Sample records for bed dcfb unit
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Chemical Looping Autothermal Reforming at a 120 kW Pilot Rig
NASA Astrophysics Data System (ADS)
Bofhàr-Nordenkampf, Johannes; Pröll, Tobias; Kolbitsch, Philipp; Hofbauer, Hermann
Chemical looping with selective oxygen transport allows two step combustion or autothermal reforming without mixing of fuel and air. The reactor system consists of two reactors, an air reactor and a fuel reactor with a suitable oxygen carrier that transports the necessary oxygen for operation. In the present study, a highly active nickel based oxygen carrier is tested in a novel dual circulating fluidized bed (DCFB) system at a scale of 120 kW fuel power. The mean particle size of the oxygen carrier is 120 μm and the pilot rig is fueled with natural gas. For the investigated oxygen carrier high CH4 conversion is achieved. Air/fuel ratio is varied at three different fuel reactor temperatures. For chemical looping reforming one can observe synthesis gas composition close to thermodynamic equilibrium. In spite of the fact that no additional steam has been added to the fuel besides the one present through steam fluidization of the loop seals, coke formation does not occur at global stoichiometric air/fuel ratios above 0.46.
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Variation in critical care services across North America and Western Europe.
Wunsch, Hannah; Angus, Derek C; Harrison, David A; Collange, Olivier; Fowler, Robert; Hoste, Eric A J; de Keizer, Nicolette F; Kersten, Alexander; Linde-Zwirble, Walter T; Sandiumenge, Alberto; Rowan, Kathryn M
2008-10-01
Critical care represents a large percentage of healthcare spending in developed countries. Yet, little is known regarding international variation in critical care services. We sought to understand differences in critical care delivery by comparing data on the distribution of services in eight countries. Retrospective review of existing national administrative data. We identified sources of data in each country to provide information on acute care hospitals and beds, intensive care units and beds, intensive care admissions, and definitions of intensive care beds. Data were all referenced and from as close to 2005 as possible. United States, France, United Kingdom, Canada, Belgium, Germany, The Netherlands, and Spain. Not available. None. No standard definition existed for acute care hospital or intensive care unit beds across countries. Hospital beds varied three-fold from 221/100,000 population in the United States to 593/100,000 in Germany. Adult intensive care unit beds also ranged seven-fold from 3.3/100,000 population in the United Kingdom to 24.0/100,000 in Germany. Volume of intensive care unit admissions per year varied ten-fold from 216/100,000 population in the United Kingdom to 2353/100,000 in Germany. The ratio of intensive care unit beds to hospital beds was highly correlated across all countries except the United States (r = .90). There was minimal correlation between the number of intensive care unit beds per capita and health care spending per capita (r = .45), but high inverse correlation between intensive care unit beds and hospital mortality for intensive care unit patients across countries (r = -.82). Absolute critical care services vary dramatically between countries with wide differences in both numbers of beds and volume of admissions. The number of intensive care unit beds per capita is not strongly correlated with overall health expenditure, but does correlate strongly with mortality. These findings demonstrate the need for critical care data from all countries, as they are essential for interpretation of studies, and policy decisions regarding critical care services.
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Barbosa, Arnaldo Prata; Cunha, Antônio José Ledo Alves da
2011-01-01
The objective of this study was to describe the characteristics of neonatal and pediatric intensive care units (ICU) and beds in Rio de Janeiro, correlating with population demands in 1997 and 2007. All neonatal and pediatric ICUs were visited, identifying the availability and type of beds. Comparisons were made between: supply and demand using projected need for beds for the population; public and private ICUs; and geographical regions. In 2007, 95 units were included totaling 1,094 beds (74 units and 1,080 beds in 1997): 51% public and 48% private (47% and 52% in 1997); 47% neonatal, 18% pediatric and 35% mixed units. Most units were located in the metropolitan area. The distribution of public and private beds was similar in the metropolitan area in both periods; in the interior, public beds tripled. Access has improved, mainly in the interior, but there is still no equity in the distribution of and accessibility to the available beds, with a shortage in the public sector, an excess in the private sector, and a great concentration in the metropolitan area.
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Hospital-level changes in adult ICU bed supply in the United States
Wallace, David J.; Seymour, Christopher W.; Kahn, Jeremy M.
2017-01-01
Objective Although the number of intensive care beds in the United States is increasing, little is known about the hospitals responsible for this growth. We sought to better characterize national growth in intensive care beds by identifying hospital-level factors associated with increasing numbers of intensive care beds over time. Design We performed a repeated-measures time series analysis of hospital-level intensive care bed supply using data from Centers for Medicare and Medicaid Services. Setting All United States acute care hospitals with adult intensive care beds over the years 1996 to 2011. Measurements & Main Results We described the number of beds, teaching status, ownership, intensive care occupancy and urbanicity for each hospital in each year of the study. We then examined the relationship between increasing intensive care beds and these characteristics, controlling for other factors. The study included 4,457 hospitals and 55,865 hospital-years. Overall, the majority of intensive care bed growth occurred in teaching hospitals (net +13,471 beds, 72.1% of total growth), hospitals with 250 or more beds (net +18,327 beds, 91.8% of total growth) and hospitals in the highest quartile of occupancy (net +10,157 beds, 54.0% of total growth). In a longitudinal multivariable model, larger hospital size, teaching status, and high intensive care occupancy were associated with subsequent-year growth. Furthermore, the effects of hospital size and teaching status were modified by occupancy: the greatest odds of increasing intensive care unit beds were in hospitals with 500 or more beds in the highest quartile of occupancy (adjusted OR: 18.9; 95% CI: 14.0 – 25.5; p<0.01) and large teaching hospitals in the highest quartile of occupancy (adjusted OR: 7.3; 95% CI: 5.3 – 9.9; p<0.01). Conclusions Increasingly, intensive care bed expansion in the United States is occurring in larger hospitals and teaching centers, particularly following a year with high intensive care unit occupancy. PMID:27661861
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Paediatric burn unit in Portugal: Beds needed using a bed-day approach.
Santos, João V; Viana, João; Amarante, José; Freitas, Alberto
2017-03-01
Despite the high burden of children with burns, there is not a paediatric burn unit (PBU) in Portugal. We aimed to estimate the Portuguese health care providing needs on paediatric burns. We performed a nation-wide retrospective study, between 2009 and 2013, among less than 16 years-old inpatients with burns that met the transfer criteria to a burn unit in Portugal. A bed-day approach was used, targeting an occupancy rate of 70-75%, and possible locations were studied. The primary outcome was the number of beds needed, and secondary outcomes were the overload and revenue for each possible number of beds in a PBU. A total of 1155 children met the transfer criteria to a burn unit, representing a total of 17,371 bed-days. Occupancy rates of 11-bed, 12-bed, 13-bed and 14-bed PBU were, respectively, 79.7%, 75.3%, 71.0% and 66.8%. The 13-bed PBU scenario would represent an overload of 523 bed-days, revenue of more than 5 million Euros and a ratio of 1 PBU bed per 123,409 children. Using a groundbreaking approach, the optimal number of PBU beds needed in Portugal is 13. However, as half of the patients who met burn transfer criteria are not transferred, this bed number might be overestimated if this pattern maintains, despite the underestimation with our method approach. If a PBU is to be created the preferable location is Porto. Cost-effectiveness studies should be performed. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
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Second stage gasifier in staged gasification and integrated process
Liu, Guohai; Vimalchand, Pannalal; Peng, Wan Wang
2015-10-06
A second stage gasification unit in a staged gasification integrated process flow scheme and operating methods are disclosed to gasify a wide range of low reactivity fuels. The inclusion of second stage gasification unit operating at high temperatures closer to ash fusion temperatures in the bed provides sufficient flexibility in unit configurations, operating conditions and methods to achieve an overall carbon conversion of over 95% for low reactivity materials such as bituminous and anthracite coals, petroleum residues and coke. The second stage gasification unit includes a stationary fluidized bed gasifier operating with a sufficiently turbulent bed of predefined inert bed material with lean char carbon content. The second stage gasifier fluidized bed is operated at relatively high temperatures up to 1400.degree. C. Steam and oxidant mixture can be injected to further increase the freeboard region operating temperature in the range of approximately from 50 to 100.degree. C. above the bed temperature.
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Soares, Thiago Rios; Avena, Kátia de Miranda; Olivieri, Flávia Milholo; Feijó, Luciana Ferreira; Mendes, Kristine Menezes Barberino; Souza Filho, Sydney Agareno de; Gomes, André Mansur de Carvalho Guanaes
2010-03-01
To describe the withdrawal of the bed frequency in mechanic ventilation patients and its impact on mortality and length of stay in the intensive care unit. This was a retrospective cohort study in mechanical ventilation patients. Clinical and epidemiological variables, withdrawal of bed related motor therapy, intensive care unit length of stay and mortality were evaluated. We studied 91 patients, mean age of 62.5± 18.8 years, predominantly female (52%) and mean intensive care unit length of stay of 07 days (95% CI, 8-13 days). Considering the withdrawal of the bed or not, no difference was observed between groups regarding length of stay in intensive care unit. Patients who were withdrawn of bed had a lower clinical severity. Their mortality rate was 29.7%. The not withdrawn of bed group had higher both actual and expected mortality. Patients withdrawn of bed following mechanical ventilation discontinuation showed lower mortality. It is suggested that early intensive care unit mobilization and withdrawal of bed should be stimulated.
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NASA Astrophysics Data System (ADS)
Black, C. J.; Whitesides, A. S.; Anderson, J. L.; Culbert, K. N.; Vandeveer, M.; Cox, I. V.; Cardamone, J.; Torrez, G.; Quirk, M.; Memeti, V.; Cao, W.; Paterson, S. R.
2010-12-01
Field mapping in the Northern Ritter Range pendant, central Sierra Nevada reveals four different lithotectonic units. Unit 1, east of Gem Lake, consists of Paleozoic passive margin metasedimentary rocks. Unit 2 lies unconformably above and west and is composed of Late Triassic to Middle Jurassic rhyolitic to andesitic, clast-rich, metavolcanic rocks that are typically massive, thick bedded, relatively homogeneous. Breccias and millimeter sized plagioclase phenocrysts are common in these beds. Unit 3 west of and structurally higher than unit 2 and is composed of thinly bedded metavolcanic and metasedimentary rocks of same age. Unit 2 and Unit 3 both steeply dipping and NW striking bedding and bedding parallel foliations. Unit 4 is composed of less deformed, Cretaceous, rhyolitic to andesitic breccias and rare volcaniclastic units that are west of and unconformably above unit 3. All units are now separated by faults. The Cretaceous dextral, oblique Gem Lake shear zone reactivated the uncomformity between units 1 and 2. West of the shear zone, both the shearing and strain intensity gradually decrease, the later from >60% to 40% shortening. Unit 2 and 3 are separated by a thrust fault, with local pseudotachelite now overprinted by ductile deformation. Unit 3 and 4 are now juxtaposed along a deformed unconformity west of which strain decreases to shortening values > 30%. These host rocks are intruded by granitic to dioritic plutons preserving a wide range of internal characteristics and emplacement styles. The oldest pluton is the 100 Ma Rush Creek Granodiorite, which intruded into unit 2. The Kuna Crest (KC, 94.6 Ma), the Waugh Lake (WL, 93.6 Ma), and the Thousand Island Lake leucogranodiorites (TIL) (~94 Ma) all intrude into the unit 3. The TIL cut the unconformity between units 3 and 4. The WL pluton is possibly cut by movement between units 2 and 3. The typically NW striking steeply dipping bedding in host rock units is dramatically deflected to EW orientations along the SW margin of the KC lobe. Within the nearby WL Granodiorite, hundreds of andesitic host rock blocks, some up to hundred meter lengths suggest that stoping was an important emplacement process. Migmatitic zones occur along several pluton margins. Our observations are consistent with aspects of the Tobisch et al. (2000) paper suggesting early brittle thrusting led to rotation of beds to steep dips. However our results indicate that beds were already at near vertical dips prior to ductile shortening and well before pluton emplacement. And although regional downward flow of extrusive volcanics has certainly occurred we see evidence against previous suggestions that this downward flow was localized in pluton aureoles as plutons typically cut discordantly across already steeply dipping beds and in turn are deformed by the younger ductile deformation. Although ductile shortening may play a minor role in rotation of beds, much of the ductile deformation had to occur after beds were steeply dipping as the 100-93.5 m.y. plutons have fabrics that are continuous with ductile deformation in the host rocks.
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Green, Linda V
For many years, average bed occupancy level has been the primary measure that has guided hospital bed capacity decisions at both policy and managerial levels. Even now, the common wisdom that there is an excess of beds nationally has been based on a federal target of 85% occupancy that was developed about 25 years ago. This paper examines data from New York state and uses queueing analysis to estimate bed unavailability in intensive care units (ICUs) and obstetrics units. Using various patient delay standards, units that appear to have insufficient capacity are identified. The results indicate that as many as 40% of all obstetrics units and 90% of ICUs have insufficient capacity to provide an appropriate bed when needed. This contrasts sharply with what would be deduced using standard average occupancy targets. Furthermore, given the model's assumptions, these estimates are likely to be conservative. These findings illustrate that if service quality is deemed important, hospitals need to plan capacity based on standards that reflect the ability to place patients in appropriate beds in a timely fashion rather than on target occupancy levels. Doing so will require the collection and analysis of operational data-such as demands for and use of beds, and patient delays--which generally are not available.
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Lu, Yi; Cai, Hui; Bosch, Sheila J
2017-07-01
This study examined how the spatial characteristics of patient beds, which are influenced by patient room design and nursing unit configuration, affect patients' perceptions about privacy. In the hospital setting, most patients expect a certain degree of privacy but also understand that their caregivers need appropriate access to them in order to provide high-quality care. Even veteran healthcare designers may struggle to create just the right balance between privacy and accessibility. A paper-based survey was conducted with 159 participants in Hong Kong-72 (45.3%) participants had been hospitalized and 87 (54.7%) participants had not-to document their selection of high-privacy beds, given simplified plans of eight nursing units. Two types of information, comprised of six variables, were examined for each bed. These include (1) room-level variables, specifically the number of beds per room and area per bed and (2) relational variables, including walking distance, directional change, integration, and control. The results demonstrate that when asked to identify high-privacy beds, participants selected beds in patient rooms with fewer beds per room, a larger area per bed, and a longer walking distance to the care team workstation. Interestingly, the participants having been hospitalized also chose beds with a visual connection to the care team workstation as being high in privacy. The participants with hospitalization experience may be willing to accept a bed with reduced visual privacy, perhaps out of a concern for safety.
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García, Joan; Vivar, Joan; Aromir, Maria; Mujeriego, Rafael
2003-06-01
The main objective of this paper is to evaluate the role of hydraulic retention time (HRT) and granular medium in faecal coliform (FC) and somatic coliphage (SC) removal in tertiary reed beds. Experiments were carried out in a pilot plant with four parallel reed beds (horizontal subsurface flow constructed wetlands), each one containing a different type of granular medium. This pilot plant is located in a wastewater treatment plant in Montcada i Reixac, near Barcelona, in northeastern Spain. The microbial inactivation ratios obtained in the different beds are compared as a function of three selected HRTs. Secondary effluent from the wastewater treatment plant was used as the influent of the pilot system. The microbial inactivation ratio ranged between 0.1 and 2.7 log-units for FC and from 0.5 to 1.7 log-units for SC in beds with coarser granular material (5-25mm), while it ranged between 0.7 and 3.4 log-units for FC and from 0.9 to 2.6 log-units for SC in the bed with finer material (2-13mm). HRT and granular medium are both key factors in microbial removal in the tertiary reed beds. The microbial inactivation ratio rises as the HRT increases until it reaches a saturation value (in general at an HRT of 3 days). The value of the microbial inactivation ratio at the saturation level depends on the granular medium contained in the bed. The specific surface area necessary to reach 2-3 log-units of FC and SC is approximately 3m(2)/person-equivalent.
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[Intensive care services resources in Spain].
Martín, M C; León, C; Cuñat, J; del Nogal, F
2013-10-01
To identify the resources related to the care of critically ill patients in Spain, which are available in the units dependent of the Services of Intensive Care Medicine (ICM) or other services/specialties, analyzing their distribution according to characteristics of the hospitals and by autonomous communities. Prospective observational study. Spanish hospitals. Heads of the Services of ICM. Number of units and beds for critically ill patients and functional dependence. The total number of registries obtained with at least one Service of ICM was 237, with a total of 100,198 hospital beds. Level iii (43.5%) and level ii (35%) hospitals predominated. A total of 73% were public hospitals and 55.3% were non-university centers. The total number of beds for adult critically ill patients, was 4,738 (10.3/100,000 inhabitants). The services of ICM registered had available 258 intensive are units (ICUs), with 3,363 beds, mainly polyvalent ICUs (81%) and 43 intermediate care units. The number of patients attended in the Services of ICM in 2008 was 174,904, with a percentage of occupation of 79.5% A total of 228 units attending critically ill patients, which are dependent of other services with 2,233 beds, 772 for pediatric patients or neonates, were registered. When these last specialized units are excluded, there was a marked predominance of postsurgical units followed by coronary and cardiac units. Seventy one per cent of beds available in the Critical Care Units in Spain are characterized by attending severe adult patients, are dependent of the services of ICM, and most of them are polyvalent. Copyright © 2013 Elsevier España, S.L. and SEMICYUC. All rights reserved.
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Zhanzeng, Feng; Yurong, Zheng; Chuangang, You; Yunyun, Jin; Xingang, Wang; Zhaofan, Xia; Chunmao, Han
2015-03-01
The aim of the study was to survey the current burn units in China to understand the burn care system in the country and supply basic data for the National Burn Repository of China (NBRC) and further research. A questionnaire was developed and sent to burn unit directors in China via e-mail, which was followed up with reminder text messages to obtain information for the study. Of the 405 hospitals from the 31 provinces in mainland China that responded to the questionnaire, 63.7% of the responses came from Grade 3A hospitals, and the most popular model of organisation was the Burns and Plastic Surgery arrangement (63.0%). An average of 9.43±0.351 doctors work in each burn unit with 70.4% of all units having 4-11 doctors. The ratio of chief surgeon to associate chief surgeon to attending surgeon to resident surgeon and surgeon assistant was 1:1.8:2.2:2.3. An average of 30% of all doctors in each burn unit held postgraduate degrees, and more than 90% of all surgeons held a bachelor's degree or higher. There were 16.48±0.637 nurses per burn unit, 56.5% of burn units had 8-15 nurses, and the ratio of chief nurse to associate chief nurse to supervisor nurse to nurse practitioner to junior nurse was 1:11.8:57.0:82.1:86.1. More than 80% of all nurses had received a college education or above. However, only 30% of nurses held bachelor's degrees or higher, while only 0.66% of nurses had received postgraduate degrees. A total of 39.91±1.50 beds were available in each burn unit and 45% of burn units had 20-39 beds. Up to 70% of the total beds were prepared for patients with burn, and more than 10% of the beds were specifically for patients with severe burn. The ratios of doctors to nurses, beds to doctors, beds to nurses, and beds to doctors and nurses were 0.64±0.01, 4.48±0.12, 2.67±0.09, and 1.66±0.06, respectively. The workload of each doctor and nurse was most heavy in units with 40-59 beds. In addition, we estimated that there were 0.05, 0.5, 0.8, and 1.9 burn units, burn doctors, nurses, and beds, respectively, per 100,000 members of the population in mainland China. Chinese burn units lack special burn treatments, nursing equipment, and operation apparatuses. To the best of our knowledge, this is the first survey of the present burn care system in China. These results confirm that the burn care system is not equivalent to the national power of this country and the system lacks a great number of trained burn professionals. Burn doctors and nurses bear a heavy burden of work. This report supplies basic data to spur further research. We propose creating a burn unit registration system and a special database in China. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.
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A Conceptual Framework for Improving Critical Care Patient Flow and Bed Use.
Mathews, Kusum S; Long, Elisa F
2015-06-01
High demand for intensive care unit (ICU) services and limited bed availability have prompted hospitals to address capacity planning challenges. Simulation modeling can examine ICU bed assignment policies, accounting for patient acuity, to reduce ICU admission delays. To provide a framework for data-driven modeling of ICU patient flow, identify key measurable outcomes, and present illustrative analysis demonstrating the impact of various bed allocation scenarios on outcomes. A description of key inputs for constructing a queuing model was outlined, and an illustrative simulation model was developed to reflect current triage protocol within the medical ICU and step-down unit (SDU) at a single tertiary-care hospital. Patient acuity, arrival rate, and unit length of stay, consisting of a "service time" and "time to transfer," were estimated from 12 months of retrospective data (n = 2,710 adult patients) for 36 ICU and 15 SDU staffed beds. Patient priority was based on acuity and whether the patient originated in the emergency department. The model simulated the following hypothetical scenarios: (1) varied ICU/SDU sizes, (2) reserved ICU beds as a triage strategy, (3) lower targets for time to transfer out of the ICU, and (4) ICU expansion by up to four beds. Outcomes included ICU admission wait times and unit occupancy. With current bed allocation, simulated wait time averaged 1.13 (SD, 1.39) hours. Reallocating all SDU beds as ICU decreased overall wait times by 7.2% to 1.06 (SD, 1.39) hours and increased bed occupancy from 80 to 84%. Reserving the last available bed for acute patients reduced wait times for acute patients from 0.84 (SD, 1.12) to 0.31 (SD, 0.30) hours, but tripled subacute patients' wait times from 1.39 (SD, 1.81) to 4.27 (SD, 5.44) hours. Setting transfer times to wards for all ICU/SDU patients to 1 hour decreased wait times for incoming ICU patients, comparable to building one to two additional ICU beds. Hospital queuing and simulation modeling with empiric data inputs can evaluate how changes in ICU bed assignment could impact unit occupancy levels and patient wait times. Trade-offs associated with dedicating resources for acute patients versus expanding capacity for all patients can be examined.
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40 CFR 63.7499 - What are the subcategories of boilers and process heaters?
Code of Federal Regulations, 2013 CFR
2013-07-01
... process heaters, as defined in § 63.7575 are: (a) Pulverized coal/solid fossil fuel units. (b) Stokers designed to burn coal/solid fossil fuel. (c) Fluidized bed units designed to burn coal/solid fossil fuel... liquid fuel. (r) Units designed to burn coal/solid fossil fuel. (s) Fluidized bed units with an...
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40 CFR 63.7499 - What are the subcategories of boilers and process heaters?
Code of Federal Regulations, 2014 CFR
2014-07-01
... process heaters, as defined in § 63.7575 are: (a) Pulverized coal/solid fossil fuel units. (b) Stokers designed to burn coal/solid fossil fuel. (c) Fluidized bed units designed to burn coal/solid fossil fuel... liquid fuel. (r) Units designed to burn coal/solid fossil fuel. (s) Fluidized bed units with an...
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Application of simplified bioclean apparatuses for treatment of acute leukemia.
Hasegawa, H; Horiuchi, A
1983-01-01
We used a portable horizontal laminar-air-flow clean bed and an open horizontal laminar-air-flow fan (clean wall unit) for treating patients with acute leukemia. The level of cleanliness as shown in the nonviable and viable particle counts was class 100 and class 1,000 at the head and foot, respectively, of the bed in the clean-bed rooms, while it was class 100 and class 10,000 respectively, in the clean-wall-unit rooms. The level of cleanliness in the open wards, on the other hand, was class 1,000,000. The incidence of infectious complications in the clean-bed rooms was 3.1/100 days when the granulocyte count was 1,000/mm3 or less, 3.9/100 days when the count was 500/mm3 or less and 6.1/100 days when it was 100/mm3 or less. In the clean-wall-unit rooms, these values were 3.1, 3.7 and 7.1, respectively, while in the open wards they were 4.6, 6.1 and 15.0. Thus, it was ascertained that, as the granulocyte count decreased, the incidence of infectious complications became significantly higher in the open wards than in the clean-bed rooms or the clean-wall-unit rooms. No complication of pneumonia was found in 37 patients with acute leukemia in the clean-bed rooms or in 40 in the clean-wall-unit rooms. Among 36 patients treated in the open wards, on the other hand, the complication of pneumonia was found in four. From the above results, it is believed that the use of clean-bed rooms or clean-wall-unit rooms is an extremely effective supplementary treatment method for preventing respiratory tract infection complications in patients with acute leukemia.
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Ruppert, Leslie F.; Trippi, Michael H.; Slucher, Ernie R.
2010-01-01
This report contains a simplified provisional correlation chart that was compiled from both published and unpublished data in order to fill a need to visualize the currently accepted stratigraphic relations between Appalachian basin formations, coal beds and coal zones, and key stratigraphic units in the northern, central, and southern Appalachian basin coal regions of Alabama, Tennessee, Kentucky, Virginia, West Virginia, Ohio, Maryland, and Pennsylvania. Appalachian basin coal beds and coal zones were deposited in a variety of geologic settings throughout the Lower, Middle, and Upper Pennsylvanian and Pennsylvanian formations were defined on the presence or absence of economic coal beds and coarse-grained sandstones that often are local or regionally discontinuous. The correlation chart illustrates how stratigraphic units (especially coal beds and coal zones) and their boundaries can differ between States and regions.
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Nelson, Judith E.; Puntillo, Kathleen A.; Pronovost, Peter J.; Walker, Amy S.; McAdam, Jennifer L.; Ilaoa, Debra; Penrod, Joan
2011-01-01
Objective Although the majority of hospital deaths occur in the intensive care unit and virtually all critically ill patients and their families have palliative needs, we know little about how patients and families, the most important “stakeholders,” define high-quality intensive care unit palliative care. We conducted this study to obtain their views on important domains of this care. Design Qualitative study using focus groups facilitated by a single physician. Setting A 20-bed general intensive care unit in a 382-bed community hospital in Oklahoma; 24-bed medical–surgical intensive care unit in a 377-bed tertiary, university hospital in urban California; and eight-bed medical intensive care unit in a 311-bed Veterans’ Affairs hospital in a northeastern city. Patients Randomly-selected patients with intensive care unit length of stay ≥5 days in 2007 to 2008 who survived the intensive care unit, families of survivors, and families of patients who died in the intensive care unit. Interventions None. Measurements and Main Results Focus group facilitator used open-ended questions and scripted probes from a written guide. Three investigators independently coded meeting transcripts, achieving consensus on themes. From 48 subjects (15 patients, 33 family members) in nine focus groups across three sites, a shared definition of high-quality intensive care unit palliative care emerged: timely, clear, and compassionate communication by clinicians; clinical decision-making focused on patients’ preferences, goals, and values; patient care maintaining comfort, dignity, and personhood; and family care with open access and proximity to patients, interdisciplinary support in the intensive care unit, and bereavement care for families of patients who died. Participants also endorsed specific processes to operationalize the care they considered important. Conclusions Efforts to improve intensive care unit palliative care quality should focus on domains and processes that are most valued by critically ill patients and their families, among whom we found broad agreement in a diverse sample. Measures of quality and effective interventions exist to improve care in domains that are important to intensive care unit patients and families. PMID:20198726
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Acoustic bed velocity and bed load dynamics in a large sand bed river
Gaeuman, D.; Jacobson, R.B.
2006-01-01
Development of a practical technology for rapid quantification of bed load transport in large rivers would represent a revolutionary advance for sediment monitoring and the investigation of fluvial dynamics. Measurement of bed load motion with acoustic Doppler current profiles (ADCPs) has emerged as a promising approach for evaluating bed load transport. However, a better understanding of how ADCP data relate to conditions near the stream bed is necessary to make the method practical for quantitative applications. In this paper, we discuss the response of ADCP bed velocity measurements, defined as the near-bed sediment velocity detected by the instrument's bottom-tracking feature, to changing sediment-transporting conditions in the lower Missouri River. Bed velocity represents a weighted average of backscatter from moving bed load particles and spectral reflections from the immobile bed. The ratio of bed velocity to mean bed load particle velocity depends on the concentration of the particles moving in the bed load layer, the bed load layer thickness, and the backscatter strength from a unit area of moving particles relative to the echo strength from a unit area of unobstructed bed. A model based on existing bed load transport theory predicted measured bed velocities from hydraulic and grain size measurements with reasonable success. Bed velocities become more variable and increase more rapidly with shear stress when the transport stage, defined as the ratio of skin friction to the critical shear stress for particle entrainment, exceeds a threshold of about 17. This transition in bed velocity response appears to be associated with the appearance of longer, flatter bed forms at high transport stages.
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van der Mee-Marquet, Nathalie; Girard, Sophie; Lagarrigue, François; Leroux, Isabelle; Voyer, Isabelle; Bloc, Daniel; Besnier, Jean-Marc; Quentin, Roland
2006-01-01
We report a multiresistant Enterobacter cloacae outbreak in an intensive care unit, associated with mattresses and with antibacterial-treated and vapour-permeable polyurethane synthetic mattress covers of therapeutic beds. PMID:16542475
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-30
... than 51 acute care inpatient beds (excluding beds in a distinct psychiatric or rehabilitation unit of... services furnished in a psychiatric or rehabilitation unit that is a distinct part of the hospital, using...
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Sentana-Lledo, Daniel; Barbu, Corentin M; Ngo, Michelle N; Wu, Yage; Sethuraman, Karthik; Levy, Michael Z
2016-01-01
The common bed bug (Cimex lectularius L.) is once again prevalent in the United States. We investigated temporal patterns in Google search queries for bed bugs and co-occurring terms, and conducted in-person surveys to explore the intentions behind searches that included those terms. Searches for "bed bugs" rose steadily through 2011 and then plateaued, suggesting that the epidemic has reached an equilibrium in the United States. However, queries including terms that survey respondents associated strongly with having bed bugs (e.g., "exterminator," "remedies") continued to climb, while terms more closely associated with informational searches (e.g., "hotels," "about") fell. Respondents' rankings of terms and nonseasonal trends in Google search volume as assessed by a cosinor model were significantly correlated (Kendall's Tau-b P = 0.015). We find no evidence from Google Trends that the bed bug epidemic in the United States has reached equilibrium. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
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Fölsch, C; Kofahl, N; Waydhas, C; Stiletto, R
2013-09-01
Effectiveness of intensive care treatment is essential to cope with increasing costs. The German national register of intensive care established by the German Interdisciplinary Association for Intensive Care Medicine (DIVI) contains basic data on the structure of intensive care units in Germany. A repeat analysis of data of the DIVI register within 8 years provides information for the development of intensive care units under different economic circumstances. The recent data on the structure of intensive care units were obtained in 2008 and compared with the primary multicenter study from 2000. The hospitals selected were a representative sample for the whole of Germany. Data on the status of the hospital, staff and technical facilities, foundation of the hospital and the statistics of mechanically ventilated patients were analyzed. The technical facilities and the number of staff have improved from 2000 to 2008. A smaller availability of diagnostic procedures and staff remain in hospitals for basic treatment outside normal working hours. The average utilization of intensive care unit beds was not altered. The existence of intermediate care units did not significantly change the proportion of patients with artificial ventilation or ventilation times. The number of beds in intensive care units was unchanged as was the average number of beds in units and the number of patients treated. A relevant number of beds of intensive care units shifted towards hospitals with private foundation without changes in the overall numbers. The structure of the hospitals was comparable at both time points. The introduction of intermediate care units did not alter ventilation parameters of patients in 2008 compared with 2000. There is no obvious medical reason for the shift of intensive care beds towards private hospitals. The number of staff and patients varied considerably between the intensive care units. The average number of patients treated per bed was not different between the periods or between hospitals with different structures. Overall availability of medical staff and diagnostic procedures increased during the study period. An increase of availability of fully trained medical staff in intensive care medicine is desirable to increase the quality of treatment.
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Bed bug outbreak in a neonatal unit.
Bandyopadhyay, T; Kumar, A; Saili, A
2015-10-01
There has been a worldwide increase in bed bug infestations over the last 10-15 years. A major stigma is placed upon the institutions found to be infested. We report our experience with an outbreak of the tropical bed bug, Cimex hemipterus, in a neonatal unit. The outbreak not only affected the admitted newborns and mothers by causing a wide variety of rashes and inducing sleeplessness, but also impinged upon the health professionals and their families by producing similar symptomology. It is important for healthcare providers to be aware of, and for each healthcare facility to have, bed bug prevention and control policies.
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76 FR 550 - Second National Bed Bug Summit; Notice of Public Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-05
... ENVIRONMENTAL PROTECTION AGENCY [EPA-HQ-OPP-2009-0190; FRL-8858-4] Second National Bed Bug Summit... planning the second National Bed Bug Summit to be held February 1 and 2, 2011, on the topic of the bed bug resurgence in the United States. The goal of this meeting is to review the current bed bug problem and...
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USDA-ARS?s Scientific Manuscript database
Broilers in the United States are frequently raised on built-up litter systems, primarily bedded with pine wood chips (shavings) or sawdust. There is continuing interest in alternative bedding materials as pine products are often in short supply and prices rise accordingly. Alternative bedding mat...
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NASA Technical Reports Server (NTRS)
Blocher, J. M., Jr.; Browning, M. F.
1979-01-01
The construction and operation of an experimental process system development unit (EPSDU) for the production of granular semiconductor grade silicon by the zinc vapor reduction of silicon tetrachloride in a fluidized bed of seed particles is presented. The construction of the process development unit (PDU) is reported. The PDU consists of four critical units of the EPSDU: the fluidized bed reactor, the reactor by product condenser, the zinc vaporizer, and the electrolytic cell. An experimental wetted wall condenser and its operation are described. Procedures are established for safe handling of SiCl4 leaks and spills from the EPSDU and PDU.
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Head of the bed elevation angle recorder for intensive care unit
NASA Astrophysics Data System (ADS)
Krefft, Maciej; Zamaro-Michalska, Aleksandra; Zabołotny, Wojciech M.; Zaworski, Wojciech; Grzanka, Antoni; Łazowski, Tomasz; Tavola, Mario; Siewiera, Jacek; Mikaszewska-Sokolewicz, Małgorzata
2013-10-01
This paper presents a recording system optimized for long term measurement of bed headrest elevation angle in the Intensive Care Unit. The continuous monitoring of this parameter allows to find the correlation between the patient's position in bed and the risk of the Ventilator Associated Pneumonia (VAP), a very serious problem in therapy of critically ill patients. Recorder might be be an important tool to evaluate the "care bundles" - sets of preventive procedures recommended for treatment of patients in the ICU.
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Hunter, R.E.
1980-01-01
These deposits comprise a basal gravelly unit and 3 overlying sandy units, each with mud beds, a paleosol, or the modern soil in its uppermost part. The gravelly unit is interpreted as a progradational deposit. The main parts of the sandy units are made up of 1) a crossbedded sand facies, the dominant structure in which is medium-scale crossbedding (interpreted as the product of small eolian dunes), and 2) an irregularly bedded sand facies, which is locally pebbly and is dominated by scour-and-fill structures, interpreted as deposits of interdune ephemeral streams, ephemeral ponds, and wet to dry subaerial flats. The mud beds and paleosols represent times of temporary stabilization of the dune field.- from Author
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Chemical Oxygen Demand abatement in sewage using Micro-Aeration Enhanced Ecological Floating Bed
NASA Astrophysics Data System (ADS)
Shi, Hongle; Zhou, Gaofeng; Liu, Yiqing; Tan, Jiancong; Fu, Yongsheng
2018-02-01
The traditional ecological floating bed combined with micro-aeration system and artificial medium was developed for the removal of contaminants and remediation of surface water. This micro-aeration enhanced ecological floating bed (MAEEFB) consisted of aeration unit, microbial processing unit and aquatic plant unit. Batch experiments were conducted in different operating conditions on the removal of chemical oxygen demand (COD) in the sewage using MAEEFB. The removal rate of COD by MAEEFB, enhanced ecological floating bed (EEFB) and traditional ecological floating bed (TEFB) in the same reaction conditions was 59.2%, 56.9% and 30.6%, respectively, indicating that the combination of micro-aeration system and artificial medium could enhance the removal efficiency of COD in TEFB. In MAEEFB, the aeration intensity should be designed reasonablely considering both treatment efficiency and operation cost. Only increasing the specific surface area of the packing cannot effectively improve the purification efficiency of water. Factors like packing material, ability of intercepting organics and complicated extent of microorganisms attaching on the packing should also be considered.
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Development and testing of a source subsystem for the supporting development PMAD DC test bed
NASA Technical Reports Server (NTRS)
Button, Robert M.
1991-01-01
The supporting Development Power Management and Distribution (PMAD) DC Test Bed is described. Its benefits to the Space Station Freedom Electrical Power System design are discussed along with a short description of how the PMAD DC Test Bed was systematically integrated. The Source Subsystem of the PMAD DC Test Bed consisting of a Sequential Shunt Unit (SSU) and a Battery Charge/Discharge Unit (BCDU) is introduced. The SSU is described in detail and component level test data is presented. Next, the BCDU's operation and design is given along with component level test data. The Source Subsystem is then presented and early data given to demonstrate an effective subsystem design.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Wheeler, P.A.; Patel, N.M.; Painter, A.
Energy recovery from municipal solid waste (MSW) is an important component of an integrated waste management strategy. Waste management programs which remove or recover materials for recycling are particularly suited for considering the option of energy recovery via fluidized bed combustion (FBC). The last few years have seen growing interest in the application of FBC technology to the MSW treatment/disposal problem. This paper reviews and reports on the world-wide experience in fluidized bed combustion of MSW focusing particularly on the types and scales of the systems in operation in Japan and Scandinavia. In addition the paper also reports on themore » development of an energy from waste project employing circulating fluidized bed technology that is proposed for a local municipality in the UK. Japan currently has over 100 bubbling bed units in operation firing on 100% MSW; the technology is firmly established at scales of operation up to 160,000t/y (the largest single unit operates at 6.25t/h). The bubbling bed units accept MSW which has undergone only minimal pre-processing -- the waste is shredded to a nominal 300mm size fraction before being introduced to the furnace. There are distinct (combustion control) advantages to further processing of the waste stream prior to combustion. The Scandinavian countries in particular have been the prime movers in pioneering this technology to work in combination with circulating fluidized bed systems. Currently 2 units are in operation cofiring pre-processed MSW with a range of other biofuels. A number of FBC units firing 100% MSW are currently in the planning or construction stage around the world; they seem set to secure an increased market share particularly at the smaller scale of operation (up to about 200,000t/y).« less
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Evaluation of Sensor Technology to Detect Fall Risk and Prevent Falls in Acute Care.
Potter, Patricia; Allen, Kelly; Costantinou, Eileen; Klinkenberg, William Dean; Malen, Jill; Norris, Traci; O'Connor, Elizabeth; Roney, Wilhemina; Tymkew, Heidi Hahn; Wolf, Laurie
2017-08-01
Sensor technology that dynamically identifies hospitalized patients' fall risk and detects and alerts nurses of high-risk patients' early exits out of bed has potential for reducing fall rates and preventing patient harm. During Phase 1 (August 2014-January 2015) of a previously reported performance improvement project, an innovative depth sensor was evaluated on two inpatient medical units to study fall characteristics. In Phase 2 (April 2015-January 2016), a combined depth and bed sensor system designed to assign patient fall probability, detect patient bed exits, and subsequently prevent falls was evaluated. Fall detection depth sensors remained in place on two medicine units; bed sensors used to detect patient bed exits were added on only one of the medicine units. Fall rates and fall with injury rates were evaluated on both units. During Phase 2, the designated evaluation unit had 14 falls, for a fall rate of 2.22 per 1,000 patient-days-a 54.1% reduction compared with the Phase 1 fall rate. The difference in rates from Phase 1 to Phase 2 was statistically significant (z = 2.20; p = 0.0297). The comparison medicine unit had 30 falls-a fall rate of 4.69 per 1,000 patient-days, representing a 57.9% increase as compared with Phase 1. A fall detection sensor system affords a level of surveillance that standard fall alert systems do not have. Fall prevention remains a complex issue, but sensor technology is a viable fall prevention option. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.
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ERIC Educational Resources Information Center
University of Southwestern Louisiana, Lafayette.
This document contains teacher's materials for an 8-unit course in greenhouse management for 11th and 12th graders. The units are as follows: Producing Annual Bedding Plants; Foliage Plants; General Greenhouse Management; Poinsettia Production; Vegetable Bedding Plant Production: Tomatoes, Peppers, and Eggplants; Production of Potted…
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Regional hydrology of the Green River-Moab area, northwestern Paradox Basin, Utah
Rush, F.E.; Whitfield, M.S.; Hart, I.M.
1984-01-01
The Green River-Moab area encompasses about 7,800 square kilometers or about 25 percent of the Paradox basin. The entire Paradox basin is a part of the Colorado Plateaus that is underlain by a thick sequence of evaporite (salt) beds of Pennsylvanian age. The rock units that underlie the area have been grouped into hydrogeologic units based on their water-transmitting ability. Confining beds consist of evaporite beds of mostly salt, and over- lying and underlying thick sequences of rocks with minimal permeability; above and below these confining beds are aquifers. The upper Mesozoic sand- stone aquifer, probably is the most permeable hydrogeologic unit of the area and is the subject of this investigation. The principal component of ground- water outflow from this aquifer probably is subsurface flow to regional streams (the Green and Colorado Rivers) and is about 100 million cubic meters per year. All other components of outflow are relatively small. The average annual recharge to the aquifer is about 130 million cubic meters, of which about 20 million cubic meters is from local precipitation. For the lower aquifer, all recharge and discharge probably is by subsurface flow and was not estimated.The aquifers are generally isolated from the evaporite beds by the bounding confining beds; as a result, most ground water has little if any contact with the evaporites. Brines are present in the confining beds, but solution of beds o£ salt probably is very slow in most parts of the area. No brine discharges' have been identified.
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Hospital-acquired pressure ulcer prevalence--evaluating low-air-loss beds.
Johnson, Jane; Peterson, Darcie; Campbell, Betty; Richardson, Regina; Rutledge, Dana
2011-01-01
Higher-category pressure redistribution mattresses are considered a critical component of a pressure ulcer prevention program, but few studies have quantified the impact of specific preventive measures on the incidence or prevalence of hospital-acquired pressure ulcers (HAPUs). Therefore, this study was undertaken to determine the impact of low-air-loss beds on HAPU prevalence. This prospective, comparative cohort study monitored the prevalence of HAPU at our hospital and compared rates of matched medical-surgical units with and without low-air-loss beds. Units without low-air-loss beds used a variety of alternative pressure redistribution devices for patients deemed at risk for pressure ulceration. The prevalence of HAPU was operationally defined as the number of patients with HAPUs divided by numbers of patients observed. The prevalence of HAPU over 3 quarters in 2008 ranged from 1.0% to 3.3% (overall rate 2.4%). Eighty-three percent of patients with HAPUs were cared for on low-air-loss beds. Of 12 patients with 16 HAPUs during this time, 75% were aged 70 years or older and 25% were managed in critical care units. Over half of patients who developed HAPUs had been hospitalized for 20 days or more. Half of the patients with HAPUs were scored as no-low risk on the Braden Scale.On the paired medical-surgical units, no statistically significant differences were found when patients with low-air-loss beds were compared to standard hospital mattresses supplemented by a variety of pressure redistribution devices. Seven of 11 HAPUs (63%) occurred in patients placed on low-air-loss beds. The prevalence of HAPU in patients placed on low-air-loss beds was no different from patients placed on standard hospital mattresses supplemented by a variety of pressure redistribution devices. Further research is needed to determine the impact of specific strategies on prevention of HAPU.
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Performance of bed load transport equations in mountain gravel-bed rivers: A re-analysis
Jeffrey J. Barry; John M. Buffington; John G. King; Peter Goodwin
2006-01-01
Our recent examination of bed load transport data from mountain gravel-bed rivers in the western United States shows that the data can be fit by a simple power function of discharge, with the coefficient being a function of drainage area (a surrogate for basin sediment supply) and the exponent being a function of supply-related channel armoring (transport capacity in...
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Halpern, Neil A; Goldman, Debra A; Tan, Kay See; Pastores, Stephen M
2016-08-01
To analyze patterns of critical care medicine beds, use, and costs in acute care hospitals in the United States and relate critical care medicine beds and use to population shifts, age groups, and Medicare and Medicaid beneficiaries from 2000 to 2010. Retrospective study of data from the federal Healthcare Cost Report Information System, American Hospital Association, and U.S. Census Bureau. None. None. Acute care U.S. hospitals with critical care medicine beds. From 2000 to 2010, U.S. hospitals with critical care medicine beds decreased by 17% (3,586-2,977), whereas the U.S. population increased by 9.6% (282.2-309.3M). Although hospital beds decreased by 2.2% (655,785-641,395), critical care medicine beds increased by 17.8% (88,235-103,900), a 20.4% increase in the critical care medicine-to-hospital bed ratio (13.5-16.2%). There was a greater percentage increase in premature/neonatal (29%; 14,391-18,567) than in adult (15.9%; 71,978-83,417) or pediatric (2.7%; 1,866-1,916) critical care medicine beds. Hospital occupancy rates increased by 10.4% (58.6-64.6%), whereas critical care medicine occupancy rates were stable (range, 65-68%). Critical care medicine beds per 100,000 total population increased by 7.4% (31.3-33.6). The proportional use of critical care medicine services by Medicare beneficiaries decreased by 17.3% (37.9-31.4%), whereas that by Medicaid rose by 18.3% (14.5-17.2%). Between 2000 and 2010, annual critical care medicine costs nearly doubled (92.2%; $56-108 billion). In the same period, the proportion of critical care medicine cost to the gross domestic product increased by 32.1% (0.54-0.72%). Critical care medicine beds, use, and costs in the United States continue to rise. The increasing use of critical care medicine by the premature/neonatal and Medicaid populations should be considered by healthcare policy makers, state agencies, and hospitals as they wrestle with critical care bed growth and the associated costs.
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-13
... combustion by-products (CCB); two (2) landfills for the on-site disposal of CCB; an emergency drought water... Bed Electric Generating Unit by East Kentucky Power Cooperative, Inc., in Clark County, KY AGENCY: U.S... circulating fluidized bed electric generating unit by East Kentucky Power Cooperative, Inc. (EKPC), in Clark...
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Varnavas, V; Rassaf, T; Breuckmann, F
2018-02-01
The purpose of this work was to analyze structure, distribution, and bed capacities of certified German chest pain units (CPUs) to unveil potential gaps despite nationwide certification of 230 units till the end of 2015. Analysis of number and structure of CPUs per state, resident count, and population density by standardized telephone interview, online research, and data collection from the registry of the Federal Statistical Office for all certified German CPUs. Nationwide, German health facilities provided a mean of 1 CPU bed within a certified unit per 65,000 inhabitants. Bremen, Hamburg, Hesse, and Rhineland-Palatinate provided more than 1 bed per 50,000 inhabitants. Most CPUs (49%) were located in the emergency room. All university hospitals in Germany provided a certified CPU. Most units were found in academic teaching hospitals (146 CPUs). Only 42 CPUs were found in nonacademic providers of primary health care. The absolute necessary number of CPUs to reach full nationwide coverage is still unknown. The current analysis shows a high number of CPUs and bed capacities within the cities and industrial areas without relevant gaps, but also demonstrates a certain undersupply in more rural areas as well as in some of the former eastern federal states of Germany.
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Guerdjikova, Anna I; Mori, Nicole; Casuto, Leah S; McElroy, Susan L
2017-06-01
Binge eating disorder (BED) is the most common eating disorder and an important public health problem. Lifetime prevalence of BED in the United States is 2.6%. In contrast to other eating disorders, the female to male ratio in BED is more balanced. BED co-occurs with a plethora of psychiatric disorders, most commonly mood and anxiety disorders. BED is also associated with obesity and its numerous complications. Although BED is similar in men and women in presentation and treatment outcomes, there are some key neurobiological differences that should be taken in consideration when personalizing treatment. Copyright © 2017 Elsevier Inc. All rights reserved.
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Design characteristics of acute care units in china.
Lu, Yi; Wang, Yijia
2014-01-01
To describe the current state of design characteristics of acute care units in China's public hospitals and compare these with characteristics with acute care units in the United States. The healthcare construction industry in China is one of the fastest growing sectors in China and, arguably, in the world. Understanding the physical design of acute care units in China is of great importance because it will influence a large population. Descriptive study was performed of unit configuration, size, patient visibility, distance to nursing station and supplies, and lighting conditions in 25 units in 19 public hospitals built after 2003. Data and information were collected based on spatial and visibility analysis. The study identified major design characteristics of the recently built (from 2003 onward) acute care units in China, comparing them, where appropriate, with those in U.S. It found there are three dominant types of unit layout: single-corridor (52%), triangular (36%), and double-corridor (12%). The number of private rooms is very low (11%), compared with two- or three-bed rooms. Centralized nursing stations are the only type of nurses' working area. China also has a large unit size in terms of number of patient beds. The average number of patient beds in a unit is 40.6 in China (versus 32.9 in U.S.). The care units in China have longer walking distance from nursing station to patient bedside. The percentage of beds visible from a nursing station is lower in China than in the U.S. The access to natural light and direct sunlight in patient rooms is greater in China compared with those in U.S.-100% of patient rooms in China have natural lighting. A majority of them face south or southeast and thus receiving direct sunlight (91.4%). Because of the differences in economies and building codes, there are dramatic differences between the spatial characteristics of acute care units in China and the United States. © 2014 Vendome Group, LLC.
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Tektite-bearing, deep-water clastic unit at the Cretaceous-Tertiary boundary in northeastern Mexico
NASA Technical Reports Server (NTRS)
Smit, J.; Montanari, A.; Swinburne, N. H.; Alvarez, W.; Hildebrand, A. R.; Margolis, S. V.; Claeys, P.; Lowrie, W.; Asaro, F.
1992-01-01
The hypothesis of Cretaceous-Tertiary (K-T) boundary impact on Yucatan, Mexico, predicts that nearby sites should show evidence of proximal impact ejecta and disturbance by giant waves. An outcrop along the Arroyo el Mimbral in northeastern Mexico contains a layered clastic unit up to 3 m thick that interrupts a biostratigraphically complete pelagic-marl sequence deposited at more than 400 m water depth. The marls were found to be unsuitable for determining magnetostratigraphy, but foraminiferal biostratigraphy places the clastic unit precisely at the K-T boundary. We interpret this clastic unit as the deposit of a megawave or tsunami produced by an extraterrestrial impact. The clastic unit comprises three main subunits. (1) The basal "spherule bed" contains glass in the form of tektites and microtektites, glass spherules replaced by chlorite-smectite and calcite, and quartz grains showing probable shock features. This bed is interpreted as a channelized deposit of proximal ejecta. (2) A set of lenticular, massive, graded "laminated beds" contains intraclasts and abundant plant debris, and may be the result of megawave backwash that carried coarse debris from shallow parts of the continental margin into deeper water. (3) At the top, several thin "ripple beds" composed of fine sand are separated by clay drapes; they are interpreted as deposits of oscillating currents, perhaps a seiche. An iridium anomaly (921 +/- 23 pg/g) is observed at the top of the ripple beds. Our observations at the Mimbral locality support the hypothesis of a K-T impact on nearby Yucatan.
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NASA Astrophysics Data System (ADS)
Saenz, Virna Lisa
The recent resurgence of bed bugs (Cimex lectularius L.) has created an unprecedented demand for research on its biology. The main objectives of this dissertation research were to investigate several aspects of bed bug biology: infestation and dispersal dynamics at a large and small geographical scale using molecular markers, to determine the impact of aggregation on bed bug development and to screen bed bug populations for a re-emergent pathogen. First, we studied the infestation and dispersal dynamics of bed bugs at large geographical scale (e.g., across cities, states). Although bed bug infestations are on the rise, there is a poor understanding of their dispersal patterns and sources of infestation. We conducted a genetic study of 21 bed bug infestations from the eastern United States. We genotyped samples comprised of 8 - 10 individuals per infestation at nine polymorphic microsatellite loci. Despite high genetic diversity across all infestations, with 5 -- 17 alleles per locus (mean = 10.3), we found low genetic diversity (1 -- 4 alleles per locus) within all but one of the infestations. These results suggest that nearly all the studied infestations were started by a small propagule possibly consisting of a singly mated female and/or her progeny. All infestations were strongly genetically differentiated from each other (mean pairwise FST between populations = 0.68) and we did not find strong evidence of a geographic pattern of structuring. The high level of genetic diversity across infestations from the eastern United States together with the lack of geographically organized structure is consistent with multiple introductions into the United States from foreign sources. This work is described in Chapter 2 and was published in the Journal of Medical Entomology in 2012. Second, we investigated dispersal and infestation dynamics of bed bugs at a fine geographical scale within three multistory apartment buildings: one from Raleigh, NC and two from Jersey City, NJ. Here we describe the development of 24 high resolution microsatellite markers and their application to elucidate infestation dynamics within three multistory apartment buildings in the United States. Results reveal contrasting characteristics potentially representative of geographic or locale differences. In Raleigh, NC, an infestation within an apartment building seemed to have started from a single introduction followed by extensive spread throughout the building. In Jersey City, NJ, two or more introductions followed by extensive spread. Populations within single apartments in all buildings showed low levels of genetic diversity suggesting that few individuals are starting these infestations, possibly a singly mated female or her progeny. This work is described in Chapter 3 and was published in the Journal of Medical Entomology in 2012. Third, we studied the impact of aggregation in bed bug development. Although it is well known that bed bugs live in aggregations, the adaptive benefits of this behavior are not well understood. In this study, we reared first instars either in isolation or in groups of five from hatching to adult eclosion and recorded their development time. Additionally, we investigated the effects of group-housing on same age nymphs versus nymphs reared with adults. Nymphal development was 2.2 d faster in grouped nymphs than in solitary-housed nymphs, representing 7.3% faster overall development. However, this grouping effect did not appear to be influenced by group composition (nymphs vs. adults). Thus, similar to other gregarious insect species, nymph development in bed bugs is faster in aggregations than in isolation. This work is described in Chapter 4. Fourth, we investigated the prevalence of a re-emergent bacterial pathogen in United States bed bugs populations. Because reports of both bed bugs and Bartonella have been increasing in the United States, and because their host ranges can overlap, we investigated whether the resurgence of these two medically important species are linked by screening for Bartonella spp. in bed bugs collected from geographic areas where these pathogens are prevalent. We screened a total of 331 bed bugs from 39 unique collections in 30 geographic locations in 13 states for Bartonella spp. DNA using a polymerase chain reaction assay targeting the 16S-23S rRNA intergenic transcribed spacer region. Bartonella spp. DNA was not amplified from any bed bug, but five bed bugs from four different units of an elderly housing building in North Carolina contained Burkholderia multivorans, an important pathogen in nosocomial infections that was not previously linked to an arthropod vector. This work is described in Chapter 5.
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Stratigraphy of the 1902 and 1929 nuée-ardente deposits, Mt. Pelée, Martinique
NASA Astrophysics Data System (ADS)
Bourdier, J. L.; Boudon, G.; Gourgaud, A.
1989-08-01
Mild nuée ardentes in 1902-1903 and 1929-1930 at Mt. Pelée formed high-aspect ratio (H.A.R.) deposits (i.e. deposits with a high thickness/extent ratio) in the Rivière Blanche channel. Several violent nuées ardentes from May to August, 1902, yielded low aspect ratio (L.A.R.) deposits unevenly blanketing an area of 58 km 2 on the southwestern flank of the volcano. Three closely spaced nuées ardentes on August 30 additionally affected 56 km 2 on the southeastern flank. The L.A.R. deposits are divided into eight stratigraphic units (U1-U8), either compound or consisting of a single flow unit. The deposits of the largest nuées ardentes, on May 8, 20 and August 30, 1902 are identified as U1, U3 and U8, respectively, and can be traced over most of the area. Individual L.A.R. flow units are lenticular and show large, erratic lateral variations of thickness and grain-size. Most flow units consist of three distinct beds: Bed 1 is a few centimeters thick, lenticular, fines-depleted layer. Bed 2 is the thickest layer and contains more silt-sized ash than bed 1. It is normally graded as a whole, though reverse grading may occur in the lower part. Bed 2 generally consists of two parts: bed 2a, nonbedded, and bed 2b, finer-grained and laminated with cross-bedding and duned structures. Bed 3 is a thin, silty, capping layer which contains accretionary lapilli. The distribution of the L.A.R. flow units, especially of the coarse-grained facies, suggests that they were formed from overpressured blast-flows expanding radially from the vent at a high rate, in the same manner as the laterally directed blast of Mount St. Helens on May 18, 1980. The transport system of the major 1902 nuées ardentes was an inflated, relatively low-concentration, turbulent cloud as suggested by several lines of evidence: (1) the transported material was able to cross ridges up to 300 m high; (2) many scour-and-fill and other erosional features can be observed in the deposits at any distance from the vent; (3) survivors within the devastated area on May 8 did not experience a dense, low-profile cloud but instead a choking, hot ash-laden cloud; (4) many human corpses in St. Pierre remained where they fell instead of having floated away. If the current flow-surge terminology were to be used, the 1902 blast-flows would be better considered as pyroclastic surges. The normally graded, multi-layered structure of the flow units is also consistent with deposits primarily formed from relatively low-concentration flows.
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Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 7 2014-07-01 2014-07-01 false Model Rule-Emission Limits and Standards for Existing Fluidized Bed Sewage Sludge Incineration Units 2 Table 2 to Subpart MMMM of Part 60 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF...
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Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 7 2013-07-01 2013-07-01 false Model Rule-Emission Limits and Standards for Existing Fluidized Bed Sewage Sludge Incineration Units 2 Table 2 to Subpart MMMM of Part 60 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF...
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Application of a Socio-Ecological Model to Mother-Infant Bed-Sharing
ERIC Educational Resources Information Center
Salm Ward, Trina C.; Doering, Jennifer J.
2014-01-01
Mother-infant bed-sharing has been associated with an increased risk of sleep-related infant deaths, and thus, health messaging has aimed to discourage this behavior. Despite this messaging, bed-sharing remains a common practice in the United States, especially among minority families. Moreover, rates of accidental suffocation and strangulation in…
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Black, Joyce; Berke, Christine; Urzendowski, Gail
2012-01-01
The primary objective of this study was to compare facility-acquired pressure ulcer incidence and progression of pressure ulcers present on admission in critically ill patients, using 2 different support surfaces. We completed a comparison cohort study in a surgical intensive care unit (ICU). The study setting was a 12-bed cardiovascular ICU in a university-based hospital in the Midwestern United States. The sample comprised 52 critically ill patients; 31 were placed on low air loss weight-based pressure redistribution-microclimate management system beds and 21 were placed on integrated powered air pressure redistribution beds. Prior to the start of the study, 5 low airloss beds were placed in open rooms in the cardiovascular surgical ICU. Inclusion criteria were anticipated ICU stay of 3 days, and patients did not receive a speciality bed for pulmonary or wound issues. Initial assessment of the patients included risk assessment and prior events that would increase risk for pressure ulcer development such as extended time in operating room, along with skin assessment for existing pressure ulcers. Subjects in both groups had ongoing skin assessment every 3 to 4 days and a subjective evaluation of heel elevation and turning or repositioning by the researcher. Data were collected until the subjects were dismissed from the ICU. Patients admitted to the unit were assigned to open rooms following the usual protocols. The mean length of stay was 7.0 days, with an 8.1-day length of stay for subjects on "low air loss with microclimate management" beds (LAL-MCM) and 6.6 days on the integrated power pressure air redistribution (IP-AR) beds (P = NS). The incidence of pressure ulcers on the buttocks, sacrum, or coccyx was 0% (0/31) on the low air loss bed and 18% (4/21) on the IP-AR bed (P = .046). Five subjects had 6 pressure ulcers on admission. Two pressure ulcers on 2 patients worsened on the integrated power air redistribution beds, which required specialty bed rental costing the facility $4116. No subjects on the low air loss beds experienced worsening of existing pressure ulcer. One patient with a deep tissue injury present on admission improved on the LAL-MCM bed. The IP-AR beds were approximately 7 years old, and the LAL-MCM beds were new. Critically ill subjects placed on low air loss beds with microclimate management in surgical ICUs had a lower pressure ulcer incidence than those placed on integrated powered air pressure redistribution beds. The clinical performance of the IP-AR surfaces may have been influenced by their age.
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[Investigation of burn rehabilitation development of China in 2014].
Ao, M; Wu, J; Chen, J
2017-05-20
Objective: To further study the development of burn rehabilitation in China, so as to promote the development of burn rehabilitation in China. Methods: The questionnaire about the development of burn rehabilitation treatment was started by Specialized Committee of Burn Treatment and Rehabilitation Science of Chinese Association of Rehabilitation Medicine (hereinafter referred to as Specialized Committee) in the end of 2014, and 65 affiliations of Specialized Committee members participated in. There was a total of 26 questions, mainly focusing on problems as below: (1) General information of the burn department of the units, including the number of authorized beds, annual admitted burn patients, annual admitted patients with extremely severe burn, doctors, nurses, rehabilitation therapists, and the condition of rehabilitation area and rehabilitation beds, etc. (2) Development of burn rehabilitation treatment, including the development of rehabilitation treatment, the intervention time of rehabilitation treatment, the rehabilitation treatment carried out in intensive care unit (ICU), the composition of rehabilitation treating personnel, and the professional title and background, educational background, and division of responsibilities of rehabilitation therapists, etc. (3) Major problems affecting the development of burn rehabilitation treatment of the units. The burn treatment units were grouped according to the number of annual admitted patients. The units' situation of authorized beds, admitted patients, allocation of medical personnel and rehabilitation, and the ratio of beds to doctors, beds to nurses, beds to full-time burn rehabilitation treating personnel were recorded. Data were processed with t test, one-way analysis of variance, and chi-square test. Results: (1) A total of 65 questionnaires were sent, and 45 questionnaires (69.2%) were retrieved. Among the 45 units that replied the questionnaires, 35 units were burn treatment units. (2) The 35 burn treatment units were divided into less than 500 cases group ( n =8), 501-1 000 cases group ( n =11), 1 001-1 500 cases group ( n =10), and more than 1 500 cases group ( n =6) according to the number of annual admitted patients. The number of authorized beds of units in 1 001-1 500 cases group was significantly more than that in less than 500 cases group ( t =4.563, P <0.05). The number of authorized beds of units in more than 1 500 cases group was significantly more than that in the other 3 groups, respectively (with t values from 1.859 to 3.743, P values below 0.05). The number of annual admitted patients of units in 501-1 000 cases group, 1 001-1 500 cases group, and more than 1 500 cases group was dramatically more than that in less than 500 cases group (with t values from 6.027 to 12.684, P values below 0.05). The number of annual admitted patients of units in 1 001-1 500 cases group and more than 1 500 cases group was significantly more than that in 501-1 000 cases group (with t values respectively 7.408 and 6.980, P values below 0.05). The number of annual admitted patients of units in more than 1 500 cases group was significantly more than that in 1 001-1 500 cases group ( t =4.239, P <0.05). The number of annual admitted patients with extremely severe burn and the condition of rehabilitation area and rehabilitation beds of units in the 4 groups was similar ( F =0.820, with χ (2) values respectively 5.266 and 2.848, P values above 0.05). The number of doctors of units in more than 1 500 cases group was significantly more than that in less than 500 cases group ( t =2.836, P <0.05). The number of nurses of units in 1 001-1 500 cases group was significantly more than that in less than 500 cases group ( t =2.837, P <0.05). The number of nurses and that of rehabilitation therapists of units in more than 1 500 cases group were significantly more than those in the other 3 groups (with t values from 1.762 to 4.789, P values below 0.05). (3) The 35 burn treatment units were able to provide at least one rehabilitation treatment for patients, among which body positioning, motion of joint exercise, infrared ray irradiation, hydrotherapy, function training, activities of daily life training, scar massage, and drug injection in scar were carried out well, while psychological therapy, music therapy, occupational rehabilitation, and social rehabilitation were mostly not carried out. (4) Only 9 (25.7%) burn treatment units started rehabilitation treatment for patients within 3 days after injury. (5) Twenty-seven (77.1%) burn treatment units could carry out body positioning in ICU. (6) Twenty-three burn treatment units had full-time rehabilitation treating personnel, and the units were divided into less than 500 cases group ( n =1), 501-1 000 cases group ( n =8), 1 001-1 500 cases group ( n =9), and more than 1 500 cases group ( n =5) according to the number of annual admitted patients. The ratio of beds to doctors of units in more than 1 500 cases group was significantly higher than that in 501-1 000 cases group ( t =2.810, P <0.05) and the ratios of beds to doctors of units in 501-1 000 cases group and 1 001-1 500 cases group were similar ( t =1.506, P >0.05). The ratios of beds to nurses and beds to full-time burn rehabilitation treating personnel in 4 groups were similar (with F values respectively 0.783 and 0.434, P values above 0.05). (7) Twenty burn treatment units had rehabilitation therapists with rehabilitation treatment related professional background (a total of 73 person, account for 76.0%), 80.8% (59/73) rehabilitation therapists with rehabilitation and therapeutic professions, 60.3% (44/73) with bachelor degree or above, and 87.7% (64/73) with primary and intermediate titles. Besides, 39.7% (29/73) rehabilitation therapists did physical therapy; 12.3% (9/73) rehabilitation therapists did occupational therapy; 38.4% (28/73) rehabilitation therapists did not have specific duties. (8) During the development of burn rehabilitation treatment of 35 burn treatment units, the common problems were reflected in the authorized strength and professional technology level of rehabilitation treatment relating personnel, and the area and equipment for rehabilitation. There were also many problems in cooperation between burn surgeons and rehabilitation therapists and fund. The supports from hospital and department leaders were good. Conclusions: Through the development of several years, the general condition and the development of rehabilitation treatment of burn treatment units in China are improved; the beginning time of burn rehabilitation treatment is advanced; the number of rehabilitation treatment personnel is increased with their speciality improved; the burn rehabilitation work get great support from hospitals and departments.
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Julian, Samuel; Burnham, Carey-Ann D.; Sellenriek, Patricia; Shannon, William D.; Hamvas, Aaron; Tarr, Phillip I.; Warner, Barbara B.
2016-01-01
Objectives Infections cause significant morbidity and mortality in neonatal intensive care units (NICUs). The association between nursery design and nosocomial infections has not been delineated. We hypothesized that rates of colonization by methicillin-resistant Staphylococcus aureus (MRSA), late-onset sepsis, and mortality are reduced in single-patient rooms. Design Retrospective cohort study. Setting NICU in a tertiary referral center. Methods Our NICU is organized into single-patient and open-unit rooms. Clinical datasets including bed location and microbiology results were examined over a 29-month period. Differences in outcomes between bed configurations were determined by Chi-square and Cox regression. Patients All NICU patients. Results Among 1823 patients representing 55,166 patient-days, single-patient and open-unit models had similar incidences of MRSA colonization and MRSA colonization-free survival times. Average daily census was associated with MRSA colonization rates only in single-patient rooms (hazard ratio 1.31, p=0.039), while hand hygiene compliance on room entry and exit was associated with lower colonization rates independent of bed configuration (hazard ratios 0.834 and 0.719 per 1% higher compliance, respectively). Late-onset sepsis rates were similar in single-patient and open-unit models as were sepsis-free survival and the combined outcome of sepsis or death. After controlling for demographic, clinical and unit-based variables, multivariate Cox regression demonstrated that bed configuration had no effect on MRSA colonization, late-onset sepsis, or mortality. Conclusions MRSA colonization rate was impacted by hand hygiene compliance, regardless of room configuration, while average daily census only affected infants in single-patient rooms. Single-patient rooms did not reduce the rates of MRSA colonization, late-onset sepsis or death. PMID:26108888
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Strategies for cutting hospital beds: the impact on patient service.
Green, L V; Nguyen, V
2001-01-01
OBJECTIVE: To develop insights on the impact of size, average length of stay, variability, and organization of clinical services on the relationship between occupancy rates and delays for beds. DATA SOURCES: The primary data source was Beth Israel Deaconess Medical Center in Boston. Secondary data were obtained from the United Hospital Fund of New York reflecting data from about 150 hospitals. STUDY DESIGN: Data from Beth Israel Deaconess on discharges and length of stay were analyzed and fit into appropriate queueing models to generate tables and graphs illustrating the relationship between the variables mentioned above and the relationship between occupancy levels and delays. In addition, specific issues of current concern to hospital administrators were analyzed, including the impact of consolidation of clinical services and utilizing hospital beds uniformly across seven days a week rather than five. PRINCIPAL FINDINGS: Using target occupancy levels as the primary determinant of bed capacity is inadequate and may lead to excessive delays for beds. Also, attempts to reduce hospital beds by consolidation of different clinical services into single nursing units may be counterproductive. CONCLUSIONS: More sophisticated methodologies are needed to support decisions that involve bed capacity and organization in order to understand the impact on patient service. Images Figure 2 PMID:11409821
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Martz, Jeffrey W.; Parker, William G.
2010-01-01
Background Recent revisions to the Sonsela Member of the Chinle Formation in Petrified Forest National Park have presented a three-part lithostratigraphic model based on unconventional correlations of sandstone beds. As a vertebrate faunal transition is recorded within this stratigraphic interval, these correlations, and the purported existence of a depositional hiatus (the Tr-4 unconformity) at about the same level, must be carefully re-examined. Methodology/Principal Findings Our investigations demonstrate the neglected necessity of walking out contacts and mapping when constructing lithostratigraphic models, and providing UTM coordinates and labeled photographs for all measured sections. We correct correlation errors within the Sonsela Member, demonstrate that there are multiple Flattops One sandstones, all of which are higher than the traditional Sonsela sandstone bed, that the Sonsela sandstone bed and Rainbow Forest Bed are equivalent, that the Rainbow Forest Bed is higher than the sandstones at the base of Blue Mesa and Agate Mesa, that strata formerly assigned to the Jim Camp Wash beds occur at two stratigraphic levels, and that there are multiple persistent silcrete horizons within the Sonsela Member. Conclusions/Significance We present a revised five-part model for the Sonsela Member. The units from lowest to highest are: the Camp Butte beds, Lot's Wife beds, Jasper Forest bed (the Sonsela sandstone)/Rainbow Forest Bed, Jim Camp Wash beds, and Martha's Butte beds (including the Flattops One sandstones). Although there are numerous degradational/aggradational cycles within the Chinle Formation, a single unconformable horizon within or at the base of the Sonsela Member that can be traced across the entire western United States (the “Tr-4 unconformity”) probably does not exist. The shift from relatively humid and poorly-drained to arid and well-drained climatic conditions began during deposition of the Sonsela Member (low in the Jim Camp Wash beds), well after the Carnian-Norian transition. PMID:20174475
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Caffrey, Christine; Harris-Kojetin, Lauren; Rome, Vincent; Sengupta, Manisha
2014-11-01
In 2012, the majority of residential care communities had 4–25 beds, yet 71% of residents lived in communities with more than 50 beds. A lower percentage of communities with 4–25 beds were chain-affiliated, nonprofit, and in operation 10 years or more, compared with communities with 26–50 and more than 50 beds. Dementia-exclusive care or dementia care units were more common as community size increased. A higher percentage of communities with more than 50 beds screened for cognitive impairment and offered dementia-specific programming compared with communities with 4–25 and 26–50 beds. A higher percentage of communities with more than 50 beds screened for depression compared with communities with 4–25 beds. Compared with communities with 4–25 beds, a higher percentage of communities with 26–50 beds and more than 50 beds provided therapeutic, hospice, mental health, and dental services; but a lower percentage of communities with more than 50 beds provided skilled nursing services than did smaller communities. This report presents national estimates of residential care communities, using data from the first wave of NSLTCP. This brief profile of residential care communities provides useful information to policymakers, providers, researchers, and consumer advocates as they plan to meet the needs of an aging population. The findings also highlight the diversity of residential care communities across different sizes. Corresponding state estimates and their standard errors for the national figures in this data brief can be found on the NSLTCP website at http://www.cdc.gov/nchs/nsltcp/ nsltcp_products.htm. These national and state estimates establish a baseline for monitoring trends among residents living in residential care. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
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Bacillus cereus in free-stall bedding.
Magnusson, M; Svensson, B; Kolstrup, C; Christiansson, A
2007-12-01
To increase the understanding of how different factors affect the bacterial growth in deep sawdust beds for dairy cattle, the microbiological status of Bacillus cereus and coliforms in deep sawdust-bedded free stalls was investigated over two 14-d periods on one farm. High counts of B. cereus and coliforms were found in the entire beds. On average, 4.1 log(10) B. cereus spores, 5.5 log(10) B. cereus, and 6.7 log(10) coliforms per gram of bedding could be found in the upper layers of the sawdust likely to be in contact with the cows' udders. The highest counts of B. cereus spores, B. cereus, and coliforms were found in the bedding before fresh bedding was added, and the lowest immediately afterwards. Different factors of importance for the growth of B. cereus in the bedding material were explored in laboratory tests. These were found to be the type of bedding, pH, and the type and availability of nutrients. Alternative bedding material such as peat and mixtures of peat and sawdust inhibited the bacterial growth of B. cereus. The extent of growth of B. cereus in the sawdust was increased in a dose-dependent manner by the availability of feces. Urine added to different bedding material raised the pH and also led to bacterial growth of B. cereus in the peat. In sawdust, a dry matter content greater than 70% was needed to lower the water activity to 0.95, which is needed to inhibit the growth of B. cereus. In an attempt to reduce the bacterial growth of B. cereus and coliforms in deep sawdust beds on the farm, the effect of giving bedding daily or a full replacement of the beds was studied. The spore count of B. cereus in the back part of the free stalls before fresh bedding was added was 0.9 log units lower in stalls given daily bedding than in stalls given bedding twice weekly. No effect on coliform counts was found. Replacement of the entire sawdust bedding had an effect for a short period, but by 1 to 2 mo after replacement, the counts of B. cereus spores in the beds had increased about 2 log units and were as high as they were before bed replacement. Therefore, free-stall management could, to a limited extent, reduce the content of B. cereus spores in the beds by daily bedding and entire bed replacement.
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Hydrogeologic reconnaissance of the San Miguel River basin, southwestern Colorado
Ackerman, D.J.; Rush, F.E.
1984-01-01
The San Miguel River Basin encompasses 4,130 square kilometers of which about two-thirds is in the southeastern part of the Paradox Basin. The Paradox Basin is a part of the Colorado Plateaus that is underlain by a thick sequence of evaporite beds of Pennsylvanian age. The rock units that underlie the area have been grouped into hydrogeologic units based on their water-transmitting ability. Evaporite beds of mostly salt are both overlain and underlain by confining beds. Aquifers are present above and below the confining-bed sequence. The principal element of ground-water outflow from the upper aquifer is flow to the San Miguel River and its tributaries; this averages about 90 million cubic meters per year. A water budget for the lower aquifer has only two equal, unestimated elements, subsurface outflow and recharge from precipitation. The aquifers are generally isolated from the evaporite beds by the bounding confining beds; as a result, most ground water has little if any contact with the evaporites. No brines have been sampled and no brine discharges have been identified in the basin. Salt water has been reported for petroleum-exploration wells, but no active salt solution has been identified. (USGS)
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FY16 Summary Report: Participation in the KOSINA Project
DOE Office of Scientific and Technical Information (OSTI.GOV)
Matteo, Edward N.; Hansen, Francis D.
Salt formations represent a promising host for disposal of nuclear waste in the United States and Germany. Together, these countries provided fully developed safety cases for bedded salt and domal salt, respectively. Today, Germany and the United States find themselves in similar positions with respect to salt formations serving as repositories for heat-generating nuclear waste. German research centers are evaluating bedded and pillow salt formations to contrast with their previous safety case made for the Gorleben dome. Sandia National Laboratories is collaborating on this effort as an Associate Partner, and this report summarizes that teamwork. Sandia and German research groupsmore » have a long-standing cooperative approach to repository science, engineering, operations, safety assessment, testing, modeling and other elements comprising the basis for salt disposal. Germany and the United States hold annual bilateral workshops, which cover a spectrum of issues surrounding the viability of salt formations. Notably, recent efforts include development of a database for features, events, and processes applying broadly and generically to bedded and domal salt. Another international teaming activity evaluates salt constitutive models, including hundreds of new experiments conducted on bedded salt from the Waste Isolation Pilot Plant. These extensive collaborations continue to build the scientific basis for salt disposal. Repository deliberations in the United States are revisiting bedded and domal salt for housing a nuclear waste repository. By agreeing to collaborate with German peers, our nation stands to benefit by assurance of scientific position, exchange of operational concepts, and approach to elements of the safety case, all reflecting cost and time efficiency.« less
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Design assessment of a 150 kWt CFBC Test Unit
DOE Office of Scientific and Technical Information (OSTI.GOV)
Batu, A.; Selcuk, N.; Kulah, G.
2010-04-15
For clean and efficient energy generation from coal, the most suitable technology known to date is 'Fluidized Bed Combustion' technology. Applications of circulating fluidized bed (CFB) combustion technology have been steadily increasing in both capacity and number over the past decade. Designs of these units have been based on the combustion tests carried out in pilot scale facilities to determine the combustion and desulfurization characteristics of coal and limestone reserves in CFB conditions. Similarly, utilization of Turkish lignites in CFB boilers necessitates adaptation of CFB combustion technology to these resources. However, the design of these test units are not basedmore » on firing coals with high ash, volatile matter and sulfur contents like Turkish lignites. For this purpose, a 150 kWt CFB combustor test unit is designed and constructed in Chemical Engineering Department of Middle East Technical University, based on the extensive experience acquired at the existing 0.3 MWt Bubbling Atmospheric Fluidized Bed Combustor (AFBC) Test Rig. Following the commissioning tests, a combustion test is carried out for investigation of combustion characteristics of Can lignite in CFB conditions and for assessment of the design of test unit. Comparison of the design outputs with experimental results reveals that most of the predictions and assumptions have acceptable agreement with the operating conditions. In conclusion, the performance of 150 kWt CFBC Test Unit is found to be satisfactory to be utilized for the long term research studies on combustion and desulfurization characteristics of indigenous lignite reserves in circulating fluidized bed combustors. (author)« less
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Data on Mercury in Water, Bed Sediment, and Fish from Streams Across the United States, 1998-2005
Bauch, Nancy J.; Chasar, Lia C.; Scudder, Barbara C.; Moran, Patrick W.; Hitt, Kerie J.; Brigham, Mark E.; Lutz, Michelle A.; Wentz, Dennis A.
2009-01-01
The U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) and Toxic Substances Hydrology Programs conducted the National Mercury Pilot Study in 1998 to examine relations of mercury (Hg) in water, bed sediment and fish in streams across the United States, including Alaska and Hawaii. Water and bed-sediment samples were analyzed for total Hg (THg), methylmercury (MeHg), and other constituents; fish were analyzed for THg. Similar sampling was conducted at additional streams across the country in 2002 and 2004-05. This report summarizes sample collection and processing protocols, analytical methods, environmental data, and quality-assurance data for stream water, bed sediment, and fish for these national studies. To extend the geographic coverage of the data, this report also includes four regional USGS Hg studies conducted during 1998-2001 and 2004. The environmental data for these national and regional Hg studies are provided in an electronic format.
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Discrete event simulation of patient admissions to a neurovascular unit.
Hahn-Goldberg, S; Chow, E; Appel, E; Ko, F T F; Tan, P; Gavin, M B; Ng, T; Abrams, H B; Casaubon, L K; Carter, M W
2014-01-01
Evidence exists that clinical outcomes improve for stroke patients admitted to specialized Stroke Units. The Toronto Western Hospital created a Neurovascular Unit (NVU) using beds from general internal medicine, Neurology and Neurosurgery to care for patients with stroke and acute neurovascular conditions. Using patient-level data for NVU-eligible patients, a discrete event simulation was created to study changes in patient flow and length of stay pre- and post-NVU implementation. Varying patient volumes and resources were tested to determine the ideal number of beds under various conditions. In the first year of operation, the NVU admitted 507 patients, over 66% of NVU-eligible patient volumes. With the introduction of the NVU, length of stay decreased by around 8%. Scenario testing showed that the current level of 20 beds is sufficient for accommodating the current demand and would continue to be sufficient with an increase in demand of up to 20%.
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NASA Astrophysics Data System (ADS)
Morin, Roger; Godin, RéJean; Nastev, Miroslav; Rouleau, Alain
2007-04-01
The Châteauguay River Basin delineates a transborder watershed with roughly half of its surface area located in northern New York State and half in southern Québec Province, Canada. As part of a multidisciplinary study designed to characterize the hydrogeologic properties of this basin, geophysical logs were obtained in 12 wells strategically located to penetrate the four major sedimentary rock formations that constitute the regional aquifers. The layered rocks were classified according to their elastic properties into three primary units: soft sandstone, hard sandstone, and dolostone. Downhole measurements were analyzed to identify fracture patterns associated with each unit and to evaluate their role in controlling groundwater flow. Fracture networks are composed of orthogonal sets of laterally extensive, subhorizontal bedding plane partings and bed-delimited, subvertical joints with spacings that are consistent with rock mechanics principles and stress models. The vertical distribution of transmissive zones is confined to a few select bedding plane fractures, with soft sandstone having the fewest (one per 70-m depth) and hard sandstone the most (five per 70-m depth). Bed-normal permeability is examined using a probabilistic model that considers the lengths of flow paths winding along joints and bedding plane fractures. Soft sandstone has the smallest bed-normal permeability primarily because of its wide, geomechanically undersaturated joint spacing. Results indicate that the three formations have similar values of bulk transmissivity, within roughly an order of magnitude, but that each rock unit has its own unique system of groundwater flow paths that constitute that transmissivity.
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Morin, Roger H.; Godin, Rejean; Nastev, Miroslav; Rouleau, Alain
2007-01-01
[1] The Châteauguay River Basin delineates a transborder watershed with roughly half of its surface area located in northern New York State and half in southern Québec Province, Canada. As part of a multidisciplinary study designed to characterize the hydrogeologic properties of this basin, geophysical logs were obtained in 12 wells strategically located to penetrate the four major sedimentary rock formations that constitute the regional aquifers. The layered rocks were classified according to their elastic properties into three primary units: soft sandstone, hard sandstone, and dolostone. Downhole measurements were analyzed to identify fracture patterns associated with each unit and to evaluate their role in controlling groundwater flow. Fracture networks are composed of orthogonal sets of laterally extensive, subhorizontal bedding plane partings and bed-delimited, subvertical joints with spacings that are consistent with rock mechanics principles and stress models. The vertical distribution of transmissive zones is confined to a few select bedding plane fractures, with soft sandstone having the fewest (one per 70-m depth) and hard sandstone the most (five per 70-m depth). Bed-normal permeability is examined using a probabilistic model that considers the lengths of flow paths winding along joints and bedding plane fractures. Soft sandstone has the smallest bed-normal permeability primarily because of its wide, geomechanically undersaturated joint spacing. Results indicate that the three formations have similar values of bulk transmissivity, within roughly an order of magnitude, but that each rock unit has its own unique system of groundwater flow paths that constitute that transmissivity.
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Komilis, Dimitrios; Katsafaros, Nikolaos; Vassilopoulos, Panagiotis
2011-08-01
The accurate calculation of the unit generation rates and composition of medical waste generated from medical facilities is necessary in order to design medical waste treatment systems. In this work, the unit medical waste generation rates of 95 public and private medical facilities in the Attica region were calculated based on daily weight records from a central medical waste incineration facility. The calculated medical waste generation rates (in kg bed(-1) day( -1)) varied widely with average values at 0.27 ± 113% and 0.24 ± 121%, for public and private medical facilities, respectively. The hazardous medical waste generation was measured, at the source, in the 40 bed hospital of the island of Ikaria for a period of 42 days during a 6 month period. The average hazardous medical waste generation rate was 1.204 kg occupied bed(-1) day(-1) or 0.33 kg (official) bed( -1) day(-1). From the above amounts, 54% resulted from the patients' room (solid and liquid wastes combined), 24% from the emergency department (solid waste), 17% from the clinical pathology lab and 6% from the X-ray lab. In average, 17% of the total hazardous medical waste was solely infectious. Conclusively, no correlation among the number of beds and the unit medical waste generation rate could be established. Each hospital should be studied separately, since medical waste generation and composition depends on the number and type of departments/laboratories at each hospital, number of external patients and number of occupied beds.
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[The role of the bed manager nurse in medical oncology].
Despiau, Frédéric; Bombail, Marie; Marion, Jocelyne; Delord, Jean-Pierre
2016-10-01
The organisation of unscheduled hospitalisations is a constant concern for hospitals, in particular in the absence of an emergency department. The bed manager's role is essential in this context. The medical oncology ward of a cancer unit has put in place such a system in order to optimise bed management and improve the quality of care. Copyright © 2016 Elsevier Masson SAS. All rights reserved.
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The Economics of an Admissions Holding Unit.
Schreyer, Kraftin E; Martin, Richard
2017-06-01
With increasing attention to the actual cost of delivering care, return-on-investment calculations take on new significance. Boarded patients in the emergency department (ED) are harmful to clinical care and have significant financial opportunity costs. We hypothesize that investment in an admissions holding unit for admitted ED patients not only captures opportunity cost but also significantly lowers direct cost of care. This was a three-phase study at a busy urban teaching center with significant walkout rate. We first determined the true cost of maintaining a staffed ED bed for one patient-hour and compared it to alternative settings. The opportunity cost for patients leaving without being seen was then conservatively estimated. Lastly, a convenience sample of admitted patients boarding in the ED was observed continuously from one hour after decision-to-admit until physical departure from the ED to capture a record of every interaction with a nurse or physician. Personnel costs per patient bed-hour were $58.20 for the ED, $24.80 for an inpatient floor, $19.20 for the inpatient observation unit, and $10.40 for an admissions holding area. An eight-bed holding unit operating at practical capacity would free 57.4 hours of bed space in the ED and allow treatment of 20 additional patients. This could yield increased revenues of $27,796 per day and capture opportunity cost of $6.09 million over 219 days, in return for extra staffing costs of $218,650. Analysis of resources used for boarded patients was determined by continuous observation of a convenience sample of ED-boarded patients, which found near-zero interactions with both nursing and physicians during the boarding interval. Resource expense per ED bed-hour is more than twice that in non-critical care inpatient units. Despite the high cost of available resources, boarded non-critical patients receive virtually no nursing or physician attention. An admissions holding unit is remarkably effective in avoiding the mismatch of the low-needs patients in high-cost care venues. Return on investment is enormous, but this assumes existing clinical space for this unit.
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Application of Multivariable Model Predictive Advanced Control for a 2×310T/H CFB Boiler Unit
NASA Astrophysics Data System (ADS)
Weijie, Zhao; Zongllao, Dai; Rong, Gou; Wengan, Gong
When a CFB boiler is in automatic control, there are strong interactions between various process variables and inverse response characteristics of bed temperature control target. Conventional Pill control strategy cannot deliver satisfactory control demand. Kalman wave filter technology is used to establish a non-linear combustion model, based on the CFB combustion characteristics of bed fuel inventory, heating values, bed lime inventory and consumption. CFB advanced combustion control utilizes multivariable model predictive control technology to optimize primary and secondary air flow, bed temperature, air flow, fuel flow and heat flux. In addition to providing advanced combustion control to 2×310t/h CFB+1×100MW extraction condensing turbine generator unit, the control also provides load allocation optimization and advanced control for main steam pressure, combustion and temperature. After the successful implementation, under 10% load change, main steam pressure varied less than ±0.07MPa, temperature less than ±1°C, bed temperature less than ±4°C, and air flow (O2) less than ±0.4%.
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Design and operation experience of 230 MWe CFB boilers at Turow power plant in Poland
DOE Office of Scientific and Technical Information (OSTI.GOV)
Nowak, W.; Bis, Z.; Laskawiec, J.
The Power Station Turow is located in Bogatynia, Poland, and has operated 10 pulverized coal units each of 200 MW. The plant provided 2000 MW at the lowest cost per kWh in Poland. The Turow units have approached and in some cases already gone beyond their 25--30 year's design life. To meet Poland's new environmental standards, which are now compatible with the EU, Turow decided to replace and upgrade six units (No. 1 to 6) from 200 MW to 230 MW units and remove one unit No. 7. Units No. 8, 9 and 10 were equipped with dry sorbent desulfurizationmore » technology. Units No. 1 and 2 have been replaced with new clean coal circulating fluidized bed technology. The Power Station Turow with six CFB units is to be the largest in the world power station based on fluidized bed technology.« less
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3. SIDE VIEW OF HOIST, SHOWING REDUCTION GEARS AND BED ...
3. SIDE VIEW OF HOIST, SHOWING REDUCTION GEARS AND BED FOR (MISSING) CLUTCH/DRIVE GEAR UNIT, LOOKING SOUTH - Buffalo Coal Mine, Vulcan Cable Hoist, Wishbone Hill, Southeast end, near Moose Creek, Sutton, Matanuska-Susitna Borough, AK
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4. END VIEW OF HOIST, SHOWING REDUCTION GEARS AND BED ...
4. END VIEW OF HOIST, SHOWING REDUCTION GEARS AND BED FOR (MISSING) CLUTCH/DRIVE GEAR UNIT, LOOKING SOUTHEAST - Buffalo Coal Mine, Vulcan Cable Hoist, Wishbone Hill, Southeast end, near Moose Creek, Sutton, Matanuska-Susitna Borough, AK
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Bed management team with Kanban web-based application.
Rocha, Hermano Alexandre Lima; Santos, Ana Kelly Lima da Cruz; Alcântara, Antônia Celia de Castro; Lima, Carmen Sulinete Suliano da Costa; Rocha, Sabrina Gabriele Maia Oliveira; Cardoso, Roberto Melo; Cremonin, Jair Rodrigues
2018-05-15
To measure the effectiveness of the bed management process that uses a web-based application with Kanban methodology to reduce hospitalization time of hospitalized patients. Before-after study was performed. The study was conducted between July 2013 and July 2017, at the Unimed Regional Hospital of Fortaleza, which has 300 beds, of which 60 are in the intensive care unit (ICU). It is accredited by International Society for Quality in Healthcare. Patients hospitalized in the referred period. Bed management with an application that uses color logic to signal at which stage of high flow the patients meet, in which each patient is interpreted as a card of the classical Kanban theory. It has an automatic user signaling system for process movement, and a system for monitoring and analyzing discharge forecasts. Length of hospital stay, number of customer complaints related to bed availability. After the intervention, the hospital's overall hospital stay time was reduced from 5.6 days to 4.9 days (P = 0.001). The units with the greatest reduction were the ICUs, with reduction from 6.0 days to 2.0 (P = 0.001). The relative percentage of complaints regarding bed availability in the hospital fell from 27% to 0%. We conclude that the use of an electronic tool based on Kanban methodology and accessed via the web by a bed management team is effective in reducing patients' hospital stay time.
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Cimex lectularius ("Bed Bugs"): Recognition, Management, and Eradication.
McMenaman, Kathryn S; Gausche-Hill, Marianne
2016-11-01
Reports of bed bug infestations in major cities in the United States and abroad have been in the public press. Physicians and other clinicians who care for children need to be able to recognize bed bug bites and understand the social, psychological, and medical implications that this diagnosis will have on patients and their families. In this article, a case presentation serves to guide discussion regarding establishing the diagnosis, differential diagnosis, and the management of bed bug bites and their complications. Integrated pest management programs involving housing managers, residents, and professional pest exterminators provide both chemical and nonchemical solutions for eradication of bed bug infestations.
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Telephoto lens view of Silver Spur in the Hadley Delta region from Apollo 15
NASA Technical Reports Server (NTRS)
1971-01-01
A telephoto lens view of the prominent feature called Silver Spur in the Hadley Delta region, photographed during the Apollo 15 lunar surface extravehicular activity at the Hadley-Apennine landing site. The distance from the camera to the spur is about 10 miles. The field of view across the bottom is about one mile. Structural formations in the mountain are clearly visible. There are two major units. The upper unit is characterized by massive subunits, each one of which is approximately 200 feet deep. The lower major unit is characterized by thinner bedding and cross bedding.
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Evaluation of Selected Chemical Processes for Production of Low-cost Silicon, Phase 3
NASA Technical Reports Server (NTRS)
Blocher, J. M., Jr.; Browning, M. F.
1979-01-01
The construction of the 50 MT Si/year experimental process system development unit was deferred until FY 1980, and the fluidized bed, zinc vaporizer, by-product condenser, and electrolytic cell were combined with auxiliary units, capable of supporting 8-hour batchwise operation, to form the process development unit (PDU), which is scheduled to be in operation by October 1, 1979. The design of the PDU and objectives of its operation are discussed. Experimental program support activities described relate to: (1) a wetted-wall condensor; (2) fluidized-bed modeling; (3) zinc chloride electrolysis; and (4) zinc vaporizer.
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Endotoxin, coliform, and dust levels in various types of rodent bedding.
Whiteside, Tanya E; Thigpen, Julius E; Kissling, Grace E; Grant, Mary G; Forsythe, Diane
2010-03-01
Endotoxins in grain dust, household dust, and animal bedding may induce respiratory symptoms in rodents and humans. We assayed the endotoxin, coliform, and dust levels in 20 types of rodent bedding. Endotoxin concentrations were measured by using a commercial test kit, coliform counts were determined by using conventional microbiologic procedures, and dust content was evaluated by using a rotating-tapping shaker. Paper bedding types contained significantly less endotoxin than did other bedding types; the highest levels of endotoxin were detected in hardwood and corncob beddings. The range of endotoxin content for each bedding type was: corncob bedding, 1913 to 4504 endotoxin units per gram (EU/g); hardwood bedding, 3121 to 5401 EU/g; corncob-paper mixed bedding, 1586 to 2416 EU/g; and paper bedding, less than 5 to 105 EU/g. Coliform counts varied from less than 10 to 7591 cfu/g in corncob beddings, 90 to 4010 cfu/g in corncob-paper mixed beddings, less than 10 to 137 cfu/g in hardwood beddings, and less than 10 cfu/g in paper beddings. Average dust content was less than 0.15% in all commercial bedding types. We conclude that paper bedding is the optimal bedding type for conducting LPS inhalation studies and that rodent bedding containing high levels of endotoxin may alter the results of respiratory and immunologic studies in rodents.
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Endotoxin, Coliform, and Dust Levels in Various Types of Rodent Bedding
Whiteside, Tanya E; Thigpen, Julius E; Kissling, Grace E; Grant, Mary G; Forsythe, Diane B
2010-01-01
Endotoxins in grain dust, household dust, and animal bedding may induce respiratory symptoms in rodents and humans. We assayed the endotoxin, coliform, and dust levels in 20 types of rodent bedding. Endotoxin concentrations were measured by using a commercial test kit, coliform counts were determined by using conventional microbiologic procedures, and dust content was evaluated by using a rotating–tapping shaker. Paper bedding types contained significantly less endotoxin than did other bedding types; the highest levels of endotoxin were detected in hardwood and corncob beddings. The range of endotoxin content for each bedding type was: corncob bedding, 1913 to 4504 endotoxin units per gram (EU/g); hardwood bedding, 3121 to 5401 EU/g; corncob–paper mixed bedding, 1586 to 2416 EU/g; and paper bedding, less than 5 to 105 EU/g. Coliform counts varied from less than 10 to 7591 cfu/g in corncob beddings, 90 to 4010 cfu/g in corncob–paper mixed beddings, less than 10 to 137 cfu/g in hardwood beddings, and less than 10 cfu/g in paper beddings. Average dust content was less than 0.15% in all commercial bedding types. We conclude that paper bedding is the optimal bedding type for conducting LPS inhalation studies and that rodent bedding containing high levels of endotoxin may alter the results of respiratory and immunologic studies in rodents. PMID:20353693
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McWilliams, Tania; Hendricks, Joyce; Twigg, Di; Wood, Fiona; Giles, Margaret
2016-11-01
Since 2005, the Western Australian paediatric burn unit has provided a state-wide clinical consultancy and support service for the assessment and management of acute and rehabilitative burn patients via its telehealth service. Since then, the use of this telehealth service has steadily increased as it has become imbedded in the model of care for paediatric burn patients. Primarily, the service involves acute and long term patient reviews conducted by the metropolitan-located burn unit in contact with health practitioners, advising patients and their families who reside outside the metropolitan area thereby avoiding unnecessary transfers and inpatient bed days. A further benefit of the paediatric burn service using telehealth is more efficient use of tertiary level burn unit beds, with only those patients meeting clinical criteria for admission being transferred. To conduct a retrospective audit of avoided transfers and bed days in 2005/06-2012/13 as a result of the use of the paediatric Burns Telehealth Service and estimate their cost savings in 2012/13. A retrospective chart audit identified activity, avoided unnecessary acute and scar review patient transfers, inpatient bed days and their associated avoided costs to the tertiary burn unit and patient travel funding. Over the period 2005/06-2012/13 the audit identified 4,905 avoided inpatient bed days, 364 avoided acute patient transfers and 1,763 avoided follow up review transfers for a total of 1,312 paediatric burn patients as a result of this telehealth service. This paper presents the derivation of these outcomes and an estimation of their cost savings in 2012/13 of AUD 1.89million. This study demonstrates avoided patient transfers, inpatient bed days and associated costs as the result of an integrated burns telehealth service. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
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Problems facing Korean hospitals and possible countermeasures.
Kim, Kwang-Tae
2004-07-01
Korea has a unique health care system, of which the private sector comprises most of the country's health resources: 88% of the beds and 91% of specialists in Korea, but are funded by public financing, such as national health insurance and the national aid program. However, the public financing pays only 50% of actual costs and the patient's co-payment is still high. Healthcare organizations in Korea are categorized into four types; tertiary care hospitals, general hospitals, hospitals and clinics by scale of operator: number of beds. General hospitals must have 100 beds and over, and compulsorily specialties in internal medicine, surgery, obstetrics-gynecology, pediatrics, dental service, other ancillary service units and an emergency care unit. General hospitals with 300 beds and more must operate an intensive care unit. There are many challenges facing the Korean healthcare system, such as reformation of primary healthcare system, enhancing hospitals' competitiveness, and permission of for-profit hospital, introduction of private health insurance, enhancement of geriatric care. These challenges can be resolved with long-term vision, willingness and strategies of the Korean government to ensure equitable financing and access to healthcare, combined with the active participation and utilization of the private sector.
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Critical care medicine beds, use, occupancy and costs in the United States: a methodological review
Halpern, Neil A; Pastores, Stephen M.
2017-01-01
This article is a methodological review to help the intensivist gain insights into the classic and sometimes arcane maze of national databases and methodologies used to determine and analyze the intensive care unit (ICU) bed supply, occupancy rates, and costs in the United States (US). Data for total ICU beds, use and occupancy can be derived from two large national healthcare databases: the Healthcare Cost Report Information System (HCRIS) maintained by the federal Centers for Medicare and Medicaid Services (CMS) and the proprietary Hospital Statistics of the American Hospital Association (AHA). Two costing methodologies can be used to calculate ICU costs: the Russell equation and national projections. Both methods are based on cost and use data from the national hospital datasets or from defined groups of hospitals or patients. At the national level, an understanding of US ICU beds, use and cost helps provide clarity to the width and scope of the critical care medicine (CCM) enterprise within the US healthcare system. This review will also help the intensivist better understand published studies on administrative topics related to CCM and be better prepared to participate in their own local hospital organizations or regional CCM programs. PMID:26308432
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Buono, Anthony; Spechler, R.M.; Barr, G.L.; Wolansky, R.M.
1979-01-01
This map presents the thickness of the confining bed overlying the Floridan aquifer in the Southwest Florida Water Management District and adjacent areas. The bed separates the surficial aquifer from the underlying Floridan aquifer. Lithologic logs and information from quarries were used in conjunction with an unpublished map to compile this map at 1:250,000 scale. Units included in the confining bed are: clay, sandy clay and marl, undifferentiated with respect to age, the Hawthorn Formation, and the unconsolidated sections of the Tampa Limestone. (Kosco-USGS)
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The hydrogeologic framework for the southeastern Coastal Plain aquifer system of the United States
Renken, R.A.
1984-01-01
Tertiary and Cretaceous age sand aquifers of the southeastern United States Coastal Plain constitute a distinct multistate hydrogeologic regime informally defined as the southeastern sand aquifer. Seven regional hydrogeologic units are defined; four regional aquifer units and three regional confining beds. Sand aquifers of this system consist of quartzose, feldspathic, and coarse to fine sand and sandstone and minor limestone; confining beds are composed of clay, shale, chalk, and marl. Three hydrogeologic units of Cretaceous to Holocene age overlie the sand system: the surficial aquifer, upper confining unit, and Floridan aquifer system. These three units are not part of the southeastern sand aquifer, but are an integral element of the total hydrogeologic system, and some act as a source of recharge to, or discharge from the underlying clastic sediments. Low-permeability strata of Paleozoic to early Mesozoic age form the base off the total system. (USGS)
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Lin, Frances; Chaboyer, Wendy; Wallis, Marianne; Miller, Anne
2013-08-01
Patient flow from intensive care to acute care units is often problematic and many discharges from intensive care to acute care are unsuccessful on the first attempt. The aim of this study was to explore the factors that influence intensive care patient discharge. This ethnographic study was undertaken in an Australian metropolitan tertiary hospital that had a 14-bed level 3 intensive care unit. Intensive care and acute care unit medical and nursing staff, and other hospital staff who were involved in the intensive care patient discharge process participated in this study. A total of 28 discharges were observed, and 56 one on one interviews were conducted. Data collection techniques including direct observations, semi-structured interviews, and collection of existing documents were used. Activity theory was the theoretical framework that underpinned this study. Three patient activity systems were identified: intensive care patient discharge activity, acute care unit accepting patient activity, and hospital bed management activity. Analysis of the interactions among these activity systems revealed conflicting objects (goals), communication breakdowns, and teamwork issues. Discharge delay was found to be a significant problem, which was associated with limited acute care unit bed availability. Strategies to improve acute care unit bed availability are needed. Routine after-hours ICU discharge could raise patient safety concerns which need to be considered. All team members' input in discharge decision making should be encouraged. Problems identified in clinical handover call for actions to change the handover practice. Activity theory successfully guided the study by providing a practical and descriptive framework for the study, facilitating the understanding of the interrelationships among the activity systems. Copyright © 2012 Elsevier Ltd. All rights reserved.
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Code of Federal Regulations, 2013 CFR
2013-07-01
... regeneration stream mass or volumetric flow during carbon bed regeneration cycle; and temperature of the carbon bed after regeneration (and within 15 minutes of completing any cooling cycle(s)) Maximum mass or...
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Heat transfer to small horizontal cylinders immersed in a fluidized bed
DOE Office of Scientific and Technical Information (OSTI.GOV)
Friedman, J.; Koundakjian, P.; Naylor, D.
2006-10-15
Heat transfer to horizontal cylinders immersed in fluidized beds has been extensively studied, but mainly in the context of heat transfer to boiler tubes in coal-fired beds. As a result, most correlations in the literature have been derived for cylinders of 25-50 mm diameter in vigorously fluidizing beds. In recent years, fluidized bed heat treating furnaces fired by natural gas have become increasingly popular, particularly in the steel wire manufacturing industry. These fluidized beds typically operate at relatively low fluidizing rates and with small diameter wires (1-6 mm). Nusselt number correlations developed based on boiler tube studies do not extrapolatemore » down to these small size ranges and low fluidizing rates. In order to obtain reliable Nusselt number data for these size ranges, an experimental investigation has been undertaken using two heat treating fluidized beds; one a pilot-scale industrial unit and the other a lab-scale (300 mm diameter) unit. Heat transfer measurements were obtained using resistively heated cylindrical samples ranging from 1.3 to 9.5 mm in diameter at fluidizing rates ranging from approximately 0.5 x G{sub mf} (packed bed condition) to over 10 x G{sub mf} using aluminum oxide sand particles ranging from d{sub p}=145-330 {mu}m (50-90 grit). It has been found that for all cylinder sizes tested, the Nusselt number reaches a maximum near 2 x G{sub mf}, then remains relatively steady ({+-}5-10%) to the maximum fluidizing rate tested, typically 8-12xG{sub mf}. A correlation for maximum Nusselt number is developed.« less
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Intrahospital transfers and adverse patient outcomes: An analysis of administrative health data.
Blay, Nicole; Roche, Michael; Duffield, Christine; Xu, Xiaoyue
2017-12-01
To determine whether there was an association between intra-hospital transfers and adverse outcomes. Transfers between clinical units and between beds on the same unit are routine aspects of an episode of care in acute hospitals. The rate of these transfers per episode has increased in response to high occupancy levels, a decline in bed numbers, and increased demand for hospital services. The impact of the number of transfers between both wards and beds on patient outcomes is not widely explored. Retrospective cross sectional design using hospital administrative data. Data were extracted from existing hospital administrative datasets for one large metropolitan hospital for the financial year 2008-09 in Australia (n = 14,133). Descriptive analyses and logistic regression models were developed for each of 3 selected patient outcomes. Nearly one-tenth of patients (9.2%) experienced a fall with injury, 3.8% of surgical patients a wound infection and 0.1% a complication from medication errors. For each bed or ward transfer, the odds of falls and wound infections increased. Medication errors were not associated with either bed or ward moves. Hospitals should minimise the number of bed and ward transfers per episode of care in order to reduce the likelihood of adverse patient outcomes. Current bed management policies and practices should be evaluated and further refined to address this need. Additional strategies include improving coordination and communication during and after transfer. Nurses must consider the potential cost of intrahospital transfers on patients, length of stay and bed availability. © 2017 John Wiley & Sons Ltd.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Baucom, R.M.; Marchello, J.M.
Thermoplastic prepregs of LARC-TPI have been produced in a fluidized bed unit on spread continuous fiber tows. The powders are melted on the fibers by radiant heating to adhere the polymer to the fiber. This process produces tow prepreg uniformly without imposing severe stress on the fibers or requiring long high temperature residence times for the polymer. Unit design theory and operating correlations have been developed to provide the basis for scale up to commercial operation. Special features of the operation are the pneumatic tow spreader, fluidized bed and resin feed systems.
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2015-12-01
tsunamis. Indonesia is also the founding member of a multilateral security architecture, which includes the Philippines, Thailand, Malaysia and...and transportation; the provision of food , clothing, medicine, beds and bedding; temporary shelter and housing; the furnishing of medical material and...mortuary affairs, and the provision of food , water, clothes, shelter, medical care, and counseling (Fritz Institute, 2005a, 2005c). Table 1 is an
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Feasibility Study of the Geotextile Waste Filtration Unit.
2000-02-10
Treatment Module 3-32 Figure 3-20. THE SCHEMATIC OF THE MOVING BED BIOFILM REACTOR ( MBBR ) 3൪ Figure 4-1. The Original Distributed Concept for WFUs...Moving Bed Biofilm Reactor ( MBBR ) process appears to be one of the most feasible processes available to meet Force Provider liquid waste stream...Moving Bed Biofilm Reactor ( MBBR ) process was then examined.31 In this system, both activated sludge and fixed-film processes occur in a bioreactor
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Blood use in liver transplantation
Lewis, J. H.; Bontempo, F. A.; Cornell, F.; Ki̋ss, J. E.; Larson, P.; Ragni, M. V.; Rice, E. O.; Spero, J. A.; Starzl, T. E.
2010-01-01
During the first 5 years (1981–1985) of the liver transplantation program in Pittsburgh, a total (preoperative, intraoperative, and postoperative) of 18,668 packed red cell units, 23,627 fresh-frozen plasma units, 20,590 platelet units, and 4241 cryoprecipitate units was transfused for the procedures. This represents 3 to 9 percent of the total of blood products supplied by the Central Blood Bank to its 32 member hospitals. Six hundred thirty-six (636) transplants were performed on 485 patients in two hospitals: the Presbyterian University Hospital (564 beds) and Children’s Hospital of Pittsburgh (236 beds). All of the blood components used in the operations were procured and released by the Central Blood Bank. This report describes some of these findings. PMID:3296340
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The role of commercial tanning beds and ultraviolet A light in the treatment of psoriasis.
Su, Johanna; Pearce, Daniel J; Feldman, Steven R
2005-01-01
Phototherapy is an effective, safe psoriasis treatment administered via office-based units or home devices. There is controversy over the use of commercial tanning beds; ultraviolet B (UVB) has documented efficacy although commercial beds emit largely UVA. To determine the efficacy of UVA and the role of commercial tanning beds in treating psoriasis. A literature search of UVA and commercial tanning was performed. UVA can be effective for psoriasis, but achieving the high doses required may not be practical. Tanning beds do emit UVB although amounts are variable. Because of variability in UVA and UVB output in different tanning bulbs, it is difficult to predict response rates using commercial tanning beds. UVA can be used to treat psoriasis but may not be practical. Commercial tanning beds, emitting both UVA and UVB, have a role in treating psoriasis as an alternative to office-based therapy.
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Attaway, Hubert H; Fairey, Sarah; Steed, Lisa L; Salgado, Cassandra D; Michels, Harold T; Schmidt, Michael G
2012-12-01
Commonly touched items are likely reservoirs from which patients, health care workers, and visitors may encounter and transfer microbes. A quantitative assessment was conducted of the risk represented by the intrinsic bacterial burden associated with bed rails in a medical intensive care unit (MICU), and how disinfection might mitigate this risk. Bacteria present on the rails from 36 patient beds in the MICU were sampled immediately before cleaning and at 0.5, 2.5, 4.5, and 6.5 hours after cleaning. Beds were sanitized with either a bottled disinfectant (BD; CaviCide) or an automated bulk-diluted disinfectant (ABDD; Virex II 256). The majority of bacteria recovered from the bed rails in the MICU were staphylococci, but not methicillin-resistant Staphylococcus aureus. Vancomycin-resistant enterococci were recovered from 3 beds. Bottled disinfectant reduced the average bacterial burden on the rails by 99%. However, the burden rebounded to 30% of that found before disinfection by 6.5 hours after disinfection. ABDD reduced the burden by an average of 45%, but levels rebounded within 2.5 hours. The effectiveness of both disinfectants was reflected in median reductions to burden of 98% for BD and 95% for ABDD. Cleaning with hospital-approved disinfectants reduced the intrinsic bacterial burden on bed rail surfaces by up to 99%, although the population, principally staphylococci, rebounded quickly to predisinfection levels. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.
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Laboratory rearing of bed bugs
USDA-ARS?s Scientific Manuscript database
The resurgence of bed bugs Cimex lectularius L. in the United States and worldwide has resulted in an increase in research by university, government, and industry scientists directed at the biology and control of this blood-sucking pest. A need has subsequently arisen for producing sufficient biolog...
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Bed Stability and sedimentation associated with human disturbances in Pacific Northwest streams
To evaluate anthropogenic sedimentation in United States (U.S.) Pacific Northwest coastal streams, we applied an index of relative bed stability (LRBS*) to summer low flow survey data collected using the U.S. Environmental Protection Agency's Environmental Monitoring and Assessme...
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Pediatric intensive care unit admission tool: a colorful approach.
Biddle, Amy
2007-12-01
This article discusses the development, implementation, and utilization of our institution's Pediatric Intensive Care Unit (PICU) Color-Coded Admission Status Tool. Rather than the historical method of identifying a maximum number of staffed beds, a tool was developed to color code the PICU's admission status. Previous methods had been ineffective and led to confusion between the PICU leadership team and the administration. The tool includes the previously missing components of staffing and acuity, which are essential in determining admission capability. The PICU tool has three colored levels: green indicates open for admissions; yellow, admission alert resulting from available beds or because staffing is not equal to the projected patient numbers or required acuity; and red, admissions on hold because only one trauma or arrest bed is available or staffing is not equal to the projected acuity. Yellow and red designations require specific actions and the medical director's approval. The tool has been highly successful and significantly impacted nursing with the inclusion of the essential component of nurse staffing necessary in determining bed availability.
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Fouch, T.D.; Carter, L.D.; Kunk, Michael J.; Smith, C.A.S.; White, J.M.
1994-01-01
Cenozoic strata exposed along the Porcupine River between the Upper Ramparts and Canyon Village, Alaska, can be divided into five unconformity-bounded units (sequences) which are: lower and middle Miocene unit A, the white sandy fluvial sequence with peat beds; middle Miocene unit B, the basalt sequence-part B1 is basalt, and part B2 is organic-rich sedimentary beds; upper Miocene unit C, mudrock-dominated lake sequence; late Miocene or Pliocene to Pleistocene unit D, terrace gravels, detrital organic matter and associated sediments, and Holocene unit E, mixed sand and gravel-rich sediment and other sedimentary material including peat and eolian silt. The sequence (unit A) of lower and middle Miocene fluvial deposits formed in streams and on flood plains, just before the inception of local volanism. Fossil pollen from unit A suggests conifer-dominated regional forests and cool temperate climates. Peat beds and lake deposits from unit B contain pollen that indicates a warmer temperate climate coinciding with the middle Miocene thermal maximum. The lake deposits (unit C) downstream from the basalts accumulated in a small basin which resulted from a hydrologic system that was dammed in the late Miocene but breached soon thereafter. The lower part of the terrace gravels (unit D) expresses breaching of the dammed hydrologic system (of unit C). The Porcupine River became a major tributary of the Yukon River in late Pleistocene time when Laurentide ice blocked drainage from the Yukon interior basins causing meltwater to spill over the low divide separating it from the Porcupine River drainage initiating erosion and capture of the Yukon interior basins. ?? 1994.
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Application of CFB technology for large power generating units and CO{sub 2} capture
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ryabov, G. A., E-mail: georgy.ryabov@gmail.com; Folomeev, O. M.; Sankin, D. A.
2010-07-15
Data on the development of the circulating fluidized bed (CFB) technology for combustion of fuels in large power generating units are examined. The problems with raising the steam parameters and unit power of boilers with a circulating fluidized bed are examined. With the boiler system at the 460 MW unit at Lagisza (Poland) as an example, the feasibility of raising the efficiency of units with CFB boilers through deep recovery of the heat of the effluent gases and reducing expenditure for in-house needs is demonstrated. Comparative estimates of the capital and operating costs of 225 and 330 MW units aremore » used to determine the conditions for optimum use of CFB boilers in the engineering renovation of thermal power plants in Russia. New areas for the application of CFB technology in CO{sub 2} capture are analyzed in connection with the problem of reducing greenhouse gas emissions.« less
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Bridge Failure Due to Inadequate Design of Bed Protection
NASA Astrophysics Data System (ADS)
Gupta, Yogita; Kaur, Suneet; Dindorkar, Nitin
2017-12-01
The shallow foundation is generally provided on non-erodible strata or where scour depth is less. It is also preferable for low perennial flow or standing water condition. In the present case study shallow foundation is adopted for box type bridge. The total length of the bridge is 132.98 m, consisting of eight unit of RCC box. Each unit is composed of three cell box. The bottom slab of box unit is acted as raft foundation, founded 500 mm below ground level. River bed protection work is provided on both upstream and downstream side along the whole length of the bridge as it is founded above scour level. The bridge collapsed during the monsoon just after two years of service. The present paper explains the cause of failure. This study on failure of the bridge illustrates the importance of bridge inspection before and after monsoon period and importance of the timely maintenance. Standard specifications of Indian Road Congress for the river bed protection work are also included.
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Two anaerobic granular activated carbon (GAC) expanded-bed bioreactors were tested as pretreatment units for the decontamination of hazardous leachates containing volatile and semivolatile synthetic organic chemicals (SOCs). The different characteristics of the two leachate feed...
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Halpern, Neil A; Pastores, Stephen M
2010-01-01
To analyze the evolving role, patterns of use, and costs of critical care medicine in the United States from 2000 to 2005. Retrospective study of data from the Hospital Cost Report Information System (Centers for Medicare and Medicaid Services, Baltimore, Maryland). Nonfederal, acute care hospitals with critical care medicine beds in the United States. None. None. We analyzed hospital and critical care medicine beds, bed types, days, occupancy rates, payer mix (Medicare and Medicaid), and costs. Critical care medicine costs were compared with national cost indexes. Between 2000 and 2005, the total number of U.S. hospitals with critical care medicine beds decreased by 12.2% (from 3,586 to 3,150). Although the number of hospital beds decreased by 4.2% (from 655,785 to 628,409), both hospital days and occupancy rates increased by 5.1% (from 145.1 to 152.5 million) and 13.7% (from 59% to 67%), respectively. Critical care medicine beds increased by 6.5% (from 88,252 to 93,955), days by 10.6% (from 21.0 to 23.2 million), and occupancy rates by 4.5% (from 65% to 68%). The majority (90%) of critical care medicine beds were classified as intensive care, premature/neonatal, and coronary care unit beds. The percentage of critical care medicine days used by Medicare decreased by 3.8% (from 37.9% to 36.5%) compared with an increase of 15.5% (from 14.5% to 16.8%) by Medicaid. From 2000 to 2005, critical care medicine costs per day increased by 30.4% (from $2698 to $3518). Although annual critical care medicine costs increased by 44.2% (from $56.6 to $81.7 billion), the proportion of hospital costs and national health expenditures allocated to critical care medicine decreased by 1.6% and 1.8%, respectively. However, the proportion of the gross domestic product used by critical care medicine increased by 13.7%. In 2005, critical care medicine costs represented 13.4% of hospital costs, 4.1% of national health expenditures, and 0.66% of the gross domestic product. Critical care medicine continues to grow in a shrinking U.S. hospital system. The critical care medicine payer mix is evolving, with Medicaid increasing in its percentage of critical care medicine use. Critical care medicine is more cost controlled than other healthcare indexes, but is still using an increasing percentage of the gross domestic product. Our updated and comprehensive critical care medicine use and cost analysis provides a contemporary benchmark for the strategic planning of critical care medicine services within the U.S. healthcare system.
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Palliative Care Development in Mongolia.
Davaasuren, Odontuya; Ferris, Frank D
2018-02-01
Since the year 2000, Mongolia has established the foundation measures for a national palliative care program and has made several significant achievements. Systematic reviews and observational studies on palliative care development in Mongolia have taken place over the past 16 years. Mongolia began palliative care development in 2000 with the creation of the Mongolian Palliative Care Society and the Palliative Care Department. Palliative care is included in the Mongolia's Health Law, Health Insurance Law, Social Welfare Law, National Cancer Control Program, and the National Program for Non-Communicable Diseases, and has approved Palliative Care Standards and Pain Management Guidelines. Palliative care education is included in the undergraduate and postgraduate curriculum in all medical universities. Six hospice units in Ulaanbaatar have 50 beds; each of the nine districts and all 21 provinces have up to four to five palliative beds, and there are 36 palliative care units, for a total 190 beds for three million people. In 2014, a pediatric palliative care inpatient unit was established with five beds. Essential drugs for palliative care have been available in Mongolia since 2015. The pharmaceutical company IVCO produces morphine, codeine, pethidine, and oxycodone in Ulaanbaatar. Mongolia has made real progress in integrating palliative care into the health system. Copyright © 2017. Published by Elsevier Inc.
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Dahl, Asa; Nyberg, Helene; Edéll-Gustafsson, Ulla
2003-10-01
Our knowledge of unstable critically ill patients placed in an inverse bed position on the neurointensive care unit (NICU) is fairly limited. The purpose of this study was to ascertain the variation in nurses' conceptions of the impact of clinical experiences on the care and working environments among patients with the head towards the centre of the room on an NICU. An important research question was: how is the nursing care of patients facing inwards on an NICU perceived? Interviews were conducted and analysed with 15 nurses, using the method of phenomenography. From a nursing perspective, four descriptive categories were found, which partly distinguished the nursing psychosocial environment from the physical environment. These were safety and security of mobile computer tomography (CT) on the NICU, availability and overview, integrated holistic view in an open nursing psychosocial environment and adaptation of practical equipment. In conclusion, inverse bed position is important for more individualised neurointensive nursing care among unstable patients subjected to frequent CT scans on the unit. More stable patients should be turned back to the traditional bed position in order to promote their recovery process. This new knowledge is important for the development of quality assurance, with regard to, amongst other things, the patient's dignity.
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Reconnaissance geologic study of the Vazante zinc district, Minas Gerais, Brazil
Thorman, Charles H.; Nahass, Samir
1977-01-01
The Vazante district, Minas Gerais, 130 km south of Paracatu, produces nearly all of Brazil's zinc metal. The district is situated on the western side of the Late Precambrian Bambul basin and along the eastern and leading edge of the north-trending Brazilian orogenic belt (ca. 600-500 m.y. old) that borders the western margin of the basin. Reconnaissance study indicates that bedding and low-angle thrust faulting, folding, and low-grade metamorphism dominated the structural development of the district. The structural trend within the district is northeasterly, and dips 20?-45 ? NW. Three sets of folds developed during the main period of eastward thrusting of older Precambrian rocks over the western margin of the Bambui basin. A fourth fold set is transverse to the regional trend. The rocks in the district are tentatively assigned to the Paraopeba Formation of the Bambui Group and are designated A through C in ascending order. Unit A is phyllite to phyllitic siltstone. Unit B consists of interbedded dolomitic limestone and marl-limestone. Irregularly distributed limestone ledges 20 to 100 m thick have the appearance of boudins. Their origin is attributed to a combination of rapid lateral facies changes and differential movement at different structural levels along bedding and low-angle thrust faults, with the formation of tear faults vertically limited by the thrust faults. Unit C consists of interbedded siltstone, dolomitic limestone, and sandstone. Phyllitic rocks along member interfaces in units B and C and at the base of unit C indicate differential penetrative deformation and bedding faulting. The contacts between units A, B, and C are interpreted to be low-angle or bedding faults, and their original stratigraphic positions with respect to each other is unknown. Zinc silicate minerals (hemimorphite and willemite) occur in a folded breccia zone in the lower part of unit B. The breccia zone is interpreted to be tectonic in origin, having formed along the step of a step-bedding-plane fault during the Brazilian orogeny. The zinc is probably syngenetic, and ore deposition in the breccia may have occurred during Brazilian time. Broad uplift and deep weathering of the region took place during late Mesozoic and Cenozoic time. Reserves may be as high as 3 million tons of zinc metal.
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ASSESSING RELATIVE BED STABILITY AND EXCESS FINE SEDIMENTS IN STREAMS
Excess fine sedimentation is recognized as a leading cause of water quality impairment in surface waters in the United States. We developed an index of Relative Bed Stability (RBS) that factors out natural controls on streambed particle size to allow evaluation of the role of hu...
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5. OBLIQUE VIEW OF HOIST, SHOWING REDUCTION GEARS AND BED ...
5. OBLIQUE VIEW OF HOIST, SHOWING REDUCTION GEARS AND BED FOR (MISSING) CLUTCH/DRIVE GEAR UNIT, LOOKING EAST (McNALLY DRYER AND COVER SHOWN IN EXTREME UPPER RIGHT BACKGROUND) - Buffalo Coal Mine, Vulcan Cable Hoist, Wishbone Hill, Southeast end, near Moose Creek, Sutton, Matanuska-Susitna Borough, AK
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Pressures force hospitals to declare major incidents.
Evans, Nick
2017-02-10
More than 40% of hospitals in England were forced to declare major incidents during the first week of January, as bed shortages led to delays in emergency departments (EDs), thousands of trolley waits for beds and long queues of ambulances outside units. Even cancer operations, normally protected, were cancelled.
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Being a Nursing Aide; Student Manual.
ERIC Educational Resources Information Center
American Hospital Association, Chicago, IL.
Developed for students receiving on-the-job training as nursing aides, this illustrated manual contains these chapters: (1) Orientation, (2) Introduction to the Patient, (3) Your Working Environment, (4) The Patient's Unit: Making the Unoccupied Bed, (5) Lifting, Moving, and Transporting Patients: Making the Occupied Bed, (6) Personal Care of the…
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Whole-body vibration therapy in intensive care patients: A feasibility and safety study.
Boeselt, Tobias; Nell, Christoph; Kehr, Katahrina; Holland, Angélique; Dresel, Marc; Greulich, Timm; Tackenberg, Björn; Kenn, Klaus; Boeder, Johannes; Klapdor, Benjamin; Kirschbaum, Andreas; Vogelmeier, Claus; Alter, Peter; Koczulla, Andreas Rembert
2016-03-01
Admission to the intensive care unit is associated with sustained loss of muscle mass, reduced quality of life and increased mortality. Early rehabilitation measures may counteract this process. New approaches to rehabilitation while the patient remains in bed are whole-body vibration alone and whole-body vibration with a dumbbell. The aims of this study are to determine the safety of whole-body vibration for patients admitted to the intensive care unit, and to compare the effects of these techniques in intensive care unit patients and healthy subjects. Twelve intensive care unit patients and 12 healthy subjects using whole-body vibration for the first time were examined while lying in bed. First both groups performed whole body vibration over 3 min. In a second step whole body vibration with dumbbell was performed. In order to determine the safety of the training intensity, heart rate, oxygen saturation and blood pressure were measured. The study was approved by the Marburg ethics committee. There were minor reversible and transient increases in diastolic blood pressure (p = 0.005) and heart rate (p = 0.001) in the control group with whole-body vibration with a dumbbell. In intensive care patients receiving whole-body vibration alone, there were increases in diastolic blood pressure (p = 0.011) and heart rate (p < 0.001). This study demonstrates the feasibility of using whole-body vibration and whole-body vibration with a dumbbell for intensive care unit in-bed patients. No clinically significant safety problems were found. Whole-body vibration and whole-body vibration with a dumbbell might therefore be alternative methods for use in early in-bed rehabilitation, not only for hospitalized patients.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Thomas, G.D.; Fritsche, A.E.; Condon, M.W.
1988-03-01
A relatively thick and extensive, previously unnamed, lower Miocene sandstone unit occurs in the central Sierra Madre and in the Hurricane Deck area of the San Rafael Mountains of northeastern Santa Barbara County, California. It is underlain conformably and interfingers with a dark mudstone that correlates with the Soda Lake Shale Member of the Vaqueros Formation; it is overlain conformably and interfingers with a brown shale that correlates with the Saltos Member of the Monterey Shale. Northeastern exposures along the north flank of the Sierra Madre are almost exclusively medium to coarse-grained, structureless sandstone with scattered pebbly conglomerate beds. Thicknessmore » ranges from zero in the southeastern part of the Sierra Madre to 70 m in the northeast, 75 m in the northwest, and 600 m in the central part of the range. Toward the southwest in the Hurricane Deck area of the San Rafael Mountains, the unit becomes thicker and more extensively interbedded with mudstone. Lithology of the unit consists of 0.3-3.5 m thick beds of medium to coarse-grained, structureless to vaguely graded sandstone with scoured contacts at the base. Sandstone beds 0.3-3.0 m thick, which are more distinctly graded from coarse to very fine are also present. The interbedded mudstone commonly is bioturbated, so bedding is indistinct. Thickness ranges from 1020 m in the central part of the area to 750 m toward the southwest and 92 m toward the northwest. The unit most likely represents deposition in a submarine-canyon and fan complex that had its channel head in the northeast and spread southwestward into a thick sequence of submarine-fan sandstone lobes, which were confined in a narrow west-trending trough.« less
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Dinosaur Footprints and Other Ichnofauna from the Cretaceous Kem Kem Beds of Morocco
Ibrahim, Nizar; Varricchio, David J.; Sereno, Paul C.; Wilson, Jeff A.; Dutheil, Didier B.; Martill, David M.; Baidder, Lahssen; Zouhri, Samir
2014-01-01
We describe an extensive ichnofossil assemblage from the likely Cenomanian-age ‘lower’ and ‘upper’ units of the ‘Kem Kem beds’ in southeastern Morocco. In the lower unit, trace fossils include narrow vertical burrows in cross-bedded sandstones and borings in dinosaur bone, with the latter identified as the insect ichnotaxon Cubiculum ornatus. In the upper unit, several horizons preserve abundant footprints from theropod dinosaurs. Sauropod and ornithischian footprints are much rarer, similar to the record for fossil bone and teeth in the Kem Kem assemblage. The upper unit also preserves a variety of invertebrate traces including Conichnus (the resting trace of a sea-anemone), Scolicia (a gastropod trace), Beaconites (a probable annelid burrow), and subvertical burrows likely created by crabs for residence and detrital feeding on a tidal flat. The ichnofossil assemblage from the Upper Cretaceous Kem Kem beds contributes evidence for a transition from predominantly terrestrial to marine deposition. Body fossil and ichnofossil records together provide a detailed view of faunal diversity and local conditions within a fluvial and deltaic depositional setting on the northwestern coast of Africa toward the end of the Cretaceous. PMID:24603467
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Regenerable biocide delivery unit
NASA Technical Reports Server (NTRS)
Sauer, Richard L. (Inventor); Colombo, Gerald V. (Inventor); Jolly, Clifford D. (Inventor)
1993-01-01
A method and apparatus are disclosed for maintaining continuous, long-term microbial control in the water supply for potable, hygiene, and experimental water for space activities, as well as treatment of water supplies on Earth. The water purification is accomplished by introduction of molecular iodine into the water supply to impart a desired iodine residual. The water is passed through an iodinated anion exchange resin bed. The iodine is bound as I-(sub n) at the anion exchange sites and releases I(sub 2) into the water stream flowing through the bed. The concentration of I(sub 2) in the flowing water gradually decreases and, in the prior art, the ion-exchange bed has had to be replaced. In a preferred embodiment, a bed of iodine crystals is provided with connections for flowing water therethrough to produce a concentrated (substantially saturated) aqueous iodine solution which is passed through the iodinated resin bed to recharge the bed with bound iodine. The bed of iodine crystals is connected in parallel with the iodinated resin bed and is activated periodically (e.g., by timer, by measured flow of water, or by iodine residual level) to recharge the bed. Novelty resides in the capability of inexpensively and repeatedly regenerating the ion-exchange bed in situ.
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Does Deinstitutionalization Increase Suicide?
Yoon, Jangho; Bruckner, Tim A
2009-01-01
Objectives (1) To test whether public psychiatric bed reduction may increase suicide rates; (2) to investigate whether the supply of private hospital psychiatric beds—separately for not-for-profit and for-profit—can substitute for public bed reduction without increasing suicides; and (3) to examine whether the level of community mental health resources moderates the relationship between public bed reduction and suicide rates. Methods We examined state-level variation in suicide rates in relation to psychiatric beds and community mental health spending in the United States for the years 1982–1998. We categorize psychiatric beds separately for public, not-for-profit, and for-profit hospitals. Principal Findings Reduced public psychiatric bed supply was found to increase suicide rates. We found no evidence that not-for-profit or for-profit bed supply compensates for public bed reductions. However, greater community mental health spending buffers the adverse effect of public bed reductions on suicide. We estimate that in 2008, an additional decline in public psychiatric hospital beds would raise suicide rates for almost all states. Conclusions Downsizing of public inpatient mental health services may increase suicide rates. Nevertheless, an increase in community mental health funding may be promising. PMID:19500164
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NASA Technical Reports Server (NTRS)
Baucom, Robert M.; Marchello, Joseph M.
1990-01-01
Thermoplastic prepregs of LARC-TPI have been produced in a fluidized bed unit on spread continuous fiber tows. The powders are melted on the fibers by radiant heating to adhere the polymer to the fiber. This process produces tow prepreg uniformly without imposing severe stress on the fibers or requiring long high temperature residence times for the polymer. Unit design theory and operating correlations have been developed to provide the basis for scale up to commercial operation. Special features of the operation are the pneumatic tow spreader, fluidized bed and resin feed systems.
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Telephoto lens view of Silver Spur in the Hadley Delta region from Apollo 15
1971-07-31
AS15-84-11250 (31 July-2 Aug. 1971) --- A telephoto lens view of the prominent feature called Silver Spur in the Hadley Delta region, photographed during the Apollo 15 lunar surface extravehicular activity (EVA) at the Hadley-Apennine landing site. The distance from the camera to the spur is about 10 miles. The field of view across the bottom is about one mile. Structural formations in the mountain are clearly visible. There are two major units. The upper unit is characterized by massive subunits, each one of which is approximately 200 feet deep. The lower major unit is characterized by thinner bedding and cross bedding.
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NASA Astrophysics Data System (ADS)
Ryabov, G. A.; Folomeev, O. M.; Litun, D. S.; Sankin, D. A.; Dmitryukova, I. G.
2009-01-01
The present state and development of circulating fluidized bed (CFB) technology around the world are briefly reviewed. Questions of increasing the capacity of single boiler units and raising the parameters of steam are discussed. CFB boilers for 225- and 330-MW power units are described and their parameters are estimated as applied to the conditions of firing different Russian fuels. Indicators characterizing CFB boilers and pulverized-coal boilers are given. Capital outlays and operational costs for new coal-fired units are compared, and the results from this comparison are used to show the field of the most promising use of the CFB technology during technical refitting of Russian thermal power stations.
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Cheung, Winston K; Myburgh, John; Seppelt, Ian M; Parr, Michael J; Blackwell, Nikki; Demonte, Shannon; Gandhi, Kalpesh; Hoyling, Larissa; Nair, Priya; Passer, Melissa; Reynolds, Claire; Saunders, Nicholas M; Saxena, Manoj K; Thanakrishnan, Govindasamy
2012-08-06
To determine the increase in intensive care unit (ICU) bed availability that would result from the use of the New South Wales and Ontario Health Plan for an Influenza Pandemic (OHPIP) triage protocols. Prospective evaluation study conducted in eight Australian, adult, general ICUs, between September 2009 and May 2010. All patients who were admitted to the ICU, excluding those who had elective surgery, were prospectively evaluated using the two triage protocols, simulating a pandemic situation. Both protocols were originally developed to determine which patients should be excluded from accessing ICU resources during an influenza pandemic. Increase in ICU bed availability. At admission, the increases in ICU bed availability using Tiers 1, 2 and 3 of the NSW triage protocol were 3.5%, 14.7% and 22.7%, respectively, and 52.8% using the OHPIP triage protocol (P < 0.001). Re-evaluation of patients at 12 hours after admission using Tiers 1, 2 and 3 of the NSW triage protocol incrementally increased ICU bed availability by 19.2%, 16.1% and 14.1%, respectively (P < 0.001). The maximal cumulative increases in ICU bed availability using Tiers 1, 2 and 3 of the NSW triage protocol were 23.7%, 31.6% and 37.5%, respectively, at 72 hours (P < 0.001), and 65.0% using the OHPIP triage protocol, at 120 hours (P < 0.001). Both triage protocols resulted in increases in ICU bed availability, but the OHPIP protocol provided the greatest increase overall. With the NSW triage protocol, ICU bed availability increased as the protocol was escalated.
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Model-free adaptive control of supercritical circulating fluidized-bed boilers
Cheng, George Shu-Xing; Mulkey, Steven L
2014-12-16
A novel 3-Input-3-Output (3.times.3) Fuel-Air Ratio Model-Free Adaptive (MFA) controller is introduced, which can effectively control key process variables including Bed Temperature, Excess O2, and Furnace Negative Pressure of combustion processes of advanced boilers. A novel 7-input-7-output (7.times.7) MFA control system is also described for controlling a combined 3-Input-3-Output (3.times.3) process of Boiler-Turbine-Generator (BTG) units and a 5.times.5 CFB combustion process of advanced boilers. Those boilers include Circulating Fluidized-Bed (CFB) Boilers and Once-Through Supercritical Circulating Fluidized-Bed (OTSC CFB) Boilers.
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NASA Astrophysics Data System (ADS)
Hu, Zhan; Lenting, Walther; van der Wal, Daphne; Bouma, Tjeerd
2015-04-01
Tidal flat morphology is continuously shaped by hydrodynamic force, resulting in highly dynamic bed elevations. The knowledge of short-term bed-level changes is important both for understanding sediment transport processes as well as for assessing critical ecological processes such as e.g. vegetation recruitment chances on tidal flats. Due to the labour involved, manual discontinuous measurements lack the ability to continuously monitor bed-elevation changes. Existing methods for automated continuous monitoring of bed-level changes lack vertical accuracy (e.g., Photo-Electronic Erosion Pin sensor and resistive rod) or limited in spatial application by using expensive technology (e.g., acoustic bed level sensors). A method provides sufficient accuracy with a reasonable cost is needed. In light of this, a high-accuracy sensor (2 mm) for continuously measuring short-term Surface-Elevation Dynamics (SED-sensor) was developed. This SED-sensor makes use of photovoltaic cells and operates stand-alone using internal power supply and data logging system. The unit cost and the labour in deployments is therefore reduced, which facilitates monitoring with a number of units. In this study, the performance of a group of SED-sensors is tested against data obtained with precise manual measurements using traditional Sediment Erosion Bars (SEB). An excellent agreement between the two methods was obtained, indicating the accuracy and precision of the SED-sensors. Furthermore, to demonstrate how the SED-sensors can be used for measuring short-term bed-level dynamics, two SED-sensors were deployed for 1 month at two sites with contrasting wave exposure conditions. Daily bed-level changes were obtained including a severe storm erosion event. The difference in observed bed-level dynamics at both sites was statistically explained by their different hydrodynamic conditions. Thus, the stand-alone SED-sensor can be applied to monitor sediment surface dynamics with high vertical and temporal resolutions, which provides opportunities to pinpoint morphological responses to various forces in a number of environments (e.g. tidal flats, beaches, rivers and dunes).
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Helman, Donald L; Sherner, John H; Fitzpatrick, Thomas M; Callender, Marcia E; Shorr, Andrew F
2003-09-01
Semirecumbent head-of-bed positioning in mechanically ventilated patients decreases the risk of developing ventilator-associated pneumonia (VAP). The purpose of this study was to determine whether the addition of a standardized order followed by the initiation of a provider education program would increase the frequency with which our patients were maintained in the semirecumbent position. Prospective, pre-, and postintervention observational study. A tertiary care, U.S. Army teaching hospital. Mechanically ventilated medical and surgical intensive care unit patients. The first intervention involved the addition of an order for semirecumbent head-of-bed positioning to our intensive care unit order sets. This was followed 2 months later with a second intervention, which was a nurse and physician education program emphasizing semirecumbent positioning. Data regarding head-of-bed positioning were collected on 100 patient observations at baseline and at 1 and 2 months after each of our interventions. The mean angle of head of bed increased from 24 +/- 9 degrees at baseline to 35 +/- 9 degrees (p <.05) 2 months after the addition of the standard order. The percentage of observations with head of bed >45 degrees increased from 3% to 16% 2 months after the standardized order (p <.05). Two months after our provider education program, the mean angle of the head of bed was 34 +/- 11 degrees and the percentage of patients with head of bed >45 degrees was 29% (p = NS compared with values after the first intervention). Data collected 6 months after completion of our education programs showed that these improvements were maintained. Standardizing the process of care via the addition of an order specifying head-of-bed position significantly increased the number of patients who were placed in the semirecumbent position. In an era of cost-conscious medicine, interventions that utilize protocols and education programs should be emphasized.
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Li, Shiyuan; Li, Yunyu; Lu, Qinggang; Zhu, Jianguo; Yao, Yao; Bao, Shaolin
2014-12-01
An original integrated drying and incineration technique is proposed to dispose of sewage sludge with moisture content of about 80% in a circulating fluidized bed. This system combines a bubbling fluidized bed dryer with a circulating fluidized bed incinerator. After drying, sewage sludge with moisture less than 20% is transported directly and continuously from the fluidized bed dryer into a circulating fluidized bed incinerator. Pilot plant results showed that integrated drying and incineration is feasible in a unique single system. A 100 t/d Sewage Sludge Incineration Demonstration Project was constructed at the Qige sewage treatment plant in Hangzhou City in China. The operational performance showed that the main operation results conformed to the design values, from which it can be concluded that the scale-up of this technique is deemed both feasible and successful. Copyright © 2014 Elsevier Ltd. All rights reserved.
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Water produced with coal-bed methane
,
2000-01-01
Natural gas produced from coal beds (coal-bed methane, CBM) accounts for about 7.5 percent of the total natural gas production in the United States. Along with this gas, water is also brought to the surface. The amount of water produced from most CBM wells is relatively high compared to conventional natural gas wells because coal beds contain many fractures and pores that can contain and transmit large volumes of water. In some areas, coal beds may function as regional or local aquifers and important sources for ground water. The water in coal beds contributes to pressure in the reservoir that keeps methane gas adsorbed to the surface of the coal. This water must be removed by pumping in order to lower the pressure in the reservoir and stimulate desorption of methane from the coal (fi g. 1). Over time, volumes of pumped water typically decrease and the production of gas increases as coal beds near the well bore are dewatered.
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Countermeasures and Functional Testing in Head-Down Tilt Bed Rest (CFT 70)
NASA Technical Reports Server (NTRS)
Cromwell, Ronita L.
2013-01-01
This 70-day bed rest campaign was comprised of 6 integrated studies and conducted at the NASA Flight Analogs Research Unit (FARU). The FARU is located at the University of Texas Medical Branch, Galveston, Texas and is a satellite unit of the Institute for Translational Sciences - Clinical Research Center. This presentation will describe the FARU, discuss the utility of the bed rest platform for use in these studies, and introduce the studies that participated in the CFT 70 bed rest campaign. Information in this presentation will serve as the background for subsequent talks from each individual study. Individual study presentations will discuss preliminary results from completed subjects. Studies included in CFT70 were: ? Physiological Factors Contributing to Post Flight Changes in Functional Performance. J. Bloomberg, NASA ? Integrated Resistance and Aerobic Training Study. L. Ploutz-Snyder, USRA ? Testosterone Supplementation as a Countermeasure Against Musculoskeletal losses during Space Exploration. R. Urban, University of Texas Medical Branch ? Effects of Retronasal Smelling, Variety and Choice on Appetite & Satiety. J. Hunter, Cornell University ? AD ASTRA: Automated Detection of Attitudes and States through Transaction Recordings Analysis. C. Miller, Smart Information Flow Technologies, LLC ? Bed Rest as a Spaceflight Analog to Study Neuro-cognitive Changes: Extent, Longevity, and Neural Bases. R. Seidler, University of Michigan
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Model of Fluidized Bed Containing Reacting Solids and Gases
NASA Technical Reports Server (NTRS)
Bellan, Josette; Lathouwers, Danny
2003-01-01
A mathematical model has been developed for describing the thermofluid dynamics of a dense, chemically reacting mixture of solid particles and gases. As used here, "dense" signifies having a large volume fraction of particles, as for example in a bubbling fluidized bed. The model is intended especially for application to fluidized beds that contain mixtures of carrier gases, biomass undergoing pyrolysis, and sand. So far, the design of fluidized beds and other gas/solid industrial processing equipment has been based on empirical correlations derived from laboratory- and pilot-scale units. The present mathematical model is a product of continuing efforts to develop a computational capability for optimizing the designs of fluidized beds and related equipment on the basis of first principles. Such a capability could eliminate the need for expensive, time-consuming predesign testing.
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NASA Astrophysics Data System (ADS)
Stewart, Robert B.; Németh, Karoly; Cronin, Shane J.
2010-09-01
The Efate Pumice Formation (EPF) is a trachydacitic volcaniclastic succession widespread in the central part of Efate Island and also present on Hat and Lelepa islands to the north. The volcanic succession has been inferred to result from a major, entirely subaqueous explosive event north of Efate Island. The accumulated pumice-rich units were previously interpreted to be subaqueous pyroclastic density current deposits on the basis of their bedding, componentry and stratigraphic characteristics. Here we suggest an alternative eruptive scenario for this widespread succession. The major part of the EPF is distributed in central Efate, where pumiceous pyroclastic rock units several hundred meters thick are found within fault scarp cliffs elevated about 800 m above sea level. The basal 200 m of the pumiceous succession is composed of massive to weakly bedded pumiceous lapilli units, each 2-3 m thick. This succession is interbedded with wavy, undulatory and dune bedded pumiceous ash and fine lapilli units with characteristics of co-ignimbrite surges and ground surges. The presence of the surge beds implies that the intervening units comprise a subaerial ignimbrite-dominated succession. There are no sedimentary indicators in the basal units examined that are consistent with water-supported transportation and/or deposition. The subaerial ignimbrite sequence of the EPF is overlain by a shallow marine volcaniclastic Rentanbau Tuffs. The EPF is topped by reef limestone, which presumably preserved the underlying EPF from erosion. We here propose that the EPF was formed by a combination of initial subaerial ignimbrite-forming eruptions, followed by caldera subsidence. The upper volcaniclastic successions in our model represent intra-caldera pumiceous volcaniclastic deposits accumulated in a shallow marine environment in the resultant caldera. The present day elevated position of the succession is a result of a combination of possible caldera resurgence and ongoing arc-related uplift in the region.
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Use of aluminum sulfate (alum) to decrease ammonia emissions from beef cattle bedded manure packs
USDA-ARS?s Scientific Manuscript database
Confined cattle facilities are an increasingly common housing system in the Northern Great Plains of the United States. Ammonia volatilization from the surface of the floor and bedding in these confined facilities depends on several variables including pH, temperature, and moisture content. When pH ...
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Particulate matter concentrations for mono-slope beef cattle facilities in the Northern Great Plains
USDA-ARS?s Scientific Manuscript database
Confined cattle facilities are an increasingly common housing system in the Northern Great Plains region of the United States. Producers may maintain a deep-bedded manure pack (Pack), they may remove all bedding/manure material from the pens weekly (Scrape), or use a combination of management styles...
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Rootless tephra stratigraphy and emplacement processes
NASA Astrophysics Data System (ADS)
Hamilton, Christopher W.; Fitch, Erin P.; Fagents, Sarah A.; Thordarson, Thorvaldur
2017-01-01
Volcanic rootless cones are the products of thermohydraulic explosions involving rapid heat transfer from active lava (fuel) to external sources of water (coolant). Rootless eruptions are attributed to molten fuel-coolant interactions (MFCIs), but previous studies have not performed systematic investigations of rootless tephrostratigraphy and grain-size distributions to establish a baseline for evaluating relationships between environmental factors, MFCI efficiency, fragmentation, and patterns of tephra dispersal. This study examines a 13.55-m-thick vertical section through an archetypal rootless tephra sequence, which includes a rhythmic succession of 28 bed pairs. Each bed pair is interpreted to be the result of a discrete explosion cycle, with fine-grained basal material emplaced dominantly as tephra fall during an energetic opening phase, followed by the deposition of coarser-grained material mainly as ballistic ejecta during a weaker coda phase. Nine additional layers are interleaved throughout the stratigraphy and are interpreted to be dilute pyroclastic density current (PDC) deposits. Overall, the stratigraphy divides into four units: unit 1 contains the largest number of sediment-rich PDC deposits, units 2 and 3 are dominated by a rhythmic succession of bed pairs, and unit 4 includes welded layers. This pattern is consistent with a general decrease in MFCI efficiency due to the depletion of locally available coolant (i.e., groundwater or wet sediments). Changing conduit/vent geometries, mixing conditions, coolant and melt temperatures, and/or coolant impurities may also have affected MFCI efficiency, but the rhythmic nature of the bed pairs implies a periodic explosion process, which can be explained by temporary increases in the water-to-lava mass ratio during cycles of groundwater recharge.
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Raab, Ronald W.; Moore, Julia E.; Vargo, Edward L.; Rose, Lucy; Raab, Julie; Culbreth, Madeline; Burzumato, Gracie; Koyee, Aurvan; McCarthy, Brittany; Raffaele, Jennifer; Schal, Coby; Vaidyanathan, Rajeev
2016-01-01
Infestations of the common bed bug (Cimex lectularius L.) have increased substantially in the United States in the past 10–15 years. The housing authority in Harrisonburg, Virginia, conducts heat-treatments after bed bugs are detected in a lower-income housing complex, by treating each infested unit at 60°C for 4–6 hours. However, a high frequency of recurrent infestations called into question the efficacy of this strategy. Genetic analysis using Bayesian clustering of polymorphic microsatellite loci from 123 bed bugs collected from 23 units from May 2012 to April 2013 in one building indicated that (a) 16/21 (73%) infestations were genetically similar, suggesting ineffective heat-treatments or reintroductions from within the building or from a common external source, followed by local spread of existing populations; and (b) up to 5 of the infestations represented new genotypes, indicating that 5 new populations were introduced into this building in one year, assuming they were not missed in earlier screens. There was little to no gene flow among the 8 genetic clusters identified in the building. Bed bugs in the U.S. often possess one or both point mutations in the voltage-gated sodium channel, termed knockdown resistance (kdr), from valine to leucine (V419L) and leucine to isoleucine (L925I) that confer target-site resistance against pyrethroid insecticides. We found that 48/121 (40%) bed bugs were homozygous for both kdr mutations (L419/I925), and a further 59% possessed at least one of the kdr mutations. We conclude that ineffective heat treatments, new introductions, reintroductions and local spread, and an exceptionally high frequency of pyrethroid resistance are responsible for chronic infestations in lower-income housing. Because heat treatments fail to protect from reintroductions, and pesticide use has not decreased the frequency of infestations, preventing new introductions and early detection are the most effective strategies to avoid bed bug infestations in multistory apartment buildings. PMID:26901153
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Picard, M.D.
1977-01-01
The combination stratigraphic and structural traps in the Morgan Formation of Pennsylvanian age of Church Buttes, Butcher Knife, and Bruff that produce gas and condensate are directly related to folding of the Church Buttes Arch in SW. Wyoming and NE. Utah. Present knowledge indicates that the Morgan gas and condensate originated in source beds in the lower Morgan formation west of the present Church Buttes Arch and were trapped mainly in porous barrier deposits in the Morgan. Folding of the Church Buttes Arch liberated these accumulations and they migrated updip in their present traps. This work summarizes the sedimentary petrographymore » of the productive beds in the Morgan Formation at the Church Buttes Unit No. 19 (SEC. 8, T 16 N, R 112 W), Uinta County, Wyoming. The stratigraphy is outlined for the whole region and the productive interval at Church Buttes is correlated with other rock units. Nearly all of the rocks studied are dolomite, which is difficult to interpret because of pronounced diagenesis. 33 references.« less
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[Structuro-functional units of the salivary and lacrimal glands].
Kostilenko, Iu P; Mysliuk, I V; Deviatkin, E A
1986-09-01
By means of the multilayer graphic and plastic reconstruction methods using series of semithin sections, spatial tridimensional organization of the epithelial complexes and blood microcirculatory bed in the rat palatal salivary glands and the lacrimal gland of the human newborn have been studied. Since their ducts serve not only for discharging their secrete into the external medium, but also for accumulation (as collectors), the sublobular unit--adenomere should be referred to as a part of elementary level of organization of the epithelial complexes. The adenomere has in its composition a collecting centrally situating duct. However, while studying structure of the blood microcirculatory bed, it is found out that there is not any strict territorial correspondence between its functional units and structural units of the glandular epithelium. Nevertheless, giving a great importance to a tight syntopic connection of the collecting ducts of the adenomeres with the postcapillary venules (that belong to filtrating microvessels), these are sublobular units--adenomeres that are distinguished as structural-functional units in the glands.
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Balaguera, Henri U; Wise, Diana; Ng, Chun Yin; Tso, Han-Wen; Chiang, Wan-Lin; Hutchinson, Aimee M; Galvin, Tracy; Hilborne, Lee; Hoffman, Cathy; Huang, Chi-Cheng; Wang, C Jason
2017-05-04
Hospitalized patients in the United States experience falls at a rate of 2.6 to 17.1 per 1000 patient-days, with the majority occurring when a patient is moving to, from, and around the bed. Each fall with injury costs an average of US $14,000. The aim was to conduct a technology evaluation, including feasibility, usability, and user experience, of a medical sensor-based Intranet of things (IoT) system in facilitating nursing response to bed exits in an acute care hospital. Patients 18 years and older with a Morse fall score of 45 or greater were recruited from a 35-bed medical-surgical ward in a 317-bed Massachusetts teaching hospital. Eligible patients were recruited between August 4, 2015 and July 31, 2016. Participants received a sensor pad placed between the top of their mattress and bed sheet. The sensor pad was positioned to monitor movement from patients' shoulders to their thighs. The SensableCare System was evaluated for monitoring patient movement and delivering timely alerts to nursing staff via mobile devices when there appeared to be a bed-exit attempt. Sensor pad data were collected automatically from the system. The primary outcomes included number of falls, time to turn off bed-exit alerts, and the number of attempted bed-exit events. Data on patient falls were collected by clinical research assistants and confirmed with the unit nurse manager. Explanatory variables included room locations (zones 1-3), day of the week, nursing shift, and Morse Fall Scale (ie, positive fall history, positive secondary diagnosis, positive ambulatory aid, weak impaired gait/transfer, positive IV/saline lock, mentally forgets limitations). We also assessed user experience via nurse focus groups. Qualitative data regarding staff interactions with the system were collected during two focus groups with 25 total nurses, each lasting approximately 1.5 hours. A total of 91 patients used the system for 234.0 patient-days and experienced no bed falls during the study period. On average, patients were assisted/returned to bed 46 seconds after the alert system was triggered. Response times were longer during the overnight nursing shift versus day shift (P=.005), but were independent of the patient's location on the unit. Focus groups revealed that nurses found the system integrated well into the clinical nursing workflow and the alerts were helpful in patient monitoring. A medical IoT system can be integrated into the existing nursing workflow and may reduce patient bed fall risk in acute care hospitals, a high priority but an elusive patient safety challenge. By using an alerting system that sends notifications directly to nurses' mobile devices, nurses can equally respond to unassisted bed-exit attempts wherever patients are located on the ward. Further study, including a fully powered randomized controlled trial, is needed to assess effectiveness across hospital settings. ©Henri U Balaguera, Diana Wise, Chun Yin Ng, Han-Wen Tso, Wan-Lin Chiang, Aimee M Hutchinson, Tracy Galvin, Lee Hilborne, Cathy Hoffman, Chi-Cheng Huang, C Jason Wang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 04.05.2017.
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Coalbed methane resources of the Appalachian Basin, eastern USA
Milici, Robert C.; Hatch, Joseph R.; Pawlewicz, Mark J.
2010-01-01
In 2002, the U.S. Geological Survey (USGS) assessed the technically recoverable, undiscovered coalbed-gas resources in the Appalachian basin and Black Warrior basin Assessment Provinces as about 15.5 trillion cubic feet. Although these resources are almost equally divided between the two areas, most of the production occurs within relatively small areas within these Provinces, where local geological and geochemical attributes have resulted in the generation and retention of large amounts of methane within the coal beds and have enhanced the producibility of the gas from the coal. In the Appalachian basin, coalbed methane (CBM) tests are commonly commercial where the cumulative coal thickness completed in wells is greater than three meters (10 ft), the depth of burial of the coal beds is greater than 100 m (350 ft), and the coal is in the thermogenic gas window. In addition to the ubiquitous cleating within the coal beds, commercial production may be enhanced by secondary fracture porosity related to supplemental fracture systems within the coal beds. In order to release the methane from microporus coal matrix, most wells are dewatered prior to commercial production of gas. Two Total Petroleum Systems (TPS) were defined by the USGS during the assessment: the Pottsville Coal-bed gas TPS in Alabama, and the Carboniferous Coal-bed Gas TPS in Pennsylvania, Ohio, West Virginia, eastern Kentucky, Virginia, Tennessee, and Alabama. These were divided into seven assessment units, of which three had sufficient data to be assessed. Production rates are higher in most horizontal wells drilled into relatively thick coal beds, than in vertical wells; recovery per unit area is greater, and potential adverse environmental impact is decreased.
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Tulelake, California: The last 3 million years
Adam, D.P.; Sarna-Wojcicki, A. M.; Rieck, Hugh J.; Bradbury, J.P.; Dean, W.E.; Forester, R.M.
1989-01-01
The Tulelake basin, formed by east-west extension and faulting during the past several million years, contains at least 550 m of lacustrine sediment. Interdisciplinary studies of a 334 m-long cored section from the town of Tulelake, California, near the center of the basin, document a 3-m.y. record of environmental changes. The core consists of a thick sequence of diatomaceous clayey, silty, and marly lacustrine sediments interbedded with numerous tephra layers. Paleomagnetic study puts the base of the core at about 3.0 Ma. Twelve widespread silicic tephra units provide correlations with other areas and complement age control provided by magnetostratigraphy; mafic and silicic tephra units erupted from local sources are also common in the core. Widespread tephra units include the Llao Rock pumice (=Tsoyawata, 7 ka), the Trego Hot Springs Bed (23 ka), and the Rockland (0.40 Ma), Lava Creek (0.62 Ma), and Rio Dell (1.5 Ma) ash beds, as well as several ash beds also found at Summer Lake, Oregon, and an ash bed originally recognized in DSDP hole 173 in the northeastern Pacific. Several tephra layers found in the core also occur in lacustrine beds exposed around the margins of the basin and elsewhere in the ancestral lacustrine system. Diatoms are present throughout the section. Pollen is present in most of the section, but some barren zones are found in the interval between 50 and 140 m; the greatest change in behavior of the pollen record takes place just above the top of the Olduvai Normal-Polarity Subchronozone. Ostracodes are present only in high-carbonate (>10% CaCO3) intervals. Evolutionary changes are found in the diatom and ostracode records. Bulk geochemical analyses show significant changes in elemental composition of the sediment through time. ?? 1989.
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National audit of critical care resources in South Africa - nursing profile.
Scribante, Juan; Bhagwanjee, Sats
2007-12-01
(i) To determine the profile and number of nurses working in South African intensive care units (ICUs) and high care units (HCUs); (ii) to determine the number of beds in ICU and HCUs in South Africa; and (iii) to determine the ratio of nurses to ICU/HC beds. A descriptive, non-interventive, observational study design was used. An audit of all public and private sector ICU and HCUs in South Africa was undertaken. A 100% was sample obtained; 74.8% of the ICU nursing managers were ICU-trained nurses with an average of 12.8 years of ICU experience. Only 25.6% of nurses working in ICU were ICU trained. The majority were registered nurses (49.2%), while 21.4% were semi-professional nurses. Private sector nurses represented 50.3% of all nurses. Some 42.8% of the professional nurses had 0 - 5 years of experience and 28.7% had 5 - 10 years. The groups 10 - 15 and 15 - 20 years represented 16.1% and 6.6% respectively. Only 5.7% nurses had 20 and more years' experience. In the units that used agency staff the ratio of permanent to agency nursing staff for the month of June 2003 was 64.5% versus 35.5%. In total there are 4,168 ICU and HC beds in South Africa that are serviced by 4,584 professional nurses. The nurse:bed ratio is 1.1 nurses per ICU/HC bed. This study demonstrates that ICU nursing in South Africa faces the challenge of an acute shortage of trained and experienced nurses. Our nurses are tired, often not healthy, and are plagued by discontent and low morale.
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Wash load and bed-material load transport in the Yellow River
Yang, C.T.; Simoes, F.J.M.
2005-01-01
It has been the conventional assumption that wash load is supply limited and is only indirectly related to the hydraulics of a river. Hydraulic engineers also assumed that bed-material load concentration is independent of wash load concentration. This paper provides a detailed analysis of the Yellow River sediment transport data to determine whether the above assumptions are true and whether wash load concentration can be computed from the original unit stream power formula and the modified unit stream power formula for sediment-laden flows. A systematic and thorough analysis of 1,160 sets of data collected from 9 gauging stations along the Middle and Lower Yellow River confirmed that the method suggested by the conjunctive use of the two formulas can be used to compute wash load, bed-material load, and total load in the Yellow River with accuracy. Journal of Hydraulic Engineering ?? ASCE.
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Sarchielli, Guido; De Plato, Giovanni; Cavalli, Mario; Albertini, Stefano; Nonni, Ilaria; Bencivenni, Lucia; Montali, Arianna; Ventura, Antonio; Montali, Francesca
2016-01-01
Assessment of the knowledge and application as well as perceived utility by doctors of clinical governance tools in order to explore their impact on clinical units' performance measured through mortality rates and efficiency indicators. This research is a cross-sectional study with a deterministic record-linkage procedure. The sample includes n = 1250 doctors (n = 249 chiefs of clinical units; n = 1001 physicians) working in six public hospitals located in the Emilia-Romagna Region in Italy. Survey instruments include a checklist and a research-made questionnaire which were used for data collection about doctors' knowledge and application as well as perceived utility of clinical governance tools. The analysis was based on clinical units' performance indicators which include patients' mortality, extra-region active mobility rate, average hospital stay, bed occupancy, rotation and turnover rates, and the comparative performance index as efficiency indicators. The clinical governance tools are known and applied differently in all the considered clinical units. Significant differences emerged between roles and organizational levels at which the medical leadership is carried out. The levels of knowledge and application of clinical governance practices are correlated with the clinical units' efficiency indicators (bed occupancy rate, bed turnover interval, and extra-region mobility). These multiple linear regression analyses highlighted that the clinical governance knowledge and application is correlated with clinical units' mortality rates (odds ratio, -8.677; 95% confidence interval, -16.654, -0.700). The knowledge and application, as well as perceived utility by medical professionals of clinical governance tools, are associated with the mortality rates of their units and with some efficiency indicators. However, the medical frontline staff seems to not consider homogeneously useful the clinical governance tools application on its own clinical practice.
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Larry J. Schmidt; John P. Potyondy
2004-01-01
This paper discusses one approach for quantifying channel maintenance instream flow necessary to achieve the Forest Service Organic Act purpose of securing favorable conditions of water flows. The approach is appropriate for quantifying channel maintenance flows on perennial, unregulated, snowmelt-dominated, gravel-bed streams with alluvial reaches. The approach...
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Nebraska | Midmarket Solar Policies in the United States | Solar Research |
project development, sales, use, and property tax exemptions, and production based tax credits. Net personal property for use in a community-based energy development (C-BED) project. (A C-BED project is limited to $50,000. Nebraska is not accepting applications for the program as of July 2016. Property Tax
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Sage-Grouse and Coal-Bed Methane: Can They Coexist within the Powder River Basin?
ERIC Educational Resources Information Center
Duncan, Michael B.
2010-01-01
Concerns are growing regarding the availability of sustainable energy sources due to a rapidly growing human population and a better understanding of climate change. In recent years, the United States has focused much attention on developing domestic energy sources, which include coal-bed methane (CBM). There are vast deposits of the natural gas…
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Code of Federal Regulations, 2010 CFR
2010-07-01
... absorbent is used. Condenser Exit temperature Maximum temperature. Carbon adsorber Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle; and temperature of the carbon bed after regeneration (and within 15 minutes of completing any cooling cycle(s)) Maximum mass or volumetric flow; and...
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Code of Federal Regulations, 2011 CFR
2011-07-01
... Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Code of Federal Regulations, 2012 CFR
2012-07-01
... absorbent is used. Condenser Exit temperature Maximum temperature. Carbon adsorber Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle; and temperature of the carbon bed after regeneration (and within 15 minutes of completing any cooling cycle(s)) Maximum mass or volumetric flow; and...
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Code of Federal Regulations, 2012 CFR
2012-07-01
... Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Code of Federal Regulations, 2010 CFR
2010-07-01
... Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Code of Federal Regulations, 2011 CFR
2011-07-01
... absorbent is used. Condenser Exit temperature Maximum temperature. Carbon adsorber Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle; and temperature of the carbon bed after regeneration (and within 15 minutes of completing any cooling cycle(s)) Maximum mass or volumetric flow; and...
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CIBO special project study: Fluidized bed combustion by-products
DOE Office of Scientific and Technical Information (OSTI.GOV)
Soyka, P.A.
1996-12-31
Information is outlined on a Council of Industrial Boiler Owners (CIBO) Special Project Study on fluidized bed combustion by-products. Data are presented on a fossil fuel combustion by-products (FFCB) Survey; study population and response pattern; survey respondent characteristics; FFCB characterization; productive use and impacts; on-site FFCB disposal; and environmental characteristics of FFCB disposal units.
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Updated tops file for Cretaceous and lower Tertiary units, Piceance Basin, northwest Colorado
Johnson, Ronald C.; Dietrich, John D.; Mercier, Tracey J.
2015-08-04
Each entry for the base of the Long Point Bed was obtained at a location where the mapped Long Point Bed intersects a contour line on the published maps. Precision of each elevation is therefore dependent on the precision of the maps and the placement of the mapped contact by the authors.
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Psychiatric Inpatient Units for Children and Adolescents with Intellectual Disability
ERIC Educational Resources Information Center
Smith, P.; Berney, T. P.
2006-01-01
Background: Inpatient beds for the psychiatric assessment and treatment of young people (under the age of 18 years) with intellectual disability have become scarce although there is pressure to redevelop them. In the UK, 63% of the NHS beds are at Prudhoe Hospital. This study examines their role and utility in relation to community services, both…
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USDA-ARS?s Scientific Manuscript database
The common bed bug, Cimex lectularius (L.) (Hemiptera: Cimicidae) is undergoing a rapid resurgence in the United States during the last decade which has created a notable pest management challenge largely because the pest has developed resistance against DDT, organophosphates, carbamates, and pyreth...
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Baby Boomers and Beds: a Demographic Challenge for the Ages.
Song, Zirui; Ferris, Timothy G
2018-03-01
The United States is facing a significant demographic transition, with about 10,000 baby boomers turning age 65 each day. At the same time, the nation is experiencing a similarly striking transition in hospital capacity, as the supply of hospital beds has declined in recent decades. The juxtaposition of population aging and hospital capacity portends a potentially widening divergence between supply and demand for hospital care. We provide a closer look at current hospital capacity and a rethinking of the future role of hospital beds in meeting the needs of an aging population.
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Assessment, Diagnosis, and Treatment of Binge Eating Disorder.
Ambrogne, Janet A
2017-08-01
Binge eating disorder (BED) is the most prevalent eating disorder in the United States, believed to affect an estimated 2.8 million adults. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, BED was recognized as a separate diagnosis. The purpose of the current article is to provide an overview of BED including assessment, diagnosis, and current pharmacological and nonpharmacological treatment options. Implications for nursing are also addressed. [Journal of Psychosocial Nursing and Mental Health Services, 55(8), 32-38.]. Copyright 2017, SLACK Incorporated.
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The bedding of laboratory animals as a source of airborne contaminants.
Kaliste, E; Linnainmaa, M; Meklin, T; Torvinen, E; Nevalainen, A
2004-01-01
In work environments with laboratory animals, the bedding of animals binds the excreta as well as other compounds originating from the animals and their environment. These may be generated into the ambient air when the personnel handle bedding in different procedures. This study compares the dustiness of different types of six clean and four soiled beddings from rat or mouse cages. The dust generation of clean bedding varied from <1 to 25 mg/m(3). When used in the cages of rats or mice for 4 days, the dust concentration of the beddings decreased, increased or stayed the same, depending on the type of bedding and animal species. A decrease in dustiness was, however, more common. The levels in the soiled beddings varied from <1 to 8.6 mg/m(3). In the case of the aspen chip bedding, the contents of bedding used in mouse, rat or rabbit cages were analysed for mesophilic bacteria and fungi, mycobacteria and endotoxins. All of these contaminants were variably found in the bedding samples, the maximal concentrations for bacteria were >6 500 000 colony-forming units (cfu)/g, for fungi 212 000 cfu/g, and for endotoxins 6500 ng/g (81 000 EU/g). The results showed that the bedding of laboratory animals may contain biologically effective compounds, and that these may be distributed into the ambient air depending on the characteristics of the bedding material. The dustiness of different bedding types is an important factor affecting the amount and quality of the occupational exposure of the personnel to airborne contaminants.
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Pandemic influenza-implications for critical care resources in Australia and New Zealand.
Anderson, Therese A; Hart, Graeme K; Kainer, Marion A
2003-09-01
To quantify resource requirements (additional beds and ventilator capacity), for critical care services in the event of pandemic influenza. Cross-sectional survey about existing and potential critical care resources. Participants comprised 156 of the 176 Australasian (Australia and New Zealand) critical care units on the database of the Australian and New Zealand Intensive Care Society (ANZICS) Research Centre for Critical Care Resources. The Meltzer, Cox and Fukuda model was adapted to map a range of influenza attack rate estimates for hospitalisation and episodes likely to require intensive care and to predict critical care admission rates and bed day requirements. Estimations of ventilation rates were based on those for community-acquired pneumonia. The estimated extra number of persons requiring hospitalisation ranged from 8,455 (10% attack rate) to 150,087 (45% attack rate). The estimated number of additional admissions to critical care units ranged from 423 (5% admission rate, 10% attack rate) to 37,522 (25% admission rate, 45% attack rate). The potential number of required intensive care bed days ranged from 846 bed days (2 day length of stay, 10% attack rate) to 375,220 bed days (10 day length of stay, 45% attack rate). The number of persons likely to require mechanical ventilation ranged from 106 (25% of projected critical care admissions, 10% attack rate) to 28,142 (75% of projected critical care admissions, 45% attack rate). An additional 1,195 emergency ventilator beds were identified in public sector and 248 in private sector hospitals. Cancellation of elective surgery could release a potential 76,402 intensive care bed days (per annum), but in the event of pandemic influenza, 31,150 bed days could be required over an 8- to 12-week period. Australasian critical care services would be overwhelmed in the event of pandemic influenza. More work is required in relation to modelling, contingency plans, and resource allocation.
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Mahmoudian-Dehkordi, Amin; Sadat, Somayeh
2017-01-01
Many jurisdictions are facing increased demand for intensive care. There are two long-term investment options: intensive care unit (ICU) versus step-down or intermediate care unit (IMCU) capacity expansion. Relative cost-effectiveness of the two investment strategies with regard to patient lives saved has not been studied to date. We expand a generic system dynamics simulation model of emergency patient flow in a typical hospital, populated with empirical evidence found in the medical and hospital administration literature, to estimate the long-term effects of expanding ICU versus IMCU beds on patient lives saved under a common assumption of 2.1% annual increase in hospital arrivals. Two alternative policies of expanding ICU by two beds versus introducing a two-bed IMCU are compared over a ten-year simulation period. Russel equation is used to calculate total cost of patients' hospitalization. Using two possible values for the ratio of ICU to IMCU cost per inpatient day and four possible values for the percentage of patients transferred from ICU to IMCU found in the literature, nine scenarios are compared against the baseline scenario of no capacity expansion. Expanding ICU capacity by two beds is demonstrated as the most cost-effective scenario with an incremental cost-effectiveness ratio of 3684 (US $) per life saved against the baseline scenario. Sensitivity analyses on the mortality rate of patients in IMCU, direct transfer of IMCU-destined patients to the ward upon completing required IMCU length of stay in the ICU, admission of IMCU patient to ICU, adding two ward beds, and changes in hospital size do not change the superiority of ICU expansion over other scenarios. In terms of operational costs, ICU beds are more cost effective for saving patients than IMCU beds. However, capital costs of setting up ICU versus IMCU beds should be considered for a complete economic analysis.
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Maldonado, Florian; Koether, S.L.
1983-01-01
A continuously cored drill hole designated as USW G-2, located at Yucca Mountain in southwestern Nevada, penetrated 1830.6 m of Tertiary volcanic strata composed of abundant silicic ash-flow tuffs, minor lava and flow breccias, and subordinate volcaniclastic rocks. The volcanic strata penetrated are comprised of the following in descending order: Paintbrush Tuff (Tiva Canyon Member, Yucca Mountain Member, bedded tuff, Pah Canyon Member, and Topopah Spring Member), tuffaceous beds of Calico Hills, Crater Flat Tuff (Prow Pass Member, Bullfrog Member, and Tram unit), lava and flow breccia (rhyodacitic), tuff of Lithic Ridge, bedded and ash-flow tuff, lava and flow breccia (rhyolitic, quartz latitic, and dacitic), bedded tuff, conglomerate and ash-flow tuff, and older tuffs of USW G-2. Comparison of unit thicknesses at USW G-2 to unit thicknesses at previously drilled holes at Yucca Mountain indicate the following: (1) thickening of the Paintbrush Tuff members and tuffaceous beds of Calico Hills toward the northern part of Yucca Mountain; (2) thickening of the Prow Pass Member but thinning of the Bullfrog Member and Tram unit; (3) thinning of the tuff of Lithic Ridge; (4) presence of approximately 280 m of lava and flow breccia not previously penetrated by any drill hole; and (5) presence of an ash-flow tuff unit at the bottom of the drill hole not previously intersected, apparently the oldest unit penetrated at Yucca Mountain to date. Petrographic features of some of the units include: (1) decrease in quartz and K-feldspar and increases in biotite and plagioclase with depth in the tuffaceous beds of Calico Hills; (2) an increase in quartz phenocrysts from the top to the bottom members of the Crater Flat Tuff; (3) a low quartz content in the tuff of Lithic Ridge, suggesting tapping of the magma chamber at quartz-poor levels; (4) a change in zeolitic alteration from heulandite to clinoptilolite to mordenite with increasing depth; (5) lavas characterized by a rhyolitic top and dacitic base, suggesting reverse compositional zoning; and (6) presence of hydrothermal mineralization in the lavas that could be related to an intrusive under Yucca Mountain or to volcanism associated with the Timber Mountain-Claim Canyon caldera complex. A fracture analysis of the core resulted n tabulation of 7,848 fractures, predominately open and high angle. The fractures were filled or coated with material in various combinations and include the following in decreasing abundance: CaCo3, iron oxides and hydroxides, SiO2, manganese oxides and hydroxides, clays and zeolites. An increase in the intensity of fracturing can be correlated with the following: (1) densely welded zones, (2) lithophysal zones, (3) vitrophyre, (4) silicified zones, (5) fault zones, and (6) cooling joints. Numerous fault zones were penetrated by the drill hole, predominately in the lithophysal zone of the Topopah Spring Member and below the tuffaceous beds of Calico Hills. The faults are predominately high angle with both a vertical and lateral component. Three major faults were penetrated, two of which intersect the ground surface, with displacements of at least 20 m and possibly as much as 52 m. The faults and some fractures are probably related to the regional doming of the area associated with the volcanism-tectonism of the Timber Mountain-Claim Canyon caldera complex, and to Basin and Range tectonism.
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Deep particle bed dryout model based on flooding
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kuan, P.
1987-01-01
Examination of the damaged Three Mile island Unit 2 (TMI-2) reactor indicates that a deep (approx. 1-m) bed of relatively large (approx. 1-mm) particles was formed in the core. Cooling of such beds is crucial to the arrest of core damage progression. The Lipinski model, based on flows in the bed, has been used to predict the coolability, but uncertainties exist in the turbulent permeability. Models based on flooding at the top of the bed either have a dimensional viscosity term, or no viscosity dependence, thus limiting their applicability. This paper presents a dimensionless correlation based on flooding data thatmore » involves a liquid Reynolds number. The derived dryout model from this correlation is compared with data for deep beds of large particles at atmospheric pressure, and with other models over a wide pressure range. It is concluded that the present model can give quite accurate predictions for the dryout heat flux of particle beds formed during a light water reactor accident and it is easy to use and agrees with the Lipinski n = 5 model, which requires iterative calculations.« less
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Freiman, M P
1990-01-01
We performed detailed simulations of DRG-based payments to general hospitals for treatment of nonexempt psychiatric and medical/surgical patients under Medicare's prospective payment system (PPS). We then compared these results to calculated costs for the same patients. Hospitals without specialized psychiatric units tend to fare better financially on their psychiatric than on their medical/surgical caseloads, although the levels of gain for these two types of patients are correlated. Hospitals with nonexempt psychiatric units generally have similar rates of gain on psychiatric and medical/surgical patients. Comparing psychiatric treatment in "scatter-bed" sites with that provided in nonexempt units, the higher rate of gain under PPS for treatment in scatter beds results largely from shorter lengths of stay. We discuss hospital behavior and the relationships between treatment of psychiatric illness under DRG-based payment and its treatment in exempt psychiatric units, which are excluded from DRG-based payment. PMID:2123839
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Brackish to hypersaline lake dolostones of the Mississippian
NASA Astrophysics Data System (ADS)
Bennett, Carys; Kearsey, Timothy; Davies, Sarah; Millward, David; Marshall, John
2016-04-01
Flat-lying ferroan dolomite beds are common in the Mississippian and occur along the southern margin of Laurassia, from Kentucky USA to Poland. These rocks are important as they record shallow marine to coastal plain environments that may have acted as a pathway or refugia for animals that were radiating into freshwaters such as tetrapods, fish, molluscs and arthropods. This study is a contribution to the TW:eed Project (Tetrapod World: early evolution and diversification), that examines the rebuilding of Carboniferous ecosystems following a mass extinction at the end of the Devonian. The project focuses on the Tournaisian Ballagan Formation of Scotland, which contains rare fish and tetrapod fossils. The formation is characterised by an overbank facies association of siltstone, sandstone and palaeosols, interbedded with dolostone and evaporite units, and cut by fluvial sandstone facies associations of fining-upwards conglomerate lags, cross-bedded sandstone and rippled siltstone. Two sites are used as a case study to describe the sedimentological, faunal and ichnofaunal diversity of these dolostones. More than 270 dolostone beds are recorded in each of the 500 metre depth Norham Core (near Berwick-upon-Tweed) and from a 520 metre thick field section at Burnmouth. The beds are laterally extensive, over ˜1 km, although individual units do not appear to correlate between the core and the field site. In the Norham Core dolostones comprise up to 14% of the succession. 17% of the beds contain marginal marine fossils: Spirorbis, rare orthocones, brachiopods and putative marine sharks. More common fauna include ostracods, bivalves, plants, eurypterids, gastropods and sarcopterygian fish, which are interpreted as brackish to freshwater tolerant. Bioturbation is fairly common with Serpula colonies within dolostone beds and Chondrites burrowing down from the base of dolostone beds. Some rare units in the field section have a bulbous bed surface and preserve tree root traces, and 9% of all dolostone beds in the Norham Core are pedogenically altered. The isotopic composition of dolomite beds is δ18O -3.6‰ to -1.7‰ and δ13C -2.6‰ to 1.6‰ which is consistent with a brackish as opposed to marine origin. The dolostones are categorised by their sedimentary composition: Facies 1: Cemented siltstone and sandstone; Facies 2: Homogeneous micrite to micro-crystaline dolomite, within a clay matrix; Facies 3: Bedded dolomite and siltstone; Facies 4: Mixed calcite and dolomite; Facies 5: Dolomite with gypsum and anhydrite. Formation processes are diverse, and include diagenetic cementation (Facies 1), deposition in saline (brackish) lakes (Facies 2), deposition in saline lakes with clastic sediment input (Facies 3), lagoonal to shallow-marine carbonate deposition (Facies 4), and hypersaline lake to sabkha environments (Facies 5). 60% of the beds are facies 2 or 3 and their sedimentology, fauna, ichnofauna and isotopic composition indicate a brackish-water origin. Other Mississippian dolostones from around the world also contain a fairly restricted fauna and have been interpreted as brackish water deposits. The mechanism of dolomite formation under these conditions is discussed. These dolostones provided extensive coastal lakes that may have been an important habitat for tetrapods and other transitional groups during the Mississippian.
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Barnett, S.F.; Ettensohn, F.R.; Norby, R.D.
1996-01-01
Black shales previously interpreted to be Late Devonian cave-fill or slide deposits are shown to be much older Middle Devonian black shales only preserved locally in Middle Devonian grabens and structural lows in central Kentucky. This newly recognized - and older -black-shale unit occurs at the base of the New Albany Shale and is named the Carpenter Fork Bed of the Portwood Member of the New Albany Shale after its only known exposure on Carpenter Fork in Boyle County, central Kentucky; two other occurrences are known from core holes in east-central Kentucky. Based on stratigraphic position and conodont biostratigraphy, the unit is Middle Devonian (Givetian: probably Middle to Upper P. varcus Zone) in age and occurs at a position represented by an unconformity atop the Middle Devonian Boyle Dolostone and its equivalents elsewhere on the outcrop belt. Based on its presence as isolated clasts in the overlying Duffin Bed of the Portwood Member, the former distribution of the unit was probably much more widespread - perhaps occurring throughout western parts of the Rome trough. Carpenter Fork black shales apparently represent an episode of subsidence or sea-level rise coincident with inception of the third tectophase of the Acadian orogeny. Deposition, however, was soon interrupted by reactivation of several fault zones in central Kentucky, perhaps in response to bulge migration accompanying start of the tectophase. As a result, much of central Kentucky was uplifted and tilted, and the Carpenter Fork Bed was largely eroded from the top of the Boyle, except in a few structural lows like the Carpenter Fork graben where a nearly complete record of Middle to early Late Devonian deposition is preserved.
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Wilcox, R.E.; Naeser, C.W.
1992-01-01
For many years the numerous deposits of so-called 'Pearlette volcanic ash' in the Great Plains region of the United States were considered to be the remnants of the same volcanic event, and were used as a time-stratigraphic marker of probable Middle Pleistocene age. Although a few early workers had suggested that more than one air-fall event might be represented among the Pearlette occurrences, it was not until the latter half of the present century, after identification of volcanic ash beds by detailed chemical and mineralogical methods had been developed, that it could be established that the 'Pearlette family' of volcanic ashes included three ash beds of subtly differing characteristics. Development of isotopic methods of age determination has established that the ages of the three are significantly different (2.09, 1.29, and 0.60 Ma). The area of distribution of the Pearlette family ash beds was found to include not only the Great Plains, but also to extend across the Rocky Mountain and the Basin and Range provinces to the Pacific Ocean. The search for the sources of these three similar appearing ash beds, facilitated greatly by information gained from concurrent mapping projects underway in areas of major Late Cenozoic volcanic activity in western United States, ultimately led to the sites of the caldera-forming eruptions in the Yellowstone National Park region. ?? 1992.
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Redesign of the Extravehicular Mobility Unit Airlock Cooling Loop Recovery Assembly
NASA Technical Reports Server (NTRS)
Steele, John; Elms, Theresa; Peyton, Barbara; Rector, Tony; Jennings, Mallory A.
2016-01-01
During EVA (Extravehicular Activity) 23 aboard the ISS (International Space Station) on 07/16/2013 an episode of water in the EMU (Extravehicular Mobility Unit) helmet occurred, necessitating a termination of the EVA (Extravehicular Activity) shortly after it began. The root cause of the failure was determined to be ground-processing short-comings of the ALCLR (Airlock Cooling Loop Recovery) Ion Beds which led to various levels of contaminants being introduced into the Ion Beds before they left the ground. The Ion Beds were thereafter used to scrub the failed EMU cooling water loop on-orbit during routine scrubbing operations. The root cause investigation identified several areas for improvement of the ALCLR Assembly which have since been initiated. Enhanced washing techniques for the ALCLR Ion Bed have been developed and implemented. On-orbit cooling water conductivity and pH analysis capability to allow the astronauts to monitor proper operation of the ALCLR Ion Bed during scrubbing operation is being investigation. A simplified means to acquire on-orbit EMU cooling water samples have been designed. Finally, an inherently cleaner organic adsorbent to replace the current lignite-based activated carbon, and a non-separable replacement for the separable mixed ion exchange resin are undergoing evaluation. These efforts are undertaken to enhance the performance and reduce the risk associated with operations to ensure the long-term health of the EMU cooling water circuit.
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Redesign of the Extravehicular Mobility Unit Airlock Cooling Loop Recovery Assembly
NASA Technical Reports Server (NTRS)
Steele, John; Elms, Theresa; Peyton, Barbara; Rector, Tony; Jennings, Mallory
2016-01-01
During EVA (Extravehicular Activity) 23 aboard the ISS (International Space Station) on 07/16/2013 an episode of water in the EMU (Extravehicular Mobility Unit) helmet occurred, necessitating a termination of the EVA (Extravehicular Activity) shortly after it began. The root cause of the failure was determined to be ground-processing short-comings of the ALCLR (Airlock Cooling Loop Recovery) Ion Beds which led to various levels of contaminants being introduced into the Ion Beds before they left the ground. The Ion Beds were thereafter used to scrub the failed EMU cooling water loop on-orbit during routine scrubbing operations. The root cause investigation identified several areas for improvement of the ALCLR Assembly which have since been initiated. Enhanced washing techniques for the ALCLR Ion Bed have been developed and implemented. On-orbit cooling water conductivity and pH analysis capability to allow the astronauts to monitor proper operation of the ALCLR Ion Bed during scrubbing operation is being investigated. A simplified means to acquire on-orbit EMU cooling water samples has been designed. Finally, an inherently cleaner organic adsorbent to replace the current lignite-based activated carbon, and a non-separable replacement for the separable mixed ion exchange resin are undergoing evaluation. These efforts are undertaken to enhance the performance and reduce the risk associated with operations to ensure the long-term health of the EMU cooling water circuit.
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NASA Astrophysics Data System (ADS)
Blaszczuk, Artur; Nowak, Wojciech
2016-10-01
In the present work, the heat transfer study focuses on assessment of the impact of bed temperature on the local heat transfer characteristic between a fluidized bed and vertical rifled tubes (38mm-O.D.) in a commercial circulating fluidized bed (CFB) boiler. Heat transfer behavior in a 1296t/h supercritical CFB furnace has been analyzed for Geldart B particle with Sauter mean diameter of 0.219 and 0.246mm. The heat transfer experiments were conducted for the active heat transfer surface in the form of membrane tube with a longitudinal fin at the tube crest under the normal operating conditions of CFB boiler. A heat transfer analysis of CFB boiler with detailed consideration of the bed-to-wall heat transfer coefficient and the contribution of heat transfer mechanisms inside furnace chamber were investigated using mechanistic heat transfer model based on cluster renewal approach. The predicted values of heat transfer coefficient are compared with empirical correlation for CFB units in large-scale.
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Use of a fluidized bed for the thermal and chemicothermal treatment of metals
NASA Astrophysics Data System (ADS)
Varygin, N. N.; Ol'shanov, E. Ya.
1971-06-01
An investigation of the heat processes in a fluidized bed shows that this unit has a high heating rate and cooling rate, and allows direct control in the process of heat treatment; chemicothermal processing is speeded up 3-5 times. Examples of experimental-industrial and industrial use show the advantages of using the fluidized bed for rapid nonoxidative heating for thermal processing and pressure processing, and also for replacing expensive salt and metal baths. The use of the fluidized bed is promising for heating temperature-sensitive aluminum and other nonferrous alloys, and for heat processing refractory metals, and alloys [45], etc. It is desirable to use the fluidized bed as the cooling medium to achieve optimum cooling with reduced stresses in components of especially complex configuration. It would be promising to use the fluidized bed for carrying out chemicothermal processing and for creating new processes (including surface saturation with rare metals), especially with the application of electrical, and possibly strong magnetic, fields.
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Mechanical vs. manual cleaning of hospital beds: a prospective intervention study.
Hopman, J; Nillesen, M; de Both, E; Witte, J; Teerenstra, S; Hulscher, M; Voss, A
2015-06-01
Cleaning regimens for hospital beds were evaluated in the context of a rising prevalence of highly resistant micro-organisms and increasing financial pressure on healthcare systems. Dutch hospitals have to choose between standardized, mechanical bed-washers advised in national guidance and manual cleaning. To evaluate the quality of mechanical and manual bed-cleaning regimens. The multi-faceted analysis of bed-cleaning regimens consisted of three steps. In Step 1, the training of the domestic service team was evaluated. In Step 2, the cleaning quality of manual and mechanical regimens was assessed. Soiled beds, obtained at random, from different departments were evaluated using microbiological analysis (N = 40) and ATP (N = 20). ATP and microbiological contamination were measured in five predetermined locations on all beds. In Step 3, manual cleaning was introduced over a two-month pilot study at the surgical short-stay unit, and beds from other departments were processed according to the 'gold standard' mechanical cleaning. ATP levels were evaluated in three locations on 300 beds after cleaning. Training was found to improve the quality of cleaning significantly. Mechanical cleaning resulted in significantly lower ATP levels than manual cleaning. Mechanical cleaning shows less variation and results in consistently lower ATP levels than manual cleaning. Copyright © 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
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Evaluation of a model community-wide bed bug management program in affordable housing.
Cooper, Richard A; Wang, Changlu; Singh, Narinderpal
2016-01-01
Low-income apartment communities in the United States are suffering from disproportionally high bed bug, Cimex lectularius L., infestations owing to lack of effective monitoring and treatment. Studies examining the effectiveness of integrated pest management (IPM) for the control of bed bugs in affordable housing have been limited to small subsets of bed-bug-infested apartments, rather than at the apartment community level. We developed, implemented and evaluated a complex-wide IPM program for bed bugs in an affordable housing community. Proactive inspections and biweekly treatments using a combination of non-chemical and chemical methods until bed bugs were not detected for three biweekly monitoring visits were key elements of the IPM program. A total of 55 bed-bug-infested apartments were identified during the initial inspection. Property management was unaware of 71% of these infestations. Over the next 12 months, 14 additional infested apartments were identified. The IPM program resulted in a 98% reduction in bed bug counts among treated apartments and reduced infestation rates from 15 to 2.2% after 12 months. Adopting a complex-wide bed bug IPM program, incorporating proactive monitoring, and biweekly treatments of infested apartments utilizing non-chemical and chemical methods can successfully reduce infestation rates to very low levels. © 2015 Society of Chemical Industry.
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NASA Astrophysics Data System (ADS)
Sari, Bilal; Kandemir, Raif; Özer, Sacit; Walaszczyk, Ireneusz; Görmüş, Muhittin; Demircan, Huriye; Yilmaz, Cemil
2014-12-01
The upper Campanian (Cretaceous) of the Hacımehmet area (south of the city of Trabzon; Eastern Pontides) is mainly composed of calciclastic turbidites. The basinal unit of the 119 m thick succession includes thin red pelagic limestone interlayers and conglomerates dominated by volcanic clasts. The overlying upper slope and lower slope units of the sequence consist of an alternation of allochthonous calcarenite/calcirudite beds and pelagic marls and mudstones. Calcarenite/calcirudite beds dominate the upper slope unit of the succession and are composed of transported material, including benthic foraminifers, red algae, bryozoan, crinoid and rudist fragments, inoceramid bivalve prisms and neritic and pelagic carbonate lithoclasts. The occurrence of Helicorbitoides boluensis (Sirel) extracted from the calcarenite/calcirudite beds indicates a Campanian age. Identifiable rudists such as Joufia reticulata Boehm, Bournonia cf. anatolica Ozer, Biradiolites cf. bulgaricus Pamouktchiev and ?Biradiolites sp. from the upper slope unit of the succession indicate a late Campanian- Maastrichtian age. The planktonic foraminifers within the red pelagic limestone beds, marls and mudstones throughout the succession consist mainly of Campanian-Maastrichtian forms and suggest mainly basinal depositional conditions. The presence of Radotruncana cf. calcarata (Cushman) accompanied by Globotruncanita elevata (Brotzen) in the basinal unit of the succession indicates an early late Campanian age for the lower part of the succession. Inoceramid bivalves have been collected from the upper part of the succession. The fauna is dominated by `Inoceramus' tenuilineatus Hall and Meek, 1854 and Cataceramus haldemensis (Giers, 1964); other taxa recognised are: `Inoceramus' algeriensis Heinz, 1932, Platyceramus vanuxemi (Meek and Hayden, 1860), `Inoceramus' cf. nebrascensis Owen, 1852, Cataceramus aff. barabini (Morton, 1834), Cataceramus gandjaensis (Aliev, 1956), and `Inoceramus' sp.; the assemblage indicates the `Inoceramus' tenuilineatus Zone; corresponding to the middle-late Campanian boundary interval. The uppermost part of the succession is characterized by the presence of the trace fossils Scolicia strozzii and Scolicia isp., indicating a mixed Skolithos-Cruziana ichnofacies. This ichnofacies suggests a well-oxygenated environment.
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Evaluation of selected chemical processes for production of low-cost silicon, phase 3
NASA Technical Reports Server (NTRS)
Blocher, J. M., Jr.; Browning, M. F.; Seifert, D. A.
1981-01-01
A Process Development Unit (PDU), which consisted of the four major units of the process, was designed, installed, and experimentally operated. The PDU was sized to 50MT/Yr. The deposition took place in a fluidized bed reactor. As a consequences of the experiments, improvements in the design an operation of these units were undertaken and their experimental limitations were partially established. A parallel program of experimental work demonstrated that Zinc can be vaporized for introduction into the fluidized bed reactor, by direct induction-coupled r.f. energy. Residual zinc in the product can be removed by heat treatment below the melting point of silicon. Current efficiencies of 94 percent and above, and power efficiencies around 40 percent are achievable in the laboratory-scale electrolysis of ZnCl2.
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Devendra Amatya; G.M. Chescheir; J.E. Nettles
2016-01-01
Preliminary results indicate that switchgrass (Panicum virgatum L.), grown as a cellulosic biofuel between managed loblolly pine (Pinus taeda L.) beds on the Atlantic Coastal Plain forests has no significant effect on shallow ground water table and stream outflows. Although management operations (e.g. harvesting, shearing between pine rows, raking, and bedding)...
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Code of Federal Regulations, 2013 CFR
2013-07-01
... collected—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Code of Federal Regulations, 2014 CFR
2014-07-01
... operating—PR. d e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Code of Federal Regulations, 2010 CFR
2010-07-01
... temperature established in the NCS or operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...
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Code of Federal Regulations, 2011 CFR
2011-07-01
... temperature established in the NCS or operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...
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Code of Federal Regulations, 2014 CFR
2014-07-01
... collected—PR. d e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Code of Federal Regulations, 2012 CFR
2012-07-01
... temperature established in the NCS or operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...
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Code of Federal Regulations, 2013 CFR
2013-07-01
... operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...
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Rotary plant growth accelerating apparatus. [weightlessness
NASA Technical Reports Server (NTRS)
Dedolph, R. D. (Inventor)
1975-01-01
Rotary plant growth accelerating apparatus for increasing plant yields by effectively removing the growing plants from the constraints of gravity and increasing the plant yield per unit of space is described. The apparatus is comprised of cylindrical plant beds supported radially removed from a primary axis of rotation, with each plant bed being driven about its own secondary axis of rotation and simultaneously moved in a planetary path about the primary axis of rotation. Each plant bed is formed by an apertured outer cylinder, a perforated inner cylinder positioned coaxially, and rooting media disposed in the space between. A rotatable manifold distributes liquid nutrients and water to the rooting media through the perforations in the inner cylinders as the plant beds are continuously rotated by suitable drive means.
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NASA Astrophysics Data System (ADS)
Ridgway, K. D.; Bahlburg, H.; Childress, L. B.; Cowan, E. A.; Forwick, M.; Moy, C. M.; Müller, J.; Ribeiro, F.; Gupta, S.; Gulick, S. P.; Jaeger, J. M.
2013-12-01
The marine sedimentary record of Miocene to Pleistocene tectonics and glaciation is well preserved along the southern Alaska convergent margin. This margin is well suited for linking proximal to distal sediment transport processes because sediment is being generated by glacial erosion in the highest coastal mountain range on earth and subsequently being transported to the Aleutian subduction zone. We will discuss the sedimentary record from two end members of this system: (1) the proximal marine record now exposed onshore in the high peaks of the coastal ranges, and (2) the offshore distal record preserved in the Surveyor submarine fan system that was cored during the 2013 IODP Expedition 341. Onshore the Miocene non-glacial strata are represented by the Poul Creek Fm. This unit is 2000 m thick and in its upper part consists of mudstone, thin sandstone beds (10-30 cm thick), and thick bedded (1-2 m) highly bioturbated green sandstone beds that contain hummocky stratification. We interpret this unit as being deposited mainly in marine shelf environments. A gradational contact between the Poul Creek and the overlying upper Miocene-Pleistocene Yakataga Formation is marked by a transition to mudstone, thick bedded sandstone and glacial diamictite. This transition to glacial dominated deposition is interpreted to have occurred around 5 Ma based on previous studies. The onshore glacimarine strata are 5 km thick and grade up section from submarine fan to marine shelf strata. In the distal submarine fan record at IODP Site U1417, the upper Miocene strata in the lower part of the Site consist of 340 m of highly bioturbated gray to green mud interbedded with coarse sand and sandy diamict. These coarse-grained units are lithic rich with mainly sedimentary, volcanic, and coal clasts. We interpret these units as being derived from coal-bearing sedimentary strata exposed in the onshore thrust belt. These facies are interbedded with diatom ooze; we interpret this combination of facies as representing deposition of coarse-grained detritus originating from sedimentary gravity flows followed by longer periods of hemipelagic deposition. The first clear record of glacial sediment input in the distal submarine fan environment is late Pliocene - early Pleistocene muddy diamict beds that probably are the products of ice-rafting. This unit is about 30 m in thickness. The overlying 260 m of the core are mainly dark gray mud with thin beds of volcanic ash and sand/silt beds. Lonestones are common and are mainly argillite and metasiltstone clasts suggesting at least a component of sediment derivation from onshore metamorphosed parts of the Mesozoic accretionary prism. In general, the overall Neogene sedimentary record in both the proximal and distal marine settings appears to be similar but requires a sediment link between the proximal strata deposited on the Yakutat microplate and the Surveyor fan system deposited on the Pacific Plate.
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40 CFR 63.7480 - What is the purpose of this subpart?
Code of Federal Regulations, 2011 CFR
2011-07-01
..., as defined in § 63.7575 are: (a) Pulverized coal/solid fossil fuel units. (b) Stokers designed to burn coal/solid fossil fuel. (c) Fluidized bed units designed to burn coal/solid fossil fuel. (d...
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40 CFR 63.7480 - What is the purpose of this subpart?
Code of Federal Regulations, 2012 CFR
2012-07-01
..., as defined in § 63.7575 are: (a) Pulverized coal/solid fossil fuel units. (b) Stokers designed to burn coal/solid fossil fuel. (c) Fluidized bed units designed to burn coal/solid fossil fuel. (d...
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Dodek, Peter M; Wong, Hubert; Jaswal, Danny; Heyland, Daren K; Cook, Deborah J; Rocker, Graeme M; Kutsogiannis, Demetrios J; Dale, Craig; Fowler, Robert; Ayas, Najib T
2012-02-01
The objectives of this study are to describe organizational and safety culture in Canadian intensive care units (ICUs), to correlate culture with the number of beds and physician management model in each ICU, and to correlate organizational culture and safety culture. In this cross-sectional study, surveys of organizational and safety culture were administered to 2374 clinical staff in 23 Canadian tertiary care and community ICUs. For the 1285 completed surveys, scores were calculated for each of 34 domains. Average domain scores for each ICU were correlated with number of ICU beds and with intensivist vs nonintensivist management model. Domain scores for organizational culture were correlated with domain scores for safety culture. Culture domain scores were generally favorable in all ICUs. There were moderately strong positive correlations between number of ICU beds and perceived effectiveness at recruiting/retaining physicians (r = 0.58; P < .01), relative technical quality of care (r = 0.66; P < .01), and medical director budgeting authority (r = 0.46; P = .03), and moderately strong negative correlations with frequency of events reported (r = -0.46; P = .03), and teamwork across hospital units (r = -0.51; P = .01). There were similar patterns for relationships with intensivist management. For most pairs of domains, there were weak correlations between organizational and safety culture. Differences in perceptions between staff in larger and smaller ICUs highlight the importance of teamwork across units in larger ICUs. Copyright © 2012 Elsevier Inc. All rights reserved.
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Real time test bed development for power system operation, control and cyber security
NASA Astrophysics Data System (ADS)
Reddi, Ram Mohan
The operation and control of the power system in an efficient way is important in order to keep the system secure, reliable and economical. With advancements in smart grid, several new algorithms have been developed for improved operation and control. These algorithms need to be extensively tested and validated in real time before applying to the real electric power grid. This work focuses on the development of a real time test bed for testing and validating power system control algorithms, hardware devices and cyber security vulnerability. The test bed developed utilizes several hardware components including relays, phasor measurement units, phasor data concentrator, programmable logic controllers and several software tools. Current work also integrates historian for power system monitoring and data archiving. Finally, two different power system test cases are simulated to demonstrate the applications of developed test bed. The developed test bed can also be used for power system education.
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Pawaskar, Manjiri; Solo, Kirk; Valant, Jason; Schmitt, Emily; Nwankwo, Millicent; Herman, Barry K
2016-10-27
Characterize the frequency, duration, and severity of binge-eating behaviors in adults meeting DSM-5 criteria for binge-eating disorder (BED) in a large US community sample. A representative sample of US adults from the National Health and Wellness Survey was recruited from an online panel and asked to respond to an Internet survey (conducted in October 2013) that included questions designed to assess binge-eating behaviors in relation to DSM-5 BED diagnostic criteria. Of 22,397 respondents, 344 self-reported meeting DSM-5 BED criteria (BED respondents). Most BED respondents reported that binge-eating episodes had occurred for the past 7-12 months (61.0%), and 93.6% reported ≥ 2-3 binge-eating episodes/wk. All BED respondents reported that "extreme" (52.6%) or "great" (47.4%) distress levels were associated with binge-eating episodes. Among BED respondents who agreed to provide detailed binge-eating behavior data after being invited to respond to additional survey questions, 40.6% reported binge eating on average > 1 time/d, and 59.2% reported binge eating 2-3 times/d. For 44.5% of BED respondents, binge-eating duration was 31-60 minutes. BED respondents reported that they "very often" (36.6%) or "often" (34.0%) had urges to binge eat between 7-10 pm. "Feeling disgusted with oneself, depressed, or guilty afterward" was the most bothersome symptom of binge eating for BED respondents (extremely bothersome: 41.9%). Binge-eating frequency among BED respondents averaged once daily. Most BED respondents exhibited binge-eating behavior for 7-12 months, often with severe symptoms. These findings highlight the disease burden of BED and have potential implications for diagnosing and treating BED. © Copyright 2016 Physicians Postgraduate Press, Inc.
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Coastal geomorphic conditions and styles of storm surge washover deposits from Southern Thailand
NASA Astrophysics Data System (ADS)
Phantuwongraj, Sumet; Choowong, Montri; Nanayama, Futoshi; Hisada, Ken-Ichiro; Charusiri, Punya; Chutakositkanon, Vichai; Pailoplee, Santi; Chabangbon, Akkaneewut
2013-06-01
The characteristics of tropical storm washover deposits laid down during the years 2007 to 2011 along the southern peninsular coast of the Gulf of Thailand (GOT) were described in relation to their different geomorphic conditions, including perched fan, washover terrace and sheetwash lineations preserved behind the beach zone within 100 m of the shoreline. As a result, washover terrace and sheetwash lineations were found where the beach configuration was uniform and promoted an unconfined flow. Non-uniform beach configurations that promoted a confined flow resulted in a perched fan deposit. Washover sediments were differentiated into two types based on sedimentary characteristics, including (i) a thick-bedded sand of multiple reverse grading layers and (ii) a medium-bedded sand of multiple normal grading layers. In the case of thick-bedded washover deposits, the internal sedimentary structures were characterized by the presence of sub-horizontal bedding, reverse grading, lamination, foreset bedding and wavy bedding, whereas, horizontal bedding, normal grading, and dunes were the dominant structures in the medium-bedded washover sand. Rip-up clasts were rare and recognized only in the washover deposits in the bottom unit, which reflects the condition when a mud supply was available. All washover successions were found in the landward inclined-bedding with a basal sharp contact. A high elevated beach ridge associated with a large swale at the backshore proved suitable for a thick-bedded washover type, whereas a small beach ridge with uniformly flat backshore topography promoted a medium-bedded washover sediment.
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Did volcanic activity of the Emeishan large igneous province expand in Wuchiapingian times?
NASA Astrophysics Data System (ADS)
Bagherpour, Borhan; Bucher, Hugo; Yuan, Dong-Xun; Shen, Shu-zhong; Leu, Marc; Zhang, Chao
2017-04-01
Emplacement of the Emeishan Large Igneous Province (ELIP) in the Capitanian (Middle Permian) is associated with several environmental changes (e.g. facies change, carbon cycle perturbation and temperature rise) across the Guadalupian-Lopingian (G-L) interval in South China. However, most of the reported changes are within the Capitanian stage or close to the G-L boundary. Here, we report an episode of drastic environmental changes from the Pingtang syncline (S. Guizhou) that is similar with the previously known ones but which is significantly younger. The studied section represents a protracted and stepwise facies change from a benthos rich, thick-bedded and light grey shallow water limestone (Unit A) to a 30 m-thick unit with thin-bedded dark (OM-rich) radiolarian-spiculitic facies (Unit B). The latter is overlain by an 8 m-thick unit of volcaniclastic sandstone and silts defining a succession of decimetric, cyclic and thinning upward layers (Unit C). The base of the overlying medium-bedded limestone unit (Unit D) contain radiolarian and sponge spicules whose abundance progressively decrease up section with a progressive replacement by abundant benthic faunas concomitant with the transition to thick bedded limestone. A total of five conodont index species (assigned to Clarkina) of early Wuchiapingian age were recognized from Unit A and Unit B. The observed facies transition from Unit A to Unit B indicates a drastic drowning event. Unit C represents a distal turbiditic succession and the overlying Unit D shows an upward shallowing trend back to the initial shallow marine condition. Compilation of sedimentary records across G-L in South China reveals that such drowning events tend to cluster within three discrete time intervals. The drowning events may or may not end with deposition of either volcanics or volcaniclastics. Two first clusters display drowning events overlain by ELIP volcanic rocks or volcaniclastics of ELIP origin and are of Capitanian age. Only the first drowning event has been related to subsidence phase prior to the ELIP volcanism (e.g. Sun et al., 2010). The strikingly similar architecture of the Pingtang event with that of earlier Capitanian examples suggests a similar driving mechanism for these three phases of drowning/eruptive events. These results open up the possibility that ELIP volcanism extended into early Wuchiapingian times and further tests are currently under way. -Sun, Y., Lai, X., Wignall, P.B., Widdowson, M., Ali, J.R., Jiang, H., Wang, W., Yan, C., Bond, D.P.G., Védrine, S., 2010. Dating the onset and nature of the Middle Permian Emeishan large igneous province eruptions in SW China using conodont biostratigraphy and its bearing on mantle plume uplift models. Lithos 119, 20-33.
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NUCLA Circulating Atmospheric Fluidized Bed Demonstration Project
DOE Office of Scientific and Technical Information (OSTI.GOV)
Keith, Raymond E.; Heller, Thomas J.; Bush, Stuart A.
1991-01-01
This Annual Report on Colorado-Ute Electric Association's NUCLA Circulating Fluidized Bed (CFB) Demonstration Program covers the period from February 1987 through December 1988. The outline for presentation in this report includes a summary of unit operations along with individual sections covering progress in study plan areas that commenced during this reporting period. These include cold-mode shakedown and calibration, plant commercial performance statistics, unit start-up (cold), coal and limestone preparation and handling, ash handling system performance and operating experience, tubular air heater, baghouse operation and performance, materials monitoring, and reliability monitoring. During this reporting period, the coal-mode shakedown and calibration planmore » was completed. (VC)« less
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Hybrid Encapsulated Ionic Liquids for Post-Combustion Carbon Dioxide (CO 2) Capture
DOE Office of Scientific and Technical Information (OSTI.GOV)
Brennecke, Joan F; Degnan, Jr, Thomas Francis; McCready, Mark J.
Ionic liquids (ILs) and Phase Change Ionic Liquids (PCILs) are excellent materials for selective removal of carbon dioxide from dilute post-combustion streams. However, they are typically characterized as having high viscosities, which impairs their effectiveness due to mass transfer limitations, caused by the high viscosities. In this project, we are examining the benefits of encapsulating ILs and PCILs in thin polymeric shells to produce particles of approximately 100 to 600 µm in diameter that can be used in a fluidized bed absorber. The particles are produced by microencapsulation of the ILs and PCILs in CO 2-permeable polymer shells. Here wemore » report on the encapsulation of the IL and PCIL materials, thermodynamic testing of the encapsulated materials, mass transfer measurements in both a fluidized bed and a packed bed, determination of the effect of impurities (SO 2, NO x and water) on the free and encapsulated IL and PCIL, recyclability of the CO 2 uptake, selection and synthesis of kg quantities of the IL and PCIL, identification of scale-up methods for encapsulation and production of a kg quantity of the PCIL, construction and shakedown of the laboratory scale unit to test the encapsulated particles for CO 2 capture ability and efficiency, use of our mass transfer model to predict mass transfer and identify optimal properties of the encapsulated particles, and initial testing of the encapsulated particles in the laboratory scale unit. We also show our attempts at developing shell materials that are resistant to water permeation. Overall, we have shown that the selected IL and PCIL can be successfully encapsulated in polymer shells and the methods scaled up to production levels. The IL/PCIL and encapsulated IL/PCIL react irreversibly with SO 2 and NO x so the CO 2 capture unit would need to be placed after the flue gas desulfurization and NO x reduction units. However, the reaction with CO 2 in the presence of water is completely reversible. Therefore, it is not necessary to exclude water from the capsules. Mass transfer in the fluidized and packed beds confirm that the fluidized bed arrangement is preferred and that the mass transfer can be predicted accurately by the rate based model that we have developed. Absorption and desorption experiments in the laboratory scale unit show good uptake and recyclability.« less
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Comparison of Three Bed Bug Management Strategies in a Low-Income Apartment Building.
Wang, Changlu; Saltzmann, Kurt; Bennett, Gary; Gibb, Timothy
2012-04-02
Bed bug (Cimex lectularius L.) infestations are currently controlled by a variety of non-chemical and chemical methods. There have been few studies on the comparative effectiveness of these control techniques. We evaluated three bed bug management strategies in an apartment building: (1) non-chemical methods only (n = 9); (2) insecticides only (n = 6); and (3) integrated pest management including both non-chemical methods and insecticides (n = 9). The apartments were one-bedroom units occupied by seniors or people with disabilities. Bed bug numbers in each apartment were determined by visual inspection and/or installing intercepting devices under bed and sofa legs. The median (min, max) bed bug counts in the non-chemical methods only, insecticides only, and integrated pest management (IPM) treatment were: 4 (1, 57), 19 (1, 250), and 14 (1, 219), respectively prior to the treatments. The apartments were retreated if found necessary during biweekly to monthly inspections. After 10 weeks, bed bugs were found to be eliminated from 67, 33, and 44% of the apartments in the three treatment groups, respectively. The final (after 10 weeks) median (min, max) bed bug counts in the non-chemical methods only, insecticides only, and IPM treatment were: 0 (0, 134), 11.5 (0, 58), and 1 (0, 38), respectively. There were no significant differences in the speed of bed bug count reduction or the final bed bug counts. Lack of resident cooperation partially contributed to the failure in eliminating bed bugs from some of the apartments. Results of this study suggest that non-chemical methods can effectively eliminate bed bugs in lightly infested apartments.
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Zhang, Jinyu; Abbasi, Omair; Malevanchik, Lev; Mohan, Neena; Denicola, Richard; Tarangelo, Nicholas; Marzio, Dina Halegoua-De
2017-01-01
Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in the United States. Binge eating disorder (BED) is the most common form of eating disorder. NAFLD and BED have similar risk factors, including obesity, insulin resistance, and metabolic syndrome. The aim of our study was to examine prevalence of BED in NAFLD patients. We administered the Binge Eating Scale (BES), a questionnaire validated to screen for BED, to NAFLD patients at our Fatty Liver Center. Demographics were retrieved retrospectively from our electronic medical record. Of the total 95 NAFLD patients screened, 22 (23.1%) had binge eating tendencies; 6 of the 22 (6.3%) scored 27 or more points, suggestive of severe binge eating. Patient demographics included 59 females and 36 males (14 females and 8 males positive for BED). Liver disease severity and of metabolic syndrome presence were similar in both groups: 45 patients had steatosis, 25 steatohepatitis, and 24 cirrhosis, of which 10 steatosis, 5 steatohepatitis, and 7 cirrhosis patients screened positive for BED. Of the NAFLD patients with BED, 50.0% had insulin resistance, 68.2% hypertension, and 50.0% hyperlipidemia, whereas among non-BED NAFLD patients 58.9% had insulin resistance, 63.0% hypertension, and 67.1% hyperlipidemia. This pilot study suggests that BED may have a higher prevalence among NAFLD patients than in the general population. Based on these preliminary results, further study into the prevalence of BED is recommended. More data is need to identify effects of BED on the progression of NAFLD and role of BED treatment.
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Prolonged mechanical ventilation in Canadian intensive care units: a national survey.
Rose, Louise; Fowler, Robert A; Fan, Eddy; Fraser, Ian; Leasa, David; Mawdsley, Cathy; Pedersen, Cheryl; Rubenfeld, Gordon
2015-02-01
We sought to describe prevalence and care practices for patients experiencing prolonged mechanical ventilation (PMV), defined as ventilation for 21 or more consecutive days and medical stability. We provided the survey to eligible units via secure Web link to a nominated unit champion from April to November 2012. Weekly telephone and e-mail reminders were sent for 6 weeks. Response rate was 215 (90%) of 238 units identifying 308 patients requiring PMV on the survey day occupying 11% of all Canadian ventilator-capable beds. Most units (81%) used individualized plans for both weaning and mobilization. Weaning and mobilization protocols were available in 48% and 38% of units, respectively. Of those units with protocols, only 25% reported weaning guidance specific to PMV, and 11% reported mobilization content for PMV. Only 30% of units used specialized mobility equipment. Most units referred to speech language pathologists (88%); use of communication technology was infrequent (11%). Only 29% routinely referred to psychiatry/psychology, and 17% had formal discharge follow-up services. Prolonged mechanical ventilation patients occupied 11% of Canadian acute care ventilator bed capacity. Most units preferred an individualized approach to weaning and mobilization with considerable variation in weaning methods, protocol availability, access to specialized rehabilitation equipment, communication technology, psychiatry, and discharge follow-up. Copyright © 2014 Elsevier Inc. All rights reserved.
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Owens, James Patrick; Minard, James Pierson
1979-01-01
The 'yellow gravels' referred to by R. D. Salisbury in 1898 and the 'Trenton gravel,' as defined by H. C. Lewis in 1880, were investigated along the inner edge of the New Jersey Coastal Plain in southern New Jersey and in the northern Delmarva Peninsula. The highest level deposits, the Beacon Hill gravel, are found on only the highest hills in the New Jersey Coastal Plain. Their distribution suggests deposition from north to south across the plain. After deposition of the Beacon Hill, probably in middle or late Miocene time, a narrow valley was formed paralleling the inner edge of the New Jersey Coastal Plain between Raritan Bay and Camden. South of Camden, the valley broadened, covering much of southern New Jersey. The deposits in this valley are largely the Bridgeton Formation as we have redefined it. A second narrow valley was entrenched through the Bridgeton between Trenton and Salem, N.J. This valley broadens and covers much of the northern Delmarva Peninsula west of the Delaware River. The fill in the valley is largely the Pensauken Formation, as we have redefined it in our report. Collectively, the Beacon Hill, the Bridgeton, and the Pensauken were originally the 'yellow gravels' of Salisbury. These deposits are all fluviatile in origin and were largely formed as a series of step like downcutting channels. The Delaware Valley between Trenton and the lower Delaware Bay region is occupied by the 'Trenton gravel,' which is below the average level of the 'yellow gravels.' Two units recognized throughout the area and informally named the Spring Lake beds and the Van Sciver Lake beds are lithologically distinct from the 'yellow gravel' formations. The lithologies of the Spring Lake beds and the Van Sciver Lake beds are much more heterogeneous than those of the older formations. These two units, particularly, contain much greater amounts of silt and clay, often in thick beds. The depositional environments associated with the two units include fluviatile, estuarine, and marginal marine. Both these units are interpreted to be late Pleistocene (Sangamonian) in age.
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Tephra Blanket Record of a Violent Strombolian Eruption, Sunset Crater, Arizona
NASA Astrophysics Data System (ADS)
Wagner, K. D.; Ort, M. H.
2015-12-01
New fieldwork provides a detailed description of the widespread tephra of the ~1085 CE Sunset Crater eruption in the San Francisco Volcanic Field, Arizona, and refines interpretation of the eruptive sequence. The basal fine-lapilli tephra-fall-units I-IV are considered in detail. Units I and II are massive, with Unit I composed of angular to spiny clasts and II composed of more equant, oxidized clasts. Units III and IV have inversely graded bases and massive tops and are composed of angular to spiny iridescent and mixed iridescent and oxidized angular clasts, respectively. Xenoliths are rare in all units (<0.1%): sedimentary xenoliths are consistent with the known shallow country rock (Moenkopi and Kaibab Fms); magmatic xenoliths are pumiceous rhyolite mingled with basalt. Unit II is less sideromelane rich (20%) than Units I, III, and IV (60-80%). Above these units are at least two more coarse tephra-fall units. Variably preserved ash and fine-lapilli laminae cap the tephra blanket. This deposit is highly susceptible to reworking, and likely experienced both syn- and post-eruptive aeolian redistribution. It appears as either well sorted, alternating planar-parallel beds of ash and fine lapilli with rare wavy beds, or as cross- or planar-bedded ash. The tephra blanket as a whole is stratigraphically underlain by a fissure-fed lava flow and lapilli-fall units are intercalated with two larger flows. Mean grain size is coarsest in Unit I but coarsens in Units II-IV. Units I, III, and IV are moderately to poorly sorted with no skew. Unit II is better sorted and more coarse-skewed. Units I and III are slightly more platykurtic than II and IV. Without considering possible spatial effects introduced by dispersion patterns, bootstrap ANOVA confidence intervals suggest at least Unit II sorting and skewness are from distinct populations. Isopachs indicate Units I and II were associated with a 10-km-long fissure source. After or during Unit II's deposition, activity localized to Sunset Crater. Units III and IV were emplaced with waxing to sustained activity, and followed by at least two more sustained episodes. Two lava flows began effusing from the cone during this period and remained active after explosive activity ceased. Primary tephra deposition ended with a period of small discrete explosions.
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NASA Astrophysics Data System (ADS)
Qin, Pin-pin; Chen, Chui-ce; Pei, Shi-kang; Li, Xin
2017-06-01
The stopping distance of a runaway vehicle is determined by the entry speed, the design of aggregate-filled arrester bed and the longitudinal grade of escape ramp. Although numerous previous studies have been carried out on the influence of speed and grade on stopping distance, taking into account aggregate properties is rare. Firstly, this paper analyzes the interactions between the tire and the aggregate. The tire and the aggregate are abstracted into a big particle unit and a particle combination unit consisting of lots of aggregates, respectively. Secondly this paper proposes an assumption that this interaction is a kind of particle flow. Later, this paper uses some particle properties to describe the tire-particle unit and aggregate-particle unit respectively, then puts forward several simplified steps of modeling by particle flow code in 2 dimensions (PFC2D). Therefore, a PFC2D micro-simulation model of the interactions between the tire and the aggregate is proposed. The parameters of particle properties are then calibrated by three groups of numerical tests. The calibrated model is verified by eight full-scale arrester bed testing data to demonstrate its feasibility and accuracy. This model provides escape ramp designers a feasible simulation method not only for predicting the stopping distance but also considering the aggregate properties.
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Operation Joint Endeavor in Bosnia: telemedicine systems and case reports.
Calcagni, D E; Clyburn, C A; Tomkins, G; Gilbert, G R; Cramer, T J; Lea, R K; Ehnes, S G; Zajtchuk, R
1996-01-01
For the last several years the U.S. Department of Defense (DoD) has operated a telemedicine test bed at the U.S. Army Medical Research and Material Command's Medical Advanced Technology Management Office. The goal of this test bed is to reengineer the military health service system from the most forward deployed forces to tertiary care teaching medical centers within the United States by exploiting emerging telemedicine technologies. The test bed has conducted numerous proof-of-concept telemedicine demonstrations as part of military exercises and in support of real-world troop deployments. The most ambitious of those demonstrations is Primetime III, an ongoing effort to provide telemedicine and other advanced technology support to medical units supporting Operation Joint Endeavor in Bosnia. Several of the first instances of the clinical use of the Primetime III systems are presented as case reports in this paper. These reports demonstrate capabilities and limitations of telemedicine. The Primetime III system demonstrates the technical ability to provide current telecommunications capabilities to medical units stationed in the remote, austere, difficult-to-serve environment of Bosnia. Telemedicine capabilities cannot be used without adequate training, operations, and sustainment support. Video consultations have eliminated the need for some evacuations. The system has successfully augmented the clinical capability of physicians assigned to these medical units. Fullest clinical utilization of telemedicine technologies requires adjustment of conventional clinical practice patterns.
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NASA Astrophysics Data System (ADS)
Holt, Nathan; Shukla, Sanjay; Hochmuth, George; Muñoz-Carpena, Rafael; Ozores-Hampton, Monica
2017-12-01
Raised-bed plasticulture, an intensive production system used around the world for growing high-value crops (e.g., fresh market vegetables), faces a water-food nexus that is actually a food-water-energy-land-economic nexus. Plasticulture represents a multibillion dollar facet of the United States crop production value annually and must become more efficient to be able to produce more on less land, reduce water demands, decrease impacts on surrounding environments, and be economically-competitive. Taller and narrower futuristic beds were designed with the goal of making plasticulture more sustainable by reducing input requirements and associated wastes (e.g., water, nutrients, pesticides, costs, plastics, energy), facilitating usage of modern technologies (e.g., drip-based fumigation), improving adaptability to a changing climate (e.g., flood protection), and increasing yield per unit area. Compact low-input beds were analyzed against conventional beds for the plasticulture production of tomato (Solanum lycopersicum), an economically-important crop, using a systems approach involving field measurements, vadose-zone modeling (HYDRUS), and production analysis. Three compact bed geometries, 61 cm (width) × 25 cm (height), 45 cm × 30 cm, 41 cm × 30 cm, were designed and evaluated against a conventional 76 cm × 20 cm bed. A two-season field study was conducted for tomato in the ecologically-sensitive and productive Everglades region of Florida. Compact beds did not statistically impact yield and were found to reduce: 1) production costs by 150-450/ha; 2) leaching losses by up to 5% (1 cm/ha water, 0.33 kg/ha total nitrogen, 0.05 kg/ha total phosphorus); 3) fumigant by up to 47% (48 kg/ha); 4) plasticulture's carbon footprint by up to 10% (1711 kg CO2-eq/ha) and plastic waste stream by up to 13% (27 kg/ha); 5) flood risks and disease pressure by increasing field's soil water storage capacity by up to 33% (≈1 cm); and 6) field runoff by 0.48-1.40 cm (51-76%) based on HYDRUS model simulations of 10-year, 2-h storm events in other major tomato production regions of California and Virginia. Re-designing the bed geometries in plasticulture production systems to be more compact is an example of win-win production optimization not only for traditional farms in rural areas but also for urban and peri-urban farms which are located closer to city centers. Compact beds could enable more plants per unit area, thus requiring less land area for the same production. Needing less area facilitates urban and peri-urban farming where land values can be high. Urban and peri-urban farming has several benefits, including reductions in transportation energy as production is closer to market and the ability for city wastewater to be reused for irrigation instead of freshwater withdrawals. Compact beds allow plasticulture to have smaller water, chemical, energy, carbon, waste, and economic footprints without impacting production. Improving agricultural systems in this way could enhance economic and environmental viability, which is essential for a sustainable food-water-energy-land-economic nexus.
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Guarascio-Howard, Linda
2011-01-01
A medical-surgical unit in a southwestern United States hospital examined the results of adding wireless communication technology to assist nurses in identifying patient bed status changes and enhancing team communication. Following the addition of wireless communication, response time to patient calls and the number of nurse-initiated communications were compared to pre-wireless calls and response time sampling period. In the baseline study, nurse-initiated communications and response time to patient calls were investigated for a team nursing model (Guarascio-Howard & Malloch, 2007). At this time, technology consisted of a nurse call system and telephones located at each decentralized nurse station and health unit coordinator (HUC) station. For this follow-up study, a wireless device was given to nurses and their team members following training on device use and privacy issues. Four registered nurses (RNs) were shadowed for 8 hours (32 hours total) before and after the introduction of the wireless devices. Data were collected regarding patient room visits, number of patient calls, bed status calls, response time to calls, and the initiator of the communication episodes. Follow-up study response time to calls significantly decreased (t-test p = .03). RNs and licensed practical nurses responded to bed status calls in less than 1 minute-62% of the 37 calls. Communication results indicated a significant shift (One Proportion Z Test) in RN-initiated communications, suggesting an enhanced ability to communicate with team members and to assist in monitoring patient status. Patient falls trended downward, although not significantly (p > .05), for a 6-month period of wireless technology use compared to the same period the previous year. The addition of a wireless device has advantages in team nursing, namely increasing communication with staff members and decreasing response time to patient and bed status calls. Limitations of the study included a change in caregiver team members and issues regarding wireless device and locator badge compliance. Administrative issues that arose during this field study included bed and cable maintenance, device battery charging, and the training of new and floating team members.
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NASA Astrophysics Data System (ADS)
Go, S. Y.; Kim, G. B.; Jeong, J. O.; Sohn, Y. K.
2017-03-01
The Songaksan tuff ring, Jeju Island, Korea, which erupted ca. 3.7 ka BP in a coastal setting, provides an unusual opportunity to study the processes of phreatomagmatic eruption and the formation of a diatreme because of the exceptionally well-preserved ejecta beds and well-known subsurface geology. The tuff sequence can be divided into four units (A to D), which have distinctly different accidental componentry (quartz-rich vs. quartz-poor), grain surface features (abraded and ash-coated vs. unabraded and uncoated), and chemical compositions of juvenile particles. The basal tephra bed of unit A, which probably erupted after the removal of the relatively hard shallow-level (<120 m deep) substrate by initial cratering, comprises only unabraded and uncoated grains and contains abundant relatively deep-derived (>120 m deep) accidental grains, suggesting that the early erupted tephra had not yet experienced recycling and pre-eruption mixing in the diatreme. On the other hand, the overlying tephra beds of units A, B, and D contain an abundance of abraded and ash-coated juvenile/accidental grains, suggesting that the tephra comprised significant proportions of "recycled" or "premixed" materials from previous eruptions or subsurface explosions, which participated in the explosion-driven mixing in the diatreme before eventual ejection from the diatreme. Unit C is unusual in that it comprises extremely rare accidental grains and ash-coated juvenile/accidental grains. We interpret that the supply of solid materials, either accidental or juvenile, to the diatreme was greatly reduced because of temporary stabilization of the diatreme and the reduction in magma flux to the diatreme. The diatreme is therefore envisaged to have been filled with a water-saturated slurry, in which particle abrasion and adhesion were inhibited. We also infer that the diatreme fill was temporarily removed by a powerful explosion before eruption of unit C on the basis of the near absence of the tephra grains from earlier eruptions throughout the tephra beds of unit C. The ratio of tachylite to sideromelane grains generally increases up-section of the tuff sequence with two abrupt drops across the tuff unit boundaries. These variations are coincident with the changes in the chemical composition of juvenile particles, suggesting an overall decrease in magma flux punctuated by brief increases in magma flux associated with the arrival of new magma batches. The textural and compositional variations of the Songaksan tuff ring suggest that there can be significant variability in diatreme processes even during a purely phreatomagmatic eruption of a tuff ring, including removal and renewal of the diatreme fill, and that there is still much room for further investigation of the diatreme processes from the ejecta beds in order to make the current diatreme model more robust.
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Cooper, Richard; Wang, Changlu; Singh, Narinderpal
2015-01-01
Understanding movement and dispersal of the common bed bug (Cimex lectularius L.) under field conditions is important in the control of infestations and for managing the spread of bed bugs to new locations. We investigated bed bug movement within and between apartments using mark-release-recapture (m-r-r) technique combined with apartment-wide monitoring using pitfall-style interceptors. Bed bugs were collected, marked, and released in six apartments. The distribution of marked and unmarked bed bugs in these apartments and their 24 neighboring units were monitored over 32 days. Extensive movement of marked bed bugs within and between apartments occurred regardless of the number of bed bugs released or presence/absence of a host. Comparison of marked and unmarked bed bug distributions confirms that the extensive bed bug activity observed was not an artifact of the m-r-r technique used. Marked bed bugs were recovered in apartments neighboring five of six m-r-r apartments. Their dispersal rates at 14 or 15 d were 0.0–5.0%. The estimated number of bed bugs per apartment in the six m-r-r apartments was 2,433–14,291 at 4–7 d after release. Longevity of bed bugs in the absence of a host was recorded in a vacant apartment. Marked large nymphs (3rd– 5th instar), adult females, and adult males continued to be recovered up to 57, 113, and 134 d after host absence, respectively. Among the naturally existing unmarked bed bugs, unfed small nymphs (1st– 2nd instar) were recovered up to 134 d; large nymphs and adults were still found at 155 d when the study ended. Our findings provide important insight into the behavioral ecology of bed bugs in infested apartments and have significant implications in regards to eradication programs and managing the spread of bed bugs within multi-occupancy dwellings. PMID:26352145
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Yarnell, K; Le Bon, M; Turton, N; Savova, M; McGlennon, A; Forsythe, S
2017-01-01
To compare the rate of growth of four microbial strains that cause disease in the horse, on four commonly used types of bedding. The moisture-holding capacity of each bedding type was also tested. Microbial strains included Streptococcus equi, Streptococcus zooepidemicus, Fusobacterium necrophorum, Dichelobacter nodosus and Dermatophilus congolensis. The bedding types tested were Pinus sylvestris (Scots pine shavings), Pinus nigra (Corsican pine shavings), Picea sitchensis (Sitka spruce shavings), Cannabis sativa (hemp) and chopped wheat straw. A suspension of each microbial strain was spread in triplicate on agar media and incubated in its optimal growth conditions. The viable count (colony-forming unit per ml) was determined for each bacterial strain for the five different bedding types. Pinus sylvestris bedding resulted in significantly less (P = 0·001) bacterial growth of all strains tested. Factors resulting in the inhibition of bacterial growth include the antibacterial effects reported in the Pinacea family and the physical properties of the bedding substrate. Research is currently focussed on the diagnosis and management of disease. Prevention of disease is also important for matters of biosecurity. Strategies should include the provision of a hygienic environment and the use of specific types of bedding. Bedding choice has implications for global equine health and disease prevention as well as potential benefits in other animal species. © 2016 The Society for Applied Microbiology.
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Lewis Pressurized, Fluidized-Bed Combustion Program. Data and Calculated Results
NASA Technical Reports Server (NTRS)
Rollbuhler, R. J.
1982-01-01
A 200 kilowatt (thermal), pressurized, fluidized bed (PFB) reactor and research test facility were designed, constructed, and operated. The facility was established to assess and evaluate the effect of PFB hot gas effluent on aircraft turbine engine materials that may have applications in stationary powerplant turbogenerators. The facility was intended for research and development work and was designed to operate over a wide range of conditions. These conditions included the type and rate of consumption of fuel (e.g., coal) and sulfur reacting sorbent material: the ratio of feed fuel to sorbent material; the ratio of feed fuel to combustion airflow; the depth of the fluidized reaction bed; the temperature and pressure in the reaction bed; and the type of test unit that was exposed to the combustion exhaust gases.
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Lewis pressurized, fluidized-bed combustion program. Data and calculated results
NASA Astrophysics Data System (ADS)
Rollbuhler, R. J.
1982-03-01
A 200 kilowatt (thermal), pressurized, fluidized bed (PFB) reactor and research test facility were designed, constructed, and operated. The facility was established to assess and evaluate the effect of PFB hot gas effluent on aircraft turbine engine materials that may have applications in stationary powerplant turbogenerators. The facility was intended for research and development work and was designed to operate over a wide range of conditions. These conditions included the type and rate of consumption of fuel (e.g., coal) and sulfur reacting sorbent material: the ratio of feed fuel to sorbent material; the ratio of feed fuel to combustion airflow; the depth of the fluidized reaction bed; the temperature and pressure in the reaction bed; and the type of test unit that was exposed to the combustion exhaust gases.
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Goodman, D C; Fisher, E S; Little, G A; Stukel, T A; Chang , C H
2001-08-01
Despite marked growth in neonatal intensive care during the past 30 years, it is not known if neonatologists and beds are preferentially located in regions with greater newborn risk. This study reports the relationship between regional measures of intensive care capacity and low birth weight infants using newly developed market-based regions of neonatal intensive care. Cross-sectional small-area analysis of 246 neonatal intensive care regions (NICRs). 1996 American Medical Association and American Osteopathic Association masterfiles data of clinically active neonatologists; 1999 American Academy of Pediatrics Section on Perinatal Pediatrics survey of directors of neonatal intensive care units in the United States with 100% response rate; 1995 linked birth/death data. The number of total births per neonatologist across NICRs ranged from 390 to 8197 (median: 1722) and the number of total births per intensive care bed ranged from 72 to 1319 (median: 317). The associations between capacity measures and low birth weight rates across NICRs were statistically significant but negligible (R(2): 0.04 for neonatologists; 0.05 for beds). NICRs in the quintile with the greatest neonatologist capacity (average of only 863 births per neonatologist) had very low birth weight (VLBW) rates of 1.5% while those in the quintile of lowest neonatologist capacity (average of 3718 births per neonatologist) had VLBW rates of 1.3%; a similar lack of meaningful difference in VLBW rates was noted across quintiles of intensive care bed capacity. Including midlevel providers and intermediate care beds to the analyses did not alter the findings. Neonatal intensive care capacity is not preferentially located in regions with greater newborn need as measured by low birth weight rates. Whether greater capacity affords benefits to the newborns remains unknown.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Burhenne, Luisa; Giacomin, Caroline; Follett, Trevor
A laboratory-scale, fluidized-bed pellet reactor (BPR) was used to investigate a CaCO 3 crystallization process for the recovery of CO 2 in a Direct Air Capture (DAC) process. The BPR performance was validated against data from a pilot-scale unit. Subsequently, the pellet growth under process-relevant conditions was studied over a period of 144 h. The experimental results with the BPR, containing a bed of pellets sized between 0.65 and 0.84 mm, have shown that a calcium retention of 80% can be achieved at a fluidization velocity of 60 m h -1 and a calcium loading rate of 3 mol hmore » -1. This result is consistent with calcium retention observed at pilot scale operation and hence, results from the BPR are considered representative for the pilot scale unit. Starting with a bed of pellets sized between 0.15 and 0.5 mm, the average pellet growth rate, G, at the reactor bottom increased from 8.1E-10 to 11E–10 m s -1 at the onset and decreased to 4.9E–10 m s -1 over the course of a 144 h test. The calcium retention over the course the test showed the same trend (initial increase and final decrease) as the pellet growth rate. A theoretical bed growth model was developed and validated against data from the pilot scale and benchtop pellet reactors. The model was used to calculate the bed porosity and total pellet surface area in each control volume. Lastly, the pellet surface area growth at the bottom of the reactor reproduced the pellet growth and retention data trends.« less
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Burhenne, Luisa; Giacomin, Caroline; Follett, Trevor; ...
2017-10-25
A laboratory-scale, fluidized-bed pellet reactor (BPR) was used to investigate a CaCO 3 crystallization process for the recovery of CO 2 in a Direct Air Capture (DAC) process. The BPR performance was validated against data from a pilot-scale unit. Subsequently, the pellet growth under process-relevant conditions was studied over a period of 144 h. The experimental results with the BPR, containing a bed of pellets sized between 0.65 and 0.84 mm, have shown that a calcium retention of 80% can be achieved at a fluidization velocity of 60 m h -1 and a calcium loading rate of 3 mol hmore » -1. This result is consistent with calcium retention observed at pilot scale operation and hence, results from the BPR are considered representative for the pilot scale unit. Starting with a bed of pellets sized between 0.15 and 0.5 mm, the average pellet growth rate, G, at the reactor bottom increased from 8.1E-10 to 11E–10 m s -1 at the onset and decreased to 4.9E–10 m s -1 over the course of a 144 h test. The calcium retention over the course the test showed the same trend (initial increase and final decrease) as the pellet growth rate. A theoretical bed growth model was developed and validated against data from the pilot scale and benchtop pellet reactors. The model was used to calculate the bed porosity and total pellet surface area in each control volume. Lastly, the pellet surface area growth at the bottom of the reactor reproduced the pellet growth and retention data trends.« less
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Effects of Ultralow Oxygen and Vacuum Treatments on Bed Bug (Heteroptera: Cimicidae) Survival.
Liu, Yong-Biao; Haynes, Kenneth F
2016-04-22
Control of bed bugs is problematic, balancing among efficacy, safety, and cost. In this study, ultralow oxygen (ULO) and vacuum treatments were tested on bed bugs to develop a safer, effective, and environmentally friendly solution to kill bed bugs on infested items. ULO treatments were established by flushing sealed enclosures with nitrogen. All life stages of bed bugs were found to be susceptible to ULO and vacuum treatments, and efficacy of the treatments increased with reduced oxygen levels, increased treatment time, and temperature. In the ULO treatments, 100% mortality of bed bug nymphs and adults and >98% mortality of bed bug eggs were achieved in the 8-h treatment under 0.1% O 2 atmosphere at 30°C. Different levels of vacuum that yielded different oxygen levels were tested on all life stages of bed bugs. The susceptibility of different stages to vacuum treatments increased from nymphs to adults to eggs. Complete control of all life stages was achieved in 12 h under -982 mbar (-29.0 inHg) vacuum at 30°C. This study demonstrated that bed bugs were very susceptible to low oxygen stresses and ULO and vacuum treatments have potential to be used as effective and safe treatments to decontaminate bed bug-infested removable objects. Published by Oxford University Press on behalf of Entomological Society of America 2016.This work is written by US Government employees and is in the public domain in the United States.
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Behavioral Responses of the Common Bed Bug, Cimex lectularius, to Insecticide Dusts.
Agnew, John L; Romero, Alvaro
2017-08-08
Bed bugs have reemerged recently as a serious and growing problem not only in North America but in many parts of the world. These insects have become the most challenging pest to control in urban environments. Residual insecticides are the most common methods used for bed bug control; however, insecticide resistance limits the efficacy of treatments. Desiccant dusts have emerged as a good option to provide a better residual effect for bed bug control. Several studies have focused on determining the efficacy of dust-based insecticides against bed bugs. However, behavioral responses of bed bugs to insecticide dusts could influence their efficacy. The behavioral responses of bed bugs to six insecticide dusts commonly used in the United States were evaluated with an advanced video tracking technique (Ethovision). Bed bugs took longer to make first contact with areas treated with the diatomaceous earth (DE)-based products MotherEarth D and Alpine than pyrethroid, pyrethrins or silica gel based products, DeltaDust, Tempo 1% Dust and CimeXa, respectively. Lower visitation rates of bed bugs were recorded for areas treated with MotherEarth D, Alpine and CimeXa than that of DeltaDust, Tempo 1% Dust, and Tri-Die Silica + Pyrethrum Dust. Bed bugs spent less time in areas treated with Tri-Die Dust, CimeXa, Alpine, and MotherEarth D than DeltaDust and Tempo 1% Dust, and they exhibited a reduction in locomotor parameters when crawling on areas treated with CimeXa and Alpine. The implications of these responses to bed bug control are discussed.
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Behavioral Responses of the Common Bed Bug, Cimex lectularius, to Insecticide Dusts
Agnew, John L.; Romero, Alvaro
2017-01-01
Bed bugs have reemerged recently as a serious and growing problem not only in North America but in many parts of the world. These insects have become the most challenging pest to control in urban environments. Residual insecticides are the most common methods used for bed bug control; however, insecticide resistance limits the efficacy of treatments. Desiccant dusts have emerged as a good option to provide a better residual effect for bed bug control. Several studies have focused on determining the efficacy of dust-based insecticides against bed bugs. However, behavioral responses of bed bugs to insecticide dusts could influence their efficacy. The behavioral responses of bed bugs to six insecticide dusts commonly used in the United States were evaluated with an advanced video tracking technique (Ethovision). Bed bugs took longer to make first contact with areas treated with the diatomaceous earth (DE)-based products MotherEarth D and Alpine than pyrethroid, pyrethrins or silica gel based products, DeltaDust, Tempo 1% Dust and CimeXa, respectively. Lower visitation rates of bed bugs were recorded for areas treated with MotherEarth D, Alpine and CimeXa than that of DeltaDust, Tempo 1% Dust, and Tri-Die Silica + Pyrethrum Dust. Bed bugs spent less time in areas treated with Tri-Die Dust, CimeXa, Alpine, and MotherEarth D than DeltaDust and Tempo 1% Dust, and they exhibited a reduction in locomotor parameters when crawling on areas treated with CimeXa and Alpine. The implications of these responses to bed bug control are discussed. PMID:28786920
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Ruppert, Leslie F.; Trippi, Michael H.; Slucher, Ernie R.; Ruppert, Leslie F.; Ryder, Robert T.
2014-01-01
Because of the many names used to identify individual coal beds and coal zones in the historic Appalachian basin coal-mining districts, coal bed designations may differ even more than stratigraphic nomenclature. In eastern Kentucky, northwest of the Pine Mountain thrust fault on the Cumberland overthrust sheet, for example, coal beds or coal zones equivalent to the Lower Elkhorn coal zone (within the Pikeville Formation) are identified also as the Eagle coal zone, Pond Creek coal zone, and Blue Gem coal bed (fig. 1). Southeast of the Pine Mountain thrust fault, yet still in Kentucky, equivalent coals in this same interval are known as the Imboden and Rich Mountain. Moreover, this same interval of coal is identified as the Blue Gem coal in Tennessee, the Imboden coal bed or Campbell Creek or Pond Creek coal zones in Virginia, and the Eagle coal zone in West Virginia.
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Ramakrishnan, Divakar; Curtis, Wayne R
2004-10-20
Trickle-bed root culture reactors are shown to achieve tissue concentrations as high as 36 g DW/L (752 g FW/L) at a scale of 14 L. Root growth rate in a 1.6-L reactor configuration with improved operational conditions is shown to be indistinguishable from the laboratory-scale benchmark, the shaker flask (mu=0.33 day(-1)). These results demonstrate that trickle-bed reactor systems can sustain tissue concentrations, growth rates and volumetric biomass productivities substantially higher than other reported bioreactor configurations. Mass transfer and fluid dynamics are characterized in trickle-bed root reactors to identify appropriate operating conditions and scale-up criteria. Root tissue respiration goes through a minimum with increasing liquid flow, which is qualitatively consistent with traditional trickle-bed performance. However, liquid hold-up is much higher than traditional trickle-beds and alternative correlations based on liquid hold-up per unit tissue mass are required to account for large changes in biomass volume fraction. Bioreactor characterization is sufficient to carry out preliminary design calculations that indicate scale-up feasibility to at least 10,000 liters.
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NASA Astrophysics Data System (ADS)
Ishihara, Yoshiro; Yuri, Onishi; Tsuda, Keisuke; Yokokawa, Miwa
2017-04-01
Spaced planar laminations (SPL), or so-called traction carpet deposits, are frequently observed in deposits of sediment gravity flows. Several sedimentation models for a succession of inversely graded units have been suggested from field observations and flume experiments. The formation of the inversely graded unit could be summarized as follows: (1) abrupt sedimentation on freezing of an inversely graded layer, or (2) interruptions in flow causing a freezing of an inversely graded layer at the most basal part of flow. In either case, traction carpets as a bed load overlying the erosive boundary at the base of flow are required. Although some descriptions have reported SPLs forming antidune bedform-like structures and the association of SPLs with structureless massive deposits have not been clearly explained. In this study, we suggest a novel model of SPL formation by repetition of basal erosion and resurgence to high-sedimentation rates, based on detail examinations of SPLs both showing bedform-like structures and lateral extents of hundreds of meters. SPLs were investigated in the Mio-Pliocene Kiyosumi Formation in central Japan and the Miocene Aoshima Formation in southwest Japan. In a turbidite in the Kiyosumi Formation, SPLs show three mound-like structures, suggesting antidune bedforms with wavelengths of about 6 to 7 m. On the upcurrent flanks, SPLs show lenticular cross laminations or pinching out of units; those units do not show clear inverse grading. Rip-up mud clasts and relatively high-angle imbrications are also observed. On the other hand, SPLs on the downcurrent flanks show relatively clear inverse grading and transition downcurrent into a massive structureless bed. In the Aoshima Formation, SPLs with ca. 1 cm unit thickness continue approximately 50 m along a palaeocurrent direction without changes in thickness. These SPLs gradually transition upward into a massive structureless unit. From the observations described above, in addition to descriptions from previous studies, it is suggested that SPLs comprising mound-like bedforms exhibit erosive conditions in the upcurrent flanks and depositional conditions in the downcurrent flanks, whereas SPLs on flat sea-floor extensively maintain their structure. Also, massive structureless beds are observed when erosion did not occur. These facts indicate that SPLs are strongly associated with an erosional process at the base of sediment gravity flows under a supercritical flow condition. The formation of SPLs does not necessary require a traction carpet and they may reflect basal erosion with a lag deposit of fine-grained particles, followed by resurgence to conditions of high sedimentation rates and massive structureless bed deposition. Repetitions of inversely graded units could occur when basal shear stresses are changed by fluctuations of flow depth, such as internal waves in a sediment gravity flow. This model can explain the concurrence of massive structureless beds with SPLs and examples of bedform-like structures without a unit thickness control.
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Hanson, Debra L; Song, Ruiguang; Masciotra, Silvina; Hernandez, Angela; Dobbs, Trudy L; Parekh, Bharat S; Owen, S Michele; Green, Timothy A
2016-01-01
HIV incidence estimates are used to monitor HIV-1 infection in the United States. Use of laboratory biomarkers that distinguish recent from longstanding infection to quantify HIV incidence rely on having accurate knowledge of the average time that individuals spend in a transient state of recent infection between seroconversion and reaching a specified biomarker cutoff value. This paper describes five estimation procedures from two general statistical approaches, a survival time approach and an approach that fits binomial models of the probability of being classified as recently infected, as a function of time since seroconversion. We compare these procedures for estimating the mean duration of recent infection (MDRI) for two biomarkers used by the U.S. National HIV Surveillance System for determination of HIV incidence, the Aware BED EIA HIV-1 incidence test (BED) and the avidity-based, modified Bio-Rad HIV-1/HIV-2 plus O ELISA (BRAI) assay. Collectively, 953 specimens from 220 HIV-1 subtype B seroconverters, taken from 5 cohorts, were tested with a biomarker assay. Estimates of MDRI using the non-parametric survival approach were 198.4 days (SD 13.0) for BED and 239.6 days (SD 13.9) for BRAI using cutoff values of 0.8 normalized optical density and 30%, respectively. The probability of remaining in the recent state as a function of time since seroconversion, based upon this revised statistical approach, can be applied in the calculation of annual incidence in the United States.
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Smalling, Kelly L.; Reilly, Timothy J.; Sandstrom, Mark W.; Kuivila, Kathryn
2013-01-01
To document the environmental occurrence and persistence of fungicides, a robust and sensitive analytical method was used to measure 34 fungicides and an additional 57 current-use pesticides in bed sediments and suspended solids collected from areas of intense fungicide use within three geographic areas across the United States. Sampling sites were selected near or within agricultural research farms using prophylactic fungicides at rates and types typical of their geographic location. At least two fungicides were detected in 55% of the bed and 83% of the suspended solid samples and were detected in conjunction with herbicides and insecticides. Six fungicides were detected in all samples including pyraclostrobin (75%), boscalid (53%), chlorothalonil (41%) and zoxamide (22%). Pyraclostrobin, a strobilurin fungicide, used frequently in the United States on a variety of crops, was detected more frequently than p,p′-DDE, the primary degradate of p,p′-DDT, which is typically one of the most frequently occurring pesticides in sediments collected within highly agricultural areas. Maximum fungicide concentrations in bed sediments and suspended solids were 198 and 56.7 μg/kg dry weight, respectively. There is limited information on the occurrence, fate, and persistence of many fungicides in sediment and the environmental impacts are largely unknown. The results of this study indicate the importance of documenting the persistence of fungicides in the environment and the need for a better understanding of off-site transport mechanisms, particularly in areas where crops are grown that require frequent treatments to prevent fungal diseases.
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Unit Cost of Medical Services at Different Hospitals in India
Chatterjee, Susmita; Levin, Carol; Laxminarayan, Ramanan
2013-01-01
Institutional care is a growing component of health care costs in low- and middle-income countries, but local health planners in these countries have inadequate knowledge of the costs of different medical services. In India, greater utilisation of hospital services is driven both by rising incomes and by government insurance programmes that cover the cost of inpatient services; however, there is still a paucity of unit cost information from Indian hospitals. In this study, we estimated operating costs and cost per outpatient visit, cost per inpatient stay, cost per emergency room visit, and cost per surgery for five hospitals of different types across India: a 57-bed charitable hospital, a 200-bed private hospital, a 400-bed government district hospital, a 655-bed private teaching hospital, and a 778-bed government tertiary care hospital for the financial year 2010–11. The major cost component varied among human resources, capital costs, and material costs, by hospital type. The outpatient visit cost ranged from Rs. 94 (district hospital) to Rs. 2,213 (private hospital) (USD 1 = INR 52). The inpatient stay cost was Rs. 345 in the private teaching hospital, Rs. 394 in the district hospital, Rs. 614 in the tertiary care hospital, Rs. 1,959 in the charitable hospital, and Rs. 6,996 in the private hospital. Our study results can help hospital administrators understand their cost structures and run their facilities more efficiently, and we identify areas where improvements in efficiency might significantly lower unit costs. The study also demonstrates that detailed costing of Indian hospital operations is both feasible and essential, given the significant variation in the country’s hospital types. Because of the size and diversity of the country and variations across hospitals, a large-scale study should be undertaken to refine hospital costing for different types of hospitals so that the results can be used for policy purposes, such as revising payment rates under government-sponsored insurance schemes. PMID:23936088
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Comparison of Three Bed Bug Management Strategies in a Low-Income Apartment Building
Wang, Changlu; Saltzmann, Kurt; Bennett, Gary; Gibb, Timothy
2012-01-01
Bed bug (Cimex lectularius L.) infestations are currently controlled by a variety of non-chemical and chemical methods. There have been few studies on the comparative effectiveness of these control techniques. We evaluated three bed bug management strategies in an apartment building: (1) non-chemical methods only (n = 9); (2) insecticides only (n = 6); and (3) integrated pest management including both non-chemical methods and insecticides (n = 9). The apartments were one-bedroom units occupied by seniors or people with disabilities. Bed bug numbers in each apartment were determined by visual inspection and/or installing intercepting devices under bed and sofa legs. The median (min, max) bed bug counts in the non-chemical methods only, insecticides only, and integrated pest management (IPM) treatment were: 4 (1, 57), 19 (1, 250), and 14 (1, 219), respectively prior to the treatments. The apartments were retreated if found necessary during biweekly to monthly inspections. After 10 weeks, bed bugs were found to be eliminated from 67, 33, and 44% of the apartments in the three treatment groups, respectively. The final (after 10 weeks) median (min, max) bed bug counts in the non-chemical methods only, insecticides only, and IPM treatment were: 0 (0, 134), 11.5 (0, 58), and 1 (0, 38), respectively. There were no significant differences in the speed of bed bug count reduction or the final bed bug counts. Lack of resident cooperation partially contributed to the failure in eliminating bed bugs from some of the apartments. Results of this study suggest that non-chemical methods can effectively eliminate bed bugs in lightly infested apartments. PMID:26466533
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What is a hospital bed day worth? A contingent valuation study of hospital Chief Executive Officers.
Page, Katie; Barnett, Adrain G; Graves, Nicholas
2017-02-14
Decreasing hospital length of stay, and so freeing up hospital beds, represents an important cost saving which is often used in economic evaluations. The savings need to be accurately quantified in order to make optimal health care resource allocation decisions. Traditionally the accounting cost of a bed is used. We argue instead that the economic cost of a bed day is the better value for making resource decisions, and we describe our valuation method and estimations for costing this important resource. We performed a contingent valuation using 37 Australian Chief Executive Officers' (CEOs) willingness to pay (WTP) to release bed days in their hospitals, both generally and using specific cases. We provide a succinct thematic analysis from qualitative interviews post survey completion, which provide insight into the decision making process. On average CEOs are willing to pay a marginal rate of $216 for a ward bed day and $436 for an Intensive Care Unit (ICU) bed day, with estimates of uncertainty being greater for ICU beds. These estimates are significantly lower (four times for ward beds and seven times for ICU beds) than the traditional accounting costs often used. Key themes to emerge from the interviews include the importance of national funding and targets, and their associated incentive structures, as well as the aversion to discuss bed days as an economic resource. This study highlights the importance for valuing bed days as an economic resource to inform cost effectiveness models and thus improve hospital decision making and resource allocation. Significantly under or over valuing the resource is very likely to result in sub-optimal decision making. We discuss the importance of recognising the opportunity costs of this resource and highlight areas for future research.
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Fluidized bed coal combustion reactor
NASA Technical Reports Server (NTRS)
Moynihan, P. I.; Young, D. L. (Inventor)
1981-01-01
A fluidized bed coal reactor includes a combination nozzle-injector ash-removal unit formed by a grid of closely spaced open channels, each containing a worm screw conveyor, which function as continuous ash removal troughs. A pressurized air-coal mixture is introduced below the unit and is injected through the elongated nozzles formed by the spaces between the channels. The ash build-up in the troughs protects the worm screw conveyors as does the cooling action of the injected mixture. The ash layer and the pressure from the injectors support a fluidized flame combustion zone above the grid which heats water in boiler tubes disposed within and/or above the combustion zone and/or within the walls of the reactor.
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Occupational Survey Report. AFSC 4A2X1 Biomedical Equipment
2004-05-01
Electrocardiograms 70 Hospital Beds, Electric 67 Surgical Lamps 67 Hospital Beds, Manual 66 Audiometers 64 Dental Curing Units 63 Dental Handpieces 63...Pumps 78 Pulse Oximeters 78 Dental Chairs 76 Blood Pressure Monitors, Automatic 74 Examination Lamps 72 Examination Tables 72 Blood Pressure Cuffs 71...Exercise Bicycles 63 Dental Amalgamators 62 Scales or Balances, other than Pediatric 62 Scales or Balances, Pediatric 61 First-Enlistment Personnel
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Fuel Processing System for a 5kW Methanol Fuel Cell Power Unit.
1985-11-27
report documents the development and design of a 5kW neat methanol reformer for phosphoric acid fuel cell power plants . The reformer design was based...VAPORIZATION OF METHANOL ........... 4.3 REFORMING/SHIFT CATALYST BED ......... 2 5.0 COMPONENT TESTING............... 5.1 COMBUSTION TUBE...69 36 Catalyst Bed Temperature Profile Before and After Transient ................. 70 37 Assembly -5kw Neat Methanol Reformer. ......... 72 Page No
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Innovative Information Systems in the Intensive Care Unit, King Saud Medical City in Saudi Arabia.
Al Saleem, Nouf; Al Harthy, Abdulrahman
2015-01-01
The purpose of this paper is to discuss the experience of implementing innovative information technology to improve the quality of services in one of the largest Intensive Care Units in Saudi Arabia. The Intensive Care Units in King Saud Medical City (ICU-KSMC) is the main ICU in the kingdom that represents the Ministry of Health. KSMC's ICU is also considered one of the largest ICU in the world as it consists of six units with 129 beds. Leaders in KSMC's ICU have introduced and integrated three information technologies to produce powerful, accurate, and timely information systems to overcome the challenges of the ICU nature and improve the quality of service to ensure patients' safety. By 2015, ICU in KSMC has noticed a remarkable improvement in: beds' occupation and utilization, staff communication, reduced medical errors, and improved departmental work flow, which created a healthy professional work environment. Yet, ICU in KSMC has ongoing improvement projects that include future plans for more innovative information technologies' implementation in the department.
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Hydrogeology of the carbonate rocks of the Lebanon Valley, Pennsylvania
Meisler, Harold
1963-01-01
The Lebanon Valley, which is part of the Great Valley in southeastern Pennsylvania, is underlain by carbonate rocks in the southern part and by shale in the northern part. The carbonate rocks consist of alternating beds of limestone and dolomite of Cambrian and Ordovician age. Although the beds generally dip to the south, progressively younger beds crop out to the north, because the rocks are overturned. The stratigraphic units, from oldest to youngest, are: the Buffalo Springs Formation, Snitz Creek, Schaefferstown, Millbach, and Richland Formations of the Conococheague Group; the Stonehenge, Rickenbach, Epler, and Ontelaunee Formations of the Beekmantown Group; and the Annville, Myerstown, and Hershey Limestones.
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Triplett, Patrick; Dearholt, Sandra; Cooper, Mary; Herzke, John; Johnson, Erin; Parks, Joyce; Sullivan, Patricia; Taylor, Karin F; Rohde, Judith
Rising acuity levels in inpatient settings have led to growing reliance on observers and increased the cost of care. Minimizing use of observers, maintaining quality and safety of care, and improving bed access, without increasing cost. Nursing staff on two inpatient psychiatric units at an academic medical center pilot-tested the use of a "milieu manager" to address rising patient acuity and growing reliance on observers. Nursing cost, occupancy, discharge volume, unit closures, observer expense, and incremental nursing costs were tracked. Staff satisfaction and reported patient behavioral/safety events were assessed. The pilot initiatives ran for 8 months. Unit/bed closures fell to zero on both units. Occupancy, patient days, and discharges increased. Incremental nursing cost was offset by reduction in observer expense and by revenue from increases in occupancy and patient days. Staff work satisfaction improved and measures of patient safety were unchanged. The intervention was effective in reducing observation expense and improved occupancy and patient days while maintaining patient safety, representing a cost-effective and safe approach for management of acuity on inpatient psychiatric units.
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Coyer, Fiona M; O'Sullivan, Judy; Cadman, Nicola
2011-08-01
The provision of the patient bed-bath is a fundamental nursing care activity yet few quantitative data and no qualitative data are available on registered nurses' (RNs) clinical practice in this domain in the intensive care unit (ICU). The aim of this study was to describe ICU RNs current practice with respect to the timing, frequency and duration of the patient bed-bath and the cleansing and emollient agents used. The study utilised a two-phase sequential explanatory mixed method design. Phase one used a questionnaire to survey RNs and phase two employed semi-structured focus group (FG) interviews with RNs. Data was collected over 28 days across four Australian metropolitan ICUs. Ethical approval was granted from the relevant hospital and university human research ethics committees. RNs were asked to complete a questionnaire following each episode of care (i.e. bed-bath) and then to attend one of three FG interviews: RNs with less than 2 years ICU experience; RNs with 2-5 years ICU experience; and RNs with greater than 5 years ICU experience. During the 28-day study period the four ICUs had 77.25 beds open. In phase one a total of 539 questionnaires were returned, representing 30.5% of episodes of patient bed-baths (based on 1767 bed occupancy and one bed-bath per patient per day). In 349 bed-bath episodes 54.7% patients were mechanically ventilated. The bed-bath was given between 02.00 and 06.00h in 161 episodes (30%), took 15-30min to complete (n=195, 36.2%) and was completed within the last 8h in 304 episodes (56.8%). Cleansing agents used were predominantly pH balanced soap or liquid soap and water (n=379, 71%) in comparison to chlorhexidine impregnated sponges/cloths (n=86, 16.1%) or other agents such as pre-packaged washcloths (n=65, 12.2%). In 347 episodes (64.4%) emollients were not applied after the bed-bath. In phase two 12 FGs were conducted (three FGs at each ICU) with a total of 42 RN participants. Thematic analysis of FG transcripts across the three levels of RN ICU experience highlighted a transition of patient hygiene practice philosophy from shades of grey - falling in line for inexperienced clinicians to experienced clinicians concrete beliefs about patient bed-bath needs. This study identified variation in process and products used in patient hygiene practices in four ICUs. Further study to improve patient outcomes is required to determine the appropriate timing of patient hygiene activities and cleansing agents used to improve skin integrity. Copyright © 2010 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
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2006-01-01
cough. Pain was assessed during incentive spirometry or coughing using a visual analogue scale (score from 1 to 10) with failure being a score...fracture multidisciplinary clinical pathway. SIMU Surgical Intermediate Care Unit; STICU Shock Trauma Intensive Care Unit; IS incentive spirometry ...monitored bed (Surgical Intermediate Care Unit or Shock Trauma Intensive Care Unit) where they received patient-controlled analgesia and incentive
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Self-reported bed bug infestation among New York City residents: prevalence and risk factors.
Ralph, Nancy; Jones, Heidi E; Thorpe, Lorna E
2013-01-01
Bed bug infestations have risen precipitously in urban areas. Little is known about risk factors for infestations or health outcomes resulting from these infestations. In the 2009 Community Health Survey, which is a representative population-based survey, 9,934 noninstitutionalized adults in New York City reported on bed bug infestations requiring an exterminator in the past year. The authors estimated infestation prevalence and explored predictors of infestation and associations between infestations and health outcomes using logistic regression. Seven percent of adults in New York City reported bed bug infestations. Significant individual and household risk factors were younger age, increased household poverty, and having three or more adults in the household. Environmental risk factors included living in high poverty neighborhoods and in buildings with more housing units, suggesting apartment-to-apartment transmission. Bed bug infestations were not associated with stress-related outcomes of alcohol consumption or recent depression, and, unlike cockroach infestation, were not associated with recent asthma episodes caused by allergens or contaminants.
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The Hanikoda Method: 3-layered Negative Pressure Wound Therapy in Wound Bed Preparation.
Chik, Ian; Kelly, Enda G; Jarmin, Razman; Imran, Farrah-Hani
2016-10-01
Negative pressure wound therapy is a widely used method of wound dressing with various commercially available brands. The authors created the Hanikoda Method (HM) for effective wound bed preparation or definite wound closure. In this case series, the authors discuss 8 different wound cases that presented to their Plastics Unit from January 2014 to June 2015. Patients with traumatic or infected wounds were selected for treatment with the HM. Selected patients underwent multiple cycles of this method until their wounds were ready for definite wound closure or the wounds had closed by secondary closure. The purpose of any wound dressing is to encourage epithelization while ensuring no factors impede wound healing. An additional benefit is to reduce wound bed size so that it may close by secondary intention or require less skin graft coverage. Each layer of the dressing is described, along with its function in wound bed preparation or in closure. The HM facilitates reduction of wound size, wound bed preparation, and overall management.
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Morioka, Noriko; Tomio, Jun; Seto, Toshikazu; Kobayashi, Yasuki
2017-01-01
In Japan, the revision of the fee schedules in 2006 introduced a new category of general care ward for more advanced care, with a higher staffing standard, a patient-to-nurse ratio of 7:1. Previous studies have suggested that these changes worsened inequalities in the geographic distribution of nurses, but there have been few quantitative studies evaluating this effect. This study aimed to investigate the association between the distribution of 7:1 beds and the geographic distribution of hospital nursing staffs. We conducted a secondary data analysis of hospital reimbursement reports in 2012 in Japan. The study units were secondary medical areas (SMAs) in Japan, which are roughly comparable to hospital service areas in the United States. The outcome variable was the nurse density per 100,000 population in each SMA. The 7:1 bed density per 100,000 population was the main independent variable. To investigate the association between the nurse density and 7:1 bed density, adjusting for other variables, we applied a multiple linear regression model, with nurse density as an outcome variable, and the bed densities by functional category of inpatient ward as independent variables, adding other variables related to socio-economic status and nurse workforce. To investigate whether 7:1 bed density made the largest contribution to the nurse density, compared to other bed densities, we estimated the standardized regression coefficients. There were 344 SMAs in the study period, of which 343 were used because of data availability. There were approximately 553,600 full time equivalent nurses working in inpatient wards in hospitals. The mean (standard deviation) of the full time equivalent nurse density was 426.4 (147.5) and for 7:1 bed density, the figures were 271.9 (185.9). The 7:1 bed density ranged from 0.0 to 1,295.5. After adjusting for the possible confounders, there were more hospital nurses in the areas with higher densities of 7:1 beds (standardized regression coefficient 0.62, 95% confidence interval 0.56-0.68). We found that the 7:1 nurse staffing standard made the largest contribution to the geographic distribution of hospital nurses, adjusted for socio-economic status and nurse workforce-related factors.
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Prevalence and treatment of eating disorders among Hispanics/Latino Americans in the United States.
Perez, Marisol; Ohrt, Tara K; Hoek, Hans W
2016-11-01
We reviewed the recent literature on prevalence rates, and application of evidence-based treatments for eating disorders among Hispanics/Latinos residing in the United States. Lifetime prevalence rates of anorexia nervosa are lower among Hispanic/Latinos than non-Hispanic Whites. There are comparable rates of bulimia nervosa and binge eating disorder (BED) among Hispanic/Latinos and non-Hispanic Whites. BED is the most common eating disorder among Hispanic/Latinos. Evidence-based treatments have begun to be implemented with Hispanics/Latinos. The core concepts of cognitive behavioral therapy for bulimia nervosa and BED apply to this population. Culture-specific adaptations include strengthening the collectivistic framework within an individualistic treatment, psychoeducation of immediate and extended family, and adjustment of meal plans that incorporated cultural foods. There are more similarities than differences in the prevalence of eating disorders across Hispanics/Latinos and non-Hispanic Whites. However, the social context such as immigration status and acculturation is important to consider in the development of eating disorders. In addition, the Westernization of Latin America may change the future relationship of immigration status and development of eating disorder within the United States. Overall, cultural adaptations of evidence-based treatments involved the inclusion of family within treatment, acculturation-related issues, and managing family conflicts that arise because of the changes in eating patterns.
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Epidemiology and Recognition of Binge-Eating Disorder in Psychiatry and Primary Care.
Kornstein, Susan G
2017-01-01
Substantial unmet needs exist regarding the awareness, diagnosis, and treatment of binge-eating disorder (BED). Affecting both men and women and appearing in all ethnic groups, BED is the most prevalent of all the eating disorders in the United States and worldwide. Left untreated, BED causes significant impairment, reduced quality of life, and decreased productivity. Many patients are unaware of the disorder and present for treatment of weight-related issues or comorbid medical and psychiatric conditions. Communication barriers, such as the reluctance of patients to volunteer information about their eating habits and of clinicians to ask potentially sensitive questions, may be overcome with the use of diagnostic criteria along with appropriate assessment questions and screening tools. Early recognition and accurate diagnosis may help mitigate the long-term impact of BED. © Copyright 2017 Physicians Postgraduate Press, Inc.
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Implementation and evaluation of an automated dispensing system.
Schwarz, H O; Brodowy, B A
1995-04-15
An institution's experience in replacing a traditional unit dose cassette-exchange system with an automated dispensing system is described. A 24-hour unit dose cassette-exchange system was replaced with an automated dispensing system (Pyxis's Medstation Rx) on a 36-bed cardiovascular surgery unit and an 8-bed cardiovascular intensive care unit. Significantly fewer missing doses were reported after Medstation Rx was implemented. No conclusions could be made about the impact of the system on the reporting of medication errors. The time savings for pharmacy associated with the filling, checking, and delivery of new medication orders equated to about 0.5 full-time equivalent (FTE). Medstation Rx also saved substantial nursing time for acquisition of controlled substances and for controlled-substance inventory taking at shift changes. A financial analysis showed that Medstation Rx could save the institution about $1 million over five years if all personnel time savings could be translated into FTE reductions. The automated system was given high marks by the nurses in a survey; 80% wanted to keep the system on their unit. Pilot implementation of an automated dispensing system improved the efficiency of drug distribution over that of the traditional unit dose cassette-exchange system.
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Landscape Management: Field Operator.
ERIC Educational Resources Information Center
Smith, Carole A.
These materials for a six-unit course were developed to prepare secondary and postsecondary students for entry-level positions in landscape management. The six units are on orientation, hand tools, light power equipment, water and watering techniques, planting and maintaining plant beds, and establishing and maintaining turf. The first section is…
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Sandcastle Moats and Petunia Bed Holes. A Book about Groundwater.
ERIC Educational Resources Information Center
Nickinson, Pat
This book provides five instructional units on groundwater. Units included are: (1) "Where's the Groundwater?" (describing the concepts of a saturated zone, water table, hydrologic cycle, recharge and discharge, core of depression, subsidence, and saltwater intrusion); (2) "How Does It Travel?" (discussing porosity,…
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Marquez-Bravo, Lydia G; Briggs, Dean; Shayler, Hannah; McBride, Murray; Lopp, Donna; Stone, Edie; Ferenz, Gretchen; Bogdan, Kenneth G; Mitchell, Rebecca G; Spliethoff, Henry M
2016-02-01
A total of 69 soil samples from 20 community gardens in New York City (New York, USA) were collected and analyzed for 23 polycyclic aromatic hydrocarbons (PAHs) and black carbon. For each garden, samples were collected from nongrowing areas (non-bed) and from vegetable-growing beds, including beds with and without visible sources of PAHs. The sum of the US Environmental Protection Agency's 16 priority PAHs ranged up to 150 mg/kg, and the median (5.4 mg/kg) and mean (14.2 mg/kg) were similar to those previously reported for urban areas in the northeast United States. Isomer ratios indicated that the main sources of PAHs were petroleum, coal, and wood combustion. The PAH concentrations were significantly and positively associated with black carbon and with modeled air PAH concentrations, suggesting a consistent relationship between historical deposition of atmospheric carbon-adsorbed PAHs and current PAH soil concentrations. Median PAH soil concentration from non-bed areas was higher (7.4 mg/kg) than median concentration from beds in the same garden (4.0 mg/kg), and significantly higher than the median from beds without visible sources of PAHs (3.5 mg/kg). Median PAH concentration in beds from gardens with records of soil amendments was 58% lower compared with beds from gardens without those records. These results suggest that gardening practices in garden beds without visible sources of PAHs contribute to reduce PAH soil concentrations. © 2015 SETAC.
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Cenozoic stratigraphy and geologic history of the Tucson Basin, Pima County, Arizona
Anderson, S.R.
1987-01-01
This report was prepared as part of a geohydrologic study of the Tucson basin conducted by the U.S. Geological Survey in cooperation with the city of Tucson. Geologic data from more than 500 water supply and test wells were analyzed to define characteristics of the basin sediments that may affect the potential for land subsidence induced by groundwater withdrawal. The Tucson basin is a structural depression within the Basin and Range physiographic province. The basin is 1,000 sq mi in units area and trends north to northwest. Three Cenozoic stratigraphic unit--the Pantano Formation of Oligocene age, the Tinaja beds (informal usage) of Miocene and Pliocene age, and the Fort Lowell Formation of Pleistocene age--fill the basin. The Tinaja beds include lower, middle, and upper unconformable units. A thin veneer of stream alluvium of late Quaternary age overlies the Fort Lowell Formation. The Pantano Formation and the lower Tinaja beds accumulated during a time of widespread continental sedimentation, volcanism, plutonism, uplift, and complex faulting and tilting of rock units that began during the Oligocene and continued until the middle Miocene. Overlying sediments of the middle and upper Tinaja beds were deposited in response to two subsequent episodes of post-12-million-year block faulting, the latter of which was accompanied by renewed uplift. The Fort Lowell Formation accumulated during the Quaternary development of modern through-flowing the maturation of the drainage. The composite Cenozoic stratigraphic section of the Tucson basin is at least 20,000 ft thick. The steeply tilted to flat-lying section is composed of indurated to unconsolidated clastic sediments, evaporites, and volcanic rocks that are lithologically and structurally complex. The lithology and structures of the section was greatly affected by the uplift and exhumation of adjacent metamorphic core-complex rocks. Similar Cenozoic geologic relations have been identified in other parts of southern Arizona. (Author 's abstract)
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Knowledge of binge eating disorder: a cross-sectional survey of physicians in the United States.
Supina, Dylan; Herman, Barry K; Frye, Carla B; Shillington, Alicia C
2016-01-01
Binge eating disorder (BED)--now a designated disorder in the DSM-5--is the most prevalent eating disorder (ED), affecting 2-3% of the US population. This survey of US physicians assesses how BED is diagnosed, treated and referred. Internists, family practitioners, obstetrics/gynecologist (OB/GYNs) and psychiatrists were randomly selected from a nationally-representative panel. Participants completed an online survey and reviewed case vignettes consistent with DSM-5-defined BED, then answered questions to elicit whether they would assess for psychiatric conditions including EDs. Those reporting they would screen and who correctly identified BED in vignettes received additional questions about BED diagnosis, treatment, and referral patterns. Of 278 physicians surveyed, 96% were board-certified and 87% had practiced >10 years. 23% were psychiatrists, 27% family practitioners, 31% internists and 19% OB/GYNs. 92% were 'somewhat likely' to screen for ED after reviewing DSM-5-consistent vignettes. 206 (74%) correctly identified BED. Of these, 33% and 68% reported they proactively screen eating habits for all patients and obese patients, respectively. 10% reported not screening eating habits even in the presence of ED symptoms. Fewer than half reported using DSM criteria in Diagnosing BED, and 56 (27%) did not recognize BED to be a discreet ED. Although ED awareness is improving, understanding BED as a distinct ED is lacking, which may result in low rates of screening and diagnosis. This study illustrates how taking a complete patient history (including probing BED characteristics) may be an effective first-line strategy for clinicians to facilitate optimal care for these patients.
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The prevalence and correlates of binge eating disorder in the WHO World Mental Health Surveys
Kessler, Ronald C.; Berglund, Patricia A.; Chiu, Wai Tat; Deitz, Anne C.; Hudson, James I.; Shahly, Victoria; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Angermeyer, Matthias C.; Benjet, Corina; Bruffaerts, Ronny; de Girolamo, Giovanni; de Graaf, Ron; Haro, Josep Maria; Kovess-Masfety, Viviane; O’Neill, Siobhan; Posada-Villa, Jose; Sasu, Carmen; Scott, Kate; Viana, Maria Carmen; Xavier, Miguel
2013-01-01
Background Little population-based data exist outside the United States on the epidemiology of binge eating disorder (BED). Cross-national data on BED are presented and compared to bulimia nervosa (BN) based on the WHO World Mental Health Surveys. Methods Community surveys with 24,124 respondents (ages 18+) across 14 mostly upper-middle and high income countries assessed lifetime and 12-month DSM-IV mental disorders with the WHO Composite International Diagnostic Interview. Physical disorders were assessed with a chronic conditions checklist. Results Country-specific lifetime prevalence estimates are consistently (median; inter-quartile range) higher for BED (1.4%;0.8–1.9%) than BN (0.8%;0.4–1.0%). Median age-of-onset is in the late teens to early 20s for both disorders but slightly younger for BN. Persistence is slightly higher for BN (6.5 years; 2.2–15.4) than BED (4.3 years; 1.0–11.7). Lifetime risk of both disorders is elevated for women and recent cohorts. Retrospective reports suggest that comorbid anxiety, mood, and disruptive behavior disorders predict subsequent onset of BN somewhat more strongly than BED and that BN predicts subsequent comorbid psychiatric disorders somewhat more strongly than does BED. Significant comorbidities with physical conditions are due almost entirely to BN and BED predicting subsequent onset of these conditions, again with BN somewhat stronger than BED. Role impairments are similar for BN and BED. Fewer than half of lifetime BN or BED cases receive treatment. Conclusions BED represents a public health problem at least equal to BN. Low treatment rates highlight the clinical importance of questioning patients about eating problems even when not included among presenting complaints. PMID:23290497
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Mercury in Fish, Bed Sediment, and Water from Streams Across the United States, 1998-2005
Scudder, Barbara C.; Chasar, Lia C.; Wentz, Dennis A.; Bauch, Nancy J.; Brigham, Mark E.; Moran, Patrick W.; Krabbenhoft, David P.
2009-01-01
Mercury (Hg) was examined in top-predator fish, bed sediment, and water from streams that spanned regional and national gradients of Hg source strength and other factors thought to influence methylmercury (MeHg) bioaccumulation. Sampled settings include stream basins that were agricultural, urbanized, undeveloped (forested, grassland, shrubland, and wetland land cover), and mined (for gold and Hg). Each site was sampled one time during seasonal low flow. Predator fish were targeted for collection, and composited samples of fish (primarily skin-off fillets) were analyzed for total Hg (THg), as most of the Hg found in fish tissue (95-99 percent) is MeHg. Samples of bed sediment and stream water were analyzed for THg, MeHg, and characteristics thought to affect Hg methylation, such as loss-on-ignition (LOI, a measure of organic matter content) and acid-volatile sulfide in bed sediment, and pH, dissolved organic carbon (DOC), and dissolved sulfate in water. Fish-Hg concentrations at 27 percent of sampled sites exceeded the U.S. Environmental Protection Agency human-health criterion of 0.3 micrograms per gram wet weight. Exceedances were geographically widespread, although the study design targeted specific sites and fish species and sizes, so results do not represent a true nationwide percentage of exceedances. The highest THg concentrations in fish were from blackwater coastal-plain streams draining forests or wetlands in the eastern and southeastern United States, as well as from streams draining gold- or Hg-mined basins in the western United States (1.80 and 1.95 micrograms THg per gram wet weight, respectively). For unmined basins, length-normalized Hg concentrations in largemouth bass were significantly higher in fish from predominantly undeveloped or mixed-land-use basins compared to urban basins. Hg concentrations in largemouth bass from unmined basins were correlated positively with basin percentages of evergreen forest and also woody wetland, especially with increasing proximity of these two land-cover types to the sampling site; this underscores the greater likelihood for Hg bioaccumulation to occur in these types of settings. Increasing concentrations of MeHg in unfiltered stream water, and of bed-sediment MeHg normalized by LOI, and decreasing pH and dissolved sulfate were also important in explaining increasing Hg concentrations in largemouth bass. MeHg concentrations in bed sediment correlated positively with THg, LOI, and acid-volatile sulfide. Concentrations of MeHg in water correlated positively with DOC, ultraviolet absorbance, and THg in water, the percentage of MeHg in bed sediment, and the percentage of wetland in the basin.
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Comparative facies formation in selected coal beds of the Powder River Basin
Stanton, R.W.; Moore, Timothy A.; Warwick, Peter D.; Crowley, S.S.; Flores, Romeo M.; Flores, Romeo M.; Warwick, Peter D.; Moore, Timothy A.; Glass, Gary; Smith, Archie; Nichols, Douglas J.; Wolfe, Jack A.; Stanton, Ronald W.; Weaver, Jean
1989-01-01
Petrologic studies of thick coal beds [Warwick, 1985; Moore, 1986; Moore and others, 1986; Moore and others, 1987; Warwick and Stanton, in press], which build on sedimentological interpretations [Flores, this volume] of associated units, provide data to interpret and contrast the varieties of peat formation in the Powder River Basin. Detailed analyses of the composition of coal beds lead to more complete interpretations regarding the depositional environment on a regional and local scale. Our efforts in the Powder River Basin [areas A-D in fig. 1 of Flores, this volume] have resulted in a series of site-specific studies that interpret the types of peat formation from the arrangement of different facies which comprise the coal beds and from the spatial form of the coal beds.Our approach was to use a combination of megascopic criteria for facies sampling, and where only core was available, to analyze many interval samples to discriminate facies by their maceral composition. Coal beds in the Powder River Basin are composed of laterally continuous, compositional subunits of the bed (facies) that can be discerned most easily in weathered highwall exposures, less readily in fresh highwalls, and very poorly in fresh-cut core surfaces. In general, very low ash (
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Bell, Richard W.; Davis, Jerri V.; Femmer, Suzanne R.; Joseph, Robert L.
1997-01-01
Organic-compound samples, including pesticides and semi-volatiles, were collected from 1992-95 at 43 surface-water and 27 bed-sediment and biological-tissue sampling sites within the Ozark Plateaus National Water-Quality Assessment Program study unit. Most surface-water, bed-sediment, and biological-tissue sites have drainage basins predominantly in the Springfield and Salem Plateaus. At most surface-water sampling sites, one to three pesticide samples were collected in the spring and early summer of 1994 and 1995; two sites had additional samples collected either weekly, biweekly, or monthly from February 1994 through December 1994. At most bed-sediment and biological-tissue sampling sites, a single organic-compounds sample was collected. Agricultural pesticide use was approximately 4.9 million pounds of active ingredients per year from 1987-91 in the study unit and was generally greatest in the Springfield and Salem Plateaus pasturelands and in the Osage Plains and Mississippi Alluvial Plain cropland areas. The most frequently applied pesticide in the study unit was 2,4-D. Atrazine was the second most frequently applied pesticide. Corn, pasture, rice, sorghum, and soybeans received approximately 85 percent of the pesticides applied within the study unit. The highest pesticide application rate occurred on these crops in the Mississippi Alluvial and Osage Plains. Pastureland was the crop type that received the greatest amount of pesticides in 53 of the 96 counties in the study unit. The most commonly detected herbicide (63 samples) in surface water was atrazine. Five other pesticides--desethylatrazine, tebuthiuron, prometon, metolachlor, and simazine--were detected in 15 or more samples. The most commonly detected insecticide (13 samples) was p,p'-DDE. Two other insecticides, diazinon and cis-permethrin, were detected in seven or more samples. Pesticides were detected at 39 surface-water sites; samples collected at Yocum Creek near Oak Grove, Ark. had the most pesticide detections (13). Seventeen other sites had samples with six or more pesticide detections. Analysis of pesticide data collected at surface-water sites indicates that the largest variety of different pesticides detected (18) was in small, agricultural drainage basins; the largest percentage of detections of a single pesticide (about 80) was in medium, agricultural basins. Pesticide concentrations were small, and in most cases, at or near the detection limit. Maximum concentrations ranged from 0.001 to 0.007 micrograms per liter (mg/L) at small, forest sites; 0.001 to 0.029 mg/L at medium, forest sites; 0.001 to 0.079 mg/L at small, agricultural sites; and 0.003 to 0.29 mg/L at medium, agricultural sites. Pesticides were detected significantly more often in medium, agricultural basins in the Springfield Plateau. The most commonly detected (13 samples) organic compound in bed sediment, in concentrations noticeably above background levels, was 2,6-dimethylnaphthalene; the maximum concentration of 2,6-dimethylnaphthalene was 130 micrograms per kilogram. Seventeen or more compounds were detected in bed-sediment samples collected at three sites. Four compounds were detected in biological-tissue samples: p,p'-DDT in Corbicula fluminea (Asiatic clam) tissue collected at the Osage River near St. Thomas, Mo. and cis-chlordane, trans-chlordane, and trans-nonachlor in C. fluminea tissue collected at the James River near Boaz, Mo. Organic compounds collected at surface-water, bed-sediment, or biological-tissue sampling sites were not detected in concentrations that exceeded any health criteria or standards. Based on this information, organic compounds do not pose any widespread or persistent problems in the study unit.
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USDA-ARS?s Scientific Manuscript database
Purpose Sediments from a rural to urban gradient along the Alafia River in Florida, United States were investigated to determine the risk of environmental contamination with legacy (organochlorine pesticides, OCPs) and new contaminants (pharmaceuticals). Materials and methods Bed sediments (0-10 cm)...
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Romanok, Kristin M.; Fischer, Jeffrey M.; Riva-Murray, Karen; Brightbill, Robin; Bilger, Michael
2006-01-01
As part of the National Water-Quality Assessment (NAWQA) program activities in the Delaware River Basin (DELR), samples of fish tissue from 21 sites and samples of bed sediment from 35 sites were analyzed for a suite of organic compounds and trace elements. The sampling sites, within subbasins ranging in size from 11 to 600 square miles, were selected to represent 5 main land-use categories in the DELR -forest, low-agricultural, agricultural, urban, and mixed use. Samples of both fish tissue and bed sediment were also collected from 4 'large-river' sites that represented drainage areas ranging from 1,300 to 6,800 square miles, areas in which the land is used for a variety of purposes. One or more of the organochlorine compounds-DDT and chlordane metabolites, polychlorinated biphenyls (total PCBs), and dieldrin- were detected frequently in samples collected over a wide geographic area. One or more of these compounds were detected in fish-tissue samples from 92 percent of the sites and in bed-sediment samples from 82 percent of the sites. Concentrations of total DDT, total chlordanes, total PCBs, and dieldrin in whole white suckers and in bed sediment were significantly related to urban/industrial basin characteristics, such as percentage of urban land use and population density. Semi-volatile organic compounds (SVOCs)-total polycyclic aromatic hydrocarbons (PAHs), total phthalates, and phenols- were detected frequently in bed-sediment samples. All three types of SVOCs were detected in samples from at least one site in each land-use category. The highest detection rates and concentrations typically were in samples from sites in the urban and mixed land-use categories, as well as from the large-river sites. Concentrations of total PAHs and total phthalates in bed-sediment samples were found to be statistically related to percentages of urban land use and to population density in the drainage areas represented by the sampling sites. The samples of fish tissue and bed sediment collected throughout the DELR were analyzed for a large suite of trace elements, but results of the analyses for eight elements-arsenic, cadmium, chromium, copper, lead, nickel, mercury, and zinc- that are considered contaminants of concern are described in this report. One or more of the eight trace elements were detected in samples from every fish tissue and bed-sediment sampling site, and all of the trace elements were detected in samples from 97 percent of the bed-sediment sites. The concentrations of organic compounds and trace elements in the DELR samples were compared to applicable guidelines for the protection of wildlife and other biological organisms. Concentrations of total DDT, total chlordanes, total PCBs, and dieldrin in fish-tissue samples from 14 sites exceeded one or more of the Wildlife Protective Guidelines established by the New York State Department of Environmental Conservation. Concentrations of one or more organic compounds in samples from 16 bed-sediment sites exceeded the Threshold Effects Concentrations (TEC) of the Canadian Sediment Quality Guidelines, and concentrations of one or more of the eight trace elements in samples from 38 bed-sediment sites exceeded the TEC. (The TEC is the concentration below which adverse biological effects in freshwater ecosystems are expected to be rare.) Concentrations of organic compounds in samples from some bed-sediment sites exceeded the Canadian Probable Effects Concentrations (PEC), and concentrations of trace elements in samples from 18 sites exceeded the PEC. (The PEC is the concentration above which adverse effects to biological organisms are expected to occur frequently). Concentrations of organic compounds and trace elements in samples from the DELR were compared to similar data from other NAWQA study units in the northeastern United States and also data from the Mobile River (Alabama) Basin and the Northern Rockies Intermontane Basin study units. Median concentrations of to
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Effects of sawdust bedding dry matter on lying behavior of dairy cows: a dose-dependent response.
Reich, L J; Weary, D M; Veira, D M; von Keyserlingk, M A G
2010-04-01
The objective was to determine the effect of sawdust bedding dry matter on the lying behavior of Holstein cows. Dry matter (DM) was varied systematically over 5 treatment levels to test how cows respond to damp bedding. This experiment was repeated during summer and winter to test if the effects of damp bedding varied with season. The 5 bedding treatments averaged (+/-SD) 89.8+/-3.7, 74.2+/-6.4, 62.2+/-6.3, 43.9+/-4.0, and 34.7+/-3.8% DM. Over the course of the trial, minimum and maximum temperatures in the barn were 2.6+/-2.0 and 6.8+/-2.2 degrees C in the winter and 13.3+/-2.5 and 22.6+/-4.1 degrees C in the summer. In both seasons, 5 groups of 3 nonlactating cows were housed in free stalls bedded with sawdust. Following a 5-d acclimation period on dry bedding, groups were exposed to the 5 bedding treatments in a 5 x 5 Latin square. Each treatment lasted 4 d, followed by 1 d when the cows were provided with dry bedding. Stall usage was assessed by 24-h video scanned at 5-min intervals. Responses were analyzed within group (n=5) as the observational unit. Bedding DM affected lying time, averaging 10.4+/-0.4 h/d on the wettest treatment and increasing to 11.5+/-0.4 h/d on the driest bedding. Lying time varied with season, averaging 12.1+/-0.4 h/d across treatments during the winter and 9.9+/-0.6 h/d during the summer, but season and bedding DM did not interact. These results indicate that access to dry bedding is important for dairy cows. Copyright (c) 2010 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
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Effectiveness of bed bug monitors for detecting and trapping bed bugs in apartments.
Wang, Changlu; Tsai, Wan-Tien; Cooper, Richard; White, Jeffrey
2011-02-01
Bed bugs, Cimex lectularius L., are now considered a serious urban pest in the United States. Because they are small and difficult to find, there has been strong interest in developing and using monitoring tools to detect bed bugs and evaluate the results of bed bug control efforts. Several bed bug monitoring devices were developed recently, but their effectiveness is unknown. We comparatively evaluated three active monitors that contain attractants: CDC3000, NightWatch, and a home-made dry ice trap. The Climbup Insect Interceptor, a passive monitor (without attractants), was used for estimating the bed bug numbers before and after placing active monitors. The results of the Interceptors also were compared with the results of the active monitors. In occupied apartments, the relative effectiveness of the active monitors was: dry ice trap > CDC3000 > NightWatch. In lightly infested apartments, the Interceptor (operated for 7 d) trapped similar number of bed bugs as the dry ice trap (operated for 1 d) and trapped more bed bugs than CDC3000 and NightWatch (operated for 1 d). The Interceptor was also more effective than visual inspections in detecting the presence of small numbers of bed bugs. CDC3000 and the dry ice trap operated for 1 d were equally as effective as the visual inspections for detecting very low level of infestations, whereas 1-d deployment of NightWatch detected significantly lower number of infestations compared with visual inspections. NightWatch was designed to be able to operate for several consecutive nights. When operated for four nights, NightWatch trapped similar number of bed bugs as the Interceptors operated for 10 d after deployment of NightWatch. We conclude these monitors are effective tools in detecting early bed bug infestations and evaluating the results of bed bug control programs.
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High dependency units in the UK: variable size, variable character, few in number.
Thompson, F. J.; Singer, M.
1995-01-01
An exploratory descriptive survey was conducted to determine the size and character of high dependency units (HDUs) in the UK. A telephone survey and subsequent postal questionnaire was sent to the 39 general HDUs in the UK determined by a recent survey from the Royal College of Anaesthetists; replies were received from 28. Most HDUs (82%, n = 23) were geographically distinct from the intensive care unit and varied in size from three to 13 beds, although only 64% (n = 18) reported that all beds were currently open. Nurse: patient ratios were at least 1:3. Fifty per cent of units had one or more designated consultants in charge, although only 11% (n = 3) had specifically designated consultant sessions. Junior medical cover was provided mainly by the on-call speciality term. Twenty units acted as a step-down facility for discharged intensive care unit patients and 21 offered a step-up facility for patients from general wards. Provision of facilities and levels of monitoring varied between these units. Few HDUs exist in the UK and they are variable in size and in the facilities and monitoring procedures which they provide. Future studies are urgently required to determine cost-effectiveness and outcome benefit of this intermediate care facility. Images p221-a PMID:7784281
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High dependency units in the UK: variable size, variable character, few in number.
Thompson, F J; Singer, M
1995-04-01
An exploratory descriptive survey was conducted to determine the size and character of high dependency units (HDUs) in the UK. A telephone survey and subsequent postal questionnaire was sent to the 39 general HDUs in the UK determined by a recent survey from the Royal College of Anaesthetists; replies were received from 28. Most HDUs (82%, n = 23) were geographically distinct from the intensive care unit and varied in size from three to 13 beds, although only 64% (n = 18) reported that all beds were currently open. Nurse: patient ratios were at least 1:3. Fifty per cent of units had one or more designated consultants in charge, although only 11% (n = 3) had specifically designated consultant sessions. Junior medical cover was provided mainly by the on-call speciality term. Twenty units acted as a step-down facility for discharged intensive care unit patients and 21 offered a step-up facility for patients from general wards. Provision of facilities and levels of monitoring varied between these units. Few HDUs exist in the UK and they are variable in size and in the facilities and monitoring procedures which they provide. Future studies are urgently required to determine cost-effectiveness and outcome benefit of this intermediate care facility.
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Calderón-Vallejo, Luisa Fernanda; Andrade, Cynthia Franco; Manjate, Elias Sete; Madera-Parra, Carlos Arturo; von Sperling, Marcos
2015-01-01
This study investigated the performance of sludge drying reed beds (SDRB) at full- and pilot-scale treating sludge from septic tanks in the city of Belo Horizonte, Brazil. The treatment units, planted with Cynodon spp., were based on an adaptation of the first-stage of the French vertical-flow constructed wetland, originally developed for treating sewage. Two different operational phases were investigated; in the first one, the full-scale unit was used together with six pilot-scale columns in order to test different feeding strategies. For the second phase, only the full-scale unit was used, including a recirculation of the filtered effluent (percolate) to one of the units of the French vertical wetland. Sludge application was done once a week emptying a full truck, during 25 weeks. The sludge was predominantly diluted, leading to low solids loading rates (median values of 18 kgTS m(-2) year(-1)). Chemical oxygen demand removal efficiency in the full-scale unit was reasonable (median of 71%), but the total solids removal was only moderate (median of 44%) in the full-scale unit without recirculation. Recirculation did not bring substantial improvements in the overall performance. The other loading conditions implemented in the pilot columns also did not show statistically different performances.
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Phase shift method to estimate solids circulation rate in circulating fluidized beds
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ludlow, James Christopher; Panday, Rupen; Shadle, Lawrence J.
2013-01-01
While solids circulation rate is a critical design and control parameter in circulating fluidized bed (CFB) reactor systems, there are no available techniques to measure it directly at conditions of industrial interest. Cold flow tests have been conducted at NETL in an industrial scale CFB unit where the solids flow has been the topic of research in order to develop an independent method which could be applied to CFBs operating under the erosive and corrosive high temperatures and pressures of a coal fired boiler or gasifier. The dynamic responses of the CFB loop to modest modulated aeration flows in themore » return leg or standpipe were imposed to establish a periodic response in the unit without causing upset in the process performance. The resulting periodic behavior could then be analyzed with a dynamic model and the average solids circulation rate could be established. This method was applied to the CFB unit operated under a wide range of operating conditions including fast fluidization, core annular flow, dilute and dense transport, and dense suspension upflow. In addition, the system was operated in both low and high total solids inventories to explore the influence of inventory limiting cases on the estimated results. The technique was able to estimate the solids circulation rate for all transport circulating fluidized beds when operating above upper transport velocity, U{sub tr2}. For CFB operating in the fast fluidized bed regime (i.e., U{sub g}< U{sub tr2}), the phase shift technique was not successful. The riser pressure drop becomes independent of the solids circulation rate and the mass flow rate out of the riser does not show modulated behavior even when the riser pressure drop does.« less
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Pumchandh, Norawee; Tedsana, Vanida; Ngow, Supak; Rangsin, Ram; Aimpun, Pote; Mungthin, Mathirut; Srilennawat, Nareerut
2012-05-01
Heat stroke is still an important health problem in Thai army recruits. The authors aimed to evaluate a new method for preventing heat stroke in the newly army recruits during basic training in May-June 2006, by monitoring the bed time body temperature and body weight. One thousand one hundred and fifteen recruits from five army units in Lopburi Province, Thailand were enrolled in the present study. Standardized questionnaire was used for data collection including unit information, personal information, environmental information and daily activity information. Bed time body temperature and body weight were recorded daily. Anyone who had a body temperature > 37.8 degrees C or body weight lossing > 10% in 24 h had to stop training until these indicators were normal. There was no incidence of heat stroke in these army units during this training period. There were 191 recruits who had a body temperature > 37.8 degrees C. The mean duration of the fever was 3.3 +/- 3.3 days. The incidence of fever was 21.4 per 100 persons-month. There were 30 recruits with the body weight lossing > 10%. The duration of body weight loss was one day. Analyzed by mixed model using STATA program, there was statistically significant difference of the body temperature (p < 0.001) but not the body weight (p = 0.644) among the period of time. This monitoring of the bed time body temperature and body weight seems to be effective for the prevention of the occurrence of heat stroke because there was no case of heat stroke in the present study. However, further large-scale study with a control group should be performed.
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Hospital variation in time to defibrillation after in-hospital cardiac arrest.
Chan, Paul S; Nichol, Graham; Krumholz, Harlan M; Spertus, John A; Nallamothu, Brahmajee K
2009-07-27
Delays to defibrillation are associated with worse survival after in-hospital cardiac arrest, but the degree to which hospitals vary in defibrillation response times and hospital predictors of delays remain unknown. Using hierarchical models, we evaluated hospital variation in rates of delayed defibrillation (>2 minutes) and its impact on survival among 7479 adult inpatients with cardiac arrests at 200 hospitals within the National Registry of Cardiopulmonary Resuscitation. Adjusted rates of delayed defibrillation varied substantially among hospitals (range, 2.4%-50.9%), with hospital-level effects accounting for a significant amount of the total variation in defibrillation delays after adjusting for patient factors. We found a 46% greater odds of patients with identical covariates getting delayed defibrillation at one randomly selected hospital compared with another. Among traditional hospital factors evaluated, however, only bed volume (reference category: <200 beds; 200-499 beds: odds ratio [OR], 0.62 [95% confidence interval {CI}, 0.48-0.80]; >or=500 beds: OR, 0.74 [95% CI, 0.53-1.04]) and arrest location (reference category: intensive care unit; telemetry unit: OR, 1.92 [95% CI, 1.65-2.22]; nonmonitored unit: OR, 1.90 [95% CI, 1.61-2.24]) were associated with differences in rates of delayed defibrillation. Wide variation also existed in adjusted hospital rates of survival to discharge (range, 5.3%-49.6%), with higher survival among hospitals in the top-performing quartile for defibrillation time (compared with the bottom quartile: OR for top quartile, 1.41 [95% CI, 1.11-1.77]). Rates of delayed defibrillation vary widely among hospitals but are largely unexplained by traditional hospital factors. Given its association with improved survival, future research is needed to better understand best practices in the delivery of defibrillation at top-performing hospitals.
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Hu, Peter F; Yang, Shiming; Li, Hsiao-Chi; Stansbury, Lynn G; Yang, Fan; Hagegeorge, George; Miller, Catriona; Rock, Peter; Stein, Deborah M; Mackenzie, Colin F
2017-01-01
Research and practice based on automated electronic patient monitoring and data collection systems is significantly limited by system down time. We asked whether a triple-redundant Monitor of Monitors System (MoMs) to collect and summarize key information from system-wide data sources could achieve high fault tolerance, early diagnosis of system failure, and improve data collection rates. In our Level I trauma center, patient vital signs(VS) monitors were networked to collect real time patient physiologic data streams from 94 bed units in our various resuscitation, operating, and critical care units. To minimize the impact of server collection failure, three BedMaster® VS servers were used in parallel to collect data from all bed units. To locate and diagnose system failures, we summarized critical information from high throughput datastreams in real-time in a dashboard viewer and compared the before and post MoMs phases to evaluate data collection performance as availability time, active collection rates, and gap duration, occurrence, and categories. Single-server collection rates in the 3-month period before MoMs deployment ranged from 27.8 % to 40.5 % with combined 79.1 % collection rate. Reasons for gaps included collection server failure, software instability, individual bed setting inconsistency, and monitor servicing. In the 6-month post MoMs deployment period, average collection rates were 99.9 %. A triple redundant patient data collection system with real-time diagnostic information summarization and representation improved the reliability of massive clinical data collection to nearly 100 % in a Level I trauma center. Such data collection framework may also increase the automation level of hospital-wise information aggregation for optimal allocation of health care resources.
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Internal structures of the nieuwpoort bank (southern north sea)
NASA Astrophysics Data System (ADS)
de Maeyer, P.; Wartel, S.; de Moor, G.
The subbottom survey of the Nieuwpoort Banks allows recognition of 4 successive stages underlain by leper Clay: (1) The bank rests upon a sedimentary unit, at least 2 to 5 m thick, having a subhorizontal or wedge-like interior stratification. (2) This unit is cut by a subhorizontal erosive surface. (3) On top of this a first ridge, still recognizable on its interior structure and with shoreward-dipping foreset beds, developed. (4) On top of this former ridge the present-day bank was formed with shoreward-dipping foreset beds. Since the same structures are observed in the Stroom Bank, it seems likely that the above mentioned scheme can be generalized for all near-shore ridges close to the Belgian coast.
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Manios, T; Stentiford, E I; Millner, P
2003-06-01
Subsurface horizontal flow experimental wetlands (reed beds), were designed and built based on a combination of two design methodologies, that of the WRc and Severn Trent Water plc (1996) and that of the USA, EPA (1988). Four different growing media were used with a combination of top soil, gravel, river sand, and mature sewage sludge compost, to determine the best substrate for total suspended solids (TSS) removal. Eight units were constructed, two for each growing media. One bed for each pair was planted with Typha latifolia plants commonly known as cattails. Primary treated domestic wastewater, was continuously fed to the beds for more than six months. All eight beds performed very well. The best performance was achieved by the gravel reed beds with an almost constant removal rate above 95% and an average effluent concentration of less than 10 mg/L. Soil based beds containing top soil and sand, managed to reach values of removal around 90%. The wetlands containing compost in their substrate, produced an effluent with average concentration of less than 30 mg/L and a percentage removal between 80% and 90%. As expected, there was no significant difference in the performance of planted and unplanted wetlands.
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Microlith Based Sorber for Removal of Environmental Contaminants
NASA Technical Reports Server (NTRS)
Roychoudhury, S.; Perry, J.
2004-01-01
The development of energy efficient, lightweight sorption systems for removal of environmental contaminants in space flight applications is an area of continuing interest to NASA. The current CO2 removal system on the International Space Station employs two pellet bed canisters of 5A molecular sieve that alternate between regeneration and sorption. A separate disposable charcoal bed removes trace contaminants. An alternative technology has been demonstrated using a sorption bed consisting of metal meshes coated with a sorbent, trademarked and patented as Microlith by Precision Combustion, Inc. (PCI); thesemeshes have the potential for direct electrical heating for this application. This allows the bed to be regenerable via resistive heating and offers the potential for shorter regeneration times, reduced power requirement, and net energy savings vs. conventional systems. The capability of removing both CO2 and trace contaminants within the same bed has also been demonstrated. Thus, the need for a separate trace contaminant unit is eliminated resulting in an opportunity for significant weight savings. Unlike the charcoal bed, zeolites for trace contaminant removal are amenable to periodic regeneration. This paper describes the design and performance of a prototype sorber device for simultaneous CO2 and trace contarninant removal and its attendant weight and energy savings.
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Steele-Mallory, B. A.
1982-01-01
The White Rim Sandstone Member of the Cutler Formation of Permian age in Canyonlands National Park, Utah, was deposited in coastal eolian and associated interdune environments. This conclusion is based on stratigraphic relationships primary sedimentary structures, and petrologic features. The White Rim consists of two major genetic units. The first represents a coastal dune field and the second represents related interdune ponds. Distinctive sedimentary structures of the coastal dune unit include large- to medium-scale, unidirectional, tabular-planar cross-bedding; high-index ripples oriented parallel to dip direction of the foresets; coarse-grained lag layers; avalanche or slump marks; and raindrop impressions. Cross-bedding measurements suggest the dunes were deposited as transverse ridges by a dominantly northwest to southeast wind. Distinctive sedimentary structures of the interdune pond unit include wavy, horizontally laminated bedding, adhesion ripples, and desiccation polygons. These features may have been produced by alternate wetting and drying of sediment during water-table fluctuations. Evidence of bioturbation is also present in this unit. Petrologic characteristics of the White Rim helped to define the depositional environment as coastal. A crinoid fragment was identified at one location; both units are enriched in heavy minerals, and small amounts of well rounded, reworked glauconite were found in the White Rim throughout the study area. Earlier work indicates that the White Rim sandstone is late Wolfcampian to early Leonardian in age. During this time, the Canyonlands area was located in a depositional area alternately dominated by marine and nonmarine environments. Results of this study suggest the White Rim represents a coastal dune field that was deposited by predominantly on-shore winds during a period of marine transgression.
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Geology and habitat of oil in Ras Budran field, Gulf of Suez, Egypt
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chowdhary, L.R.; Taha, S.
1987-10-01
The Ras Budran structure at the deepest mappable seismic reflector, the top of the Kareem Formation (middle Miocene), is a broad northeast-southwest-trending anticlinal feature with an anomalous strike nearly at right angles to the main Gulf of Suez trend. Oil is produced from three units of Nubian Formation sandstone from a depth of 11,000-12,000 ft (3352-3657 m). The lower unit of Paleozoic age averages 10% porosity and has up to 200 md in-situ permeability. Wells completed in this unit produce up to 2000 BOPD. In contrast, the sands to the upper two units of the Early Cretaceous have 15-20% porositymore » and up to 700 md permeability. Wells completed in this unit produce 6000-8000 BOPD. The Ras Budran structure was formed primarily during an intra-Rudeis tectonic phase (lower Miocene). Oil migration for accumulation in the structure started in the late Miocene or Pliocene when the Santonian Brown Limestone and the Eocene Thebes Formation, the main source beds in the Gulf of Suez, reached the threshold of oil generation at a burial depth of approximately 10,000 ft (3048 m). At this depth, the organic matter in the source beds had a high transformation ratio (0.10 to 0.15), high yields of C/sub 15+/ soluble organic matter and C/sub 15+/ saturated hydrocarbons, vitrinite reflectance (R/sub 0/) of 0.62%, and a time-temperature index (TTI) value of 15. Oil migration from mature source beds in adjoining lows into low-potential Nubian reservoirs is easily explained by fault planes that acted as conduits for oil migration. 16 figures, 3 tables.« less
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Adoption of intensive care unit telemedicine in the United States
Kahn, Jeremy M.; Cicero, Brandon D.; Wallace, David J.; Iwashyna, Theodore J.
2013-01-01
Objective Intensive care unit (ICU) telemedicine is a novel approach for providing critical care services from a distance. We sought to study the extent of use and patterns of adoption of this technology in United States ICUs. Design Retrospective study combining a systematic listing of ICU telemedicine installations with hospital characteristic data from the Centers for Medicare and Medicaid Services. We examined adoption over time and compared hospital characteristics between facilities that have adopted ICU telemedicine and those that have not. Setting United States hospitals from 2003 to 2010. Measurements and main results The number of hospitals using ICU telemedicine increased from 16 (0.4% of total) to 213 (4.6% of total) between 2003 and 2010. The number of ICU beds covered by telemedicine increased from 598 (0.9% of total) to 5,799 (7.9% of total). The average annual rate of ICU bed coverage growth was 101% per year in the first four study years but slowed to 8.1% per year over the last four study years (p<0.001 for difference in linear trend). Compared to non-adopting hospitals, hospitals adopting ICU telemedicine were more likely to be large (percentage with >400 beds: 11.1% vs. 3.7%, p<0.001), teaching (percentage with resident coverage: 31.4% vs. 21.9%, p=0.003) and urban (percentage located in metropolitan statistical areas with over one million residents: 45.3% vs. 30.1%, p<0.001). Conclusions ICU telemedicine adoption was initially rapid but recently slowed. Efforts are needed to uncover the barriers to future growth, particularly regarding the optimal strategy for using this technology most effectively and efficiently. PMID:24145839
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Arroyo el Mimbral, Mexico, K/T unit: Origin as debris flow/turbidite, not a tsunami deposit
NASA Technical Reports Server (NTRS)
Bohor, Bruce F.; Betterton, William J.
1993-01-01
Coarse, spherule-bearing, elastic units have been discovered at 10 marine sites that span the K/T boundary in northeastern Mexico. We examined one of the best exposed sites in Arroyo el Mimbral, northwest of Tampico. The Mimbral outcrop displays a layered elastic unit up to 3 m thick enclosed by marly limestones of the Mendez (Latest Maastrichian) and Velasco (Earliest Danian) Formations. At its thickest point, this channelized elastic unit is comprised of 3 subunits: (1) a basal, poorly-sorted, ungraded calcareous spherule bed 1 m thick containing relict impact glass and shocked mineral grains, (2) a massive set of laminated calcite-cemented sandstones up to 2 m thick with plant debris at its base, (3) capped by a thin (up to 20 cm) set of rippled sandstone layers separated by silty mudstone drapes containing a small (921 pg/g) iridium anomaly. This tripartite elastic unit is conformably overlain by marls of the Velasco Formation. We also visited the La Lajilla site east of Ciudad Victoria; its stratigraphy is similar to Mimbral's, but its elastic beds are thinner and less extensive laterally. The Mimbral elastic unit has been interpreted previously as being deposited by a megawave or tsunami produced by an asteroid impact on nearby Yucatan (Chicxulub crater). However, a presumed 400-m paleodepth of water at the Mimbral site, channeling of the spherule subunit into the underlying Mendez Formation marls, and the overtopping of the basal, spherule-bearing subunit by the laminated sandstone subunit, all suggest a combined debris flow/turbidite origin for this elastic unit similar to that proposed for Upper Pleistocene sand/silt beds occurring elsewhere in the Gulf of Mexico. In this latter model, the sediment source region for the elastic unit is the lower continental shelf and slope escarpment. For the K/T unit at Mimbral, we propose that thick ejecta blanket deposits composed mostly of spherules were rapidly loaded onto the lower shelf and slope from an impact-generated ejecta curtain.
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The Development and Validation of the Mood-based Indoor Tanning Scale.
Carcioppolo, Nick; Chen, Yixin; John, Kevin K; Gonzalez, Andrea Martinez; King, Andy J; Morgan, Susan E; Hu, Shasa
2017-01-01
Research indicates that mood-based motivations may be an important predictor of indoor tanning bed use and may be related to indoor tanning dependence. Problematically, little research has been conducted to develop a psychometric measure of mood-based tanning motivations. The current study seeks to develop and validate the moodbased indoor tanning scale (MITS). Two studies were conducted to identify and verify the MITS factor structure as well as assess construct validity. Study 1 was conducted at 5 geographically diverse universities in the United States. Study 2 was conducted by using a national online sample in the United States. Results from study 1 specified the factor structure of the MITS. Results from study 2 suggest that a one-point increase in the MITS measure corresponds with using indoor tanning beds 11 more times in the past year. These findings demonstrate that moodbased tanning motivations are a strong predictor of indoor tanning intentions and behavior. Further, they suggest that health behavior researchers and healthcare practitioners can use the MITS to assess the extent to which mood-based motivations impact indoor tanning bed use.
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2012-01-01
Background The elimination of malaria in Zanzibar is highly dependent on sustained effective coverage of bed-nets to avoid malaria resurgence. The Health Belief Model (HBM) framework was used to explore the perceptions of malaria and bed-net use after a noticeable reduction in malaria incidence. Methods Nineteen in-depth interviews were conducted with female and male caretakers of children under five in North A district, Zanzibar. Deductive content analysis was used to identify meaning units that were condensed, coded and assigned to pre-determined elements of the HBM. Results Awareness of malaria among caretakers was high but the illness was now seen as easily curable and uncommon. In addition to the perceived advantage of providing protection against malaria, bed-nets were also thought to be useful for avoiding mosquito nuisance, especially during the rainy season when the malaria and mosquito burden is high. The discomfort of sleeping under a net during the hot season was the main barrier that interrupted consistent bed-net usage. The main cue to using a bed-net was high mosquito density, and children were prioritized when it came to bed-net usage. Caretakers had high perceived self-efficacy and did not find it difficult to use bed-nets. Indoor Residual Spraying (IRS), which was recognized as an additional means of mosquito prevention, was not identified as an alternative for bed-nets. A barrier to net ownership was the increasingly high cost of bed-nets. Conclusions Despite the reduction in malaria incidence and the resulting low malaria risk perceptions among caretakers, the benefit of bed-nets as the most proficient protection against mosquito bites upholds their use. This, in combination with the perceived high self-efficacy of caretakers, supports bed-net usage, while seasonality interrupts consistent use. High effective coverage of bed-nets could be further improved by reinforcing the benefits of bed-nets, addressing the seasonal heat barrier by using nets with larger mesh sizes and ensuring high bed-net ownership rates through sustainable and affordable delivery mechanisms. PMID:22863188
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NASA Technical Reports Server (NTRS)
Wood, P. C.; Ballou, E. V.; Spitze, L. A.; Wydeven, T.
1982-01-01
A single pass flow system was used to test the reactivity of calcium superoxide with respiratory gases and the performance was compared to that of potassium superoxide. The KO2 system is used by coal miners as a self-contained unit in rescue operations. Particular attention was given to the reactivity with carbon dioxide and water vapor at different temperatures and partial pressures of oxygen, carbon dioxide, and water vapor. The calcium superoxide beds were found to absorb CO2 and H2O vapor, releasing O2. The KO2 bed, however, released O2 at twice the rate of CO2 absorption at 37 C. It is concluded that the calcium superoxide material is not a suitable replacement for the KO2 bed, although Ca(O2)2 may be added to the KO2 bed to enhance the CO2 absorption.
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Generalized thickness and configuration of the top of the intermediate aquifer, West-Central Florida
DOE Office of Scientific and Technical Information (OSTI.GOV)
Corral, M.A. Jr.; Wolansky, R.M.
1984-01-01
The water-bearing units of the intermediate aquifer consist of discontinuous sand, gravel, shell, and limestone and dolomite beds in the Tamiami Formation of late Miocene age and the Hawthorn Formation of middle Miocene age. Within parts of Polk, Manatee, Hardee, De Soto, Sarasota, and Charlotte Counties, sand and clay beds within the Tampa Limestone that are hydraulically connected to the Hawthorn Formation are also included in the intermediate aquifer. 15 refs.
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Luppens, James A.; Scott, David C.
2015-01-01
This report presents the final results of the first assessment of both coal resources and reserves for all significant coal beds in the entire Powder River Basin, northeastern Wyoming and southeastern Montana. The basin covers about 19,500 square miles, exclusive of the part of the basin within the Crow and Northern Cheyenne Indian Reservations in Montana. The Powder River Basin, which contains the largest resources of low-sulfur, low-ash, subbituminous coal in the United States, is the single most important coal basin in the United States. The U.S. Geological Survey used a geology-based assessment methodology to estimate an original coal resource of about 1.16 trillion short tons for 47 coal beds in the Powder River Basin; in-place (remaining) resources are about 1.15 trillion short tons. This is the first time that all beds were mapped individually over the entire basin. A total of 162 billion short tons of recoverable coal resources (coal reserve base) are estimated at a 10:1 stripping ratio or less. An estimated 25 billion short tons of that coal reserve base met the definition of reserves, which are resources that can be economically produced at or below the current sales price at the time of the evaluation. The total underground coal resource in coal beds 10–20 feet thick is estimated at 304 billion short tons.
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NASA Technical Reports Server (NTRS)
Lebron, Ramon C.
1992-01-01
The NASA LeRC in Cleveland, Ohio, is responsible for the design, development, and assembly of the Space Station Freedom (SSF) Electrical Power System (EPS). In order to identify and understand system level issues during the SSF Program design and development phases, a system Power Management and Distribution (PMAD) DC test bed was assembled. Some of the objectives of this test bed facility are the evaluation of, system efficiency, power quality, system stability, and system protection and reconfiguration schemes. In order to provide a realistic operating scenario, dc Load Converter Units are used in the PMAD dc test bed to characterize the user interface with the power system. These units are dc to dc converters that provide the final system regulation before power is delivered to the load. This final regulation is required on the actual space station because the majority of user loads will require voltage levels different from the secondary bus voltage. This paper describes the testing of load converters in an end to end system environment (from solar array to loads) where their interactions and compatibility with other system components are considered. Some of the system effects of interest that are presented include load converters transient behavior interactions with protective current limiting switchgear, load converters ripple effects, and the effects of load converter constant power behavior with protective features such as foldback.
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NASA Technical Reports Server (NTRS)
Lebron, Ramon C.
1992-01-01
The NASA LeRC in Cleveland, Ohio, is responsible for the design, development, and assembly of the Space Station Freedom (SSF) Electrical Power System (EPS). In order to identify and understand system level issues during the SSF program design and development phases, a system Power Management and Distribution (PMAD) dc test bed was assembled. Some of the objectives of this test bed facility are the evaluation of, system efficiency, power quality, system stability, and system protection and reconfiguration schemes. In order to provide a realistic operating scenario, dc Load Converter Units are used in the PMAD dc test bed to characterize the user interface with the power system. These units are dc to dc converters that provide the final system regulation before power is delivered to the load. This final regulation is required on the actual space station because the majority of user loads will require voltage levels different from the secondary bus voltage. This paper describes the testing of load converters in an end to end system environment (from solar array to loads) where their interactions and compatibility with other system components are considered. Some of the system effects of interest that are presented include load converters transient behavior interactions with protective current limiting switchgear, load converters ripple effects, and the effects of load converter constant power behavior with protective features such as foldback.
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Effects of acuity-adaptable rooms on flow of patients and delivery of care.
Hendrich, Ann L; Fay, Joy; Sorrells, Amy K
2004-01-01
Delayed transfers of patients between nursing units and lack of available beds are significant problems that increase costs and decrease quality of care and satisfaction among patients and staff. To test whether use of acuity-adaptable rooms helps solve problems with transfers of patients, satisfaction levels, and medical errors. A pre-post method was used to compare the effects of environmental design on various clinical and financial measures. Twelve outcome-based questions were formulated as the basis for inquiry. Two years of baseline data were collected before the unit moved and were compared with 3 years of data collected after the move. Significant improvements in quality and operational cost occurred after the move, including a large reduction in clinician handoffs and transfers; reductions in medication error and patient fall indexes; improvements in predictive indicators of patients' satisfaction; decrease in budgeted nursing hours per patient day and increased available nursing time for direct care without added cost; increase in patient days per bed, with a smaller bed base (number of beds per patient days). Some staff turnover occurred during the first year; turnover stabilized thereafter. Data in 5 key areas (flow of patients and hospital capacity, patients' dissatisfaction, sentinel events, mean length of stay, and allocation of nursing productivity) appear to be sufficient to test the business case for future investment in partial or complete replication of this model with appropriate populations of patients.
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AMS Fabric of a CRM in Hematite-Bearing Samples: Evidence of DRMs in Natural Red Beds
NASA Astrophysics Data System (ADS)
Kodama, K. P.
2002-12-01
Anisotropy of magnetic susceptibility (AMS) and anisotropy of isothermal remanence (AIR) in red sedimentary rocks both typically show a bedding parallel foliation with minimum axes clustered perpendicular to the bedding plane. Our studies have observed this type of magnetic fabric in red bed units that have a range of ages and come from widespread localities. These units include the Mississippian Mauch Chunk Formation from the Appalachians, the Triassic Passaic Formation from the Newark basin in Pennsylvania, the Cretaceous Kapusaliang Formation from the Tarim basin in China, and the early Mesozoic Kayenta and Chinle Formations from the Colorado Plateau in southwestern North America. Bedding parallel foliations are also observed in magnetite-bearing rocks that carry a depositional remanence (DRM), suggesting the possibility of a DRM in red beds, even though the conventional wisdom is that they carry a post-depositional chemical remanent magnetization (CRM). Before the typical magnetic fabric of red beds can be used to indicate their type of remanence, we must determine what the magnetic fabric of a CRM looks like. For this reason, I conducted a series of hematite-growth experiments following the procedures outlined by Stokking and Tauxe (1987). I grew hematite in the laboratory on stacks of glass-fiber filter papers and in slurries of quartz and kaolinite. The hematite was grown from a ferric nitrate solution heated to 95° C for 8 hours. The samples were then dehydrated in a vacuum at room temperature for approximately 38 hours. It was possible to thermally demagnetize the eight filter paper samples to 350° C, but the six kaolinite-quartz samples were grown in plastic sample cubes and could only be thermally demagnetized to 150° C, enough to remove the thermoviscous magnetization acquired by the samples during the heating at 95° C. The mean CRM acquired by the red-brown magnetic phase grown in the experiments was within its alpha-95 of the steeply inclined (inclination=60°) ambient magnetic field. The kaolinite-quartz samples had a very scattered remanence, probably due to the physical disturbance of the samples upon the initial application of the vacuum. In both the filter paper and kaolinite-quartz experiments the AMS fabric of the CRM-carrying grains was foliated with the maximum and intermediate principal axes defining a great circle that passes through the mean CRM direction and is moderately inclined (approximately 45°) to the horizontal. The moderately inclined great circle defined by the maximum-intermediate principal axes is quite distinct from the horizontal maximum-intermediate axes observed in the natural red bed samples, despite red bed characteristic remanences that range from nearly horizontal (Passaic, Chinle, Kayenta) to as steep as 30° (Mauch Chunk, Kapusaliang). This observation suggests that red bed characteristic remanence is typically a DRM, rather than a CRM. This has implications for interpreting red bed remanence since DRMs in hematite-bearing red beds may have large inclination errors.
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Exploratory study of bed-sharing and maternal-infant bonding.
Mitchell, Edwin A; Hutchison, B Lynne; Thompson, John Md; Wouldes, Trecia A
2015-08-01
Bed-sharing with an infant is controversial due to the increased risk of sudden unexpected death in infancy versus postulated benefits of the practice such as enhanced breastfeeding and maternal-infant bonding. This study evaluated the association between bed-sharing and maternal-infant bonding. Four hundred randomly selected mothers who had delivered in a large maternity unit in Auckland and whose infants were between the ages of 6 weeks and 4 months were sent a postal questionnaire asking about their bed-sharing practices last night, usually, and in the last 2 weeks. Included in the questionnaire were factors 1 and 2 questions from the Postpartum Bonding Questionnaire to assess maternal-infant bonding. Responders totalled 172 (43%), and infants were a mean age of 11 weeks. Fourteen per cent of infants slept in a bed-sharing situation last night, 8% usually, and 41% had slept with an adult in the last 2 weeks. Nine per cent of mothers scored above the cut-off for factor 1 for impaired maternal-infant bonding. Infants of these mothers were more likely to bed-share last night, usually, and in the last 2 weeks, and were less likely to use a pacifier and to breastfeed. Bed-sharing mothers scored more highly on individual questions relating to being annoyed or irritated by their baby. There is an inverse association between bed-sharing and maternal-infant bonding, which is contrary to the often expressed belief that bed-sharing enhances maternal-infant bonding. © 2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
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Zha, Chen; Wang, Changlu; Li, Andrew
2018-02-09
The common bed bug [Cimex lectularius L. (Hemiptera: Cimicidae)] and tropical bed bug [Cimex hemipterus F. (Hemiptera: Cimicidae)] resurged in the United States and many other countries over the past decades. The need for safe and effective bed bug control products propelled the development of numerous 'green insecticides', mostly with essential oils listed as active ingredients. Various inorganic and organic oils also were used for bed bug management. However, there are no published studies on their toxicities against bed bugs. In this study, we screened 18 essential oils, three silicone oils, and paraffin oil (C5-20 paraffins) for their toxicities against bed bugs. All the oils exhibited insecticidal activity in topical assays. Their toxicities varied significantly; all of the evaluated essential oils were less effective than silicone oils and paraffin oil. The LD50 values of the most effective essential oil (blood orange), paraffin oil, and the most effective silicone oil (dodecamethylpentasiloxane) are 0.184 ± 0.018, 0.069 ± 0.012, and 0.036 ± 0.005 mg per bug, respectively. Direct spray of 1% water solution of 3-[hydroxy (polyethyleneoxy) propyl] heptamethyltrisiloxane, the only silicone oil that mixes well with water, resulted in 92% bed bug mortality after 1 d. Results of this study indicate silicone oils and paraffin oil have the potential to be used as safer alternative bed bug control materials. © The Author(s) 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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Íñiguez Romo, Andrés; Bertomeu Martínez, Vicente; Rodríguez Padial, Luis; Anguita Sánchez, Manuel; Ruiz Mateas, Francisco; Hidalgo Urbano, Rafael; Bernal Sobrino, José Luis; Fernández Pérez, Cristina; Macaya de Miguel, Carlos; Elola Somoza, Francisco Javier
2017-07-01
The RECALCAR project (Spanish acronym for Resources and Quality in Cardiology Units) uses 2 data sources: a survey of cardiology units and an analysis of the Minimum Basic Data set of all hospital discharges of the Spanish National Health System. From 2011 to 2014, there was marked stability in all indicators of the availability, utilization, and productivity of cardiology units. There was significant variability between units and between the health services of the autonomous communities. There was poor implementation of process management (only 14% of the units) and scarce development of health care networks (17%). Structured cardiology units tended to have better results, in terms of both quality and efficiency. No significant differences were found between the different types of unit in the mean length of stay (5.5±1.1 days) or the ratio between successive and first consultations (2:1). The mean discharge rate was 5/1000 inhabitants/y and the mean rate of initial consultations was 16±4/1000 inhabitants/y. No duty or on-call cardiologist was available in 30% of cardiology units with 24 or more beds; of these, no critical care beds were available in 45%. Our findings support the recommendation to regionalize cardiology care and to promote the development of cardiology unit networks. Copyright © 2017 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.
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Critical conditions for particle motion in coarse bed materials of nonuniform size distribution
NASA Astrophysics Data System (ADS)
Bathurst, James C.
2013-09-01
Initiation of particle motion in a bed material of nonuniform size distribution may be quantified by (qci/qcr) = (Di/Dr)b, where qci is the critical unit discharge at which particle size Di enters motion, qcr is the critical condition for a reference size Dr unaffected by the hiding/exposure effects associated with nonuniform size distributions, i and r refer to percentiles of the distribution and b varies from 0 (equal mobility in entrainment of all particle sizes) to 1.5-2.5 (full size selective transport). Currently there is no generally accepted method for predicting the value of b. Flume and field data are therefore combined to investigate the above relationship. Thirty-seven sets of flume data quantify the relationship between critical unit discharge and particle size for bed materials with uniform size distributions (used here to approximate full size selective transport). Field data quantify the relationship for bed materials of nonuniform size distribution at 24 sites, with b ranging from 0.15 to 1.3. Intersection of the two relationships clearly demonstrates the hiding/exposure effect; in some but not all cases, Dr is close to the median size D50. The exponent has two clusters of values: b > 1 for sites subject to episodic rain-fed floods and data collected by bedload pit trap and tracers; and b < 0.7 for sites with seasonal snowmelt/glacial melt flow regimes and data collected by bedload sampler and large aperture trap. Field technique appears unlikely to cause variations in b of more than about 0.25. However, the clustering is consistent with possible variations in bed structure distinguishing: for b > 1, sites with relatively infrequent bedload transport where particle embedding and consolidation could reduce the mobility of coarser particles; and, for b < 0.7, a looser bed structure with frequent transport events allowing hiding/exposure and size selection effects to achieve their balance. As yet there is no firm evidence for such a dependency on bed structure but variations in b could potentially be caused by factors outside those determining equal mobility or size selection but appearing to affect b in the same way.
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NASA Astrophysics Data System (ADS)
Zulauf, G.; Dörr, W.; Krahl, J.; Lahaye, Y.; Chatzaras, V.; Xypolias, P.
2016-10-01
Inherited deformation microfabrics of detrital quartz grains and U-Pb (Laser ablation (LA)-ICPMS and ID TIMS) ages of detrital zircons separated from the Phyllite-Quartzite Unit s.l. of the Talea Ori, central Crete, suggest strikingly different source rocks. Albite gneiss of the lower Rogdia Beds includes Cambrian and Neoproterozoic rounded zircons with main U-Pb age peaks at 628 and 988 Ma. These and minor Paleoproterozoic and Archean peaks, together with the lack of Variscan-aged and Mesoproterozoic zircons, are similar to the age spectra obtained from the Phyllite-Quartzite Unit s.str. of the Peloponnesus and eastern Crete and from the Taurides. All of these zircons should be derived from the northeastern passive margin of Gondwana (Cimmeria). Metatuffites of the uppermost Rogdia Beds and metasandstone of Bali beach, on the other hand, include euhedral detrital zircons displaying a Variscan U-Pb age spectra at ca. 300 Ma with concordia ages at 291 ± 3, 300 ± 1 Ma (Rogdia) and 286 ± 3, 300 ± 3, 313 ± 2 Ma (Bali). Both types of metasediments and their zircons are similar to those of the pre-Alpine basement and overlying Tyros Beds of eastern Crete, revealing a provenance at the southern active margin of Laurasia. Thus, in central Crete the Paleotethys suture should be situated inside the Rogdia Beds. Magmatic zircons separated from a rhyolite boulder of the lower Achlada Beds yielded a concordant U-Pb zircon age at 242 ± 2 Ma placing a maximum age for the deposition of the (meta)conglomerate from which the boulder was collected. This age is compatible with an Olenekian-early Anisian age of the underlying Vasilikon marble suggested by new findings of the foraminifera Meandrospira aff. pusilla. Both the Achlada Beds and the Vasilikon marble can be attributed to the lower Tyros Beds of eastern Crete. The Alpine deformation led to a pervasive mylonitic foliation, which is affecting most of the studied rocks. This foliation results from D2 top-to-the-north shearing, which post-dates the growth of blue amphiboles (crossite).
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Microbial community structure of relict niter-beds previously used for saltpeter production.
Narihiro, Takashi; Tamaki, Hideyuki; Akiba, Aya; Takasaki, Kazuto; Nakano, Koichiro; Kamagata, Yoichi; Hanada, Satoshi; Maji, Taizo
2014-01-01
From the 16th to the 18th centuries in Japan, saltpeter was produced using a biological niter-bed process and was formed under the floor of gassho-style houses in the historic villages of Shirakawa-go and Gokayama, which are classified as United Nations Educational, Scientific and Cultural Organization (UNESCO) World Heritage Sites. The relict niter-beds are now conserved in the underfloor space of gassho-style houses, where they are isolated from destabilizing environmental factors and retain the ability to produce nitrate. However, little is known about the nitrifying microbes in such relict niter-bed ecosystems. In this study, the microbial community structures within nine relict niter-bed soils were investigated using 454 pyrotag analysis targeting the 16S rRNA gene and the bacterial and archaeal ammonia monooxygenase gene (amoA). The 16S rRNA gene pyrotag analysis showed that members of the phyla Proteobacteria, Actinobacteria, Bacteroidetes, Chloroflexi, Firmicutes, Gemmatimonadetes, and Planctomycetes were major microbial constituents, and principal coordinate analysis showed that the NO3-, Cl-, K+, and Na+ contents were potential determinants of the structures of entire microbial communities in relict niter-bed soils. The bacterial and archaeal amoA libraries indicated that members of the Nitrosospira-type ammonia-oxidizing bacteria (AOB) and "Ca. Nitrososphaera"-type ammonia-oxidizing archaea (AOA), respectively, predominated in relict niter-bed soils. In addition, soil pH and organic carbon content were important factors for the ecological niche of AOB and AOA in relict niter-bed soil ecosystems.
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Organochlorine pesticide residues in bed sediments of the San Joaquin River, California
Gilliom, Robert J.; Clifton, Daphne G.
1990-01-01
Bed sediments of the San Joaquin River and its tributaries were sampled during October 7–11, 1985, and analyzed for organochiorine pesticide residues in order to determine their areal distribution and to evaluate and prioritize needs for further study. Residues of DDD, DDE, DDT, and dieldrin are widespread in the fine-grained bed sediments of the San Joaquin River and its tributaries despite little or no use of these pesticides for more than 15 years. The San Joaquin River has among the highest bed-sediment concentrations of DDD, DDE, DDT, and dieldrin residues of major rivers in the United States. Concentrations of all four pesticides were correlated with each other and with the amount of organic carbon and fine-grained particles in the bed sediments. The highest concentrations occurred in bed sediments of westside tributary streams. Potential tributary loads of DDD, DDE, DDT, and dieldrin to the San Joaquin River were computed from bed-sediment concentrations and data on streamfiow and suspended-sediment concentration in order to identify the general magnitude of differences between streams and to determine study priorities. The estimated loads indicate that the most important sources of residues during the study period were Salt Slough because of a high load of fine sediment, and Newman Wasteway, Orestimba Creek, and Hospital Creek because of high bed-sediment concentrations. Generally, the highest estimated loads of DDD, DDE, DDT, and dieldrin were in Orestimba and Hospital Creeks.
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NASA Astrophysics Data System (ADS)
Iturrino, G. J.; Pirmez, C.; Moore, J. C.; Reichow, M. K.; Dugan, B. E.; Sawyer, D. E.; Flemings, P. B.; Shipboard Scientific Party, I.
2005-12-01
IODP Expedition 308 drilled transects along the Brazos-Trinity IV and Ursa Basins in the western and eastern Gulf of Mexico, respectively, for examining how sedimentation, overpressure, fluid flow, and deformation are coupled in passive margin settings. A total of eight holes were logged using either logging while drilling (LWD) or wireline techniques to evaluate the controls on slope stability, understand the timing of sedimentation and slumping, establish the petrophysical properties of shallow sediments, and provide a better understanding of turbidite systems. Overall, the log responses vary for the different lithostratigraphic units and associated regional seismic reflectors. The data acquired also make bed-to-bed correlation between sites possible, which is valuable for the study of sandy turbidites and studies of regional deformation. The thick sedimentary successions drilled at these basins show records of the evolution of channel-levee systems composed of low relief channels that were incapable of confining the turbidity currents causing an overspill of sand and silt. In addition, mass transport deposits at shallow depths, and transitions between interbedded silt, sand, and mud units are common features identified in many of the downhole logging data. In the Ursa Basin sediments, resistivity-at-the-bit images show significant deformation of the overlying hemipelagic drape and distal turbidites that were drilled in these areas. Numerous dipping beds throughout these intervals with dips ranging from 5 to 55 degrees confirm core observations. Steeply deformed beds, with dips as high as 65 degrees, and folded and faulted beds suggest down slope remobilization as mass-transport deposits. Resistivity images also show evidence of these mass-transport deposits where steep dips and folds suggest the presence of overturned beds within a series of cyclic intervals that we interpret as a succession of sand-silt-mud lamina. Preliminary structural analyses suggest that many of the deformation features trend in an E-W direction with the majority dipping to the north.
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ASPEN simulation of a fixed-bed integrated gasification combined-cycle power plant
DOE Office of Scientific and Technical Information (OSTI.GOV)
Stone, K.R.
1986-03-01
A fixed-bed integrated gasification combined-cycle (IGCC) power plant has been modeled using the Advanced System for Process ENgineering (ASPEN). The ASPEN simulation is based on a conceptual design of a 509-MW IGCC power plant that uses British Gas Corporation (BGC)/Lurgi slagging gasifiers and the Lurgi acid gas removal process. The 39.3-percent thermal efficiency of the plant that was calculated by the simulation compares very favorably with the 39.4 percent that was reported by EPRI. The simulation addresses only thermal performance and does not calculate capital cost or process economics. Portions of the BGC-IGCC simulation flowsheet are based on the SLAGGERmore » fixed-bed gasifier model (Stefano May 1985), and the Kellogg-Rust-Westinghouse (KRW) iGCC, and the Texaco-IGCC simulations (Stone July 1985) that were developed at the Department of Energy (DOE), Morgantown Energy Technology Center (METC). The simulation runs in 32 minutes of Central Processing Unit (CPU) time on the VAX-11/780. The BGC-IGCC simulation was developed to give accurate mass and energy balances and to track coal tars and environmental species such as SO/sub x/ and NO/sub x/ for a fixed-bed, coal-to-electricity system. This simulation is the third in a series of three IGCC simulations that represent fluidized-bed, entrained-flow, and fixed-bed gasification processes. Alternate process configurations can be considered by adding, deleting, or rearranging unit operation blocks. The gasifier model is semipredictive; it can properly respond to a limited range of coal types and gasifier operating conditions. However, some models in the flowsheet are based on correlations that were derived from the EPRI study, and are therefore limited to coal types and operating conditions that are reasonably close to those given in the EPRI design. 4 refs., 7 figs., 2 tabs.« less
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Chapinal, N; Barrientos, A K; von Keyserlingk, M A G; Galo, E; Weary, D M
2013-01-01
The objective was to investigate the association between herd-level management and facility design factors and the prevalence of lameness in high-producing dairy cows in freestall herds in the northeastern United States (NE; Vermont, New York, Pennsylvania) and California (CA). Housing and management measures such as pen space, stall design, bedding type, and milking routine were collected for the high-producing pen in 40 farms in NE and 39 farms in CA. All cows in the pen were gait scored using a 1-to-5 scale and classified as clinically lame (score ≥3) or severely lame (score ≥4). Measures associated with the (logit-transformed) proportion of clinically or severely lame cows at the univariable level were submitted to multivariable general linear models. In NE, lameness increased on farms that used sawdust bedding [odds ratio (OR)=1.71; 95% confidence interval (CI)=1.06-2.76] and decreased with herd size (OR=0.94; CI=0.90-0.97, for a 100-cow increase), use of deep bedding (OR=0.48; CI=0.29-0.79), and access to pasture (OR=0.52; CI=0.32-0.85). The multivariable model included herd size, access to pasture, and provision of deep bedding, and explained 50% of the variation in clinical lameness. Severe lameness increased with the percentage of stalls with fecal contamination (OR=1.15; CI=1.06-1.25, for a 10% increase) and with use of sawdust bedding (OR=2.13; CI=1.31-3.47), and decreased with use of deep bedding (OR=0.31; CI=0.19-0.50), sand bedding (OR=0.32; CI=0.19-0.53), herd size (OR=0.93; CI=-0.89-0.97, for a 100-cow increase), and rearing replacement heifers on site (OR=0.57; CI=0.32-0.99). The multivariable model included deep bedding and herd size, and explained 59% of the variation of severe lameness. In CA, clinical lameness increased with the percentage of stalls containing fecal contamination (OR=1.15; CI=1.05-1.26, for a 10% increase), and decreased with herd size (OR=0.96; CI=0.94-0.99, for a 100-cow increase), presence of rubber in the alley to the milking parlor (OR=0.46; CI=0.28-0.76), distance of the neck rail from the rear curb (OR=0.97; CI=0.95-0.99, for a 1-cm increase), water space per cow (OR=0.92; CI=0.85-0.99, for a 1-cm increase), and increased frequency of footbaths per week (OR=0.90; CI=081-0.99, for a 1-unit increase). The multivariable model included herd size, percentage of stalls containing fecal contamination, and presence of rubber in the alley to the milking parlor, and explained 44% of the variation of clinical lameness. Severe lameness increased with the percentage of stalls containing fecal contamination (OR=1.23; CI=1.06-1.42, for a 10% increase) and decreased with frequency of manure removal in the pen per day (OR=0.72; CI=0.53-0.97, for a 1-unit increase). The final model included both variables and explained 28% of the variation in severe lameness. In conclusion, changes in housing and management may help decrease the prevalence of lameness on dairy farms, but key risk factors vary across regions. Copyright © 2013 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
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Kiuru, H J
2001-01-01
This paper gives a brief description of the development of dissolved air flotation DAF (or so-called high pressure flotation) as an unit operation for removal of solids in water and wastewater treatment during the last 80 years up to this time. The first DAF-systems used in the water industry were the ADKA and Sveen-Pedersen ones from the 1920s. Some of these are still in use. The tanks in which the flotation phenomenon takes place in these systems are very shallow and narrow as well as rather long. The flow rate of water is some 2-3 m/h (at most less than 5 m/h only) and there is a very thin micro-bubble blanket below the water surface between the dry sludge blanket on that and the clarified water which flows almost horizontally below the bubble blanket toward the end of the tanks to be taken out there from near the bottom. The second generation of DAF was introduced in the 1960s and these units are widely in use today. Their tanks are almost square ones having usually a little bit more length than breadth. They are rather deep, too. There is an under-flow wall in front of the back wall of the units having a narrow horizontal gap on the bottom of the tanks for letting out the clarified water from the flotation space. The flow rate of water is usually 5-7 m/h or at most less than 10 m/h. The direction of flow is 30-45 degrees below the horizontal. There is a rather thick micro-bubble bed at the beginning of the tank below the dry sludge blanket. This bubble-bed becomes clearly thinner, when going toward the end of the tank. There are also round DAF tanks which are based on the same hydraulic principles as the rectangular ones presented above. A special application of DAF called the flotation filter was invented at the very end of the 1960s. It is a combination of flotation and rapid sand filtration, both of those being placed in the same tank. Flotation takes place in the upper part of the tank and the filter has been placed in the lower part of it. The direction of water flow is now vertically down from the free surface of water in the tank toward the deep-bed filter. This controls the direction of flow in the flotation space of the tank above the filter bed. The flow rate of water in flotation filters may be 10-15 m/h, but the flow conditions are still laminar. It is the threat that the head-loss of filters would grow too rapidly which in practice is limiting the hydraulic flow rate of flotation filters in this area. The third generation of DAF has been developed at the end of the 1990s. The operational idea is based on that of the flotation filter. The filter bed on the bottom of the tank has been replaced by a thin stiff plate with plenty of round orifices throughout the plate. This plate, having a very much lower flowing resistance than a sand filter can have, controls the vertical flow of water in the flotation space above the plate and distributes it evenly throughout the horizontal cross-section of the tank. The flotation tank is almost square seen from above and its depth is clearly more than the length and breadth of it. This kind of flotation unit can be operated with flow rates of water in the range 25-40 m/l. Even a flow rate of more than 60 m/h has been reported from this kind of DAF-units. There is no risk of clogging of the plate by suspended solids which could limit the flow rate. This is to say that it is possible to operate DAF also in turbulent flow conditions. The depth of the micro-bubble bed below the surface of water can be 1.5-2.5 m. There actually is a continuously regenerated micro-bubble bed in the tank filtering water which is going through this bed. The lower surface of the micro-bubble bed is really a horizontal one a little bit above the plate controlling the flow in the flotation space. The clarified water below the micro-bubble bed is totally clear. It can be said that in this case the removal of suspended solids takes place much more by filtering water by a deep-bed micro-bubble filter than by attaching micro-bubbles onto solids, when both of these are mixed with each other in the inlet shaft of the flotation unit, because the retention time of water in the inlet shaft is very short indeed.
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The effect of sunless tanning on behavior in the sun: a pilot study.
Sheehan, Daniel J; Lesher, Jack L
2005-12-01
In the United States, indoor tanning is a booming industry and contributes to the ultraviolet light (UVL) burden that ultimately leads to skin cancer. "Sunless" tanning methods that avoid UVL exposure may represent a safe alternative. However, the effects of sunless tanning methods on ultraviolet light-related behaviors have never been investigated. Anonymous survey of 121 individuals who underwent a spray-on sunless tanning treatment between February and May 2004. Women completed 107 surveys. Men completed 14 surveys. The majority of individuals reported that they had not or would not change their time spent outdoors or their sunscreen use as a result of undergoing sunless tanning. However, 73% of individuals who had used UVL tanning beds said they had decreased or would decrease their UVL tanning bed use. Sunless tanning is associated with a self-reported decrease in traditional UVL tanning bed use among tanning bed users. Physicians should advocate the use of sunless tanning to their patients who use traditional UVL tanning beds as a means of decreasing their UVL exposure and cancer risk.
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Rouse, William A.; Houseknecht, David W.
2012-01-01
The Cook Inlet-Susitna region of south-central Alaska contains large quantities of gas-bearing coal of Tertiary age. The U.S. Geological Survey in 2011 completed an assessment of undiscovered, technically recoverable coal-bed gas resources underlying the Cook Inlet-Susitna region based on the total petroleum system (TPS) concept. The Cook Inlet Coal-Bed Gas TPS covers about 9,600,000 acres and comprises the Cook Inlet basin, Matanuska Valley, and Susitna lowland. The TPS contains one assessment unit (AU) that was evaluated for coal-bed gas resources between 1,000 and 6,000 feet in depth over an area of about 8,500,000 acres. Coal beds, which serve as both the source and reservoir for natural gas in the AU, were deposited during Paleocene-Pliocene time in mires associated with a large trunk-tributary fluvial system. Thickness of individual coal beds ranges from a few inches to more than 50 feet, with cumulative coal thickness of more than 800 feet in the western part of the basin. Coal rank ranges from lignite to subbituminous, with vitrinite reflectance values less than 0.6 percent throughout much of the AU. The AU is considered hypothetical because only a few wells in the Matanuska Valley have tested the coal-bed reservoirs, so the use of analog coal-bed gas production data was necessary for this assessment. In order to estimate reserves that might be added in the next 30 years, coal beds of the Upper Fort Union Formation in the Powder River Basin of Wyoming and Montana were selected as the production analog for Tertiary coal beds in the Cook Inlet-Susitna region. Upper Fort Union coal beds have similar rank (lignite to subbituminous), range of thickness, and coal-quality characteristics as coal beds of the Tertiary Kenai Group. By use of this analog, the mean total estimate of undiscovered coal-bed gas in the Tertiary Coal-Bed Gas AU is 4.674 trillion cubic feet (TCF) of gas.
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Effect of ionization, bedding, and feeding on air quality in a horse stable.
Siegers, Esther Willemijn; Anthonisse, Milou; van Eerdenburg, Frank J C M; van den Broek, Jan; Wouters, Inge M; Westermann, Cornélie Martine
2018-05-01
Organic dust is associated with Equine asthma. Ionization should reduce airborne dust levels. To determine the effect of ionization of air, type of bedding, and feed on the levels of airborne dust, endotoxin, and fungal colonies in horse stables. 24 healthy University-owned horses occupied the stables. A randomized controlled cross-over study. Four units with 6 stables were equipped with an ionization installation (25 VA, 5000 Volt Direct Current). Horses were kept either on wood shavings and fed haylage (2 units), or on straw and fed dry hay (2 units). Measurements were performed with and without activated ionization, during daytime and nighttime, repeatedly over the course of a week and repeatedly during 4-6 weeks. Statistical analysis was performed using a mixed effect model with Akaike's Information Criterion for model reduction and 95% profile (log) likelihood confidence intervals (CI). Ionization did not alter concentrations of dust, endotoxin, or fungi, fewer. In the units with straw and hay, the concentration of dust, endotoxin, and fungi (difference in logarithmic mean 1.92 (95%CI 1.71-2.12); 2.86 (95%CI 2.59-3.14); 1.75 (95%CI 1.13-2.36)) were significantly higher compared to wood shavings and haylage. The installation of a negative air-ionizer in the horse stable did not reduce concentrations of dust, endotoxin, and viable fungal spores. The substantial effect of low dust bedding and feed is confirmed. Copyright © 2018 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
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Barrientos, A K; Chapinal, N; Weary, D M; Galo, E; von Keyserlingk, M A G
2013-06-01
The aim of this study was to investigate the associations between management and facility design factors and the prevalence of hock injuries in high-producing dairy cows in 76 freestall herds in the northeastern United States (NE-US; Vermont, New York, Pennsylvania) and California (CA). One group of high-production multiparous cows was monitored on each farm, and data on management, facility and stall design, and the conditions of the hocks were collected. Focal cows [n=38 ± 3 (mean ± standard deviation)] were evaluated for hock injuries using a 3-point scale (where 1=healthy and 3=evidently swollen or severe injury). Measures associated with the proportion (logit-transformed) of cows having injuries (score ≥ 2) or severe injuries (score=3) at the univariable level were submitted to multivariable general linear models. In NE-US, overall hock injuries increased with the percentage of stalls with fecal contamination [odds ratio (OR)=1.26; 95% confidence interval (CI)=1.02-1.54, for a 10% increase], and with the use of sawdust as bedding (OR=3.47; CI=1.14-10.62), and decreased with deep bedding (i.e., at least 10 cm depth of any type of bedding; OR=0.05; CI=0.02-0.14), use of sand as bedding (OR=0.06; CI=0.02-0.15), bedding dry matter (DM) ≥ 83.9% (OR=0.08; CI=0.03-0.20), and access to pasture during the dry period (OR=0.17; CI=0.05-0.53). When these variables were submitted to a multivariable model, the presence of deep bedding was the only factor that remained significant, explaining 54% of the variation in overall injuries. Severe hock injuries increased with the use of automatic scrapers (OR=2.29; CI=1.11-4.71) and the percentage of stalls with fecal contamination (OR=1.14; CI=1.00-1.31, for a 10% increase), and decreased with sand bedding (OR=0.22; CI=0.10-0.49), deep bedding (OR=0.24; CI=0.11-0.52), bedding DM ≥ 83.9% (OR=0.28; CI=0.14-0.58), and access to pasture during the dry period (OR=0.42; CI=0.18-0.97). The final multivariable model, which explained 36% of the variation in severe hock injuries, included the use of automatic scrapers and deep bedding. In CA, stall stocking density (OR=1.41; CI=1.00-2.01, for a 10% increase) and poor bedding maintenance (OR=1.08; CI=1.01-1.16, for a 2.5-cm decrease in depth of deep-bedded stalls) were associated with an increase of overall and severe hock injuries, respectively. Deep-bedded and well-maintained stalls reduce the risk of hock injuries. Regional variation in risk factors for these injuries should be considered when formulating on-farm recommendations. Copyright © 2013 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
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Physical Activity Patterns of Acute Stroke Patients Managed in a Rehabilitation Focused Stroke Unit
2013-01-01
Background. Comprehensive stroke unit care, incorporating acute care and rehabilitation, may promote early physical activity after stroke. However, previous information regarding physical activity specific to the acute phase of stroke and the comprehensive stroke unit setting is limited to one stroke unit. This study describes the physical activity undertaken by patients within 14 days after stroke admitted to a comprehensive stroke unit. Methods. This study was a prospective observational study. Behavioural mapping was used to determine the proportion of the day spent in different activities. Therapist reports were used to determine the amount of formal therapy received on the day of observation. The timing of commencement of activity out of bed was obtained from the medical records. Results. On average, patients spent 45% (SD 25) of the day in some form of physical activity and received 58 (SD 34) minutes per day of physiotherapy and occupational therapy combined. Mean time to first mobilisation out of bed was 46 (SD 32) hours post-stroke. Conclusions. This study suggests that commencement of physical activity occurs earlier and physical activity is at a higher level early after stroke in this comprehensive stroke unit, when compared to studies of other acute stroke models of care. PMID:24024192
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2012-01-01
Purpose A key challenge for providers and commissioners of rehabilitation services is to find optimal balance between service costs and outcomes. This article presents a “real-lifeâ application of the UK Rehabilitation Outcomes Collaborative (UKROC) dataset. We undertook a comparative cohort analysis of case-episode data (n = 173) from two specialist neurological rehabilitation units (A and B), to compare the cost-efficiency of two service models. Key messages (i) Demographics, casemix and levels of functional dependency on admission and discharge were broadly similar for the two units. (ii) The mean length of stay for Unit A was 1.5 times longer than Unit B, which had 85% higher levels of therapy staffing in relation to occupied bed days so despite higher bed-day costs, Unit B was 20% more cost-efficient overall, for similar gain. (iii) Following analysis, engagement with service commissioners led to successful negotiation of a business plan for service reconfiguration with increased staffing levels for Unit A and further development of local community rehabilitation services. Conclusion (i) Lower front-end service costs do not always signify optimal cost-efficiency. (ii) Analysis of routinely collected clinical data can be used to engage commissioners and to make the case for resources to maximise efficiency and improve patient care. PMID:22506504
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Turner-Stokes, Lynne; Poppleton, Rob; Williams, Heather; Schoewenaars, Katie; Badwan, Derar
2012-01-01
A key challenge for providers and commissioners of rehabilitation services is to find optimal balance between service costs and outcomes. This article presents a "real-life" application of the UK Rehabilitation Outcomes Collaborative (UKROC) dataset. We undertook a comparative cohort analysis of case-episode data (n = 173) from two specialist neurological rehabilitation units (A and B), to compare the cost-efficiency of two service models. (i) Demographics, casemix and levels of functional dependency on admission and discharge were broadly similar for the two units. (ii) The mean length of stay for Unit A was 1.5 times longer than Unit B, which had 85% higher levels of therapy staffing in relation to occupied bed days so despite higher bed-day costs, Unit B was 20% more cost-efficient overall, for similar gain. (iii) Following analysis, engagement with service commissioners led to successful negotiation of a business plan for service reconfiguration with increased staffing levels for Unit A and further development of local community rehabilitation services. (i) Lower front-end service costs do not always signify optimal cost-efficiency. (ii) Analysis of routinely collected clinical data can be used to engage commissioners and to make the case for resources to maximise efficiency and improve patient care.
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NASA Astrophysics Data System (ADS)
Al Kharusi, Laiyyan M.
Sequence stratigraphy relates changes in vertical and lateral facies distribution to relative changes in sea level. These relative changes in carbonates effect early diagenesis, types of pores, cementation and dissolution patterns. As a result, in carbonates, relative changes in sea level significantly impact the lithology, porosity, diagenesis, bed and bounding surfaces which are all factors that control fracture patterns. This study explores these relationships by integrating stratigraphy with fracture analysis and petrophysical properties. A special focus is given to the relationship between mechanical boundaries and sequence stratigraphic boundaries in three different settings: (1) Mississippian strata in Sheep Mountain Anticline, Wyoming, (2) Mississippian limestones in St. Louis, Missouri, and (3) Pennsylvanian limestones intermixed with elastics in the Paradox Basin, Utah. The analysis of these sections demonstrate that a fracture hierarchy exists in relation to the sequence stratigraphic hierarchy. The majority of fractures (80%) terminate at genetic unit boundaries or the internal flooding surface that separates the transgressive from regressive hemicycle. Fractures (20%) that do not terminate at genetic unit boundaries or their internal flooding surface terminate at lower order sequence stratigraphic boundaries or their internal flooding surfaces. Secondly, the fracture spacing relates well to bed thickness in mechanical units no greater than 0.5m in thickness but with increasing bed thickness a scatter from the linear trend is observed. In the Paradox Basin the influence of strain on fracture density is illustrated by two sections measured in different strain regimes. The folded strata at Raplee Anticline has higher fracture densities than the flat-lying beds at the Honaker Trail. Cemented low porosity rocks in the Paradox Basin do not show a correlation between fracture pattern and porosity. However velocity and rock stiffness moduli's display a slight correlation to fracture spacing. Furthermore, bed thickness is found to be only one factor in determining fracture density but with increasing strain, internal bedforms and rock petrophysical heterogeneities influence fracture density patterns. This study illustrates how integrating sedimentologic and sequence stratigraphic interpretations with data on structural kinematics can lead to refined predictive understanding of fracture attributes.
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NASA Astrophysics Data System (ADS)
Gupta, S.; Edgar, L. A.; Rubin, D. M.; Lewis, K. W.; Kocurek, G.; Anderson, R. B.; Bell, J. F.; Dromart, G.; Edgett, K. S.; Grotzinger, J. P.; Hardgrove, C. J.; Kah, L. C.; Leveille, R. J.; Malin, M.; Mangold, N.; Milliken, R.; Minitti, M. E.; Muller, J.; Rice, M. S.; Rowland, S. K.; Schieber, J.; Stack, K.; Sumner, D. Y.; Team, M.
2013-12-01
Sedimentary rocks are archives of ancient depositional processes and environments on planetary surfaces. Reconstructing such processes and environments requires observations of sedimentary structures and architecture (the large-scale geometry and organisation of sedimentary bedsets). We report the analysis of the distinct Shaler outcrop, a prominent stratified unit located between the Bathurst Inlet outcrop and the floor of Yellowknife bay. The Shaler outcrop is an ~1 m thick stratal unit that spans approximately 30 m outcrop in length, and was examined by Curiosity on sols 120-121 and more recently on sols 309-324. Detailed stereo observations of the outcrop across most of its entire lateral extent were made using Navigation and Mast Cameras. These data permit detailed analysis of stratal geometries, distribution of sedimentary structures, and broad grain size trends. Overall the Shaler outcrop comprises a heterogeneous assemblage of interstratified platy sandstones separated by recessive, likely finer-grained beds. Coarser-grained beds are characterised by decimeter-scale trough cross-bedding. The north-eastern section of the outcrop shows greater abundance of interstratified sandstones and finer-grained beds. The southwestern section is characterised by darker bedsets that are likely coarser grained interstratified with finer-grained sandstones. The darker bedsets appear to comprise stacked trough-cross stratified bedsets. Finer-grained recessive intervals are not apparent in this section. The presence and scale of trough cross-stratification indicates that sediment was transported by the migration of sinuous crested dunes. Bedding geometries indicate sub-critical angles of climb. We examine the large-scale bedset architecture to evaluate the original depositional geometry of the Shaler sedimentary system, and consider its plausible depositional processes and paleoenvironmental setting. Finally, we consider its relationship to the sedimentary succession exposed in the Yellowknife bay region.
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Mathematical model and calculation of water-cooling efficiency in a film-filled cooling tower
NASA Astrophysics Data System (ADS)
Laptev, A. G.; Lapteva, E. A.
2016-10-01
Different approaches to simulation of momentum, mass, and energy transfer in packed beds are considered. The mathematical model of heat and mass transfer in a wetted packed bed for turbulent gas flow and laminar wave counter flow of the fluid film in sprinkler units of a water-cooling tower is presented. The packed bed is represented as the set of equivalent channels with correction to twisting. The idea put forward by P. Kapitsa on representation of waves on the interphase film surface as elements of the surface roughness in interaction with the gas flow is used. The temperature and moisture content profiles are found from the solution of differential equations of heat and mass transfer written for the equivalent channel with the volume heat and mass source. The equations for calculation of the average coefficients of heat emission and mass exchange in regular and irregular beds with different contact elements, as well as the expression for calculation of the average turbulent exchange coefficient are presented. The given formulas determine these coefficients for the known hydraulic resistance of the packed bed element. The results of solution of the system of equations are presented, and the water temperature profiles are shown for different sprinkler units in industrial water-cooling towers. The comparison with experimental data on thermal efficiency of the cooling tower is made; this allows one to determine the temperature of the cooled water at the output. The technical solutions on increasing the cooling tower performance by equalization of the air velocity profile at the input and creation of an additional phase contact region using irregular elements "Inzhekhim" are considered.
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NASA Technical Reports Server (NTRS)
Pfannenstiel, P.; Ottenbacher, M.; Inniss, A.; Ware, D.; Anderson, K.; Stranges, S.; Keith, K.; Cromwell, R.; Neigut. J.; Powell, D.
2012-01-01
The UTMB/NASA Flight Analog Research Unit is an inpatient unit with a bionutrition kitchen and unique testing areas for studying subjects subjected to 6 degree head-down complete bed rest for prolonged periods as an analog for zero gravity. Bed rest allows study of physiological changes and performance of functional tasks representative of critical interplanetary mission operations and measures of the efficacy of countermeasures designed to protect against the resulting deleterious effects. METHODS/STUDY POPULATION: Subjects are healthy adults 24-55 years old; 60 75 in tall; body mass index 18.5-30; and bone mineral density normal by DXA scan. Over 100 subjects have been studied in 7 campaigns since 2004. The iRAT countermeasure combines high intensity interval aerobic exercises on alternating days with continuous aerobic exercise. Resistance exercise is performed 3 days per week. Subjects are tested on an integrated suite of functional and interdisciplinary physiological tests before and after 70 days of total bed rest. RESULTS/ANTICIPATED RESULTS: It is anticipated that post-bed rest functional performance will be predicted by a weighted combination of sensorimotor, cardiovascular and muscle physiological factors. Control subjects who do not participate in the exercise countermeasure will have significantly greater decreases in these parameters. DISCUSSION/SIGNIFICANCE OF IMPACT: Astronauts experience alterations in multiple physiological systems due to exposure to the microgravity, leading to disruption in the ability to perform functional tasks after reintroduction to a gravitational environment. Current flight exercise countermeasures are not fully protective of cardiovascular, muscle and bone health. There is a need to refine and optimize countermeasures to mitigate health risks associated with long-term space missions.
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Martí-Hereu, L; Arreciado Marañón, A
The semirecumbent position is a widespread recommendation for the prevention of pneumonia associated with mechanical ventilation. To identify the time of elevation of head of bed for patients under mechanical ventilation and the factors related to such elevation in an intensive care unit. An observational, descriptive cross-sectional study. Conducted in an intensive care unit of a tertiary hospital from April to June 2015. The studied population were mechanically ventilated patients. Daily hours in which patients remained with the head of the bed elevated (≥30°), socio-demographic data and clinical variables were recorded. 261 head elevation measurements were collected. The average daily hours that patients remained at ≥30° was 16h28' (SD ±5h38'), equivalent to 68.6% (SD ±23.5%) of the day. Factors related to elevations ≥30° for longer were: enteral nutrition, levels of deep sedation, cardiac and neurocritical diagnostics. Factors that hindered the position were: sedation levels for agitation and abdominal pathologies. Sex, age and ventilation mode did not show a significant relationship with bed head elevation. Although raising the head of the bed is an easy to perform, economical and measurable preventive measure, its compliance is low due to specific factors specific related o the patient's clinical condition. Using innovations such as continuous measurement of the head position helps to evaluate clinical practice and allows to carry out improvement actions whose impact is beneficial to the patient. Copyright © 2017 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.
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2009-07-20
behavioral health unit. Description Sq. Ft. Quantity Total Sq. Ft. Patient Rooms (2 Bed) 400 3 1200 Patient Rooms (1 Bed) 305 4 1220 Staff Lounge ...overhead expense as captured in EAS IV repository (support services E account). According to the medical EACH Inpt Psych 38 expense and performance...Retrieved on May 7, 2009 from http://www.nytimes.com/2008/11/21/us/21army.html. Hart, S. E ., & Connors, R. E . (1996). Resourcing decision model for
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Bell, Richard W.; Joseph, Robert L.; Freiwald, David A.
1996-01-01
Historical pesticide data from 1970-90 were compiled for 140 surface-water, 92 ground-water, 55 streambed-sediment, and 120 biological-tissue sampling sites within the Ozark Plateaus National Water-Quality Assessment Program study unit. Surface-water, bed-sediment, and biological-tissue sites have drainage basins predominantly in the Springfield and Salem Plateaus; ground-water sites are predominantly located in the Osage Plains and Mississippi Alluvial Plain. Many sites were sampled only once or twice during this period. A large percentage of the samples were collected in the mid-1970's and early 1980's for surface water, 1990 for ground water, the late 1980's for surface water, 1990 for ground water, the late 1980's for bed sediment, and the early 1980's for biological tissue. Pesticide use was approximately 4.2 million pounds per year of active ingredients from 1982-85 in the study unit and was generally greatest in the Springfield and Salem Plateaus pasturelands and in the Osage Plains and Mississippi Alluvial Plain cropland areas. The most frequently applied pesticide in the study unit was 2,4-D. Alachlor was the second most applied pesticide. Corn, pasture, rice, sorghum, and soybeans received approximately 90 percent of the pesticides applied within the study unit. The highest pesticide application rate per acre occurred on these crops in the Osage Plains and Mississippi Alluvial Plain. Pastureland was the predominant crop type in 50 of the 94 counties in the study unit. Toxaphene, the pesticide having the most number of detections in surface water, was found in 17 of 866 samples from 5 of 112 sites. Concentrations ranged from 0.1 to 6.0 micrograms per liter. Six other pesticides or pesticide metabolites were detected in 12 or more surface-water samples: DDE, dieldrin, DDT, aldrin, 2,4-D, and lindane. The maximum concentration for these pesticides was less than 1.0 micrograms per liter. Atrazine, the pesticide having the most number of detections in ground water, was found in 15 of 95 samples from 15 of 79 wells with concentrations ranging from 0.1 to 8.2 micrograms per liter. Metolachlor, alachlor, and prometon were detected more than once with maximum concentrations less than 1.0 micrograms per liter, except for prometon (2.4 micrograms per liter). Chlordane was the pesticide having the most number of detections in bed sediment and biological tissue. Chlordane was detected in 12 of 73 samples from 10 of 45 bed-sediment sites with concentrations ranging from 2.0 to 240 micrograms per kilogram. In biological tissue, chlordane was found in 93 of 151 samples from 39 of 53 sites with concentrations ranging from 0.009 to 8.6 milligrams per kilogram. Other pesticides or pesticide metabolites detected more than once in bed sediment include DDT, DDD, p,p'-DDE, DDE, and hexachlorobenzene and in biological tissue include DDT, p,p'-DDE, and hexachlorobenzene. Quality criteria or standards have been established for 15 of the pesticides detected in the study unit. For surface-water samples, the drinking water maximum contaminant level for alachlor was exceeded in one sample from one site in 1982. For ground-water samples, the drinking water maximum contaminant level for atrazine was exceeded in four samples from four wells in 1990. For biological-tissue samples collected during the years 1982-89, the fish tissue action levels for chlordane (19 sites; 26 samples), heptachlor epoxide (3 sites; 3 samples), p,p'-DDE (2 sites; 2 samples), dieldrin (2 sites, 2 samples), and mirex (1 site; 1 sample) were exceeded. For bed-sediment samples, quality criteria or standards were not exceeded for any pesticide. Pesticides do not pose any widespread or persistent problems in the study unit, based on the limited number of samples that exceeded quality criteria and standards.
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Heating-Rate-Coupled Model for Hydrogen Reduction of JSC-1A
NASA Technical Reports Server (NTRS)
Hegde, U.; Balasubramaniam, R.; Gokoglu, S. A.
2010-01-01
A previously developed and validated model for hydrogen reduction of JSC-1A for a constant reaction-bed temperature is extended to account for reaction during the bed heat-up period. A quasisteady approximation is used wherein an expression is derived for a single average temperature of reaction during the heat-up process by employing an Arrhenius expression for regolith conversion. Subsequently, the regolith conversion during the heat-up period is obtained by using this representative temperature. Accounting for the reaction during heat-up provides a better estimate of the reaction time needed at the desired regolith-bed operating temperature. Implications for the efficiency of the process, as measured by the energy required per unit mass of oxygen produced, are also indicated.
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Twenty years of a multidisciplinary paediatric diabetes home care unit
McEvilly, A; Kirk, J
2005-01-01
As only a minority of patients with type 1 diabetes are unwell at diagnosis, these patients could be managed at home if appropriate facilities were available. A multidisciplinary diabetes home care service was established over 20 years ago at Birmingham Children's Hospital, to support children with diabetes mellitus within the home environment from diagnosis, reducing emotional upset and separation. Despite increase in the size and distribution of the unit over this time (from 230 to 400 patients (now spread over two hospitals)), the proportion of newly diagnosed children managed wholly at home (median 43%; range 31–67%), and the reduction in number and duration of admissions has been sustained (readmission rate with diabetic ketoacidosis 4.1 bed-days per 100 patients/year; range 2.9–7.1), with no deterioration in overall blood glucose control. In this way the savings achieved by reductions in expensive hospital bed occupancy have more than offset the costs of maintaining the unit. PMID:15781919
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Herman, Barry K; Safikhani, Shima; Hengerer, David; Atkins, Norman; Kim, Andy; Cassidy, Daniel; Babcock, Thomas; Agus, Samuel; Lenderking, William R
2014-09-01
Binge eating disorder (BED) is now a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). However, post-DSM-5 patient profiles and viewpoints on BED diagnosis and treatment remain unclear. This study used a focus group methodology to examine demographic and clinical characteristics, as well as perceptions of diagnosis and treatment from patients with BED symptoms who were either formally diagnosed with BED or undiagnosed. Binge eating disorder-diagnosed individuals (n = 11) or those meeting the DSM-5 BED diagnostic criteria but were undiagnosed (n = 14) participated in 6 semistructured focus groups conducted by trained staff at 3 geographic locations in the United States. Patients completed a series of demographic and clinical measures and then engaged in a moderated discussion focused on identifying factors associated with their experiences with BED. Sixty percent of the patients were female, 48% were white and 40% were black, and 76% were employed. The diagnosed group had a slightly higher socioeconomic status; undiagnosed patients had a higher average body mass index. In the overall sample, comorbid anxiety (40%) and depression (40%) were the most common psychiatric comorbidities. Even in the diagnosed group, only half of the patients (54.5%) became aware of BED through their health care provider (HCP; n = 6). Patients perceived that HCPs were focused more on physical ailments, were judgmental about weight, and were unable to distinguish BED from obesity. They also expressed a desire for safe, nonjudgmental interactions with HCPs. Education and income may be factors affecting access to care and BED diagnosis. Both patient groups reported considerable psychopathology and medical comorbidities. Moreover, the patient groups perceived HCPs as both having inadequate understanding of BED and providing insensitive and ineffective communication regarding eating behaviors. The study findings in diagnosed and undiagnosed patient groups underscore the need for greater BED disease state awareness and patient sensitivity among HCPs.
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George, Scott D.; Baldigo, Barry P.; Duffy, Brian T.
2016-09-20
The Niagara River was designated as an Area of Concern in 1987 on both the United States and Canadian sides of the international boundary line because past industrial discharges and hazardous waste sites had caused extensive degradation of aquatic habitats. The degradation of the “benthos”, or the benthic macroinvertebrate community, was identified as one of seven beneficial use impairments caused by contaminated bed sediments. The U.S. Geological Survey and the New York State Department of Environmental Conservation, in cooperation with the U.S. Environmental Protection Agency, conducted a study in 2014 and 2015 to gather more extensive data on (a) the toxicity of bed sediments and (b) the status of macroinvertebrate communities on the main stem and tributaries of the Niagara River. This report addresses the first component of that study (toxicity of bed sediments), and summarizes results from laboratory toxicity tests that compare the survival and growth of two macroinvertebrate species between bed sediments from study sites and laboratory controls. Sediment toxicity was negligible at most sites, however poor performance of one or both test species in bed sediments from several tributary sites suggests that the quality of sediments may be adversely affecting benthic macroinvertebrate communities in some tributaries to the Niagara River.
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Patient-days: a better measure of incidence of occupational bloodborne exposures.
Chen, Luke F; Sexton, Daniel J; Kaye, Keith S; Anderson, Deverick J
2009-09-01
There is currently no accepted standard denominator to calculate and to report the incidence of occupational exposures to bloodborne pathogens (OEBBPs) in health care. We performed a multicenter study of OEBBP injuries reported from 31 community hospitals in the southeastern United States from January 2003 to December 2006. A qualitative design was used to assess 4 commonly used denominators to calculate the incidence of OEBBP: patient-days; staffed beds; occupied beds and full-time employee equivalents (FTEs). Six criteria were used to assess the quality and suitability of each denominator as a standard method to calculate incidence of OEBBP. We also analyzed the correlation of hospital rankings produced by these 4 denominators. During 4 years of study, a total of 3375 occupational exposures were reported. Patient-days outperformed others as a denominator to calculate rates of OEBBP when judged by 6 predefined criteria. Data for staffed beds, occupied beds, and FTE were manually collected, infrequently reported, and often subject to missing data. Furthermore, FTE and staffed beds data also captured unoccupied beds and non-clinical employee data that were not associated with risk of OEBBP. Patient-days may be the most suitable and readily available denominator for standard reporting and benchmarking of incidence of OEBBP. Patient-days may be used as a standard method for comparing rates of OEBBP.
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Monolithic Hydrogen Peroxide Catalyst Bed Development
NASA Technical Reports Server (NTRS)
Ponzo, J. B.
2003-01-01
With recent increased industry and government interest in rocket grade hydrogen peroxide as a viable propellant, significant effort has been expended to improve on earlier developments. This effort has been predominately centered in improving heterogeneous. typically catalyst beds; and homogeneous catalysts, which are typically solutions of catalytic substances. Heterogeneous catalyst beds have traditionally consisted of compressed wire screens plated with a catalytic substance, usually silver, and were used m many RCS applications (X-1, Mercury, and Centaur for example). Aerojet has devised a heterogeneous catalyst design that is monolithic (single piece), extremely compact, and has pressure drops equal to or less than traditional screen beds. The design consists of a bonded stack of very thin, photoetched metal plates, silver coated. This design leads to a high surface area per unit volume and precise flow area, resulting in high, stable, and repeatable performance. Very high throughputs have been demonstrated with 90% hydrogen peroxide. (0.60 lbm/s/sq in at 1775-175 psia) with no flooding of the catalyst bed. Bed life of over 900 seconds has also been demonstrated at throughputs of 0.60 lbm/s/sq in across varying chamber pressures. The monolithic design also exhibits good starting performance, short break-in periods, and will easily scale to various sizes.
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Effects of bedding quality on lying behavior of dairy cows.
Fregonesi, J A; Veira, D M; von Keyserlingk, M A G; Weary, D M
2007-12-01
Cows prefer to spend more time lying down in free stalls with more bedding, but no research to date has addressed the effects of bedding quality. Bedding in stalls often becomes wet either from exposure to the elements or from feces and urine. The aim of this study was to test the effect of wet bedding on stall preference and use. Four groups of 6 nonlactating Holstein cows were housed in free stalls bedded daily with approximately 0.1 m of fresh sawdust. Following a 5-d adaptation period, each group of cows was tested sequentially with access to stalls with either dry or wet sawdust bedding (86.4 +/- 2.1 vs. 26.5 +/- 2.1% dry matter), each for 2 d. These no-choice phases were followed by a 2-d free-choice phase during which cows had simultaneous access to stalls containing either wet or dry bedding. Stall usage was assessed by using 24-h video recordings scanned at 10-min intervals, and responses were analyzed by using a mixed model, with group (n = 4) as the observational unit. The minimum and maximum environmental temperatures during the experiment were 3.4 +/- 2.2 and 6.8 +/- 2.5 degrees C, respectively. When cows had access only to stalls with wet bedding, they spent 8.8 +/- 0.8 h/d lying down, which increased to 13.8 +/- 0.8 h/d when stalls with dry bedding were provided. Cows spent more time standing with their front 2 hooves in the stall when provided with wet vs. dry bedding (92 +/- 10 vs. 32 +/- 10 min/d). During the free-choice phase, all cows spent more time lying down in the dry stalls, spending 12.5 +/- 0.3 h/d in the dry stalls vs. 0.9 +/- 0.3 h/ d in stalls with wet bedding. In conclusion, dairy cows show a clear preference for a dry lying surface, and they spend much more time standing outside the stall when only wet bedding is available.
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A novel method of continuous measurement of head of bed elevation in ventilated patients.
Balonov, Konstantin; Miller, Andrew D; Lisbon, Alan; Kaynar, A Murat
2007-06-01
We developed a novel pressure transducer-based method of continuous measurement of head of bed elevation. Following validation of the method we hypothesized that head of bed angles would be at or above 30 degrees among mechanically ventilated patients throughout the day due to a hospital-wide initiative on ventilator-associated pneumonia prevention and standardized electronic order entry system to keep head of bed at an angle of 30 degrees or greater. Prospective observational study in university hospital intensive care units. Twenty-nine consecutive mechanically ventilated patients with no contraindications for semirecumbency. We acquired 113 pairs of measurements on unused beds for validation of the method at angles between 3 degrees and 70 degrees. Correlation between transducer and protractor was fitted into a linear regression model (R2 = 0.98) with minimal variation of data along the line of equality. Bland-Altman analysis showed a mean difference of 1.6 degrees +/- 1.6 degrees. Ninety-six percent of differences were within 2 SD from the mean. This method was then used among 29 intubated patients to collect head of bed data over a 24-h period for 3 consecutive days. Contrary to our hypothesis, all patients had head of bed angles less than 30 degrees. Our results suggest that this method could be used with high reliability and patients in our institution were not kept even at 30 degrees. The results are in accord with those of a recent study which found that continued maintenance of previously suggested head of bed angles was difficult to attain clinically. This may lead us to reevaluate methods studying the impact of head of bed elevation in VAP prevention.
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Health Occupations Curriculum. Skills for Nursing Assistant. Volume 3, Unit 8.
ERIC Educational Resources Information Center
Arizona State Dept. of Education, Phoenix.
Part of a health occupations program, this instructional unit contains 13 learning modules for use in training nursing assistants. Covered in the modules are (1) making beds, bathing patients, and measuring intake and output; (2) body mechanics, moving and lifting patients, range of motion exercises, and caring for patients in casts or traction;…
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Amphibious Ready Group/Marine Expeditionary Unit Readiness Training Final Environmental Assessment
2003-04-11
above and below by the Pensacola Clay confining bed. This clay layer restricts the downward migration of pollutants and restricts saline water from...separates the Upper and Lower Limestone units. Because it is saline , the Lower Limestone unit is not used as a water source (U.S. Air Force, 1995...and a freshwater species, Ruppia maritima (widgeon grass). Widgeon grass is most common in brackish waters but can tolerate higher salinities
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... ruptured: Clipping is done during open brain surgery (craniotomy) . Endovascular repair is most often done. It usually ... unit (ICU) Complete bed rest and activity restrictions Drainage of blood from the brain area (cerebral ventricular ...
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NASA Astrophysics Data System (ADS)
Gutierrez-Pastor, J.; Pirmez, C.; Flemings, P. B.; Behrmann, J. H.; John, C. M.
2005-12-01
Brazos Trinity Basin IV is located about 200 km offshore Texas, and belongs to a linked system of four intra slope mini basins. Basin IV provides a type section to characterize turbidites in salt withdrawal mini-basins of the Gulf of Mexico. IODP Expedition 308 has cored and logged complete pre-fan and fan sequences that are clearly distinguished with high-resolution seismic profiles at Brazos Trinity Basin IV at Sites U1319, U1320 and U1321. Seismically imaged pre-fan and fan units also can be distinguished and correlated with the sedimentological and logging data. Turbidite facies display distinct properties in terms of grain size, bed thickness, color, organic matter content, vertical organization of beds and lateral distribution in all the units of the fan through the basin. The pre-fan sequence is composed of terrigenous laminated clay with color banding and it is interpreted to result from deposition from fluvial plumes and/or muddy turbidity currents overspilling from basins upstream of Basin IV. The lower fan is characterized by laminated and bioturbated muds with thin beds of silt and sand, and represent the initial infill of the basin by mostly muddy turbidity currents, although an exceptionally sand-rich unit occurs at the base of the lower fan. The middle and upper fan represent the main pulses of turbidity current influx into Basin IV, and contain fine to medium sand turbidite beds organized in packets ranging in thickness from 5 to 25 m. The middle fan displays an overall upward increase in sand content at Site U1320, suggesting increased flow by-pass from the updip basins through time. Key examples of turbidites from each fan unit are analysed in detail to infer the depositional processes and infilling history of Brazos-Trinity Basin IV. The study of turbidites in a calibrated basin such as Basin IV provides ground truth for the sedimentological processes and resultant seismic facies, which can be used to interpret the infill history of other intraslope basins with similar seismic facies in the Gulf of Mexico where well calibration is not available.
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A modelling tool for capacity planning in acute and community stroke services.
Monks, Thomas; Worthington, David; Allen, Michael; Pitt, Martin; Stein, Ken; James, Martin A
2016-09-29
Mathematical capacity planning methods that can take account of variations in patient complexity, admission rates and delayed discharges have long been available, but their implementation in complex pathways such as stroke care remains limited. Instead simple average based estimates are commonplace. These methods often substantially underestimate capacity requirements. We analyse the capacity requirements for acute and community stroke services in a pathway with over 630 admissions per year. We sought to identify current capacity bottlenecks affecting patient flow, future capacity requirements in the presence of increased admissions, the impact of co-location and pooling of the acute and rehabilitation units and the impact of patient subgroups on capacity requirements. We contrast these results to the often used method of planning by average occupancy, often with arbitrary uplifts to cater for variability. We developed a discrete-event simulation model using aggregate parameter values derived from routine administrative data on over 2000 anonymised admission and discharge timestamps. The model mimicked the flow of stroke, high risk TIA and complex neurological patients from admission to an acute ward through to community rehab and early supported discharge, and predicted the probability of admission delays. An increase from 10 to 14 acute beds reduces the number of patients experiencing a delay to the acute stroke unit from 1 in every 7 to 1 in 50. Co-location of the acute and rehabilitation units and pooling eight beds out of a total bed stock of 26 reduce the number of delayed acute admissions to 1 in every 29 and the number of delayed rehabilitation admissions to 1 in every 20. Planning by average occupancy would resulted in delays for one in every five patients in the acute stroke unit. Planning by average occupancy fails to provide appropriate reserve capacity to manage the variations seen in stroke pathways to desired service levels. An appropriate uplift from the average cannot be based simply on occupancy figures. Our method draws on long available, intuitive, but underused mathematical techniques for capacity planning. Implementation via simulation at our study hospital provided valuable decision support for planners to assess future bed numbers and organisation of the acute and rehabilitation services.
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Estimating ICU bed capacity using discrete event simulation.
Zhu, Zhecheng; Hen, Bee Hoon; Teow, Kiok Liang
2012-01-01
The intensive care unit (ICU) in a hospital caters for critically ill patients. The number of the ICU beds has a direct impact on many aspects of hospital performance. Lack of the ICU beds may cause ambulance diversion and surgery cancellation, while an excess of ICU beds may cause a waste of resources. This paper aims to develop a discrete event simulation (DES) model to help the healthcare service providers determine the proper ICU bed capacity which strikes the balance between service level and cost effectiveness. The DES model is developed to reflect the complex patient flow of the ICU system. Actual operational data, including emergency arrivals, elective arrivals and length of stay, are directly fed into the DES model to capture the variations in the system. The DES model is validated by open box test and black box test. The validated model is used to test two what-if scenarios which the healthcare service providers are interested in: the proper number of the ICU beds in service to meet the target rejection rate and the extra ICU beds in service needed to meet the demand growth. A 12-month period of actual operational data was collected from an ICU department with 13 ICU beds in service. Comparison between the simulation results and the actual situation shows that the DES model accurately captures the variations in the system, and the DES model is flexible to simulate various what-if scenarios. DES helps the healthcare service providers describe the current situation, and simulate the what-if scenarios for future planning.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Ghosh, S.K.; Zambrano, E.
The Trujillo Formation, overlying the Paleocene Cerro Verde and Valle Hondo formations, reveals a turbiditic origin in a lowstand shelf-edge and bathyal setting in two excellent road sections on the Valera-Carache road and many creek sections. The basal outcrop shows well developed fining upward (FU) sequences of proximal channel turbidite and overbank origin (abandonment phase) and minor coarsening upward (CU) sequences representing progradational pulse in overbank areas. The FU (and thinning-upward) sequence, overlying a shale, consists of: (a) basal stacked conglomeratic arenites (probably inner fan channels) with graded beds, imbricate casts and transported shells; (b) a sand/shale alternating unit (channelmore » margin/interchannel) with flame structure, lenticular bedding, infrequent Tb-d Sequence, rippled flats, and rare Planolites; and (c) a dark shale (overbank-interchannel lows) with scarce Chondrites and Scaladtuba traces. The CU sequence consists of thickening-upward heterolithic facies overlain by lenticular stacked pebbly arenites. The upper unit exposed near Puente Gomez is a typical progradational lobe starting with a basal shale, with intraformational diastems and slumped beds, and Tb-d and Tb-e sequences in thin intercalated sandstones; a heterolithic facies with flute/groove casts, Planolites, Thalassinoides and Neonereites occurs between the shale and a thick cross-stratified sandstone at the top. This CU lobe sequence is discordantly(?) overlain by a thin wedge of massive bedded pebbly sandstones of Middle Eocene(?) Misoa Formation. Unlike the southwesterly sourced subsurface turbidites, those in this area were probably sourced from both the south and north, though locally the southern source might have been more important.« less
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Safety at The William Quarrier Scottish Epilepsy Centre.
Anderson, James; Grant, Victoria; Elgammal, Mariam; Campbell, Alison; Hampshire, Julia; Hansen, Stig; Russell, Aline J C
2017-12-01
We examined the yield from EMFIT bed alarms and staff response time to generalised seizure in a medium term residential assessment unit for epilepsy. The Scottish Epilpesy Centre (SEC) has a Video Observation System (VOS) that provides continuous recording of all patient spaces (external and internal) and allows retention of clinically relevant events. A retrospective audit of daily EMFIT test records, nursing seizure record sheets (seizure type and EMFIT alert status), clinical incident reporting systems and the VOS database of retained clinical events was conducted for an 9 month period from April 1st 2016 till December 31st 2016. All generalized tonic clonic seizures (GTCS) were noted by patient, time and location and staff response time to GTCS was calculated. There were 85 people admitted during the audit period who had 61 GTCS. 50 events were in bed and EMFIT alert status was recorded. On 8 occasions the EMFIT did not alert: 5 events were not of sufficient duration or frequency, in 2 the patient fell from the bed early and 1 event the alarm did not trigger. The average response time to GTCS was 23s. The longest response time was 69s (range, 0-69s, sd 15.76.). The EMFIT bed alarm appears to be a valuable adjunct to safety systems. Within the novel environment of the SEC it is possible to maintain a response time to GTCS that is comparable to hospital based UK video telemetry units. Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
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Siskind, Dan; Harris, Meredith; Kisely, Steve; Brogan, James; Pirkis, Jane; Crompton, David; Whiteford, Harvey
2013-07-01
There is increasing international evidence that crisis houses can reduce the time spent in acute psychiatric inpatient units for patients with severe and persistent mental illness, at a lower cost and in an environment preferable to patients. We evaluated the Alternatives to Hospitalisation (AtH) program, a crisis house operating in outer suburban Brisbane. One hundred and ninety-three AtH patients were compared to 371 matched controls admitted to a peer hospital district acute psychiatric unit. Hospitalisations, demographics and illness acuity were compared one year before and after an acute index episode of residential care involving hospital and/or AtH. Hospital bed-days during the index episode were compared between AtH participants and controls. The cost of bed-days averted was compared to the cost of providing the AtH program. AtH participants spent 5.35 fewer days in hospital during the index episode than controls, after adjustment for illness acuity, living conditions, marital status and emergency department (ED) presentations. Per patient cost of averted psychiatric inpatient bed-days, $5948.22, was higher than the per patient cost of providing AtH, $3071.44. AtH participants had higher levels of illness acuity, ED presentations and acute psychiatric admissions than controls in the year after the index episode. For acutely unwell, stably housed patients, able to be managed outside of a secure facility, a crisis house program can reduce acute psychiatric bed-days, providing a cost saving for mental health services.
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Intensive care unit mobility practices in Australia and New Zealand: a point prevalence study.
Berney, Susan C; Harrold, Megan; Webb, Steven A; Seppelt, Ian; Patman, Shane; Thomas, Peter J; Denehy, Linda
2013-12-01
To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having > 48 hours of mechanical ventilation. Prospective, observational, multicentre, single-day, point prevalence study. All patients in 38 Australian and New Zealand ICUs at 10 am on one of three designated days in 2009 and 2010. Demographic data, admission diagnosis and mobilisation practices that had occurred in the previous 24 hours. 514 patients were enrolled, with 498 complete datasets. Mean age was 59.2 years (SD, 16.7 years) and 45% were mechanically ventilated. Mobilisation activities were classified into five categories that were not mutually exclusive: 140 patients (28%) completed an in-bed exercise regimen, 93 (19%) sat over the side of the bed, 182 (37%) sat out of bed, 124 (25%) stood and 89 (18%) walked. Predefined adverse events occurred on 24 occasions (5%). No patient requiring mechanical ventilation sat out of bed or walked. On the study day, 391 patients had been in ICU for > 48 hours. There were 384 complete datasets available for analysis and, of these, 332 patients (86%) were not walked. Of those not walked, 76 (23%) were in the ICU for ≥ 7 days. Patient mobilisation was shown to be low in a single-day point prevalence study. Future observational studies are required to confirm the results.
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Eocene Yegua Formation (Claiborne group) and Jackson group lignite deposits of Texas
Hook, Robert W.; Warwick, Peter D.; Swanson, Sharon M.; Hackley, Paul C.; Warwick, Peter D.; Karlsen, Alexander K.; Merrill, Matthew D.; Valentine, Brett J.
2011-01-01
The lignite deposits within the upper Eocene Yegua Formation (Claiborne Group) and the overlying Jackson Group are among the coal resources that were not quantitatively assessed as part of the U.S. Geological Survey's (USGS) National Coal Resource Assessment (NCRA) program in the Gulf Coastal Plain coal province. In the past, these lignite-bearing stratigraphic units often have been evaluated together because of their geographic and stratigraphic proximity (Fisher, 1963; Kaiser, 1974; Kaiser et al., 1980; Jackson and Garner, 1982; Kaiser, 1996) (Figures 1, 2). The term “Yegua-Jackson trend“ is used informally herein for the lignite-bearing outcrops of these Late Eocene deposits in Texas. Lignite beds in the Yegua-Jackson trend generally are higher both in ash yield and sulfur content than those of the underlying Wilcox Group (Figure 2). Recent studies (Senkayi et al., 1987; Ruppert et al., 1994; Warwick et al., 1996, 1997) have shown that some lignite beds within the Yegua-Jackson trend contain partings of volcanic ash and host elevated levels of trace elements that have been identified as potentially hazardous air pollutants (HAPs) in the United States Clean Air Amendments of 1990. Lignite beds within the Yegua Formation are thin (less than or equal to 6 ft) and laterally discontinuous in comparison with most Wilcox Group deposits (Ayers, 1989a); in contrast, the Jackson Group lignite beds range up to 12 ft in total thickness and are relatively continuous laterally, extending nearly 32 mi along strike.
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Herbland, Alexandre; Goldberg, Michel; Garric, Nathalie; Lesieur, Olivier
2017-12-01
Patients' perception of an intensive care unit stay can lead to a better understanding of the expectations and needs of patients hospitalised in intensive care so that care for critically ill patients can be adapted and improved. Thank you letters are sources of original information which come directly and spontaneously from patients. The objective of this study was to analyse the thank you letters from patients who required intensive care treatment and to identify messages that could be intended for the intensive care unit team. We conducted a qualitative study according to a thematic analysis. The body of research consisted of 17 letters from patients hospitalised in intensive care unit. The study took place in the medical-surgical intensive care unit of a French general hospital. The intensive care unit is made up of 16 resuscitation beds and four continuous monitoring beds. Two main themes emerged: (i) expression of gratitude through a description of the caregivers' behaviour (humanity and professionalism) and recognition for surviving (ii) the narrative of the intensive care unit experience. Thank you letters give a rich insight into how the patients perceived their stay in intensive care unit. Letters from patients give direct feedback on the quality of care provided, contribute to give meaning to work and raise the question of what the core values of care should be for all concerned in the healthcare providers-patients relationship. Copyright © 2017 Elsevier Ltd. All rights reserved.
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Roy, Bithi; Chen, Luguang; Bhattacharya, Sankar
2014-12-16
This study investigates, for the first time, the NOx, N2O, SO3, and Hg emissions from combustion of a Victorian brown coal in a 10 kWth fluidized bed unit under oxy-fuel combustion conditions. Compared to air combustion, lower NOx emissions and higher N2O formation were observed in the oxy-fuel atmosphere. These NOx reduction and N2O formations were further enhanced with steam in the combustion environment. The NOx concentration level in the flue gas was within the permissible limit in coal-fired power plants in Victoria. Therefore, an additional NOx removal system will not be required using this coal. In contrast, both SO3 and gaseous mercury concentrations were considerably higher under oxy-fuel combustion compared to that in the air combustion. Around 83% of total gaseous mercury released was Hg(0), with the rest emitted as Hg(2+). Therefore, to control harmful Hg(0), a mercury removal system may need to be considered to avoid corrosion in the boiler and CO2 separation units during the oxy-fuel fluidized-bed combustion using this coal.
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Reverse transport of children from a tertiary pediatric hospital.
McPherson, Mona L; Jefferson, Larry S; Smith, E O'Brian; Sitler, Garry C; Graf, Jeanine M
2007-01-01
The purpose of this study was to determine the epidemiology and resources used and to study the potential savings of pediatric reverse transport patients. A case control study was performed with patients undergoing a reverse or outbound transport from a large, pediatric hospital. Twenty-five children undergoing reverse transport were compared with matched controls. Lengths of stay and costs were compared between the reverse transport and matched control patients. Fifty-two percent of the reverse transport patients returned home, whereas 32% went home for end-of-life care and 16% went to other facilities. The average reverse transport was more than 400 miles and cost $6,064. The reverse transport of these patients did not save pediatric intensive care unit (PICU) days but did result in a shorter hospital stay compared with the matched controls (10 vs. 19 days, P = .03). Decreased utilization of bed days came from less use of intermediate care unit resources. Pediatric patients undergo reverse transports for a variety of reasons, often for end-of-life care. The ability to reverse transport pediatric patients may not save PICU bed days but may offer pediatric tertiary care hospitals a means to provide more intermediate care bed availability.
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First Experiences with the New Chalmers Gasifier
NASA Astrophysics Data System (ADS)
Thunman, H.; Seemann, M. C.
During summer 2007 a 2-6 MWth indirect gasification section was integrated into the loop of the existing 82➀2 MWth circulating fluidized bed boiler at Chalmers University. With help of a particle distributor the gasification unit is connected to the loop after the cyclone. Hot bed material entrained from the boiler is so transferred to the gasifier providing the heat for the production of a nearly nitrogen free product gas. Non-gasified char is returned together with the bed material into the boiler and converted. Biomass can be fed into both sections; the boiler and the gasifier. The gasification is separated from the boiler via two loop seals and a particle distributer, directing particles either back to the boiler or into the gasification section. For that reason the CFB boiler can be operated even after the retrofit independently, just like before, or in combined combustion/gasification mode. This possibility keeps the risk for a retrofit low. As, furthermore, the investment costs for the integration are considerably lower than standalone gasification units of that size, the retrofit is an easy way to extend the potential of a CFB Boiler towards bi- and tri-generation (heat, power, fuel) and enter new markets.
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Hettinger, Robert D.; Roberts, L.N.R.; Biewick, L.R.H.; Kirschbaum, M.A.
1996-01-01
EXECUTIVE SUMMARY This report on the coal resources of the Kaiparowits Plateau, Utah is a contribution to the U.S. Geological Survey's (USGS) 'National Coal Resource Assessment' (NCRA), a five year effort to identify and characterize the coal beds and coal zones that could potentially provide the fuel for the Nation's coal-derived energy during the first quarter of the twenty-first century. For purposes of the NCRA study, the Nation is divided into regions. Teams of geoscientists, knowledgeable about each region, are developing the data bases and assessing the coal within each region. The five major coal-producing regions of the United States under investigation are: (1) the Appalachian Basin; (2) the Illinois Basin; (3) the Gulf of Mexico Coastal Plain; (4) the Powder River Basin and the Northern Great Plains; and (5) the Rocky Mountains and the Colorado Plateau. Six areas containing coal deposits in the Rocky Mountain and Colorado Plateau Region have been designated as high priority because of their potential for development. This report on the coal resources of the Kaiparowits Plateau is the first of the six to be completed. The coal quantities reported in this study are entirely 'resources' and represent, as accurately as the data allow, all the coal in the ground in beds greater than one foot thick. These resources are qualified and subdivided by thickness of coal beds, depth to the coal, distance from known data points, and inclination (dip) of the beds. The USGS has not attempted to estimate coal 'reserves' for this region. Reserves are that subset of the resource that could be economically produced at the present time. The coal resources are differentiated into 'identified' and 'hypothetical' following the standard classification system of the USGS (Wood and others, 1983). Identified resources are those within three miles of a measured thickness value, and hypothetical resources are further than three miles from a data point. Coal beds in the Kaiparowits Plateau are laterally discontinuous relative to many other coal bearing regions of the United States. That is, they end more abruptly and are more likely to fragment or split into thinner beds. Because of these characteristics, the data from approximately 160 drill holes and 40 measured sections available for use in this study are not sufficient to determine what proportion of the resources is technologically and economically recoverable. The Kaiparowits Plateau contains an original resource of 62 billion short tons of coal in the ground. Original resource is defined to include all coal beds greater than one foot thick in the area studied. None of the resource is recoverable by surface mining. However, the total resource figure must be regarded with caution because it does not reflect geologic, technological, land-use, and environmental restrictions that may affect the availability and the recoverability of the coal. At least 32 billion tons of coal are unlikely to be mined in the foreseeable future because the coal beds are either too deep, too thin to mine, inclined at more than 12?, or in beds that are too thick to be completely recovered in underground mining. The estimated balance of 30 billion tons of coal resources does not reflect land use or environmental restrictions, does not account for coal that would be bypassed due to mining of adjacent coal beds, does not consider the amount of coal that must remain in the ground for roof support, and does not take into consideration the continuity of beds for mining. Although all of these factors will reduce the amount of coal that could be recovered, there is not sufficient data available to estimate recoverable coal resources. For purposes of comparison, studies of coal resources in the eastern United States have determined that less than 10 percent of the original coal resource, in the areas studied, could be mined economically at today's prices (Rohrbacher and others, 1994).
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Anåker, Anna; von Koch, Lena; Sjöstrand, Christina; Heylighen, Ann; Elf, Marie
2018-04-20
To explore and compare the impact of the physical environment on patients' activities and care at three newly built stroke units. Receiving care in a stroke unit instead of in a general ward reduces the odds of death, dependency and institutionalized care. In stroke units, the design of the physical environment should support evidence-based care. Studies on patients' activities in relation to the design of the physical environment of stroke units are scarce. This work is a comparative descriptive case study. Patients (N = 55) who had a confirmed diagnosis of stroke were recruited from three newly built stroke units in Sweden. The units were examined by non-participant observation using two types of data collection: behavioural mapping analysed with descriptive statistics and field note taking analysed with deductive content analysis. Data were collected from April 2013 - December 2015. The units differed in the patients' levels of physical activity, the proportion of the day that patients spent with health professionals and family presence. Patients were more physically active in a unit with a combination of single and multi-bed room designs than in a unit with an entirely single-room design. Stroke units that were easy to navigate and offered variations in the physical environment had an impact on patients' activities and care. Patients' activity levels and interactions appeared to vary with the design of the physical environments of stroke units. Stroke guidelines focused on health status assessments, avoidance of bed-rest and early rehabilitation require a supportive physical environment. © 2018 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.
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NASA Astrophysics Data System (ADS)
Hackney, C. R.; Aalto, R. E.; Darby, S. E.; Parsons, D. R.; Leyland, J.; Nicholas, A. P.; Best, J.
2016-12-01
Bifurcations represent key morphological nodes within the channel networks of anabranching and braided fluvial channels, playing an important role in controlling local bed morphology, the routing of sediment and water, and defining the stability of the downstream reaches. Herein, we detail field observations of the three-dimensional flow structure, bed morphological changes and partitioning of both flow discharge and suspended sediment through a large diffluence-confluence unit on the Mekong River, Cambodia, across a range of flow stages (from 13,500 m3 s-1 to 27,000 m3 s-1) over the monsoonal flood-pulse cycle. We show that the discharge asymmetry (a measure of the disparity between discharges distributed down the left and right branches of the bifurcation) varies with flow discharge and that the influence of upstream curvature-induced cross-stream water surface slope and bed morphological changes are first-order controls in modulating the asymmetry in bifurcation discharge. Flow discharge is shown to play a key role in defining the morphodynamics of the diffluence-confluence unit downstream of the bifurcation. Our data show that during peak flows (Q 27,000 m3 s-1), the downstream island complex acts as a net sink of suspended sediment (with 2600 kg s-1 being deposited between the diffluence and confluence), whereas during lower flows, on both the rising and falling limbs of the flood wave, the sediment balance is in quasi-equilibrium. We propose a new conceptual model of bifurcation stability that incorporates varying flood discharge and in which the long term stability of the bifurcation, as well as the larger channel planform and morphology of the diffluence-confluence unit, are controlled by the variations in flood discharge.
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NASA Astrophysics Data System (ADS)
Hackney, Christopher; Darby, Stephen; Parsons, Daniel; Leyland, Julian; Aalto, Rolf; Nicholas, Andrew; Best, Jim
2017-04-01
Bifurcations represent key morphological nodes within the channel networks of anabranching and braided fluvial channels, playing an important role in controlling local bed morphology, the routing of sediment and water, and defining the stability of the downstream reaches. Herein, we detail field observations of the three-dimensional flow structure, bed morphological changes and partitioning of both flow discharge and suspended sediment through a large diffluence-confluence unit on the Mekong River, Cambodia, across a range of flow stages (from 13,500 m3 s-1 to 27,000 m3 s-1) over the monsoonal flood-pulse cycle. We show that the discharge asymmetry (a measure of the disparity between discharges distributed down the left and right branches of the bifurcation) varies with flow discharge and that the influence of upstream curvature-induced cross-stream water surface slope and bed morphological changes are first-order controls in modulating the asymmetry in bifurcation discharge. Flow discharge is shown to play a key role in defining the morphodynamics of the diffluence-confluence unit downstream of the bifurcation. Our data show that during high flows (Q 27,000 m3 s-1), the downstream island complex acts as a net sink of suspended sediment (with 2600 kg s-1 being deposited between the diffluence and confluence), whereas during lower flows, on both the rising and falling limbs of the flood wave, the sediment balance is in quasi-equilibrium. We propose, therefore, that the long term stability of the bifurcation, as well as the larger channel planform and morphology of the diffluence-confluence unit, is therefore controlled by annual monsoonal flood pulses and the associated variations in discharge.
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Hokstad, Anne; Indredavik, Bent; Bernhardt, Julie; Ihle-Hansen, Hege; Salvesen, Øyvind; Seljeseth, Yngve Müller; Schüler, Stephan; Engstad, Torgeir; Askim, Torunn
2015-06-01
Activity levels in patients early after stroke vary across the world. The primary aim of this study was to assess the variation in motor activity in patients admitted to multiple Norwegian stroke units and to identify factors which explained the variation between hospitals. Eligible patients were those less than 14 days after stroke, more than 18 years, not receiving palliative care. Activity levels, people present, and location were recorded by the use of a standard method of observation between 8 am and 5 pm. Hospital policy on serving meals in communal areas was also registered. Mixed general binomial model was used to analyze, which factors explained variation in activity levels between hospitals, after adjusting for age and stroke severity. A total of 393 patients from 11 stroke units were included. The patients spent 44.1% of the day in bed, 43.2% sitting out of bed, and 8.3% in higher motor activities (4.4% were not observed). Increased physical activity was associated with spending more time with a physical therapist, odds ratio (OR), 1.05 (95% confidence interval [CI], 1.03-1.08, P < .001) and admitted to a hospital serving the meals in communal areas, OR, 1.46 (95% CI, 1.09-1.95, P = .011). Despite variation between the hospitals, patients admitted to Norwegian stroke units spend most of the day out of bed. Time spent with a physical therapist and hospitals having a policy of serving meals in communal areas explained most of the variation in activity between hospitals. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.
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NASA'S Standard Measures During Bed Rest: Adaptations in the Cardiovascular System
NASA Technical Reports Server (NTRS)
Lee, Stuart M. C.; Feiveson, Alan H.; Martin, David S.; Cromwell, Roni L.; Platts, Steven H.; Stenger, Michael B.
2016-01-01
Bed rest is a well-accepted analog of space flight that has been used extensively to investigate physiological adaptations in a larger number of subjects in a shorter amount of time than can be studied with space flight and without the confounding effects associated with normal mission operations. However, comparison across studies of different bed rest durations, between sexes, and between various countermeasure protocols have been hampered by dissimilarities in bed rest conditions, measurement protocols, and testing schedules. To address these concerns, NASA instituted standard bed rest conditions and standard measures for all physiological disciplines participating in studies conducted at the Flight Analogs Research Unit (FARU) at the University of Texas-Medical Branch. Investigators for individual studies employed their own targeted study protocols to address specific hypothesis-driven questions, but standard measures tests were conducted within these studies on a non-interference basis to maximize data availability while reducing the need to implement multiple bed rest studies to understand the effects of a specific countermeasure. When possible, bed rest standard measures protocols were similar to tests nominally used for medically-required measures or research protocols conducted before and after Space Shuttle and International Space Station missions. Specifically, bed rest standard measures for the cardiovascular system implemented before, during, and after bed rest at the FARU included plasma volume (carbon monoxide rebreathing), cardiac mass and function (2D, 3D and Doppler echocardiography), and orthostatic tolerance testing (15- or 30-minutes of 80 degree head-up tilt). Results to-date indicate that when countermeasures are not employed, plasma volume decreases and the incidence of presyncope during head-up tilt is more frequent even after short-duration bed rest while reductions in cardiac function and mass are progressive as bed rest duration increases. Additionally, while plasma volume loss can be corrected and cardiac mass can be prevented with properly applied countermeasures, orthostatic tolerance is more difficult to protect when supine exercise is the only countermeasure. Similar results have been observed after space flight. Plasma volume, cardiac chamber volume, and orthostatic tolerance recover relatively quickly with resumption of ambulation and normal activity levels after bed rest but restoration of cardiac mass is prolonged.
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7 CFR 457.136 - Tobacco crop insurance provisions.
Code of Federal Regulations, 2011 CFR
2011-01-01
.... Cutting or priming and removing all insured tobacco from the unit. Hydroponic plants. Seedlings grown in..., including hydroponic plants, have been transplanted by hand or machine from the tobacco bed to the field...
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StratBAM: A Discrete-Event Simulation Model to Support Strategic Hospital Bed Capacity Decisions.
Devapriya, Priyantha; Strömblad, Christopher T B; Bailey, Matthew D; Frazier, Seth; Bulger, John; Kemberling, Sharon T; Wood, Kenneth E
2015-10-01
The ability to accurately measure and assess current and potential health care system capacities is an issue of local and national significance. Recent joint statements by the Institute of Medicine and the Agency for Healthcare Research and Quality have emphasized the need to apply industrial and systems engineering principles to improving health care quality and patient safety outcomes. To address this need, a decision support tool was developed for planning and budgeting of current and future bed capacity, and evaluating potential process improvement efforts. The Strategic Bed Analysis Model (StratBAM) is a discrete-event simulation model created after a thorough analysis of patient flow and data from Geisinger Health System's (GHS) electronic health records. Key inputs include: timing, quantity and category of patient arrivals and discharges; unit-level length of care; patient paths; and projected patient volume and length of stay. Key outputs include: admission wait time by arrival source and receiving unit, and occupancy rates. Electronic health records were used to estimate parameters for probability distributions and to build empirical distributions for unit-level length of care and for patient paths. Validation of the simulation model against GHS operational data confirmed its ability to model real-world data consistently and accurately. StratBAM was successfully used to evaluate the system impact of forecasted patient volumes and length of stay in terms of patient wait times, occupancy rates, and cost. The model is generalizable and can be appropriately scaled for larger and smaller health care settings.
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Turner-Stokes, Lynne; Sutch, Stephen; Dredge, Robert
2012-03-01
To describe the rationale and development of a casemix model and costing methodology for tariff development for specialist neurorehabilitation services in the UK. Patients with complex needs incur higher treatment costs. Fair payment should be weighted in proportion to costs of providing treatment, and should allow for variation over time CASEMIX MODEL AND BAND-WEIGHTING: Case complexity is measured by the Rehabilitation Complexity Scale (RCS). Cases are divided into five bands of complexity, based on the total RCS score. The principal determinant of costs in rehabilitation is staff time. Total staff hours/week (estimated from the Northwick Park Nursing and Therapy Dependency Scales) are analysed within each complexity band, through cross-sectional analysis of parallel ratings. A 'band-weighting' factor is derived from the relative proportions of staff time within each of the five bands. Total unit treatment costs are obtained from retrospective analysis of provider hospitals' budget and accounting statements. Mean bed-day costs (total unit cost/occupied bed days) are divided broadly into 'variable' and 'non-variable' components. In the weighted costing model, the band-weighting factor is applied to the variable portion of the bed-day cost to derive a banded cost, and thence a set of cost-multipliers. Preliminary data from one unit are presented to illustrate how this weighted costing model will be applied to derive a multilevel banded payment model, based on serial complexity ratings, to allow for change over time.
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NASA Astrophysics Data System (ADS)
Kholis, N.; Patria, M. P.; Soedjiarti, T.
2017-07-01
Research of composition and diversity of fish species in seagrass bed ecosystem at Muara Binuangeun, Lebak, Banten, had been conducted in May and November 2015. Catch per Unit of Effort (CPUE) was used as a method with push net and boat net as fishing gear. Fishing was conducted during low tide. Collected samples were preserved with 10 % Formalin Solution and then being identified in the laboratory. In total, 286 fishes were collected from 17 families and 38 species. Moolgarda sp. was the most relative abundant species (17,13 %) and Istiblennius edentulus was a fish species with the highest relative frequency. Diversity index value of seagrass bed ecosystem was 2,973. Different sampling time showed the different composition of fish, in an example of Arothron immaculatus.
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NASA Astrophysics Data System (ADS)
Hofmeister, M.; Franke, M. M.; Koerner, C.; Singer, R. F.
2017-12-01
Superalloy gas turbine blades are being produced by investment casting and directional solidification. A new process, Fluidized Carbon Bed Cooling (FCBC), has been developed and is now being optimized in a prototype casting unit with 10 kg pouring weight. In early test runs with still rather simple mold cluster geometries, a reduction of the primary dendrite arm spacing of around 40 pct compared to the standard radiation cooling process (HRS) could be demonstrated. The improvement is mainly attributed to higher temperature gradients driving solidification, made possible by a functioning Dynamic Baffle. Compared to earlier development efforts in the literature, contamination of the melt and damage to the equipment are avoided using carbon-based fluidized bed materials and the so-called "counter pressure concept."
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Hydrogeologic Framework of the New Jersey Coastal Plain
Zapecza, Otto S.
1989-01-01
This report presents the results of a water-resources, oriented subsurface mapping program within the Coastal Plain of New Jersey. The occurrence and configuration of 15 regional hydrogeologic units have been defined, primarily on the basis of an interpretation of borehole geophysical data. The nine aquifers and six confining beds are composed of unconsolidated clay, silt, sand, and gravel and range in age from Cretaceous to Quaternary. Electric and gamma-ray logs from more than 1,000 Coastal Plain wells were examined. Of these, interpretive data for 302 sites were selected, on the basis of logged depth, quality of data, and data distribution, to prepare structure contour and thickness maps for each aquifer and a thickness map for each confining bed. These maps, together with 14 hydrogeologic sections, show the geometry, lateral extent, and vertical and horizontal relationships among the 15 hydrogeologic units. The hydrogeologic maps and sections show that distinct lower, middle, and upper aquifers are present within the Potomac, Raritan-Magothy aquifer system near the Delaware River from Burlington County to Salem County. Although the lower aquifer is recognized only in this area, the middle aquifer extends into the northeastern Coastal Plain of New Jersey, where it is stratigraphically equivalent to the Farrington aquifer. The upper aquifer extends throughout most of the New Jersey Coastal Plain and is stratigraphically equivalent to the Old Bridge aquifer in the northeastern Coastal Plain. The overlying Merchantville-Woodbury confining bed is the most regionally extensive confining bed within the New Jersey Coastal Plain. Its thickness ranges from less than 100 feet near the outcrop to more than 450 feet along the coast. The Englishtown aquifer system acts as a single aquifer throughout most of its subsurface extent, but it contains two water-bearing sands in pars of Monmouth and Ocean Counties. The overlying Marshalltown-Wenonah confining bed is a thin, leaky unit ranging in thickness from approximately 20 to 80 feet. The Wenonah-Mount Laurel aquifer is identified in the subsurface throughout the New Jersey Coastal Plain southeast of its outcrop area. Sediments that overlie the Wenonah-Mount Lauren aquifer and that are subjacent to the major aquifers within the Kirkwood Formation and the Cohansey Sand are described hydrologically as a composite confining bed. These include the Navesink Formation, Red Bank Sand, Tinton Sand, Hornerstown Sand, Vincentown Formation, Manasquan Formation, Shark River Formation, and Piney Point Formation and the basal clay of the Kirkwood Formation.. The Vincentown Formation functions as n aquifer within 3 to 10 miles downdip of its outcrop area. In areas farther downdip the Vincentown Formation functions as a confining bed. The Piney Point aquifer is laterally persistent from the southern New Jersey Coastal Plain northward into parts of Burlington and Ocean Counties. The Atlantic City 800-foot sand of the Kirkwood Formation can be recognized in the subsurface along coastal areas of Cape May, Atlantic, and southern Ocean Counties, but inland only as far west as the extent of the overlying confining bed. In areas west of the extent of the overlying confining bed, the Kirkwood Formation is in hydraulic connection with the overlying Cohansey Sand and younger surficial deposits and functions as an unconfined aquifer.
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NASA Astrophysics Data System (ADS)
Abd El-Wahed, Ahmed G.; Anan, Tarek I.
2016-12-01
A detailed structure and sedimentology interpretation was performed for the South Mansoura-1 well. The Formation Micro Imager (FMI) is recorded and interpreted over the interval 9100-8009 ft. This interval belongs to Sidi Salem and Qawasim Formations. Based on azimuth trend of manually picked dips (bed boundaries), the interval can be divided into 4 structural dip zones (Zone 1 (9100-8800 ft), variable azimuth direction with the major trends mainly to SW&NE; Zone 2 (8800-8570 ft), bedding dip azimuth is mainly to the NW; Zone 3 (8570-8250 ft), bedding dip azimuth is mainly to the NE; and Zone 4 (8250-8009 ft), bedding dip azimuth is mainly to the NW). Lamination identified over the interval shows a dominant dip azimuth trend toward North North-West direction. The interbedded shale units are highly laminated and show little evidence of bioturbation. Sand exhibits abundant cross bedding showing a dominant dip azimuth trends toward NNE and NE and more locally to the E. Sixteen truncations identified over the interval show variable azimuth trend with the major trend mainly to the North North-West.
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Bed capacities and disinfection practices in hospitals in Istanbul are correlated.
Teker, Bahri; Ogutlu, Aziz; Yilmaz, Mesut; Gencer, Serap; Karabay, Oguz
2015-03-19
Disinfection, antisepsis and sterilization (DAS) practices are of critical importance in hospital practice. This study aims to investigate the daily DAS practices of private hospitals in Istanbul, Turkey. The DAS practices of 155 private hospitals in Istanbul province were investigated using a questionnaire including 26 questions. The questionnaire forms were faxed to all private hospitals located in Istanbul. A p value < 0.05 accepted as significant. The 75 [48%] hospitals out of 155 hospitals responded. The quality of DAS practice was correlated with hospital bed capacity. In these hospitals, glutaraldehyde (27%) was the most common chemical used to disinfect endoscopy instruments. The rate of availability of air gun in endoscopy units in these hospitals was significantly associated with hospital bed capacity (p <0.001). Sticky mats placed at doors of risky areas were not reported to be used in the large bed capacity (LBC) hospitals unlike the small bed capacity (SBC) hospitals where 50% of these hospitals reported to use the sticky door mats (p =0.0144). Private hospitals in Istanbul need in-service training towards sterilization and disinfection issues. It is concluded that private hospitals need policies and educational activities for DAS practices.
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Bedform Dimensions and Suspended Sediment Observations in a Mixed Sand-Mud Intertidal Environment
NASA Astrophysics Data System (ADS)
Lichtman, I. D.; Amoudry, L.; Peter, T.; Jaco, B.
2016-02-01
Small-scale bedforms, such as ripples, can profoundly modify near-bed hydrodynamics, near-bed sediment transport and resuspension, and benthic-pelagic fluxes. Knowledge of their dimensions is important for a number of applications. Fundamentally different processes can occur depending on the dimensions of ripples: for low and long ripples, the bed remains dynamically flat and diffusive processes dominate sediment entrainment; for steep ripples, flow separation occurs above the ripples creating vortices, which are far more efficient at entraining sediment into the water column. Recent laboratory experiments for mixtures of sand and mud have shown that bedform dimensions decrease with increasing sediment mud content. However, these same experiments also showed that mud is selectively taken into suspension when bedforms are created and migrate on the bed, leaving sandy bedforms. This entrainment process, selectively suspending fine sediment, is referred to as winnowing. To improve our understanding of bedform and entrainment dynamics of mixed sediments, in situ observations were made on intertidal flats in the Dee Estuary, United Kingdom. A suite of instruments were deployed collecting co-located measurements of the near-bed hydrodynamics, waves, small-scale bed morphology and suspended sediment. Three sites were occupied consecutively, over a Spring-Neap cycle, collecting data for different bed compositions, tide levels and wind conditions. Bed samples were taken when the flats became exposed at low water and a sediment trap collected suspended load when inundated. This study will combine these measurements to investigate the interactions between small-scale bed morphology, near-bed hydrodynamics and sediment entrainment. We will examine bedform development in the complex hydrodynamic and wave climate of tidal flats, in relation to standard ripple predictors. We will also relate the variability in small-scale bedforms to variation in hydrodynamic and wave conditions, and to suspension and entrainment processes for mixed sediments.
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NASA Technical Reports Server (NTRS)
1981-01-01
The results of the free space reactor experimental work are summarized. Overall, the objectives were achieved and the unit can be confidently scaled to the EPSDU size based on the experimental work and supporting theoretical analyses. The piping and instrumentation of the fluidized bed reactor was completed.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Fritsche, A.E.; Hanna, F.M.
1985-04-01
Three large, isolated exposures of a light-gray, coarse-grained, thick-bedded sandstone unit occur in the northern San Rafael Mountains of Santa Barbara County, California. These rocks are moderately fossiliferous and contain Vertipecten bowersi, Amussiopecten vanvlecki, Aequipecten andersoni, Otrea howelli, shark teeth, whale bones, and regular echinoid spines. The fossils indicate that the sandstone unit, although previously reported as upper(.) Miocene, correlates best with the lower Miocene Vaqueros Formation. This unit was deposited in angular unconformity on a Cretaceous, greenish-gray turbidite sequence of interbedded sandstone and shale, and onlaps the unconformity erosion surface from west to east, the unit being thicker inmore » the west and older at its base. The underlying Cretaceous sandstone beds are well indurated, and during the eastward transgression of the early Miocene sea, they resisted wave erosion and stood as seastacks offshore of the advancing coastline, thus creating a very irregular topographic surface upon which the Vaqueros Formation was deposited. Some seastacks were as much as 4 m tall, as indicated by inliers of Cretaceous rock surrounded by 4-m thick sections of the Vaqueros Formation.« less
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Mackenzie-Davies, N; Mansell, J
2007-10-01
Evaluative studies have shown that special units for people with intellectual disabilities (ID) who have challenging behaviour have advantages and disadvantages. There has been no survey of their number or characteristics for nearly 20 years. A questionnaire was sent to all National Health Service trusts that had ID inpatient beds, and all private or voluntary healthcare establishments providing services for people with mental health problems or ID. This asked for information about the unit, its residents and the views of the unit manager. Forty-four agencies confirmed that they provided assessment and treatment units, of which 38 returned questionnaires. These units served 333 people, of whom 75% had mild or moderate ID. A quarter had been there for more than 2 years. Forty per cent of residents had a discharge plan, and 20% had this and the type of placement considered ideal for them in their home area. The main strengths of the units were identified as the knowledge and experience of the staff and having sufficient staff; the main problems as inappropriate admissions, bed-blocking and the relationship with other services; difficulties with recruiting and retaining staff; the location and environment of the unit; and the mix of residents. There has been an increasing rate of provision of special units, which now predominantly serve people with moderate or mild ID. This model of service provision is becoming more widespread, but the potential problems identified 20 years ago are still present. Areas are identified for further research.
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NASA Astrophysics Data System (ADS)
Mellere, Donatella
1996-06-01
The Campanian Haystack Mountains Formation (Wyoming, USA) consists of a series of deltaic/estuarine and shoreface sandstone tongues stacked in basinward-stepping units separated by shale intervals. Regional analysis indicates that the tongues have a distinctive two-tiered architecture: (a) a lower sandbody with bioturbated and hummocky strata of wave-dominated shoreface origin; and (b) an erosively based upper unit with bioturbated to tabular cross-bedded sandstones. This study focuses on a single tongue, Seminoe 3, which crops out in a 40 km long continuous dip-oriented exposure. In its landward reaches (westwards) the tongue consists of a thin unit of offshore-transitional to lower shoreface deposits. In the central part of the exposure it becomes thicker and consists of a cross-bedded wedge which truncates the shoreface deposits and pinches out by downlap eastwards onto a thick, westward migrating, shoreface lithosome (spit), probably developed on the margin of a wave-dominated delta. Detailed correlation and mapping of bounding surfaces indicate that the shoreface and spit lithosomes were deposited in a forced regressive mode during falling relative sea-level. The overlying cross-bedded lithosome, is a lowstand wedge which prograded over an incised topography created during the early stage of sea-level lowstand. A large embayment is suggested to have developed during the highstand/forced regressive phase, with shoreline and spit deposits prograding from opposing sides. Significant erosion and truncation occurred during the lowstand phase, as well as a basinward shift of facies onto the shelf and the pre-existing spit deposits. In the early stage of transgression the embayment was drowned, and a tide-dominated, estuarine environment was established. The resulting cross-bedded wedge displays an aggrading to prograding stacking pattern of parasequences with the uppermost portion exhibiting a retrogradational pattern, as a consequence of the reworking operated by the transgression.
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Doig, Lorne E; Carr, Meghan K; Meissner, Anna G N; Jardine, Tim D; Jones, Paul D; Bharadwaj, Lalita; Lindenschmidt, Karl-Erich
2017-11-01
Across the circumpolar world, intensive anthropogenic activities in the southern reaches of many large, northward-flowing rivers can cause sediment contamination in the downstream depositional environment. The influence of ice cover on concentrations of inorganic contaminants in bed sediment (i.e., sediment quality) is unknown in these rivers, where winter is the dominant season. A geomorphic response unit approach was used to select hydraulically diverse sampling sites across a northern test-case system, the Slave River and delta (Northwest Territories, Canada). Surface sediment samples (top 1 cm) were collected from 6 predefined geomorphic response units (12 sites) to assess the relationships between bed sediment physicochemistry (particle size distribution and total organic carbon content) and trace element content (mercury and 18 other trace elements) during open-water conditions. A subset of sites was resampled under-ice to assess the influence of season on these relationships and on total trace element content. Concentrations of the majority of trace elements were strongly correlated with percent fines and proxies for grain size (aluminum and iron), with similar trace element grain size/grain size proxy relationships between seasons. However, finer materials were deposited under ice with associated increases in sediment total organic carbon content and the concentrations of most trace elements investigated. The geomorphic response unit approach was effective at identifying diverse hydrological environments for sampling prior to field operations. Our data demonstrate the need for under-ice sampling to confirm year-round consistency in trace element-geochemical relationships in fluvial systems and to define the upper extremes of these relationships. Whether contaminated or not, under-ice bed sediment can represent a "worst-case" scenario in terms of trace element concentrations and exposure for sediment-associated organisms in northern fluvial systems. Environ Toxicol Chem 2017;36:2916-2924. © 2017 SETAC. © 2017 SETAC.
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NASA Astrophysics Data System (ADS)
Golledge, Nicholas R.; Phillips, Emrys
2008-07-01
Sedimentary exposures in moraines in a Scottish Highland valley (Glen Chaorach), reveal stacked sequences of bedded and laminated silt, sand and gravel, interspersed or capped with diamicton units. In four examples, faults and folds indicate deformation by glaciotectonism and syndepositional loading. We propose that these sediments were laid down in an ice-dammed lake, close to the last ice margin to occupy this glen. Individual units within cross-valley De Geer moraine ridges are interpreted by comparison with examples from similar environments elsewhere: stratified diamictons containing laminated or bedded lenses are interpreted as subaqueous ice-marginal debris-flow deposits; massive fine-grained deposits as hyperconcentrated flow deposits, and massive gravel units as high-density debris-flow deposits. Using an allostratigraphic approach we argue that glaciotectonically deformed coarsening-upward sand and gravel sequences that culminate in deposition of subglacial diamicton represent glacier advances into the ice-marginal lake, whereas undisturbed cross-bedded sand and gravel reflects channel or fan deposits laid down during glacier retreat. A flat terrace of bedded sand and gravel at the northern end of Glen Chaorach is interpreted as subaerial glaciofluvial outwash. On the basis of these inferences we propose the following three stage deglacial event chronology for Glen Chaorach. During glacier recession, ice separation and intra-lobe ponding first led to subaquaeous deposition of sorted and unsorted facies. Subsequent glacier stabilisation and ice-marginal oscillation produced glaciotectonic structures in the ice-marginal sediment pile and formed De Geer moraines. Finally, drainage of the ice-dammed lake allowed a subaerial ice-marginal drainage system to become established. Throughout deglaciation, deposition within the lake was characterized by abrupt changes in grain size and in the architecture of individual sediment bodies, reflecting changing delivery paths and sediment supply, and by dynamic margin oscillations typical of water-terminating glaciers.
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Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey
DOE Office of Scientific and Technical Information (OSTI.GOV)
Haslam, Philip J.; Yap, Bernard; Mueller, Peter R.
Purpose: To determine current European practice in interventional radiology regarding nursing care, anesthesia, and clinical care trends.Methods: A survey was sent to 977 European interventional radiologists to assess the use of sedoanalgesia, nursing care, monitoring equipment, pre- and postprocedural care, and clinical trends in interventional radiology. Patterns of sedoanalgesia were recorded for both vascular and visceral interventional procedures. Responders rated their preferred level of sedoanalgesia for each procedure as follows: (a) awake/alert, (b) drowsy/arousable, (c) asleep/arousable, (d) deep sedation, and (e) general anesthesia. Sedoanalgesic drugs and patient care trends were also recorded. A comparison was performed with data derived frommore » a similar survey of interventional practice in the United States.Results: Two hundred and forty-three of 977 radiologists responded (25%). The total number of procedures analyzed was 210,194. The majority (56%) of diagnostic and therapeutic vascular procedures were performed at the awake/alert level of sedation, 32% were performed at the drowsy/arousable level, and 12% at deeper levels of sedation. The majority of visceral interventional procedures were performed at the drowsy/arousable level of sedation (41%), 29% were performed at deeper levels of sedation, and 30% at the awake/alert level. In general, more sedoanalgesia is used in the United States. Eighty-three percent of respondents reported the use of a full-time radiology nurse, 67% used routine blood pressure/pulse oximetry monitoring, and 46% reported the presence of a dedicated recovery area. Forty-nine percent reported daily patient rounds, 30% had inpatient hospital beds, and 51% had day case beds.Conclusion: This survey shows clear differences in the use of sedation for vascular and visceral interventional procedures. Many, often complex, procedures are performed at the awake/alert level of sedation in Europe, whereas deeper levels of sedation are used in the United States. Trends toward making interventional radiology a clinical specialty are evident, with 51% of respondents having day case beds, and 30% having inpatient beds.« less
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What to Do When There Aren't Enough Beds in the PICU.
Rubin, Michael A; Truog, Robert D
2017-02-01
The concepts of medical futility and rationing are often misunderstood and lead to significant consternation when resources are stretched and pediatric intensive care unit (PICU) beds are unavailable. While the two concepts overlap, each has its own distinct application and moral justification. Most importantly, we should avoid using one to justify the other. Bioethics professionals should assist critical care clinicians in clarifying when each rubric should be applied as well as how to develop policies to standardize the approach. © 2017 American Medical Association. All Rights Reserved.
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Study of Nox Emission Characteristics of a 1025t/h Coal-Fired Circulating Fluidized Bed Boiler
NASA Astrophysics Data System (ADS)
Li, Q. Y.; Mi, Z. D.; Zhang, Q. F.
Measurements of emission are carried out in a 1025t/h CFB boiler. The effect of some factors including coal properties, bed temperature, unit load, excess air on the emission of NOx are investigated. The measurement results show that the N concentration in the coal is dominant parameter to predict the NOx emission from a large-scale CFB boiler. NOx emission from the 1025t/h CFB boiler increases with cyclone temperature and upper pressure drop due to post combustion and external cycle.
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2010-03-01
coronary by-pass (CABG) surgery patients would stay in the Coronary Care Step-Down Unit for at least a week while not getting out of bed for most of that...time. Whereas today, those same patients are out of the bed, sitting up in a chair within hours of surgery and sent home 48 hours post surgery ...hospital, flat on their backs, for a week and spend months at home recovering. Today, the surgery is done as a same-day surgery procedure and patients
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Riggs, N.R.; Ash, S.R.; Barth, A.P.; Gehrels, G.E.; Wooden, J.L.
2003-01-01
Zircons from the Black Forest Bed, Petrified Forest Member, Chinle Formation, in Petrified Forest National Park, yield ages that range from Late Triassic to Late Archean. Grains were analyzed by multigrain TIMS (thermal-ionization mass spectrometry), single-crystal TIMS, and SHRIMP (sensitive, high-resolution ion-microprobe). Multiple-grain analysis yielded a discordia trajectory with a lower intercept of 207 ?? 2 Ma, which because of the nature of multiple-grain sampling of a detrital bed, is not considered conclusive. Analysis of 29 detrital-zircon grains by TIMS yielded U-PB ages of 2706 ?? 6 Ma to 206 ?? 6 Ma. Eleven of these ages lie between 211 and 216 ?? 6.8 Ma. Our statistical analysis of these grains indicates that the mean of the ages, 213 ?? 1.7 Ma, reflects more analytical error than geologic variability in sources of the grains. Grains with ages of ca. 1400 Ma were derived from the widespread plutons of that age exposed throughout the southwestern Cordillera and central United States. Twelve grains analyzed by SHRIMP provide 206Pb*/238U ages from 214 ?? 2 Ma to 200 ?? 4 Ma. We use these data to infer that cores of inherited material were present in many zircons and that single-crystal analysis provides an accurate estimation of the age of the bed. We further propose that, even if some degree of reworking has occurred, the very strong concentration of ages at ca. 213 Ma provides a maximum age for the Black Forest Bed of 213 ?? 1.7 Ma. The actual age of the bed may be closer to 209 Ma. Dating continental successions is very difficult when distinct ash beds are not clearly identified, as is the case in the Chinle Formation. Detrital zircons in the Black Forest Bed, however, are dominated by an acicular morphology with preserved delicate terminations. The shape of these crystals and their inferred environment of deposition in slow-water settings suggest that the crystals were not far removed from their site of deposition in space and likely not far in time. Plinian ash clouds derived from explosive eruptions along the early Mesozoic Cordilleran margin provided the crystals to the Chinle basin, where local conditions insured their preservation. In the case of the Black Forest Bed, the products of one major eruption may dominate the volcanic contribution to the unit. Volcanic detritus in the Chinle Formation was derived from multiple, distinct sources. Coarse pebble- to cobble-size material may have originated in eastern California and/or western Arizona, where Triassic plutons are exposed. Fine-grained detritus, in contrast, was carried in ash clouds that derived from caldera eruptions in east-central California or western Nevada.
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Stanistreet, Ian G; McHenry, Lindsay J; Stollhofen, Harald; de la Torre, Ignacio
2018-04-20
Archaeological excavations at EF-HR and HWK EE allow reassessment of Bed II stratigraphy within the Junction Area and eastern Olduvai Gorge. Application of Sequence Stratigraphic methods provides a time-stratigraphic framework enabling correlation of sedimentary units across facies boundaries, applicable even in those areas where conventional timelines, such as tephrostratigraphic markers, are absent, eroded, or reworked. Sequence Stratigraphically, Bed II subdivides into five major Sequences 1 to 5, all floored by major disconformities that incise deeply into the underlying succession, proving that simple "layer cake" stratigraphy is inappropriate. Previous establishment of the Lemuta Member has invalidated the use of Tuff IIA as the boundary between Lower and Middle Bed II, now redefined at the disconformity between Sequences 2 and 3, a lithostratigraphic contact underlying the succession containing the Lower, Middle, and Upper Augitic Sandstones. HWK EE site records Oldowan technology in the Lower Augitic Sandstone at the base of Sequence 3, within Middle Bed II. We suggest placement of recently reported Acheulean levels at FLK W within the Middle Augitic Sandstone, thus emphasizing that handaxes are yet to be found in earlier stratigraphic units of the Olduvai sequence. This would place a boundary between the Oldowan and Acheulean technologies at Olduvai in the Tuff IIB zone or earliest Middle Augitic Sandstone. A major disconformity between Sequences 3 and 4 at and near EF-HR cuts through the level of Tuff IIC, placing the main Acheulean EF-HR assemblage at the base of Sequence 4, within Upper rather than Middle Bed II. Sequence stratigraphic methods also yield a more highly resolved Bed II stratigraphic framework. Backwall and sidewall surveying of archaeological trenches at EF-HR and HWK EE permits definition of "Lake-parasequences" nested within the major Sequences that record downcutting of disconformities associated with lake regression, then sedimentation associated with lake transgression, capped finally by another erosional disconformity or hiatal paraconformity caused by the next lake withdrawal. On a relative time-scale rather than a vertical metre scale, the resulting Wheeler diagram framework provides a basis for recognizing time-equivalent depositional episodes and the position of time gaps at various scales. Relative timing of archaeological assemblage levels can then be differentiated at a millennial scale within this framework. Copyright © 2018 Elsevier Ltd. All rights reserved.
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Ward, Lauck W.
1985-01-01
Along the Pamunkey River and its tributaries can be found a very complete, well-preserved, Tertiary stratigraphic record that reflects the sea-level changes as well as the local tectonic history of the central Virginia Coastal Plain. Using this record, I have described the lower Tertiary units and proposed a sequential model for their occurrence. Sediments examined in this study range in age from early Paleocene to latest Oligocene or earliest Miocene. Upper Tertiary units are described where they occur in the same sections with the lower Tertiary beds. The Brightseat Formation (lower Paleocene), Aquia Formation (upper Paleocene), Marlboro Clay (upper Paleocene), Nanjemoy Formation (lower Eocene), Piney Point Formation (middle Eocene) and Old Church Formation (new unit, upper Oligocene and lower Miocene) were studied. The definitions of the Piscataway and Paspotansa Members of the Aquia are amended, and a lectostratotype (principal reference section) is designated for those units as well as the Aquia on the Potomac River just below the mouth of Aquia Creek. A lectostratotype section is also designated for the Nanjemoy and its two members, the Potapaco and the Woodstock. That section is on the Potomac above Popes Creek. Beds assigned to the Piney Point and Old Church Formations, previously known only in the subsurface, crop out extensively on the Pamunkey River. A hypostratotype (reference section) is selected for the Piney Point Formation on the Pamunkey River at Horseshoe. The Old Church Formation (named herein) is included in the Chesapeake Group. Areal extent of the stratigraphic units was determined by correlation of outcropping beds on the Pamunkey, Patuxent, Potomac, Rappahannock, Mattaponi, Chickahominy, and James Rivers supplemented by well data. Comparisons of the onlap histories of the Salisbury, Albemarle, and Charleston Embayments indicate a number of simultaneous transgressive events implying global sea-level rises. More restricted transgressions appear to be the result of local downwarping.
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Coupling fine particle and bedload transport in gravel-bedded streams
NASA Astrophysics Data System (ADS)
Park, Jungsu; Hunt, James R.
2017-09-01
Fine particles in the silt- and clay-size range are important determinants of surface water quality. Since fine particle loading rates are not unique functions of stream discharge this limits the utility of the available models for water quality assessment. Data from 38 minimally developed watersheds within the United States Geological Survey stream gauging network in California, USA reveal three lines of evidence that fine particle release is coupled with bedload transport. First, there is a transition in fine particle loading rate as a function of discharge for gravel-bedded sediments that does not appear when the sediment bed is composed of sand, cobbles, boulders, or bedrock. Second, the discharge at the transition in the loading rate is correlated with the initiation of gravel mobilization. Third, high frequency particle concentration and discharge data are dominated by clockwise hysteresis where rising limb discharges generally have higher concentrations than falling limb discharges. These three observations across multiple watersheds lead to a conceptual model that fine particles accumulate within the sediment bed at discharges less than the transition and then the gravel bed fluidizes with fine particle release at discharges above the transition discharge. While these observations were individually recognized in the literature, this analysis provides a consistent conceptual model based on the coupling of fine particle dynamics with filtration at low discharges and gravel bed fluidization at higher discharges.
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Bed rest from the perspective of the high-risk pregnant woman.
Gupton, A; Heaman, M; Ashcroft, T
1997-01-01
To describe the experience of prolonged bed rest from the perspective of women during high-risk pregnancies. A focused ethnographic study that used interviews, participant diaries, and field notes as data sources. Participants were obtained from an acute-care hospital antepartum unit and an antepartum home care program. Twenty-four women with complications of pregnancy requiring prolonged bed rest (range, 7-50 days). A model of the stress process in pregnant women on bed rest emerged from the data analysis. Stressors were grouped into situational (sick role, lack of control, uncertainty, concerns regarding fetus's well-being, and being tired of waiting), environmental (feeling like a prisoner, being bored, and having a sense of missing out), and family (role reversal and worry about older children) categories. Two main mediators of stress were social support and coping. Families, friends, and professionals were perceived as sources of support. Women used coping strategies, such as keeping a positive attitude, taking it 1 day at a time, doing it for the baby, getting used to it, setting goals, and keeping busy. Manifestations of stress were evidenced by adverse physical symptoms, emotional reactions, and altered social relationships. Prolonged bed rest is a stressful experience for pregnant women at high risk. Understanding the stress process in pregnant women confined to bed rest may assist nurses in developing interventions to reduce stressors and enhance mediators.
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Levenson, Jessica C; Shensa, Ariel; Sidani, Jaime E; Colditz, Jason B; Primack, Brian A
2017-09-01
Social media (SM) use has been positively associated with disturbed sleep among young adults. However, previous studies have not elucidated the specific importance of SM use immediately before bed. We aimed to determine the independent association of SM use during the 30 minutes before bed and disturbed sleep while controlling for covariates including total SM use throughout the day. We assessed a nationally representative sample of 1763 US young adults aged 19-32. Participants estimated to what extent they used SM in the 30 minutes before bed. We assessed sleep disturbance using the brief Patient-Reported Outcomes Measurement Information System (PROMIS®) Sleep Disturbance measure. After testing the proportional odds assumption, we used ordered logistic regression to compute the independent association between SM use before bed and sleep disturbance controlling for covariates, including total SM use. Compared with those who rarely or very rarely check SM in the 30 minutes before bed, those who often or very often check SM at that time had an adjusted odds ratio of 1.62 (95% confidence interval = 1.31-2.34) for increased sleep disturbance. Additionally, we found a significant linear trend in the odds ratios between the frequency of checking SM in the 30 minutes before bed and increased sleep disturbance (p = .007). Results were consistent in all sensitivity analyses. SM use in the 30 minutes before bed is independently associated with disturbed sleep among young adults. Future work should use qualitative and experimental methods to further elucidate the directionality of-and mechanisms underlying-this association. © Sleep Research Society 2017. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.
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Saigal, Saurabh; Sharma, Jai Prakash; Pakhare, Abhijit; Bhaskar, Santosh; Dhanuka, Sanjay; Kumar, Sanjay; Sabde, Yogesh; Bhattacharya, Pradip; Joshi, Rajnish
2017-10-01
In low- and middle-income countries such as India, where health systems are weak, the number of available Critical Care Unit (Intensive Care Unit [ICU]) beds is expected to be low. There is no study from the Indian subcontinent that has reported the characteristics and distribution of existing ICUs. We performed this study to understand the characteristics and distribution of ICUs in Madhya Pradesh (MP) state of Central India. We also aimed to develop a consensus scoring system and internally validate it to define levels of care and to improve health system planning and to strengthen referral networks in the state. We obtained a list of potential ICU facilities from various sources and then performed a cross-sectional survey by visiting each facility and determining characteristics for each facility. We collected variables with respect to infrastructure, human resources, equipment, support services, procedures performed, training courses conducted, and in-place policies or standard operating procedure documents. We identified a total of 123 ICUs in MP. Of 123 ICUs, 35 were level 1 facilities, 74 were level 2 facilities, and only 14 were level 3 facilities. Overall, there were 0.17 facilities per 100,000 population (95* confidence interval [CI] 0.14-0.20 per 100,000 populations). There were a total of 1816 ICU beds in the state, with an average of 2.5 beds per 100,000 population (95* CI 2.4-2.6 per 100,000 population). Of the total number of ICU beds, 250 are in level 1, 1141 are in level 2, and 425 are in level 3 facilities. This amounts to 0.34, 1.57, and 0.59 ICU beds per 100,000 population for levels 1, 2, and 3, respectively. This study could just be an eye opener for our healthcare authorities at both state and national levels to estimate the proportion of ICU beds per lac population. Similar mapping of intensive care services from other States will generate national data that is hitherto unknown.
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Cossrow, Nicole; Pawaskar, Manjiri; Witt, Edward A; Ming, Eileen E; Victor, Timothy W; Herman, Barry K; Wadden, Thomas A; Erder, M Haim
2016-08-01
To estimate binge eating disorder (BED) prevalence according to DSM-5 and DSM-IV-TR criteria in US adults and to estimate the proportion of individuals meeting DSM-5 BED criteria who reported being formally diagnosed. A representative sample of US adults who participated in the National Health and Wellness Survey were asked to respond to an Internet survey (conducted in October 2013). Assessments included 3-month, 12-month, and lifetime BED prevalence based on DSM-5 and DSM-IV-TR criteria and demographics, psychiatric comorbidities, and self-esteem (Rosenberg Self-Esteem Scale). Descriptive statistics are provided. Prevalence estimates were calculated using poststratification sampling weights. Of 22,397 respondents, 344 (women, n = 242; men, n = 102) self-reported symptoms consistent with DSM-5 BED symptom criteria. The 3-month, 12-month, and lifetime DSM-5 prevalence estimates (95% CIs) projected to the US population were 1.19% (1.04%-1.37%), 1.64% (1.45%-1.85%), and 2.03% (1.83%-2.26%), respectively. The 12-month and lifetime projected DSM-IV-TR prevalence estimates were 1.15% (1.00%-1.32%) and 1.52% (1.35%-1.70%), respectively. Of respondents meeting DSM-5 BED criteria in the past 12 months, 3.2% (11/344) reported receiving a formal diagnosis. Compared with non-BED respondents, respondents meeting DSM-5 BED criteria in the past 12 months were younger (mean ± SD age = 46.01 ± 14.32 vs 51.59 ± 15.80 years; P < .001), had a higher body mass index (mean ± SD = 33.71 ± 9.36 vs 27.96 ± 6.68 kg/m²; P < .001), and had lower self-esteem (mean ± SD score = 16.47 ± 6.99 vs 23.33 ± 6.06; P < .001). DSM-5 BED criteria resulted in higher BED prevalence estimates than with DSM-IV-TR criteria. Most BED respondents did not report being formally diagnosed, indicating an unmet need in BED recognition and diagnosis. © Copyright 2016 Physicians Postgraduate Press, Inc.
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Carter, L.F.; Anderholm, S.K.
1997-01-01
The occurrence and distribution of contaminants in aquatic systems are major components of the National Water-Quality Assessment (NAWQA) Program. Bed-sediment samples were collected at 18 sites in the Rio Grande Valley study unit between September 1992 and March 1993 to characterize the geographic distribution of organic compounds, including chlorinated insecticides, polychlorinated biphenyls (PCB's), and other chlorinated hydrocarbons, and also trace elements. Two-millimeter-size- fraction sediment was analyzed for organic compounds and less than 63-micron-size-fraction sediment was analyzed for trace elements. Concentrations of p,p'-DDE were detected in 33 percent of the bed-sediment samples. With the exception of DDT-related compounds, no other organochlorine insecticides or polychlorinated biphenyls were detected in samples of bed sediment. Whole-body fish samples were collected at 11 of the bed- sediment sites and analyzed for organic compounds. Organic compounds were reported more frequently in samples of fish, and more types of organic compounds were found in whole-body fish samples than in bed-sediment samples. Concentrations of p,p'-DDE were detected in 91 percent of whole-body fish samples. Polychlorinated biphenyls, cis-chlordane, trans-chlordane, trans- nonachlor, and hexachlorobenzene were other organic compounds detected in whole-body samples of fish from at least one site. Because of the extent of mineralized areas in the Rio Grande Basin arsenic, cadmium, copper, lead, mercury, selenium, and zinc concentrations in bed-sediment samples could represent natural conditions at most sites. However, a combination of natural conditions and human activities appears to be associated with elevated trace-element concentrations in the bed-sediment sample from the site Rio Grande near Creede, Colorado, because this sample exceeded the background trace-element concentrations calculated for this study. Fish-liver samples were collected at 12 of the bed-sediment sites and analyzed for trace elements. Certain trace elements were detected at higher concentrations in fish-liver samples than in bed-sediment samples from the same site. Both bed-sediment and fish-tissue samples are necessary for a complete environmental assessment of the occurrence and distribution of trace elements.
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2013-12-13
Coordination Center NMSZ New Madrid Seismic Zone PKEMRA Post Katrina Emergency Management Relief Act POTUS President of the United States SecDef Secretary...House bed. At about the same time, church bells were ringing across the eastern United States, the Mississippi River was reported to have flowed...nearly 900 miles from Washington, DC near the town of New Madrid , Missouri. The earthquakes that spurred these significant events happened in and near
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2014-08-01
1 Common hydrogeomorphic units that form in stream systems in response to spatially and temporally varying hydrologic and geomorphic processes... geomorphic , and vegetative indica- tors for use in OHWM delineations in arid streams and categorized their typical landscape positions with respect...the presence of a bed and banks. Hydrogeomorphic units are distinct macro- scale geomorphic features formed within stream systems in response to
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Barreto, A B; Vasconcellos, G R; von Sperling, M; Kuschk, P; Kappelmeyer, U; Vasel, J L
2015-01-01
This study presents a novel method for investigations on undisturbed samples from full-scale horizontal subsurface-flow constructed wetlands (HSSFCW). The planted fixed bed reactor (PFR), developed at the Helmholtz Center for Environmental Research (UFZ), is a universal test unit for planted soil filters that reproduces the operational conditions of a constructed wetland (CW) system in laboratory scale. The present research proposes modifications on the PFR original configuration in order to allow its operation in field conditions. A mobile device to obtain undisturbed samples from real-scale HSSFCW was also developed. The experimental setting is presented with two possible operational configurations. The first allows the removal and replacement of undisturbed samples in the CW bed for laboratory investigations, guaranteeing sample integrity with a mobile device. The second allows the continuous operation of the PFR and undisturbed samples as a fraction of the support media, reproducing the same environmental conditions outside the real-scale system. Investigations on the hydrodynamics of the adapted PFR were carried out with saline tracer tests, validating the proposed adaptation. Six adapted PFR units were installed next to full-scale HSSFCW beds and fed with interstitial liquid pumped from two regions of planted and unplanted support media. Fourteen points were monitored along the system, covering carbon fractions, nitrogen and sulfate. The results indicate the method as a promising tool for investigations on CW support media, rhizosphere and open space for studies on CW modeling, respirometry, kinetic parameters, microbial communities, redox potential and plant influence on HSSFCW.
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Biological treatment process of air loaded with an ammonia and hydrogen sulfide mixture.
Malhautier, Luc; Gracian, Catherine; Roux, Jean-Claude; Fanlo, Jean-Louis; Le Cloirec, Pierre
2003-01-01
The physico-chemical characteristics of granulated sludge lead us to develop its use as a packing material in air biofiltration. Then, the aim of this study is to investigate the potential of unit systems packed with this support in terms of ammonia and hydrogen sulfide emissions treatment. Two laboratory scale pilot biofilters were used. A volumetric load of 680 g H2S m(-3) empty bed day(-1) and 85 g NH3 m(-3) empty bed day(-1) was applied for eight weeks to a unit called BGSn (column packed with granulated sludge and mainly supplied with hydrogen sulfide); a volumetric load of 170 g H2S m(-3) empty bed day(-1) and 340 g NH3 m(-3) empty bed day(-1) was applied for eight weeks to the other called BGNs (column packed with granulated sludge and mainly supplied with ammonia). Ammonia and hydrogen sulfide elimination occur in the biofilters simultaneously. The hydrogen sulphide and ammonia removal efficiencies reached are very high: 100% and 80% for BGSn; 100% and 80% for BGNs respectively. Hydrogen sulfide is oxidized into sulphate and sulfur. The ammonia oxidation products are nitrite and nitrate. The nitrogen error mass balance is high for BGSn (60%) and BGNs (36%). This result could be explained by the denitrification process which would have occurred in anaerobic zones. High percentages of ammonia or hydrogen sulfide are oxidized on the first half of the column. The oxidation of high amounts of hydrogen sulfide would involve some environmental stress on nitrifying bacterial growth and activity.
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Horowitz, A.J.; Meybeck, Michel; Idlafkih, Z.; Biger, E.
1999-01-01
Between 1990 and 1995 a series of bed sediment, suspended sediment and fresh floodplain samples were collected within the Seine River Basin, in France, to evaluate variations in trace element geochemistry. Average background trace element levels for the basin were determined from the collection and subsequent analyses of bed sediment samples from small rural watersheds and from a prehistoric (5000 BP) site in Paris. Concentrations are relatively low, and similar to those observed for fine-grained bed sediments from unaffected areas in the United States and Canada. However, the concentrations are somewhat higher than the reference levels presently adopted by French water authorities for areas north of the Seine Basin, which have similar bedrock lithologies. Downstream trace element variations were monitored in 1994 and 1995 using fresh surficial floodplain samples that were collected either as dried deposits a few days after peak discharge, or immediately after peak discharge (under ??? 30 cm of water). Chemical comparisons between fresh floodplain deposits, and actual suspended sediments collected during flood events, indicate that, with some caveats, the former can be used as surrogates for the latter. The floodplain sediment chemical data indicate that within the Seine Basin, from the relatively unaffected headwaters through heavily affected urban streams, trace element concentrations vary by as much as three orders of magnitude. These trace element changes appear to be the result of both increases in population as well as concomitant increases in industrial activity. This article is a US government work and is in the public domain in the United States.
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Treatment of Hantavirus Pulmonary Syndrome
2007-10-14
of Infectious Diseases, Ft. Detrick, MD, United States c Department of Internal Medicine, University of New Mexico , Albuquerque, NM, United States...Within ours the patient required mechanical ventilation and extracorporeal membrane xygenation (ECMO). Courtesy G. Mertz, University of New Mexico . hea...femoral artery and vein. The bed is versity of New Mexico . . Antiviral therapy Ribavirin was tested for efficacy in HFRS patients in China nd shown to
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Johannessen, Gudrun; Eikeland, Anne; Stubberud, Dag-Gunnar; Fagerstöm, Lisbeth
2011-10-01
The aim of this study was to describe patient satisfaction with nursing care in three different Norwegian Coronary Intensive Care Units and compare the results with other structural factors such as nursing competence, skill-mix, clinical experience, nurse to patient ratio and number of beds. A descriptive and comparative design was employed and 150 patients at three Coronary Intensive Care Units were included. Patient satisfaction data was collected using the Intensive Nursing Care Quality Instrument (59 items). The data collected was comprised of two parts: a questionnaire and information on the structural factors of the organisational structure. The data was analysed using descriptive statistics. Patients expressed overall satisfaction with the nursing care. No clear association was found between patient satisfaction and nursing competence, skill-mix, clinical experience, nurse to patient ratio and number of beds. When comparing results between units, significant differences were seen for 17 out of 46 questions. The results provide insight into how critical care staffing and skill-mix affect patient satisfaction and guide future nursing research in this subject area. Copyright © 2011. Published by Elsevier Ltd.
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NASA Technical Reports Server (NTRS)
Hand, David W.; Crittenden, John C.; Ali, Anisa N.; Bulloch, John L.; Hokanson, David R.; Parrem, David L.
1996-01-01
This thesis includes the development and verification of an adsorption model for analysis and optimization of the adsorption processes within the International Space Station multifiltration beds. The fixed bed adsorption model includes multicomponent equilibrium and both external and intraparticle mass transfer resistances. Single solute isotherm parameters were used in the multicomponent equilibrium description to predict the competitive adsorption interactions occurring during the adsorption process. The multicomponent equilibrium description used the Fictive Component Analysis to describe adsorption in unknown background matrices. Multicomponent isotherms were used to validate the multicomponent equilibrium description. Column studies were used to develop and validate external and intraparticle mass transfer parameter correlations for compounds of interest. The fixed bed model was verified using a shower and handwash ersatz water which served as a surrogate to the actual shower and handwash wastewater.
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Hower, J.C.; Hiett, J.K.; Wild, G.D.; Eble, C.F.
1994-01-01
The Eastern Kentucky coal field, along with adjacent portions of Virginia and southern West Virginia, is part of the greatest production concentration of high-heating-value, low-sulfur coal in the United States, accounting for over 27% of the 1993 U.S. production of coal of all ranks. Eastern Kentucky's production is spread among many coal beds but is particularly concentrated in a limited number of highquality coals, notably the Pond Creek coal bed and its correlatives, and the Fire Clay coal bed and its correlatives. Both coals are relatively low ash and low sulfur through the areas of the heaviest concentration of mining activity. We discuss production trends, resources, and the quality of in-place and clean coal for those and other major coals in the region. ?? 1994 Oxford University Press.
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NASA Technical Reports Server (NTRS)
Reysa, Richard P.; Lumpkin, John P.; Sherif, Dian El; Kay, Robert; Williams, David E.
2007-01-01
The Carbon Dioxide Removal Assembly (CDRA) is a part of the International Space Station (ISS) Environmental Control and Life Support (ECLS) system. The CDRA provides carbon dioxide (CO2) removal from the ISS on-orbit modules. Currently, the CDRA is the secondary removal system on the ISS, with the primary system being the Russian Vozdukh. Within the CDRA are two desiccant/adsorbent beds (DAB), which perform the carbon dioxide removal function. The DAB adsorbent containment approach required improvements with respect to adsorbent containment. These improvements were implemented through a redesign program and have been implemented on units returning from orbit. This paper presents a DAB design modification implementation description, a hardware performance comparison between the unmodified and modified DAB configurations, and a description of the modified DAB hardware implementation into the on-orbit CDRA.
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Stith, David A.
1981-01-01
The chemical composition and stratigraphy of the Black River Group in southwestern Ohio were studied. Chemical analyses were done on two cores of the Black River from Adams and Brown Counties, Ohio. These studies show that substantial reserves of high-carbonate rock are present in the Black River at depths of less than 800 ft, in proximity to Cincinnati and the Ohio River. Stratigraphic studies show that the Black River Group has eight marker beds in its middle and upper portions and three distinct lithologic units in its lower portion; these marker beds and units are present throughout southwestern Ohio. The Black River Group correlates well with the High Bridge Group of Kentucky. Depositional environments of the Black River are similar to those of the High Bridge and to present-day tidal flats in the Bahamas.-Author
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NASA Technical Reports Server (NTRS)
Knox, James C.; Miller, Lee; Campbell, Melissa; Mulloth, Lila; Varghese, Mini
2006-01-01
Accumulation and subsequent compression of carbon dioxide that is removed from the space cabin are two important processes involved in a closed-loop air revitalization scheme of the International Space Station (ISS). The 4-Bed Molecular Sieve (4BMS) of ISS currently operates in an open loop mode without a compressor. The Sabatier Engineering Development Unit (EDU) processes waste CO2 to provide water to the crew. This paper reports the integrated 4BMS, air-cooled Temperature Swing Adsorption Compressor (TSAC), and Sabatier EDU testing. The TSAC prototype was developed at NASA Ames Research Center (ARC). The 4BMS was modified to a functionally flight-like condition at NASA Marshall Space Flight Center (MSFC). Testing was conducted at MSFC. The paper provides details of the TSAC operation at various CO2 loadings and corresponding performance of the 4BMS and Sabatier.
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Improving the efficiency of a chemotherapy day unit: applying a business approach to oncology.
van Lent, Wineke A M; Goedbloed, N; van Harten, W H
2009-03-01
To improve the efficiency of a hospital-based chemotherapy day unit (CDU). The CDU was benchmarked with two other CDUs to identify their attainable performance levels for efficiency, and causes for differences. Furthermore, an in-depth analysis using a business approach, called lean thinking, was performed. An integrated set of interventions was implemented, among them a new planning system. The results were evaluated using pre- and post-measurements. We observed 24% growth of treatments and bed utilisation, a 12% increase of staff member productivity and an 81% reduction of overtime. The used method improved process design and led to increased efficiency and a more timely delivery of care. Thus, the business approaches, which were adapted for healthcare, were successfully applied. The method may serve as an example for other oncology settings with problems concerning waiting times, patient flow or lack of beds.
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Status of the Redesign of the Extravehicular Mobility Unit Airlock Cooling Loop Recovery Assembly
NASA Technical Reports Server (NTRS)
Steele, John; Arnold, Dane; Peyton, Barbara; Rector, Tony; Jennings, Mallory
2017-01-01
During EVA (Extravehicular Activity) 23 aboard the ISS (International Space Station) on 07/16/2013 an episode of water in the EMU (Extravehicular Mobility Unit) helmet occurred, necessitating a termination of the EVA (Extravehicular Activity) shortly after it began. The root cause of the failure was determined to be ground-processing short-comings of the ALCLR Ion Beds which led to various levels of contaminants being introduced into the Ion Beds before they left the ground. The Ion Beds were thereafter used to perform on-orbit routine scrubbing operations for the EMU cooling water loop which led to the failure. The root cause investigation identified several areas for improvement of the ALCLR Assembly which have since been initiated. Enhanced washing techniques for the ALCLR Ion Bed have been developed and implemented. On-orbit cooling water conductivity and pH analysis capability to allow the astronauts to monitor proper operation of the ALCLR Ion Bed during scrubbing operation have been investigated and are being incorporated. A simplified means to acquire on-orbit EMU cooling water samples has been designed as well. Finally, an inherently cleaner organic adsorbent to replace the current lignite-based activated carbon, and a non-separable replacement for the separable mixed ion exchange resin have been selected. These efforts are being undertaken to enhance the performance and reduce the risk associated with operations to ensure the long-term health of the EMU cooling water circuit. The intent of this paper is to provide an update of the effort to re-design the ALCLR (Airlock Cooling Loop Recovery) hardware. Last year, this effort was in the early stages of concept development and test which was reported in ICES Paper ICES-2016-221. Those phases are now complete and the final outcomes, as well as plans to build and field the hardware, are being reported on.
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NASA Astrophysics Data System (ADS)
Caputo Neto, V.; Ribeiro, A.; Nepomuceno, F. O.; Dussin, I. A.; Trouw, R. A. J.
2018-07-01
The Pico do Itapeva Formation is a key metasedimentary unit to the understanding of the extensional events that occurred between the late stage of the southern Brasília Orogen collision and the main collision in the central Ribeira Orogen. The formation crops out in a 20 km long NE-trending narrow belt in the Mantiqueira mountain range in eastern São Paulo State, Brazil. It is located in the interference zone of the southern Brasília and the central Ribeira orogens and records deformation and greenschist facies metamorphism (biotite zone) related to the Brasiliano orogeny. The Pico do Itapeva Formation rests unconformably on a metaigneous substratum of the Socorro-Guaxupé Nappe/Embu Terrane and, on the southern side, is truncated by a steep SE-dipping dextral reverse shear zone. It consists of a coarsening- and thickening-upward succession, with minimum thickness of 800 m, composed of lutite, arkose and conglomerate. These rocks constitute three distinct lithofacies associations: LAI- arkose, arkose-lutite composite beds, lutite and fine conglomerate beds; LAII- arkose, pebbly arkose and scarce lutite and; LAIII- conglomerate and pebbly arkose. Most of the beds are massive; graded beds, dish and convolute structures occur locally. Bed thickness varies from thin to very thick and amalgamated bodies constitute up to 30m thick strata. Three mappable units at scale 1:20,000 were recognized based on different proportions of the three lithofacies associations. The deposits are interpreted as the record of mass flows and associated processes in a fan delta setting developed in an intermontane rift basin. U-Pb LA-ICP-MS detrital zircon ages suggest the maximum depositional age at ca. 611 Ma and the basin evolution is interpreted in the range between 611 and 580 Ma during an inter-orogenic stage between the Brasília and Ribeira orogenies.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Davidson, Stephen D.; Spies, Kurt A.; Mei, Donghai
We report on the markedly improved stability of a novel 2-bed catalytic system, as compared to a conventional 1-bed steam reforming catalyst, for the production of H2 from acetic acid. The 2-bed catalytic system comprises of i) a basic oxide ketonization catalyst for the conversion of acetic acid to acetone, and a ii) Co-based steam reforming catalyst, both catalytic beds placed in sequence within the same unit operation. Steam reforming catalysts are particularly prone to catalytic deactivation when steam reforming acetic acid, used here as a model compound for the aqueous fraction of bio-oil. Catalysts comprising MgAl2O4, ZnO, CeO2, andmore » activated carbon (AC) both with and without Co-addition were evaluated for conversion of acetic acid and acetone, its ketonization product, in the presence of steam. It was found that over the bare oxide support only ketonization activity was observed and coke deposition was minimal. With addition of Co to the oxide support steam reforming activity was facilitated and coke deposition was significantly increased. Acetone steam reforming over the same Co-supported catalysts demonstrated more stable performance and with less coke deposition than with acetic acid feedstock. DFT analysis suggests that over Co surface CHxCOO species are more favorably formed from acetic acid versus acetone. These CHxCOO species are strongly bound to the Co catalyst surface and could explain the higher propensity for coke formation from acetic acid. Based on these findings, in order to enhance stability of the steam reforming catalyst a dual-bed (2-bed) catalyst system was implemented. Comparing the 2-bed and 1-bed (Co-supported catalyst only) systems under otherwise identical reaction conditions the 2-bed demonstrated significantly improved stability and coke deposition was decreased by a factor of 4.« less
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Monterrey, Mexico as seen from STS-60
1994-02-09
STS060-83-041 (3-11 Feb 1994) --- The large city of Monterrey, in northeastern Mexico, was founded at the edge between the Sierra Madre Oriental and the Rio Grande Embayment portion of the Gulf Coastal Plain. This location is analogous to the Fall Line along the United States eastern seaboard, but instead of lying along a stream at the head of navigation, Monterrey lies at the boundary between a well-watered mountain range and a semi-arid plain where irrigation is often necessary for successful agriculture. The mountains themselves are formed from folded limestone and shale beds; to the south of the city, beds are crumpled into tight folds. Around and north of the city, more open folds gradually give way to nearly flat-lying beds of the coastal plain. Because of the water and other resources such as shale and limestone to quarry and burn for cement, Monterrey early became a thriving industrial center. It is now one of Mexico's largest cities with a population of approximately 5 million. According to NASA geologists, the STS-60 photography of this area is the best that has been acquired during the past 32 years of space photography by the United States. Monterrey remains an area of high interest for future photography in order to assess the impact of urbanization in this area.
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Advanced Turbine Technology Applications Project (ATTAP) 1993 annual report
NASA Technical Reports Server (NTRS)
1994-01-01
This report summarizes work performed by AlliedSignal Engines, a unit of AlliedSignal Aerospace Company, during calendar year 1993, toward development and demonstration of structural ceramic technology for automotive gas turbine engines. This work was performed for the U.S. Department of Energy (DOE) under National Aeronautics and Space Administration (NASA) Contract DEN3-335, Advanced Turbine Technology Applications Project (ATFAP). During 1993, the test bed used to demonstrate ceramic technology was changed from the AlliedSignal Engines/Garrett Model AGT101 regenerated gas turbine engine to the Model 331-200(CT) engine. The 331-200(CT) ceramic demonstrator is a fully-developed test platform based on the existing production AlliedSignal 331-200(ER) gas turbine auxiliary power unit (APU), and is well suited to evaluating ceramic turbine blades and nozzles. In addition, commonality of the 331-200(CT) engine with existing gas turbine APU's in commercial service provides the potential for field testing of ceramic components. The 1993 ATTAP activities emphasized design modifications of the 331-200 engine test bed to accommodate ceramic first-stage turbine nozzles and blades, fabrication of the ceramic components, ceramic component proof and rig tests, operational tests of the test bed equipped with the ceramic components, and refinement of critical ceramic design technologies.
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Widespread potential for microbial MTBE degradation in surface-water sediments
Bradley, P.M.; Landmeyer, J.E.; Chapelle, F.H.
2001-01-01
Microorganisms indigenous to stream and lake bed sediments, collected from 11 sites throughout the United States, demonstrated significant mineralization of the fuel oxygenate, methyl-tert-butyl ether (MTBE). Mineralization of [U-14C]MTBE to 14CO2 ranged from 15 to 66% over 50 days and did not differ significantly between sediments collected from MTBE contaminated sites and from sites with no history of MTBE exposure. This result suggests that even the microbial communities indigenous to newly contaminated surface water systems will exhibit some innate ability to attenuate MTBE under aerobic conditions. The magnitude of MTBE mineralization was related to the sediment grain size distribution. A pronounced, inverse correlation (p < 0.001; r2 = 0.73) was observed between the final recovery of 14CO2 and the percentage content of silt and clay sized grains (grain diameter < 0.125 mm). The results of this study indicate that the microorganisms that inhabit the bed sediments of streams and lakes can degrade MTBE efficiently and that this capability is widespread in the environment. Thus aerobic bed sediment microbial processes may provide a significant environmental sink for MTBE in surface water systems throughout the United States and may contribute to the reported transience of MTBE in some surface waters.
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Kumar, Parmeshwar; Jithesh, Vishwanathan; Gupta, Shakti Kumar
2015-01-01
Though intensive care units (ICUs) only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Fisher's two-tailed t-test. Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.
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Use of sorption technology for treatment of humidity condensate for potable water
NASA Technical Reports Server (NTRS)
Ajjarapu, Sundara R. M.; Symons, J. M.
1992-01-01
This research focused on the testing of the original potable water processor aboard Space Station Freedom that was to produce potable water from the humidity condensate and additional water generated by carbon dioxide reduction. Humidity condensate was simulated by an influent water model 'Ersatz'. The humidity condensate was treated with multifiltration (MF) beds that consisted of a train of sorption beds (referred to as 'Unibed') designed to remove specific contaminants. For the complete simulated MF system runs tested for 100 bed volumes (BV) (volume processed/total column volume), 0.6 percent of the TOC was removed by the SAC/IRN 77 (Strong Acid Cation exchange resin), 39.6 percent of the total organic carbon (TOC) was removed by the WBA/IRA 68 (Weak Base Anion exchange resin), 13.2 percent of the TOC was removed by activated carbon adsorption (580-26), and the remaining sorbent media acted as polishing units to remove an additional 1.6 percent of the TOC at steady state. At steady state, 45 percent of the influent TOC passed through the MF bed.
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Phillips, Jeff V.; Ingersoll, Todd L.
1998-01-01
Physical and hydraulic characteristics are presented for 14 river and canal reaches in Arizona for which 37 roughness coefficients have been determined. The verified roughness coefficients which ranged from 0.017 to 0.067, were computed from discharges, channel geometry, and water-surface profiles measured at each of the sites. The information given for each stream segment includes bed and bank descriptions, data tables showing hydraulic components, a plan view, cross-section plots, and color photographs that can be used as a comparison aid in determining roughness coefficients for similarly channeled streams. Relations derived from the data presented relate Manning's roughness coefficient (n) to various hydraulic components. For gravel-bed streams, verified roughness coefficients are related to median grain size of the bed material and hydraulic radius resulting in an equation that can be used to transfer results to similar dry-land channels. The equation developed for base values of n for gravel-bed channels in Arizona is significantly different from similarly derived equations for other regions of the United States and the world.
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NASA Astrophysics Data System (ADS)
Korchagin, O. A.; Bragina, L. G.; Bragin, N. Yu.
2012-02-01
The first data on the distribution of planktonic foraminifers and radiolarians in the Mt. Ak-Kaya section, the central Crimean Mountains, are considered. According to the analyzed distribution of foraminifers, the Upper Cretaceous deposits of the section are subdivided into three biostratigraphic units: the Marginotruncana austinensis-Globotruncana desioi (presumably upper Coniacian), Sigalia carpatica (uppermost Coniacian-lower Santonian), and Contusotruncana fornicata-Marginotruncana marginata (upper Santonian) beds. Subdivisions substantiated by distribution of radiolarians are the Alievium praegallowayi-Crucella plana (upper Coniacian-lower Santonian), Alievium gallowayi-Crucella espartoensis (the upper Santonian excluding its uppermost part), and Dictyocephalus (Dictyocryphalus) (?) legumen-Spongosaturninus parvulus (the uppermost Santonian) beds. The Contusotruncana fornicata-Marginotruncana marginata Beds are concurrent to the middle part of the Marsupites laevigatus Zone coupled with the Marsupites testudinarius Zone (the uppermost Santonian). The Alievium gallowayi-Crucella espartoensis Beds are correlative with the upper part of the Alievium gallowayi Zone in the Californian radiolarian zonation. The cooccurring assemblages of planktonic foraminifers and radiolarians provide a possibility to correlate the Coniacian-Santonian deposits within the Crimea-Caucasus region.
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Depositional environments and sedimentology of Vinita Beds, Richmond basin, Virginia
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kornfeld, I.E.
The Carnian (middle to late Middle Triassic Age) Richmond basin of northeast Virginia is the oldest of the exposed Newark rift basins of the eastern seaboard. These basins formed during the Mesozoic divergence of the continents. As presently defined, the Richmond basin is a large synclinal feature measuring 32 mi (53 km) long by 8 mi (13 km) wide, and is located west of Richmond, Virginia, and east of Amelia, Virginia. Sediments of the Richmond basin have been assigned to the Richmond Group and have been stratigraphically subdivided into the following informal units, oldest to youngest: coarse boulder breccias, coalmore » measures, Vinita Beds, and Otterdale Sandstone. The Vinita Beds are composed of arkosic sandstones, shales, siltstones, and minor amounts of coal, and are mineralogically immature. They are composed to angular to subrounded rock fragments, quartz, and feldspars, and are high micaceous and kaolinitic. In places, feldspars make up as much as 50% of the rock. Sandstones and conglomerates are cross-bedded and channeled, and shales and siltstones are thinly laminated. The Vinita Beds are rich in fossil fish, branchiopods, and plant fragments. These rocks were deposited in braided streams as well as in paludal and possible lacustrine environments in a humid and heavily vegetated setting.« less
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P Waiker, Veena; Shivalingappa, Shanthakumar
2015-01-01
Platelet rich plasma is known for its hemostatic, adhesive and healing properties in view of the multiple growth factors released from the platelets to the site of wound. The primary objective of this study was to use autologous platelet rich plasma (PRP) in wound beds for anchorage of skin grafts instead of conventional methods like sutures, staplers or glue. In a single center based randomized controlled prospective study of nine months duration, 200 patients with wounds were divided into two equal groups. Autologous PRP was applied on wound beds in PRP group and conventional methods like staples/sutures used to anchor the skin grafts in a control group. Instant graft adherence to wound bed was statistically significant in the PRP group. Time of first post-graft inspection was delayed, and hematoma, graft edema, discharge from graft site, frequency of dressings and duration of stay in plastic surgery unit were significantly less in the PRP group. Autologous PRP ensured instant skin graft adherence to wound bed in comparison to conventional methods of anchorage. Hence, we recommend the use of autologous PRP routinely on wounds prior to resurfacing to ensure the benefits of early healing.
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NASA Technical Reports Server (NTRS)
Robinson, John E., III; Lee, Alan; Lai, Chok Fung
2017-01-01
This paper describes the Shadow-Mode Assessment Using Realistic Technologies for the National Airspace System (SMART-NAS) Test Bed. The SMART-NAS Test Bed is an air traffic simulation platform being developed by the National Aeronautics and Space Administration (NASA). The SMART-NAS Test Bed's core purpose is to conduct high-fidelity, real-time, human-in-the-loop and automation-in-the-loop simulations of current and proposed future air traffic concepts for the United States' Next Generation Air Transportation System called NextGen. The setup, configuration, coordination, and execution of realtime, human-in-the-loop air traffic management simulations are complex, tedious, time intensive, and expensive. The SMART-NAS Test Bed framework is an alternative to the current approach and will provide services throughout the simulation workflow pipeline to help alleviate these shortcomings. The principle concepts to be simulated include advanced gate-to-gate, trajectory-based operations, widespread integration of novel aircraft such as unmanned vehicles, and real-time safety assurance technologies to enable autonomous operations. To make this possible, SNTB will utilize Web-based technologies, cloud resources, and real-time, scalable, communication middleware. This paper describes the SMART-NAS Test Bed's vision, purpose, its concept of use, and the potential benefits, key capabilities, high-level requirements, architecture, software design, and usage.
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A proactive transfer policy for critical patient flow management.
González, Jaime; Ferrer, Juan-Carlos; Cataldo, Alejandro; Rojas, Luis
2018-02-17
Hospital emergency departments are often overcrowded, resulting in long wait times and a public perception of poor attention. Delays in transferring patients needing further treatment increases emergency department congestion, has negative impacts on their health and may increase their mortality rates. A model built around a Markov decision process is proposed to improve the efficiency of patient flows between the emergency department and other hospital units. With each day divided into time periods, the formulation estimates bed demand for the next period as the basis for determining a proactive rather than reactive transfer decision policy. Due to the high dimensionality of the optimization problem involved, an approximate dynamic programming approach is used to derive an approximation of the optimal decision policy, which indicates that a certain number of beds should be kept free in the different units as a function of the next period demand estimate. Testing the model on two instances of different sizes demonstrates that the optimal number of patient transfers between units changes when the emergency patient arrival rate for transfer to other units changes at a single unit, but remains stable if the change is proportionally the same for all units. In a simulation using real data for a hospital in Chile, significant improvements are achieved by the model in key emergency department performance indicators such as patient wait times (reduction higher than 50%), patient capacity (21% increase) and queue abandonment (from 7% down to less than 1%).
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ICU fire evacuation preparedness in London: a cross-sectional study.
Murphy, G R F; Foot, C
2011-05-01
Hospital fires present a sporadic but significant threat to patients and staff. This is especially so within an intensive care unit (ICU) setting, due to the complexity of moving acutely unwell patients reliant on invasive monitoring and organ support. Despite an average of 500 in-hospital fires reported to the UK department of health per annum, causing 65 injuries and 1-2 fatalities, the readiness of ICUs for urgent evacuation has not been assessed. A cross-sectional survey of all 50 adult and paediatric ICUs within the London Postgraduate Deanery was conducted; neonatal units were excluded. The senior nurse at each unit was asked to complete a 90-question structured questionnaire, covering unit patient characteristics, design, equipment, training, and their evacuation plan. Thirty-five of 50 (70%) responded within 2 months of the study. Significant weaknesses were reported in unit design, equipment, and planning. Unit design was compromised by inadequate fire doors (20%), ventilation cut-outs (17%), and escape routes (up to 60%). The ability to evacuate multiple patients simultaneously may be limited by a lack of portable monitoring equipment (49% of beds) and emergency drug supplies (20% of beds). Evacuation plans were often limited in their scope (96% expected to remain on their floor; 14% had plans to obtain medications after evacuation), and not rehearsed (60%). Staff training, while well provided for permanent staff, is less so for temporary staff (34%). Forward planning for an urgent evacuation can be improved.
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Compliance assurance monitoring is intended to provide a reasonable assurance of compliance with applicable requirements under the Clean Air Act for large emission units that rely on pollution control device equipment to achieve compliance.
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Pier scour in clear-water conditions with non-uniform bed materials
DOT National Transportation Integrated Search
2012-05-01
Pier scour design in the United States is currently accomplished through application of the Colorado State University : (CSU) equation. Since the Federal Highway Administration recommended the CSU equation in 2001, substantial : advances have been ma...
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Valles Marineris Basin Beds: a Complex Story
NASA Technical Reports Server (NTRS)
Lucchitta, B. K.
1985-01-01
High resolution stereoimages of the central Valles Marineris enabled detailed geologic mapping on Ophir and Candor Chasmata. Abundant light colored deposits, both layered and massive, fill the chasmata in this region. Units within these deposits were identified by their erosional characteristics and superposition and cross cutting relations. The Valles Marineris beds reflect a history of repeated faulting, volcanic eruptions, and deposition and erosion, resulting in stratigraphic sequences with several unconformities. Because of the preponderance of apparent volcanic deposits inside the troughs, the chasmata may not be simple grabens, but rather giant volcano tectonic depressions. Major events in chasmata development are examined.
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Model-free adaptive control of advanced power plants
Cheng, George Shu-Xing; Mulkey, Steven L.; Wang, Qiang
2015-08-18
A novel 3-Input-3-Output (3.times.3) Model-Free Adaptive (MFA) controller with a set of artificial neural networks as part of the controller is introduced. A 3.times.3 MFA control system using the inventive 3.times.3 MFA controller is described to control key process variables including Power, Steam Throttle Pressure, and Steam Temperature of boiler-turbine-generator (BTG) units in conventional and advanced power plants. Those advanced power plants may comprise Once-Through Supercritical (OTSC) Boilers, Circulating Fluidized-Bed (CFB) Boilers, and Once-Through Supercritical Circulating Fluidized-Bed (OTSC CFB) Boilers.
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Metrics for the National SCADA Test Bed Program
DOE Office of Scientific and Technical Information (OSTI.GOV)
Craig, Philip A.; Mortensen, J.; Dagle, Jeffery E.
2008-12-05
The U.S. Department of Energy Office of Electricity Delivery and Energy Reliability (DOE-OE) National SCADA Test Bed (NSTB) Program is providing valuable inputs into the electric industry by performing topical research and development (R&D) to secure next generation and legacy control systems. In addition, the program conducts vulnerability and risk analysis, develops tools, and performs industry liaison, outreach and awareness activities. These activities will enhance the secure and reliable delivery of energy for the United States. This report will describe metrics that could be utilized to provide feedback to help enhance the effectiveness of the NSTB Program.
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Investigation of a Major Stratigraphic Unconformity with the Curiosity Rover
NASA Astrophysics Data System (ADS)
Lewis, K. W.; Grotzinger, J. P.; Gupta, S.; Rubin, D. M.
2015-12-01
Since its departure from the plains of Aeolis Palus, the Curiosity rover has traversed through a number of new geologic units at the base of Mount Sharp in Gale crater. These have included both units inferred to comprise the lower strata of Mount Sharp itself, along with units that appear to superpose Mount Sharp. Over the last 100 sols, Curiosity has documented several occurrences of a stratigraphic contact between fine-grained mudstones of the Murray Formation, and coarser sandstones of the overlying Stimson Unit. Detailed mapping from both orbital and rover image and topographic data suggests an unconformable relationship between the two units. From orbit, inferred exposures of the unconformity span at least several tens of meters, climbing up the lowermost slopes of Mount Sharp. Although the absolute timing of the two units is poorly constrained, this unconformity between likely represents a geologically significant gap in time. Deposition of the overlying Stimson Unit is inferred to post-date the large-scale erosion of Mount Sharp, likely requiring late stage aqueous interaction in the lithification of the Stimson Unit. From the rover, stereo imaging reveals the small-scale topography preserved at the Murray-Stimson contact, and allows the determination of bedding geometries within the units. Where laminations are expressed, the basal Mount Sharp rocks exhibit planar stratification at low angles to horizontal. In contrast, the coarser-grained Stimson Unit exhibits large-scale cross stratification. Three dimensional bedding geometry within this unit indicates a predominant southward transport direction uphill towards Mount Sharp. The observation of rounded calcium sulfate clasts in the lowermost Stimson Unit, interpreted to be reworked veins from the underlying Murray formation, supports the interpretation of an erosional unconformity. Investigations at the boundary between these two distinct units present a unique opportunity to probe the long-term environmental history of the Gale crater basin.
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NASA Astrophysics Data System (ADS)
Shetty, Suraj K.
Mercury (Hg) is a toxic pollutant and is important to understand its cycling in the environment. In this dissertation, a number of modeling investigations were conducted to better understand the emission from natural surfaces, the source-receptor relationship of the emissions, and emission reduction of atmospheric mercury. The first part of this work estimates mercury emissions from vegetation, soil and water surfaces using a number of natural emission processors and detailed (LAI) Leaf Area Index data from GIS (Geographic Information System) satellite products. East Asian domain was chosen as it contributes nearly 50% of the global anthropogenic mercury emissions into the atmosphere. The estimated annual natural mercury emissions (gaseous elemental mercury) in the domain are 834 Mg yr-1 with 462 Mg yr-1 contributing from China. Compared to anthropogenic sources, natural sources show greater seasonal variability (highest in simmer). The emissions are significant, sometimes dominant, contributors to total mercury emission in the regions. The estimates provide possible explanation for the gaps between the anthropogenic emission estimates based on activity data and the emission inferred from field observations in the regions. To understand the contribution of domestic emissions to mercury deposition in the United States, the second part of the work applies the mercury model of Community Multi-scale Air Quality Modeling system (CMAQ-Hg v4.6) to apportion the various emission sources attributing to the mercury wet and dry deposition in the 6 United States receptor regions. Contributions to mercury deposition from electric generating units (EGU), iron and steel industry (IRST), industrial point sources excluding EGU and IRST (OIPM), the remaining anthropogenic sources (RA), natural processes (NAT), and out-of-boundary transport (BC) in domain was estimated. The model results for 2005 compared reasonably well to field observations made by MDN (Mercury Deposition Network) and CAMNet (Canadian Atmospheric Mercury Measurement Network). The model estimated a total deposition of 474 Mg yr-1 to the CONUS (Contiguous United States) domain, with two-thirds being dry deposited. Reactive gaseous mercury contributed the most to 60% of deposition. Emission speciation distribution is a key factor for local deposition as contribution from large point sources can be as high as 75% near (< 100 km) the emission sources, indicating that emission reduction may result in direct deposition decrease near the source locations. Among the sources, BC contributes to about 68% to 91% of total deposition. Excluding the BC's contribution, EGU contributes to nearly 50% of deposition caused by CONUS emissions in the Northeast, Southeast and East Central regions, while emissions from natural processes are more important in the Pacific and West Central regions (contributing up to 40% of deposition). The modeling results implies that implementation of the new emission standards proposed by USEPA (United States Environmental Protection Agency) would significantly benefit regions that have larger contributions from EGU sources. Control of mercury emissions from coal combustion processes has attracted great attention due to its toxicity and the emission-control regulations and has lead to advancement in state-of-the-art control technologies that alleviate the impact of mercury on ecosystem and human health. This part of the work applies a sorption model to simulate adsorption of mercury in flue gases, onto a confined-bed of activated carbon. The model's performances were studied at various flue gas flow rates, inlet mercury concentrations and adsorption bed temperatures. The process simulated a flue gas, with inlet mercury concentration of 300 ppb, entering at a velocity of 0.3 m s-1 from the bottom into a fixed bed (inside bed diameter of 1 m and 3 m bed height; bed temperature of 25 °C) of activated carbon (particle size of 0.004 m with density of 0.5 g cm-3 and surface area of 90.25 cm2 g -1). The model result demonstrated that a batch of activated carbon bed was capable of controlling mercury emission for approximately 275 days after which further mercury uptake starts to decrease till it reaches about 500 days when additional control ceases. An increase in bed temperature significantly reduces mercury sorption capacity of the activated carbon. Increase in flue gas flow rate may result in faster consumption of sorption capacity initially but at a later stage, the sorption rate decreases due to reduced sorption capacity. Thus, overall sorption rate remains unaffected. The activated carbon's effective life (time to reach saturation) is not affected by inlet mercury concentration, implying that the designing and operation of a mercury sorption process can be done independently. The results provide quantitative indication for designing efficient confined-bed process to remove mercury from flue gases.
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Geology of deep-water sandstones in the Mississippi Stanley Shale at Cossatot Falls, Arkansas
DOE Office of Scientific and Technical Information (OSTI.GOV)
Coleman, J.L. Jr.
1993-09-01
The Mississippian Stanley Shale crops out along the Cossatot River in the Ouachita Mountains of western Arkansas. Here, exposures of deep-water sandstones and shales, on recently established public lands, present a rare, three-dimensional look at sandstones of the usually obscured Stanley. Cossatot Falls, within the Cossatot River State Park Natural Area, is a series of class IV and V rapids developed on massive- to medium-bedded quartz sandstones on the northern flank of an asymmetric, thrust-faulted anticline. In western Arkansas, the Stanley Shale is a 10,000-ft (3200-m) succession of deep-water sandstone and shale. At Cossatot Falls, approximately 50 ft (155 m)more » of submarine-fan-channel sedimentary rocks are exposed during low-river stages. This section is composed primarily of sets of thinning-upward sandstone beds. With rare exceptions, the sandstones are turbidites, grading from massive, homogeneous, basal beds upward through festoon-cross-bedded thick beds, into rippled medium and thin beds. Sandstone sets are capped by thin shales and siltstones. Regional, north-northwestward paleocurrent indicators are substantiated by abundant, generally east-west ripple crests asymmetric to the north-northwest. Flute casts at the top of the sandstone sequence indicate an additional east-ward flow component. Based on regional, lithologic characteristics, the sandstones at Cossatot Falls appear to be within the Moyers Formation. The Moyers is the upper sandstone unit of the Stanley and is an oil and gas reservoir in the eastern Oklahoma Ouachita Mountains.« less
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Controls on Middle Pennsylvanian peat-forming floras in the Eastern United States
DOE Office of Scientific and Technical Information (OSTI.GOV)
Eble, C.F.
1992-01-01
Middle Pennsylvanian strata in the Central Appalachian Basin contain numerous coal beds that provide an opportunity to study changes in coal-spore floras on an intra- and inter-bed scale. Vertical spore abundance patterns within individual coal beds record the ecological dynamics, both biologic and edaphic, of peat-forming systems in this interval. Coal palynofloras of this interval show a stratigraphic change in composition. Early to Middle Pennsylvanian spore floras are largely dominated by Lycospora. Species of Densosporites, a small lycopsid genus, Granulatisporites, a fern/pteridosperm( )-allied genus, and Laevigatosporites, a calamite-related genus, commonly displace Lycospora vertically within these beds, reflecting patterns of ecologicalmore » succession. Spore floras from stratigraphically younger coal beds in this sequence exhibit similar intra-bed spore variation, but contain increased percentages of tree-fern spores, and tend to be more florally heterogeneous overall. Areas of clastic deposition within the swamps are also marked by changes in spore composition. These changes in coal palynology are paralleled by stratigraphic changes in coal appearance and associated strata composition. The proportion of dull'' coal lithotypes, frequency of clastic partings, and amount of coarse clastics in the enclosing strata all increase toward the top of this sequence. Climate may have been more important in determining the floral composition of Early through mid-Middle Pennsylvanian peat swamps, whereas climate, tectonics, and eustasy interacted to determine sediment volume and type in this interval.« less
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Roger D. Ottmar; John I. Blake; William T. Crolly
2012-01-01
The inherent spatial and temporal heterogeneity of fuel beds in forests of the southeastern United States may require fine scale fuel measurements for providing reliable fire hazard and fuel treatment effectiveness estimates. In a series of five papers, an intensive, fine scale fuel inventory from the Savanna River Site in the southeastern United States is used for...
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Yager, Richard M.; Southworth, Scott C.; Voss, Clifford I.
2008-01-01
Ground-water flow was simulated using variable-direction anisotropy in hydraulic conductivity to represent the folded, fractured sedimentary rocks that underlie the Shenandoah Valley in Virginia and West Virginia. The anisotropy is a consequence of the orientations of fractures that provide preferential flow paths through the rock, such that the direction of maximum hydraulic conductivity is oriented within bedding planes, which generally strike N30 deg E; the direction of minimum hydraulic conductivity is perpendicular to the bedding. The finite-element model SUTRA was used to specify variable directions of the hydraulic-conductivity tensor in order to represent changes in the strike and dip of the bedding throughout the valley. The folded rocks in the valley are collectively referred to as the Massanutten synclinorium, which contains about a 5-km thick section of clastic and carbonate rocks. For the model, the bedrock was divided into four units: a 300-m thick top unit with 10 equally spaced layers through which most ground water is assumed to flow, and three lower units each containing 5 layers of increasing thickness that correspond to the three major rock units in the valley: clastic, carbonate and metamorphic rocks. A separate zone in the carbonate rocks that is overlain by colluvial gravel - called the western-toe carbonate unit - was also distinguished. Hydraulic-conductivity values were estimated through model calibration for each of the four rock units, using data from 354 wells and 23 streamflow-gaging stations. Conductivity tensors for metamorphic and western-toe carbonate rocks were assumed to be isotropic, while conductivity tensors for carbonate and clastic rocks were assumed to be anisotropic. The directions of the conductivity tensor for carbonate and clastic rocks were interpolated for each mesh element from a stack of 'form surfaces' that provided a three-dimensional representation of bedrock structure. Model simulations were run with (1) variable strike and dip, in which conductivity tensors were aligned with the strike and dip of the bedding, and (2) uniform strike in which conductivity tensors were assumed to be horizontally isotropic with the maximum conductivity direction parallel to the N30 deg E axis of the valley and the minimum conductivity direction perpendicular to the horizontal plane. Simulated flow penetrated deeper into the aquifer system with the uniform-strike tensor than with the variable-strike-and-dip tensor. Sensitivity analyses suggest that additional information on recharge rates would increase confidence in the estimated parameter values. Two applications of the model were conducted - the first, to determine depth of recent ground-water flow by simulating the distribution of ground-water ages, showed that most shallow ground water is less than 10 years old. Ground-water age distributions computed by variable-strike-and-dip and uniform-strike models were similar, but differed beneath Massanutten Mountain in the center of the valley. The variable-strike-and-dip model simulated flow from west to east parallel to the bedding of the carbonate rocks beneath Massanutten Mountain, while the uniform-strike model, in which flow was largely controlled by topography, simulated this same area as an east-west ground-water divide. The second application, which delineated capture zones for selected well fields in the valley, showed that capture zones delineated with both models were similar in plan view, but differed in vertical extent. Capture zones simulated by the variable-strike-and-dip model extended downdip with the bedding of carbonate rock and were relatively shallow, while those simulated by the uniform-strike model extended to the bottom of the flow system, which is unrealistic. These results suggest that simulations of ground-water flow through folded fractured rock can be constructed using SUTRA to represent variable orientations of the hydraulic-conductivity tensor and produce a
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Structure, stratigraphy, and eruption dynamics of a young tuff ring: Hanauma Bay, O'ahu, Hawai'i
NASA Astrophysics Data System (ADS)
Rottas, K. M.; Houghton, B. F.
2012-09-01
The Hanauma Bay-Koko Head complex is one of several young volcanic landforms along the Koko fissure, in southeastern O'ahu. The Hanauma Bay region of the complex comprises two nested tuff rings, inner and outer Hanauma Bay, and multiple smaller vents. The internal structure of the inner tuff ring, well exposed due to subsequent breaching by the ocean and wave erosion, indicates that it formed during a minimum of five distinct phases of deposition that produced five mappable units. Significant inward collapses generated major unconformities that separate the units exposed in the inner wall. The planes of failure are cut by narrow steep-walled, locally overhung channels and gullies, suggesting that the collapse events were each followed by short time breaks during which the deposits were eroded by rainfall runoff. Within each pyroclastic unit, there are many local slump scars and unconformities, suggesting that minor instability of the inner wall was a near-constant feature. From bedding sags and surge bed forms, it is apparent that the vent shifted at least twice during tuff ring growth. Ballistic blocks in the youngest unit indicate that the eruption overlapped in time with a separate eruption to the north, most likely to be that of the Kahauloa tuff ring 880 m away.
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Dumoulin, Julie A.; Harris, Anita G.
1997-01-01
Calcareous rocks of Kinderhookian (early Early Mississippian) age are widely distributed across the Howard Pass quadrangle in the western Brooks Range. Most occur in the lower part of the Lisburne Group (herein called the Rough Mountain Creek unit) and the upper part of the Endicott Group (Kayak Shale) in two sequences (Key Creek and Aniuk River) of the Endicott Mountains allochthon. Kinderhookian strata are also found in the Kelly River allochthon (Utukok Formation?) and in sections of uncertain stratigraphic affinity and structural level spatially associated with mafic volcanic rocks.Predominant Kinderhookian lithologies in the Lisburne Group are skeletal supportstone (rich in pelmatozoans, bryozoans, and brachiopods) and lesser spiculite; skeletal supportstone and calcarenite are the chief calcareous rock types in the Kayak Shale. Conodont and brachiopod faunas indicate that all of the Rough Mountain Creek unit and much of the Kayak Shale in the study area are of late Kinderhookian age. Lithologic and paleontologic data suggest that Kinderhookian strata in the Howard Pass quadrangle were deposited largely in inner- and middle-shelf settings with normal marine salinity and locally high energy. Overall, calcareous beds in the Rough Mountain Creek unit accumulated in a wider range of environments, less subject to siliciclastic input, than did calcareous beds in the Kayak, and Kinderhookian beds of both units in the Key Creek sequence formed in less diverse, somewhat shallower environments than correlative rocks in the Aniuk River sequence. Lithofacies patterns and contact relations imply that decreased siliciclastic influx, perhaps accompanied by relative sea-level rise, initiated deposition of the Rough Mountain Creek unit; relative sea-level rise and concurrent circulatory restriction most likely ended its deposition.Kinderhookian calcareous rocks in the Howard Pass quadrangle have several implications for middle Paleozoic paleogeography of the western Brooks Range. First, sequences of the Endicott Mountains allochthon that contain the Rough Mountain Creek unit contrast sharply with other sequences included in this allochthon that contain thicker and younger Carboniferous platform carbonate successions. These differences in stratigraphic succession suggest significant shortening within the Endicott Mountains allochthon. Second, Kinderhookian calcareous rocks in the Howard Pass quadrangle may have been a secondary source for carbonate turbidites of the Rim Butte unit (Ipnavik allochthon).
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Rowbotham, R F; Ruegg, P L
2015-11-01
The objective of this study was to identify associations of bedding type and selected management practices with bulk milk quality and productivity of larger Wisconsin dairy farms. Dairy herds (n=325) producing ≥11,340 kg of milk daily were surveyed during a single farm visit. Monthly bulk milk SCC and total bacteria counts were obtained from milk buyers for 255 farms for a 2-yr period. Of farms with the same type of bedding in all pens during the study period, most used inorganic bedding (IB), followed by organic nonmanure bedding (OB) and manure products (MB). Almost all bulk milk total bacterial counts were <10,000 cfu/mL and total bacterial count was not associated with bedding type. Bulk milk somatic cell score (BMSCS) was least for farms using IB, varied seasonally, and was greatest in the summer. The BMSCS was reduced when new bedding was added to stalls at intervals greater than 1 wk and when teats were dried before attaching the milking unit. The BMSCS for farms using OB was reduced when bedding in the backs of stalls was removed and replaced regularly and when fewer cows with nonfunctioning mammary quarters were present. The BMSCS for farms using MB was reduced when the proportion of cows with milk discarded was less. The rolling herd average (RHA) of herds using IB was 761 and 1,153 kg greater than the RHA of herds using OB and MB, respectively. The RHA was 353 kg greater on farms where farmers understood subclinical mastitis and 965 kg greater on farms milking 3 times daily. Each 1% increase of cows with nonfunctioning mammary quarters was associated with a decrease of 57 kg of RHA. The BMSCS, proportions of cows with milk discarded and proportion of cows with nonfunctioning mammary quarters were least for herds using IB and were associated with increased productivity. Large Wisconsin dairy farms that used inorganic bedding had greater productivity and better milk quality compared with herds using other bedding types. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
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Warwick, Peter D.; Javed, Shahid; Mashhadi, S. Tahir A.; Shakoor, Tariq; Khan, Asrar M.; Khan, A. Latif
1995-01-01
The stratigraphic relation between the Cretaceous generally non-coal-bearing Lumshiwal Formation (64 to 150 m thick) and the Paleocene coal-bearing Hangu Formation (5 to 50 m thick) in the Surghar Range of north-central Pakistan is complex. Both formations contain remarkably similar lithofacies: one or two types of sandstone lithofacies; a combined lithofacies of mudstone, claystone, carbonaceous shale, and coal beds; and a rare carbonate lithofacies. An analysis of pollen data from rock samples collected from various stratigraphic positions indicates that the formations are separated by a disconformity and that the age of the Lumshiwal Formation is Early Cretaceous and the age of the Hangu is Paleocene. Previous workers had suggested that the age of the Lumshiwal is Late Cretaceous. An analysis of sedimentologic, stratigraphic, and paleontologic data indicates that both the Lumshiwal and Hangu Formations probably were deposited in shallow-marine and deltaic environments. The rocks of the Lumshiwal become more terrestrial in origin upward, whereas the rocks of the Hangu become more marine in origin upward. The contact between the two formations is associated with a laterally discontinuous lateritic paleosol (assigned to the Hangu Formation) that is commonly overlain by the economically important Makarwal coal bed. This coal bed averages 1.2 m in thickness. No other coal beds in the Surghar Range are as thick or as laterally continuous as the Makarwal coal bed. Analytical data from the Makarwal and one other Hangu coal bed indicate that Surghar Range coal beds range from high-volatile B to high-volatile C bituminous in apparent rank. Averaged, as-received results of proximate and ultimate analyses of coal samples are (1) moisture content, 5.4 percent; (2) ash yield, 12.5 percent; (3) total sulfur content, 5 percent; and (4) calorific value, 11034 Btu/lb (British thermal units per pound). Minor- and trace-element analyses indicate that these coals contain relatively high concentrations of the environmentally sensitive element selenium (average 13.4 ppm (parts per million)), compared to concentrations from United States coals of similar rank. The Makarwal coal bed represents a paleopeat that formed during changing relative ground-water base levels. Relatively low base levels were associated with periods of slow clastic deposition and lateritic paleosol development, followed by relatively high base levels that coincided with increased runoff, marine flooding, and clastic sedimentation that buried the paleopeat of the Makarwal. These environments formed along the northwestern margin of the Indian subcontinent as it drifted northward through equatorial latitudes in the Tethys Sea. The Makarwal coal bed is thin or absent in the northern part of the range where the Lumshiwal and Hangu Formations are the thinnest. Such rapid lateral changes (over about 25 km) in formation thickness and the apparent change in relative ground-water base level indicate that tectonically induced subsidence rates varied across the Surghar Range and influenced the deposition of the rocks that compose the two formations.
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A biophysical basis for patchy mortality during heat waves.
Mislan, K A S; Wethey, David S
2015-04-01
Extreme heat events cause patchy mortality in many habitats. We examine biophysical mechanisms responsible for patchy mortality in beds of the competitively dominant ecosystem engineer, the marine mussel Mytilus californianus, on the west coast of the United States. We used a biophysical model to predict daily fluctuations in body temperature at sites from southern California to Washington and used results of laboratory experiments on thermal tolerance to determine mortality rates from body temperature. In our model, we varied the rate of thermal conduction within mussel beds and found that this factor can account for large differences in body temperature and consequent mortality during heat waves. Mussel beds provide structural habitat for other species and increase local biodiversity, but, as sessile organisms, they are particularly vulnerable to extreme weather conditions. Identifying critical biophysical mechanisms related to mortality and ecological performance will improve our ability to predict the effects of climate change on these vulnerable ecosystems.
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Wei, W.; Poag, C. Wylie; Poppe, Lawrence J.; Folger, David W.; Powars, David S.; Mixon, Robert B.; Edwards, Lucy E.; Bruce, Scott
1992-01-01
A remarkable >60-m-thick, upward-fining, polymictic, marine boulder bed is distributed over >15 000 km2 beneath Chesapeake Bay and the surrounding Middle Atlantic Coastal Plain and inner continental shelf. The wide varieties of clast lithologies and microfossil assemblages were derived from at least seven known Cretaceous, Paleocene, and Eocene stratigraphic units. The supporting pebbly matrix contains variably mixed assemblages of microfossils along with trace quantities of impact ejecta. The youngest microfossils in the boulder bed are of early-late Eocene age. On the basis of its unusual characteristics and its stratigraphic equivalent to a layer of impact ejecta at Deep Sea Drilling Project (DSDP) Site 612. It is postulated that this boulder bed was formed by a powerful bolide-generated wave train that scoured the ancient inner shelf and coastal plain of southeastern Virginia.
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NASA Astrophysics Data System (ADS)
Ren, Changzhi; Li, Xiaoyan; Song, Xiaoli; Niu, Yong; Li, Aihua; Zhang, Zhenchao
2012-09-01
Direct drive technology is the key to solute future 30-m and larger telescope motion system to guarantee a very high tracking accuracy, in spite of unbalanced and sudden loads such as wind gusts and in spite of a structure that, because of its size, can not be infinitely stiff. However, this requires the design and realization of unusually large torque motor that the torque slew rate must be extremely steep too. A conventional torque motor design appears inadequate. This paper explores one redundant unit permanent magnet synchronous motor and its simulation bed for 30-m class telescope. Because its drive system is one high integrated electromechanical system, one complexly electromechanical design method is adopted to improve the efficiency, reliability and quality of the system during the design and manufacture circle. This paper discusses the design and control of the precise tracking simulation bed in detail.
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The upper pennsylvanian pittsburgh coal bed: Resources and mine models
Watson, W.D.; Ruppert, L.F.; Tewalt, S.J.; Bragg, L.J.
2001-01-01
The U.S. Geological Survey recently completed a digital coal resource assessment model of the Upper Pennsylvanian Pittsburgh coal bed, which indicates that after subtracting minedout coal, 16 billion short tons (14 billion tonnes) remain of the original 34 billion short tons (31 billion tonnes) of coal. When technical, environmental, and social restrictions are applied to the remaining Pittsburgh coal model, only 12 billion short tons (11 billion tonnes) are available for mining. Our assessment models estimate that up to 0.61 billion short tons (0.55 billion tonnes), 2.7 billion short tons (2.4 billion tonnes), and 8.5 billion short tons (7.7 billion tonnes) could be available for surface mining, continuous mining, and longwall mining, respectively. This analysis is an example of a second-generation regional coal availability study designed to model recoverability characteristics for all the major coal beds in the United States. ?? 2001 International Association for Mathematical Geology.
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The management of spinal cord injury patients in Greece.
Petropoulou, C B; Rapidi, C A; Beltsios, M; Karantonis, G; Lampiris, P E
1992-02-01
In Greece, spinal cord injury patients have serious problems concerning their treatment, social management and vocational integration. Unfortunately the treatment of such patients is usually limited to that offered in institutions for the chronically sick, after they have received their acute initial care in general hospitals. The large number of institutional beds (1287 in 1986) in relation to the small number of active rehabilitation beds (116 beds in 1989) is noteworthy. Generally speaking, the specialisation of health personnel is limited. In practice there is no programme of social rehabilitation, except for special concessions. Disabled individuals can refer to the Professional Integration Service for their vocational reintegration. We must note that vocational counsellors do not take part in the rehabilitation team. The idea of intervention for the adaptation of architectural barriers is now beginning to be considered in theory. Physicians are making efforts to establish 'basic' spinal cord units.
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NASA Technical Reports Server (NTRS)
Breneman, W. C.; Farrier, E. G.; Rexer, J.
1977-01-01
Extended operation of a small process-development unit routinely produced high quality silane in 97+% yield from dichlorosilane. The production rate was consistent with design loadings for the fractionating column and for the redistribution reactor. A glass fluid-bed reactor was constructed for room temperature operation. The behavior of a bed of silcon particles was observed as a function of various feedstocks, component configurations, and operating conditions. For operating modes other than spouting, the bed behaved in an erratic and unstable manner. A method was developed for casting molten silicon powder into crack-free solid pellets for process evaluation. The silicon powder was melted and cast into thin walled quartz tubes that sacrificially broke on cooling.
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Too much FCC catalyst activity can cut yields
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wichers, W.R.; Upson, L.
1984-03-19
For many people working in the field of catalytic cracking, high equilibrium catalyst activity is inherently good. It is surprising how many times this line of reasoning is accepted by the refiner. There also seems to be something psychologically satisfying in seeing an equilibrium catalyst report where the catalyst activity is reported as a high number. Generally, everyone is happy when the reported activity of equilibrium catalyst is increasing and unhappy when it is going down. In the past, increasing catalyst activity did result in improved operations. For units that operated with substantial amounts of bed cracking, higher activity catalystmore » allowed the amount of bed cracking to be reduced and the relative amount of cracking that occurred in the riser to be increased. The switch from bed to riser cracking decreased catalytic coke make and gasoline overcracking, thus reducing regenerator temperature and improving gasoline yields.« less
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Soremekun, Olan A; Zane, Richard D; Walls, Andrew; Allen, Matthew B; Seefeld, Kimberly J; Pallin, Daniel J
2011-06-01
The ability to generate hospital beds in response to a mass-casualty incident is an essential component of public health preparedness. Although many acute care hospitals' emergency response plans include some provision for delaying or cancelling elective procedures in the event of an inpatient surge, no standardized method for implementing and quantifying the impact of this strategy exists in the literature. The aim of this study was to develop a methodology to prospectively emergency plan for implementing a strategy of delaying procedures and quantifying the potential impact of this strategy on creating hospital bed capacity. This is a pilot study. A categorization methodology was devised and applied retrospectively to all scheduled procedures during four one-week periods chosen by convenience. The categorization scheme grouped procedures into four categories: (A) procedures with no impact on inpatient capacity; (B) procedures that could be delayed indefinitely; (C) procedures that could be delayed by one week; and (D) procedures that could not be delayed. The categorization scheme was applied by two research assistants and an emergency medicine resident. All three raters categorized the first 100 cases to allow for calculation of inter-rater reliability. Maximal hospital bed capacity was defined as the 95th percentile weekday occupancy, as this is more representative of functional bed capacity than is the number of licensed beds. The main outcome was the number of hospital beds that could be created by postponing procedures in categories B and C. Maximal hospital bed capacity was 816 beds. Mean occupancy during weekdays was 759 versus 694 on weekends. By postponing Group B and C procedures, a mean of 60 beds (51 general medical/surgical and nine intensive care unit (ICU)) could be created on weekdays, and four beds (three general medical/surgical and one ICU) on weekends. This represents 7.3% and 0.49% of maximal hospital bed capacity and ICU capacity, respectively. In the event that sustained surge is needed, delaying all category B and C procedures for one week would lead to the generation of 1,235 hospital-bed days. Inter-rater reliability was high (kappa = 0.74) indicating good agreement between all three raters. For the institution studied, the strategy of delaying scheduled procedures could generate inpatient capacity with maximal impact during weekdays and little impact on weekends. Future research is needed to validate the categorization scheme and increase the ability to predict inpatient surge capacity across various hospital types and sizes.
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6. OBLIQUE VIEW OF HOIST, SHOWING WOODEN BRAKE SHOES, REDUCTION ...
6. OBLIQUE VIEW OF HOIST, SHOWING WOODEN BRAKE SHOES, REDUCTION GEARS AND BED FOR (MISSING) CLUTCH/DRIVE GEAR UNIT, LOOKING NORTHWEST - Buffalo Coal Mine, Vulcan Cable Hoist, Wishbone Hill, Southeast end, near Moose Creek, Sutton, Matanuska-Susitna Borough, AK
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SOIL GAS OXYGEN TENSION AND PENTACHLOROPHENOL BIODEGRADATION
Laboratory tests were conducted to determine the effect of soil gas oxygen concentration on the degradation and mineralization of spiked 14C-pentachlorophenol and nonlabeled pentachlorophenol (PCP) present in soil taken from a prepared-bed land treatment unit at the Champion Inte...
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Rhythmic bedding in prodeltaic deposits of the ancient Colorado River: Exploring genetic processes
NASA Astrophysics Data System (ADS)
Waresak, Sandra; Nalin, Ronald; Lucarelli, Andrea
2016-04-01
Prodeltaic deposits represent a valuable archive for the characterization of deltaic depositional systems, offering a distal, minimally reworked record of dominant processes active at the fluvial-marine interface. The Fish Creek Basin (CA, US) preserves a ~ 3-km thick, lower Pliocene, progradational deltaic succession formed when the ancestral Colorado River infiltrated a marine rift basin (the early Gulf of California). The unit in this succession interpreted as prodeltaic, corresponding to the upper Mud Hills Member of the Deguynos Formation, consists of ~ 300 m of muddy siltstones. A striking attribute of parts of this unit is the presence of rhythmic bedding, with consistently alternating silt- to fine sand-dominated and clay-dominated beds forming couplets with an average thickness of 12 cm. By performing a detailed sedimentological analysis of the rhythmites and investigating periodicities in bed thickness, our study aimed at reconstructing the mode of deposition of this enigmatic prodeltaic succession. We measured at high stratigraphic resolution 265 consecutive couplets, for a total thickness of 33 m. Individual beds have good lateral persistence of at least tens of meters and gradational to sharp, flat contacts. Observed sedimentary structures are concentrated on the coarser portion of the couplets and mostly consist of parallel and wavy lamination, with subordinate ripple cross-lamination and localized internal scours. Bioturbation appears low in intensity or absent. Most notably, grain size analysis performed with laser diffraction techniques on several couplets shows a consistent pattern of inverse grading transitioning to normal grading. The cumulative evidence of these sedimentological features indicates that deposition of the rhythmites was accomplished via hyperpycnal flows, each couplet most likely representing an individual event in a setting characterized by high overall depositional rates. We performed time series analysis on bed thickness of the 265 measured couplets, obtaining a prominent spectral peak above the 99% confidence level (generated with a Monte Carlo red noise simulation) corresponding to a periodicity of about 18 couplets. We also performed time series analysis on image brightness values of a composite photographic log converted to grayscale, covering a subset of 159 consecutive couplets (22 m) and obtaining a spectral peak that could be roughly equivalent to the periodicity indicated by the bed thickness series. Our results appear to offer a source-to-sink example of the effect of modulations in intensity of aperiodic or quasi-periodic hyperpycnal flows in the sedimentary record of prodeltaic successions.
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Infant Sleep Location and Breastfeeding Practices in the United States, 2011-2014.
Smith, Lauren A; Geller, Nicole L; Kellams, Ann L; Colson, Eve R; Rybin, Denis V; Heeren, Timothy; Corwin, Michael J
2016-08-01
To describe the prevalence of breastfeeding and sleep location practices among US mothers and the factors associated with these behaviors, including advice received regarding these practices. A nationally representative sample of 3218 mothers who spoke English or Spanish were enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014. Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5% reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers who room shared without bed sharing, mothers who bed shared were more likely to report exclusive breastfeeding (adjusted odds ratio 2.46, 95% confidence interval 1.76, 3.45) or partial breastfeeding (adjusted odds ratio 1.75, 95% confidence interval 1.33, 2.31). The majority of mothers reported usually room sharing without bed sharing regardless of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0% of nonbreastfeeding mothers. Receiving advice regarding sleep location or breastfeeding increased adherence to recommendations in a dose response manner (the adjusted odds of room sharing without bed sharing and exclusive breastfeeding increased as the relevant advice score increased); however, receiving advice regarding sleep location did not affect feeding practices. Many mothers have not adopted the recommended infant sleep location or feeding practices. Receiving advice from multiple sources appears to promote adherence in a dose response manner. Many women are able to both breastfeed and room share without bed sharing, and advice to adhere to both of these recommendations did not decrease breastfeeding rates. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
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O'Riordan, David L; Field, Alison E; Geller, Alan C; Brooks, Daniel R; Aweh, Gideon; Colditz, Graham A; Frazier, A Lindsay
2006-06-01
To examine the association between tanning bed use and weight concerns, health risk behaviors, and peer influence. The Growing Up Today Study (GUTS) is an ongoing prospective cohort study of adolescents established in 1996. In 1999, a total of 6,373 adolescent females ages 12-18 (offspring of participants in the Nurses Health Study 2) completed the survey. Almost nine percent (8.6%) of the adolescent girls had used a tanning bed 1-9 times and an additional 5.4% had used tanning beds at least 10 times in the past year (frequent users). Logistic regression models revealed that frequent tanning bed use was associated with being highly concerned about weight (OR = 1.5, 95%CI = 1.1, 2.0), frequently dieting to lose weight (OR = 1.5, 95%CI = 1.1, 2.0), using laxatives or vomiting to control weight (OR = 3.6; 95%CI = 2.2-5.8), having friends who placed a lot of importance on being thin (OR = 2.6; 95%CI = 1.3-5.1), smoking cigarettes (OR=1.7, 95%CI = 1.1, 2.6), binge drinking (OR = 2.1, 95%CI = 1.3, 3.1), using recreational drugs (OR = 3.0; 95%CI = 2.4, 3.8), and trying to look like females in the media (sometimes/pretty much: OR = 1.3, 95%CI = 1.0, 1.8). Frequent tanning bed use among adolescent females is associated with a range of health risk behaviors. This effect may be mediated by peer influence and a desire to look like other females in the media. Multi-pronged approaches, particularly those that target attitudes of young females, are needed to combat increased use of tanning beds.
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Regional Variation in Neonatal Intensive Care Admissions and the Relationship to Bed Supply.
Harrison, Wade N; Wasserman, Jared R; Goodman, David C
2018-01-01
To characterize geographic variation in neonatal intensive care unit (NICU) admission rates across the entire birth cohort and evaluate the relationship between regional bed supply and NICU admission rates. This was a population-based, cross-sectional study. 2013 US birth certificate and 2012 American Hospital Association data were used to assign newborns and NICU beds to neonatal intensive care regions. Descriptive statistics of admission rates were calculated across neonatal intensive care regions. Multilevel logistic regression was used to examine the relationship between bed supply and individual odds of admission, with adjustment for maternal and newborn characteristics. Among 3 304 364 study newborns, the NICU admission rate was 7.2 per 100 births and varied across regions for all birth weight categories. IQRs in admission rates were 84.5-93.2 per 100 births for 500-1499 g, 35.3-46.1 for 1500-2499 g, and 3.5-5.5 for ≥2500 g. Adjusted odds of admission for newborns of very low birth weight were unrelated to regional bed supply; however, newborns ≥2500 g in regions with the highest NICU bed supply were significantly more likely to be admitted to a NICU than those in regions with the lowest (aOR 1.20 [1.03-1.40]). There is persistent underuse of NICU care for newborns of very low birth weight that is not associated with regional bed supply. Among larger newborns, we find evidence of supply-sensitive care, raising concerns about the potential overuse of expensive and unnecessary care. Rather than improving access to needed care, NICU expansion may instead further deregionalize neonatal care, exacerbating underuse. Copyright © 2017 Elsevier Inc. All rights reserved.
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Kwiatkowska-Stenzel, Agnieszka; Witkowska, Dorota; Sowińska, Janina; Stopyra, Artur
2017-12-01
The choice of bedding material affects the quality of air in a stable and, consequently, the respiratory health of horses and humans. The risk of respiratory problems can be mitigated by improving the quality of air in the stable. The choice of bedding material is particularly important in cold climate conditions where horses are kept indoors throughout the year. This study examined the impact of three bedding materials: straw (S), peat with shavings (PS), and crushed wood pellets (CWP). The investigated factors were air contamination, including dust contamination and microbial (bacterial and fungal) contamination, and the condition of the equine respiratory tract. The condition of the respiratory tract was evaluated based on the results of arterial blood biochemistry tests and endoscopic evaluations of the upper respiratory tract. Mechanical dust contamination was lowest for PS (1.09mg/m 3 ) and highest for CWP (4.07mg/m 3 ). Bacterial contamination (in CFU - colony forming units) was highest for PS (5.14log 10 CFU/m 3 ) and lowest for CWP (4.81log 10 CFU/m 3 ). Fungal air contamination was lowest for CWP (4.54log 10 CFU/m 3 ) and highest for S (4.82log 10 CFU/m 3 ) and PS (4.88log 10 CFU/m 3 ). An analysis of physiological indicators revealed that all horses were clinically healthy regardless of the type of applied bedding. The type of bedding material did not exert a clear influence on arterial blood biochemistry or the results of endoscopic evaluations of the respiratory tract; however, the use of alternative for straw bedding materials improved endoscopy results. Copyright © 2017 Elsevier Ltd. All rights reserved.
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Rapid Cycle Amine (RCA 2.0) System Development
NASA Technical Reports Server (NTRS)
Papale, William; O'Coin, James; Wichowski, Robert; Chullen, Cinda; Campbell, Colin
2012-01-01
The Rapid Cycle Amine (RCA) system is a low power assembly capable of simultaneously removing carbon dioxide (CO2) and humidity from an influent air steam and subsequent regeneration when exposed to a vacuum source. Two solid amine sorbent beds are alternated between an uptake mode and a regeneration mode. During the uptake mode, the sorbent is exposed to an air steam (ventilation loop) to adsorb CO2 and water vapor, while during the regeneration mode, the sorbent rejects the adsorbed CO2 and water vapor to a vacuum source. The two beds operate such that while one bed is in the uptake mode, the other is in the regeneration mode, thus continuously providing an on-service sorbent bed by which CO2 and humidity may be removed. A novel valve assembly provides a simple means of diverting the process air flow through the uptake bed while simultaneously directing the vacuum source to the regeneration bed. Additionally, the valve assembly is designed to allow for switching between uptake and regeneration modes with only one moving part while minimizing gas volume losses to the vacuum source by means of an internal pressure equalization step during actuation. The process can be controlled by a compact, low power controller design with several modes of operation available to the user. Together with NASA, United Technologies Corporation Aerospace Systems has been developing RCA 2.0 based on performance and design feedback on several sorbent bed test articles and valve design concepts. A final design was selected in November 2011 and fabricated and assembled between March and August 2012, with delivery to NASA-JSC in September 2012. This paper will provide an overview on the RCA system design and results of pre-delivery testing.
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Sasaki, Hatoko; Yonemoto, Naohiro; Mori, Rintaro; Nishida, Toshihiko; Kusuda, Satoshi; Nakayama, Takeo
2017-01-01
Abstract Objective To assess organizational culture in neonatal intensive care units (NICUs) in Japan. Design Cross-sectional survey of organizational culture. Setting Forty NICUs across Japan. Participants Physicians and nurses who worked in NICUs (n = 2006). Main Outcome Measures The Competing Values Framework (CVF) was used to assess the organizational culture of the study population. The 20-item CVF was divided into four culture archetypes: Group, Developmental, Hierarchical and Rational. We calculated geometric means (gmean) and 95% bootstrap confidence intervals of the individual dimensions by unit and occupation. The median number of staff, beds, physicians’ work hours and work engagement were also calculated to examine the differences by culture archetypes. Results Group (gmean = 34.6) and Hierarchical (gmean = 31.7) culture archetypes were higher than Developmental (gmean = 16.3) and Rational (gmean = 17.4) among physicians as a whole. Hierarchical (gmean = 36.3) was the highest followed by Group (gmean = 25.8), Developmental (gmean = 16.3) and Rational (gmean = 21.7) among nurses as a whole. Units with dominant Hierarchical culture had a slightly higher number of physicians (median = 7) than dominant Group culture (median = 6). Units with dominant Group culture had a higher number of beds (median = 12) than dominant Hierarchical culture (median = 9) among physicians. Nurses from units with a dominant Group culture (median = 2.8) had slightly higher work engagement compared with those in units with a dominant Hierarchical culture (median = 2.6). Conclusions Our findings revealed that organizational culture in NICUs varies depending on occupation and group size. Group and Hierarchical cultures predominated in Japanese NICUs. Assessing organizational culture will provide insights into the perceptions of unit values to improve quality of care. PMID:28371865
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Sasaki, Hatoko; Yonemoto, Naohiro; Mori, Rintaro; Nishida, Toshihiko; Kusuda, Satoshi; Nakayama, Takeo
2017-06-01
To assess organizational culture in neonatal intensive care units (NICUs) in Japan. Cross-sectional survey of organizational culture. Forty NICUs across Japan. Physicians and nurses who worked in NICUs (n = 2006). The Competing Values Framework (CVF) was used to assess the organizational culture of the study population. The 20-item CVF was divided into four culture archetypes: Group, Developmental, Hierarchical and Rational. We calculated geometric means (gmean) and 95% bootstrap confidence intervals of the individual dimensions by unit and occupation. The median number of staff, beds, physicians' work hours and work engagement were also calculated to examine the differences by culture archetypes. Group (gmean = 34.6) and Hierarchical (gmean = 31.7) culture archetypes were higher than Developmental (gmean = 16.3) and Rational (gmean = 17.4) among physicians as a whole. Hierarchical (gmean = 36.3) was the highest followed by Group (gmean = 25.8), Developmental (gmean = 16.3) and Rational (gmean = 21.7) among nurses as a whole. Units with dominant Hierarchical culture had a slightly higher number of physicians (median = 7) than dominant Group culture (median = 6). Units with dominant Group culture had a higher number of beds (median = 12) than dominant Hierarchical culture (median = 9) among physicians. Nurses from units with a dominant Group culture (median = 2.8) had slightly higher work engagement compared with those in units with a dominant Hierarchical culture (median = 2.6). Our findings revealed that organizational culture in NICUs varies depending on occupation and group size. Group and Hierarchical cultures predominated in Japanese NICUs. Assessing organizational culture will provide insights into the perceptions of unit values to improve quality of care. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care
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Yager, Richard M.; Ratcliffe, Nicholas M.
2011-01-01
Groundwater in the Newark basin aquifer flows primarily through discrete water-bearing zones parallel to the strike and dip of bedding, whereas flow perpendicular to the strike is restricted, thereby imparting anisotropy to the groundwater flow field. The finite-element model SUTRA was used to represent bedrock structure in the aquifer by spatially varying the orientation of the hydraulic conductivity tensor to reflect variations in the strike and dip of the bedding. Directions of maximum and medium hydraulic conductivity were oriented parallel to the bedding, and the direction of minimum hydraulic conductivity was oriented perpendicular to the bedding. Groundwater flow models were prepared to simulate local flow in the vicinity of the Spring Valley well field and regional flow through the Newark basin aquifer. The Newark basin contains sedimentary rocks deposited as alluvium during the Late Triassic and is one of a series of basins that developed when Mesozoic rifting of the super continent Pangea created the Atlantic Ocean. The westward-dipping basin is filled with interbedded facies of coarse-grained to fine-grained rocks that were intruded by diabase associated with Jurassic volcanism. The Newark basin aquifer is bounded to the north and east by the Palisades sill and to the west by the Ramapo Fault. Although the general dip of bedding is toward the fault, mapping of conglomerate beds indicates the rocks are folded into broad anticlines and synclines. An alternative, more uniform pattern of regional structure, based on interpolated strike and dip measurements from a number of sources, has also been proposed. Two groundwater flow models (A for the former type of bedrock structure and B for the latter type) were developed to represent these alternative depictions of bedrock structure. Transient simulations were calibrated to reproduce measured water-level recoveries in a 9.3 mi² area surrounding the Spring Valley well field during a 5-day aquifer test in 1992. The models represented a 330-ft thick rock mass divided vertically into 10 equally spaced layers and were calibrated through nonlinear regression. Results of model B best matched the observed water-level recoveries with an estimated hydraulic conductivity of 9.5 ft/day, specific storage of 7.6 x 10 -6 ft -1, and Kmax: Kmin anisotropy ratio (hydraulic conductivity parallel to bedding: perpendicular to bedding) of 72:1. Model error was 50 percent greater in model A because the assumed structure did not match the actual strike of bedding in this area. Steady-state simulations of regional flow through the 85.4-mi2 modeled extent of the Newark basin aquifer represented both the alluvial aquifer beneath the Mawah River and the fractured bedrock. The rock mass was divided into two aquifer units: an upper 500-ft thick unit divided into 10 equally spaced layers through which most groundwater is assumed to flow and a lower unit divided into 7 layers with increasing thickness. Models were calibrated through nonlinear regression to average water levels measured in 140 wells from August 2005 through April 2007. Water levels simulated using the two models were similar and generally matched those observed, and the average recharge rate estimated using both models was 19 inches/year for the simulated period. Estimated transmissivity parallel to the strike of bedding (1,100 ft²/d) was uniform in two transmissivity (T) zones in model A, but in model B the transmissivity of a high T zone (1,600 ft²/d), delineated on the basis of aquifer test data, was slightly greater than in a low T zone (1,300 ft²/d). The Kmax: Kmin anisotropy was estimated to be 58:1 in model A and 410:1 in model B, so the proportion of flow perpendicular to bedding is less in model B than in model A. Distributions of groundwater age simulated with models A and B are similar and indicate that most shallow ground-water (225 ft below the bedrock surface) is 5 t
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Paul, Angela P.; Paretti, Nicholas V.; MacCoy, Dorene E.; Brasher, Anne M.D.
2012-01-01
As part of the National Water-Quality Assessment Program of the U.S. Geological Survey, this study examines the occurrence of nine trace elements in bed sediment of varying mineralogy and land use and assesses the possible effects of these trace elements on aquatic-macroinvertebrate community structure. Samples of bed sediment and macroinvertebrates were collected from 154 streams at sites representative of undeveloped, agricultural, urban, mined, or mixed land-use areas and 12 intermediate-scale ecoregions within the conterminous western United States, Alaska, and Hawaii from 1992 to 2000. The nine trace elements evaluated during this study—arsenic (As), cadmium (Cd), chromium (Cr), copper (Cu), lead (Pb), mercury (Hg), nickel (Ni), selenium (Se), and zinc (Zn)—were selected on the basis of potential ecologic significance and availability of sediment-quality guidelines. At most sites, the occurrence of these trace elements in bed sediment was at concentrations consistent with natural geochemical abundance, and the lowest concentrations were in bed-sediment samples collected from streams in undeveloped and agricultural areas. With the exception of Zn at sampling sites influenced by historic mining-related activities, median concentrations of all nine trace elements in bed sediment collected from sites representative of the five general land-use areas were below concentrations predicted to be harmful to aquatic macroinvertebrates. The highest concentrations of As, Cd, Pb, and Zn were in bed sediment collected from mined areas. Median concentrations of Cu and Ni in bed sediment were similarly enriched in areas of mining, urban, and mixed land use. Concentrations of Cr and Ni appear to originate largely from geologic sources, especially in the western coastal states (California, Oregon, and Washington), Alaska, and Hawaii. In these areas, naturally high concentrations of Cr and Ni can exceed concentrations that may adversely affect aquatic macroinvertebrates. Generally, Hg concentrations were below the sediment-quality guideline for this trace element but appeared elevated in urbanized areas and at sites contaminated by historic mining practices. Lastly, although there was no distinctive pattern in Se concentrations with land use, median bed-sediment concentrations were slightly elevated in urbanized areas.Macroinvertebrate community structure was influenced by topographic, geologic, climatic, and in-stream characteristics. To account for inherent distribution patterns resulting from these influences, samples of macroinvertebrates were stratified by ecoregion to assess the influence of trace elements on community structure. Cumulative toxic units (CTUs) were used to evaluate gradients in trace-element concentrations in mixture. Correlation analyses among the trace elements under different land-use conditions indicate that trace-element mixtures vary among bed sediment and can have a marked influence on CTU composition. Macroinvertebrate response to bed-sediment trace-element exposure was evident only at the most highly contaminated sites, notably at sites classified as contaminated by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) as a result of historic mining activities. Results of this study agree with the findings of other studies evaluating trace-element exposure to in-stream macroinvertebrate community structure in that generally lower richness metrics and taxa dominance occur in streams where high trace-element enrichment occurs; however, not all streams in all areas have the same characterizing taxa. In the mountain and xeric ecosystems, the mayfly, Baetis sp.; the Diptera, Simulium sp.; caddisflies in the family Hydropsychiidae; midges in the family Orthocladiinae; and the worms belonging to Turbellaria and Naididae all demonstrated resilience to trace-element exposure and, in some cases, possible changes in physical habitat within stream ecosystems. The taxa characteristics within the Ozark Highland ecoregion were different than other ecoregions as evidenced by generally more diverse mayfly populations. In addition, Baetis sp. was common and dominated many of the mayfly populations found in the Rocky Mountain streams within the Mountain Southern Rockies and Mountain Northern Rockies ecoregions; however, within the Ozark Highland ecoregion, Tricorythodes sp. appeared to be more common than Baetis sp.
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Compact CFB: The next generation CFB boiler
DOE Office of Scientific and Technical Information (OSTI.GOV)
Utt, J.
1996-12-31
The next generation of compact circulating fluidized bed (CFB) boilers is described in outline form. The following topics are discussed: compact CFB = pyroflow + compact separator; compact CFB; compact separator is a breakthrough design; advantages of CFB; new design with substantial development history; KUHMO: successful demo unit; KUHMO: good performance over load range with low emissions; KOKKOLA: first commercial unit and emissions; KOKKOLA: first commercial unit and emissions; compact CFB installations; next generation CFB boiler; grid nozzle upgrades; cast segmented vortex finders; vortex finder installation; ceramic anchors; pre-cast vertical bullnose; refractory upgrades; and wet gunning.
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[Structure and functional organization of integrated cardiac intensive care].
Scherillo, Marino; Miceli, Domenico; Tubaro, Marco; Guiducci, Umberto
2007-05-01
The early invasive strategy for the treatment of acute coronary syndromes and the increasing number of older and sicker patients requiring prolonged and more complex intensive care have induced many changes in the function of the intensive care units. These changes include the statement that specially trained cardiologists and cardiac nurses who can manage patients with acute cardiac conditions should staff the intensive care units. This document indicates the structure of the units and specific recommendations for the number of beds, monitoring system, respirators, pacemaker/defibrillators and additional equipment.
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Heat transfer and hydrodynamic analysis in an industrial circulating fluidized bed boiler
DOE Office of Scientific and Technical Information (OSTI.GOV)
Di Maggio, T.; Piedfer, O.; Jestin, L.
In order to scale-up Circulating Fluidized Bed boilers (up to 600 MWe), Electricite de France has initiated a Research and Development program including: laboratory work on mock-up, numerical modeling and on-site tests in the 125 MWe CFB Emile Huchet plant. This paper is devoted to on-site measurements analysis in two main components of this industrial unit: the external fluidized bed heat exchangers and the backpass. This study particularly concerns hydrodynamics and heat transfer with the final target of developing a physical model of a CFB unit. The first part of this paper describes the specific instrumentation set up on externalmore » fluidized bed heat exchangers. The comparison between experimental data collected on these heat exchangers and the theoretical heat transfer models mainly used, shows a great difference about the value of the overall heat transfer coefficient. To explain this discrepancy, the particle flow pattern initially used in the thermal balance calculation is modified and a solid bypass is introduced. The analysis of the by-pass behavior, connected to the geometrical and operating parameters of each exchanger, confirms the particle flow pattern suggested. The second part of this paper shows an analysis of the specific measurements set up on the backpass to study heat transfer. The physical model of heat transfer used to assess the importance of each convection, radiation and conduction components is presented. This model allows one to assess the influence of heat exchangers design on heat transfer. Moreover, the analysis of heat transfer variations during sweeping cycles gives the amount of dust that is removed from the heat exchanger tubes. These results are used to evaluate the amount of power that can be recovered by optimizing both design and sweeping of the backpass.« less
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McDermott, Hélène; Skally, Mairead; O'Rourke, James; Humphreys, Hilary; Fitzgerald-Hughes, Deirdre
2018-01-01
OBJECTIVE Among nosocomial bloodstream infections caused by enterococcal species, Ireland has the highest proportion caused by vancomycin-resistant enterococci (VRE) in Europe at 45.8%. The contribution of the near-patient environment to VRE transmission outside of outbreaks was investigated. DESIGN A prospective observational study was conducted during 7 sampling periods. METHODS Recovery of VRE isolates by swabbing the near-patient environment and patients in the intensive care unit (ICU) was conducted to identify reservoirs, clinical and molecular epidemiological associations, and the success of active surveillance cultures (ASCs). RESULTS Of 289 sampling occasions involving 157 patients and their bed spaces, VRE isolates were recovered from patient bed spaces, clinical samples, or both on 114 of 289 sampling occasions (39.4%). The patient and their bed space were positive for VRE on 34 of 114 VRE-associated sampling occasions (29.8%). Of 1,647 environment samples, 107 sites (6.5%) were VRE positive, with significantly greater VRE recovery from isolation rooms than from the open-plan area (9.1% vs 4.1%; P < .0001). The most frequently VRE-contaminated sites were the drip stand, bed control panel, and chart holders, which together accounted for 61% of contaminated sites. The use of ASCs resulted in a 172% increase in identification of VRE-colonized patients. Molecular typing revealed 2 environmental clusters, 1 cluster involving 3 patients and generally greater heterogeneity of patient isolates compared to environmental isolates. CONCLUSION Even outside of outbreaks, near-patient ICU environmental contamination with VRE is common. Better infection control policies that limit environmental transmission of VRE in the ICU and that are supported by molecular epidemiological studies, in real time, are needed. Infect Control Hosp Epidemiol 2018;39:40-45.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
McDonald, T.A.; Tabor, E.; Marzolf, J.E.
1994-04-01
Regional stratigraphic relations in southern Illinois suggest a major unconformity near the top of the St. Genevieve Limestone. Large exposures below the unconformity within the Anna quarries display a retrogradational parasequence-stacking pattern. Eight to 12 m-thick parasequences comprise thinning-upward marine bioclastic wackestone overlain by oolitic and bioclastic thickening-upward eolian( ) grainstone. An eolian origin for the bioclastic grainstones is supported by large scale cross stratification (0.5 to 2 m-thick sets), reworked character of rounded, coated bioclasts, and preserved duneforms. At the quarries, the unconformity is directly overlain by mudstones and sandstones. Thinning-upward mudstones interbedded with very thin (1 to 3more » cm thick) intraclastic packstone tempestites crop out in a roadcut about 500 m NE of the quarries. Small-scale ripples and absence of trace fossils in lower mudstone units suggest an estuarine or lagoonal, brackish-waver environment. The trace fossil Conostichus and horizontal burrows appear abruptly in the upper, thin mudstone units. Highly bioturbated green and red shales overlying a 1 to 4 m-thick covered interval in a roadcut 610 m farther north are interbedded with tidally deposited, medium- to coarse-grained, bioclastic grainstones. The shale-draped, medium cross-bedded grainstones document ten or more tidal bundles. The cross-bedded grainstone is overlain by wavy- to flaser-bedded very fine-grained sandstone suggestive of sand flat origin. These sandstones are overlain by the Aux Vases Sandstone. Numerous low-angle bounding surfaces within the Aux Vases enclose low-angle, wedge-planar cross-bedding. A single irregular surface coated by a few centimeters of poorly sorted unstratified sandstone defines a ravinement surface near the base of the Aux Vases Sandstone.« less
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Anitha, K.B.; Rai, Mohandas; Fernandes, Anisha
2015-01-01
Objectives: A world without effective antibiotics is a terrifying but a real prospect. Overuse or misuse especially of newer and higher antimicrobials (AM) is of particular concern, as this contributes to development of resistance among microorganisms. To check this trend, the Reserve Drug Indent Form (RDIF) was introduced in our hospital and its impact on AM consumption, cost of therapy and the sensitivity pattern was studied in the medical intensive care unit (MICU). Materials and Methods: A retrospective descriptive study in the medical ICU of a tertiary care hospital from July 2012 to August 2013. From March 2013, RDIF was made mandatory to be filled up prior to prescribing reserve antimicrobials. AM consumption (expressed as DDD/100 bed days) and sensitivity pattern (expressed in percentage) six months prior to and six months after implementation of the form were analysed. Results: The total Reserve AM consumption was 125.79 per 100 bed days during the study period. Average occupancy index was 0.50 and length of ICU stay was 6 days. The total consumption reduced from 85.55/100 to 40.24/100 bed days after the introduction of the RDIF. However, Imipenem usage increased from 11.35/100 to 23.94/100 bed days, which can be attributed to sensitivity profile to Imipenem (82.1%) compared to Meropenem (65.7%). Cost of therapy reduced from Rs 6,27,951 to 4,20,469. Conclusion: Reserve AM consumption showed a declining trend after introduction of the RDIF. Hence, the RDIF served as an important tool to combat inappropriate use, reducing the cost burden and also helped to improve the sensitivity to reserve drugs. PMID:25859466
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Stratotype for the Mérida Glaciation at Pueblo Llano in the northern Venezuelan Andes
NASA Astrophysics Data System (ADS)
Mahaney, W. C.; Milner, M. W.; Voros, J.; Kalm, V.; Hütt, G.; Bezada, M.; Hancock, R. G. V.; Aufreiter, S.
2000-12-01
The Mérida Glaciation (cf. Wisconsinan, Weichselian) as proposed by Schubert (1974b) culminated at about 18 ka during the last glacial maximum (LGM) and ended at about 13 ka as indicated by 14C dating and correlation with the Cordillera Oriental of Colombia. Moraines of an early stade of Mérida Glaciation reached to 2800 m a.s.l. and were largely overrun or eradicated by the maximum Wisconsinan advance (LGM); where they outcrop, the older moraines are characterized by eroded, weathered glacial diamictons and outwash fans. At Pueblo Llano in the central Mérida Andes (Cordillera de Trujillo), older to younger beds of contorted glacitectonized diamict, overlying beds of bouldery till and indurated outwash, all belong to the early Mérida stade. Overlying the early Mérida stade, deposits of rhythmically bedded glaciolacustrine sediments are in turn overlain with contorted sand and silt beds capped with outwash. Above the outwash terrace a loop moraine of LGM age completely encircles the margins of the basin. A stream cut exposed by catastrophic (tectonic or surge?) release of meltwater displays a lithostratigraphic succession that is bereft of organic material for radiocarbon dating. Five optically-stimulated luminescence (OSL) dates place the maximum age of the lowest till at 81 ka. Particle size distributions allow clear distinctions between major lithic units. Heavy mineral analysis of the middle and lower coarse units in the section provide information on sediment sourcing and on major lithostratigraphic divisions. Trace element concentrations provide information on the relative homogeneity of the deposits. The HREE (heavy rare earth element) concentrations allow discrimination of the lower till from the rest of the section; the LREE (light rare earth element) concentrations highlight differences between the lower till, LGM till, and the rest of the section.
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Terziotti, Silvia; Hoos, Anne B.; Harned, Douglas; Garcia, Ana Maria
2010-01-01
As part of the southeastern United States SPARROW (SPAtially Referenced Regressions On Watershed attributes) water-quality model implementation, the U.S. Geological Survey created a dataset to characterize the contribution of phosphorus to streams from weathering and erosion of surficial geologic materials. SPARROW provides estimates of total nitrogen and phosphorus loads in surface waters from point and nonpoint sources. The characterization of the contribution of phosphorus from geologic materials is important to help separate the effects of natural or background sources of phosphorus from anthropogenic sources of phosphorus, such as municipal wastewater or agricultural practices. The potential of a watershed to contribute phosphorus from naturally occurring geologic materials to streams was characterized by using geochemical data from bed-sediment samples collected from first-order streams in relatively undisturbed watersheds as part of the multiyear U.S. Geological Survey National Geochemical Survey. The spatial pattern of bed-sediment phosphorus concentration is offered as a tool to represent the best available information at the regional scale. One issue may weaken the use of bed-sediment phosphorus concentration as a surrogate for the potential for geologic materials in the watershed to contribute to instream levels of phosphorus-an unknown part of the variability in bed-sediment phosphorus concentration may be due to the rates of net deposition and processing of phosphorus in the streambed rather than to variability in the potential of the watershed's geologic materials to contribute phosphorus to the stream. Two additional datasets were created to represent the potential of a watershed to contribute phosphorus from geologic materials disturbed by mining activities from active mines and inactive mines.
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IPv6 Test Bed for Testing Aeronautical Applications
NASA Technical Reports Server (NTRS)
Wilkins, Ryan; Zernic, Michael; Dhas, Chris
2004-01-01
Aviation industries in United States and in Europe are undergoing a major paradigm shift in the introduction of new network technologies. In the US, NASA is also actively investigating the feasibility of IPv6 based networks for the aviation needs of the United States. In Europe, the Eurocontrol lead, Internet Protocol for Aviation Exchange (iPAX) Working Group is actively investigating the various ways of migrating the aviation authorities backbone infrastructure from X.25 based networks to an IPv6 based network. For the last 15 years, the global aviation community has pursued the development and implementation of an industry-specific set of communications standards known as the Aeronautical Telecommunications Network (ATN). These standards are now beginning to affect the emerging military Global Air Traffic Management (GATM) community as well as the commercial air transport community. Efforts are continuing to gain a full understanding of the differences and similarities between ATN and Internet architectures as related to Communications, Navigation, and Surveillance (CNS) infrastructure choices. This research paper describes the implementation of the IPv6 test bed at NASA GRC, and Computer Networks & Software, Inc. and these two test beds are interface to Eurocontrol over the IPv4 Internet. This research work looks into the possibility of providing QoS performance for Aviation application in an IPv6 network as is provided in an ATN based network. The test bed consists of three autonomous systems. The autonomous system represents CNS domain, NASA domain and a EUROCONTROL domain. The primary mode of connection between CNS IPv6 testbed and NASA and EUROCONTROL IPv6 testbed is initially a set of IPv6 over IPv4 tunnels. The aviation application under test (CPDLC) consists of two processes running on different IPv6 enabled machines.
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Distribution of health care resources in Mongolia using the Gini coefficient.
Erdenee, Oyunchimeg; Paramita, Sekar Ayu; Yamazaki, Chiho; Koyama, Hiroshi
2017-08-29
Attaining the perfect balance of health care resources is probably impracticable; however, it is possible to achieve improvements in the distribution of these resources. In terms of the distribution of health resources, equal access to these resources would make health services available to all people. The aim of this study was to compare the distributions of health care resources in urban, suburban, and rural areas of Mongolia. We compared urban and rural areas using the Mann-Whitney U test and further investigated the distribution equality of physicians, nurses, and hospital beds throughout Mongolia using the Gini coefficient-a common measure of distribution derived from the Lorenz curve. Two indicators were calculated: the distribution per 10 000 population and the distribution per 1000 km 2 area. Urban and rural areas were significantly different only in the distribution of physicians per population. However, in terms of the distribution per area, there were statistical differences in physicians, nurses, and hospital beds. We also found that distributions per population unit were equal, with Gini coefficients for physicians, nurses, and hospital beds of 0.18, 0.07, and 0.06, respectively. Distributions per area unit were highly unequal, with Gini coefficients for physicians, nurses, and hospital beds of 0.74, 0.67, and 0.69, respectively. Although the distributions of health care resources per population were adequate for the population size, a striking difference was found in terms of the distributions per geographical area. Because of the nomadic lifestyle of rural and remote populations in Mongolia, geographical imbalances need to be taken into consideration when formulating policy, rather than simply increasing the number of health care resources.
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Creasey, Saville Cyrus
1951-01-01
The Humboldt region is in central Yavapai County, Arizona. The intersection of the 112? 15' meridian and the 34? 30' N parallel is in the approximate geographical center of the region, and the Iron King mine is about 2000 feet west-northwest of the intersection. Pre-Cambrian rocks form the bedrock in the Humboldt region. Late Cenozoic unconsolidated river wash and valley fill, including some interbedded basalt, locally mantle the pre-Cambrian rocks, especially in the north-central part of the region (Lonesome Valley). The pre-Cambrian rocks consist of five newly defined metavolcanic formations derived from flows and tuff s, and of six intrusive units ranging in composition from granite to gabbro or perhaps more mafic types. Relic bedding-and pillow structures are locally prominent in the metavolcanics; geopetal structures are uncommon, but where present, generally indicate that the top is toward the west, though the evidence is too meager to be conclusive. Low-grade dynamothermal metamorphism altered the metavolcanics and to a lesser extent the intrusive rocks, forming textures, structures, and mineral assemblages characteristic of low temperature and moderate stress. The Texas Gulch formation, which is the easternmost metavolcanic formation, consists of five lithologic units. Arranged in the general order of their appearance from east to west they are meta-andesite breccia, purple slate, metarhyolite tuff, meta-andesite, and green slate. The boundary between the Texas Gulch formation and the Iron King meta-andesite is apparently gradational. The Iron King meta-andesite consists of three meta-andesite tuff units, two meta-andesite flow units and one metarhyolite tuff and conglomerate unit. The assemblage chlorite-albite-epitode with or without quartz is dominant in the meta-andesites. Mafic intrusive rocks, which may be approximately contemporaneous with metamorphism, may explain the presence of actinolitic hornblende in the central part of the formation. Toward the west the Iron King meta-andesite appears to grade into the Spud Mountain metabreccia through a zone containing beds characteristic of either one formation or the other. The Spud Mountain metabreccia consists of interbedded metabreccia and metatuff beds. The metatuffs are largely andesitic in composition, but a few thin beds of metarhyolite tuff occur. The fragments in the metabreccia beds consist chiefly or porphyritic meta-andesites and the matrix is meta-andesite tuff. Pre-Cambrian faults now marked by dikes separate the Chaparral Gulch metavolcanics, which lie west of the Spud Mountain metabreccia, from underlying and overlying formations. The Chaparral Gulch metavolcanics contain metarhyolite tuff, metarhyolite flow, and meta-andesite tuff that locally was contaminated by rhyolitic detritus. The Indian Hills metavolcanics, which are northeast of the Chaparral Gulch metavolcanics, consist of two broad units, one composed of metarhyolites and the other of meta-andesites. Metamorphosed tuffs and flows are believed to be represented in both units and flow breccia in the meta-andesites. Granite and alaskite; granodiorite and quartz diorite; diorite, mafic quartz diorite, gabbro and diabase; metarhyolite (?); and quartz porphyry comprise the pre-Cambrian intrusive units mapped. They include both deep-seated and hypabyssal types. Dynamothermal metamorphism has foliated the smaller bodies and the margins of the larger masses and partly converted them into mineral assemblages stable under low-grade metamorphic conditions. Planar structures (chiefly foliation) are omnipresent and linear structures are common in the pre-Cambrian meta-volcanic rocks. North-trending planar structures dominate in the Indian Hills metavolcanics, and in the Spud Mountain metabreccia, whereas northeast-trending planar structures are dominant in the Texas Gulch formation, Iron King meta-andesite, and Chaparral Gulch metavolcanics. To a lesser extent northeast-trending st
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NASA Astrophysics Data System (ADS)
Mangano, J.; O'Connor, J. E.; Jones, K. L.; Wallick, R.
2011-12-01
Many topographic, hydrologic, and land use variables affect the supply and transport of bed-material in rivers, but the underlying geology is a key factor controlling both the volume of introduced material and the attrition of bed-material as it moves downstream. Recent and ongoing USGS river studies in Western Oregon document strong links between geologic province and bed-material transport. Rivers originating in the Mesozoic metamorphic and intrusive igneous rocks of the Klamath terranes of southwestern Oregon have the greatest gravel transport rates (and channel and valley-bottom morphologies reflecting high bed-material fluxes), whereas the generally lesser amounts of gravel in streams that drain Oregon's Coast Range and western Cascade Range owes in large part to Tertiary sedimentary and volcanic units underlying most of these basins. Aspects of these differences are controlled by supply as well as clast attrition. Here we aim to quantify bed-material attrition rates associated with the five main geologic provinces of Western Oregon: the Klamath terranes, Western Cascades, High Cascades, Coast Range sedimentary rocks, and Coast Range volcanic rocks. Bed-material samples were collected throughout the region from streams that drain a single geologic province and tumbled with a lapidary tumbler to determine relative attrition rates. Two kilograms of each sample were sorted into an initial distribution of clast sizes (from 16 to 64mm) and tumbled, with periodic breaks to reweigh and sieve the sample. Results show marked differences in attrition rates, with the sedimentary rocks of the Coast Range having weight loss coefficients between 1.206 and 0.211/km, orders of magnitude greater than all of the other sampled provinces. For comparison, bed material from the Klamath terranes have weight loss coefficients ranging from 0.013 to 0.005/km, and a control sample of quartzite clasts (from the Klamath terranes) has a weight loss coefficient of 0.001/km. These results confirm that bed-material attrition is an important process affecting bed-material supply and transport, and will allow for more complete development of regional bed-material sediment budgets in ongoing efforts to understand patterns of gravel abundance and channel morphology in rivers of Western Oregon.
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Warwick, Peter D.; Coleman, James; Hackley, Paul C.; Hayba, Daniel O.; Karlsen, Alexander W.; Rowan, Elisabeth L.; Swanson, Sharon M.; Kennan, Lorcan; Pindell, James; Rosen, Norman C.
2007-01-01
This report presents a review of the U.S. Geological Survey (USGS) 2007 assessment of the undiscovered oil and gas resources in Paleogene strata underlying the U.S. Gulf of Mexico Coastal Plain and state waters. Geochemical, geologic, geophysical, thermal maturation, burial history, and paleontologic studies have been combined with regional cross sections and data from previous USGS petroleum assessments have helped to define the major petroleum systems and assessment units. Accumulations of both conventional oil and gas and continuous coal-bed gas within these petroleum systems have been digitally mapped and evaluated, and undiscovered resources have been assessed following USGS methodology.The primary source intervals for oil and gas in Paleogene (and Cenozoic) reservoirs are coal and shale rich in organic matter within the Wilcox Group (Paleocene-Eocene) and Sparta Formation of the Claiborne Group (Eocene); in addition, Cretaceous and Jurassic source rocks probably have contributed substantial petroleum to Paleogene (and Cenozoic) reservoirs.For the purposes of the assessment, Paleogene strata have divided into the following four stratigraphic study intervals: (1) Wilcox Group (including the Midway Group and the basal Carrizo Sand of the Claiborne Group; Paleocene-Eocene); (2) Claiborne Group (Eocene); (3) Jackson and Vicksburg Groups (Eocene-Oligocene); and (4) the Frio-Anahuac Formations (Oligocene). Recent discoveries of coal-bed gas in Paleocene strata confirm a new petroleum system that was not recognized in previous USGS assessments. In total, 26 conventional Paleogene assessment units are defined. In addition, four Cretaceous-Paleogene continuous (coal-bed gas) assessment units are included in this report. Initial results of the assessment will be released as USGS Fact Sheets (not available at the time of this writing).Comprehensive reports for each assessment unit are planned to be released via the internet and distributed on CD-ROMs within the next year.
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Yang, Muer; Fry, Michael J; Raikhelkar, Jayashree; Chin, Cynthia; Anyanwu, Anelechi; Brand, Jordan; Scurlock, Corey
2013-02-01
To develop queuing and simulation-based models to understand the relationship between ICU bed availability and operating room schedule to maximize the use of critical care resources and minimize case cancellation while providing equity to patients and surgeons. Retrospective analysis of 6-month unit admission data from a cohort of cardiothoracic surgical patients, to create queuing and simulation-based models of ICU bed flow. Three different admission policies (current admission policy, shortest-processing-time policy, and a dynamic policy) were then analyzed using simulation models, representing 10 yr worth of potential admissions. Important output data consisted of the "average waiting time," a proxy for unit efficiency, and the "maximum waiting time," a surrogate for patient equity. A cardiothoracic surgical ICU in a tertiary center in New York, NY. Six hundred thirty consecutive cardiothoracic surgical patients admitted to the cardiothoracic surgical ICU. None. Although the shortest-processing-time admission policy performs best in terms of unit efficiency (0.4612 days), it did so at expense of patient equity prolonging surgical waiting time by as much as 21 days. The current policy gives the greatest equity but causes inefficiency in unit bed-flow (0.5033 days). The dynamic policy performs at a level (0.4997 days) 8.3% below that of the shortest-processing-time in average waiting time; however, it balances this with greater patient equity (maximum waiting time could be shortened by 4 days compared to the current policy). Queuing theory and computer simulation can be used to model case flow through a cardiothoracic operating room and ICU. A dynamic admission policy that looks at current waiting time and expected ICU length of stay allows for increased equity between patients with only minimum losses of efficiency. This dynamic admission policy would seem to be a superior in maximizing case-flow. These results may be generalized to other surgical ICUs.
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Geographical maldistribution of pediatric medical resources in Seattle-King County.
King, Mary A; Koelemay, Kathryn; Zimmerman, Jerry; Rubinson, Lewis
2010-01-01
Seattle-King County (SKC) Washington is at risk for regional disasters, especially earthquakes. Of 1.8 million residents, >400,000 (22%) are children, a proportion similar to that of the population of the State of Washington (24%) and of the United States (24%). The county's large area of 2,134 square miles (5,527 km2) is connected through major transportation routes that cross numerous waterways; sub-county zones may become isolated in the wake of a major earthquake. Therefore, each of SKC's three subcounty emergency response zones must have ample pediatric medical response capabilities. To date, total quantities and distribution of crucial hospital resources (available in SKC) to manage pediatric victims of a medical disaster are unknown. This study assessed whether geographical distribution of hospital pediatric resources corresponds to the pediatric population distribution in SKC. Surveys were delivered electronically to all eight acute care hospitals in SKC that admit pediatric patients. Quantities and categories of pediatric resources, including inpatient treatment space, staff, and equipment, were queried and verified via site visits. Within the seven responding hospitals of eight queried, the following were identified: 477 formal pediatric bed spaces (pediatric intensive care unit, neo-natal intensive care unit, general wards, and emergency department), 43 informal pediatric bed spaces (operating room and post-anesthesia care unit), 1,217 pediatric nurses, 554 pediatric physicians, and 252 infant/pediatric-adaptable ventilators. The City of Seattle emergency response zone contains 82.1% of bed spaces, 83.5% of nurses, and 95.8% of physicians, yet only 22.8% of all SKC children live in that zone. The majority of hospital pediatric resources are located in the SKC sub-region with the fewest children. These resources are potentially inaccessible and unable to be redistributed by ground transportation in the event of a significant regional disaster. Future planning for pediatric care in the event of a medical disaster in SKC must address this vulnerability.
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Shinmoto Torres, Roberto L; Visvanathan, Renuka; Abbott, Derek; Hill, Keith D; Ranasinghe, Damith C
2017-01-01
Falls in hospitals are common, therefore strategies to minimize the impact of these events in older patients and needs to be examined. In this pilot study, we investigate a movement monitoring sensor system for identifying bed and chair exits using a wireless wearable sensor worn by hospitalized older patients. We developed a movement monitoring sensor system that recognizes bed and chair exits. The system consists of a machine learning based activity classifier and a bed and chair exit recognition process based on an activity score function. Twenty-six patients, aged 71 to 93 years old, hospitalized in the Geriatric Evaluation and Management Unit participated in the supervised trials. They wore over their attire a battery-less, lightweight and wireless sensor and performed scripted activities such as getting off the bed and chair. We investigated the system performance in recognizing bed and chair exits in hospital rooms where RFID antennas and readers were in place. The system's acceptability was measured using two surveys with 0-10 likert scales. The first survey measured the change in user perception of the system before and after a trial; the second survey, conducted only at the end of each trial, measured user acceptance of the system based on a multifactor sensor acceptance model. The performance of the system indicated an overall recall of 81.4%, precision of 66.8% and F-score of 72.4% for joint bed and chair exit recognition. Patients demonstrated improved perception of the system after use with overall score change from 7.8 to 9.0 and high acceptance of the system with score ≥ 6.7 for all acceptance factors. The present pilot study suggests the use of wireless wearable sensors is feasible for detecting bed and chair exits in a hospital environment.
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Lasky, Robert E; Williams, Amber L
2009-02-01
The objectives of this study were to characterize noise and light levels for extremely low birth weight newborns throughout their stay in the NICU, evaluate factors influencing noise and light levels, and determine whether exposures meet recommendations from the American Academy of Pediatrics. Sound and light were measured inside the beds of extremely low birth weight newborns (n = 22) from birth to discharge. Measurements were recorded for 20 consecutive hours weekly from birth until 36 weeks' postmenstrual age, biweekly until 40 weeks, and every 4 weeks thereafter. Clinical variables including bed type and method of respiratory support were recorded at each session. Age-related changes in respiratory support and bed type explained the weekly increase of 0.22 dB in sound level and 3.67 lux in light level. Old incubators were the noisiest bed types, and new incubators were the quietest. Light levels were significantly higher in open beds than in incubators. The variations in noise and light levels over time were greatest for open beds. Noise and light levels were much less affected by respiratory support in incubators compared with open beds. A typical extremely low birth weight neonate was exposed to noise levels averaging 56.44 dB(A) and light levels averaging 70.56 lux during their stay from 26 to 42 weeks' postmenstrual age in the NICU. Noise levels were rarely within American Academy of Pediatrics recommendations (5.51% of the time), whereas light levels almost always met recommendations (99.37% of the time). Bed type and respiratory support explained differences in noise and light levels that extremely low birth weight newborns experience during their hospital stay. Noise levels exceeded recommendations, although evidence supporting those recommendations is lacking. Well-designed intervention studies are needed to determine the effects of noise reduction on the development of extremely low birth weight newborns.
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Visvanathan, Renuka; Abbott, Derek; Hill, Keith D.; Ranasinghe, Damith C.
2017-01-01
Falls in hospitals are common, therefore strategies to minimize the impact of these events in older patients and needs to be examined. In this pilot study, we investigate a movement monitoring sensor system for identifying bed and chair exits using a wireless wearable sensor worn by hospitalized older patients. We developed a movement monitoring sensor system that recognizes bed and chair exits. The system consists of a machine learning based activity classifier and a bed and chair exit recognition process based on an activity score function. Twenty-six patients, aged 71 to 93 years old, hospitalized in the Geriatric Evaluation and Management Unit participated in the supervised trials. They wore over their attire a battery-less, lightweight and wireless sensor and performed scripted activities such as getting off the bed and chair. We investigated the system performance in recognizing bed and chair exits in hospital rooms where RFID antennas and readers were in place. The system’s acceptability was measured using two surveys with 0–10 likert scales. The first survey measured the change in user perception of the system before and after a trial; the second survey, conducted only at the end of each trial, measured user acceptance of the system based on a multifactor sensor acceptance model. The performance of the system indicated an overall recall of 81.4%, precision of 66.8% and F-score of 72.4% for joint bed and chair exit recognition. Patients demonstrated improved perception of the system after use with overall score change from 7.8 to 9.0 and high acceptance of the system with score ≥ 6.7 for all acceptance factors. The present pilot study suggests the use of wireless wearable sensors is feasible for detecting bed and chair exits in a hospital environment. PMID:29016696
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Design of a laboratory scale fluidized bed reactor
NASA Astrophysics Data System (ADS)
Wikström, E.; Andersson, P.; Marklund, S.
1998-04-01
The aim of this project was to construct a laboratory scale fluidized bed reactor that simulates the behavior of full scale municipal solid waste combustors. The design of this reactor is thoroughly described. The size of the laboratory scale fluidized bed reactor is 5 kW, which corresponds to a fuel-feeding rate of approximately 1 kg/h. The reactor system consists of four parts: a bed section, a freeboard section, a convector (postcombustion zone), and an air pollution control (APC) device system. The inside diameter of the reactor is 100 mm at the bed section and it widens to 200 mm in diameter in the freeboard section; the total height of the reactor is 1760 mm. The convector part consists of five identical sections; each section is 2700 mm long and has an inside diameter of 44.3 mm. The reactor is flexible regarding the placement and number of sampling ports. At the beginning of the first convector unit and at the end of each unit there are sampling ports for organic micropollutants (OMP). This makes it possible to study the composition of the flue gases at various residence times. Sampling ports for inorganic compounds and particulate matter are also placed in the convector section. All operating parameters, reactor temperatures, concentrations of CO, CO2, O2, SO2, NO, and NO2 are continuously measured and stored at selected intervals for further evaluation. These unique features enable full control over the fuel feed, air flows, and air distribution as well as over the temperature profile. Elaborate details are provided regarding the configuration of the fuel-feeding systems, the fluidized bed, the convector section, and the APC device. This laboratory reactor enables detailed studies of the formation mechanisms of OMP, such as polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), poly-chlorinated biphenyls (PCBs), and polychlorinated benzenes (PCBzs). With this system formation mechanisms of OMP occurring in both the combustion and postcombustion zones can be studied. Other advantages are memory effect minimization and the reduction of experimental costs compared to full scale combustors. Comparison of the combustion parameters and emission data from this 5 kW laboratory scale reactor with full scale combustors shows good agreement regarding emission levels and PCDD/PCDF congener patterns. This indicates that the important formation and degradation reactions of OMP in the reactor are the same formation mechanisms as in full scale combustors.
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NASA Astrophysics Data System (ADS)
Mallinson, D. J.; Riggs, S. R.; Thieler, R.; Culver, S. J.; Corbett, D. R.; Hoffman, C. W.; Wehmiller, J.; Foster, D. S.
2002-12-01
Seismic and chirp sonar surveys were conducted in the eastern Albemarle Sound and adjacent tributaries and the inner continental shelf to define the geologic framework and evolution of the North Carolina coastal system. Surveys were utilized to target paleofluvial channels for drilling and core recovery for the assessment of sea level and climate change during the Quaternary. Lithostratigraphic and chronostratigraphic data are derived from eight drill sites on the Outer Banks, and the Mobil #1 well in the eastern Albemarle Sound. Within the study area, parallel-bedded, gently dipping Miocene beds occur at 100 to >180 mbsl, and are overlain by a southward-thickening Pliocene unit characterized by steeply inclined southward-prograding beds. The Quaternary section unconformably overlies the Pliocene unit, and consists of at least five depositional sequences exhibiting numerous incised channel-fill facies. The Quaternary section is 55 to 60 meters thick. Shallow stratigraphy (0-50 mbsl) is dominated by complex fill-stratigraphy within the incised paleo-Roanoke River valley. Radiocarbon and amino acid racemization (AAR) dates indicate that the valley-fill is late Pleistocene to Holocene in age. At least 6 distinct valley-fill units are identified in the seismic data based upon reflection geometry. Cores reveal a 3 to 6 meter thick basal fluvial channel lag that is overlain by a 15-meter thick unit of interbedded freshwater muds and sands. Organic materials within the freshwater deposits have ages of 13-11 cal. ka, and are overlain by several units comprised of shallow marine sediments. Shallow marine sediments within the valley are silty, fine- to medium-grained sands containing abundant neritic forams, suggesting that this area was an open embayment during much of the Holocene. Seismic data reveal that initial infilling occurred from the north and west during the late Pleistocene and early Holocene. Later infilling occurred from the east and is characterized by a large shoal body (Colington Island and Shoals; radiocarbon dated to 8.6 cal. ka) and adjacent inlet fill. Establishment of a continuous barrier island system resulted in the deposition of a final phase of fill characterized by estuarine organic-rich muds.
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Private patients in NHS hospitals: comparison of two sources of information.
Williams, B T; Pearson, J
1999-03-01
The use of National Health Service (NHS) hospitals to treat private patients is debatable on the grounds of equity of access. Hospital Episodes Statistics (HES) annual reports are the only routine source of information on the scale of this activity. The accuracy of the information is doubted. This enquiry tested the completeness of HES data against information obtained directly from private patient unit managers. Managers of the 71 pay bed units in NHS hospitals in England were asked to supply from local registers and accounts the numbers of in-patients and day cases admitted in 1995-1996. Their reports were matched with the numbers of first consultant episodes for private in-patients and day cases shown for those hospitals in the HES data file for that year. Of the 71 units 62 responded; 53 of these gave usable data. The 53 included, and 18 excluded from the comparison, matched on median and range of bed numbers. Managers identified 16 per cent more total admissions than did HES, 62,572 against 54,131; 13 per cent more in-patient admissions, 39,776 against 35,319; and 21 per cent more day cases, 22,796 against 18,812. More total admissions were reported by managers of 38 pay bed units than were recorded in HES, fewer by 12, and equal numbers by three. Similar sized discrepancies were noted for in-patient admissions and day cases. Reasons for the under-reporting of private patients in HES included the use of separate patient administration systems for private patients with a failure to feed data to HES, and the omission of some provider units altogether by a minority of trusts from the returns made to the Department of Health. Overall, HES underestimates the amount of private patient activity reported directly by NHS hospitals. No method of validating private patient data is currently available. An amendment to an existing statistical return would provide a check on numbers. Central guidance on the inclusion of private patient activity in data transmitted by providers to the HES processing agency should be reinforced.
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Impact of pandemic (H1N1) 2009 on Australasian critical care units.
Drennan, Kelly; Hicks, Peter; Hart, Graeme
2010-12-01
To identify the resource usage by patients with influenza A H1N1 admitted to Australian and New Zealand intensive care units during the first wave of the pandemic in June, July and August 2009. Data were collected in two separate surveys: the 2007-08 resource and activity survey and the 2009 influenza pandemic survey. Participants comprised 143 of the 189 Australian and New Zealand critical care units identified by the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation (ANZICS CORE). Mean length of stay (LOS) and ventilation data for H1N1 patients were reported by the ANZIC Influenza Investigators study from the same units over the same time period. Mean LOS for all ICU admissions was obtained from the ANZICS CORE adult patient database 10-year study. H1N1 patient admissions as a proportion of all ICU admissions; H1N1 patient bed-days as a proportion of total bed-days; ventilation resource usage by H1N1 patients; changes in ICU admissions for elective surgery during the H1N1 pandemic. Over the period June-August 2009, among 30 222 ICU admissions to 133 ICUs contributing data, 704 patients (2.3%) had H1N1 influenza A. Twenty-eight units had no H1N1 patient admissions. The peak of the pandemic in Australia and New Zealand occurred in July 2009, when H1N1 patients represented 3.7% of all ICU admissions for July and 53.5% of all H1N1 patient admissions in the period June-August 2009. We estimate that H1N1 cases required approximately 12.4% of the ventilator resources and used 8.1% of total patient bed-days. During the pandemic, there was a 3.2 percentage-point reduction in elective admissions to public hospitals (from 32.5% to 29.3%). Low rates of admission of H1N1 patients to ICUs during the 2009 pandemic enabled the intensive care system to cope with the large demand when analysed at a jurisdictional level.
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Than, Thet Mon; Saw, Yu Mon; Khaing, Moe; Win, Ei Mon; Cho, Su Myat; Kariya, Tetsuyoshi; Yamamoto, Eiko; Hamajima, Nobuyuki
2017-09-19
Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective. The study also analyzed the cost structure of the hospitals to allocate and manage the budgets appropriately. A hospital-based cross-sectional study was conducted at 200-bed Magway Teaching Hospital (MTH) and Pyinmanar General Hospital (PMN GH), in Myanmar, for the financial year 2015-2016. The step-down costing method was applied to calculate unit cost per inpatient day and per outpatient visit. The costs were calculated by using Microsoft Excel 2010. The unit costs per inpatient day varied largely from unit to unit in both hospitals. At PMN GH, unit cost per inpatient day was 28,374 Kyats (27.60 USD) for pediatric unit and 1,961,806 Kyats (1908.37 USD) for ear, nose, and throat unit. At MTH, the unit costs per inpatient day were 19,704 Kyats (19.17 USD) for medicine unit and 168,835 Kyats (164.24 USD) for eye unit. The unit cost of outpatient visit was 14,882 Kyats (14.48 USD) at PMN GH, while 23,059 Kyats (22.43 USD) at MTH. Regarding cost structure, medicines and medical supplies was the largest component at MTH, and the equipment was the largest component at PMN GH. The surgery unit of MTH and the eye unit of PMN GH consumed most of the total cost of the hospitals. The unit costs were influenced by the utilization of hospital services by the patients, the efficiency of available resources, type of medical services provided, and medical practice of the physicians. The cost structures variation was also found between MTH and PMN GH. The findings provided the basic information regarding the healthcare cost of public hospitals which can apply the efficient utilization of the available resources.
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Silva, A F; Sarraguça, M C; Fonteyne, M; Vercruysse, J; De Leersnyder, F; Vanhoorne, V; Bostijn, N; Verstraeten, M; Vervaet, C; Remon, J P; De Beer, T; Lopes, J A
2017-08-07
A multivariate statistical process control (MSPC) strategy was developed for the monitoring of the ConsiGma™-25 continuous tablet manufacturing line. Thirty-five logged variables encompassing three major units, being a twin screw high shear granulator, a fluid bed dryer and a product control unit, were used to monitor the process. The MSPC strategy was based on principal component analysis of data acquired under normal operating conditions using a series of four process runs. Runs with imposed disturbances in the dryer air flow and temperature, in the granulator barrel temperature, speed and liquid mass flow and in the powder dosing unit mass flow were utilized to evaluate the model's monitoring performance. The impact of the imposed deviations to the process continuity was also evaluated using Hotelling's T 2 and Q residuals statistics control charts. The influence of the individual process variables was assessed by analyzing contribution plots at specific time points. Results show that the imposed disturbances were all detected in both control charts. Overall, the MSPC strategy was successfully developed and applied. Additionally, deviations not associated with the imposed changes were detected, mainly in the granulator barrel temperature control. Copyright © 2017 Elsevier B.V. All rights reserved.
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Transgressive reef sequences of the Devonian Devils Gate Limestone, Red Hill, Nevada
DOE Office of Scientific and Technical Information (OSTI.GOV)
Shapiro, R.; Dehler, C.; Flynn, J.
The Devils Gate Limestone at Red Hill, Simpson Park Range, Eureka Co., Nevada is composed of several conformable transgressive sequences cropping out in a series of step-like cliffs 1--5 m high. The general sequence is as follows: (1) a 1--4 m thick in situ boundstone dominated by large, period rugosans, domical and stratiform stromatoporids and rare, 1--3 cm diameter oncolites. Most of the boundstone is composed of small, cylindrical fossils. Petrographic observation revealed them to be mostly Amphipora and Cladopora. The upper portions of these units are packstones composed of Amphipora/Cladopora and, to a lesser degree, small favositids, round stromatoporoidsmore » (3--4 cm diameter), and rip-up clasts. (2) These beds grade upward into a thinly laminated and/or cross-bedded unfossiliferous mudstone. (3) Stratigraphically above the mudstone or in contact with the packstone, is a cross-bedded and/or bioturbated wackestone containing fossils no greater than 2 mm. In thin section, the mottled reddish-grey wackestone is pelletal, with rare lenses of small crinoid columnals. Disarticulated brachiopod shells of low diversity are found near the tops of some of these layers. Community dominance in the reefal units alternates between Amphipora/Cladopora, colonial rugose, and stromatoporoids. Oncolite mounds are common in the uppermost unit. The typical reef succession consists of domical and digitate stromatoporoids growing on the upper surfaces of in place or disturbed, large rugosans, though the reverse has been noted. Tabulate corals encrusted by stromatoporoids are often found in the packstone. It is important to note that often these successions' can be attributed to juxtaposition along styolites.« less
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Clinical outcomes of patient mobility in a neuroscience intensive care unit.
Mulkey, Malissa; Bena, James F; Albert, Nancy M
2014-06-01
Patients treated in a neuroscience intensive care unit (NICU) are often viewed as too sick to tolerate physical activity. In this study, mobility status in NICU was assessed, and factors and outcomes associated with mobility were examined. Using a prospective design, daily mobility status, medical history, demographics, Acute Physiology and Chronic Health Evaluation (APACHE) III score, and clinical outcomes were collected by medical records and database review. Depression, anxiety, and hostility were assessed before NICU discharge. Analyses included comparative statistics and multivariable modeling. In 228 unique patients, median (minimum, maximum) age was 64.0 (20, 95) years, 66.4% were Caucasian, and 53.6% were men. Of 246 admissions, median NICU stay was 4 (1, 61) days; APACHE III score was 56 (16, 145). Turning, range of motion, and head of bed of >30° were uniformly applied (n = 241), but 94 patients (39%) never progressed; 94 (39%) progressed to head of bed of >45° or dangling legs, 29 (12%) progressed to standing or pivoting to chair, and 24 (10%) progressed to walking. Female gender (p = .019), mechanical ventilation (p < .001), higher APACHE score (p = .004), and 30-day mortality (p = .001) were associated with less mobility. In multivariable modeling, greater mobility was associated with longer unit stay (p < .001) and discharge to home (p < .001). Psychological profile characteristics were not associated with mobility level. Nearly 40% of patients never progressed beyond bed movement, and only 10% walked. Although limited mobility progression was not associated with many patient factors, it was associated with poorer clinical outcomes. Implementation and evaluation of a progressive mobility protocol are needed in NICU patients. For more insights from the authors, see Supplemental Digital Content 1, at http://link.lww.com/JNN/A10.
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Hsueh, P-R; Huang, H-C; Young, T-G; Su, C-Y; Liu, C-S; Yen, M-Y
2014-04-01
A contaminated hospital environment has been identified as an important reservoir of pathogens causing healthcare-associated infections. This study is to evaluate the efficacy of bacteria killing nanotechnology Bio-Kil on reducing bacterial counts in an intensive care unit (ICU). Two single-bed rooms (S-19 and S-20) in the ICU were selected from 7 April to 27 May 2011. Ten sets of new textiles (pillow cases, bed sheets, duvet cover, and patient clothing) used by patients in the two single-bed rooms were provided by the sponsors. In the room S-20, the 10 sets of new textiles were washed with Bio-Kil; the room walls, ceiling, and air-conditioning filters were treated with Bio-Kil; and the surfaces of instruments (respirator, telephone, and computer) were covered with Bio-Kil-embedded silicon pads. Room S-19 served as the control. We compared the bacterial count on textiles and environment surfaces as well as air samples between the two rooms. A total of 1,364 samples from 22 different sites in each room were collected. The mean bacterial count on textiles and environmental surfaces in room S-20 was significantly lower than that in room S-19 (10.4 vs 49.6 colony-forming units [CFU]/100 cm(2); P < 0.001). Room S-20 had lower bacterial counts in air samples than room S-19 (33.4-37.6 vs 21.6-25.7 CFU/hour/plate; P < 0.001). The density of microbial isolations was significantly greater among patients admitted to room S-19 than those to room S-20 (9.15 vs 5.88 isolates per 100 patient-days, P < 0.05). Bio-Kil can significantly reduce bacterial burden in the environment of the ICU.
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Cost and performance of coal-based energy in Brazil
DOE Office of Scientific and Technical Information (OSTI.GOV)
Temchin, J.; DeLallo, M.R.
1998-07-01
As part of the US Department of Energy's (DOE) efforts to establish the strategic benefits of Clean Coal Technologies (CCT), there is a need to evaluate the specific market potential where coal is a viable option. One such market is Brazil, where significant growth in economic development requires innovative and reliable technologies to support the use of domestic coal. While coal is Brazil's most abundant and economic fossil energy resource, it is presently under utilized in the production of electrical power. This report presents conceptual design for pulverized coal (PC) and circulating fluidized-bed combustion (CFBC) options with resulting capital, operatingmore » and financial parameters based on Brazil application conditions. Recent PC and CFBC plant capital costs have dropped with competition in the generation market and have established a competitive position in power generation. Key issues addressed in this study include: Application of market based design approach for FBC and PC, which is competitive within the current domestic, and international power generation markets. Design, fabrication, purchase, and construction methods which reduce capital investment while maintaining equipment quality and plant availability. Impact on coast and performance from application of Brazilian coals, foreign trade and tax policies, construction logistics, and labor requirements. Nominal production values of 200 MWe and 400 MWe were selected for the CFBC power plant and 400 MWe for the PC. The 400 MWe size was chosen to be consistent with the two largest Brazilian PC units. Fluidized bed technology, with limited experience in single units over 200 MW, would consist of two 200 MWe circulating fluidized bed boilers supplying steam to one steam turbine for the 400 MWe capacity. A 200 MWe capacity unit was also developed for CFBC option to support opportunities in re-powering and where specific site or other infrastructure constraints limit production.« less
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Kumar, Parmeshwar; Jithesh, Vishwanathan; Gupta, Shakti Kumar
2015-01-01
Context: Though intensive care units (ICUs) only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. Aim: To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. Materials and Methods: The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical Analysis: Fisher's two-tailed t-test. Results: Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Conclusions: Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed. PMID:25829909
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Johnson, Craig A.; Piatak, Nadine M.; Miller, M. Michael; Schulz, Klaus J.; DeYoung,, John H.; Seal, Robert R.; Bradley, Dwight C.
2017-12-19
Barite (barium sulfate, BaSO4) is vital to the oil and gas industry because it is a key constituent of the mud used to drill oil and gas wells. Elemental barium is an additive in optical glass, ceramic glazes, and other products. Within the United States, barite is produced mainly from mines in Nevada. Imports in 2011 (the latest year for which complete data were available) accounted for 78 percent of domestic consumption and came mostly from China.Barite deposits can be divided into the following four main types: bedded-sedimentary; bedded-volcanic; vein, cavity-fill, and metasomatic; and residual. Bedded-sedimentary deposits, which are found in sedimentary rocks with characteristics of high biological productivity during sediment accumulation, are the major sources of barite production and account for the majority of reserves, both in the United States and worldwide. In 2013, China and India were the leading producers of barite, and they have large identified resources that position them to be significant producers for the foreseeable future. The potential for undiscovered barite resources in the United States and in many other countries is considerable, however. The expected tight supply and rising costs in the coming years will likely be met by increased production from such countries as Kazakhstan, Mexico, Morocco, and Vietnam.Barium has limited mobility in the environment and exposed barium in the vicinity of barite mines poses minimal risk to human or ecosystem health. Of greater concern is the potential for acidic metal-bearing drainage at sites where the barite ores or waste rocks contain abundant sulfide minerals. This risk is lessened naturally if the host rocks at the site are acid-neutralizing, and the risk can also be lessened by engineering measures.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Conkin, J.E.; Conkin, B.M.
1994-04-01
Internal units within the Columbus Limestone (Early Devonian Emsian [Schoharie] to Middle Devonian Eifelian [late Onesquethawan]) and the Delaware Formation (Middle Devonian early Givetian [Cazenovian]) of central Ohio are separated by disconformities of the magnitude of paracontinuities. Stauffer (1909) divided the Columbus Limestone into zones A--H and the Delaware Formation into zones I--M. Within the Columbus, the A Zone (conglomerate at the base of Bellepoint Member) disconformably overlies Late Silurian beds. The D zone at top of the Bellepoint Member (bearing the Kawkawlin Metabentonite horizon) is overlain paracontinuously by the Marblehead Member (Lower Paraspirifer acuminatus-Spirifer macrothyris to Brevispirifer gregarius-Moellerina greeneimore » zones [= E--G zones]), with the Onondagan Indian Nation Metabentonite in the top of the G Zone. The Marblehead Member is overlain paracontinuously by a bone bed at base of the Venice Member (H zone = Upper Paraspirifer acuminatus- Spirifer duodenarius'' Zone). I Zone (Dublin Shale=Marcellus) of the Delaware Formation overlies the Columbus and has two bone beds at its base; Tioga Metabentonite (restricted) overlies the I Zone bone beds and is a few tenths to 1.85 feet above the base of the I Zone. Paracontinuities and bone beds occur at the bases of J, K, and L zones. Conkin and Conkin (1975) have shown Stauffer's (1909) M Zone is an extension of his L Zone. The Olentangy paracontinuously overlies the L Zone.« less
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Prophylactic Sacral Dressing for Pressure Ulcer Prevention in High-Risk Patients.
Byrne, Jaime; Nichols, Patricia; Sroczynski, Marzena; Stelmaski, Laurie; Stetzer, Molly; Line, Cynthia; Carlin, Kristen
2016-05-01
Patients in intensive care units are likely to have limited mobility owing to hemodynamic instability and activity orders for bed rest. Bed rest is indicated because of the severity of the disease process, which often involves intubation, sedation, paralysis, surgical procedures, poor nutrition, low flow states, and poor circulation. These patients are predisposed to the development and/or the progression of pressure ulcers not only because of their underlying diseases, but also because of limited mobility and deconditioned states of health. To assess whether treating high-risk patients with a prophylactic sacral dressing decreases the incidence of unit-acquired sacral pressure ulcers. An evidence-based tool for identifying patients at high risk for pressure ulcers was used in 3 intensive care units at an urban tertiary care hospital and academic medical center. Those patients deemed at high risk had a prophylactic sacral dressing applied. Incidence rates were collected and compared for the 7 months preceding use of the dressings and for 7 months during the trial period when the dressing was used. After the sacral dressing began being used, the number of unit-acquired sacral pressure ulcers decreased by 3.4 to 7.6 per 1000 patient days depending on the unit. A prophylactic sacral dressing may help prevent unit-acquired sacral pressure ulcers. Implementation of an involved care team with heightened awareness and increased education along with a prophylactic sacral dressing in patients deemed high risk for skin breakdown are all essential for success. ©2016 American Association of Critical-Care Nurses.
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A short-stay unit for thyroidectomy patients increases discharge efficiency.
Vrabec, Sara; Oltmann, Sarah C; Clark, Nicholas; Chen, Herbert; Sippel, Rebecca S
2013-09-01
Patients traditionally recover overnight on a general surgery ward after a thyroidectomy; however, these units often lack the efficiency and focus for rapid discharge, which is the goal of a short-stay (SS) unit. Using an SS unit for thyroidectomy patients, who are often discharged in <24 h, may reduce the duration of hospital stay and subsequently decrease associated costs and increase hospital bed and resource availability. A retrospective review of 400 patients undergoing thyroidectomy at a single academic hospital. We analyzed postoperative discharge information and hospital cost data. Adult patients who stayed a single night in the hospital were included. We compared patients staying on a designated SS unit versus a general surgery (GS) ward. A total of 223 patients were admitted to SS, and 177 to GS. Trends of admission location were blocked based on time period, with most patients per time period going to the same location. Discharge times were significantly quicker for patients admitted to SS (P < 0.001). A total of 70% of SS patients were discharged before noon, versus 40% of GS patients (P < 0.001). Many variances were identified to account for these differences. Direct costs were significantly lower with SS, owing to savings in pharmacy, recovery room, and nursing expenses (all P < 0.01). A designated short-stay hospital unit is an effective model for increasing the efficiency of discharge for thyroidectomy patients compared with those admitted to a general surgery ward. It also serves to increase bed availability, which decreases hospital cost and may improve patient flow. Copyright © 2013 Elsevier Inc. All rights reserved.
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Automated detection of physiologic deterioration in hospitalized patients
Evans, R Scott; Kuttler, Kathryn G; Simpson, Kathy J; Howe, Stephen; Crossno, Peter F; Johnson, Kyle V; Schreiner, Misty N; Lloyd, James F; Tettelbach, William H; Keddington, Roger K; Tanner, Alden; Wilde, Chelbi; Clemmer, Terry P
2015-01-01
Objective Develop and evaluate an automated case detection and response triggering system to monitor patients every 5 min and identify early signs of physiologic deterioration. Materials and methods A 2-year prospective, observational study at a large level 1 trauma center. All patients admitted to a 33-bed medical and oncology floor (A) and a 33-bed non-intensive care unit (ICU) surgical trauma floor (B) were monitored. During the intervention year, pager alerts of early physiologic deterioration were automatically sent to charge nurses along with access to a graphical point-of-care web page to facilitate patient evaluation. Results Nurses reported the positive predictive value of alerts was 91–100% depending on erroneous data presence. Unit A patients were significantly older and had significantly more comorbidities than unit B patients. During the intervention year, unit A patients had a significant increase in length of stay, more transfers to ICU (p = 0.23), and significantly more medical emergency team (MET) calls (p = 0.0008), and significantly fewer died (p = 0.044) compared to the pre-intervention year. No significant differences were found on unit B. Conclusions We monitored patients every 5 min and provided automated pages of early physiologic deterioration. This before–after study found a significant increase in MET calls and a significant decrease in mortality only in the unit with older patients with multiple comorbidities, and thus further study is warranted to detect potential confounding. Moreover, nurses reported the graphical alerts provided information needed to quickly evaluate patients, and they felt more confident about their assessment and more comfortable requesting help. PMID:25164256
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Perinatal mental health service provision in Switzerland and in the UK.
Amiel Castro, Rita T; Schroeder, Katrin; Pinard, Claudia; Blöchlinger, Patricia; Künzli, Hansjörg; Riecher-Rössler, Anita; Kammerer, Martin
2015-01-01
The epidemiology of maternal perinatal-psychiatric disorders as well as their effect on the baby is well recognised. Increasingly well researched specialised treatment methods can reduce maternal morbidity, positively affect mother-baby bonding and empower women's confidence as a mother. Here, we aimed to compare guidelines and the structure of perinatal-psychiatric service delivery in the United Kingdom and in Switzerland from the government's perspective. Swiss cantons provided information regarding guidelines and structure of service delivery in 2000. A subsequent survey using the same questionnaire was carried out in 2007. In the UK, similar information was accessed through published reports from 2000-2012. Guidelines for perinatal psychiatry exist in the UK, whereas in Switzerland in 2000 none of the 26 cantons had guidelines, and in 2007 only one canton did. Joint mother-baby admissions on general psychiatric wards were offered by 92% of the Swiss cantons. In the UK, pregnant women and joint mother-baby admissions are only advised onto specialised perinatal-psychiatric units. In Switzerland, in 2007, three specialised units (max. 24 beds) were in place corresponding to 1 unit per 2.5 million people, while in the UK there were 22 mother-baby units (168 beds) in 2012 (1 unit per 2.8 million). In the UK, less than 50% of trusts provided specialised perinatal-psychiatric health care. The main difference between the UK and Switzerland was the absence of guidelines, regular assessment and plans for future development of perinatal psychiatry in Switzerland. There are still geographical differences in the provision of perinatal-psychiatric services in the UK.
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As CMS makes another policy change, policy makers distinguish between different forms of care.
2013-10-01
As observation care continues to draw fire from critics who charge that the designation ends up costing hospitals money while also sticking patients with exorbitant fees, the medical directors of dedicated observation units counter that the kind of care delivered by their specialized units actually saves money and gets patients out of the hospital sooner. They note that the problem is that only about one-third of hospitals actually have dedicated observation units, so patients placed on observation typically wind up in inpatient beds, where they may only be evaluated once a day. CMS has just released a new policy rule on observation that should help patients avoid excessive charges, but many experts would like to see the agency take steps to incentivize the kind of quality care that is delivered in dedicated units. The new CMS rule for 2014 caps observation stays at 48 hours. Patients who remain in the hospital beyond this point become inpatients, as long as they meet inpatient criteria. Proponents of observation care contend that the average length-of-stay in a dedicated observation unit is just 15 hours--typically much shorter than the LOS of patients who are placed on observation in inpatient beds. Care in a dedicated observation unit is generally driven by protocol in an emergency medicine environment where there is continuous rounding. Discharges can occur at any time of the day or night. Experts note that observation patients account for the largest portion of both misdiagnoses and malpractice lawsuits stemming from emergency settings.
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Preliminary report on geology along Atlantic Continental Margin of northeastern United States
Minard, J.P.; Perry, W.J.; Weed, E.G.A.; Rhodehamel, E.C.; Robbins, E.I.; Mixon, R.B.
1974-01-01
The U.S. Geological Survey is conducting a geologic and geophysical study of the northeastern United States outer continental shelf and the adjacent slope from Georges Bank to Cape Hatteras. The study also includes the adjacent coastal plain because it is a more accessible extension of the shelf. The total study area is about 324,000 sq km, of which the shelf and slope constitute about 181,000 sq km and the coastal plain constitutes 143,000 sq km. The shelf width ranges from about 30 km at Cape Hatteras to about 195 km off Raritan Bay and on Georges Bank. Analyses of bottom samples make it possible to construct a preliminary geologic map of the shelf and slope to a water depth of 2,000 m. The oldest beds cropping out in the submarine canyons and on the slope are of early ate Cretaceous age. Beds of Early Cretaceous and Jurassic age are present in deep wells onshore and probably are present beneath the shelf in the area of this study. Such beds are reported beneath the Scotian shelf on the northeast where they include limestone, salt, and anhydrite. Preliminary conclusions suggest a considerably thicker Mesozoic sedimentary sequence than has been described previously. The region is large; the sedimentary wedge is thick; structures seem favorable; and the hydrocarbon potential may be considerable.
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NASA Astrophysics Data System (ADS)
Du, W. P.; Li, M.; Wang, Y. F.; He, J. H.; He, J. X.
2017-11-01
To overcome the problem that the heat source temperature is limited and the lower part of the adsorption tube cannot effectively absorb the solar radiation when solar radiation as the heat source of the adsorption refrigeration system. From the perspective of enhancing the adsorption refrigeration unit tube to absorb solar radiation, thereby strengthening the heat transfer characteristic of adsorption bed, which can improve the efficiency of the refrigeration unit refrigerating capacity and system refrigeration efficiency. Solar adsorption refrigeration system based on CPC was designed and constructed in this paper. The heat and mass transfer performance of the adsorption refrigeration system were studied. The experimental results show that the temperature of the adsorption bed with parabolic concentrating structure can rise to 100°C under low irradiation condition. When the irradiation intensity is 600 w/m2 and 400 w/m2, the average temperature rising to desorption temperature reaches 0.67°C and 0.50°C, respectively. It can effectively solve the problem that the conventional adsorption bed is difficult to reach the required desorption temperature due to the low power density of the sunlight. In the experiment, the system COP were 0.166 and 0.143 when the system in the irradiance of 600 w/m2 and 400 w/m2.
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Freedman, Seth
2016-01-01
Because geographic variation in medical care utilization is jointly determined by both supply and demand, it is difficult to empirically estimate whether capacity itself has a causal impact on utilization in health care. In this paper, I exploit short-term variation in Neonatal Intensive Care Unit (NICU) capacity that is unlikely to be correlated with unobserved demand determinants. I find that available NICU beds have little to no effect on NICU utilization for the sickest infants, but do increase utilization for those in the range of birth weights where admission decisions are likely to be more discretionary. PMID:27942353
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The effects of moisture on molecular sieve oxygen concentrators.
Ikels, K G; Theis, C F
1985-01-01
Molecular sieve oxygen generating systems are receiving extensive laboratory and flight evaluation. Assessment of the molecular system has generally been conducted in the laboratory using clean dry air. In aircraft, however, the molecular sieve generator is supplied with engine bleed air which may not always be totally free of contaminants and water. Recent studies using bed washout technics have shown that the molecular sieve units, with 50% of the beds deactivated with water, still function normally with respect to product gas flow and O2 concentration. By utilizing the technics described in this paper, the moisture content or state of hydration of the molecular sieve can readily be determined.
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McDowell, R.C.; Houser, B.B.
1983-01-01
Fieldwork was done principally by vehicle along roads, but also included railroad cuts and excavation sites, such as quarries and landfills. Natural exposures are rare and provided no examples of deformation structures for this study. The geologic units exposed in the area are chiefly clastic sediments deposited in nearshore marine to continental environments. They include semi-consolidated sand, silt, clay, and rare thin impure limestone beds of Late Cretaceous to Eocene age (fig. 2). These sedimentary beds generally have a gentle regional dip to the southeast (Faye and Prowell, 1982, p. 6).
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Hick, John L; Christian, Michael D; Sprung, Charles L
2010-04-01
To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including surge capacity and infrastructure considerations. Key recommendations include: (1) hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas; (2) hospitals should have appropriate beds and monitors for these expansion areas; hospitals should develop contingency plans at the facility and government (local, state, provincial, national) levels to provide additional ventilators; (3) hospitals should develop a phased staffing plan (nursing and physician) for ICUs that provides sufficient patient care supervision during contingency and crisis situations; (4) hospitals should provide expert input to the emergency management personnel at the hospital both during planning for surge capacity as well as during response; (5) hospitals should assure that adequate infrastructure support is present to support critical care activities; (6) hospitals should prioritize locations for expansion by expanding existing ICUs, using postanesthesia care units and emergency departments to capacity, then step-down units, large procedure suites, telemetry units and finally hospital wards. Judicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic.
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Brady, RRW; Kalima, P; Damani, NN; Wilson, RG; Dunlop, MG
2007-01-01
INTRODUCTION Patients undergoing colorectal surgical resections have a high incidence of surgical site infection (SSI). Many patient-specific risk factors have been recognised in association with SSI in such patients, but environmental contamination is increasingly recognised as a contributor to hospital-acquired infection (HAI). This study set out to describe the bacterial contamination of the patient environment, using hospital bed-control handsets, as they are frequently handled by both staff and patients and represent a marker of environmental contamination. PATIENTS AND METHODS On two unannounced sampling events, 1 week apart, 140 bacteriological assessments were made of 70 hospital bed control handsets within a specialist colorectal surgical unit. RESULTS Of the handsets examined, 67 (95.7%) demonstrated at least one bacterial species (52.9% grew 1, 30% grew 2 and 12.9% grew 3 or more bacterial species). Of these, 29 (41.4%) bed-control handsets grew bacteria known to cause nosocomial infection, including 22 (31.4%) handsets which grew Enterococcus spp., 9 (12.9%) which grew MRSA, 2 (2.9%) which grew MSSA, 2 (2.9%) which grew coliforms, and 1 (1.4%) handset which grew anaerobes. At 1-week follow-up, 31 bed-control handsets showed evidence of contamination by the same bacterial species. CONCLUSIONS This study revealed high levels of bacteria known to cause HAI, contaminating hospital bed-control handsets in a surgical setting. Further study is now required to confirm whether hospital environmental contamination is causally involved in SSI. PMID:17959000
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Geller, Alan C; Colditz, Graham; Oliveria, Susan; Emmons, Karen; Jorgensen, Cynthia; Aweh, Gideon N; Frazier, A Lindsay
2002-06-01
To describe the association of sunscreen use, sunburning, and tanning bed use by age, sex, residence, and psychosocial variables associated with tan-seeking behaviors, and to compare these findings with sun protection recommendations from federal agencies and cancer organizations. A cross-sectional study, from all 50 states, of 10 079 boys and girls 12 to 18 years of age in 1999. Data were collected from self-report questionnaires with the children of the participants from the Nurses Health Study (Growing Up Today Study). The prevalence of sunscreen use was 34.4% with girls more likely to use sunscreen than boys (40.0 vs 26.4, odds ratio: 1.86; 95% confidence interval: 1.70-2.03). Eighty-three percent of respondents had at least 1 sunburn during the previous summer, and 36% had 3 or more sunburns. Nearly 10% of respondents used a tanning bed during the previous year. Girls were far more likely than boys to report tanning bed use (14.4 vs 2.4), and older girls (ages 15-18) were far more likely than younger girls (ages 12-14) to report tanning bed use (24.6% vs 4.7). Tanning bed use increased from 7% among 14-year-old girls to 16% by age 15, and more than doubled again by age 17 (35%; N = 244). Multivariate analysis demonstrated that attitudes associated with tanning, such as the preference for tanned skin, having many friends who were tanned, and belief in the worth of burning to get a tan, were generally associated with sporadic sunscreen use, more frequent sunburns, and increased use of tanning beds. Our findings suggest that many children are at subsequent risk of skin cancer because of suboptimal sunscreen use, high rates of sunburning, and tanning bed use. Recommendations in the United States for improved sun protection and avoidance of tanning beds and sunburning, which began in the early 1990s, have been primarily unheeded. Nationally coordinated campaigns with strong policy components must be developed and sustained to prevent skin cancer in a new generation of children and adolescents.
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Pasquali, Sara; Capitoni, Enrica; Tiraboschi, Giuseppina; Alborghetti, Adriana; De Luca, Giuseppe; Di Mauro, Stefania
2017-01-01
Eleven medical care units of nine Lombardy Region hospitals organized by levels of care model or by the traditional departmental model have been analyzed, in order to evaluate if methods for complexity of patient-care evaluation represent an index factor of nursing organizational effectiveness. Survey with nine Nurses in managerial position was conducted between Nov. 2013-Jan. 2014. The following factors have been described: context and nursing care model, staffing, complexity evaluation, patient satisfaction, staff well-being. Data were processed through Microsoft Excel. Among Units analysed ,all Units in levels of care and one organized by the departmental model systematically evaluate nursing complexity. Registered Nurses (RN) and Health Care Assistants (HCA) are on average numerically higher in Units that measure complexity (0.55/ 0.49 RN, 0.38/0.23 HCA - ratio per bed). Adopted measures in relation to changes in complexity are:rewarding systems, supporting interventions, such as moving personnel within different Units or additional required working hours; reduction in number of beds is adopted when no other solution is available. Patient satisfaction is evaluated through Customer Satisfaction questionnaires. Turnover, stress and rate of absenteeism data are not available in all Units. Complexity evaluation through appropriate methods is carried out in all hospitals organized in levels of care with personalized nursing care models, though complexity is detected with different methods. No significant differences in applied managerial strategies are present. Patient's satisfaction is evaluated everywhere. Data on staffing wellbeing is scarcely available. Coordinated regional actions are recommended in order to gather comparable data for research, improve decision making and effectiveness of Nursing care.
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The n-by-T Target Discharge Strategy for Inpatient Units.
Parikh, Pratik J; Ballester, Nicholas; Ramsey, Kylie; Kong, Nan; Pook, Nancy
2017-07-01
Ineffective inpatient discharge planning often causes discharge delays and upstream boarding. While an optimal discharge strategy that works across all units at a hospital is likely difficult to identify and implement, a strategy that provides a reasonable target to the discharge team appears feasible. We used observational and retrospective data from an inpatient trauma unit at a Level 2 trauma center in the Midwest US. Our proposed novel n-by-T strategy-discharge n patients by the Tth hour-was evaluated using a validated simulation model. Outcome measures included 2 measures: time-based (mean discharge completion and upstream boarding times) and capacity-based (increase in annual inpatient and upstream bed hours). Data from the pilot implementation of a 2-by-12 strategy at the unit was obtained and analyzed. The model suggested that the 1-by-T and 2-by-T strategies could advance the mean completion times by over 1.38 and 2.72 h, respectively (for 10 AM ≤ T ≤ noon, occupancy rate = 85%); the corresponding mean boarding time reductions were nearly 11% and 15%. These strategies could increase the availability of annual inpatient and upstream bed hours by at least 2,469 and 500, respectively. At 100% occupancy rate, the hospital-favored 2-by-12 strategy reduced the mean boarding time by 26.1%. A pilot implementation of the 2-by-12 strategy at the unit corroborated with the model findings: a 1.98-h advancement in completion times (P<0.0001) and a 14.5% reduction in boarding times (P = 0.027). Target discharge strategies, such as the n-by-T, can help substantially reduce discharge lateness and upstream boarding, especially during high unit occupancy. To sustain implementation, necessary commitment from the unit staff and physicians is vital, and may require some training.
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Wolfswinkel, Erik M; Howell, Lori K; Fahradyan, Artur; Azadgoli, Beina; McComb, J Gordon; Urata, Mark M
2017-12-01
Of U.S. craniofacial and neurosurgeons, 94 percent routinely admit patients to the intensive care unit following cranial vault remodeling for correction of sagittal synostosis. This study aims to examine the outcomes and cost of direct ward admission following primary cranial vault remodeling for sagittal synostosis. An institutional review board-approved retrospective review was undertaken of the records of all patients who underwent primary cranial vault remodeling for isolated sagittal craniosynostosis from 2009 to 2015 at a single pediatric hospital. Patient demographics, perioperative course, and outcomes were recorded. One hundred ten patients met inclusion criteria with absence of other major medical problems. Average age at operation was 6.7 months, with a mean follow-up of 19.8 months. Ninety-eight patients (89 percent) were admitted to a general ward for postoperative care, whereas the remaining 12 (11 percent) were admitted to the intensive care unit for preoperative or perioperative concerns. Among ward-admitted patients, there were four (3.6 percent) minor complications; however, there were no major adverse events, with none necessitating intensive care unit transfers from the ward and no mortalities. Average hospital stay was 3.7 days. The institution's financial difference in cost of intensive care unit stay versus ward bed was $5520 on average per bed per day. Omitting just one intensive care unit postoperative day stay for this patient cohort would reduce projected health care costs by a total of $540,960 for the study period. Despite the common practice of postoperative admission to the intensive care unit following cranial vault remodeling for sagittal craniosynostosis, the authors suggest that postoperative care be considered on an individual basis, with only a small percentage requiring a higher level of care. Therapeutic, III.
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Mallinson, D.; Riggs, S.; Thieler, E.R.; Culver, S.; Farrell, K.; Foster, D.S.; Corbett, D.R.; Horton, B.; Wehmiller, J.F.
2005-01-01
Seismic surveys in the eastern Albemarle Sound, adjacent tributaries and the inner continental shelf define the regional geologic framework and provide insight into the sedimentary evolution of the northern North Carolina coastal system. Litho- and chronostratigraphic data are derived from eight drill sites on the Outer Banks barrier islands, and the Mobil #1 well in eastern Albemarle Sound. Within the study area, parallel-bedded, gently dipping Miocene beds occur at 95 to > 160 m below sea level (m bsl), and are overlain by a southward-thickening Pliocene unit characterized by steeply inclined, southward-prograding beds. The lower Pliocene unit consists of three seismic sequences. The 55–60 m thick Quaternary section unconformably overlies the Pliocene unit, and consists of 18 seismic sequences exhibiting numerous incised channel-fill facies. Shallow stratigraphy (< 40 m bsl) is dominated by complex fill patterns within the incised paleo-Roanoke River valley. Radiocarbon and amino-acid racemization (AAR) ages indicate that the valley-fill is latest Pleistocene to Holocene in age. At least six distinct valley-fill units are identified in the seismic data. Cores in the valley-fill contain a 3–6 m thick basal fluvial channel deposit that is overlain by a 15 m thick unit of interlaminated muds and sands of brackish water origin that exhibit increasing marine influence upwards. Organic materials within the interlaminated deposits have ages of 13–11 cal. ka. The interlaminated deposits within the valley are overlain by several units that comprise shallow marine sediments (bay-mouth and shoreface environments) that consist of silty, fine- to medium-grained sands containing open neritic foraminifera, suggesting that this area lacked a fronting barrier island system and was an open embayment from ∼10 ka to ∼4.5 ka. Seismic data show that initial infilling of the paleo-Roanoke River valley occurred from the north and west during the late Pleistocene and early Holocene. Later infilling occurred from the south and east and is characterized by a large shoal body (Colington Island and Shoals) and adjacent inlet fill. Establishment of a continuous barrier island system across the bay-mouth resulted in deposition of the latest phase of valley-fill, characterized by estuarine organic-rich muds.
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Romero, Alvaro; Anderson, Troy D
2016-05-01
The rapid increase of bed bug populations resistant to pyrethroids demands the development of novel control tactics. Products combining pyrethroids and neonicotinoids have become very popular for bed bug control in the United States, but there are concerns about evolution of resistance to these compounds. Laboratory assays were used to measure the toxicity of topical applications of four neonicotinoids to a susceptible population and three pyrethroid-resistant populations. Activity of esterases, glutathione S-transferases, and cytochrome P450s of all strains was also evaluated. High levels of resistance to four neonicotinoids, acetamiprid, imidacloprid, dinotefuran, and thiamethoxam, relative to the susceptible Fort Dix population, were detected in populations collected from human dwellings in Cincinnati and Michigan. Because activity of detoxifying enzymes was increased in these two populations, our results suggest that these enzymes have some involvement in neonicotinoid resistance, but other resistance mechanisms might be involved as well. Detection of high levels of resistance to neonicotinoids further limits the options for chemical control of bed bugs. Published by Oxford University Press on behalf of Entomological Society of America 2016. This work is written by US Government employees and is in the public domain in the US.
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Adherence to the items in a bundle for the prevention of ventilator-associated pneumonia.
Sachetti, Amanda; Rech, Viviane; Dias, Alexandre Simões; Fontana, Caroline; Barbosa, Gilberto da Luz; Schlichting, Dionara
2014-01-01
To assess adherence to a ventilator care bundle in an intensive care unit and to determine the impact of adherence on the rates of ventilator-associated pneumonia. A total of 198 beds were assessed for 60 days using a checklist that consisted of the following items: bed head elevation to 30 to 45º; position of the humidifier filter; lack of fluid in the ventilator circuit; oral hygiene; cuff pressure; and physical therapy. Next, an educational lecture was delivered, and 235 beds were assessed for the following 60 days. Data were also collected on the incidence of ventilator-acquired pneumonia. Adherence to the following ventilator care bundle items increased: bed head elevation from 18.7% to 34.5%; lack of fluid in the ventilator circuit from 55.6% to 72.8%; oral hygiene from 48.5% to 77.8%; and cuff pressure from 29.8% to 51.5%. The incidence of ventilator-associated pneumonia was statistically similar before and after intervention (p=0.389). The educational intervention performed in this study increased the adherence to the ventilator care bundle, but the incidence of ventilator-associated pneumonia did not decrease in the small sample that was assessed.
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ENANTIOMERIC COMPOSITION OF CHIRAL POLYCHLORINATED BIPHENYL ATROPISOMERS IN AQUATIC BED SEDIMENT
Enantiomeric ratios (ERs) for eight polychlorinated biphenyl (PCB) atropisomers were measured in aquatic sediment from selected sites throughout the United States by using chiral gas chromatography/mass spectrometry. Nonracemic ERs for PCBs 91, 95, 132, 136, 149, 174, and 176 wer...
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9 CFR 93.501 - General prohibitions; exceptions.
Code of Federal Regulations, 2010 CFR
2010-01-01
... are maintained under continuous confinement in transit through the United States aboard an aircraft... advance by the Administrator in accordance with paragraph (d)(3) of this section as adequate to prevent... must provide for disposal of swine carcasses, manure, bedding, waste and any related shipping materials...
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9 CFR 93.501 - General prohibitions; exceptions.
Code of Federal Regulations, 2013 CFR
2013-01-01
... are maintained under continuous confinement in transit through the United States aboard an aircraft... advance by the Administrator in accordance with paragraph (d)(3) of this section as adequate to prevent... must provide for disposal of swine carcasses, manure, bedding, waste and any related shipping materials...
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9 CFR 93.501 - General prohibitions; exceptions.
Code of Federal Regulations, 2012 CFR
2012-01-01
... are maintained under continuous confinement in transit through the United States aboard an aircraft... advance by the Administrator in accordance with paragraph (d)(3) of this section as adequate to prevent... must provide for disposal of swine carcasses, manure, bedding, waste and any related shipping materials...
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9 CFR 93.501 - General prohibitions; exceptions.
Code of Federal Regulations, 2014 CFR
2014-01-01
... are maintained under continuous confinement in transit through the United States aboard an aircraft... advance by the Administrator in accordance with paragraph (d)(3) of this section as adequate to prevent... must provide for disposal of swine carcasses, manure, bedding, waste and any related shipping materials...
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9 CFR 93.501 - General prohibitions; exceptions.
Code of Federal Regulations, 2011 CFR
2011-01-01
... are maintained under continuous confinement in transit through the United States aboard an aircraft... advance by the Administrator in accordance with paragraph (d)(3) of this section as adequate to prevent... must provide for disposal of swine carcasses, manure, bedding, waste and any related shipping materials...
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ERIC Educational Resources Information Center
Selmer, Sarah; Valentine, Keri; Luna, Melissa; Rummel, Sarah; Rye, James
2016-01-01
Using Garden Based Learning (GBL) as an integrated mathematics and science unit, this article describes the mathematical journey of students as they work through the process of designing their own garden beds.
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Investigation of Pier Scour in Coarse-Bed Streams in Montana, 2001 through 2007
DOT National Transportation Integrated Search
2011-01-01
Determination of pier-scour potential is an important consideration in the hydraulic analysis and design of highway bridges that cross streams, rivers, and other waterways in the United States. A primary goal of ongoing research in the field of bridg...
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LAND TREATMENT AND THE TOXICITY RESPONSE OF SOIL CONTAMINATED WITH WOOD PRESERVING WASTE
Soils contaminated with wood preserving wastes, including pentachlo-rophenol (PCP) and creosote, are treated at field-scale in an engineered prepared-bed system consisting of two one-acre land treatment units (LTUs). The concentration of selected indicator compounds of treatment ...
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Black, J A; Waggamon, K A
1992-01-01
An isoelectric focusing method using thin-layer agarose gel has been developed for wheat gliadin. Using flat-bed units with a third electrode, up to 72 samples per gel may be analyzed. Advantages over traditional acid polyacrylamide gel electrophoresis methodology include: faster run times, nontoxic media, and greater sample capacity. The method is suitable for fingerprinting or purity testing of wheat varieties. Using digital images captured by a flat-bed scanner, a 4-band reference system using isoelectric points was devised. Software enables separated bands to be assigned pI values based upon reference tracks. Precision of assigned isoelectric points is shown to be on the order of 0.02 pH units. Captured images may be stored in a computer database and compared to unknown patterns to enable an identification. Parameters for a match with a stored pattern may be adjusted for pI interval required for a match, and number of best matches.
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Deng, Lijuan; Guo, Wenshan; Ngo, Huu Hao; Zhang, Xinbo; Wang, Xiaochang C; Zhang, Qionghua; Chen, Rong
2016-05-01
In this study, new sponge modified plastic carriers for moving bed biofilm reactor (MBBR) was developed. The performance and membrane fouling behavior of a hybrid MBBR-membrane bioreactor (MBBR-MBR) system were also evaluated. Comparing to the MBBR with plastic carriers (MBBR), the MBBR with sponge modified biocarriers (S-MBBR) showed better effluent quality and enhanced nutrient removal at HRTs of 12h and 6h. Regarding fouling issue of the hybrid systems, soluble microbial products (SMP) of the MBR unit greatly influenced membrane fouling. The sponge modified biocarriers could lower the levels of SMP in mixed liquor and extracellular polymeric substances in activated sludge, thereby mitigating cake layer and pore blocking resistances of the membrane. The reduced SMP and biopolymer clusters in membrane cake layer were also observed. The results demonstrated that the sponge modified biocarriers were capable of improving overall MBBR performance and substantially alleviated membrane fouling of the subsequent MBR unit. Copyright © 2016 Elsevier Ltd. All rights reserved.
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Iliuta, Ion; Leclerc, Arnaud; Larachi, Faïçal
2010-05-01
A new reactor concept of allothermal cyclic multi-compartment fluidized bed steam biomass gasification is proposed and analyzed numerically. The concept combines space and time delocalization to approach an ideal allothermal gasifier. Thermochemical conversion of biomass in periodic time and space sequences of steam biomass gasification and char/biomass combustion is simulated in which the exothermic combustion compartments provide heat into an array of interspersed endothermic steam gasification compartments. This should enhance unit heat integration and thermal efficiency and procure N(2)-free biosyngas with recourse neither to oxygen addition in steam gasification nor contact between flue and syngas. The dynamic, one-dimensional, multi-component, non-isothermal model developed for this concept accounts for detailed solid and gas flow dynamics whereupon gasification/combustion reaction kinetics, thermal effects and freeboard-zone reactions were tied. Simulations suggest that allothermal operation could be achieved with switch periods in the range of a minute supporting practical feasibility for portable small-scale gasification units. Copyright 2009 Elsevier Ltd. All rights reserved.
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Arena, Fabio; Scolletta, Sabino; Marchetti, Luca; Galano, Angelo; Maglioni, Enivarco; Giani, Tommaso; Corsi, Elisabetta; Lombardi, Silvia; Biagioli, Bonizella; Rossolini, Gian Maria
2015-09-01
A preintervention-postintervention study was carried out over a 4-year period to assess the impact of an antimicrobial stewardship intervention, based on clinical microbiologist ward rounds (clinical microbiology-intensive care partnership [CMICP]), at a cardiothoracic intensive care unit. Comparison of clinical data for 37 patients with diagnosis of bacteremia (18 from preintervention period, 19 from postintervention period) revealed that CMICP implementation resulted in (1) significant increase of appropriate empirical treatments (+34%, P = .029), compliance with guidelines (+28%, P = .019), and number of de-escalations (+42%, P = .032); and (2) decrease (average = 2.5 days) in time to optimization of antimicrobial therapy and levofloxacin (Δ 2009-2012 = -74 defined daily dose [DDD]/1,000 bed days) and teicoplanin (Δ 2009-2012 = -28 DDD/1,000 bed days) use. Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
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Németh, J; Molnár, F; Kocur, I
2002-01-01
To describe eye health-care services provided by in patient Departments of Ophthalmology in Hungary as of 1998. A standardised questionnaire was sent to all Hungarian in-patient ophthalmic departments. The response rate was 100%, and data from six university departments and 56 hospitals with ophthalmic units are summarised. During the 12-month period, a total of 78,008 ophthalmic operations were performed, by 489 ophthalmologists. They worked in 62 in-patient ophthalmic units having a total of 1952 beds. The cataract rate was 3564 operations per million inhabitants; intraocular lens implantation was performed on 97% of the cases. There were 591 corneal transplants, 1698 operations for retinal detachment and 510 vitrectomies for diabetic eye complications. The level of ophthalmic care in Hungary, judged on the basis of key objective parameters including number of ophthalmic specialists, number of ophthalmic beds, and the rates of surgery, generally conforms to standards prevailing in Western Europe, in spite of financial difficulties and the consequent lack of investment in new equipment and instruments, both major and minor.
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Generalized thickness and configuration of the top of the intermediate aquifer, west-central Florida
Corral, Miguel A.; Wolansky, Richard M.
1984-01-01
Generalized map show the thickness and top of the intermediate aquifer in west-central Florida within the boundaries of the Southwest Florida Water Management District. The intermediate aquifer consists of a series of water-bearing units and confining beds between the surficial aquifer (water table) and the Floridan aquifer. This aquifer contains from one to several water-bearing units in west-central Florida. The aquifer and confining beds consist of the Tamiami and Hawthorn Formations of late and middle Miocene age and parts of the Tampa Limestone of early Miocene age. The top of the intermediate aquifer is about 100 feet above sea level in the north and slopes to about 100 feet below sea level in the south. The thickness ranges from zero in the north to more than 600 feet in the south. Despite the high mineral content of the water in some areas, the intermediate aquifer offers the best source of ground water to the coastal and southern areas of west-central Florida. (USGS)
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The crazy hollow formation (Eocene) of central Utah
Weiss, M.P.; Warner, K.N.
2001-01-01
The Late Eocene Crazy Hollow Formation is a fluviatile and lacustrine unit that was deposited locally in the southwest arm of Lake Uinta during and after the last stages of the lake the deposited the Green River Formation. Most exposures of the Crazy Hollow are located in Sanpete and Sevier Counties. The unit is characterized by a large variety of rock types, rapid facies changes within fairly short distances, and different lithofacies in the several areas where outcrops of the remnants of the formation are concentrated. Mudstone is dominant, volumetrically, but siltstone, shale, sandstone, conglomerate and several varieties of limestone are also present. The fine-grained rocks are mostly highly colored, especially in shades of yellow, orange and red. Sand grains, pebbles and small cobbles of well-rounded black chert are widespread, and "salt-and-pepper sandstone" is the conspicuous characteristic of the Crazy Hollow. The salt-and-pepper sandstone consists of grains of black chert, white chert, quartz and minor feldspar. The limestone beds and lenses are paludal and lacustrine in origin; some are fossiliferous, and contain the same fauna found in the Green River Formation. With trivial exceptions, the Crazy Hollow Formation lies on the upper, limestone member of the Green River Formation, and the beds of the two units are always accordant in attitude. The nature of the contact differs locally: at some sites there is gradation from the Green River to the Crazy Hollow; at others, rocks typical of the two units intertongue; elsewhere there is a disconformity between the two. A variety of bedrock units overlie the Crazy Hollow at different sites. In the southeasternmost districts it is overlain by the late Eocene formation of Aurora; in western Sevier County it is overlain by the Miocene-Pliocene Sevier River Formation; in northernmost Sanpete County it is overlain by the Oligocene volcanics of the Moroni Formation. At many sites bordering Sanpete and Sevier Valleys the Crazy Hollow beds dip beneath Quaternary sediments that fill the two valleys. The Crazy Hollow Formation ranges from 0 to 1,307 feet (0-398 m) thick in the region, but is usually much thinner than the maximum value. At most outcrops it is only a few scores of feet (12-50 m) thick. Its age is middle Eocene, for it is only a little younger than the underlying Green River Formation. The unit developed by the washing of detritus into the basin of the southwest arm of Lake Uinta from the various source rocks in the highlands surrounding the basin. The limestone beds and lenses formed in ponds and small lakes that developed in the basin from time to time during and following the draining and evaporation of Lake Uinta. The qualities of the Crazy Hollow Formation are described in detail for 10 different areas of outcrops in the Sanpete and Sevier Valleys and vicinity.
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NASA Astrophysics Data System (ADS)
Hnydiuk-Stefan, Anna; Składzień, Jan
2015-03-01
The paper examines from the thermodynamic point of view operation of coal fired power unit cooperating with the cryogenic oxygen unit, with a particular emphasis on the characteristic performance parameters of the oxygen unit. The relatively high purity technical oxygen produced in the oxygen unit is then used as the oxidant in the fluidized bed boiler of the modern coal fired power unit with electric power output of approximately 460 MW. The analyzed oxygen unit has a classical two-column structure with an expansion turbine (turboexpander), which allows the use of relatively low pressure initially compressed air. Multivariant calculations were performed, the main result being the loss of power and efficiency of the unit due to the need to ensure adequate driving power to the compressor system of the oxygen generating plant.
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Characteristics of a young lava-hyaloclastite sheet, Snaebylisheidi, Iceland
NASA Astrophysics Data System (ADS)
White, J. D.; Gorny, C. F.; Gudmundsson, M. T.
2009-12-01
Extensive sheets of hyaloclastite volcaniclastic debris, coupled with and intruded by largely underlying layers of coherent basalt, are common in the Sida area of southeastern Iceland. They were initially interpreted as submarine deposits, but have recently been re-interpreted as nonmarine deposits formed in the presence of glaciers. Detailed interpretation of the units has been challenging, because their source areas are not preserved. A younger deposit of the same type forms an elongate flat-topped ridge in the Snaebylisheidi area. Its volume of ca. 35 cubic km is similar to that of the larger Sida units, its source area is preserved, and parts of the deposit remain unlithified. Our initial investigation reveals that the source area is dominated by clastic deposits. There is no evidence for a source edifice of pillow or sheet lavas, but there are extensive low-level intrusions near the base, and a plexus of smaller high-level intrusions showing evidence of high viscosities during emplacement. Isolated pillows and other fluidal juvenile clasts near the source lie within matrices of highly vesicular ash and lapilli, or of mixed vesicular and dense glassy fragments. Downstream in the unit, deposits are dominated by dense clasts, and these can in places be demonstrated to have been derived locally from the underlying to intruding basalt sheet. Larger dense clasts are commonly highly irregular, vuggy, and composite; in places many are rolled into subspherical forms enclosing matrix material comprising dense angular glass fragments. The clastic part of the unit has an upper subunit dominated by well-developed bedding in complex geometries with multiple internal truncation surfaces. Lower subunits include thick structureless to alignment-bedded layers, along with intrusion-dominated zones. Soft-sediment deformation is ubiquitous along the edges of the deposit, with many layers broken and tilted to subvertical inclinations. Taken together, these features indicate that little or no lava accumulated at the source area during eruption, but that much basalt was intruded into unconsolidated volcaniclastic deposits. Coherent basalt sheets extended downslope from the source, perhaps largely as intrusions into earlier-deposited tephra, and produced much of the downstream clastic material by local fragmentation of the advancing sheet. Thick beds reflecting high accumulation rates are intercalated with groups of thinner beds formed by multiple depositional pulses. Deformation along deposit tops and edges records pervasive slumping of the unconsolidated deposits. The characteristics overall are suggestive of an initially explosive subglacial origin, with much of the unit emplaced subglacially. More work is underway to better understand the source eruption, and the way in which the basalt sheet was emplaced and associated volcaniclastic deposits produced and deposited.
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NASA Astrophysics Data System (ADS)
Barchi, M. R.; Collettini, C.; Lena, G.
2012-04-01
Thrust and normal faults affecting mechanically heterogeneous multilayers often show staircase trajectories, where flat segments follow less competent units. Within flat segments the initiation/reactivation angle, θ, which is the angle that the fault makes with the σ1 direction, is different from that predicted by the Andersonian theory. This suggests that fault trajectory is mainly controlled by rock anisotropy instead of frictional properties of the material. Our study areas are located in the Umbria-Marche fold-thrust belt, within the Northern Apennines of Italy. The area is characterized by a lithologically complex multilayer, about 2000 m thick, consisting of alternated competent (mainly calcareous) and less competent (marls or evaporites) units. At the outcrop scale, some units show a significant mechanical layering, consisting of alternated limestones and shales. Due to the complex tectonic evolution of the Apennines, well developed sets of conjugate normal, thrust and strike-slip faults are exposed in the region. The study outcrop, Candigliano Gourge, is characterized by steep (dip > 60°) NE dipping beds, affected by conjugate sets of strike-slip faults, exposed in the eastern limb of a NE verging anticline. The faults develop within the Marne a Fucoidi Fm., a Cretaceous sedimentary unit, about 70 m thick, made of competent calcareous beds (about 20 cm thick), separated by marly beds (1-20 cm thick). The conjugate strike-slip faults are formed after the major folding phase: in fact the strike-slip faults cut both minor folds and striated bedding surfaces, related to syn-folding flexural slip. Faults show marked staircase trajectories, with straight segments almost parallel to the marly horizons and ramps cutting through the calcareous layers. Slip along these faults induces local block rotation of the competent strata, dilational jogs (pull-aparts), extensional duplexes and boudinage of the competent layers, while marly levels are strongly laminated. In order to reconstruct the σ1 direction, calcite veins syntectonic to strike-slip faulting, have been used to constrain the σ1-σ2 plane: fixing the σ2 direction at the conjugate fault intersection, the σ1 is oriented N15°, forming an angle of about 70° with the bedding direction. Once constrained the σ1 direction, we have calculated the θ angle that is comprised between 40° and 55°, resulting therefore larger than expected from Andersonian theory, i.e. 22°-32° for friction coefficient in the range of 0.5-1.0. Initiation/reactivation angles, θ, as a function of the different lithologies, are less than 35° for calcareous beds, 50°-70° for the marly and clayey layers, and around 60° for the black shales. Our studies, focused on strike-slip small displacement faults, show that: 1) irrespective of the σ1 orientation, ramp and flat form along competent and less competent material respectively and 2) the overall fault orientation/initiation is at high-angle to the σ1 direction. Our results suggest that rock anisotropy and layering are one of the possible causes for faulting at high angle to the σ1 direction, i.e. fault weakness. Further studies are required to up-scale the results of our outcrop-based study to crustal scale structures.
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Temporally Dynamic, Spatially Static, Cobble Bedforms In Reversing Subtidal Currents
NASA Astrophysics Data System (ADS)
Abdulkade, Akirat; Carling, Paul; Zong, Quanli; Leyland, Julian; Thompson, Charlie
2016-04-01
Cobble bedforms, transverse to the reversing tidal currents, are exposed at extreme low-water Spring tides on an inter-tidal bedrock shelf in the macro-tidal Severn Estuary, UK. Near-bed flow velocities during Spring tides can exceed 1.5m/s, with water depths varying from zero to in excess of 10m. During neap tides the bedforms are not exposed, and sediment is expected to be of limited mobility. When exposed, the bedform geometry tends to be asymmetric; orientated down estuary with the ebb current. During Spring tides, vigorous bedload transport of gravel (including large cobbles) occurs during both flood and ebb over the crests and yet, despite this temporal dynamism, the bedforms remain spatially static over long time periods or show weak down-estuary migration. Stasis implies that the tidal bedload transport vectors are essentially in balance. Near-bed shear stress and bed roughness values vary systematically with the Spring-tide current speeds and the predicted grain-size of the bed load using the Shields criterion is in accord with observed coarser grain-sizes in transport. These hydrodynamic data, delimited by estimates of the threshold of motion, and integrated over either flood or ebb tides are being used to explain the apparent stability of the bedforms. The bulk hydraulic data are supplemented by particle tracer studies and laser-scanning of bed configurations between tides. The high-energy environment results in two forms of armouring. Pronounced steep imbrication of platy-cobbles visible on the exposed up-estuary side of dunes is probably disrupted during flood tides leading to rapid reworking of the toe deposits facing up-estuary. In contrast, some crest and leeside locations have been stable for prolonged periods such that closely-fitted fabrics result; these portions of the bedforms are static and effectively are 'armour-plated'. Ebb-tide deposits of finer, ephemeral sandy-units occur on the down estuary side of the bedforms. Sandy-units (although not observed at low tide) presumably also are deposited on the up estuary side during flooding tides but these deposits are destroyed by ebb flows. The implication of these sediment transport processes on the stratification of the bedforms is considered.
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Development Unit Configuration and Current Status of the MIP/MAAC Experiment
NASA Technical Reports Server (NTRS)
Karlmann, P. B.; Johnson, K. R.; Rapp, D.; Wu, J. J.
1999-01-01
The Mars In-Situ Propellant Production (ISPP) Precursor (MIP) experiment package is planned for inclusion on the Mars 2001 Lander. This experiment package consists of five experiments whose purpose is to demonstrate the performance of various ISPP processes in-situ on Mars. The demonstrated ability to produce propellant for Mars Return Vehicles (MRV) is considered to be a necessary precursor to any future manned mission to Mars. The Mars Atmosphere Acquisition and Compression (MAAC) experiment is part of the MIP package and is intended to demonstrate that, by using a sorption compressor, CO2 can be preferentially adsorbed at about 6 torr from the Mars atmosphere during the night when the bed is cold then subsequently compressed to about 800 torr by heating the bed and desorbing CO2 during the day. The compressed CO2 produced by MAAC is to be fed to the Oxygen Generator Subsystem (OGS) where pure oxygen is to be produced. Pure oxygen is considered to be one of the primary constituents of a future manned MRV propellant system. A MAAC Development Unit (DU) has been fabricated and tested at JPL. The MAAC DU consists of 1) a sorption bed filled with a CO2 selective sorbent material, 2) a purge system to be used to periodically backflush non-CO2 gases from the sorbent bed during adsorption, 3) a JPL-developed gas-gap heat switch that allows heat transfer to a radiator for heat removal from the bed during the night time adsorption period and that impedes heat transfer during the day time desorption period, 4) a radiator to radiate heat to the night sky during the adsorption period, 5) a set of three isolation valves and connecting tubing. 6) two pressure transducers and several thermocouples for monitoring the MAAC operating conditions, and command and data handling electronics. This paper will describe the operational theory and the configuration of the MAAC DU and will discuss the current status of the MAAC experiment development including some selected results of performance testing that has been completed prior to the ISRU III meeting.
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Development Unit Configuration Status of the MIP/MAAC Experiment
NASA Technical Reports Server (NTRS)
Karlmann, P. B.; Johnson, K. R.; Rapp, D.; Wu, J. J.
1999-01-01
The Mars In-Situ Propellant Production (ISPP) Precursor (MIP) experiment package is planned for inclusion on the Mars 2001 Lander. This experiment package consists of five experiments whose purpose is to demonstrate the performance of various ISPP processes in-situ on Mars. The demonstrated ability to produce propellant for Mars Return Vehicles (MRV) is considered to be a necessary precursor to any future manned mission to Mars. The Mars Atmosphere Acquisition and Compression (MAAC) experiment is part of the MIP package and is intended to demonstrate that, by using a sorption compressor, CO2 can be preferentially adsorbed at about 6 torr from the Mars atmosphere during the night when the bed is cold then subsequently compressed to about 800 torr by heating the bed and desorbing C02 during the day. The compressed CO2 produced by MAAC is to be fed to the Oxygen Generator Subsystem (OGS) where pure oxygen is to be produced. Pure oxygen is considered to be one of the primary constituents of a future manned MRV propellant system. A MAAC Development Unit (DU) has been fabricated and tested at JPL. The MAAC DU consists of: (1) a sorption bed filled with a CO2 selective sorbent material; (2) a purge system to be used to periodically backflush non-CO2 gases from the sorbent bed during adsorption; (3) a JPL-developed gas-gap heat switch that allows heat transfer to a radiator for heat removal from the bed during the night time adsorption period and that impedes heat transfer during the day time desorption period; (4) a radiator to radiate heat to the night sky during the adsorption period; (5) a set of three isolation valves and connecting tubing; (6) two pressure transducers and several thermocouples for monitoring the MAAC operating conditions, and command and data handling electronics. This paper will describe the operational theory and the configuration of the MAAC DU and will discuss the current status of the MAAC experiment development including some selected results of performance testing that has been completed prior to the ISRU III meeting.
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Ridgley, J.L.; Hatch, J.R.
2013-01-01
Organic-rich, shaly limestone beds, which contain hydrocarbon source beds in the lower part of the Jurassic Todilto Limestone Member of the Wanakah Formation, and sandstone reservoirs in the overlying Jurassic Entrada Sandstone, compose the Todilto Total Petroleum System (TPS). Source rock facies of the Todilto Limestone were deposited in a combined marine-lacustrine depositional setting. Sandstone reservoirs in the Entrada Sandstone were deposited in eolian depositional environments. Oil in Todilto source beds was generated beginning in the middle Paleocene, about 63 million years ago, and maximum generation of oil occurred in the middle Eocene. In the northern part of the San Juan Basin, possible gas and condensate were generated in Todilto Limestone Member source beds until the middle Miocene. The migration distance of oil from the Todilto source beds into the underlying Entrada Sandstone reservoirs was short, probably within the dimensions of a single dune crest. Traps in the Entrada are mainly stratigraphic and diagenetic. Regional tilt of the strata to the northeast has influenced structural trapping of oil, but also allowed for later introduction of water. Subsequent hydrodynamic forces have influenced the repositioning of the oil in some reservoirs and flushing in others. Seals are mostly the anhydrite and limestone facies of the Todilto, which thin to as little as 10 ft over the crests of the dunes. The TPS contains only one assessment unit, the Entrada Sandstone Conventional Oil Assessment Unit (AU) (50220401). Only four of the eight oil fields producing from the Entrada met the 0.5 million barrels of oil minimum size used for this assessment. The AU was estimated at the mean to have potential additions to reserves of 2.32 million barrels of oil (MMBO), 5.56 billion cubic feet of natural gas (BCFG), and 0.22 million barrels of natural gas liquids (MMBNGL).
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NASA Astrophysics Data System (ADS)
Sanabria, Diego Ignacio
2001-07-01
Detailed outcrop analysis of the Lower Jurassic Kayenta Formation provides the basis for the formulation of a new sequence stratigraphic model for arid to semi-arid continental deposits and the generation of a comprehensive set of sedimentologic criteria for the recognition of ephemeral stream deposits. Criteria for the recognition of ephemeral deposits in the ancient record were divided into three categories according to the scale of the feature being considered. The first category takes into account sedimentary structures commonly found in the record of ephemeral stream deposits including hyperconcentrated and debris flow deposits, planar parallel bedding, sigmoidal cross-bedding, hummocky cross-bedding, climbing ripple lamination, scour-and-fill structures, convolute bedding, overturned cross-bedding, ball-and-pillow structures, pocket structures, pillars, mud curls, flaser lamination, algal lamination, termite nests, and vertebrate tracks. The second category is concerned with the mesoscale facies architecture of ephemeral stream deposits and includes waning flow successions, bedform climb, downstream accretion, terminal wadi splays, and channel-fill successions indicating catastrophic flooding. At the large-scale facies architecture level, the third category, ephemeral stream deposits are commonly arranged in depositional units characterized by a downstream decrease in grain size and scale of sedimentary structures resulting from deposition in terminal fan systems. Outcrops of the Kayenta Formation and its transition to the Navajo Sandstone along the Vermilion and Echo Cliffs of Northern Arizona indicate that wet/dry climatic cyclicity exerted a major control on regional facies architecture. Two scales of wet/dry climatic cyclicity can be recognized in northern Arizona. Three sequence sets composed of rocks accumulated under predominantly dry or wet conditions are the expression of long-term climatic cyclicity. Short-term climatic cyclicity, on the other hand, is represented by high-frequency sequences composed of eolian or ephemeral fluvial deposits overlain by perennial fluvial sediments. Increased evapotranspiration rates, depressed water tables, and accumulation of eolian or ephemeral fluvial deposits characterize the dry portion of these cycles. The wet part of the cycles is marked by an increase in precipitation and the establishment of perennial fluvial systems and lacustrine basins. This depositional model constitutes a valuable tool for correlation of similar deposits in the subsurface.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Stahl, John M.; Ross, Rudi; Harder, Eileen M.
Purpose: To determine the effect of biologically effective dose (BED{sub 10}) and radiation treatment schedule on overall survival (OS) in patients with early-stage non-small cell lung cancer (NSCLC) undergoing stereotactic body radiation therapy (SBRT). Methods and Materials: Using data from 65 treatment centers in the United States, we retrospectively reviewed the records of T1-2 N0 NSCLC patients undergoing SBRT alone from 2006 to 2014. Biologically relevant covariates, including dose per fraction, number of fractions, and time between fractions, were used to quantify BED{sub 10} and radiation treatment schedule. The linear-quadratic equation was used to calculate BED{sub 10} and to generatemore » a dichotomous dose variable of <105 Gy versus ≥105 Gy BED{sub 10}. The primary outcome was OS. We used the Kaplan-Meier method, the log–rank test, and Cox proportional hazards regression with propensity score matching to determine whether prescription BED{sub 10} was associated with OS. Results: We identified 747 patients who met inclusion criteria. The median BED{sub 10} was 132 Gy, and 59 (7.7%) had consecutive-day fractions. Median follow-up was 41 months, and 452 patients (60.5%) had died by the conclusion of the study. The 581 patients receiving ≥105 Gy BED{sub 10} had a median survival of 28 months, whereas the 166 patients receiving <105 Gy BED{sub 10} had a median survival of 22 months (log–rank, P=.01). Radiation treatment schedule was not a significant predictor of OS on univariable analysis. After adjusting for T stage, sex, tumor histology, and Eastern Cooperative Oncology Group performance status, BED{sub 10} ≥105 Gy versus <105 Gy remained significantly associated with improved OS (hazard ratio 0.78, 95% confidence interval 0.62-0.98, P=.03). Propensity score matching on imbalanced variables within high- and low-dose cohorts confirmed a survival benefit with higher prescription dose. Conclusions: We found that dose escalation to 105 Gy BED{sub 10} and beyond may improve survival in NSCLC patients treated with SBRT.« less
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[Anesthesia practice in Catalan hospitals and other health care facilities].
Villalonga, Antonio; Sabaté, Sergi; Campos, Juan Manuel; Fornaguera, Joan; Hernández, Carmen; Sistac, José María
2006-05-24
The aim of this arm of the ANESCAT study was to characterize anesthesia practice in the various types of health care facilities of Catalonia, Spain, in 2003. We analyzed data from the survey according to a) source of a facility's funding: public hospitals financed by the Catalan Public Health Authority (ICS), the network of subsidized hospitals for public use (XHUP), or private hospitals; b) size: facilities without hospital beds, hospitals with fewer than 250 beds, those with 251 to 500, and those with over 500; and c) training accreditation status: whether or not a facility gave medical resident training. A total of 131 facilities participated (11 under the ICS, 47 from the XHUP, and 73 private hospitals). Twenty-six clinics had no hospital beds, 78 facilities had fewer than 250, 21 had 251 to 500, and 6 had more than 500. Seventeen hospitals trained medical residents. XHUP hospitals performed 44.3% of all anesthetic procedures, private hospitals 36.7%, and ICS facilities 18.5%. Five percent of procedures were performed in clinics without beds, 42.9% in facilities with fewer than 250 beds, 35% in hospitals with 251 to 500, and 17.1% in hospitals with over 500. Anesthetists in teaching hospitals performed 35.5% of all procedures. The mean age of patients was lower in private hospitals, facilities with fewer than 250 beds, and hospitals that did not train medical residents. The physical status of patients was worse in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. It was noteworthy that 25% of anesthetic procedures were performed on an emergency basis in XHUP and ICS hospitals, in facilities with more than 250 beds, and in teaching hospitals. Anesthesia for outpatient procedures accounted for 40% of the total in private hospitals and 31% of the practice in ICS and XHUP hospitals. The duration of anesthesia and postanesthetic recovery was longer in ICS hospitals, in facilities with over 500 beds, and in those with medical resident training programs. The numbers of postoperative admissions to critical care units and of specialized analgesic techniques performed were higher in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. The complexity of both anesthesia and surgical practice and the severity of patient condition increased with hospital size and public funding status.
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A step ahead: strategies for excellence in critical care nursing practice.
Albano, Amy; Elliott, Sheila; Lusardi, Paula; Scott, Susan; Thomas, Diane
2005-06-01
The adult intensive care unit (ICU) at Baystate Medical Center is a 24-bed medical-surgical-trauma ICU that provides high-quality care to critically ill patients. Collaboration and expertise among the nursing staff, intensivists, and interdisciplinary colleagues have contributed to its development into a Beacon Award-winning unit. Its primary goal is reflected in the unit's mission: "Care for our patients is guided by knowledge, motivated by compassion, and performed in collaboration with others." Common interests, values, and purposes have created an environment of communication that supports the delivery of exceptional critical care to patients and their families.
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73. View of launch control center towards the blast door ...
73. View of launch control center towards the blast door and west, deputy commander standing in front of modular bed storage unit - Ellsworth Air Force Base, Delta Flight, Launch Control Facility, County Road CS23A, North of Exit 127, Interior, Jackson County, SD
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Methods and conceptual models to guide the development of tools for diagnosing the causes of biological impairment within aquatic ecosystems of the United States are described in this report. The conceptual models developed here address nutrients, suspended and bedded sediments (...
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Excessive erosion, transport and deposition of sediment are major problems in streams and rivers throughout the United States. We examined evidence of anthropogenic sedimentation in Oregon and Washington coastal streams using relatively rapid measurements taken from surveys duri...
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NASA Astrophysics Data System (ADS)
Schneider, Jean-Luc; Fourquin, Claude; Paicheler, Jean-Claude
1992-02-01
Pyroclastic deposits interpreted as subaqueous ash-flow tuff have been recognized within Archean to Recent marine and lacustrine sequences. Several authors proposed a high-temperature emplacement for some of these tuffs. However, the subaqueous welding of pyroclastic deposits remains controversial. The Visean marine volcaniclastic formations of southern Vosges (France) contain several layers of rhyolitic and rhyodacitic ash-flow tuff. These deposits include, from proximal to distal settings, breccia, lapilli and fine-ash tuff. The breccia and lapilli tuff are partly welded, as indicated by the presence of fiamme, fluidal and axiolitic structures. The lapilli tuff form idealized sections with a lower, coarse and welded unit and an upper, bedded and unwelded fine-ash tuff. Sedimentary structures suggest that the fine-ash tuff units were deposited by turbidity currents. Welded breccias, interbedded in a thick submarine volcanic complex, indicate the close proximity of the volcanic source. The lapilli and fine-ash tuff are interbedded in a thick marine sequence composed of alternating sandstones and shales. Presence of a marine stenohaline fauna and sedimentary structures attest to a marine depositional environment below storm-wave base. In northern Anatolia, thick massive sequences of rhyodacitic crystal tuff are interbedded with the Upper Cretaceous marine turbidites of the Mudurnu basin. Some of these tuffs are welded. As in southern Vosges, partial welding is attested by the presence of fiamme and fluidal structures. The latter are frequent in the fresh vitric matrix. These tuff units contain a high proportion of vitroclasis, and were emplaced by ash flows. Welded tuff units are associated with non-welded crystal tuff, and contain abundant bioclasts which indicate mixing with water during flowage. At the base, basaltic breccia beds are associated with micritic beds containing a marine fauna. The welded and non-welded tuff sequences are interbedded in an alternation of limestones and marls. These limestones are rich in pelagic microfossils. The evidence above strongly suggest that in both examples, tuff beds are partly welded and were emplaced at high temperature by subaqueous ash flows in a permanent marine environment. The sources of the pyroclastic material are unknown in both cases. We propose that the ash flows were produced during submarine fissure eruptions. Such eruptions could produce non-turbulent flows which were insulated by a steam carapace before deposition and welding. The welded ash-flow tuff deposits of southern Vosges and northern Anatolia give strong evidence for existence of subaqueous welding.
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Mercury Emission Measurement at a CFB Plant
DOE Office of Scientific and Technical Information (OSTI.GOV)
John Pavlish; Jeffrey Thompson; Lucinda Hamre
2009-02-28
In response to pending regulation to control mercury emissions in the United States and Canada, several projects have been conducted to perform accurate mass balances at pulverized coal (pc)-fired utilities. Part of the mercury mass balance always includes total gaseous mercury as well as a determination of the speciation of the mercury emissions and a concentration bound to the particulate matter. This information then becomes useful in applying mercury control strategies, since the elemental mercury has traditionally been difficult to control by most technologies. In this instance, oxidation technologies have proven most beneficial for increased capture. Despite many years ofmore » mercury measurement and control projects at pc-fired units, far less work has been done on circulating fluidized-bed (CFB) units, which are able to combust a variety of feedstocks, including cofiring coal with biomass. Indeed, these units have proven to be more problematic because it is very difficult to obtain a reliable mercury mass balance. These units tend to have very different temperature profiles than pc-fired utility boilers. The flexibility of CFB units also tends to be an issue when a mercury balance is determined, since the mercury inputs to the system come from the bed material and a variety of fuels, which can have quite variable chemistry, especially for mercury. In addition, as an integral part of the CFB operation, the system employs a feedback loop to circulate the bed material through the combustor and the solids collection system (the primary cyclone), thereby subjecting particulate-bound metals to higher temperatures again. Despite these issues, CFB boilers generally emit very little mercury and show good native capture. The Energy & Environmental Research Center is carrying out this project for Metso Power in order to characterize the fate of mercury across the unit at Rosebud Plant, an industrial user of CFB technology from Metso. Appropriate solids were collected, and flue gas samples were obtained using the Ontario Hydro method, mercury continuous emission monitors, and sorbent trap methods. In addition, chlorine and fluorine were determined for solids and in the flue gas stream. Results of this project have indicated a very good mercury mass balance for Rosebud Plant, indicating 105 {+-} 19%, which is well within acceptable limits. The mercury flow through the system was shown to be primarily in with the coal and out with the flue gas, which falls outside of the norm for CFB boilers.« less
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NASA Astrophysics Data System (ADS)
Silva, C. A.; Souza Filho, P. M.; Gouvea Luiz, J.
2007-05-01
The Marapanim estuary is situated in the Para Coastal Plain, North Brazil. It is characterized by an embayed coastline developed on Neogene and Quaternary sediments of the Barreiras and Pos-Barreiras Group. This system is strongly influenced by macrotidal regimes with semidiurnal tides and by humid tropical climate conditions. The interpretation of GPR-reflections presented in this paper is based on correlation of the GPR signal with stratigraphic data acquired on the coastal plain through five cores that were taken along GPR survey lines from the recent deposits and outcrops observed along to the coastal area. The profiles were obtained using a Geophysical Survey Systems Inc., Model YR-2 GPR, with monostatic 700 MHz antenna that permitted to get records of subsurface deposits at 20m depth. Were collected 54 radar sections completing a total of 4.360m. The field data were analyzed using a RADAN software and applying different filters. The interpretation of radar facies following the principles of seismic stratigraphy that permitted analyze the sedimentary facies and facies architecture in order to understand the lithology, depositional environments and stratigraphic evolution of this sedimentary succession as well as to leading to a more precise stratigraphic framework for the Neogene to Quaternary deposits at Marapanim coastal plain. Facies characteristics and sedimentologic analysis (i.e., texture, composition and structure aspects) were investigated from five cores collected through a Rammkernsonde system. The locations were determined using a Global Positioning System. Remote sensing images (Landsat-7 ETM+ and RADARSAT-1 Wide) and SRTM elevation data were used to identify and define the distribution of the different morphologic units. The Coastal Plain extends west-east of the mouth of the Marapanim River, where were identified six morphologic units: paleodune, strand plain, recent coastal dune, macrotidal sandy beach, mangrove and salt marsh. The integration of GPR profiles and stratigraphy data allowed for the recognition of paleochannel geometry, with width of 150m and depth of 20m, developed on Barreiras Group, two discontinuity surfaces and three facies associations organized into sedimentary facies: (i) Tidal channel with mottled sand, Conglomerate with clay pebble and Ophiomorpha/linear Skolithos, channel-fill and tabular cross-bedding sand and sand/mud interlayer facies. (ii) Dune/interdune with wavy bedding and cross-bedding sand and planar bedding and tabular cross-bedding sand facies. (iii) infilled tidal channel with mottled sand, planar/flaser bedding sand, lenticular bedding clay and sand/mud interlayer facies. The present study demonstrates that some facies associations occur restricts to tidal paleochannels and shows features well preserved that are very important to reconstruction of the relative sea-level history in the Marapanim Estuary.
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A mobility program for an inpatient acute care medical unit.
Wood, Winnie; Tschannen, Dana; Trotsky, Alyssa; Grunawalt, Julie; Adams, Danyell; Chang, Robert; Kendziora, Sandra; Diccion-MacDonald, Stephanie
2014-10-01
For many patients, hospitalization brings prolonged periods of bed rest, which are associated with such adverse health outcomes as increased length of stay, increased risk of falls, functional decline, and extended-care facility placement. Most studies of progressive or early mobility protocols designed to minimize these adverse effects have been geared toward specific patient populations and conducted by multidisciplinary teams in either ICUs or surgical units. Very few mobility programs have been developed for and implemented on acute care medical units. This evidence-based quality improvement project describes how a mobility program, devised for and put to use on a general medical unit in a large Midwestern academic health care system, improved patient outcomes.
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Ootaki, Chiyo; Barsoum, Sabri
2009-10-01
Cleveland Clinic Labor and Delivery Unit is a syntactical delivery facility and comprised of 16 delivery rooms, 3 operating rooms, 3 triage rooms, and 1 recovery room that has a capacity of 6 beds, 43 postpartum rooms, 2 nurseries, and 1 neonatal intensive care unit (NICU). Cleveland Clinic Labor and Delivery Unit (LDU) had 3,691 delivery cases in 2007. The ratio of neuraxial analgesia (NA) during labor is 84.2% (2,348/ 2,787), using epidural anesthesia or combined spinalepidural anesthesia (CSEA). This article introduces the obstetrical (OB) anesthesia practice at the Cleveland Clinic and our novel anesthetic regime as typical of one typical busy day.
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Architectural design of a secure forensic state psychiatric hospital.
Dvoskin, Joel A; Radomski, Steven J; Bennett, Charles; Olin, Jonathan A; Hawkins, Robert L; Dotson, Linda A; Drewnicky, Irene N
2002-01-01
This article describes the architectural design of a secure forensic state psychiatric hospital. The project combined input from staff at all levels of the client organization, outside consultants, and a team of experienced architects. The design team was able to create a design that maximized patient dignity and privacy on one hand, and the ability of staff to observe all patient activity on the other. The design centers around 24-bed units, broken into smaller living wings of eight beds each. Each eight-bed living wing has its own private bathrooms (two) and showers (two), as well as a small living area solely reserved for these eight patients and their guests. An indoor-outdoor dayroom allows patients to go outside whenever they choose, while allowing staff to continue observing them. The heart of the facility is a large treatment mall, designed to foster the acquisition of social, emotional, cognitive, and behavioral skills that will help patients to safely return to their communities. Copyright 2002 John Wiley & Sons, Ltd.
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Indoor Tanning Legislation: Shaping Policy and Nursing Practice.
Driscoll, Donna W; Darcy, Jennifer
2015-01-01
Legislation exists regulating adolescents' use of tanning beds; however, the rate at which adolescents use these devices has not been reduced. The purpose of this study was to provide an analysis of indoor tanning bed legislation in the United States specifically related to legal issues and parental consent along with enforcement of current laws. The investigators collected data via review of state health department websites or telephone interviews of identified contacts for all 50 states. Findings reveal wide variation in legislation related to adolescents' access to tanning devices and enforcement of violation of legal statutes. Nurses and other health care professionals can play key roles in educating families and adolescents to the dangers from the use of tanning beds along with being role models for proper skin protective behaviors. In addition, nurses should become advocates by supporting legislative efforts that ban tanning salons for all minors, with the long-term goal of reducing skin cancer caused by ultraviolet radiation (UVR) exposure from the use of tanning salons today.
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Moving Bed Granular Bed Filter Development Program. Topical report, September 1994
DOE Office of Scientific and Technical Information (OSTI.GOV)
Haas, J.C.; Prudhomme, J.W.; Wilson, K.W.
1994-09-01
Five test arrangements have been designed to support the Granular Bed Filter Development Program as defined in the Test Plan. The first arrangement is a 3.6 ft. diameter half filter, with a glass covering along the cross section to allow visual examination of the granular alumina material passing through the filter. The second test arrangement is a 3.6 ft diameter full size filter having refractory lining to simulate actual surface roughness conditions. The third test arrangement will examine filter geometry scale up by testing a 6.0 ft. diameter full size filter. The fourth Test Arrangement consists of a small 12more » inch diameter fluidizer to measure the minimum fluidization velocity of the 7 m (approx. size) alumina material to be used in the filter assemblies. The last Test Unit is used to evaluation relative abrasion characteristics of potential refractory and ceramic materials to be installed in high abrasion areas in the pneumatic transport piping.« less
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Pressure ulcer prevention in high-risk postoperative cardiovascular patients.
Jackson, Melissa; McKenney, Teresa; Drumm, Jennifer; Merrick, Brian; LeMaster, Tamara; VanGilder, Catherine
2011-08-01
Little has been published about how to prevent pressure ulcers in severely debilitated, immobile patients in intensive care units. To present a possible prevention strategy for postoperative cardiovascular surgery patients at high risk for development of pressure ulcers. Staff chose to implement air fluidized therapy beds, which provide maximal immersion and envelopment as a measure for preventing pressure ulcers in patients who (1) required vasopressors for at least 24 hours and (2) required mechanical ventilation for at least 24 hours postoperatively. Only 1 of 27 patients had a pressure ulcer develop while on the air fluidized therapy bed (February 2008 through August 2008), and that ulcer was only a stage I ulcer, compared with 40 ulcers in 25 patients before the intervention. Patients spent a mean of 7.9 days on the mattress, and the cost of bed rental was approximately $18000, which was similar to the cost of treatment of 1 pressure ulcer in stage III or IV (about $40000) and was considered cost-effective.
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24 CFR 200.73 - Property development.
Code of Federal Regulations, 2010 CFR
2010-04-01
.... (a) The property shall be suitable and principally designed for the intended use, as provided by the applicable section of the Act under which the mortgage is insured, and have long-term marketability. Design... or personal care units, 20 medical care beds, or 50 manufactured home pads, shall be on one site...
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Empty Beds: Indian Student Health at Sherman Institute, 1902-1922.
ERIC Educational Resources Information Center
Keller, Jean A.
As one of the last nonreservation boarding schools built for American Indian students in the United States, Sherman Institute (Riverside, California) benefited from lessons learned about student health from earlier boarding schools. Excessive student morbidity and mortality at early boarding schools had resulted in a lasting perception of these…