives and metrics that can be achieved over the short-term (while eventually meeting long-term cleanup objectives or demonstrating the applicability of alternative endpoints), thus improving the site cleanup process at complex sites where appropriate.

Web flexibility and I-beam torsional oscillation

NASA Astrophysics Data System (ADS)

Stephen, N. G.; Wang, P. J.

1986-08-01

Two recent theories on torsional oscillation of general doubly-symmetric non-circular cross-section beams incorporate a second order effect, that of in-plane shear deformation involving a change in cross-sectional shape, and are found to give excellent agreement with exact results for an elliptical section rod. For "technical" torsional oscillation theories of I-section beams this in-plane shear has previously been considered within the flanges only; in the present work the greater effect of shear distortion of the web is included, having previously been considered only in static analysis. The theory predicts three modes of wave propagation, one of which is essentially torsional in character; a second mode may be identified with predominatly flange bending according to the second branch of Timoshenko beam theory whilst a new mode involves individual flange torsion with asymmetric web deformation, and has the lowest phase velocity except at the longest wavelength. An alternative symmetric web deformation is also considered.

Can child injury prevention include healthy risk promotion?

PubMed Central

Brussoni, Mariana; Brunelle, Sara; Pike, Ian; Sandseter, Ellen Beate Hansen; Herrington, Susan; Turner, Heather; Belair, Scott; Logan, Louise; Fuselli, Pamela; Ball, David J

2015-01-01

To reflect on the role of risk-taking and risky play in child development and consider recommendations for the injury prevention field, a symposium was held prior to the November 2013 Canadian Injury Prevention and Safety Promotion Conference. Delegates heard from Canadian and international researchers, practitioners and play safety experts on child development, play space design and playground safety, provision of recreation, and legal and societal perceptions of risk and hazard. The presenters provided multidisciplinary evidence and perspectives indicating the potential negative effect on children's development of approaches to injury prevention that prioritise safety and limit children's opportunities for risky play. Delegates considered the state of the field of injury prevention and whether alternative approaches were warranted. Each presenter prepared a discussion paper to provide the opportunity for dialogue beyond attendees at the symposium. The resulting discussion papers provide a unique opportunity to consider and learn from multiple perspectives in order to develop a path forward. PMID:25535208

Molten salt oxidation: a versatile and promising technology for the destruction of organic-containing wastes.

PubMed

Yao, Zhitong; Li, Jinhui; Zhao, Xiangyang

2011-08-01

Molten salt oxidation (MSO), a robust thermal but non-flame process, has the inherent capability of destroying organic constituents in wastes, while retaining inorganic and radioactive materials in situ. It has been considered as an alternative to incineration and may be a solution to many waste disposal problems. The present review first describes the history and development of MSO, as well as design and engineering details, and then focuses on reaction mechanisms and its potential applications in various wastes, including hazardous wastes, medical wastes, mixed wastes, and energetic materials. Finally, the current status of and prospects for the MSO process and directions for future research are considered. Copyright © 2011 Elsevier Ltd. All rights reserved.

Traditional and Alternative Therapies for Refractory Angina.

PubMed

Kocyigit, Duygu; Gurses, Kadri Murat; Yalcin, Muhammed Ulvi; Tokgozoglu, Lale

2017-01-01

Refractory angina (RFA) is an unfavourable condition that is characterized with persistent angina due to reversible myocardial ischemia in patients with coronary artery disease that remains uncontrollable despite an optimal combination of pharmacological agents and revascularization. Despite significant advances in revascularization techniques and agents used in pharmacological therapy, there is still a significant population suffering from RFA and the global prevalence is even increasing. Anti- anginal treatment and secondary risk-factor modification are the traditional approaches for this group of patients. Furthermore, now there is still a large number of alternative treatment options. In order to review traditional and alternative treatment strategies in patients with RFA, we searched Pubmed for articles in English using the search terms "pharmacological therapy, refractory angina", "alternative therapy, refractory angina" between inception to June 2016. We also went through separately for each alternative treatment modality on Pubmed. To identify further articles, we handsearched related citations in review articles and commentaries. We also included data from the European Society of Cardiology (2013), and the Canadian Society of Cardiology/ Canadian Pain Society (2012) guidelines. Data show that besides traditional pharmacological agents, such as nitrates, beta- blockers or calcium channel blockers, novel antiischemic drugs and if symptoms persist, several non- invasive and/ or invasive alternative strategies may be considered. Impact of some pharmacological agents, such as rho- kinase inhibitors, and novel alternative treatment modalities, such as coronary sinus reducers, stem cell therapy, gene and protein therapy, on outcomes are still under investigation. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Clustering and group selection of multiple criteria alternatives with application to space-based networks.

PubMed

Malakooti, Behnam; Yang, Ziyong

2004-02-01

In many real-world problems, the range of consequences of different alternatives are considerably different. In addition, sometimes, selection of a group of alternatives (instead of only one best alternative) is necessary. Traditional decision making approaches treat the set of alternatives with the same method of analysis and selection. In this paper, we propose clustering alternatives into different groups so that different methods of analysis, selection, and implementation for each group can be applied. As an example, consider the selection of a group of functions (or tasks) to be processed by a group of processors. The set of tasks can be grouped according to their similar criteria, and hence, each cluster of tasks to be processed by a processor. The selection of the best alternative for each clustered group can be performed using existing methods; however, the process of selecting groups is different than the process of selecting alternatives within a group. We develop theories and procedures for clustering discrete multiple criteria alternatives. We also demonstrate how the set of alternatives is clustered into mutually exclusive groups based on 1) similar features among alternatives; 2) ideal (or most representative) alternatives given by the decision maker; and 3) other preferential information of the decision maker. The clustering of multiple criteria alternatives also has the following advantages. 1) It decreases the set of alternatives to be considered by the decision maker (for example, different decision makers are assigned to different groups of alternatives). 2) It decreases the number of criteria. 3) It may provide a different approach for analyzing multiple decision makers problems. Each decision maker may cluster alternatives differently, and hence, clustering of alternatives may provide a basis for negotiation. The developed approach is applicable for solving a class of telecommunication networks problems where a set of objects (such as routers, processors, or intelligent autonomous vehicles) are to be clustered into similar groups. Objects are clustered based on several criteria and the decision maker's preferences.

Cost-Benefit Analysis For Alternative Low-Emission Surface Preparation/ Depainting Technologies for Structural Steel

NASA Technical Reports Server (NTRS)

Lewis, Pattie

2007-01-01

Stennis Space Center (SSC), Kennedy Space Center (KSC) and Air Force Space Command (AFSPC) identified particulate emissions and waste generated from the depainting process of steel structures as hazardous materials to be eliminated or reduced. A Potential Alternatives Report, Potential Alternatives Report for Validation of Alternative Low Emission Surface Preparation/Depainting Technologies for Structural Steel, provided a technical analyses of identified alternatives to the current coating removal processes, criteria used to select alternatives for further analysis, and a list of those alternatives recommended for testing. The initial coating removal alternatives list was compiled using literature searches and stakeholder recommendations. The involved project participants initially considered approximately 13 alternatives. In late 2003, core project members selected the following depainting processes to be further evaluated: (1) Plastic Blast Media-Quickstrip(R)-A. (2) Hard Abrasive-Steel-Magic(R). (3) Sponge Blasting-Sponge-Jet(R). (4) Liquid Nitrogen-NItroJet(R). (5) Mechanical Removal with Vacuum Attachment-DESCO and OCM Clean-Air (6) Laser Coating Removal Alternatives were tested in accordance with the Joint Test Protocol for Validation of Alternative Low-Emission Surface Preparation/Depainting Technologies for Structural Steel, and the Field Evaluation Test Plan for Validation of Alternative Low-Emission Surface Preparation/Depainting Technologies for Structural Steel. Results of the testing are documented in the Joint Test Report. This Cost-Benefit Analysis (CBA) focuses on the three alternatives (Quickstrip(R)-A, SteelMagic (R), and Sponge-Jet(R)) that were considered viable alternatives for large area operations based on the results of the field demonstration and lab testing. This CBA was created to help participants determine if implementation of the candidate alternatives is economically justified. Each of the alternatives examined reduced Environmental Activity (EA) Costs-those costs associated with complying with environmental regulations. One alternative, Steel-Magic(R), also showed reduced Direct Costs and reduced total costs.

ENGINEERING ECONOMIC ANALYSIS OF A PROGRAM FOR ARTIFICIAL GROUNDWATER RECHARGE.

USGS Publications Warehouse

Reichard, Eric G.; Bredehoeft, John D.

1984-01-01

This study describes and demonstrates two alternate methods for evaluating the relative costs and benefits of artificial groundwater recharge using percolation ponds. The first analysis considers the benefits to be the reduction of pumping lifts and land subsidence; the second considers benefits as the alternative costs of a comparable surface delivery system. Example computations are carried out for an existing artificial recharge program in Santa Clara Valley in California. A computer groundwater model is used to estimate both the average long term and the drought period effects of artificial recharge in the study area. Results indicate that the costs of artificial recharge are considerably smaller than the alternative costs of an equivalent surface system. Refs.

Supplementary Reading Instruction in Alternative High Schools: A Statewide Survey of Educator Reported Practices and Barriers

ERIC Educational Resources Information Center

Wilkerson, Kimber L.; Yan, Min-Chi; Perzigian, Aaron B.; Cakiroglu, Orhan

2016-01-01

Recent data suggest that a majority of secondary students read below the level considered proficient on state standardized tests of reading. Alternative high schools, in particular, serve a high proportion of struggling readers. This survey study investigated reading instruction provided to struggling readers in alternative schools in one state by…

77 FR 63413 - Early Scoping Notification for the Alternatives Analysis of the Federal Way Transit Extension...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-16

... costs, and other factors that the public and agencies believe should be considered in analyzing the....'' The alternatives analysis lets an agency evaluate the costs, benefits, and impacts of a range of... scoping notice to advise other agencies and the public that they intend to explore potential alternatives...

An Ethnographic Study Examining the Impact of Service-Learning in an Alternative School Setting

ERIC Educational Resources Information Center

Bodish, Rebecca

2017-01-01

Alternative schools are an option for students considered to be at risk. Behaviorism methods are widely used and accepted in alternative schools, yet, not all students in respond to the skill and drill methods and controlled environment behaviorism entails. Success for students at-risk, especially those behind academically, requires motivation,…

Are alternative investments the right approach for your organization?

PubMed

French, Charles J; Dodd, Thomas H

2010-04-01

The decision by a healthcare provider to implement and monitor an alternative investment program requires careful consideration and planning. There are several things an organization should do when making this decision: Begin slowly. Consider access and liquidity. Don't force the investment to fill a target allocation. View an alternative investment as an opportunity investment."

A Literature Review of Alternative School Academic Interventions for Students with and without Disabilities

ERIC Educational Resources Information Center

Schwab, James Raymond; Johnson, Zachary G.; Ansley, Brandis M.; Houchins, David E.; Varjas, Kris

2016-01-01

The Every Child Achieves Act of 2015 has drawn greater attention to the academic achievement of students considered at risk who attend alternative schools. Due to problems both inside and outside of schools, students in alternative education settings may struggle with academic content and require a different educational approach. This…

A Study of Alternatives in American Education, Vol. II: The Role of the Principal.

ERIC Educational Resources Information Center

Thomas, Margaret A.

This report is the second of a series documenting a study of alternative schools in American education. The report focuses on the role of the school principals in managing diverse educational programs in their schools. Its purpose is to provide helpful information to school districts considering the implementation of alternatives and to assist…

What Are Some Alternatives for Working Within a Regionally Adopted Science Framework?

ERIC Educational Resources Information Center

Perkes, Victor A.

Alternatives for working within a regionally adopted framework for selecting an elementary school science program are considered in this paper. The alternatives are ranked on a scale from 0 to 5 in increasing levels of modifying a set instructional pattern: Level 0, typified by indifference to any consistent program in science; Level 1, a complete…

Effect of clonidine on the efficacy of lignocaine local anesthesia in dentistry: A systematic review and meta-analysis of randomized, controlled trials.

PubMed

Sivaramakrishnan, Gowri; Sridharan, Kannan

2018-05-01

Alternatives to adrenaline with lignocaine local anesthesia, such as clonidine, have been trialed in various randomized, controlled trials. Therefore, the aim of the present systematic review was to compile the available evidence on using clonidine with lignocaine for dental anesthesia. Electronic databases were searched for eligible studies. A data-extraction form was created, extracted data were analyzed using non-Cochrane mode in RevMan 5.3 software. Heterogeneity between the studies were assessed using the forest plot, I 2 statistics (where >50% was considered to have moderate-to-severe heterogeneity), and χ 2 -test. Random-effects models were used because of moderate heterogeneity. Five studies were included for the final review. While clonidine was found to significantly shorten the onset of local anesthesia when measured subjectively, no significant difference was observed objectively. No significant difference was observed in the duration and postoperative analgesia. Stable hemodynamic parameters within the safe range were observed postoperatively when clonidine was used. Clonidine could be considered as an alternative to adrenaline in cases of contraindications to adrenaline, such as like cardiac abnormalities, hypertension, and diabetes. © 2017 John Wiley & Sons Australia, Ltd.

Current Pharmaceutical Treatments and Alternative Therapies of Parkinson's Disease

PubMed Central

Dong, Jie; Cui, Yanhua; Li, Song; Le, Weidong

2016-01-01

Over the decades, pharmaceutical treatments, particularly dopaminergic (DAergic) drugs have been considered as the main therapy against motor symptoms of Parkinson's disease (PD). It is proposed that DAergic drugs in combination with other medications, such as monoamine oxidase type B inhibitors, catechol-O-methyl transferase inhibitors, anticholinergics and other newly developed non-DAergic drugs can make a better control of motor symptoms or alleviate levodopa-induced motor complications. Moreover, non-motor symptoms of PD, such as cognitive, neuropsychiatric, sleep, autonomic and sensory disturbances caused by intrinsic PD pathology or drug-induced side effects, are gaining increasing attention and urgently need to be taken care of due to their impact on quality of life. Currently, neuroprotective therapies have been investigated extensively in pre-clinical studies, and some of them have been subjected to clinical trials. Furthermore, non-pharmaceutical treatments, including deep brain stimulation (DBS), gene therapy, cell replacement therapy and some complementary managements, such as Tai chi, Yoga, traditional herbs and molecular targeted therapies have also been considered as effective alternative therapies to classical pharmaceutics. This review will provide us updated information regarding the current drugs and non-drugs therapies for PD. PMID:26585523

[Autism spectrum disorder and epilepsy: the role of ketogenic diet].

PubMed

Garcia-Penas, J J

2016-01-01

Between 5-40% of autistic patients will develop epilepsy. Most individuals with autism and epilepsy will respond to pharmacologic treatment; however, approximately 20-30% will develop medically refractory epilepsy. For this population, alternative treatments such as ketogenic diet (KD) can be highly efficacious and should be seriously considered. To discuss the use of the KD in refractory pediatric epilepsy and its role in patients with autism and epilepsy. KD is an effective and well-tolerated treatment for refractory childhood epilepsy, including those patients who associate autism and epilepsy. Accurate characterization of the electroclinical epilepsy syndrome is the key to deciding when to consider the KD. Otherwise, the positive effect of KD for treating mitochondrial oxidative disorders and different models of autistic animals suggest that KD could be a good alternative treatment for autistic patients. Based on the demonstrated efficacy of KD in patients who associate both epilepsy and autism, KD treatment has been recently used in the treatment of autism spectrum disorders; however, there is lacking of controlled studies to define the real efficacy of this therapy. A well designed randomized controlled study is needed to determine whether KD is really efficacious for these patients.

Insights into the management of chronic myeloid leukemia in resource-poor settings: a Mexican perspective.

PubMed

Gomez-de-León, Andrés; Gómez-Almaguer, David; Ruiz-Delgado, Guillermo J; Ruiz-Arguelles, Guillermo J

2017-09-01

The arrival of targeted therapy for chronic myeloid leukemia (CML) was revolutionary. However, due to the high cost of tyrosine kinase inhibitors, access to this highly effective therapy with strict monitoring strategies is limited in low to middle-income countries. In this context, following standard recommendations proposed by experts in developed countries is difficult. Areas covered: This review aims to provide an insight into the management of patients with CML living in a resource-limited setting. It addresses several issues: diagnosis, initial treatment, disease monitoring, and additional treatment alternatives including allogeneic hematopoietic stem cell transplantation. Expert commentary: Imatinib is probably the most cost-effective TKI for initial treatment in developing and underdeveloped countries. Generic imatinib preparations should be evaluated before considering their widespread use. Adherence to treatment should be emphasized. Adequate monitoring can be performed through several methods successfully and is important for predicting outcomes, particularly early in the first year, and if treatment suspension is being considered. Access to further therapeutic alternatives should define our actions after failure or intolerance to imatinib, preferring additional TKIs if possible. Allogeneic transplantation in chronic phase is a viable option in this context.

Collagen reconstitution is inversely correlated with induction of limb regeneration in Ambystoma mexicanum.

PubMed

Satoh, Akira; Hirata, Ayako; Makanae, Aki

2012-03-01

Amphibians can regenerate missing body parts, including limbs. The regulation of collagen has been considered to be important in limb regeneration. Collagen deposition is suppressed during limb regeneration, so we investigated collagen deposition and apical epithelial cap (AEC) formation during axolotl limb regeneration. The accessory limb model (ALM) has been developed as an alternative model for studying limb regeneration. Using this model, we investigated the relationship between nerves, epidermis, and collagen deposition. We found that Sp-9, an AEC marker gene, was upregulated by direct interaction between nerves and epidermis. However, collagen deposition hindered this interaction, and resulted in the failure of limb regeneration. During wound healing, an increase in deposition of collagen caused a decrease in the blastema induction rate in ALM. Wound healing and limb regeneration are alternate processes.

JIM-13-0560 R1: Propensity scores for confounder adjustment when assessing the effects of medical interventions using non-experimental study designs

PubMed Central

Stürmer, Til; Wyss, Richard; Glynn, Robert J.; Brookhart, M. Alan

2014-01-01

Treatment effects, especially when comparing two or more therapeutic alternatives as in comparative effectiveness research, are likely to be heterogeneous across age, gender, co-morbidities, and co-medications. Propensity scores (PSs), an alternative to multivariable outcome models to control for measured confounding, have specific advantages in the presence of heterogeneous treatment effects. Implementing PSs using matching or weighting allows us to estimate different overall treatment effects in differently defined populations. Heterogeneous treatment effects can also be due to unmeasured confounding concentrated in those treated contrary to prediction. Sensitivity analyses based on PSs can help to assess such unmeasured confounding. PSs should be considered a primary or secondary analytic strategy in non-experimental medical research, including pharmacoepidemiology and non-experimental comparative effectiveness research. PMID:24520806

Cost of Ownership and Well-to-Wheels Carbon Emissions/Oil Use of Alternative Fuels and Advanced Light-Duty Vehicle Technologies

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

Elgowainy, Mr. Amgad; Rousseau, Mr. Aymeric; Wang, Mr. Michael

2013-01-01

The U.S. Department of Energy (DOE), Argonne National Laboratory (Argonne), and the National Renewable Energy Laboratory (NREL) updated their analysis of the well-to-wheels (WTW) greenhouse gases (GHG) emissions, petroleum use, and the cost of ownership (excluding insurance, maintenance, and miscellaneous fees) of vehicle technologies that have the potential to significantly reduce GHG emissions and petroleum consumption. The analyses focused on advanced light-duty vehicle (LDV) technologies such as plug-in hybrid, battery electric, and fuel cell electric vehicles. Besides gasoline and diesel, alternative fuels considered include natural gas, advanced biofuels, electricity, and hydrogen. The Argonne Greenhouse Gases, Regulated Emissions, and Energy Usemore » in Transportation (GREET) and Autonomie models were used along with the Argonne and NREL H2A models.« less

AMD and the alternative complement pathway: genetics and functional implications.

PubMed

Tan, Perciliz L; Bowes Rickman, Catherine; Katsanis, Nicholas

2016-06-21

Age-related macular degeneration (AMD) is an ocular neurodegenerative disorder and is the leading cause of legal blindness in Western societies, with a prevalence of up to 8 % over the age of 60, which continues to increase with age. AMD is characterized by the progressive breakdown of the macula (the central region of the retina), resulting in the loss of central vision including visual acuity. While its molecular etiology remains unclear, advances in genetics and genomics have illuminated the genetic architecture of the disease and have generated attractive pathomechanistic hypotheses. Here, we review the genetic architecture of AMD, considering the contribution of both common and rare alleles to susceptibility, and we explore the possible mechanistic links between photoreceptor degeneration and the alternative complement pathway, a cascade that has emerged as the most potent genetic driver of this disorder.

Advances in refrigeration and heat transfer engineering

DOE PAGES

Bansal, Pradeep; Cremaschi, Prof. Lorenzo

2015-05-13

This special edition of Science and Technology for the Built Environment (STBE) presents selected high quality papers that were presented at the 15th International Refrigeration and Air Conditioning Conference held at Purdue University during July 14-17 2014. All papers went through the additional review before being finally accepted for publication in this special issue of Science and Technology and the Built Environment. Altogether 20 papers made to this special issue that cover a wide range of topics, including advancements in alternative refrigerants, heat exchangers/heat transfer, nano-fluids, systems design and optimization and modeling approaches. Although CO 2 may perhaps have beenmore » the most researched and popular refrigerant in the past decade, R32 is being seriously considered lately as an alternative and environmentally friendly refrigerant for small systems due to its low Global Warming Potential (GWP).« less

Advances in refrigeration and heat transfer engineering

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

Bansal, Pradeep; Cremaschi, Prof. Lorenzo

This special edition of Science and Technology for the Built Environment (STBE) presents selected high quality papers that were presented at the 15th International Refrigeration and Air Conditioning Conference held at Purdue University during July 14-17 2014. All papers went through the additional review before being finally accepted for publication in this special issue of Science and Technology and the Built Environment. Altogether 20 papers made to this special issue that cover a wide range of topics, including advancements in alternative refrigerants, heat exchangers/heat transfer, nano-fluids, systems design and optimization and modeling approaches. Although CO 2 may perhaps have beenmore » the most researched and popular refrigerant in the past decade, R32 is being seriously considered lately as an alternative and environmentally friendly refrigerant for small systems due to its low Global Warming Potential (GWP).« less

The KAPTUR environment: An operations concept

NASA Technical Reports Server (NTRS)

1989-01-01

This report presents a high-level specification and operations concept for KAPTUR, a development environment based on knowledge acquisition for preservation of tradeoffs and underlying rationales. KAPTUR is intended to do what its name implies: to capture knowledge that is required or generated during the development process, but that is often lost because it is contextual, i.e., it does not appear directly in the end-products of development. Such knowledge includes issues that were raised during development, alternatives that were considered, and the reasons for choosing one alternative over others. Contextual information is usually only maintained as a memory in a developer's mind. As time passes, the memories become more vague and individuals become unavailable, and eventually the knowledge is lost. KAPTUR seeks to mitigate this process of attrition by recording and organizing contextual knowledge as it is generated.

Democracy and sustainable development--what is the alternative to cost-benefit analysis?

PubMed

Söderbaum, Peter

2006-04-01

Cost-benefit analysis (CBA) is part of neoclassical economics, a specific paradigm, or theoretical perspective. In searching for alternatives to CBA, competing theoretical frameworks in economics appear to be a natural starting point. Positional analysis (PA) as an alternative to CBA is built on institutional theory and a different set of assumptions about human beings, organizations, markets, etc. Sustainable development (SD) is a multidimensional concept that includes social and ecological dimensions in addition to monetary aspects. If the political commitment to SD in the European Union and elsewhere is taken seriously, then approaches to decision making should be chosen that 1st open the door for multidimensional analysis rather than close it. Sustainable development suggests a direction for development in a broad sense but is still open to different interpretations. Each such interpretation is political in kind, and a 2nd criterion for judging different approaches is whether they are ideologically open rather than closed. Although methods for decision making have traditionally been connected with mathematical objective functions and optimization, the purpose of PA is to illuminate a decision situation in a many-sided way with respect to possibly relevant ideological orientations, alternatives, and consequences. Decisions are understood in terms of matching the ideological orientation of each decision maker with the expected effects profile of each alternative considered. Appropriateness and pattern recognition are other concepts in understanding this process.

Impact of permafrost development on groundwater flow patterns: a numerical study considering freezing cycles on a two-dimensional vertical cut through a generic river-plain system

NASA Astrophysics Data System (ADS)

Grenier, Christophe; Régnier, Damien; Mouche, Emmanuel; Benabderrahmane, Hakim; Costard, François; Davy, Philippe

2013-02-01

The impact of glaciation cycles on groundwater flow was studied within the framework of nuclear waste storage in underground geological formations. The eastern section of the Paris Basin (a layered aquifer with impervious/pervious alternations) in France was considered for the last 120 ka. Cold periods corresponded with arid climates. The issue of talik development below water bodies was addressed. These unfrozen zones can maintain open pathways for aquifer recharge. Transient thermal evolution was simulated on a small-scale generic unit of the landscape including a "river" and "plain". Coupled thermo-hydraulic modeling and simplified conductive heat transfer were considered for a broad range of scenarios. The results showed that when considering the current limited river dimensions and purely conductive heat transfer, taliks are expected to close within a few centuries. However, including coupled advection for flows from the river to the plain (probably pertinent for the eastern Paris Basin aquifer recharge zones) strongly delays talik closure (millennium scale). The impact on regional underground flows is expected to vary from a complete stop of recharge to a reduced recharge, corresponding to the talik zones. Consequences for future modeling approaches of the Paris Basin are discussed.

Alternatives to type II cement : Part I, Preliminary laboratory studies.

DOT National Transportation Integrated Search

1977-01-01

In this study concrete mixtures incorporating fly ash are being investigated as possible alternatives to mixtures utilizing Type II cements. The mixture characteristics being considered are strength, resistance to freezing and thawing and sulfates, h...

Management Development: A Need or a Luxury?

ERIC Educational Resources Information Center

Tasca, Anthony J.

1975-01-01

Focusing on management development, the article suggest alternative ways for training and development professionals to adapt to economic cycle-related periods of feast or famine. Diagnosis, personnel management strategy, measurement, and alternative strategies are topics considered. (MW)

Testing Alternative Definitions of Chronic Homelessness.

PubMed

Byrne, Thomas; Culhane, Dennis P

2015-09-01

This study examined the potential impact of a proposed change to the official federal definition of chronic homelessness. Using administrative data from the emergency shelters in a large U.S. city, this study estimated the number of persons identified as chronically homeless under the current definition of chronic homelessness, a proposed new federal definition, and two alternative definitions and examined shelter utilization for each group. Fewer than half as many people were considered chronically homeless under the proposed new federal definition compared with the current definition. Persons considered chronically homeless by the proposed new definition and, to a lesser extent, by the two alternative definitions, made heavier use of shelter compared with persons who met the current definition. A proposed new and two alternative definitions of chronic homelessness are better suited than the existing federal definition for identifying persons with the most protracted experiences of homelessness.

Alternatives evaluation and decommissioning study on shielded transfer tanks at Oak Ridge National Laboratory, Oak Ridge, Tennessee

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

DeVore, J.R.; Hinton, R.R.

1994-08-01

The shielded transfer tanks (STTs) are five obsolete cylindrical shipping casks which were used to transport high specific activity radioactive solutions by rail during the 1960s and early 1970s. The STTs are currently stored at the Oak Ridge National Laboratory under a shed roof. This report is an evaluation to determine the preferred alternative for the final disposition of the five STTs. The decommissioning alternatives assessed include: (1) the no action alternative to leave the STTs in their present location with continued surveillance and maintenance; (2) solidification of contents within the tanks and holding the STTs in long term retrievablemore » storage; (3) sale of one or more of the used STTs to private industry for use at their treatment facility with the remaining STTs processed as in Alternative 4; and (4) removal of tank contents for de-watering/retrievable storage, limited decontamination to meet acceptance criteria, smelting the STTs to recycle the metal through the DOE contaminated scrap metal program, and returning the shielding lead to the ORNL lead recovery program because the smelting contractor cannot reprocess the lead. To completely evaluate the alternatives for the disposition of the STTs, the contents of the tanks must be characterized. Shielding and handling requirements, risk considerations, and waste acceptance criteria all require that the radioactive inventory and free liquids residual in the STTs be known. Because characterization of the STT contents in the field was not input into a computer model to predict the probable inventory and amount of free liquid. The four alternatives considered were subjected to a numerical scoring procedure. Alternative 4, smelting the STTs to recycle the metal after removal/de-watering of the tank contents, had the highest score and is, therefore, recommended as the preferred alternative. However, if a buyer for one or more STT could be found, it is recommended that Alternative 3 be reconsidered.« less

Insects: A nutritional alternative

NASA Technical Reports Server (NTRS)

Dufour, P. A.

1981-01-01

Insects are considered as potential food sources in space. Types of insects consumed are discussed. Hazards of insect ingestion are considered. Insect reproduction, requirements, and raw materials conversion are discussed. Nutrition properties and composition of insects are considered. Preparation of insects as human food is discussed.

Cost-benefit analysis as a part of sustainability assessment of remediation alternatives for contaminated land.

PubMed

Söderqvist, Tore; Brinkhoff, Petra; Norberg, Tommy; Rosén, Lars; Back, Pär-Erik; Norrman, Jenny

2015-07-01

There is an increasing demand amongst decision-makers and stakeholders for identifying sustainable remediation alternatives at contaminated sites, taking into account that remediation typically results in both positive and negative consequences. Multi-criteria analysis (MCA) is increasingly used for sustainability appraisal, and the Excel-based MCA tool Sustainable Choice Of REmediation (SCORE) has been developed to provide a relevant and transparent assessment of the sustainability of remediation alternatives relative to a reference alternative, considering key criteria in the economic, environmental and social sustainability domains, and taking uncertainty into explicit account through simulation. The focus of this paper is the use of cost-benefit analysis (CBA) as a part of SCORE for assessing the economic sustainability of remediation alternatives. An economic model is used for deriving a cost-benefit rule, which in turn motivates cost and benefit items in a CBA of remediation alternatives. The empirical part of the paper is a CBA application on remediation alternatives for the Hexion site, a former chemical industry area close to the city of Göteborg in SW Sweden. The impact of uncertainties in and correlations across benefit and cost items on CBA results is illustrated. For the Hexion site, the traditional excavation-and-disposal remediation alternative had the lowest expected net present value, which illustrates the importance of also considering other alternatives before deciding upon how a remediation should be carried out. Copyright © 2015 Elsevier Ltd. All rights reserved.

A visual resource management study of alternative dams, reservoirs and highway and transmission line corridors near Copper Creek, Washington

Treesearch

John Ady; Brian A. Gray; Grant R. Jones

1979-01-01

Three alternative dams have been considered by Seattle City Light for the Skagit River Narrows in the North Cascades National Recreation Area, Washington. The authors assessed the area's existing visual resources, identified three alternative highway and transmission line realignments, evaluated changes in visual character and quality for 13 different combinations...

Power Management and Distribution Trades Studies for a Deep-Space Mission Scientific Spacecraft

NASA Technical Reports Server (NTRS)

Kimnach, Greg L.; Soltis, James V.

2004-01-01

As part of NASA's Project Prometheus, the Nuclear Systems Program, NASA GRC performed trade studies on the various Power Management and Distribution (PMAD) options for a deep-space scientific spacecraft which would have a nominal electrical power requirement of 100 kWe. These options included AC (1000Hz and 1500Hz and DC primary distribution at various voltages. The distribution system efficiency, reliability, mass, thermal, corona, space radiation levels and technology readiness of devices and components were considered. The final proposed system consisted of two independent power distribution channels, sourced by two 3-phase, 110 kVA alternators nominally operating at half-rated power. Each alternator nominally supplies 50kWe to one half of the ion thrusters and science modules but is capable of supplying the total power re3quirements in the event of loss of one alternator. This paper is an introduction to the methodology for the trades done to arrive at the proposed PMAD architecture. Any opinions expressed are those of the author(s) and do not necessarily reflect the views of Project Prometheus.

Feedback, the various tasks of the doctor, and the feedforward alternative.

PubMed

Kluger, Avraham N; Van Dijk, Dina

2010-12-01

This study aims to alert users of feedback to its dangers, explain some of its complexities and offer the feedforward alternative. We review the damage that feedback may cause to both motivation and performance. We provide an initial solution to the puzzle of the feedback sign (positive versus negative) using the concepts of promotion focus and prevention focus. We discuss additional open questions pertaining to feedback sign and consider implications for health care systems. Feedback that threatens the self is likely to debilitate recipients and, on average, positive and negative feedback are similar in their effects on performance. Positive feedback contributes to motivation and performance under promotion focus, but the same is true for negative feedback under prevention focus. We offer an alternative to feedback--the feedforward interview--and describe a brief protocol and suggestions on how it might be used in medical education. Feedback is a double-edged sword; its effective application includes careful consideration of regulatory focus and of threats to the self. Feedforward may be a good substitute for feedback in many settings. © Blackwell Publishing Ltd 2010.

Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method.

PubMed

Liu, Hu-Chen; Wu, Jing; Li, Ping

2013-12-01

Nowadays selection of the appropriate treatment method in health-care waste (HCW) management has become a challenge task for the municipal authorities especially in developing countries. Assessment of HCW disposal alternatives can be regarded as a complicated multi-criteria decision making (MCDM) problem which requires consideration of multiple alternative solutions and conflicting tangible and intangible criteria. The objective of this paper is to present a new MCDM technique based on fuzzy set theory and VIKOR method for evaluating HCW disposal methods. Linguistic variables are used by decision makers to assess the ratings and weights for the established criteria. The ordered weighted averaging (OWA) operator is utilized to aggregate individual opinions of decision makers into a group assessment. The computational procedure of the proposed framework is illustrated through a case study in Shanghai, one of the largest cities of China. The HCW treatment alternatives considered in this study include "incineration", "steam sterilization", "microwave" and "landfill". The results obtained using the proposed approach are analyzed in a comparative way. Copyright © 2013. Published by Elsevier Ltd.

Power Management and Distribution Trades Studies for a Deep-space Mission Scientific Spacecraft

NASA Astrophysics Data System (ADS)

Kimnach, Greg L.; Soltis, James V.

2004-02-01

As part of NASA's Project Prometheus, the Nuclear Systems Program, NASA GRC performed trade studies on the various Power Management and Distribution (PMAD) options for a deep-space scientific spacecraft, which would have a nominal electrical power requirement of 100 kWe. These options included AC (1000Hz and 1500Hz) and DC primary distribution at various voltages. The distribution system efficiency, reliability, mass, thermal, corona, space radiation levels, and technology readiness of devices and components were considered. The final proposed system consisted of two independent power distribution channels, sourced by two 3-phase, 110 kVA alternators nominally operating at half-rated power. Each alternator nominally supplies 50 kWe to one-half of the ion thrusters and science modules, but is capable of supplying the total power requirements in the event of loss of one alternator. This paper is an introduction to the methodology for the trades done to arrive at the proposed PMAD architecture. Any opinions expressed are those of the author(s) and do not necessarily reflect the views of Project Prometheus.

Liquid phase fluid dynamic (methanol) run in the LaPorte alternative fuels development unit

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

Bharat L. Bhatt

1997-05-01

A fluid dynamic study was successfully completed in a bubble column at DOE's Alternative Fuels Development Unit (AFDU) in LaPorte, Texas. Significant fluid dynamic information was gathered at pilot scale during three weeks of Liquid Phase Methanol (LPMEOJP) operations in June 1995. In addition to the usual nuclear density and temperature measurements, unique differential pressure data were collected using Sandia's high-speed data acquisition system to gain insight on flow regime characteristics and bubble size distribution. Statistical analysis of the fluctuations in the pressure data suggests that the column was being operated in the churn turbulent regime at most of themore » velocities considered. Dynamic gas disengagement experiments showed a different behavior than seen in low-pressure, cold-flow work. Operation with a superficial gas velocity of 1.2 ft/sec was achieved during this run, with stable fluid dynamics and catalyst performance. Improvements included for catalyst activation in the design of the Clean Coal III LPMEOH{trademark} plant at Kingsport, Tennessee, were also confirmed. In addition, an alternate catalyst was demonstrated for LPMEOH{trademark}.« less

Selection of suitable alternatives to reduce the environmental impact of road traffic noise using a fuzzy multi-criteria decision model

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

Ruiz-Padillo, Alejandro, E-mail: aruizp@correo.ugr.es; Civil Engineering Department, University of Granada, Av. Fuentenueva s/n, 18071 Granada; Ruiz, Diego P., E-mail: druiz@ugr.es

Road traffic noise is one of the most significant environmental impacts generated by transport systems. To this regard, the recent implementation of the European Environmental Noise Directive by Public Administrations of the European Union member countries has led to various noise action plans (NAPs) for reducing the noise exposure of EU inhabitants. Every country or administration is responsible for applying criteria based on their own experience or expert knowledge, but there is no regulated process for the prioritization of technical measures within these plans. This paper proposes a multi-criteria decision methodology for the selection of suitable alternatives against traffic noisemore » in each of the road stretches included in the NAPs. The methodology first defines the main criteria and alternatives to be considered. Secondly, it determines the relative weights for the criteria and sub-criteria using the fuzzy extended analytical hierarchy process as applied to the results from an expert panel, thereby allowing expert knowledge to be captured in an automated way. A final step comprises the use of discrete multi-criteria analysis methods such as weighted sum, ELECTRE and TOPSIS, to rank the alternatives by suitability. To illustrate an application of the proposed methodology, this paper describes its implementation in a complex real case study: the selection of optimal technical solutions against traffic noise in the top priority road stretch included in the revision of the NAP of the regional road network in the province of Almeria (Spain).« less

Alternatives to Evolutionism.

ERIC Educational Resources Information Center

Harper, G. H.

1979-01-01

Discusses alternative theories to evolutionism. Five theories are mentioned, but most attention is given to the steady state theory of species which the author considers the most suitable partner for Darwinism in O- and A-level biology courses in the United Kingdom. (HM)

Expanding Alternative Delivery Systems.

ERIC Educational Resources Information Center

Baltzer, Jan A.

Alternative educational delivery systems that might be useful to community colleges are considered. The following categories of delivery systems are covered: broadcast delivery systems; copy delivery systems, print delivery systems, computer delivery systems, telephone delivery systems, and satellites. Among the applications for broadcast…

Problems and Issues Related to Alternative Education.

ERIC Educational Resources Information Center

Pilat, Mary

1997-01-01

Symposium participants identified policy issues in these areas related to alternative education for at-risk youth: choice, equity, public perception, definition, philosophy, stakeholder involvement, evaluation, staffing, curriculum, governance, and financing. Public discourse and policy discussion were considered essential to implementing…

Finding alternatives to antibiotics

USDA-ARS?s Scientific Manuscript database

The spread of antibiotic-resistant pathogens requires new treatments. The availability of new antibiotics has severely declined, and so alternatives to antibiotics need to be considered in both animal agriculture and human medicine. Products for disease prevention are different than products for d...

MUTAGENICITY OF DRINKING WATER FOLLOWING DISINFECTION

EPA Science Inventory

Many drinking water utilities in the USA are considering alternatives to chlorine for disinfection in order to comply with federal regulations regarding disinfection by-products. An evaluation is thus needed of the potential risks associated with the use of alternative disinfecta...

Final Environmental Impact Statement for the Ulysses Mission (Tier 2)

NASA Technical Reports Server (NTRS)

1990-01-01

This Final (Tier 2) Environmental Impact Statement (FEIS) addresses the environmental impacts which may be caused by implementation of the Ulysses mission, a space flight mission to observe the polar regions of the Sun. The proposed action is completion of preparation and operation of the Ulysses spacecraft, including its planned launch at the earliest available launch opportunity on the Space Transportation System (STS) Shuttle in October 1990 or in the backup opportunity in November 1991. The alternative is canceling further work on the mission. The Tier 1 EIS included a delay alternative which considered the Titan 4 launch vehicle as an alternative booster stage for launch in 1991 or later. This alternative was further evaluated and eliminated from consideration when, in November 1988, the U.S. Air Force, which procures the Titan 4, notified that it could not provide a Titan 4 vehicle for the 1991 launch opportunity because of high priority Department of Defense requirements. The Titan 4 launch vehicle is no longer a feasible alternative to the STS/Inertial Upper Stage (IUS)/Payload Assist Module-Special (PAM-S) for the November 1991 launch opportunity. The only expected environment effects of the proposed action are associated with normal launch vehicle operation and are treated elsewhere. The environmental impacts of normal Shuttle launches were addressed in existing NEPA documentation and are briefly summarized. These impacts are limited largely to the near-field at the launch pad, except for temporary stratospheric ozone effects during launch and occasional sonic boom effects near the landing site. These effects were judged insufficient to preclude Shuttle launches. There could also be environmental impacts associated with the accidental release of radiological material during launch, deployment, or interplanetary trajectory injection of the Ulysses spacecraft. Intensive analysis indicates that the probability of release is small. There are no environmental impacts in the no-action alternative; however, the U.S. Government and the European Space Agency would suffer adverse fiscal and programmatic impacts if this alternative were adopted. The scientific benefits of the mission would be delayed and possibly lost. There could be significant impacts on the ability of the U.S. to negotiate international agreements for cooperative space activities.

Life-cycle analysis of alternative aviation fuels in GREET

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

Elgowainy, A.; Han, J.; Wang, M.

2012-07-23

The Greenhouse gases, Regulated Emissions, and Energy use in Transportation (GREET) model, developed at Argonne National Laboratory, has been expanded to include well-to-wake (WTWa) analysis of aviation fuels and aircraft. This report documents the key WTWa stages and assumptions for fuels that represent alternatives to petroleum jet fuel. The aviation module in GREET consists of three spreadsheets that present detailed characterizations of well-to-pump and pump-to-wake parameters and WTWa results. By using the expanded GREET version (GREET1{_}2011), we estimate WTWa results for energy use (total, fossil, and petroleum energy) and greenhouse gas (GHG) emissions (carbon dioxide, methane, and nitrous oxide) formore » (1) each unit of energy (lower heating value) consumed by the aircraft or (2) each unit of distance traveled/ payload carried by the aircraft. The fuel pathways considered in this analysis include petroleum-based jet fuel from conventional and unconventional sources (i.e., oil sands); Fisher-Tropsch (FT) jet fuel from natural gas, coal, and biomass; bio-jet fuel from fast pyrolysis of cellulosic biomass; and bio-jet fuel from vegetable and algal oils, which falls under the American Society for Testing and Materials category of hydroprocessed esters and fatty acids. For aircraft operation, we considered six passenger aircraft classes and four freight aircraft classes in this analysis. Our analysis revealed that, depending on the feedstock source, the fuel conversion technology, and the allocation or displacement credit methodology applied to co-products, alternative bio-jet fuel pathways have the potential to reduce life-cycle GHG emissions by 55-85 percent compared with conventional (petroleum-based) jet fuel. Although producing FT jet fuel from fossil feedstock sources - such as natural gas and coal - could greatly reduce dependence on crude oil, production from such sources (especially coal) produces greater WTWa GHG emissions compared with petroleum jet fuel production unless carbon management practices, such as carbon capture and storage, are used.« less

Life-Cycle Analysis of Alternative Aviation Fuels in GREET

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

Elgowainy, A.; Han, J.; Wang, M.

2012-06-01

The Greenhouse gases, Regulated Emissions, and Energy use in Transportation (GREET) model, developed at Argonne National Laboratory, has been expanded to include well-to-wake (WTWa) analysis of aviation fuels and aircraft. This report documents the key WTWa stages and assumptions for fuels that represent alternatives to petroleum jet fuel. The aviation module in GREET consists of three spreadsheets that present detailed characterizations of well-to-pump and pump-to-wake parameters and WTWa results. By using the expanded GREET version (GREET1_2011), we estimate WTWa results for energy use (total, fossil, and petroleum energy) and greenhouse gas (GHG) emissions (carbon dioxide, methane, and nitrous oxide) formore » (1) each unit of energy (lower heating value) consumed by the aircraft or(2) each unit of distance traveled/ payload carried by the aircraft. The fuel pathways considered in this analysis include petroleum-based jet fuel from conventional and unconventional sources (i.e., oil sands); Fisher-Tropsch (FT) jet fuel from natural gas, coal, and biomass; bio-jet fuel from fast pyrolysis of cellulosic biomass; and bio-jet fuel from vegetable and algal oils, which falls under the American Society for Testing and Materials category of hydroprocessed esters and fatty acids. For aircraft operation, we considered six passenger aircraft classes and four freight aircraft classes in this analysis. Our analysis revealed that, depending on the feedstock source, the fuel conversion technology, and the allocation or displacement credit methodology applied to co-products, alternative bio-jet fuel pathways have the potential to reduce life-cycle GHG emissions by 55–85 percent compared with conventional (petroleum-based) jet fuel. Although producing FT jet fuel from fossil feedstock sources — such as natural gas and coal — could greatly reduce dependence on crude oil, production from such sources (especially coal) produces greater WTWa GHG emissions compared with petroleum jet fuel production unless carbon management practices, such as carbon capture and storage, are used.« less

Effects of stern-foil submerged elevation on the lift and drag of a hydrofoil craft

NASA Astrophysics Data System (ADS)

Suastika, K.; Apriansyah

2018-03-01

Effects of the stern-foil submerged elevation on the lift and drag of a hydrofoil craft are studied by using computational fluid dynamics (CFD) and by considering three alternative stern-foil submerged elevations. The submerged elevation of the front foil is kept constant in all the alternatives. From among the alternatives, the deepest stern-foil placement results in the highest stern-foil lift with the highest foil’s lift-to-drag ratio. However, considering the lift-to-drag ratio of the whole foil-strut-hull system, the shallowest stern-foil placement results in the highest lift-to-drag ratio. The struts and the foil’s submerged elevation significantly affects the drag of the whole foil-strut-hull system.

A Simulation Study of Methods for Selecting Subgroup-Specific Doses in Phase I Trials

PubMed Central

Morita, Satoshi; Thall, Peter F.; Takeda, Kentaro

2016-01-01

Summary Patient heterogeneity may complicate dose-finding in phase I clinical trials if the dose-toxicity curves differ between subgroups. Conducting separate trials within subgroups may lead to infeasibly small sample sizes in subgroups having low prevalence. Alternatively, it is not obvious how to conduct a single trial while accounting for heterogeneity. To address this problem, we consider a generalization of the continual reassessment method (O’Quigley, et al., 1990) based on a hierarchical Bayesian dose-toxicity model that borrows strength between subgroups under the assumption that the subgroups are exchangeable. We evaluate a design using this model that includes subgroup-specific dose selection and safety rules. A simulation study is presented that includes comparison of this method to three alternative approaches, based on non-hierarchical models, that make different types of assumptions about within-subgroup dose-toxicity curves. The simulations show that the hierarchical model-based method is recommended in settings where the dose-toxicity curves are exchangeable between subgroups. We present practical guidelines for application, and provide computer programs for trial simulation and conduct. PMID:28111916

The effect of uncertainties in distance-based ranking methods for multi-criteria decision making

NASA Astrophysics Data System (ADS)

Jaini, Nor I.; Utyuzhnikov, Sergei V.

2017-08-01

Data in the multi-criteria decision making are often imprecise and changeable. Therefore, it is important to carry out sensitivity analysis test for the multi-criteria decision making problem. The paper aims to present a sensitivity analysis for some ranking techniques based on the distance measures in multi-criteria decision making. Two types of uncertainties are considered for the sensitivity analysis test. The first uncertainty is related to the input data, while the second uncertainty is towards the Decision Maker preferences (weights). The ranking techniques considered in this study are TOPSIS, the relative distance and trade-off ranking methods. TOPSIS and the relative distance method measure a distance from an alternative to the ideal and antiideal solutions. In turn, the trade-off ranking calculates a distance of an alternative to the extreme solutions and other alternatives. Several test cases are considered to study the performance of each ranking technique in both types of uncertainties.

An alternative medicine, Agaricus blazei, may have induced severe hepatic dysfunction in cancer patients.

PubMed

Mukai, Hirofumi; Watanabe, Toru; Ando, Masashi; Katsumata, Noriyuki

2006-12-01

We report three cases of patients with advanced cancer who showed severe hepatic damage, and two of whom died of fulminant hepatitis. All the patients were taking Agaricus blazei (Himematsutake) extract, one of the most popular complementary and alternative medicines among Japanese cancer patients. In one patient, liver functions recovered gradually after she stopped taking the Agaricus blazei, but she restarted taking it, which resulted in deterioration of the liver function again. The other patients who were admitted for severe liver damage had started taking the Agaricus blazei several days before admission. Although several other factors cannot be completely ruled out as the causes of liver damage, a strong causal relationship between the Agaricus blazei extract and liver damage was suggested and, at least, taking the Agaricus blazei extract made the clinical decision-making process much more complicated. Doctors who are aware of their patients taking the extract may accept it probably because they believe there is no harm in a complementary and alternative medicine. When unexpected liver damage is documented, however, doctors should consider the use of the Agaricus blazei extract as one of its causal factors. It is necessary to evaluate many modes of complementary and alternative medicines, including the Agaricus blazei extract, in rigorous, scientifically designed and peer-reviewed clinical trials.

Cocaine choice procedures in animals, humans, and treatment-seekers: Can we bridge the divide?

PubMed Central

Moeller, Scott J.; Stoops, William W.

2015-01-01

Individuals with cocaine use disorder chronically self-administer cocaine to the detriment of other rewarding activities, a phenomenon best modeled in laboratory drug-choice procedures. These procedures can evaluate the reinforcing effects of drugs versus comparably valuable alternatives under multiple behavioral arrangements and schedules of reinforcement. However, assessing drug-choice in treatment-seeking or abstaining humans poses unique challenges: for ethical reasons, these populations typically cannot receive active drugs during research studies. Researchers have thus needed to rely on alternative approaches that approximate drug-choice behavior or assess more general forms of decision-making, but whether these alternatives have relevance to real-world drug-taking that can inform clinical trials is not well-understood. In this mini-review, we (A) summarize several important modulatory variables that influence cocaine choice in nonhuman animals and non-treatment seeking humans; (B) discuss some of the ethical considerations that could arise if treatment-seekers are enrolled in drug-choice studies; (C) consider the efficacy of alternative procedures, including non-drug-related decision-making and ‘simulated’ drug-choice (a choice is made, but no drug is administered) to approximate drug choice; and (D) suggest opportunities for new translational work to bridge the current divide between preclinical and clinical research. PMID:26432174

The Cost-Effectiveness of Three Screening Alternatives for People with Diabetes with No or Early Diabetic Retinopathy

PubMed Central

Rein, David B; Wittenborn, John S; Zhang, Xinzhi; Allaire, Benjamin A; Song, Michael S; Klein, Ronald; Saaddine, Jinan B

2011-01-01

Objective To determine whether biennial eye evaluation or telemedicine screening are cost-effective alternatives to current recommendations for the estimated 10 million people aged 30–84 with diabetes but no or minimal diabetic retinopathy. Data Sources United Kingdom Prospective Diabetes Study, National Health and Nutrition Examination Survey, American Academy of Ophthalmology Preferred Practice Patterns, Medicare Payment Schedule. Study Design Cost-effectiveness Monte Carlo simulation. Data Collection/Extraction Methods Literature review, analysis of existing surveys. Principal Findings Biennial eye evaluation was the most cost-effective treatment option when the ability to detect other eye conditions was included in the model. Telemedicine was most cost-effective when other eye conditions were not considered or when telemedicine was assumed to detect refractive error. The current annual eye evaluation recommendation was costly compared with either treatment alternative. Self-referral was most cost-effective up to a willingness to pay (WTP) of U.S.$37,600, with either biennial or annual evaluation most cost-effective at higher WTP levels. Conclusions Annual eye evaluations are costly and add little benefit compared with either plausible alternative. More research on the ability of telemedicine to detect other eye conditions is needed to determine whether it is more cost-effective than biennial eye evaluation. PMID:21492158

Canadian Pacific Railway Investigation of Safety-Related Occurrences Protocol considered helpful by both labor and management.

DOT National Transportation Integrated Search

2006-09-01

The Federal Railroad Administration (FRA) Human Factors Research and Development (R&D) Program sponsored an Alternative Safety Measures Program designed to explore alternative methods for evaluating whether safety programs improve safety outcomes and...

Barriers and Opportunities for the Use of Alternative Technologies to Reduce Nitrogen in Coastal Estuaries

EPA Science Inventory

In coastal New England, many communities wrestling with nitrogen over-enrichment from insufficient wastewater management are considering alternative technologies to supplement traditional sewering technology. In particular, communities on Cape Cod, Massachusetts are actively comp...

Routing strategies for efficient deployment of alternative fuel vehicles for freight delivery.

DOT National Transportation Integrated Search

2017-02-01

With increasing concerns on environmental issues, recent research on Vehicle Routing Problems : (VRP) has added new factors such as greenhouse gas emissions and alternative fuel vehicles into : the models. In this report, we consider one such promisi...

Alternatives for Revitalizing Student Services Programs.

ERIC Educational Resources Information Center

Deegan, William L.

1984-01-01

Reviews alternatives for revitalizing the programs and management of community college student services. As program development models, considers Miami-Dade Community College's computer-based instructional management system; entrepreneurial fee-based services; and divestment of situational or special-interest services to student groups. In…

Spirituality and hearing voices: considering the relation

PubMed Central

McCarthy-Jones, Simon; Waegeli, Amanda; Watkins, John

2013-01-01

For millennia, some people have heard voices that others cannot hear. These have been variously understood as medical, psychological and spiritual phenomena. In this article we consider the specific role of spirituality in voice-hearing in two ways. First, we examine how spirituality may help or hinder people who hear voices. Benefits are suggested to include offering an alternative meaning to the experience which can give more control and comfort, enabling the development of specific coping strategies, increasing social support, and encouraging forgiveness. Potential drawbacks are noted to include increased distress and reduced control resulting from placing frightening or coercive constructions on voices, social isolation, the development of dysfunctional beliefs, and missed/delayed opportunities for successful mental health interventions. After examining problems surrounding classifying voices as either spiritual or psychotic, we move beyond an essentialist position to examine how such a classification is likely to be fluid, and how a given voice may move between these designations. We also highlight tensions between modernist and postmodernist approaches to voice-hearing. PMID:24273597

An industrial ecology approach to municipal solid waste ...

EPA Pesticide Factsheets

Municipal solid waste (MSW) can be viewed as a feedstock for industrial ecology inspired conversions of wastes to valuable products and energy. The industrial ecology principle of symbiotic processes using waste streams for creating value-added products is applied to MSW, with examples suggested for various residual streams. A methodology is presented to consider individual waste-to-energy or waste-to-product system synergies, evaluating the economic and environmental issues associated with each system. Steps included in the methodology include identifying waste streams, specific waste components of interest, and conversion technologies, plus steps for determining the economic and environmental effects of using wastes and changes due to transport, administrative handling, and processing. In addition to presenting the methodology, technologies for various MSW input streams are categorized as commercialized or demonstrated to provide organizations that are considering processes for MSW with summarized information. The organization can also follow the methodology to analyze interesting processes. Presents information useful for analyzing the sustainability of alternatives for the management of municipal solid waste.

Orion Orbit Control Design and Analysis

NASA Technical Reports Server (NTRS)

Jackson, Mark; Gonzalez, Rodolfo; Sims, Christopher

2007-01-01

The analysis of candidate thruster configurations for the Crew Exploration Vehicle (CEV) is presented. Six candidate configurations were considered for the prime contractor baseline design. The analysis included analytical assessments of control authority, control precision, efficiency and robustness, as well as simulation assessments of control performance. The principles used in the analytic assessments of controllability, robustness and fuel performance are covered and results provided for the configurations assessed. Simulation analysis was conducted using a pulse width modulated, 6 DOF reaction system control law with a simplex-based thruster selection algorithm. Control laws were automatically derived from hardware configuration parameters including thruster locations, directions, magnitude and specific impulse, as well as vehicle mass properties. This parameterized controller allowed rapid assessment of multiple candidate layouts. Simulation results are presented for final phase rendezvous and docking, as well as low lunar orbit attitude hold. Finally, on-going analysis to consider alternate Service Module designs and to assess the pilot-ability of the baseline design are discussed to provide a status of orbit control design work to date.

Cities and health: history, approaches, and key questions.

PubMed

Vlahov, David; Gibble, Emily; Freudenberg, Nicholas; Galea, Sandro

2004-12-01

The majority of the world's population will live in cities in the next few years, and the pace of urbanization worldwide will continue to accelerate over the coming decades. Such a dramatic demographic shift can be expected to have an impact on population health. Although there has been historic interest in how city living is associated with health, this interest has waxed and waned and a cogent framework has yet to evolve that encompasses key issues in urban health. In this article, the authors discuss three alternate approaches to the study of urban health today; these include considering urban health from the perspective of a presumed urban health penalty, from an urban sprawl perspective, and more comprehensively, considering how urban living conditions may be associated with health. The authors also propose three key questions that may help guide the study and practice of urban health in coming decades. These include considering what specific features of cities are causally related to health, the extent to which these features are unique to a particular city or are different between cities, and ultimately, to what extent these features of cities are modifiable in order to allow interventions that can improve the health of urban populations.

Cogeneration Technology Alternatives Study (CTAS). Volume 6: Computer data. Part 1: Coal-fired nocogeneration process boiler, section A

NASA Technical Reports Server (NTRS)

Knightly, W. F.

1980-01-01

Various advanced energy conversion systems (ECS) are compared with each other and with current technology systems for their savings in fuel energy, costs, and emissions in individual plants and on a national level. About fifty industrial processes from the largest energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidates which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum based residual and distillate liquid fuels, and low Btu gas obtained through the on-site gasification of coal. Computer generated reports of the fuel consumption and savings, capital costs, economics and emissions of the cogeneration energy conversion systems (ECS's) heat and power matched to the individual industrial processes are presented for coal fired process boilers. National fuel and emissions savings are also reported for each ECS assuming it alone is implemented.

Cogeneration Technology Alternatives Study (CTAS). Volume 3: Industrial processes

NASA Technical Reports Server (NTRS)

Palmer, W. B.; Gerlaugh, H. E.; Priestley, R. R.

1980-01-01

Cogenerating electric power and process heat in single energy conversion systems rather than separately in utility plants and in process boilers is examined in terms of cost savings. The use of various advanced energy conversion systems are examined and compared with each other and with current technology systems for their savings in fuel energy, costs, and emissions in individual plants and on a national level. About fifty industrial processes from the target energy consuming sectors were used as a basis for matching a similar number of energy conversion systems that are considered as candidate which can be made available by the 1985 to 2000 time period. The sectors considered included food, textiles, lumber, paper, chemicals, petroleum, glass, and primary metals. The energy conversion systems included steam and gas turbines, diesels, thermionics, stirling, closed cycle and steam injected gas turbines, and fuel cells. Fuels considered were coal, both coal and petroleum based residual and distillate liquid fuels, and low Btu gas obtained through the on site gasification of coal. An attempt was made to use consistent assumptions and a consistent set of ground rules specified by NASA for determining performance and cost. Data and narrative descriptions of the industrial processes are given.

Alternative Architectures for Distributed Cooperative Problem-Solving in the National Airspace System

NASA Technical Reports Server (NTRS)

Smith, Phillip J.; Billings, Charles; McCoy, C. Elaine; Orasanu, Judith

1999-01-01

The air traffic management system in the United States is an example of a distributed problem solving system. It has elements of both cooperative and competitive problem-solving. This system includes complex organizations such as Airline Operations Centers (AOCs), the FAA Air Traffic Control Systems Command Center (ATCSCC), and traffic management units (TMUs) at enroute centers and TRACONs, all of which have a major focus on strategic decision-making. It also includes individuals concerned more with tactical decisions (such as air traffic controllers and pilots). The architecture for this system has evolved over time to rely heavily on the distribution of tasks and control authority in order to keep cognitive complexity manageable for any one individual operator, and to provide redundancy (both human and technological) to serve as a safety net to catch the slips or mistakes that any one person or entity might make. Currently, major changes are being considered for this architecture, especially with respect to the locus of control, in an effort to improve efficiency and safety. This paper uses a series of case studies to help evaluate some of these changes from the perspective of system complexity, and to point out possible alternative approaches that might be taken to improve system performance. The paper illustrates the need to maintain a clear understanding of what is required to assure a high level of performance when alternative system architectures and decompositions are developed.

Ecological and political issues surrounding decommissioning of offshore oil facilities in the Southern California Bight

USGS Publications Warehouse

Schroeder, Donna M.; Love, Milton S.

2004-01-01

To aid legislators, resource managers, and the general public, this paper summarizes and clarifies some of the issues and options that the federal government and the state of California face in decommissioning offshore oil and gas production platforms, particularly as these relate to platform ecology. Both local marine ecology and political climate play a role in decommissioning offshore oil production platforms. Compared to the relatively supportive political climate in the Gulf of Mexico for “rigs-to-reefs” programs, conflicting social values among stakeholders in Southern California increases the need for understanding ecological impacts of various decommissioning alternatives (which range from total removal to allowing some or all of platform structure to remain in the ocean). Additional scientific needs in the decommissioning process include further assessment of platform habitat quality, estimation of regional impacts of decommissioning alternatives to marine populations, and determination of biological effects of any residual contaminants. The principal management need is a ranking of environmental priorities (e.g. species-of-interest and marine habitats). Because considerable numbers of economically important species reside near oil platforms, National Oceanic and Atmospheric Administration Fisheries should consider the consequences of decommissioning alternatives in their overall management plans. Management strategies could include designating reefed platforms as marine protected areas. The overarching conclusion from both ecological and political perspectives is that decommissioning decisions should be made on a case-by-case basis.

Space manufacturing in the construction of solar power satellites

NASA Astrophysics Data System (ADS)

Ruth, J.; Westphal, W.

This paper deals with ongoing research work concerning energy budget and cost of the solar Satellite Power System (SPS). The fundamental model of such a total system including ground and space facilities, transportation vehicles, power satellites and rectennas is presented. The main purpose of this model is to examine the applicability of different construction scenarios to allow comparison under nearly identical constraints. Using this model in a first attempt the blankets—meaning the main part of the space segment by weight, energy investment needs and cost—are chosen representatively for the energy and cost comparison of two construction alternatives of the same SPS concept. These construction alternatives are defined just by ground and space based manufacturing of the solar blankets, while all other subsystems, operations and the transportation profiles are considered to be kept the same. It can be shown that the energy "payback" time does not only depend on the SPS concept selected but also very much on the construction and implementation scenario. The cost comparison of these alternative approaches presents not very significant differences but advantages for the space manufacturing option with potential higher differences for a less conservative approach which may apply benefits of space manufacturing meaning, for example, considerable mass savings in space. Some preliminary results are discussed and an outlook is given over the next steps to be investigated, comprising the extension of the fundamental model to include use of lunar raw materials.

Annual Screening Strategies in BRCA1 and BRCA2 Gene Mutation Carriers: A Comparative Effectiveness Analysis

PubMed Central

Lowry, Kathryn P.; Lee, Janie M.; Kong, Chung Y.; McMahon, Pamela M.; Gilmore, Michael E.; Cott Chubiz, Jessica E.; Pisano, Etta D.; Gatsonis, Constantine; Ryan, Paula D.; Ozanne, Elissa M.; Gazelle, G. Scott

2011-01-01

Background While breast cancer screening with mammography and MRI is recommended for BRCA mutation carriers, there is no current consensus on the optimal screening regimen. Methods We used a computer simulation model to compare six annual screening strategies [film mammography (FM), digital mammography (DM), FM and magnetic resonance imaging (MRI) or DM and MRI contemporaneously, and alternating FM/MRI or DM/MRI at six-month intervals] beginning at ages 25, 30, 35, and 40, and two strategies of annual MRI with delayed alternating DM/FM to clinical surveillance alone. Strategies were evaluated without and with mammography-induced breast cancer risk, using two models of excess relative risk. Input parameters were obtained from the medical literature, publicly available databases, and calibration. Results Without radiation risk effects, alternating DM/MRI starting at age 25 provided the highest life expectancy (BRCA1: 72.52 years, BRCA2: 77.63 years). When radiation risk was included, a small proportion of diagnosed cancers were attributable to radiation exposure (BRCA1: <2%, BRCA2: <4%). With radiation risk, alternating DM/MRI at age 25 or annual MRI at age 25/delayed alternating DM at age 30 were most effective, depending on the radiation risk model used. Alternating DM/MRI starting at age 25 also had the highest number of false-positive screens/person (BRCA1: 4.5, BRCA2: 8.1). Conclusions Annual MRI at 25/delayed alternating DM at age 30 is likely the most effective screening strategy in BRCA mutation carriers. Screening benefits, associated risks and personal acceptance of false-positive results, should be considered in choosing the optimal screening strategy for individual women. PMID:21935911

Decision Making for Healthcare Resource Allocation: Joint v. Separate Decisions on Interacting Interventions.

PubMed

Dakin, Helen; Gray, Alastair

2018-05-01

Standard guidance for allocating healthcare resources based on cost-effectiveness recommends using different decision rules for independent and mutually exclusive alternatives, although there is some confusion around the definition of "mutually exclusive." This paper reviews the definitions used in the literature and shows that interactions (i.e., non-additive effects, whereby the effect of giving 2 interventions simultaneously does not equal the sum of their individual effects) are the defining feature of mutually exclusive alternatives: treatments cannot be considered independent if the costs and/or benefits of one treatment are affected by the other treatment. The paper then identifies and categorizes the situations in which interventions are likely to have non-additive effects, including interventions targeting the same goal or clinical event, or life-saving interventions given to overlapping populations. We demonstrate that making separate decisions on interventions that have non-additive effects can prevent us from maximizing health gained from the healthcare budget. In contrast, treating combinations of independent options as though they were "mutually exclusive" makes the analysis more complicated but does not affect the conclusions. Although interactions are considered by the World Health Organization, other decision makers, such as the National Institute for Health and Care Excellence (NICE), currently make independent decisions on treatments likely to have non-additive effects. We propose a framework by which interactions could be considered when selecting, prioritizing, and appraising healthcare technologies to ensure efficient, evidence-based decision making.

Decision Making for Healthcare Resource Allocation: Joint v. Separate Decisions on Interacting Interventions

PubMed Central

Dakin, Helen; Gray, Alastair

2018-01-01

Standard guidance for allocating healthcare resources based on cost-effectiveness recommends using different decision rules for independent and mutually exclusive alternatives, although there is some confusion around the definition of “mutually exclusive.” This paper reviews the definitions used in the literature and shows that interactions (i.e., non-additive effects, whereby the effect of giving 2 interventions simultaneously does not equal the sum of their individual effects) are the defining feature of mutually exclusive alternatives: treatments cannot be considered independent if the costs and/or benefits of one treatment are affected by the other treatment. The paper then identifies and categorizes the situations in which interventions are likely to have non-additive effects, including interventions targeting the same goal or clinical event, or life-saving interventions given to overlapping populations. We demonstrate that making separate decisions on interventions that have non-additive effects can prevent us from maximizing health gained from the healthcare budget. In contrast, treating combinations of independent options as though they were “mutually exclusive” makes the analysis more complicated but does not affect the conclusions. Although interactions are considered by the World Health Organization, other decision makers, such as the National Institute for Health and Care Excellence (NICE), currently make independent decisions on treatments likely to have non-additive effects. We propose a framework by which interactions could be considered when selecting, prioritizing, and appraising healthcare technologies to ensure efficient, evidence-based decision making. PMID:29683792

Ageing airplane repair assessment program for Airbus A300

NASA Technical Reports Server (NTRS)

Gaillardon, J. M.; Schmidt, HANS-J.; Brandecker, B.

1992-01-01

This paper describes the current status of the repair categorization activities and includes all details about the methodologies developed for determination of the inspection program for the skin on pressurized fuselages. For inspection threshold determination two methods are defined based on fatigue life approach, a simplified and detailed method. The detailed method considers 15 different parameters to assess the influences of material, geometry, size location, aircraft usage, and workmanship on the fatigue life of the repair and the original structure. For definition of the inspection intervals a general method is developed which applies to all concerned repairs. For this the initial flaw concept is used by considering 6 parameters and the detectable flaw sizes depending on proposed nondestructive inspection methods. An alternative method is provided for small repairs allowing visual inspection with shorter intervals.

Waveform generation in the EETS

NASA Astrophysics Data System (ADS)

Wilshire, J. P.

1985-05-01

Design decisions and analysis for the waveform generation portion of an electrical equipment test set are discussed. This test set is unlike conventional ATE in that it is portable and designed to operate in forward area sites for the USMC. It is also unique in that it provides for functional testing for 32 electronic units from the AV-88 Harrier II aircraft. Specific requirements for the waveform generator are discussed, including a wide frequency range, high resolution and accuracy, and low total harmonic distortion. Several approaches to meet these requirements are considered and a specific concept is presented in detail, which consists of a digitally produced waveform that feeds a deglitched analog conversion circuit. Rigorous mathematical analysis is presented to prove that this concept meets the requirements. Finally, design alternatives and enhancements are considered.

A tradeoff study of determine the optimum approach to a wash/rinse capability to support future space flight

NASA Technical Reports Server (NTRS)

Wilson, D. A.

1976-01-01

Specific requirements for a wash/rinse capability to support Spacelab biological experimentation and to identify various concepts for achieving this capability were determined. This included the examination of current state-of-the-art and emerging technology designs that would meet the wash/rinse requirements. Once several concepts were identified, including the disposable utensils, tools and gloves or other possible alternatives, a tradeoff analysis involving system cost, weight, volume utilization, functional performance, maintainability, reliability, power utilization, safety, complexity, etc., was performed so as to determine an optimum approach for achieving a wash/rinse capability to support future space flights. Missions of varying crew size and durations were considered.

Defining alternative rules in water and sanitation.

PubMed

Robert, J

1995-11-01

While the conventional water and sanitation package remains most prominent, alternatives exist to conventional waterworks and sanitation practices. Some alternate courses of action are considered. Promising an unprecedented availability of piped water, water development projects foster a pump-and-dump mentality even before they are completed. Often simply announcing the impending implementation of such projects encourages the intention among future beneficiaries to waste water resources. Alternatives to the domestic waste of water must be sought and implemented. Disestablishing water development, styles of alternative water technologies, decision-making and decision-makers, water policy scale, regenerating community access to sources, and water pricing are discussed.

Complementary therapy.

PubMed

1998-01-01

In developing countries with little access to antiviral therapy, there is evidence that counseling and adopting a health lifestyle may delay the progression of AIDS. In India, some doctors have reported that of 460 persons counseled on lifestyle, 85 percent had CD4 counts over 500. The lifestyle changes included maintaining a positive attitude, yoga, adhering to a balanced vegetarian diet with vitamin supplementation, minimum medication use, and not using tobacco. It is noted that these "treatment" methods are not considered alternative medicine, since they are the main source of treatment in some developing countries.

The role of dispositional traits in accounting for country and ethnic group differences on adjustment.

PubMed

Matsumoto, David; Nakagawa, Sanae; Estrada, Aaron

2009-02-01

Country and ethnic group differences on adjustment have been demonstrated numerous times, and the source of these differences has been typically interpreted as cultural. We report two studies in which country (Study 1) and ethnic group (Study 2) differences on depression, anxiety, optimism versus pessimism, well-being, and self-esteem are mediated by dispositional traits. These findings provide an alternative explanation for previously reported country and ethnic group differences on these variables and encourage researchers to consider multiple sources, including traits, in their models and studies.

Random walks with random velocities.

PubMed

Zaburdaev, Vasily; Schmiedeberg, Michael; Stark, Holger

2008-07-01

We consider a random walk model that takes into account the velocity distribution of random walkers. Random motion with alternating velocities is inherent to various physical and biological systems. Moreover, the velocity distribution is often the first characteristic that is experimentally accessible. Here, we derive transport equations describing the dispersal process in the model and solve them analytically. The asymptotic properties of solutions are presented in the form of a phase diagram that shows all possible scaling regimes, including superdiffusive, ballistic, and superballistic motion. The theoretical results of this work are in excellent agreement with accompanying numerical simulations.

Aortic valve replacement in a patient with severe nickel allergy.

PubMed

Lusini, Mario; Barbato, Raffaele; Spadaccio, Cristiano; Chello, Massimo

2011-11-01

Nickel allergy can raise clinical problems in patients undergoing cardiac surgery who require sternal closure with stainless steel wire. We describe the case of a 51-year-old woman with severe nickel allergy who underwent aortic valve replacement with a nickel-free ON-X prosthesis and sternal closure by Fiberwire # 2 suture without complications. Considering its biocompatibility and its mechanical characteristics including optimal strength and knot resistance, this suture might be a viable alternative in patients in which the use of stainless steel wire is contraindicated. © 2011 Wiley Periodicals, Inc.

The American Jobs Creation Act and its impact on deferred compensation: reassessment from a business perspective.

PubMed

Johnson, David G

2005-01-01

The American Jobs Creation Act (AJCA), which was signed into law in October 2004, will have an impact on almost every deferred compensation program in the United States. This article argues that as companies continue to evaluate the transition alternatives under AJCA and contemplate the necessary changes to the plan program, companies also should consider simultaneously addressing broader issues surrounding nonqualified deferred compensation arrangements. These include ongoing business purpose, financial planning considerations, education of participants, corporate governance considerations and the potential implications to international assignees.

Escaping the snare of chronological growth and launching a free curve alternative: general deviance as latent growth model.

PubMed

Wood, Phillip Karl; Jackson, Kristina M

2013-08-01

Researchers studying longitudinal relationships among multiple problem behaviors sometimes characterize autoregressive relationships across constructs as indicating "protective" or "launch" factors or as "developmental snares." These terms are used to indicate that initial or intermediary states of one problem behavior subsequently inhibit or promote some other problem behavior. Such models are contrasted with models of "general deviance" over time in which all problem behaviors are viewed as indicators of a common linear trajectory. When fit of the "general deviance" model is poor and fit of one or more autoregressive models is good, this is taken as support for the inhibitory or enhancing effect of one construct on another. In this paper, we argue that researchers consider competing models of growth before comparing deviance and time-bound models. Specifically, we propose use of the free curve slope intercept (FCSI) growth model (Meredith & Tisak, 1990) as a general model to typify change in a construct over time. The FCSI model includes, as nested special cases, several statistical models often used for prospective data, such as linear slope intercept models, repeated measures multivariate analysis of variance, various one-factor models, and hierarchical linear models. When considering models involving multiple constructs, we argue the construct of "general deviance" can be expressed as a single-trait multimethod model, permitting a characterization of the deviance construct over time without requiring restrictive assumptions about the form of growth over time. As an example, prospective assessments of problem behaviors from the Dunedin Multidisciplinary Health and Development Study (Silva & Stanton, 1996) are considered and contrasted with earlier analyses of Hussong, Curran, Moffitt, and Caspi (2008), which supported launch and snare hypotheses. For antisocial behavior, the FCSI model fit better than other models, including the linear chronometric growth curve model used by Hussong et al. For models including multiple constructs, a general deviance model involving a single trait and multimethod factors (or a corresponding hierarchical factor model) fit the data better than either the "snares" alternatives or the general deviance model previously considered by Hussong et al. Taken together, the analyses support the view that linkages and turning points cannot be contrasted with general deviance models absent additional experimental intervention or control.

Escaping the snare of chronological growth and launching a free curve alternative: General deviance as latent growth model

PubMed Central

WOOD, PHILLIP KARL; JACKSON, KRISTINA M.

2014-01-01

Researchers studying longitudinal relationships among multiple problem behaviors sometimes characterize autoregressive relationships across constructs as indicating “protective” or “launch” factors or as “developmental snares.” These terms are used to indicate that initial or intermediary states of one problem behavior subsequently inhibit or promote some other problem behavior. Such models are contrasted with models of “general deviance” over time in which all problem behaviors are viewed as indicators of a common linear trajectory. When fit of the “general deviance” model is poor and fit of one or more autoregressive models is good, this is taken as support for the inhibitory or enhancing effect of one construct on another. In this paper, we argue that researchers consider competing models of growth before comparing deviance and time-bound models. Specifically, we propose use of the free curve slope intercept (FCSI) growth model (Meredith & Tisak, 1990) as a general model to typify change in a construct over time. The FCSI model includes, as nested special cases, several statistical models often used for prospective data, such as linear slope intercept models, repeated measures multivariate analysis of variance, various one-factor models, and hierarchical linear models. When considering models involving multiple constructs, we argue the construct of “general deviance” can be expressed as a single-trait multimethod model, permitting a characterization of the deviance construct over time without requiring restrictive assumptions about the form of growth over time. As an example, prospective assessments of problem behaviors from the Dunedin Multidisciplinary Health and Development Study (Silva & Stanton, 1996) are considered and contrasted with earlier analyses of Hussong, Curran, Moffitt, and Caspi (2008), which supported launch and snare hypotheses. For antisocial behavior, the FCSI model fit better than other models, including the linear chronometric growth curve model used by Hussong et al. For models including multiple constructs, a general deviance model involving a single trait and multimethod factors (or a corresponding hierarchical factor model) fit the data better than either the “snares” alternatives or the general deviance model previously considered by Hussong et al. Taken together, the analyses support the view that linkages and turning points cannot be contrasted with general deviance models absent additional experimental intervention or control. PMID:23880389

Dogma Clouds the Facts.

ERIC Educational Resources Information Center

Ballard, Thomas H.

1985-01-01

Examines arguments now being presented in support of public library networking and resource sharing and suggests ways to obtain harder evidence that might serve to legitimize these beliefs: estimate benefits, build in evaluation, support estimates of benefits, seek cheaper alternatives for accomplishing same goal, consider alternatives to…

40 CFR 60.2050 - What is a siting analysis?

Code of Federal Regulations, 2014 CFR

2014-07-01

...? (a) The siting analysis must consider air pollution control alternatives that minimize, on a site... air pollution control alternatives specified in paragraph (a) of this section. (c) You must complete... Section 60.2050 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

40 CFR 60.2050 - What is a siting analysis?

Code of Federal Regulations, 2013 CFR

2013-07-01

...? (a) The siting analysis must consider air pollution control alternatives that minimize, on a site... air pollution control alternatives specified in paragraph (a) of this section. (c) You must complete... Section 60.2050 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

Waterborne traffic Paints : a study for the potential improvement in drying time and cost-effectiveness : final report

DOT National Transportation Integrated Search

2000-05-15

This report analyzes possibilities for developing an alternative to the present technology of 100% acrylic waterborne (WB) paints used for road delineation. The current market situation is briefly reviewed, and alternatives considered. The requiremen...

Alternative diagnostic strategies for coronary artery disease in women: demonstration of the usefulness and efficiency of probability analysis

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

Melin, J.A.; Wijns, W.; Vanbutsele, R.J.

Alternative strategies using conditional probability analysis for the diagnosis of coronary artery disease (CAD) were examined in 93 infarct-free women presenting with chest pain. Another group of 42 consecutive female patients was prospectively analyzed. For this latter group, the physician had access to the pretest and posttest probability of CAD before coronary angiography. These 135 women all underwent stress electrocardiographic, thallium scintigraphic, and coronary angiographic examination. The pretest and posttest probabilities of coronary disease were derived from a computerized Bayesian algorithm. Probability estimates were calculated by the four following hypothetical strategies: SO, in which history, including risk factors, was considered;more » S1, in which history and stress electrocardiographic results were considered; S2, in which history and stress electrocardiographic and stress thallium scintigraphic results were considered; and S3, in which history and stress electrocardiographic results were used, but in which stress scintigraphic results were considered only if the poststress probability of CAD was between 10% and 90%, i.e., if a sufficient level of diagnostic certainty could not be obtained with the electrocardiographic results alone. The strategies were compared with respect to accuracy with the coronary angiogram as the standard. For both groups of women, S2 and S3 were found to be the most accurate in predicting the presence or absence of coronary disease (p less than .05). However, it was found with use of S3 that more than one-third of the thallium scintigrams could have been avoided without loss of accuracy. It was also found that diagnostic catheterization performed to exclude CAD as a diagnosis could have been avoided in half of the patients without loss of accuracy.(ABSTRACT TRUNCATED AT 250 WORDS)« less

Refusal to medical interventions.

PubMed

Palacios, G; Herreros, B; Pacho, E

2014-10-01

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

Lung ultrasound for the diagnosis of community-acquired pneumonia in children.

PubMed

Stadler, Jacob A M; Andronikou, Savvas; Zar, Heather J

2017-10-01

Ultrasound (US) has been proposed as an alternative first-line imaging modality to diagnose community-acquired pneumonia in children. Lung US has the potential benefits over chest radiography of being radiation free, subject to fewer regulatory requirements, relatively lower cost and with immediate bedside availability of results. However, the uptake of lung US into clinical practice has been slow and it is not yet included in clinical guidelines for community-acquired pneumonia in children. The aim of this review is to give an overview of the equipment and techniques used to perform lung US in children with suspected pneumonia and the interpretation of relevant sonographic findings. We also summarise the current evidence of diagnostic accuracy and reliability of lung US compared to alternative imaging modalities in children and critically consider the strengths and limitations of lung US for use in children presenting with suspected community-acquired pneumonia.

Configuration complexity assessment of convergent supply chain systems

NASA Astrophysics Data System (ADS)

Modrak, Vladimir; Marton, David

2014-07-01

System designers usually generate alternative configurations of supply chains (SCs) by varying especially fixed assets to satisfy a desired production scope and rate. Such alternatives often vary in associated costs and other facets including degrees of complexity. Hence, a measure of configuration complexity can be a tool for comparison and decision-making. This paper presents three approaches to assessment of configuration complexity and their applications to designing convergent SC systems. Presented approaches are conceptually distinct ways of measuring structural complexity parameters based on different preconditions and circumstances of assembly systems which are typical representatives of convergent SCs. There are applied two similar approaches based on different preconditions that are related to demand shares. Third approach does not consider any special condition relating to character of final product demand. Subsequently, we propose a framework for modeling of assembly SC models, which are dividing to classes.

Integrated digital/electric aircraft concepts study

NASA Technical Reports Server (NTRS)

Cronin, M. J.; Hays, A. P.; Green, F. B.; Radovcich, N. A.; Helsley, C. W.; Rutchik, W. L.

1985-01-01

The integrated digital/electrical aircraft (IDEA) is an aircraft concept which employs all electric secondary power systems and advanced digital flight control systems. After trade analysis, preferred systems were applied to the baseline configuration. An additional configuration, the alternate IDEA, was also considered. For this concept the design ground rules were relaxed in order to quantify additional synergistic benefits. It was proposed that an IDEA configuration and technical risks associated with the IDEA systems concepts be defined and the research and development required activities to reduce these risks be identified. The selected subsystems include: power generation, power distribution, actuators, environmental control system and flight controls systems. When the aircraft was resized, block fuel was predicted to decrease by 11.3 percent, with 7.9 percent decrease in direct operating cost. The alternate IDEA shows a further 3.4 percent reduction in block fuel and 3.1 percent reduction in direct operating cost.

Medical management of refractory epilepsy--practical treatment with novel antiepileptic drugs.

PubMed

Ben-Menachem, Elinor

2014-01-01

The ultimate treatment goal in epilepsy therapy is always freedom from seizures with as few treatment adverse effects as possible. If seizures persist with the first monotherapy, alternative monotherapy with another antiepileptic drug (AED) should be considered. Continuing seizures should lead to a reevaluation of differential diagnosis and adherence. Epilepsy surgery as an alternative therapy may be suitable in selected cases. If the diagnosis of epilepsy is established and epilepsy surgery is not appropriate, AED treatment should be optimized. Evidence for how to proceed is lacking. Concepts such as rational polytherapy have been advocated but remain speculative concerning better efficacy based on the use of AEDs with differing modes of action. A variety of new AEDs including rufinamide, lacosamide, vigabatrin, perampanel, and retigabine have been recently introduced in the United States. They are briefly characterized in this update review. Wiley Periodicals, Inc. © 2014 International League Against Epilepsy.

Protecting Biodiversity when Money Matters: Maximizing Return on Investment

PubMed Central

Underwood, Emma C.; Shaw, M. Rebecca; Wilson, Kerrie A.; Kareiva, Peter; Klausmeyer, Kirk R.; McBride, Marissa F.; Bode, Michael; Morrison, Scott A.; Hoekstra, Jonathan M.; Possingham, Hugh P.

2008-01-01

Background Conventional wisdom identifies biodiversity hotspots as priorities for conservation investment because they capture dense concentrations of species. However, density of species does not necessarily imply conservation ‘efficiency’. Here we explicitly consider conservation efficiency in terms of species protected per dollar invested. Methodology/Principal Findings We apply a dynamic return on investment approach to a global biome and compare it with three alternate priority setting approaches and a random allocation of funding. After twenty years of acquiring habitat, the return on investment approach protects between 32% and 69% more species compared to the other priority setting approaches. To correct for potential inefficiencies of protecting the same species multiple times we account for the complementarity of species, protecting up to three times more distinct vertebrate species than alternate approaches. Conclusions/Significance Incorporating costs in a return on investment framework expands priorities to include areas not traditionally highlighted as priorities based on conventional irreplaceability and vulnerability approaches. PMID:18231601

[General aspects of homeopathy].

PubMed

Avello L, Marcia; Avendaño O, Cristian; Mennickent C, Sigrid

2009-01-01

Homeopathic medicine is a type of therapy that appeared in Europe at the end of the eighteenth century. At the present time, it is widely accepted in developed countries as a form of alternative medicine. In Chile, health regulation includes homeopathy as pharmaceutical products and homeopathy is also considered a form of complementary medicine, that is well accepted by the public. The scientific rationale of homeopathy is based on an empiric type of thought that goes from the general to the particular. The symptoms that are valued are those that are particular to each sick individual. It uses diluted solutions of plants, minerals, animals and even venoms. There are basically two hypotheses to explain its mechanisms of action: The "immunological memory" and the "memory of water" or the transmission of electromagnetic information of the water. There still is needed to perform new studies to scientifically assess homeopathy and its usefulness, as an accepted alternative therapy.

Review of Potential Wind Tunnel Balance Technologies

NASA Technical Reports Server (NTRS)

Burns, Devin E.; Williams, Quincy L.; Phillips, Ben D.; Commo, Sean A.; Ponder, Jonathon D.

2016-01-01

This manuscript reviews design, manufacture, materials, sensors, and data acquisition technologies that may benefit wind tunnel balances for the aerospace research community. Current state-of-the-art practices are used as the benchmark to consider advancements driven by researcher and facility needs. Additive manufacturing is highlighted as a promising alternative technology to conventional fabrication and has the potential to reduce both the cost and time required to manufacture force balances. Material alternatives to maraging steels are reviewed. Sensor technologies including piezoresistive, piezoelectric, surface acoustic wave, and fiber optic are compared to traditional foil based gages to highlight unique opportunities and shared challenges for implementation in wind tunnel environments. Finally, data acquisition systems that could be integrated into force balances are highlighted as a way to simplify the user experience and improve data quality. In summary, a rank ordering is provided to support strategic investment in exploring the technologies reviewed in this manuscript.

Thermal energy storage for a space solar dynamic power system

NASA Technical Reports Server (NTRS)

Faget, N. M.; Fraser, W. M., Jr.; Simon, W. E.

1985-01-01

In the past, NASA has employed solar photovoltaic devices for long-duration missions. Thus, the Skylab system has operated with a silicon photovoltaic array and a nickel-cadmium electrochemical system energy storage system. Difficulties regarding the employment of such a system for the larger power requirements of the Space Station are related to a low orbit system efficiency and the large weight of the battery. For this reason the employment of a solar dynamic power system (SDPS) has been considered. The primary components of an SDPS include a concentrating mirror, a heat receiver, a thermal energy storage (TES) system, a thermodynamic heat engine, an alternator, and a heat rejection system. The heat-engine types under consideration are a Brayton cycle engine, an organic Rankine cycle engine, and a free-piston/linear-alternator Stirling cycle engine. Attention is given to a system description, TES integration concepts, and a TES technology assessment.

Methylene blue, midodrine, and pseudoephedrine: a review of alternative agents for refractory hypotension in the intensive care unit.

PubMed

Van Berkel, Megan A; Fuller, Laura A; Alexandrov, Anne W; Jones, G Morgan

2015-01-01

Hypotensive episodes are common among patients in the intensive care unit and can lead to multiorgan failure if uncontrolled. Fluid administration and continuous infusion of vasoactive agents are frequently used for management of hypotension; however, both therapies may be associated with adverse effects including pulmonary edema and tissue necrosis. In addition, availability of these first-line agents has been impacted by the increasing occurrence of drug shortages. Methylene blue, pseudoephedrine, and midodrine have been considered potential alternatives to standard therapy. These agents may not only be used when first-line agents are unavailable due to shortages, but they may also aid in reducing the cumulative dose of other vasoactive agents used. The purpose of this review was to discuss strategies for the safe and effective use of methylene blue, pseudoephedrine, and midodrine for the treatment of hypotension in the critically ill.

Biodiesel from plant seed oils as an alternate fuel for compression ignition engines-a review.

PubMed

Vijayakumar, C; Ramesh, M; Murugesan, A; Panneerselvam, N; Subramaniam, D; Bharathiraja, M

2016-12-01

The modern scenario reveals that the world is facing energy crisis due to the dwindling sources of fossil fuels. Environment protection agencies are more concerned about the atmospheric pollution due to the burning of fossil fuels. Alternative fuel research is getting augmented because of the above reasons. Plant seed oils (vegetable oils) are cleaner, sustainable, and renewable. So, it can be the most suitable alternative fuel for compression ignition (CI) engines. This paper reviews the availability of different types of plant seed oils, several methods for production of biodiesel from vegetable oils, and its properties. The different types of oils considered in this review are cashew nut shell liquid (CNSL) oil, ginger oil, eucalyptus oil, rice bran oil, Calophyllum inophyllum, hazelnut oil, sesame oil, clove stem oil, sardine oil, honge oil, polanga oil, mahua oil, rubber seed oil, cotton seed oil, neem oil, jatropha oil, egunsi melon oil, shea butter, linseed oil, Mohr oil, sea lemon oil, pumpkin oil, tobacco seed oil, jojoba oil, and mustard oil. Several methods for production of biodiesel are transesterification, pre-treatment, pyrolysis, and water emulsion are discussed. The various fuel properties considered for review such as specific gravity, viscosity, calorific value, flash point, and fire point are presented. The review also portrays advantages, limitations, performance, and emission characteristics of engine using plant seed oil biodiesel are discussed. Finally, the modeling and optimization of engine for various biofuels with different input and output parameters using artificial neural network, response surface methodology, and Taguchi are included.

Biased predecisional processing of leading and nonleading alternatives.

PubMed

Blanchard, Simon J; Carlson, Kurt A; Meloy, Margaret G

2014-03-01

When people obtain information about choice alternatives in a set one attribute at a time, they rapidly identify a leading alternative. Although previous research has established that people then distort incoming information, it is unclear whether distortion occurs through favoring of the leading alternative, disfavoring of the trailing alternative, or both. Prior examinations have not explored the predecisional treatment of the nonleading alternative (or alternatives) because they conceptualized distortion as a singular construct in binary choice and measured it using a relative item comparing the evaluation of both alternatives simultaneously. In this article, we introduce a measure of distortion at the level of the alternative, which allows for measuring whether predecisional distortion favors or disfavors every alternative being considered in choice sets of various sizes. We report that both proleader and antitrailer distortion occur and that the use of antitrailer processing differs between binary choices and multiple-options choices.

A framework for an alternatives assessment dashboard for evaluating chemical alternatives applied to flame retardants for electronic applications.

PubMed

Martin, Todd M

2017-05-01

The goal of alternatives assessment (AA) is to facilitate a comparison of alternatives to a chemical of concern, resulting in the identification of safer alternatives. A two stage methodology for comparing chemical alternatives was developed. In the first stage, alternatives are compared using a variety of human health effects, ecotoxicity, and physicochemical properties. Hazard profiles are completed using a variety of online sources and quantitative structure activity relationship models. In the second stage, alternatives are evaluated utilizing an exposure/risk assessment over the entire life cycle. Exposure values are calculated using screening-level near-field and far-field exposure models. The second stage allows one to more accurately compare potential exposure to each alternative and consider additional factors that may not be obvious from separate binned persistence, bioaccumulation, and toxicity scores. The methodology was utilized to compare phosphate-based alternatives for decabromodiphenyl ether (decaBDE) in electronics applications.

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

Dillon, Heather E.; Antonopoulos, Chrissi A.; Solana, Amy E.

As the model energy codes are improved to reach efficiency levels 50 percent greater than current codes, use of on-site renewable energy generation is likely to become a code requirement. This requirement will be needed because traditional mechanisms for code improvement, including envelope, mechanical and lighting, have been pressed to the end of reasonable limits. Research has been conducted to determine the mechanism for implementing this requirement (Kaufman 2011). Kaufmann et al. determined that the most appropriate way to structure an on-site renewable requirement for commercial buildings is to define the requirement in terms of an installed power density permore » unit of roof area. This provides a mechanism that is suitable for the installation of photovoltaic (PV) systems on future buildings to offset electricity and reduce the total building energy load. Kaufmann et al. suggested that an appropriate maximum for the requirement in the commercial sector would be 4 W/ft{sup 2} of roof area or 0.5 W/ft{sup 2} of conditioned floor area. As with all code requirements, there must be an alternative compliance path for buildings that may not reasonably meet the renewables requirement. This might include conditions like shading (which makes rooftop PV arrays less effective), unusual architecture, undesirable roof pitch, unsuitable building orientation, or other issues. In the short term, alternative compliance paths including high performance mechanical equipment, dramatic envelope changes, or controls changes may be feasible. These options may be less expensive than many renewable systems, which will require careful balance of energy measures when setting the code requirement levels. As the stringency of the code continues to increase however, efficiency trade-offs will be maximized, requiring alternative compliance options to be focused solely on renewable electricity trade-offs or equivalent programs. One alternate compliance path includes purchase of Renewable Energy Credits (RECs). Each REC represents a specified amount of renewable electricity production and provides an offset of environmental externalities associated with non-renewable electricity production. The purpose of this paper is to explore the possible issues with RECs and comparable alternative compliance options. Existing codes have been examined to determine energy equivalence between the energy generation requirement and the RECs alternative over the life of the building. The price equivalence of the requirement and the alternative are determined to consider the economic drivers for a market decision. This research includes case studies that review how the few existing codes have incorporated RECs and some of the issues inherent with REC markets. Section 1 of the report reviews compliance options including RECs, green energy purchase programs, shared solar agreements and leases, and other options. Section 2 provides detailed case studies on codes that include RECs and community based alternative compliance methods. The methods the existing code requirements structure alternative compliance options like RECs are the focus of the case studies. Section 3 explores the possible structure of the renewable energy generation requirement in the context of energy and price equivalence. The price of RECs have shown high variation by market and over time which makes it critical to for code language to be updated frequently for a renewable energy generation requirement or the requirement will not remain price-equivalent over time. Section 4 of the report provides a maximum case estimate for impact to the PV market and the REC market based on the Kaufmann et al. proposed requirement levels. If all new buildings in the commercial sector complied with the requirement to install rooftop PV arrays, nearly 4,700 MW of solar would be installed in 2012, a major increase from EIA estimates of 640 MW of solar generation capacity installed in 2009. The residential sector could contribute roughly an additional 2,300 MW based on the same code requirement levels of 4 W/ft{sup 2} of roof area. Section 5 of the report provides a basic framework for draft code language recommendations based on the analysis of the alternative compliance levels.« less

Evaluation of Alternative Field Buses for Lighting ControlApplications

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

Koch, Ed; Rubinstein, Francis

2005-03-21

The Subcontract Statement of Work consists of two major tasks. This report is the Final Report in fulfillment of the contract deliverable for Task 1. The purpose of Task 1 was to evaluate existing and emerging protocols and standards for interfacing sensors and controllers for communicating with integrated lighting control systems in commercial buildings. The detailed task description follows: Task 1. Evaluate alternative sensor/field buses. The objective of this task is to evaluate existing and emerging standards for interfacing sensors and controllers for communicating with integrated lighting control systems in commercial buildings. The protocols to be evaluated will include atmore » least: (1) 1-Wire Net, (2) DALI, (3) MODBUS (or appropriate substitute such as EIB) and (4) ZigBee. The evaluation will include a comparative matrix for comparing the technical performance features of the different alternative systems. The performance features to be considered include: (1) directionality and network speed, (2) error control, (3) latency times, (4) allowable cable voltage drop, (5) topology, and (6) polarization. Specifically, Subcontractor will: (1) Analyze the proposed network architecture and identify potential problems that may require further research and specification. (2) Help identify and specify additional software and hardware components that may be required for the communications network to operate properly. (3) Identify areas of the architecture that can benefit from existing standards and technology and enumerate those standards and technologies. (4) Identify existing companies that may have relevant technology that can be applied to this research. (5) Help determine if new standards or technologies need to be developed.« less

Extraction of neptunium by trilaurylamine

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

Patil, S.K.; Swarup, R.; Ramaniah, M.V.

1972-07-01

Trilaurylamine (TLA) is considered as useful solvent for the final purification of plutonium and neptunium. As TLA is considered as an alternate possible extractant for the final purification of plutonium and neptunium at Tarapur Reprocessing Plant under construction, it was considered necessary to study the optimum conditions for the extraction of neptunium using TLA.

An environmental decision framework applied to marine engine control technologies.

PubMed

Corbett, James J; Chapman, David

2006-06-01

This paper develops a decision framework for considering emission control technologies on marine engines, informed by standard decision theory, with an open structure that may be adapted by operators with specific vessel and technology attributes different from those provided here. Attributes relate objectives important to choosing control technologies with specific alternatives that may meet several of the objectives differently. The transparent framework enables multiple stakeholders to understand how different subjective judgments and varying attribute properties may result in different technology choices. Standard scoring techniques ensure that attributes are not biased by subjective scoring and that weights are the primary quantitative input where subjective preferences are exercised. An expected value decision structure is adopted that considers probabilities (likelihood) that a given alternative can meet its claims; alternative decision criteria are discussed. Capital and annual costs are combined using a net present value approach. An iterative approach is advocated that allows for screening and disqualifying alternatives that do not meet minimum conditions for acceptance, such as engine warranty or U.S. Coast Guard requirements. This decision framework assists vessel operators in considering explicitly important attributes and in representing choices clearly to other stakeholders concerned about reducing air pollution from vessels. This general decision structure may also be applied similarly to other environmental controls in marine applications.

Alternating Direction Implicit (ADI) schemes for a PDE-based image osmosis model

NASA Astrophysics Data System (ADS)

Calatroni, L.; Estatico, C.; Garibaldi, N.; Parisotto, S.

2017-10-01

We consider Alternating Direction Implicit (ADI) splitting schemes to compute efficiently the numerical solution of the PDE osmosis model considered by Weickert et al. in [10] for several imaging applications. The discretised scheme is shown to preserve analogous properties to the continuous model. The dimensional splitting strategy traduces numerically into the solution of simple tridiagonal systems for which standard matrix factorisation techniques can be used to improve upon the performance of classical implicit methods, even for large time steps. Applications to the shadow removal problem are presented.

The need for strategic tax planning among nonprofit hospitals.

PubMed

Smith, Pamela C

2005-01-01

Strategic tax planning issues are important to the nonprofit health care sector, despite its philanthropic mission. The consolidation of the industry has led management to fight for resources and develop alternative strategies for raising money. When management evaluates alternative collaborative structures to increase efficiency, the impact on governance structures must also be considered. The increased governmental scrutiny of joint ventures within the health care sector warrants management's attention as well. The financial incentives must be considered, along with the various tax policy implications of cross-sector collaborations.

Alternative Medicine and the Ethics Of Commerce.

PubMed

Macdonald, Chris; Gavura, Scott

2016-02-01

Is it ethical to market complementary and alternative medicines? Complementary and alternative medicines (CAM) are medical products and services outside the mainstream of medical practice. But they are not just medicines (or supposed medicines) offered and provided for the prevention and treatment of illness. They are also products and services - things offered for sale in the marketplace. Most discussion of the ethics of CAM has focused on bioethical issues - issues having to do with therapeutic value, and the relationship between patients and those purveyors of CAM. This article aims instead to consider CAM from the perspective of commercial ethics. That is, we consider the ethics not of prescribing or administering CAM (activities most closely associated with health professionals) but the ethics of selling CAM. © 2016 John Wiley & Sons Ltd.

Economic impact of therapeutic substitution of a brand selective serotonin reuptake inhibitor with an alternative generic selective serotonin reuptake inhibitor in patients with major depressive disorder.

PubMed

Wu, Eric Q; Yu, Andrew P; Lauzon, Veronique; Ramakrishnan, Karthik; Marynchenko, Maryna; Ben-Hamadi, Rym; Blum, Steven; Erder, M Haim

2011-04-01

To reduce pharmacy costs, managed care organizations encourage therapeutic substitution from brand to a generic product. However, little is known about whether these cost-containment strategies can also potentially lower total expenditures for payers in treatment of major depressive disorder (MDD). To compare economic outcomes of patients with MDD who were switched from a brand selective serotonin reuptake inhibitor (SSRI) to an alternative generic SSRI for nonmedical reasons versus patients who continued on the brand SSRI. Adult MDD patients in the Ingenix Impact Database (2003-2007) were considered "switchers" if they received treatment with a brand SSRI and were later switched to an alternative generic SSRI for nonmedical reasons. Patients who remained on the brand SSRI (nonswitchers) were matched 1:1 with switchers. All-cause, mental health-related, and MDD-related rates of hospitalizations/emergency department (ED) visits and costs over 6 months were compared both descriptively and by using adjusted regression models. A subgroup analysis on patients who were switched from escitalopram (Lexapro) to an alternative generic SSRI was also performed. The study included 4449 matched pairs. Compared with nonswitchers, switchers had higher risk of all-cause, mental health-related, and MDD-related use of hospitalizations/ED visits (OR 1.15, 1.34, and 1.54, respectively; all p < 0.01) and higher risk-adjusted mental health-related and MDD-related medical costs ($219 and $222, respectively; both p < 0.05). Subgroup analysis on escitalopram showed similar results; switchers experienced higher risk of any-cause, mental health-related, and MDD-related use of hospitalizations/ED visits (OR 1.21, 1.41, and 1.53, respectively; all p < 0.01) and higher risk-adjusted MDD-related medical costs ($151; p < 0.05). Compared with patients who continued on their patented SSRIs, patients who switched to a generic SSRI incurred more resource use of hospitalizations/ED visits and higher MDD-related health-care costs. The effects of therapeutic substitution should be carefully examined, because use of generic alternatives may not be a cost-saving strategy when total health-care costs are considered.

Alternative Fuels Infrastructure Development

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

Bloyd, Cary N.

This summary reviews the status of alternate transportation fuels development and utilization in Thailand. An understanding of the issues and experiences associated with the introduction of alternative fuels in other countries can help the US in anticipation potential problems as it introduces new automotive fuels. Thailand is of particular interest since it introduced E20 to its commercial market in 2007 and the US is now considering introducing E20 into the US market.

Environmental Assessment for Aerial Application of Pesticide for Gypsy Moth Control, Andrews Air Force Base, Maryland

DTIC Science & Technology

2008-04-01

spray alternatives, one ground-based spray alternative and one non- insecticide alternative were considered but eliminated from detailed study because...One application would not be effective in reducing gypsy moth populations and protecting host tree foliage. The ground-based insecticide ...present in the affected area, are not susceptible to these EPA-approved insecticides , as long as there applied according to the label. Dimilin

48 CFR 32.304-2 - Certificate of eligibility.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) There is no practicable alternate source for the acquisition without prejudice to the national defense... contracting officer shall consider the following factors in determining if a practicable alternate source exists: (1) Prejudice to the national defense, because reletting of a contract with another source would...

Free-choice feeding of free-range meat chickens

USDA-ARS?s Scientific Manuscript database

Alternative feeding methods should be considered for free-range, organic, and other alternative poultry production. The number of small- and medium-scale producers raising specialty chickens for local and regional markets is growing and many of these producers do not have access to the nutritional ...

40 CFR 60.2895 - What is a siting analysis?

Code of Federal Regulations, 2014 CFR

2014-07-01

... What is a siting analysis? (a) The siting analysis must consider air pollution control alternatives... consideration of air pollution control alternatives specified in paragraph (a) of this section. (c) You must... Section 60.2895 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

40 CFR 60.2895 - What is a siting analysis?

Code of Federal Regulations, 2013 CFR

2013-07-01

... What is a siting analysis? (a) The siting analysis must consider air pollution control alternatives... consideration of air pollution control alternatives specified in paragraph (a) of this section. (c) You must... Section 60.2895 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

40 CFR 60.2895 - What is a siting analysis?

Code of Federal Regulations, 2012 CFR

2012-07-01

... What is a siting analysis? (a) The siting analysis must consider air pollution control alternatives... consideration of air pollution control alternatives specified in paragraph (a) of this section. (c) You must... Section 60.2895 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

Foothills Parkway Section 8B Final Environmental Report, Volume 3, Appendix D

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

Blasing, T.J.; Cada, G.F.; Carer, M.

1999-07-01

In 1994, Oak Ridge National Laboratory (ORNL) was tasked by the National Park Service (NPS) to prepare an Environmental Report (ER) for Section 8B of the Foothills Parkway in the Great Smoky Mountains National Park (GSMNP). Section 8B represents 27.7 km (14.2 miles) of a total of 115 km (72 miles) of the planned Foothills Parkway and would connect the Cosby community on the east to the incorporated town of Pittman Center to the west. The major deliverables for the project are listed. From August 1995 through October 1996, NPS, GSMNP, and ORNL staff interacted with Federal Highway Administration staffmore » to develop a conceptual design plan for Section 8B with the intent of protecting critical resources identified during the ER process to the extent possible. In addition, ORNL arranged for bioengineering experts to discuss techniques that might be employed on Section 8B with NPS, GSMNP, and ORNL staff during September 1996. For the purposes of this ER, there are two basic alternatives under consideration: (1) a build alternative and (2) a no-build alternative. Within the build alternative are a number of options including constructing Section 8B with no interchanges, constructing Section 8B with an interchange at SR416 or U.S. 321, constructing Section 8B with a spur road on Webb Mountain, and considering operation of Section 8B both before and after the operation of Section 8C. The no-build alternative is considered the no-action alternative and is not to construct Section 8B. This volume of the ER inventories the fishes and benthic macroinvertebrates inhabiting the aquatic ecosystems potentially affected by the proposed construction of Section 8B. Stream biological surveys were completed at 31 stream sites during the Fall of 1994. The sampling strategy for both invertebrates and fish was to survey the different taxa from all available habitats. For benthic invertebrates, a standardized qualitative manual collection technique was employed for all 31 stations. For fish, all streams of sufficient water were sampled using various methods of electroshocking. Two listed species were identified during the surveys: the Allegheny snaketail dragonfly (formerly a C2 federal candidate species found at six of the stream survey sites) and the tangerine darter (a Tennessee state special concern species found at two of the stream survey sites).« less

Systematic Evaluation of Industrial, Commercial, and Institutional Food Waste Management Strategies in the United States.

PubMed

Hodge, Keith L; Levis, James W; DeCarolis, Joseph F; Barlaz, Morton A

2016-08-16

New regulations and targets limiting the disposal of food waste have been recently enacted in numerous jurisdictions. This analysis evaluated selected environmental implications of food waste management policies using life-cycle assessment. Scenarios were developed to evaluate management alternatives applicable to the waste discarded at facilities where food waste is a large component of the waste (e.g., restaurants, grocery stores, and food processors). Options considered include anaerobic digestion (AD), aerobic composting, waste-to-energy combustion (WTE), and landfilling, and multiple performance levels were considered for each option. The global warming impact ranged from approximately -350 to -45 kg CO2e Mg(-1) of waste for scenarios using AD, -190 to 62 kg CO2e Mg(-1) for those using composting, -350 to -28 kg CO2e Mg(-1) when all waste was managed by WTE, and -260 to 260 kg CO2e Mg(-1) when all waste was landfilled. Landfill diversion was found to reduce emissions, and diverting food waste from WTE generally increased emissions. The analysis further found that when a 20 year GWP was used instead of a 100 year GWP, every scenario including WTE was preferable to every scenario including landfill. Jurisdictions seeking to enact food waste disposal regulations should consider regional factors and material properties before duplicating existing statutes.

Support surfaces for pressure ulcer prevention.

PubMed

McInnes, Elizabeth; Jammali-Blasi, Asmara; Bell-Syer, Sally E M; Dumville, Jo C; Middleton, Victoria; Cullum, Nicky

2015-09-03

Pressure ulcers (i.e. bedsores, pressure sores, pressure injuries, decubitus ulcers) are areas of localised damage to the skin and underlying tissue. They are common in the elderly and immobile, and costly in financial and human terms. Pressure-relieving support surfaces (i.e. beds, mattresses, seat cushions etc) are used to help prevent ulcer development. This systematic review seeks to establish:(1) the extent to which pressure-relieving support surfaces reduce the incidence of pressure ulcers compared with standard support surfaces, and,(2) their comparative effectiveness in ulcer prevention. In April 2015, for this fourth update we searched The Cochrane Wounds Group Specialised Register (searched 15 April 2015) which includes the results of regular searches of MEDLINE, EMBASE and CINAHL and The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2015, Issue 3). Randomised controlled trials (RCTs) and quasi-randomised trials, published or unpublished, that assessed the effects of any support surface for prevention of pressure ulcers, in any patient group or setting which measured pressure ulcer incidence. Trials reporting only proxy outcomes (e.g. interface pressure) were excluded. Two review authors independently selected trials. Data were extracted by one review author and checked by another. Where appropriate, estimates from similar trials were pooled for meta-analysis. For this fourth update six new trials were included, bringing the total of included trials to 59.Foam alternatives to standard hospital foam mattresses reduce the incidence of pressure ulcers in people at risk (RR 0.40 95% CI 0.21 to 0.74). The relative merits of alternating- and constant low-pressure devices are unclear. One high-quality trial suggested that alternating-pressure mattresses may be more cost effective than alternating-pressure overlays in a UK context.Pressure-relieving overlays on the operating table reduce postoperative pressure ulcer incidence, although two trials indicated that foam overlays caused adverse skin changes. Meta-analysis of three trials suggest that Australian standard medical sheepskins prevent pressure ulcers (RR 0.56 95% CI 0.32 to 0.97).  People at high risk of developing pressure ulcers should use higher-specification foam mattresses rather than standard hospital foam mattresses. The relative merits of higher-specification constant low-pressure and alternating-pressure support surfaces for preventing pressure ulcers are unclear, but alternating-pressure mattresses may be more cost effective than alternating-pressure overlays in a UK context. Medical grade sheepskins are associated with a decrease in pressure ulcer development. Organisations might consider the use of some forms of pressure relief for high risk patients in the operating theatre.

Proposed plan for final remedial action for the groundwater operable unit at the chemical plant area of the Weldon Spring Site, Weldon Spring, Missouri.

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

NONE

2003-08-06

This Proposed Plan (PP) presents the preferred alternative for addressing contaminated groundwater and springs at the Chemical Plant area of the Weldon Spring site, in Weldon Spring, Missouri. The site is located about 30 mi west of St. Louis, in St. Charles County (Figure 1). This proposed action constitutes the final remedial action for the Weldon Spring site. The residual contamination in groundwater and springs at the Chemical Plant area is the only remaining contamination that needs to be addressed for the site. All other contamination has been addressed by previous remedial actions. After this remedial action is implemented, long-termmore » surveillance and maintenance activities will maintain the effectiveness of all remedial actions conducted at the Weldon Spring site, including this final remedial action for groundwater and springs that is being proposed in this plan. DOE complies with the requirements of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) in conducting remedial activities at the site. National Environmental Policy Act (NEPA) values have been incorporated into the CERCLA process; that is, the analysis conducted and presented in the remedial investigation/feasibility study (RI/FS) reports included an evaluation of environmental impacts that is comparable to that performed under NEPA. This PP is required under CERCLA to (1) notify the public and present a brief analysis of the remedial action alternatives, (2) identify and present the rationale for the preferred remedial action alternative identified in the PP, (3) summarize key information from the RI/FS evaluations, including the Baseline Risk Assessment (BRA), and (4) inform the public of its role in the remedy selection process and give the public the opportunity to participate in the process. Remediation activities at the Weldon Spring site have been coordinated with the U.S. Environmental Protection Agency (EPA) and the Missouri Department of Natural Resources (MDNR). The EPA has overall oversight and approval authority, with consultation provided by the MDNR. A range of alternatives was considered in identifying the preferred alternative. The alternatives were developed after careful analysis of geological, environmental, and human health and ecological risk data and an evaluation of the effectiveness, implementability, and cost of the various technologies available for groundwater remediation at the Chemical Plant area. Monitored natural attenuation (MNA) coupled with institutional controls (ICs) and contingency activities has been selected as the preferred alternative.« less

Reconsideration of the scheme of the international classification of functioning, disability and health: incentives from the Netherlands for a global debate.

PubMed

Heerkens, Yvonne F; de Weerd, Marjolein; Huber, Machteld; de Brouwer, Carin P M; van der Veen, Sabina; Perenboom, Rom J M; van Gool, Coen H; Ten Napel, Huib; van Bon-Martens, Marja; Stallinga, Hillegonda A; van Meeteren, Nico L U

2018-03-01

The ICF (International Classification of Functioning, Disability and Health) framework (used worldwide to describe 'functioning' and 'disability'), including the ICF scheme (visualization of functioning as result of interaction with health condition and contextual factors), needs reconsideration. The purpose of this article is to discuss alternative ICF schemes. Reconsideration of ICF via literature review and discussions with 23 Dutch ICF experts. Twenty-six experts were invited to rank the three resulting alternative schemes. The literature review provided five themes: 1) societal developments; 2) health and research influences; 3) conceptualization of health; 4) models/frameworks of health and disability; and 5) ICF-criticism (e.g. position of 'health condition' at the top and role of 'contextual factors'). Experts concluded that the ICF scheme gives the impression that the medical perspective is dominant instead of the biopsychosocial perspective. Three alternative ICF schemes were ranked by 16 (62%) experts, resulting in one preferred scheme. There is a need for a new ICF scheme, better reflecting the ICF framework, for further (inter)national consideration. These Dutch schemes should be reviewed on a global scale, to develop a scheme that is more consistent with current and foreseen developments and changing ideas on health. Implications for Rehabilitation We propose policy makers on community, regional and (inter)national level to consider the use of the alternative schemes of the International Classification of Functioning, Disability and Health within their plans to promote functioning and health of their citizens and researchers and teachers to incorporate the alternative schemes into their research and education to emphasize the biopsychosocial paradigm. We propose to set up an international Delphi procedure involving citizens (including patients), experts in healthcare, occupational care, research, education and policy, and planning to get consensus on an alternative scheme of the International Classification of Functioning, Disability and Health. We recommend to discuss the alternatives for the present scheme of the International Classification of Functioning, Disability and Health in the present update and revision process within the World Health Organization as a part of the discussion on the future of the International Classification of Functioning, Disability and Health framework (including ontology, title and relation with the International Classification of Diseases). We recommend to revise the definition of personal factors and to draft a list of personal factors that can be used in policy making, clinical practice, research, and education and to put effort in the revision of the present list of environmental factors to make it more useful in, e.g., occupational health care.

Re-visiting the detection of porcine cysticercosis based on full carcass dissections of naturally Taenia solium infected pigs.

PubMed

Chembensofu, Mwelwa; Mwape, K E; Van Damme, I; Hobbs, E; Phiri, I K; Masuku, M; Zulu, G; Colston, A; Willingham, A L; Devleesschauwer, B; Van Hul, A; Chota, A; Speybroeck, N; Berkvens, D; Dorny, P; Gabriël, S

2017-11-16

Taenia solium is a neglected zoonotic parasite. The performances of existing tools for the diagnosis of porcine cysticercosis need further assessment, and their shortcomings call for alternatives. The objective of this study was to evaluate the performance of tongue palpation and circulating antigen detection for the detection of porcine cysticercosis in naturally infected pigs of slaughter age compared to full carcass dissections (considered the gold standard). Additionally, alternative postmortem dissection procedures were investigated. A total of 68 rural pigs of slaughter age randomly selected in the Eastern Province of Zambia were dissected. Dissections were conducted on full carcasses (or half carcass in case cysticerci were already detected in the first half), including all the organs. Total cysticercus counts, location and stages were recorded and collected cysticerci were identified morphologically and molecularly. All sera were analysed with the B158/B60 antigen detecting ELISA (Ag-ELISA). Key findings were the high occurrence of T. solium infected pigs (56%) and the presence of T. solium cysticerci in the livers of 26% of infected animals. More than half of the infected carcasses contained viable cysticerci. Seven carcasses had T. hydatigena cysticerci (10%), out of which five carcasses were co-infected with T. hydatigena and T. solium; two carcasses (3%) had only T. hydatigena cysticerci. Compared to full carcass dissection, the specificity of the Ag-ELISA to detect infected carcasses was estimated at 67%, the sensitivity at 68%, increasing to 90% and 100% for the detection of carcasses with one or more viable cysticerci, and more than 10 viable cysts, respectively. Tongue palpation only detected 10% of the cases, half carcass dissection 84%. Selective dissection of the diaphragm, tongue and heart or masseters can be considered, with an estimated sensitivity of 71%, increasing to 86% in carcasses with more than 10 cysticerci. Depending on the aim of the diagnosis, a combination of Ag-ELISA and selective dissection, including investigating the presence of T. hydatigena, can be considered. Full carcass dissection should include the dissection of the liver, kidneys, spleen and lungs, and results should be interpreted carefully, as small cysticerci can easily be overlooked.

Environmental Impact Analysis Process. Final Environmental Impact Statement. Air Force, Space Division Housing Project, San Pedro, California

DTIC Science & Technology

1986-07-24

impact on tme local zommunity’s use of :hese facilities. g ) Released to the public 24, :986. FINAL ENVIRONMENTAL IMPACT STATEMENT kIR FORCE, SP.CE...LFM.*’* Alternative G 9 80 0 0 21 90 9 acres in southeast corner of WP and 21 acres at FM.** Alternative H 0 0 22 80 21 90 22 acres at BP and (Buildable...it may not be considered a permanent irreversible or irretrievable use of the land, the Proposed Action and alternatives (except Alternative G which

Physics and spirituality: the next grand unification?

NASA Astrophysics Data System (ADS)

Josephson, Brian

1987-01-01

In what light should a scientist regard the assertions of a religion, or of religions in general? One extreme position is the atheistic one of regarding the assertions of religion as falsehoods. Such a position can be sustained only by regarding the experiences which individuals consider as validating their religious beliefs as being explicable in other ways and, in the absence of an adequate research programme to support it, must be considered more as falling within the field of opinion that as within that of science. The alternative to this atheistic position is that there exists an aspect of reality-that one may for convenience call transcendental-which embraces the subject matter of religion (or as some may prefer to term it, the spiritual aspect of life) and which is not at present encompassed by science. The question then arises whether some future science may be able to cope with this aspect of reality, or whether it will remain forever beyond the scope of science. The author attempts to explain the ways in which current scientific orthodoxies are being challenged and to convey some idea of the alternatives presently emerging. A number of important themes here include the questions of the validity of reductionism and the universality of quantum mechanics, as well as that of the relevance of mystical experience.

Applying voting theory in natural resource management: a case of multiple-criteria group decision support.

PubMed

Laukkanen, Sanna; Kangas, Annika; Kangas, Jyrki

2002-02-01

Voting theory has a lot in common with utility theory, and especially with group decision-making. An expected-utility-maximising strategy exists in voting situations, as well as in decision-making situations. Therefore, it is natural to utilise the achievements of voting theory also in group decision-making. Most voting systems are based on a single criterion or holistic preference information on decision alternatives. However, a voting scheme called multicriteria approval is specially developed for decision-making situations with multiple criteria. This study considers the voting theory from the group decision support point of view and compares it with some other methods applied to similar purposes in natural resource management. A case study is presented, where the approval voting approach is introduced to natural resources planning and tested in a forestry group decision-making process. Applying multicriteria approval method was found to be a potential approach for handling some challenges typical for forestry group decision support. These challenges include (i) utilising ordinal information in the evaluation of decision alternatives, (ii) being readily understandable for and treating equally all the stakeholders in possession of different levels of knowledge on the subject considered, (iii) fast and cheap acquisition of preference information from several stakeholders, and (iv) dealing with multiple criteria.

Behavioral headache research: methodologic considerations and research design alternatives.

PubMed

Hursey, Karl G; Rains, Jeanetta C; Penzien, Donald B; Nash, Justin M; Nicholson, Robert A

2005-05-01

Behavioral headache treatments have garnered solid empirical support in recent years, but there is substantial opportunity to strengthen the next generation of studies with improved methods and consistency across studies. Recently, Guidelines for Trials of Behavioral Treatments for Recurrent Headache were published to facilitate the production of high-quality research. The present article compliments the guidelines with a discussion of methodologic and research design considerations. Since there is no research design that is applicable in every situation, selecting an appropriate research design is fundamental to producing meaningful results. Investigators in behavioral headache and other areas of research consider the developmental phase of the research, the principle objectives of the project, and the sources of error or alternative interpretations in selecting a design. Phases of clinical trials typically include pilot studies, efficacy studies, and effectiveness studies. These trials may be categorized as primarily pragmatic or explanatory. The most appropriate research designs for these different phases and different objectives vary on such characteristics as sample size and assignment to condition, types of control conditions, periods or frequency of measurement, and the dimensions along which comparisons are made. A research design also must fit within constraints on available resources. There are a large number of potential research designs that can be used and considering these characteristics allows selection of appropriate research designs.

Rational approximations to rational models: alternative algorithms for category learning.

PubMed

Sanborn, Adam N; Griffiths, Thomas L; Navarro, Daniel J

2010-10-01

Rational models of cognition typically consider the abstract computational problems posed by the environment, assuming that people are capable of optimally solving those problems. This differs from more traditional formal models of cognition, which focus on the psychological processes responsible for behavior. A basic challenge for rational models is thus explaining how optimal solutions can be approximated by psychological processes. We outline a general strategy for answering this question, namely to explore the psychological plausibility of approximation algorithms developed in computer science and statistics. In particular, we argue that Monte Carlo methods provide a source of rational process models that connect optimal solutions to psychological processes. We support this argument through a detailed example, applying this approach to Anderson's (1990, 1991) rational model of categorization (RMC), which involves a particularly challenging computational problem. Drawing on a connection between the RMC and ideas from nonparametric Bayesian statistics, we propose 2 alternative algorithms for approximate inference in this model. The algorithms we consider include Gibbs sampling, a procedure appropriate when all stimuli are presented simultaneously, and particle filters, which sequentially approximate the posterior distribution with a small number of samples that are updated as new data become available. Applying these algorithms to several existing datasets shows that a particle filter with a single particle provides a good description of human inferences.

Design and Control of Integrated Systems for Hydrogen Production and Power Generation

NASA Astrophysics Data System (ADS)

Georgis, Dimitrios

Growing concerns on CO2 emissions have led to the development of highly efficient power plants. Options for increased energy efficiencies include alternative energy conversion pathways, energy integration and process intensification. Solid oxide fuel cells (SOFC) constitute a promising alternative for power generation since they convert the chemical energy electrochemically directly to electricity. Their high operating temperature shows potential for energy integration with energy intensive units (e.g. steam reforming reactors). Although energy integration is an essential tool for increased efficiencies, it leads to highly complex process schemes with rich dynamic behavior, which are challenging to control. Furthermore, the use of process intensification for increased energy efficiency imposes an additional control challenge. This dissertation identifies and proposes solutions on design, operational and control challenges of integrated systems for hydrogen production and power generation. Initially, a study on energy integrated SOFC systems is presented. Design alternatives are identified, control strategies are proposed for each alternative and their validity is evaluated under different operational scenarios. The operational range of the proposed control strategies is also analyzed. Next, thermal management of water gas shift membrane reactors, which are a typical application of process intensification, is considered. Design and operational objectives are identified and a control strategy is proposed employing advanced control algorithms. The performance of the proposed control strategy is evaluated and compared with classical control strategies. Finally SOFC systems for combined heat and power applications are considered. Multiple recycle loops are placed to increase design flexibility. Different operational objectives are identified and a nonlinear optimization problem is formulated. Optimal designs are obtained and their features are discussed and compared. The results of the dissertation provide a deeper understanding on the design, operational and control challenges of the above systems and can potentially guide further commercialization efforts. In addition to this, the results can be generalized and used for applications from the transportation and residential sector to large--scale power plants.

An overview of natural antimicrobials role in food.

PubMed

Pisoschi, Aurelia Magdalena; Pop, Aneta; Georgescu, Cecilia; Turcuş, Violeta; Olah, Neli Kinga; Mathe, Endre

2018-01-01

The present paper aims to review the natural food preservatives with antimicrobial properties emphasizing their importance for the future of food manufacturing and consumers' health. The extraction procedures applied to natural antimicrobials will be considered, followed by the description of some natural preservatives' antimicrobial mechanism of action, including (i) membrane rupture with ATP-ase activity inhibition, (ii) leakage of essential biomolecules from the cell, (iii) disruption of the proton motive force and (iiii) enzyme inactivation. Moreover, a provenance-based classification of natural antimicrobials is discussed by considering the sources of origin for the major natural preservative categories: plants, animals, microbes and fungi. As well, the structure influence on the antimicrobial potential is considered. Natural preservatives could also constitute a viable alternative to address the critical problem of microbial resistance, and to hamper the negative side effects of some synthetic compounds, while meeting the requirements for food safety, and exerting no negative impact on nutritional and sensory attributes of foodstuffs. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

The data base management system alternative for computing in the human services.

PubMed

Sircar, S; Schkade, L L; Schoech, D

1983-01-01

The traditional incremental approach to computerization presents substantial problems as systems develop and grow. The Data Base Management System approach to computerization was developed to overcome the problems resulting from implementing computer applications one at a time. The authors describe the applications approach and the alternative Data Base Management System (DBMS) approach through their developmental history, discuss the technology of DBMS components, and consider the implications of choosing the DBMS alternative. Human service managers need an understanding of the DBMS alternative and its applicability to their agency data processing needs. The basis for a conscious selection of computing alternatives is outlined.

40 CFR 468.03 - Monitoring and reporting requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... monitoring procedure for TTO, indirect dischargers may monitor for oil and grease and meet the alternate monitoring standards for oil and grease established for PSES and PSNS. Any indirect discharger meeting the alternate monitoring oil and grease standards shall be considered to meet the TTO standard. ...

40 CFR 468.03 - Monitoring and reporting requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... monitoring procedure for TTO, indirect dischargers may monitor for oil and grease and meet the alternate monitoring standards for oil and grease established for PSES and PSNS. Any indirect discharger meeting the alternate monitoring oil and grease standards shall be considered to meet the TTO standard. ...

40 CFR 468.03 - Monitoring and reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... monitoring procedure for TTO, indirect dischargers may monitor for oil and grease and meet the alternate monitoring standards for oil and grease established for PSES and PSNS. Any indirect discharger meeting the alternate monitoring oil and grease standards shall be considered to meet the TTO standard. ...

40 CFR 468.03 - Monitoring and reporting requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... monitoring procedure for TTO, indirect dischargers may monitor for oil and grease and meet the alternate monitoring standards for oil and grease established for PSES and PSNS. Any indirect discharger meeting the alternate monitoring oil and grease standards shall be considered to meet the TTO standard. ...

Alternatives for the Disruptive and Delinquent: New Systems or New Teachers?

ERIC Educational Resources Information Center

Bell, Raymond

1975-01-01

No one would disagree that delinquency and more violent crimes are increasing in the nation's schools. To combat the grim statistics, this author has some concrete suggestions. If your school is considering alternative programs for the alienated, here are some pitfalls to avoid. (Editor)

Online Instruction: An Alternative Delivery System for Higher Education

ERIC Educational Resources Information Center

Wronkovich, Michael

2003-01-01

In an increasingly technological society, delivery systems for professional development and higher education have greatly expanded. Video conferencing and web-based alternatives provide opportunities to extend the college campus far beyond the boundaries traditionally considered feasible. Adult learners have found the convenience of web-based…

Evaluation of different end-of-life management alternatives for used natural cork stoppers through life cycle assessment.

PubMed

Demertzi, Martha; Dias, Ana Cláudia; Matos, Arlindo; Arroja, Luís Manuel

2015-12-01

An important aspect of sustainable development is the implementation of effective and sustainable waste management strategies. The present study focuses on a Life Cycle Assessment (LCA) approach to different waste management strategies for natural cork stoppers, namely incineration at a municipal solid waste incinerator, landfilling in a sanitary landfill, and recycling. In the literature, there are no LCA studies analyzing in detail the end-of-life stage of natural cork stoppers as well as other cork products. In addition, cork is usually treated as wood at the end-of-life stage. Thus, the outcome of this study can provide an important insight into this matter. The results showed that different management alternatives, namely incineration and recycling, could be chosen depending on the impact category considered. The former alternative presented the best environmental results in the impact categories of climate change, ozone depletion and acidification, while the latter for photochemical ozone formation and mineral and fossil resource depletion. The landfilling alternative did not present the best environmental performance in any of the impact categories. However, when the biogenic carbon dioxide emission was assessed for the climate change category, the landfilling alternative was found to be the most effective since most of the biogenic carbon would be permanently stored in the cork products and not emitted into the atmosphere. A sensitivity analysis was performed and the results showed that there are various parameters that can significantly influence the results (e.g., carbon content in cork and decay rate of cork in the landfill). Thus, LCA studies should include a detailed description concerning their assumptions when the end-of-life stage is included in the boundaries since they can influence the results, and furthermore, to facilitate the comparison of different end-of-life scenarios. The present study and the obtained results could be useful for the decision-making process concerning public solid waste policies and industrial strategies. Copyright © 2015 Elsevier Ltd. All rights reserved.

A weight-of-evidence approach to assess chemicals: case study on the assessment of persistence of 4,6-substituted phenolic benzotriazoles in the environment.

PubMed

Brandt, Marc; Becker, Eva; Jöhncke, Ulrich; Sättler, Daniel; Schulte, Christoph

2016-01-01

One important purpose of the European REACH Regulation (EC No. 1907/2006) is to promote the use of alternative methods for assessment of hazards of substances in order to avoid animal testing. Experience with environmental hazard assessment under REACH shows that efficient alternative methods are needed in order to assess chemicals when standard test data are missing. One such assessment method is the weight-of-evidence (WoE) approach. In this study, the WoE approach was used to assess the persistence of certain phenolic benzotriazoles, a group of substances including also such of very high concern (SVHC). For phenolic benzotriazoles, assessment of the environmental persistence is challenging as standard information, i.e. simulation tests on biodegradation are not available. Thus, the WoE approach was used: overall information resulting from many sources was considered, and individual uncertainties of each source analysed separately. In a second step, all information was aggregated giving an overall picture of persistence to assess the degradability of the phenolic benzotriazoles under consideration although the reliability of individual sources was incomplete. Overall, the evidence suggesting that phenolic benzotriazoles are very persistent in the environment is unambiguous. This was demonstrated by a WoE approach considering the prerequisites of REACH by combining several limited information sources. The combination enabled a clear overall assessment which can be reliably used for SVHC identification. Finally, it is recommended to include WoE approaches as an important tool in future environmental risk assessments.

Evaluation of solar cell materials for a Solar Power Satellite

NASA Technical Reports Server (NTRS)

Glaser, P. E.; Almgren, D. W.; Csigi, K. I.

1980-01-01

Alternative solar cell materials being considered for the solar power satellite are described and price, production, and availability projections through the year 2000 are presented. The chief materials considered are silicon and gallium arsenide.

DISSECT: a new mnemonic-based approach to the categorization of aortic dissection.

PubMed

Dake, M D; Thompson, M; van Sambeek, M; Vermassen, F; Morales, J P

2013-08-01

Classification systems for aortic dissection provide important guides to clinical decision-making, but the relevance of traditional categorization schemes is being questioned in an era when endovascular techniques are assuming a growing role in the management of this frequently complex and catastrophic entity. In recognition of the expanding range of interventional therapies now used as alternatives to conventional treatment approaches, the Working Group on Aortic Diseases of the DEFINE Project developed a categorization system that features the specific anatomic and clinical manifestations of the disease process that are most relevant to contemporary decision-making. The DISSECT classification system is a mnemonic-based approach to the evaluation of aortic dissection. It guides clinicians through an assessment of six critical characteristics that facilitate optimal communication of the most salient details that currently influence the selection of a therapeutic option, including those findings that are key when considering an endovascular procedure, but are not taken into account by the DeBakey or Stanford categorization schemes. The six features of aortic dissection include: duration of disease; intimal tear location; size of the dissected aorta; segmental extent of aortic involvement; clinical complications of the dissection, and thrombus within the aortic false lumen. In current clinical practice, endovascular therapy is increasingly considered as an alternative to medical management or open surgical repair in select cases of type B aortic dissection. Currently, endovascular aortic repair is not used for patients with type A aortic dissection, but catheter-based techniques directed at peripheral branch vessel ischemia that may complicate type A dissection are considered valuable adjunctive interventions, when indicated. The use of a new system for categorization of aortic dissection, DISSECT, addresses the shortcomings of well-known established schemes devised more than 40 years ago, before the introduction of endovascular techniques. It will serve as a guide to support a critical analysis of contemporary therapeutic options and inform management decisions based on specific features of the disease process. Copyright © 2013 European Society for Vascular Surgery. All rights reserved.

Taxes: Who Should Pay and Why? 1985 National Issues Forum.

ERIC Educational Resources Information Center

Drumtra, Jeff; Melville, Keith

Appropriate for secondary school social studies or community programs, this publication considers the issue of taxation in America. The first of five sections, "Taxing Matters," considers the growing perception that the present tax code is unfair and in need of drastic reform. Alternative solutions to the problem are considered. "The Loophole…

Cost-effectiveness analysis of mammography and clinical breast examination strategies

PubMed Central

Ahern, Charlotte Hsieh; Shen, Yu

2009-01-01

Purpose Breast cancer screening by mammography and clinical breast exam are commonly used for early tumor detection. Previous cost-effectiveness studies considered mammography alone or did not account for all relevant costs. In this study, we assessed the cost-effectiveness of screening schedules recommended by three major cancer organizations and compared them with alternative strategies. We considered costs of screening examinations, subsequent work-up, biopsy, and treatment interventions after diagnosis. Methods We used a microsimulation model to generate women’s life histories, and assessed screening and treatment impacts on survival. Using statistical models, we accounted for age-specific incidence, preclinical disease duration, and age-specific sensitivity and specificity for each screening modality. The outcomes of interest were quality-adjusted life years (QALYs) saved and total costs with a 3% annual discount rate. Incremental cost-effectiveness ratios were used to compare strategies. Sensitivity analyses were performed by varying some of the assumptions. Results Compared to guidelines from the National Cancer Institute and the U.S. Preventive Services Task Force, alternative strategies were more efficient. Mammography and clinical breast exam in alternating years from ages 40 to 79 was a cost-effective alternative compared to the guidelines, costing $35,500 per QALY saved compared with no screening. The American Cancer Society guideline was the most effective and the most expensive, costing over $680,000 for an added QALY compared to the above alternative. Conclusion Screening strategies with lower costs and benefits comparable to those currently recommended should be considered for implementation in practice and for future guidelines. PMID:19258473

4 CFR 22.24 - Alternative Dispute Resolution [Rule 24].

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Docketed appeals. The Board considers Alternative Dispute Resolution (ADR) to be an efficient way to timely resolve many contract disputes, and therefore encourages the parties to use ADR as an effective means to resolve their contract dispute. ADR with Board participation is available at the initiative of the Board...

4 CFR 22.24 - Alternative Dispute Resolution [Rule 24].

Code of Federal Regulations, 2011 CFR

2011-01-01

...) Docketed appeals. The Board considers Alternative Dispute Resolution (ADR) to be an efficient way to timely resolve many contract disputes, and therefore encourages the parties to use ADR as an effective means to resolve their contract dispute. ADR with Board participation is available at the initiative of the Board...

Estimation of the upper bound of predictive performance for alternative models that use in vivo reference data (OpenTox USA 2017)

EPA Science Inventory

The number of chemicals with limited toxicological information for chemical safety decision-making has accelerated alternative model development, which often are evaluated via referencing animal toxicology studies. In vivo studies are generally considered the standard for hazard ...

The Carbon Impacts of Wood Products

Treesearch

Richard Bergman; Maureen Puettmann; Adam Taylor; Kenneth E. Skog

2014-01-01

Wood products have many environmental advantages over nonwood alternatives. Documenting and publicizing these merits helps the future competitiveness of wood when climate change impacts are being considered. The manufacture of wood products requires less fossil fuel than nonwood alternative building materials such as concrete, metals, or plastics. By nature, wood is...

Legal and Social Alternatives in Treating Older Child Sexual Offenders.

ERIC Educational Resources Information Center

Watson, J. Mark

1989-01-01

Discusses child molestation cases in which accused is older person, basing discussion on author's experience over five years on professional review panel advising social services agencies and courts in disposition of child abuse cases. Examines principle of diminished responsibility and considers such treatment alternatives as prisons, psychiatry…

Earning "Dual Degrees": Black Bookstores as Alternative Knowledge Spaces

ERIC Educational Resources Information Center

Fisher, Maisha T.

2006-01-01

This article examines the role of two African American-owned and -operated bookstores in the literacy practices and education of their participants. Part of a larger ethnographic study of Participatory Literacy Communities (PLCs), this study shows how featured authors and audience participants considered these bookstores as both alternative and…

Authorship Attribution with Function Word N-Grams

ERIC Educational Resources Information Center

Johnson, Rusty

2013-01-01

Prior research has considered the sequential order of function words, after the contextual words of the text have been removed, as a stylistic indicator of authorship. This research describes an effort to enhance authorship attribution accuracy based on this same information source with alternate classifiers, alternate n-gram construction methods,…

Second Chances Academy: Alternative School or Pathway to Prison?

ERIC Educational Resources Information Center

Horsford, Sonya Douglass; Powell, Keyona L.

2016-01-01

This case considers the leadership challenge facing district officials in a mid-sized urban-suburban school district receiving negative media coverage for the overrepresentation of poor, Black, and Latino males in its alternative high school, Second Chances Academy. Many of its students also qualify for special education and English learner…

Complementary and Alternative Therapies: An Evidence-Based Framework

ERIC Educational Resources Information Center

Shaw, Steven R.

2008-01-01

Complementary and alternative medicine (CAM) has experienced a dramatic growth in use and acceptability over the last 20 years. CAM is a diverse collection of medical and healthcare systems, practices, and products that are not presently considered a component of conventional medicine. CAM traditionally has been practiced by informally educated…

Planning and Operating Group Homes for the Handicapped.

ERIC Educational Resources Information Center

Youngblood, Grace Strano; Bensberg, Gerard J.

This text is directed toward service providers, advocacy groups, administrators, and other interested parties who are given the task of setting up independent living facilities for the developmentally disabled. Emphasis is placed on the group home concept of alternative living arrangements. Chapter 1 considers models for alternative residential…