Science.gov

Sample records for center options study

  1. Options for Organizing the Tanker Airlift Control Center Flight Dispatch Function: An Exploratory Concept Study

    DTIC Science & Technology

    2000-06-01

    Jeffrey A. Sheppard, Major, USAF AFIT/ GMO /ENS/00E-10 DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY AIR FORCE INSTITUTE OF TECHNOLOGY Wright...Force, Department of Defense, or the U. S. Government. AFIT/ GMO /ENS/00E-10 OPTIONS FOR ORGANIZING THE TANKER AIRLIFT CONTROL CENTER FLIGHT...Program Goal…….……….…61 vi AFIT/ GMO /ENS/00E-10 Abstract The Tanker Airlift Control Center (TACC) is the central execution agency for

  2. A Study on Optimized Management Options for the Wolsong Low- and Intermediate - Level Waste Disposal Center in Korea - 13479

    SciTech Connect

    Park, JooWan; Kim, DongSun; Choi, DongEun

    2013-07-01

    The safe and effective management of radioactive waste is a national task required for sustainable generation of nuclear power and for energy self-reliance in Korea. Currently, for permanent disposal of low- and intermediate-level waste (LILW), the Wolsong LILW Disposal Center (WLDC) is under construction. It will accommodate a total of 800,000 drums at the final stage after stepwise expansion. As an implementing strategy for cost-effective development of the WLDC, various disposal options suitable for waste classification schemes would be considered. It is also needed an optimized management of the WLDC by taking a countermeasure of volume reduction treatment. In this study, various management options to be applied to each waste class are analyzed in terms of its inventory and disposal cost. For the volume reduction and stabilization of waste, the vitrification and plasma melting methods are considered for combustible and incombustible waste, respectively. (authors)

  3. Cancer in World Trade Center responders: Findings from multiple cohorts and options for future study.

    PubMed

    Boffetta, Paolo; Zeig-Owens, Rachel; Wallenstein, Sylvan; Li, Jiehui; Brackbill, Robert; Cone, James; Farfel, Mark; Holden, William; Lucchini, Roberto; Webber, Mayris P; Prezant, David; Stellman, Steven D

    2016-02-01

    Three longitudinal studies of cancer incidence in varied populations of World Trade Center responders have been conducted. We compared the design and results of the three studies. Separate analyses of these cohorts revealed excess cancer incidence in responders for all cancers combined and for cancers of the thyroid and prostate. Methodological dissimilarities included recruitment strategies, source of cohort members, demographic characteristics, overlap between cohorts, assessment of WTC and other occupational exposures and confounders, methods and duration of follow-up, approaches for statistical analysis, and latency analyses. The presence of three cohorts strengthens the effort of identifying and quantifying the cancer risk; the heterogeneity in design might increase sensitivity to the identification of cancers potentially associated with exposure. The presence and magnitude of an increased cancer risk remains to be fully elucidated. Continued long-term follow up with minimal longitudinal dropout is crucial to achieve this goal. © 2016 Wiley Periodicals, Inc.

  4. Options Study - Phase II

    SciTech Connect

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2010-09-01

    The Options Study has been conducted for the purpose of evaluating the potential of alternative integrated nuclear fuel cycle options to favorably address the issues associated with a continuing or expanding use of nuclear power in the United States. The study produced information that can be used to inform decisions identifying potential directions for research and development on such fuel cycle options. An integrated nuclear fuel cycle option is defined in this study as including all aspects of the entire nuclear fuel cycle, from obtaining natural resources for fuel to the ultimate disposal of used nuclear fuel (UNF) or radioactive wastes. Issues such as nuclear waste management, especially the increasing inventory of used nuclear fuel, the current uncertainty about used fuel disposal, and the risk of nuclear weapons proliferation have contributed to the reluctance to expand the use of nuclear power, even though it is recognized that nuclear power is a safe and reliable method of producing electricity. In this Options Study, current, evolutionary, and revolutionary nuclear energy options were all considered, including the use of uranium and thorium, and both once-through and recycle approaches. Available information has been collected and reviewed in order to evaluate the ability of an option to clearly address the challenges associated with the current implementation and potential expansion of commercial nuclear power in the United States. This Options Study is a comprehensive consideration and review of fuel cycle and technology options, including those for disposal, and is not constrained by any limitations that may be imposed by economics, technical maturity, past policy, or speculated future conditions. This Phase II report is intended to be used in conjunction with the Phase I report, and much information in that report is not repeated here, although some information has been updated to reflect recent developments. The focus in this Options Study was to

  5. Nevada Transportatoion Options Study

    SciTech Connect

    P. GEHNER; E.M. WEAVER; L. FOSSUM

    2006-05-25

    This study performs a cost and schedule analysis of three Nevada Transportation options that support waste receipt at the repository. Based on the U.S. Department of Energy preference for rail transportation in Nevada (given in the Final Environmental Impact Statement), it has been assumed that a branch rail line would be constructed to support waste receipt at the repository. However, due to potential funding constraints, it is uncertain when rail will be available. The three Nevada Transportation options have been developed to meet a varying degree of requirements for transportation and to provide cost variations used in meeting the funding constraints given in the Technical Direction Letter guidelines for this study. The options include combinations of legal-weight truck, heavy-haul truck, and rail. Option 1 uses a branch rail line that would support initial waste receipt at the repository in 2010. Rail transportation would be the primary mode, supplemented by legal weight trucks. This option provides the highest level of confidence in cost and schedule, lowest public visibility, greatest public acceptability, lowest public dose, and is the recommended option for support of waste receipt. The completion of rail by 2010 will require spending approximately $800 million prior to 2010. Option 2 uses a phased rail approach to address a constrained funding scenario. To meet funding constraints, Option 2 uses a phased approach to delay high cost activities (final design and construction) until after initial waste receipt in 2010. By doing this, approximately 95 percent of the cost associated with completion of a branch rail line is deferred until after 2010. To support waste receipt until a branch rail line is constructed in Nevada, additional legal-weight truck shipments and heavy-haul truck shipments (on a limited basis for naval spent nuclear fuel) would be used to meet the same initial waste receipt rates as in Option 1. Use of heavy-haul shipments in the absence

  6. The safeguards options study

    SciTech Connect

    Hakkila, E.A.; Mullen, M.F.; Olinger, C.T.; Stanbro, W.D.; Olsen, A.P.; Roche, C.T.; Rudolph, R.R.; Bieber, A.M.; Lemley, J.; Filby, E.

    1995-04-01

    The Safeguards Options Study was initiated to aid the International Safeguards Division (ISD) of the DOE Office of Arms Control and Nonproliferation in developing its programs in enhanced international safeguards. The goal was to provide a technical basis for the ISD program in this area. The Safeguards Options Study has been a cooperative effort among ten organizations. These are Argonne National Laboratory, Brookhaven National Laboratory, Idaho National Engineering Laboratory, Lawrence Livermore National Laboratory, Los Alamos National Laboratory, Mound Laboratory, Oak Ridge National Laboratory, Pacific Northwest Laboratories, Sandia National Laboratories, and Special Technologies Laboratory. Much of the Motivation for the Safeguards Options Study is the recognition after the Iraq experience that there are deficiencies in the present approach to international safeguards. While under International Atomic Energy Agency (IAEA) safeguards at their declared facilities, Iraq was able to develop a significant weapons program without being noticed. This is because negotiated safeguards only applied at declared sites. Even so, their nuclear weapons program clearly conflicted with Iraq`s obligations under the Nuclear Nonproliferation Treaty (NPT) as a nonnuclear weapon state.

  7. Retrieval options study

    SciTech Connect

    Not Available

    1980-03-01

    This Retrieval Options Study is part of the systems analysis activities of the Office of Nuclear Waste Isolation to develop the scientific and technological bases for radioactive waste repositories in various geologic media. The study considers two waste forms, high level waste and spent fuel, and defines various classes of waste retrieval and recovery. A methodology and data base are developed which allow the relative evaluation of retrieval and recovery costs and the following technical criteria: safety; technical feasibility; ease of retrieval; probable intact retrieval time; safeguards; monitoring; criticality; and licensability. A total of 505 repository options are defined and the cost and technical criteria evaluated utilizing a combination of facts and engineering judgments. The repositories evaluated are selected combinations of the following parameters: Geologic Media (salt, granite, basalt, shale); Retrieval Time after Emplacement (5 and 25 years); Emplacement Design (nominal hole, large hole, carbon steel canister, corrosion resistant canister, backfill in hole, nominal sleeves, thick wall sleeves); Emplacement Configuration (single vertical, multiple vertical, single horizontal, multiple horizontal, vaults; Thermal Considerations; (normal design, reduced density, once-through ventilation, recirculated ventilation); Room Backfill; (none, run-of-mine, early, 5 year delay, 25 year delay, decommissioned); and Rate of Retrieval; (same as emplacement, variably slower depending on repository/canister condition).

  8. Comparison of Head Center Position and Screw Fixation Options Between a Jumbo Cup and an Offset Center of Rotation Cup in Revision Total Hip Arthroplasty: A Computer Simulation Study.

    PubMed

    Faizan, Ahmad; Black, Brandon J; Fay, Brian D; Heffernan, Christopher D; Ries, Michael D

    2016-01-01

    Jumbo acetabular cups are commonly used in revision total hip arthroplasty (THA). A straightforward reaming technique is used which is similar to primary THA. However, jumbo cups may also be associated with hip center elevation, limited screw fixation options, and anterior soft tissue impingement. A partially truncated hemispherical shell was designed with an offset center of rotation, thick superior rim, and beveled anterior and superior rims as an alternative to a conventional jumbo cup. A three dimensional computer simulation was used to assess head center position and safe screw trajectories. Results of this in vitro study indicate that a modified hemispherical implant geometry can reduce head center elevation while permitting favorable screw fixation trajectories into the pelvis in comparison to a conventional jumbo cup.

  9. Oregon Early Options Study.

    ERIC Educational Resources Information Center

    Oregon Univ. System, Eugene. Office of Academic Affairs.

    This report examines current policies and practices in regard to Oregon high school student participation in college courses and programs. A total of 112 of Oregon's public and private high schools responded to a January 1998 mailed survey concerning early college options programs and policies. It was found that an estimated 6,660 students were…

  10. TOPEX satellite option study

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The basic design of the fleet satellite communication spacecraft (FLTSATCOM) can easily accommodate any of the three payload options for the ocean dynamic topography experiment (TOPEX). The principal mission requirements as well as the payload accommodations and communications systems needed for launching this payload are reviewed. The existing FLTSATCOM satellite design is identified and the approaches for the proposed propulsion system are described in addition to subsystems for mechanical; power; attitude and velocity control; and telemetry, tracking and control are described. The compatability of FLTSATCOM with the launch vehicle is examined and its capabilities vs TOPEX requirements are summarized. Undetermined changes needed to meet data storage, thermal control, and area to mass ratio requirements are discussed. Cost estimates are included for budgetary and planning purposes. The availability of the described design is assessed based on the continuing production of FLTSATCOM spacecraft during the schedule span planned for TOPEX.

  11. AFCI Options Study

    SciTech Connect

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2009-09-01

    This report describes the background and framework for both organizing the discussion and providing information on the potential for nuclear energy R&D to develop alternative nuclear fuel cycles that would address the issues with the current implementations of nuclear power, including nuclear waste disposal, proliferation risk, safety, security, economics, and sustainability. The disposition of used fuel is the cause of many of the concerns, and the possible approaches to used fuel management identify a number of basic technology areas that need to be considered. The basic science in each of the technology areas is discussed, emphasizing what science is currently available, where scientific knowledge may be insufficient, and especially to identify specific areas where transformational discoveries may allow achievement of performance goals not currently attainable. These discussions lead to the wide range of technical options that have been the basis for past and current research and development on advanced nuclear fuel cycles in the United States. The results of this work are then briefly reviewed to show the extent to which such approaches are capable of addressing the issues with nuclear power, the potential for moving further, and the inherent limitations.

  12. 45 CFR 1306.32 - Center-based program option.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Center-based program option. 1306.32 Section 1306.32 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT... previous years. Grantees must make provisions in their budgets and program plans to operate makeup classes...

  13. Design Evolution Study - Aging Options

    SciTech Connect

    P. McDaniel

    2002-04-05

    The purpose of this study is to identify options and issues for aging commercial spent nuclear fuel received for disposal at the Yucca Mountain Mined Geologic Repository. Some early shipments of commercial spent nuclear fuel to the repository may be received with high-heat-output (younger) fuel assemblies that will need to be managed to meet thermal goals for emplacement. The capability to age as much as 40,000 metric tons of heavy metal of commercial spent nuclear he1 would provide more flexibility in the design to manage this younger fuel and to decouple waste receipt and waste emplacement. The following potential aging location options are evaluated: (1) Surface aging at four locations near the North Portal; (2) Subsurface aging in the permanent emplacement drifts; and (3) Subsurface aging in a new subsurface area. The following aging container options are evaluated: (1) Complete Waste Package; (2) Stainless Steel inner liner of the waste package; (3) Dual Purpose Canisters; (4) Multi-Purpose Canisters; and (5) New disposable canister for uncanistered commercial spent nuclear fuel. Each option is compared to a ''Base Case,'' which is the expected normal waste packaging process without aging. A Value Engineering approach is used to score each option against nine technical criteria and rank the options. Open issues with each of the options and suggested future actions are also presented. Costs for aging containers and aging locations are evaluated separately. Capital costs are developed for direct costs and distributable field costs. To the extent practical, unit costs are presented. Indirect costs, operating costs, and total system life cycle costs will be evaluated outside of this study. Three recommendations for aging commercial spent nuclear fuel--subsurface, surface, and combined surface and subsurface are presented for further review in the overall design re-evaluation effort. Options that were evaluated but not recommended are: subsurface aging in a new

  14. ATR Spent Fuel Options Study

    SciTech Connect

    Connolly, Michael James; Bean, Thomas E.; Brower, Jeffrey O.; Luke, Dale E.; Patterson, M. W.; Robb, Alan K.; Sindelar, Robert; Smith, Rebecca E.; Tonc, Vincent F.; Tripp, Julia L.; Winston, Philip L.

    2017-01-01

    The Advanced Test Reactor (ATR) is a materials and fuels test nuclear reactor that performs irradiation services for the U.S. Department of Energy (DOE) Office of Nuclear Energy (NE), Naval Reactors, the National Nuclear Security Administration (NNSA), and other research programs. ATR achieved initial criticality in 1967 and is expected to operate in support of needed missions until the year 2050 or beyond. It is anticipated that ATR will generate approximately 105 spent nuclear fuel (SNF) elements per year through the year 2050. Idaho National Laboratory (INL) currently stores 2,008 ATR SNF elements in dry storage, 976 in wet storage, and expects to have 1,000 elements in wet storage before January 2017. A capability gap exists at INL for long-term (greater than the year 2050) management, in compliance with the Idaho Settlement Agreement (ISA), of ATR SNF until a monitored retrievable geological repository is open. INL has significant wet and dry storage capabilities that are owned by the DOE Office of Environmental Management (EM) and operated and managed by Fluor Idaho, which include the Idaho Nuclear Technology and Engineering Center’s (INTEC’s) CPP-666, CPP-749, and CPP-603. In addition, INL has other capabilities owned by DOE-NE and operated and managed by Battelle Energy Alliance, LLC (BEA), which are located at the Materials and Fuel Complex (MFC). Additional storage capabilities are located on the INL Site at the Naval Reactors Facility (NRF). Current INL SNF management planning, as defined in the Fluor Idaho contract, shows INTEC dry fuel storage, which is currently used for ATR SNF, will be nearly full after transfer of an additional 1,000 ATR SNF from wet storage. DOE-NE tasked BEA with identifying and analyzing options that have the potential to fulfill this capability gap. BEA assembled a team comprised of SNF management experts from Fluor Idaho, Savannah River Site (SRS), INL/BEA, and the MITRE Corp with an objective of developing and analyzing

  15. A Film Study Option for HSC French

    ERIC Educational Resources Information Center

    Connole, Pat

    1974-01-01

    In 1974, after a trial period of two years, the study of two selected French feature films will be offered as an option to the study of prescribed texts in Higher School Certificate French in Victoria. (Author)

  16. CyberKnife Stereotactic Ablative Radiotherapy as an Option of Treatment for Patients With Prostate Cancer Having Oligometastatic Lymph Nodes: Single-Center Study Outcome Evaluation.

    PubMed

    Napieralska, Aleksandra; Miszczyk, Leszek; Stąpór-Fudzińska, Małgorzata

    2016-10-01

    The aim of this study was to evaluate the effectiveness of CyberKnife-based stereotactic ablative radiotherapy on prostate cancer lymph node metastases. Our material consisted of 18 patients with 31 metastatic lymph nodes irradiated between 2011 and 2014 using CyberKnife-based stereotactic ablative radiotherapy. Patients were irradiated using fraction dose varied from 6 to 15 Gy (median 10), to the total dose of 24 to 45 Gy (median 30). Irradiated lymph node size varied from 0.4 to 4.0 cm. In all, 9 patients had single lymph node metastasis and 9 patients had metastases of 2 to 4 lymph nodes. Prostate-specific antigen concentration before radiotherapy varied from 0.01 to 15.58 (mean 6.97; median 4.66). All patients at the time of radiotherapy and follow-up received androgen deprivation therapy. Mann-Whitney U, Kaplan-Meier method, and log-rank tests were used in statistical analysis. We obtained the following results: after CyberKnife stereotactic ablative radiotherapy, prostate-specific antigen concentration dropped in majority of cases and during the last control varied from 0.00 to 258.00 (median 2.5), and was lower in patients without dissemination to other organs (P = .01). Complete regression was found in 12 lesions, stable disease in 13, and progression in 4. In 7 patients, the dissemination to other organs occurred. Our results allow us to conclude that CyberKnife stereotactic ablative radiotherapy of prostate cancer lymph node oligometastases gives good local control and relatively good prostate-specific antigen response.

  17. Options for organization and operation of space applications transfer centers

    NASA Technical Reports Server (NTRS)

    Robinson, A. C.; Madigan, J. A.

    1976-01-01

    The benefits of developing regional facilities for transfer of NASA developed technology are discussed. These centers are designed to inform, persuade, and serve users. Included will be equipment for applications and demonstrations of the processes, a library, training facilities, and meeting rooms. The staff will include experts in the various techniques, as well as personnel involved in finding and persuading potential users.

  18. 45 CFR 1306.32 - Center-based program option.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... aide or two teachers and, whenever possible, a volunteer. (2) Grantees must determine their class size... year, to conduct home visits, to conduct health examinations, screening and immunization activities, to... should take place outside of the time scheduled for classes in center-based programs or home visits in...

  19. 45 CFR 1306.32 - Center-based program option.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... encourages parents to participate in two home visits annually for each child enrolled in a center-based... be dropped from the program if the parents will not participate in the visits. (9) Head Start grantees operating migrant programs are required to plan for a minimum of two parent-teacher conferences...

  20. 45 CFR 1306.32 - Center-based program option.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... encourages parents to participate in two home visits annually for each child enrolled in a center-based... be dropped from the program if the parents will not participate in the visits. (9) Head Start grantees operating migrant programs are required to plan for a minimum of two parent-teacher conferences...

  1. Options for Sustaining School-Based Health Centers

    ERIC Educational Resources Information Center

    Swider, Susan M.; Valukas, Amy

    2004-01-01

    Several methods exist for financing and sustaining operations of school-based health centers (SBHCs). Promising sources of funds include private grants, federal grants, and state funding. Recently, federal regulation changes mandated that federal funding specifically for SBHCs go only to SBHCs affiliated with a Federally Qualified Health Center…

  2. Options for Sustaining School-Based Health Centers

    ERIC Educational Resources Information Center

    Swider, Susan M.; Valukas, Amy

    2004-01-01

    Several methods exist for financing and sustaining operations of school-based health centers (SBHCs). Promising sources of funds include private grants, federal grants, and state funding. Recently, federal regulation changes mandated that federal funding specifically for SBHCs go only to SBHCs affiliated with a Federally Qualified Health Center…

  3. Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers.

    PubMed

    Hoerger, Michael; Epstein, Ronald M; Winters, Paul C; Fiscella, Kevin; Duberstein, Paul R; Gramling, Robert; Butow, Phyllis N; Mohile, Supriya G; Kaesberg, Paul R; Tang, Wan; Plumb, Sandy; Walczak, Adam; Back, Anthony L; Tancredi, Daniel; Venuti, Alison; Cipri, Camille; Escalera, Gisela; Ferro, Carol; Gaudion, Don; Hoh, Beth; Leatherwood, Blair; Lewis, Linda; Robinson, Mark; Sullivan, Peter; Kravitz, Richard L

    2013-04-09

    Communication about prognosis and treatment choices is essential for informed decision making in advanced cancer. This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers. The Values and Options in Cancer Care (VOICE) Study is a National Cancer Institute sponsored randomized controlled trial conducted in the Rochester/Buffalo, NY and Sacramento, CA regions. A total of 40 oncologists, approximately 400 patients with advanced cancer, and their family/friend caregivers (one per patient, when available) are expected to enroll in the study. Drawing upon ecological theory, the intervention uses a two-pronged approach: oncologists complete a multifaceted tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns. Follow-up data will be collected approximately quarterly for up to three years. The intervention is hypothesized to enhance patient-centered communication, quality of care, and patient outcomes. Analyses will examine the effects of the intervention on key elements of physician-patient-caregiver communication (primary outcomes), the physician-patient relationship, shared understanding of prognosis, patient well-being, and health service utilization (secondary outcomes). Clinical Trials Identifier: NCT01485627.

  4. Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers

    PubMed Central

    2013-01-01

    Background Communication about prognosis and treatment choices is essential for informed decision making in advanced cancer. This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers. Methods/design The Values and Options in Cancer Care (VOICE) Study is a National Cancer Institute sponsored randomized controlled trial conducted in the Rochester/Buffalo, NY and Sacramento, CA regions. A total of 40 oncologists, approximately 400 patients with advanced cancer, and their family/friend caregivers (one per patient, when available) are expected to enroll in the study. Drawing upon ecological theory, the intervention uses a two-pronged approach: oncologists complete a multifaceted tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns. Follow-up data will be collected approximately quarterly for up to three years. Discussion The intervention is hypothesized to enhance patient-centered communication, quality of care, and patient outcomes. Analyses will examine the effects of the intervention on key elements of physician-patient-caregiver communication (primary outcomes), the physician-patient relationship, shared understanding of prognosis, patient well-being, and health service utilization (secondary outcomes). Trial registration Clinical Trials Identifier: NCT01485627 PMID:23570278

  5. NEXT GENERATION MELTER OPTIONEERING STUDY - INTERIM REPORT

    SciTech Connect

    GRAY MF; CALMUS RB; RAMSEY G; LOMAX J; ALLEN H

    2010-10-19

    The next generation melter (NOM) development program includes a down selection process to aid in determining the recommended vitrification technology to implement into the WTP at the first melter change-out which is scheduled for 2025. This optioneering study presents a structured value engineering process to establish and assess evaluation criteria that will be incorporated into the down selection process. This process establishes an evaluation framework that will be used progressively throughout the NGM program, and as such this interim report will be updated on a regular basis. The workshop objectives were achieved. In particular: (1) Consensus was reached with stakeholders and technology providers represented at the workshop regarding the need for a decision making process and the application of the D{sub 2}0 process to NGM option evaluation. (2) A framework was established for applying the decision making process to technology development and evaluation between 2010 and 2013. (3) The criteria for the initial evaluation in 2011 were refined and agreed with stakeholders and technology providers. (4) The technology providers have the guidance required to produce data/information to support the next phase of the evaluation process. In some cases it may be necessary to reflect the data/information requirements and overall approach to the evaluation of technology options against specific criteria within updated Statements of Work for 2010-2011. Access to the WTP engineering data has been identified as being very important for option development and evaluation due to the interface issues for the NGM and surrounding plant. WRPS efforts are ongoing to establish precisely data that is required and how to resolve this Issue. It is intended to apply a similarly structured decision making process to the development and evaluation of LAW NGM options.

  6. Advanced Demonstration and Test Reactor Options Study

    SciTech Connect

    Petti, David Andrew; Hill, R.; Gehin, J.; Gougar, Hans David; Strydom, Gerhard; Heidet, F.; Kinsey, J.; Grandy, Christopher; Qualls, A.; Brown, Nicholas; Powers, J.; Hoffman, E.; Croson, D.

    2017-01-01

    Global efforts to address climate change will require large-scale decarbonization of energy production in the United States and elsewhere. Nuclear power already provides 20% of electricity production in the United States (U.S.) and is increasing in countries undergoing rapid growth around the world. Because reliable, grid-stabilizing, low emission electricity generation, energy security, and energy resource diversity will be increasingly valued, nuclear power’s share of electricity production has a potential to grow. In addition, there are non electricity applications (e.g., process heat, desalination, hydrogen production) that could be better served by advanced nuclear systems. Thus, the timely development, demonstration, and commercialization of advanced nuclear reactors could diversify the nuclear technologies available and offer attractive technology options to expand the impact of nuclear energy for electricity generation and non-electricity missions. The purpose of this planning study is to provide transparent and defensible technology options for a test and/or demonstration reactor(s) to be built to support public policy, innovation and long term commercialization within the context of the Department of Energy’s (DOE’s) broader commitment to pursuing an “all of the above” clean energy strategy and associated time lines. This planning study includes identification of the key features and timing needed for advanced test or demonstration reactors to support research, development, and technology demonstration leading to the commercialization of power plants built upon these advanced reactor platforms. This planning study is consistent with the Congressional language contained within the fiscal year 2015 appropriation that directed the DOE to conduct a planning study to evaluate “advanced reactor technology options, capabilities, and requirements within the context of national needs and public policy to support innovation in nuclear energy

  7. Cementitious waste option scoping study report

    SciTech Connect

    Lee, A.E.; Taylor, D.D.

    1998-02-01

    A Settlement Agreement between the Department of Energy (DOE) and the State of Idaho mandates that all high-level radioactive waste (HLW) now stored at the Idaho Chemical Processing Plant (ICPP) on the Idaho National Engineering and Environmental Laboratory (INEEL) will be treated so that it is ready to be moved out of Idaho for disposal by a target date of 2035. This study investigates the nonseparations Cementitious Waste Option (CWO) as a means to achieve this goal. Under this option all liquid sodium-bearing waste (SBW) and existing HLW calcine would be recalcined with sucrose, grouted, canisterized, and interim stored as a mixed-HLW for eventual preparation and shipment off-Site for disposal. The CWO waste would be transported to a Greater Confinement Disposal Facility (GCDF) located in the southwestern desert of the US on the Nevada Test Site (NTS). All transport preparation, shipment, and disposal facility activities are beyond the scope of this study. CWO waste processing, packaging, and interim storage would occur over a 5-year period between 2013 and 2017. Waste transport and disposal would occur during the same time period.

  8. TOPEX satellite concept. TOPEX option study report

    NASA Technical Reports Server (NTRS)

    Meyer, D. P.; Case, C. M.

    1982-01-01

    Candidate bus equipment from the Viking, Applications Explorer Mission, and Small Scientific Satellite programs for application to the TOPEX mission options is assessed. Propulsion module equipment and subsystem candidates from the Applications Explorer Mission satellites and the Small Scientific Satellite spacecraft are evaluated for those TOPEX options. Several subsystem concepts appropriate to the TOPEX options are described. These descriptions consider performance characteristics of the subsystems. Cost and availability information on the candidate equipment and subsystems are also provided.

  9. Preliminary study of possible ORELA replacement options

    SciTech Connect

    Olsen, D.K.; Martin, J.A.; Horen, D.J.

    1984-06-01

    Based on two conceptual design studies performed by the LANL Accelerator Technology Division, the possibilities in terms of accelerator systems for replacing ORELA with a more intense Maxwellian-type continuous-energy neutron source are summarized and discussed. The neutron intensities from ORELA are compared with those from existing or potential accelerator systems used for cross-section and condensed-matter studies. The best replacement options seem to involve a spallation source from 200- to 400-MeV protons on an ORELA-like target. Pulsing and intensity desiderata with such a source are discussed which correspond to a spectrum-averaged 100-fold improved figure of merit over ORELA for TOF measurements with only a tenfold increased source strength. Existing accelerator designs seem to be inadequate for such a source. Consequently, two conceptual designs were developed for this study by the LANL Accelerator Technology Division. The first conceptual design is for a 200-MeV large linac capable of accelerating 1.3 A during a macropulse; this linac standing alone could serve as an ORELA replacement source. The second conceptual design is for a much smaller 250-MeV PIGMI linac with a 28-mA macropulse current which feeds a proton accumulator ring and bunch-compressor transport line. This linac-ring-compressor (LIRIC) option would give a more cost-effective neutron source for cross-section measurements, whereas the large linac, or a modified version of it, would give a much simpler system more suitable for expansion. In particular, both conceptual designs would incorporate the present ORELA building and would provide approximately 100-fold improved neutron sources over ORELA for cross-section measurements. The total estimated cost of the LIRIC system would be $43M (1984), whereas the cost of the large linac would be about a factor of two more. 55 references, 11 figures, 19 tables.

  10. A Study of Three-option and Four-option Multiple Choice Exams.

    ERIC Educational Resources Information Center

    Cooper, Terence H.

    1988-01-01

    Describes a study used to determine differences in exam reliability, difficulty, and student evaluations. Indicates that when a fourth option was added to the three-option items, the exams became more difficult. Includes methods, results discussion, and tables on student characteristics, whole test analyses, and selected items. (RT)

  11. [Public free anonymous HIV testing centers: cost analysis and financing options].

    PubMed

    Dozol, Adrien; Tribout, Martin; Labalette, Céline; Moreau, Anne-Christine; Duteil, Christelle; Bertrand, Dominique; Segouin, Christophe

    2011-01-01

    The services of general interest provided by hospitals, such as free HIV clinics, have been funded since 2005 by a lump sum covering all costs. The allocation of the budget was initially determined based on historical and declarative data. However, the French Ministry of Health (MoH) recently outlined new rules for determining the allocation of financial resources and contracting hospitals for each type of services of general interest provided. The aim of this study was to estimate the annual cost of a public free anonymous HIV-testing center and to assess the budgetary implications of new financing systems. Three financing options were compared: the historic block grant; a mixed system recommended by the MoH associating a lump sum covering the recurring costs of an average center and a variable part based on the type and volume of services provided; and a fee-for-services system. For the purposes of this retrospective study, the costs and activity data of the HIV testing clinic of a public hospital located in the North of Paris were obtained for 2007. The costs were analyzed from the perspective of the hospital. The total cost was estimated at 555,698 euros. Personnel costs accounted for 31% of the total costs, while laboratory expenses accounted for 36% of the total costs. While the estimated deficit was 292,553 euros under the historic system, the financial balance of the clinic was found to be positive under a fee-for-services system. The budget allocated to the HIV clinic under the system recommended by the MoH covers most of the current expenses of the HIV clinic while meeting the requirements of free confidential care.

  12. Lunar Transportation Facilities and Operations Study, option 1

    NASA Technical Reports Server (NTRS)

    1991-01-01

    Throughout the Option I period of the Lunar Transportation Facilities and Operations Study (LTFOS), McDonnell Douglas Space Systems Company - Kennedy Space Center (MDSSC-KSC) provided support to both the Planetary Surface Systems (PSS) Office at the National Aeronautics and Space Administration (NASA) at the Johnson Space Center and to the Flight and Ground Systems Projects Office (Payload Projects Management) at the Kennedy Space Center. The primary objective of the Option I phase of the study was to assist the above NASA centers in developing Space Exploration Initiative (SEI) concepts. MDSSC-KSC conducted three analyses which provided launch and landing detail to the proposed exploration concepts. One analysis, the Lunar Ejecta Assessment, was conducted to determine the effects of launch and landing a vehicle in a dusty environment. A second analysis, the Thermal/Micrometeoroid Protection Trade Study, was refined to determine the impacts that Reference Architecture Option 5A would have on thermal/micrometeoroid protection approaches. The third analysis, the Centaur Prelaunch Procedure Analysis, used a Centaur prelaunch test and checkout flow to identify key considerations that would be important if a Lunar Excursion Vehicle (LEV) was to use an expander cycle liquid oxygen-liquid hydrogen engine. Several 'quick look' assessments were also conducted. One quick look assessment, the Storable Propellant Quick Look Assessment, was conducted to identify design considerations that should be made if storable propellants were to be used instead of liquid oxygen and liquid hydrogen. The LEV Servicer Maintenance Analysis provided an early look at the effort required to maintain an LEV Servicer on the lunar surface. Also, support was provided to the PSS Logistics Manager to develop initial LEV Servicer cost inputs. Consideration was given to the advanced development that must be provided to accomplish a lunar and/or Mars mission. MDSS-KSC also provided support to both MASE

  13. Lunar Transportation Facilities and Operations Study, option 1

    NASA Astrophysics Data System (ADS)

    1991-05-01

    Throughout the Option I period of the Lunar Transportation Facilities and Operations Study (LTFOS), McDonnell Douglas Space Systems Company - Kennedy Space Center (MDSSC-KSC) provided support to both the Planetary Surface Systems (PSS) Office at the National Aeronautics and Space Administration (NASA) at the Johnson Space Center and to the Flight and Ground Systems Projects Office (Payload Projects Management) at the Kennedy Space Center. The primary objective of the Option I phase of the study was to assist the above NASA centers in developing Space Exploration Initiative (SEI) concepts. MDSSC-KSC conducted three analyses which provided launch and landing detail to the proposed exploration concepts. One analysis, the Lunar Ejecta Assessment, was conducted to determine the effects of launch and landing a vehicle in a dusty environment. A second analysis, the Thermal/Micrometeoroid Protection Trade Study, was refined to determine the impacts that Reference Architecture Option 5A would have on thermal/micrometeoroid protection approaches. The third analysis, the Centaur Prelaunch Procedure Analysis, used a Centaur prelaunch test and checkout flow to identify key considerations that would be important if a Lunar Excursion Vehicle (LEV) was to use an expander cycle liquid oxygen-liquid hydrogen engine. Several 'quick look' assessments were also conducted. One quick look assessment, the Storable Propellant Quick Look Assessment, was conducted to identify design considerations that should be made if storable propellants were to be used instead of liquid oxygen and liquid hydrogen. The LEV Servicer Maintenance Analysis provided an early look at the effort required to maintain an LEV Servicer on the lunar surface. Also, support was provided to the PSS Logistics Manager to develop initial LEV Servicer cost inputs. Consideration was given to the advanced development that must be provided to accomplish a lunar and/or Mars mission. MDSS-KSC also provided support to both MASE

  14. Design Options Study. Volume III. Qualitative Assessment.

    DTIC Science & Technology

    1980-09-01

    commercial commnonality by improving commercial economics and/or military cost effectiveness. This detailed examination of these options is described in...including those listed above, have the greatest potential effects on commercial economics , on military cost- effectiveness, and ultimately, on the...in a military environment as well as the commercial economics was carefully examined. The analysis produced aircraft configurations that are optimum

  15. Comparison between three option, four option and five option multiple choice question tests for quality parameters: A randomized study

    PubMed Central

    Vegada, Bhavisha; Shukla, Apexa; Khilnani, Ajeetkumar; Charan, Jaykaran; Desai, Chetna

    2016-01-01

    Background: Most of the academic teachers use four or five options per item of multiple choice question (MCQ) test as formative and summative assessment. Optimal number of options in MCQ item is a matter of considerable debate among academic teachers of various educational fields. There is a scarcity of the published literature regarding the optimum number of option in each item of MCQ in the field of medical education. Objectives: To compare three options, four options, and five options MCQs test for the quality parameters – reliability, validity, item analysis, distracter analysis, and time analysis. Materials and Methods: Participants were 3rd semester M.B.B.S. students. Students were divided randomly into three groups. Each group was given one set of MCQ test out of three options, four options, and five option randomly. Following the marking of the multiple choice tests, the participants’ option selections were analyzed and comparisons were conducted of the mean marks, mean time, validity, reliability and facility value, discrimination index, point biserial value, distracter analysis of three different option formats. Results: Students score more (P = 0.000) and took less time (P = 0.009) for the completion of three options as compared to four options and five options groups. Facility value was more (P = 0.004) in three options group as compared to four and five options groups. There was no significant difference between three groups for the validity, reliability, and item discrimination. Nonfunctioning distracters were more in the four and five options group as compared to three option group. Conclusion: Assessment based on three option MCQs is can be preferred over four option and five option MCQs. PMID:27721545

  16. Space Station needs, attributes, and architectural option study

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Potential user interest and requirements for a manned space station are examined for space and applications missions, commercial missions, technology demonstration missions, space operations missions, and national security missions. Approaches to architectural options, candidate payloads, and technology drivers are considered. Mission imposed requirements for the space operations center are also considered.

  17. Lunar Transportation Facilities and Operations Study, option 2

    NASA Technical Reports Server (NTRS)

    1992-01-01

    During the Option 2 period of the Lunar Transportation Facilities and Operations Study (LTFOS), a joint McDonnell Douglas Space Systems Company Kennedy Space Center (MDSSC-KSC) and National Aeronautics and Space Administration Kennedy Space Center (NASA-KSC) Study team conducted a comparison of the functional testing of the RL-10 and Space Shuttle Main Engine, a quick-look impact assessment of the Synthesis Group Report, and a detailed assessment of the Synthesis Group Report. The results of these KSC LTFOS team efforts are included. The most recent study task effort was a detailed assessment of the Synthesis Group Report. The assessment was conducted to determine the impact on planetary launch and landing facilities and operations. The result of that effort is a report entitled 'Analysis of the Synthesis Group Report, its Architectures and their Impacts on PSS Launch and Landing Operations' and is contained in Appendix A. The report is structured in a briefing format with facing pages as opposed to a narrative style. A quick-look assessment of the Synthesis Group Report was conducted to determine the impact of implementing the recommendations of the Synthesis Group on KSC launch facilities and operations. The data was documented in a presentation format as requested by Kennedy Space Center Technology and Advanced Projects Office and is included in Appendix B. Appendix C is a white paper on the comparison of the functional testing of the RL-10 and Space Shuttle Main Engine. The comparison was undertaken to provide insight regarding common test requirements that would be applicable to Lunar and Mars Excursion Vehicles (LEV and MEV).

  18. Lunar Transportation Facilities and Operations Study, option 2

    NASA Astrophysics Data System (ADS)

    1992-02-01

    During the Option 2 period of the Lunar Transportation Facilities and Operations Study (LTFOS), a joint McDonnell Douglas Space Systems Company Kennedy Space Center (MDSSC-KSC) and National Aeronautics and Space Administration Kennedy Space Center (NASA-KSC) Study team conducted a comparison of the functional testing of the RL-10 and Space Shuttle Main Engine, a quick-look impact assessment of the Synthesis Group Report, and a detailed assessment of the Synthesis Group Report. The results of these KSC LTFOS team efforts are included. The most recent study task effort was a detailed assessment of the Synthesis Group Report. The assessment was conducted to determine the impact on planetary launch and landing facilities and operations. The result of that effort is a report entitled 'Analysis of the Synthesis Group Report, its Architectures and their Impacts on PSS Launch and Landing Operations' and is contained in Appendix A. The report is structured in a briefing format with facing pages as opposed to a narrative style. A quick-look assessment of the Synthesis Group Report was conducted to determine the impact of implementing the recommendations of the Synthesis Group on KSC launch facilities and operations. The data was documented in a presentation format as requested by Kennedy Space Center Technology and Advanced Projects Office and is included in Appendix B. Appendix C is a white paper on the comparison of the functional testing of the RL-10 and Space Shuttle Main Engine. The comparison was undertaken to provide insight regarding common test requirements that would be applicable to Lunar and Mars Excursion Vehicles (LEV and MEV).

  19. Center for Dielectric Studies,

    DTIC Science & Technology

    1984-05-01

    able to show by z -ray studies that in PST quenched rapidly from high temperature So and Ta ions are disordered as in 3.2(b) while by long annealing...micropositioners. 3.2.2 Lead Iron Niobate:Lead Nickel Niobate Results of a preliminary study of the x(Pb(Fo 1 /2 Nbl/ 2 )03 ) - (1- z )Pb(Ni1/3Nb2 /$)0 3 PN:PNN...Curia temperature Tc (17*C) at zerZ bias fi.aid. * Z -;her blas 1-0 -, Z shifts the transition coward higher :,rpara:.-re. .owl:-r" :’" DEPOLARIZATION

  20. Options in Extraterrestrial Sample Handling and Study

    NASA Technical Reports Server (NTRS)

    Papanastassiou, Dimitri A.

    2000-01-01

    This presentation mentions important service functions such as: sample preservation, hazard assessment, and handling. It also discuss how preliminary examination of samples is necessary for sample hazard assessment and for sample allocations. Clean facilities and clean sample handling are required. Conflicts, cross contamination issues will be present and need to be resolved. Extensive experience is available for extraterrestrial samples and must be sought and applied. Extensive experience is available in studies of pathogenicity and must be sought and applied as necessary. Advisory and oversight structures must also be in place

  1. PSI-Center Validation Studies

    NASA Astrophysics Data System (ADS)

    Nelson, B. A.; Akcay, C.; Glasser, A. H.; Hansen, C. J.; Jarboe, T. R.; Marklin, G. J.; Milroy, R. D.; Morgan, K. D.; Norgaard, P. C.; Shumlak, U.; Sutherland, D. A.; Victor, B. S.; Sovinec, C. R.; O'Bryan, J. B.; Held, E. D.; Ji, J.-Y.; Lukin, V. S.

    2014-10-01

    The Plasma Science and Innovation Center (PSI-Center - http://www.psicenter.org) supports collaborating validation platform experiments with 3D extended MHD simulations using the NIMROD, HiFi, and PSI-TET codes. Collaborators include the Bellan Plasma Group (Caltech), CTH (Auburn U), HBT-EP (Columbia), HIT-SI (U Wash-UW), LTX (PPPL), MAST (Culham), Pegasus (U Wisc-Madison), SSX (Swarthmore College), TCSU (UW), and ZaP/ZaP-HD (UW). The PSI-Center is exploring application of validation metrics between experimental data and simulations results. Biorthogonal decomposition (BOD) is used to compare experiments with simulations. BOD separates data sets into spatial and temporal structures, giving greater weight to dominant structures. Several BOD metrics are being formulated with the goal of quantitive validation. Results from these simulation and validation studies, as well as an overview of the PSI-Center status will be presented.

  2. Hot isostatic press waste option study report

    SciTech Connect

    Russell, N.E.; Taylor, D.D.

    1998-02-01

    A Settlement Agreement between the Department of Energy and the State of Idaho mandates that all high-level radioactive waste now stored at the Idaho Chemical Processing Plant be treated so that it is ready to move out of Idaho for disposal by the target date of 2035. This study investigates the immobilization of all Idaho Chemical Processing Plant calcine, including calcined sodium bearing waste, via the process known as hot isostatic press, which produces compact solid waste forms by means of high temperature and pressure (1,050 C and 20,000 psi), as the treatment method for complying with the settlement agreement. The final waste product would be contained in stainless-steel canisters, the same type used at the Savannah River Site for vitrified waste, and stored at the Idaho National Engineering and Environmental Laboratory until a national geological repository becomes available for its disposal. The waste processing period is from 2013 through 2032, and disposal at the High Level Waste repository will probably begin sometime after 2065.

  3. Direct cementitious waste option study report

    SciTech Connect

    Dafoe, R.E.; Losinski, S.J.

    1998-02-01

    A settlement agreement between the Department of Energy (DOE) and the State of Idaho mandates that all high-level radioactive waste (HLW) now stored at the Idaho Chemical Processing Plant (ICPP) will be treated so that it is ready to be moved out of Idaho for disposal by a target data of 2035. This study investigates the direct grouting of all ICPP calcine (including the HLW dry calcine and those resulting from calcining sodium-bearing liquid waste currently residing in the ICPP storage tanks) as the treatment method to comply with the settlement agreement. This method involves grouting the calcined waste and casting the resulting hydroceramic grout into stainless steel canisters. These canisters will be stored at the Idaho National Engineering and Environmental Laboratory (INEEL) until they are sent to a national geologic repository. The operating period for grouting treatment will be from 2013 through 2032, and all the HLW will be treated and in interim storage by the end of 2032.

  4. Nuclear Power Options Viability Study. Volume 4. Bibliography

    SciTech Connect

    Trauger, D B; White, J D; Sims, J W

    1986-09-01

    Documents in the Nuclear Power Options Viability Study (NPOVS) bibliography are classified under one of four headings or categories as follows: nuclear options; light water reactors; liquid metal reactors; and high temperature reactors. The collection and selection of these documents, beginning early in 1984 and continuing through March of 1986, was carried out in support of the study's objective: to explore the viabilities of several nuclear electric power generation options for commercial deployment in the United States between 2000 and 2010. There are approximately 550 articles, papers, reports, and books in the bibliography that have been selected from some 2000 surveyed. The citations have been made computer accessible to facilitate rapid on-line retrieval by keyword, author, corporate author, title, journal name, or document number.

  5. Parametric system studies of candidate TF coil system options for the Tokamak Fusion Core Experiment (TFCX)

    SciTech Connect

    Reiersen, W.T.; Flanagan, C.A.; Miller, J.B.

    1983-01-01

    System studies were performed to determine the sensitivity of hybrid and superconducting toroidal field (TF) coil system options to maximum field at the TF coil and to field enhancement due to resistive insert coils. The studies were performed using Tokamak Fusion Core Experiment (TFCX) design assumptions, guidelines, and criteria and involved iterative execution of the Fusion Engineering Design Center (FEDC) systems code, magnetohydrodynamics (MHD) equilibrium code, and EFFI (a code to evaluate magnetic field strength). The results indicate that for TFCX with no minimum wall loading specified, a design point chosen solely on the basis of cost would likely be in the low-field region of design space where the cost advantage of hybrids is least apparent. However, as the desired neutron wall loading increases, the hybrid option suggests an increasing cost advantage over the all-superconducting option; this cost advantage is countered by increased complexity in design - particularly in assembly and maintenance.

  6. MOOSES: Multiple Option Observation System for Experimental Studies.

    ERIC Educational Resources Information Center

    Tapp, Jon; Wehby, Joseph

    The Multiple Option Observation System for Experimental Studies (MOOSES) is a flexible data collection and analysis package for applied behavioral research that addresses the needs of researchers interested in live coding of observational data. MOOSES allows the researcher to design a coding system for a particular research question. General types…

  7. Space station needs, attributes and architectural options study

    NASA Technical Reports Server (NTRS)

    1983-01-01

    All the candidate Technology Development missions investigated during the space station needs, attributes, and architectural options study are described. All the mission data forms plus additional information such as, cost, drawings, functional flows, etc., generated in support of these mission is included with a computer generated mission data form.

  8. Technical options for outflow reconstruction in domino liver transplantation: A single European center experience.

    PubMed

    De la Serna, Sofía; Llado, Laura; Ramos, Emilio; Fabregat, Joan; Baliellas, Carme; Busquets, Juli; Secanella, Lluis; Pelaez, Nuria; Torras, Jaume; Rafecas, Antoni

    2015-08-01

    Venous outflow is critical to the success of liver transplantation (LT). In domino liver transplantation (DLT), the venous cuffs should be shared between the donor and the recipient, and the length can be compromised. The aim of this study was to describe and compare the technical options for outflow reconstruction used at our institution. This was a retrospective analysis of 39 consecutive DLT recipients between January 1997 and May 2013. Twenty-seven men and 12 women (mean age, 61.8 ± 4.3 years) underwent LT and consented to receive a liver from a donor with familial amyloid polyneuropathy (FAP). The main indications were hepatocellular carcinoma and hepatitis C virus cirrhosis. All recipients underwent transplantation by a piggyback technique. Liver procurement in the FAP donors was performed with the classic technique in 22 patients and with the piggyback technique in the last 17. In these latter cases, for vascular outflow reconstruction, a cadaveric venous graft was interposed between the hepatic vein (HV) stump of the FAP liver and the recipient HV in 11 cases (28%). Since 2011, we have employed arterial grafts to be interposed between the vessels stumps: a tailored arterial graft in 5 patients and an aortic graft in 1 case. There was no postoperative mortality. Arterial and portal complications presented in 2 (5.1) and 4 patients (10.3), respectively. Postoperative outflow complications (post-LT subacute Budd-Chiari syndrome) occurred in 4 patients, and all of them had received a venous interposed graft for reconstruction. The incidence of outflow complications tended to be higher among patients with venous grafts than those with arterial graft interposition. Overall patient survival at 1, 3, 5, and 10 years was 97%, 79%, respectively. Arterial grafts constitute a feasible and safe option for vascular outflow reconstruction in DLT because they are associated with a relatively low incidence of complications. The recently proposed Bellvitge arterial

  9. Individualized patient-centered lifestyle recommendations: an expert system for communicating patient specific cardiovascular risk information and prioritizing lifestyle options.

    PubMed

    Chi, Chih-Lin; Nick Street, W; Robinson, Jennifer G; Crawford, Matthew A

    2012-12-01

    We propose a proof-of-concept machine-learning expert system that learned knowledge of lifestyle and the associated 10-year cardiovascular disease (CVD) risks from individual-level data (i.e., Atherosclerosis Risk in Communities Study, ARIC). The expert system prioritizes lifestyle options and identifies the one that maximally reduce an individual's 10-year CVD risk by (1) using the knowledge learned from the ARIC data and (2) communicating for patient-specific cardiovascular risk information and personal limitations and preferences (as defined by variables used in this study). As a result, the optimal lifestyle is not only prioritized based on an individual's characteristics but is also relevant to personal circumstances. We also explored probable uses and tested the system in several examples using real-world scenarios and patient preferences. For example, the system identifies the most effective lifestyle activities as the starting point for an individual's behavior change, shows different levels of BMI changes and the associated CVD risk reductions to encourage weight loss, identifies whether weight loss or smoking cessation is the most urgent change for a diabetes patient, etc. Answers to the questions noted above vary based on an individual's characteristics. Our validation results from clinical trial simulations, which compared original with the optimal lifestyle using an independent dataset, show that the optimal individualized patient-centered lifestyle consistently reduced 10-year CVD risks.

  10. (Alaskan commodities irradiation project: An options analysis study)

    SciTech Connect

    Zarling, J.P.; Swanson, R.B.; Logan, R.R.; Das, D.K.; Lewis, C.E.; Workman, W.G.; Tumeo, M.A.; Hok, C.I.; Birklind, C.A.; Bennett, F.L. . Inst. of Northern Engineering)

    1989-09-01

    The ninety-ninth US Congress commissioned a six-state food irradiation research and development program to evaluate the commercial potential of this technology. Hawaii, Washington, Iowa, Oklahoma and Florida as well as Alaska have participated in the national program; various food products including fishery products, red meats, tropical and citrus fruits and vegetables have been studied. The purpose of the Alaskan study was to review and evaluate those factors related to the technical and economic feasibility of an irradiator in Alaska. This options analysis study will serve as a basis for determining the state's further involvement in the development of food irradiation technology.

  11. Study of Lyndon B. Johnson Space Center utility systems

    NASA Technical Reports Server (NTRS)

    Redding, T. E.; Huber, W. C.

    1977-01-01

    The results of an engineering study of potential energy saving utility system modifications for the NASA Lyndon B. Johnson Space Center are presented. The objective of the study was to define and analyze utility options that would provide facility energy savings in addition to the approximately 25 percent already achieved through an energy loads reduction program. A systems engineering approach was used to determine total system energy and cost savings resulting from each of the ten major options investigated. The results reported include detailed cost analyses and cost comparisons of various options. Cost are projected to the year 2000. Also included are a brief description of a mathematical model used for the analysis and the rationale used for a site survey to select buildings suitable for analysis.

  12. Space station data system analysis/architecture study. Task 2: Options development, DR-5. Volume 2: Design options

    NASA Technical Reports Server (NTRS)

    1985-01-01

    The primary objective of Task 2 is the development of an information base that will support the conduct of trade studies and provide sufficient data to make key design/programmatic decisions. This includes: (1) the establishment of option categories that are most likely to influence Space Station Data System (SSDS) definition; (2) the identification of preferred options in each category; and (3) the characterization of these options with respect to performance attributes, constraints, cost and risk. This volume contains the options development for the design category. This category comprises alternative structures, configurations and techniques that can be used to develop designs that are responsive to the SSDS requirements. The specific areas discussed are software, including data base management and distributed operating systems; system architecture, including fault tolerance and system growth/automation/autonomy and system interfaces; time management; and system security/privacy. Also discussed are space communications and local area networking.

  13. Cooperative Monitoring Center Occasional Paper/8: Cooperative Border Security for Jordan: Assessment and Options

    SciTech Connect

    Qojas, M.

    1999-03-01

    This document is an analysis of options for unilateral and cooperative action to improve the security of Jordan's borders. Sections describe the current political, economic, and social interactions along Jordan's borders. Next, the document discusses border security strategy for cooperation among neighboring countries and the adoption of confidence-building measures. A practical cooperative monitoring system would consist of hardware for early warning, command and control, communications, and transportation. Technical solutions can expand opportunities for the detection and identification of intruders. Sensors (such as seismic, break-wire, pressure-sensing, etc.) can warn border security forces of intrusion and contribute to the identification of the intrusion and help formulate the response. This document describes conceptual options for cooperation, offering three scenarios that relate to three hypothetical levels (low, medium, and high) of cooperation. Potential cooperative efforts under a low cooperation scenario could include information exchanges on military equipment and schedules to prevent misunderstandings and the establishment of protocols for handling emergency situations or unusual circumstances. Measures under a medium cooperation scenario could include establishing joint monitoring groups for better communications, with hot lines and scheduled meetings. The high cooperation scenario describes coordinated responses, joint border patrols, and sharing border intrusion information. Finally, the document lists recommendations for organizational, technical, and operational initiatives that could be applicable to the current situation.

  14. Controlled Ecological Life Support Systems (CELSS) conceptual design option study

    NASA Technical Reports Server (NTRS)

    Oleson, Melvin; Olson, Richard L.

    1986-01-01

    Results are given of a study to explore options for the development of a Controlled Ecological Life Support System (CELSS) for a future Space Station. In addition, study results will benefit the design of other facilities such as the Life Sciences Research Facility, a ground-based CELSS demonstrator, and will be useful in planning longer range missions such as a lunar base or manned Mars mission. The objectives were to develop weight and cost estimates for one CELSS module selected from a set of preliminary plant growth unit (PGU) design options. Eleven Space Station CELSS module conceptual PGU designs were reviewed, components and subsystems identified and a sensitivity analysis performed. Areas where insufficient data is available were identified and divided into the categories of biological research, engineering research, and technology development. Topics which receive significant attention are lighting systems for the PGU, the use of automation within the CELSS system, and electric power requirements. Other areas examined include plant harvesting and processing, crop mix analysis, air circulation and atmosphere contaminant flow subsystems, thermal control considerations, utility routing including accessibility and maintenance, and nutrient subsystem design.

  15. Center for Creative Studies, Detroit

    ERIC Educational Resources Information Center

    AIA Journal, 1976

    1976-01-01

    One of the ten buildings chosen to receive 1976 AIA honor awards, the arts center houses the departments of sculpture, painting, graphics, advertising art, photography, and industrial design. (Author/MLF)

  16. Center for Creative Studies, Detroit

    ERIC Educational Resources Information Center

    AIA Journal, 1976

    1976-01-01

    One of the ten buildings chosen to receive 1976 AIA honor awards, the arts center houses the departments of sculpture, painting, graphics, advertising art, photography, and industrial design. (Author/MLF)

  17. Space station data system analysis/architecture study. Task 2: Options development, DR-5. Volume 3: Programmatic options

    NASA Technical Reports Server (NTRS)

    1985-01-01

    Task 2 in the Space Station Data System (SSDS) Analysis/Architecture Study is the development of an information base that will support the conduct of trade studies and provide sufficient data to make design/programmatic decisions. This volume identifies the preferred options in the programmatic category and characterizes these options with respect to performance attributes, constraints, costs, and risks. The programmatic category includes methods used to administrate/manage the development, operation and maintenance of the SSDS. The specific areas discussed include standardization/commonality; systems management; and systems development, including hardware procurement, software development and system integration, test and verification.

  18. Market-Based Indian Grid Integration Study Options: Preprint

    SciTech Connect

    Stoltenberg, B.; Clark, K.; Negi, S. K.

    2012-03-01

    The Indian state of Gujarat is forecasting solar and wind generation expansion from 16% to 32% of installed generation capacity by 2015. Some states in India are already experiencing heavy wind power curtailment. Understanding how to integrate variable generation (VG) into the grid is of great interest to local transmission companies and India's Ministry of New and Renewable Energy. This paper describes the nature of a market-based integration study and how this approach, while new to Indian grid operation and planning, is necessary to understand how to operate and expand the grid to best accommodate the expansion of VG. Second, it discusses options in defining a study's scope, such as data granularity, generation modeling, and geographic scope. The paper also explores how Gujarat's method of grid operation and current system reliability will affect how an integration study can be performed.

  19. Space station needs, attributes and architectural options study. Volume 4: Architectural options, subsystems, technology and programmatics

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Space station architectural options, habitability considerations and subsystem analyses, technology, and programmatics are reviewed. The methodology employed for conceiving and defining space station concepts is presented. As a result of this approach, architectures were conceived and along with their supporting rationale are described within this portion of the report. Habitability consideration and subsystem analyses describe the human factors associated with space station operations and includes subsections covering (1) data management, (2) communications and tracking, (3) environmental control and life support, (4) manipulator systems, (5) resupply, (6) pointing, (7) thermal management and (8) interface standardization. A consolidated matrix of subsystems technology issues as related to meeting the mission needs for a 1990's era space station is presented. Within the programmatics portion, a brief description of costing and program strategies is outlined.

  20. A review of automatic patient identification options for public health care centers with restricted budgets.

    PubMed

    García-Betances, Rebeca I; Huerta, Mónica K

    2012-01-01

    A comparative review is presented of available technologies suitable for automatic reading of patient identification bracelet tags. Existing technologies' backgrounds, characteristics, advantages and disadvantages, are described in relation to their possible use by public health care centers with budgetary limitations. A comparative assessment is presented of suitable automatic identification systems based on graphic codes, both one- (1D) and two-dimensional (2D), printed on labels, as well as those based on radio frequency identification (RFID) tags. The analysis looks at the tradeoffs of these technologies to provide guidance to hospital administrator looking to deploy patient identification technology. The results suggest that affordable automatic patient identification systems can be easily and inexpensively implemented using 2D code printed on low cost bracelet labels, which can then be read and automatically decoded by ordinary mobile smart phones. Because of mobile smart phones' present versatility and ubiquity, the implantation and operation of 2D code, and especially Quick Response® (QR) Code, technology emerges as a very attractive alternative to automate the patients' identification processes in low-budget situations.

  1. A Review of Automatic Patient Identification Options for Public Health Care Centers with Restricted Budgets

    PubMed Central

    García-Betances, Rebeca I.; Huerta, Mónica K.

    2012-01-01

    A comparative review is presented of available technologies suitable for automatic reading of patient identification bracelet tags. Existing technologies’ backgrounds, characteristics, advantages and disadvantages, are described in relation to their possible use by public health care centers with budgetary limitations. A comparative assessment is presented of suitable automatic identification systems based on graphic codes, both one- (1D) and two-dimensional (2D), printed on labels, as well as those based on radio frequency identification (RFID) tags. The analysis looks at the tradeoffs of these technologies to provide guidance to hospital administrator looking to deploy patient identification technology. The results suggest that affordable automatic patient identification systems can be easily and inexpensively implemented using 2D code printed on low cost bracelet labels, which can then be read and automatically decoded by ordinary mobile smart phones. Because of mobile smart phones’ present versatility and ubiquity, the implantation and operation of 2D code, and especially Quick Response® (QR) Code, technology emerges as a very attractive alternative to automate the patients’ identification processes in low-budget situations. PMID:23569629

  2. Postdoctoral study in a multidisciplinary research center: an alternative to more traditional nurse fellowships.

    PubMed

    Blank, D M

    1993-01-01

    This article examines postdoctoral study in a multidisciplinary research setting. The author describes the offerings of one particular multidisciplinary center, the Monell Chemical Senses Center, and highlights the advantages and disadvantages of a fellowship in such a setting. The relevance of this option for nursing is discussed.

  3. Diversifying the Social Studies: The Trend Toward Optional Public Schools

    ERIC Educational Resources Information Center

    Barr, Robert D.

    1974-01-01

    Developments of alternative schools are reviwed, emphasizing differences in five types of public school options and the similarities of these types in respect to their social education programs. (Author/KM)

  4. Space station data system analysis/architecture study. Task 2: Options development DR-5. Volume 1: Technology options

    NASA Technical Reports Server (NTRS)

    1985-01-01

    The second task in the Space Station Data System (SSDS) Analysis/Architecture Study is the development of an information base that will support the conduct of trade studies and provide sufficient data to make key design/programmatic decisions. This volume identifies the preferred options in the technology category and characterizes these options with respect to performance attributes, constraints, cost, and risk. The technology category includes advanced materials, processes, and techniques that can be used to enhance the implementation of SSDS design structures. The specific areas discussed are mass storage, including space and round on-line storage and off-line storage; man/machine interface; data processing hardware, including flight computers and advanced/fault tolerant computer architectures; and software, including data compression algorithms, on-board high level languages, and software tools. Also discussed are artificial intelligence applications and hard-wire communications.

  5. Computer Networks and African Studies Centers.

    ERIC Educational Resources Information Center

    Kuntz, Patricia S.

    The use of electronic communication in the 12 Title VI African Studies Centers is discussed, and the networks available for their use are reviewed. It is argued that the African Studies Centers should be on the cutting edge of contemporary electronic communication and that computer networks should be a fundamental aspect of their programs. An…

  6. A feasibility study for a manufacturing technology deployment center

    SciTech Connect

    Not Available

    1994-10-31

    The Automation & Robotics Research Institute (ARRI) and the Texas Engineering Extension Service (TEEX) were funded by the U.S. Department of Energy to determine the feasibility of a regional industrial technology institute to be located at the Superconducting Super Collider (SSC) Central Facility in Waxahachie, Texas. In response to this opportunity, ARRI and TEEX teamed with the DOE Kansas City Plant (managed by Allied Signal, Inc.), Los Alamos National Laboratory (managed by the University of California), Vought Aircraft Company, National Center for Manufacturing Sciences (NCMS), SSC Laboratory, KPMG Peat Marwick, Dallas County Community College, Navarro Community College, Texas Department of Commerce (TDOC), Texas Manufacturing Assistance Center (TMAC), Oklahoma Center for the Advancement of Science and Technology, Arkansas Science and Technology Authority, Louisiana Productivity Center, and the NASA Mid-Continent Technology Transfer Center (MCTTC) to develop a series of options, perform the feasibility analysis and secure industrial reviews of the selected concepts. The final report for this study is presented in three sections: Executive Summary, Business Plan, and Technical Plan. The results from the analysis of the proposed concept support the recommendation of creating a regional technology alliance formed by the states of Texas, New Mexico, Oklahoma, Arkansas and Louisiana through the conversion of the SSC Central facility into a Manufacturing Technology Deployment Center (MTDC).

  7. Impact of Flexibility Options on Grid Economic Carrying Capacity of Solar and Wind: Three Case Studies

    SciTech Connect

    Denholm, Paul; Novacheck, Joshua; Jorgenson, Jennie; O'Connell, Matthew

    2016-12-01

    In this study, we attempt to quantify the benefits of various options of grid flexibility by measuring their impact on two measures: economic carrying capacity and system costs. Flexibility can increase ECC and reduce overall system costs. In some cases, options that provide a limited increase in ECC can provide significant operational savings, thus demonstrating the need to evaluate flexibility options using multiple metrics. The value of flexibility options varies regionally due to different generation mixes and types of renewables. The more rapid decline in PV value compared to wind makes PV more dependent on adding flexibility options, including transmission and energy storage.

  8. Impact of Flexibility Options on Grid Economic Carrying Capacity of Solar and Wind: Three Case Studies

    SciTech Connect

    Denholm, Paul; Novacheck, Joshua; Jorgenson, Jennie; O'Connell, Matthew

    2016-12-01

    In this study, we attempt to quantify the benefits of various options of grid flexibility by measuring their impact on two measures: economic carrying capacity and system costs. Flexibility can increase economic carrying capacity and reduce overall system costs. In some cases, options that provide a limited increase in economic carrying capacity can provide significant operational savings, thus demonstrating the need to evaluate flexibility options using multiple metrics. The value of flexibility options varies regionally due to different generation mixes and types of renewables. The more rapid decline in PV value compared to wind makes PV more dependent on adding flexibility options, including transmission and energy storage.

  9. The None-of-the-Above Option: An Empirical Study.

    ERIC Educational Resources Information Center

    Frary, Robert B.

    1991-01-01

    The use of the "none-of-the-above" option (NOTA) in 20 college-level multiple-choice tests was evaluated for classes with 100 or more students. Eight academic disciplines were represented, and 295 NOTA and 724 regular test items were used. It appears that the NOTA can be compatible with good classroom measurement. (TJH)

  10. Industrial Chemistry Option in MSc Studies in Chemistry.

    ERIC Educational Resources Information Center

    Shani, Arnon

    1982-01-01

    Discusses the rationale for and development of an industrial chemistry program in chemistry at Ben-Gurion University of the Negev in Israel. Includes an outline of the recommended 2-year curriculum and list of courses in this industrial chemistry option leading to a master of science degree. (Author/JN)

  11. Trade Study of Multiple Thruster Options for the Mars Airplane Concept

    NASA Technical Reports Server (NTRS)

    Kuhl, Christopher A.; Gayle, Steven W.; Hunter, Craig A.; Kenney, Patrick S.; Scola, Salvatore; Paddock, David A.; Wright, Henry S.; Gasbarre, Joseph F.

    2009-01-01

    A trade study was performed at NASA Langley Research Center under the Planetary Airplane Risk Reduction (PARR) project (2004-2005) to examine the option of using multiple, smaller thrusters in place of a single large thruster on the Mars airplane concept with the goal to reduce overall cost, schedule, and technical risk. The 5-lbf (22N) thruster is a common reaction control thruster on many satellites. Thousands of these types of thrusters have been built and flown on numerous programs, including MILSTAR and Intelsat VI. This study has examined the use of three 22N thrusters for the Mars airplane propulsion system and compared the results to those of the baseline single thruster system.

  12. Physiotherapists use a great variety of motor learning options in neurological rehabilitation, from which they choose through an iterative process: a retrospective think-aloud study.

    PubMed

    Kleynen, Melanie; Moser, Albine; Haarsma, Frederike A; Beurskens, Anna J; Braun, Susy M

    2017-08-01

    The goal of this study was to examine which motor learning options are applied by experienced physiotherapists in neurological rehabilitation, and how they choose between the different options. A descriptive qualitative approach was used. A purposive sample of five expert physiotherapists from the neurological ward of a rehabilitation center participated. Data were collected using nine videotaped therapy situations. During retrospective think-aloud interviews, the physiotherapists were instructed to constantly "think aloud" while they were watching their own videos. Five "operators" were identified: "act", "know", "observe", "assess" and "argue". The "act" operator consisted of 34 motor learning options, which were clustered into "instruction", "feedback" and "organization". The "know", "observe", "assess" and "argue" operators explained how therapists chose one of these options. The four operators seem to be interrelated and together lead to a decision to apply a particular motor learning option. Results show that the participating physiotherapists used a great variety of motor learning options in their treatment sessions. Further, the decision-making process with regard to these motor learning options was identified. Results may support future intervention studies that match the content and process of therapy in daily practice. The study should be repeated with other physiotherapists. Implications for Rehabilitation The study provided insight into the way experienced therapist handle the great variety of possible motor learning options, including concrete ideas on how to operationalize these options in specific situations. Despite differences in patients' abilities, it seems that therapists use the same underlying clinical reasoning process when choosing a particular motor learning option. Participating physiotherapists used more than the in guidelines suggested motor learning options and considered more than the suggested factors, hence adding practice based

  13. Study on Alternative Cargo Launch Options from the Lunar Surface

    SciTech Connect

    Cheryl A. Blomberg; Zamir A. Zulkefli; Spencer W. Rich; Steven D. Howe

    2013-07-01

    In the future, there will be a need for constant cargo launches from Earth to Mars in order to build, and then sustain, a Martian base. Currently, chemical rockets are used for space launches. These are expensive and heavy due to the amount of necessary propellant. Nuclear thermal rockets (NTRs) are the next step in rocket design. Another alternative is to create a launcher on the lunar surface that uses magnetic levitation to launch cargo to Mars in order to minimize the amount of necessary propellant per mission. This paper investigates using nuclear power for six different cargo launching alternatives, as well as the orbital mechanics involved in launching cargo to a Martian base from the moon. Each alternative is compared to the other alternative launchers, as well as compared to using an NTR instead. This comparison is done on the basis of mass that must be shipped from Earth, the amount of necessary propellant, and the number of equivalent NTR launches. Of the options, a lunar coil launcher had a ship mass that is 12.7% less than the next best option and 17 NTR equivalent launches, making it the best of the presented six options.

  14. Data Center Economizer Contamination and Humidity Study

    SciTech Connect

    Shehabi, Arman; Tschudi, William; Gadgil, Ashok

    2007-03-06

    Data centers require continuous air conditioning to address high internal heat loads (heat release from equipment) and maintain indoor temperatures within recommended operating levels for computers. Air economizer cycles, which bring in large amounts of outside air to cool internal loads when weather conditions are favorable, could save cooling energy. There is reluctance from many data center owners to use this common cooling technique, however, due to fear of introducing pollutants and potential loss of humidity control. Concerns about equipment failure from airborne pollutants lead to specifying as little outside air as permissible for human occupants. To investigate contamination levels, particle monitoring was conducted at 8 data centers in Northern California. Particle counters were placed at 3 to 4 different locations within and outside of each data center evaluated in this study. Humidity was also monitored at many of the sites to determine how economizers affect humidity control. Results from this study indicate that economizers do increase the outdoor concentration in data centers, but this concentration, when averaged annually, is still below current particle concentration limits. Study results are summarized below: (1) The average particle concentrations measured at each location, both outside and at the servers, are shown in Table 1. Measurements show low particle concentrations at all data centers without economizers, regardless of outdoor particle concentrations. Particle concentrations were typically an order of magnitude below both outside particle concentrations and recently published ASHRAE standards. (2) Economizer use caused sharp increases in particle concentrations when the economizer vents were open. The particle concentration in the data centers, however, quickly dropped back to pre-economizer levels when the vents closed. Since economizers only allow outside air part of the time, the annual average concentrations still met the ASHRAE

  15. Immobilized low-level waste disposal options configuration study

    SciTech Connect

    Mitchell, D.E.

    1995-02-01

    This report compiles information that supports the eventual conceptual and definitive design of a disposal facility for immobilized low-level waste. The report includes the results of a joint Westinghouse/Fluor Daniel Inc. evaluation of trade-offs for glass manufacturing and product (waste form) disposal. Though recommendations for the preferred manufacturing and disposal option for low-level waste are outside the scope of this document, relative ranking as applied to facility complexity, safety, remote operation concepts and ease of retrieval are addressed.

  16. Space station needs, attributes and architectural options: Study summary

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Space station needs, attributes, and architectural options that affect the future implementation and design of a space station system are examined. Requirements for candidate missions are used to define functional attributes of a space station. Station elements that perform these functions form the basic station architecture. Alternative ways to accomplish these functions are defined and configuration concepts are developed and evaluated. Configuration analyses are carried to the point that budgetary cost estimates of alternate approaches could be made. Emphasis is placed on differential costs for station support elements and benefits that accrue through use of the station.

  17. Study of long term options for electric vehicle air conditioning

    SciTech Connect

    Dieckmann, J.; Mallory, D.

    1991-07-01

    There are strong incentives in terms of national energy and environmental policy to encourage the commercialization of electrically powered vehicles in the U.S. Among these incentives are reduced petroleum consumption, improved electric generation capacity utilization, reduced IC engine emissions, and, depending on the primary fuel used for electric power generation, reduced emissions of carbon dioxide. A basic requirement for successfully commercializing any motor vehicle in the US is provision of adequate passenger comfort heating and air conditioning (cooling). Although air conditioning is generally sold as optional equipment, in excess of 80% of the automobiles and small trucks sold in the US have air conditioning systems. In current, pre-commercial electric vehicles, comfort heating is provided by a liquid fuel fired heater that heats water which is circulated through the standard heater core in the conventional interior air handling unit. Air conditioning is provided by electric motor driven compressors, installed in a system having, perhaps, an {open_quotes}upsized{close_quotes} condenser and a standard evaporator (front and rear evaporators in some instances) installed in the conventional interior air handler. Although this approach is adequate in the near term for initial commercialization efforts, a number of shortcomings of this arrangement, as well as longer range concerns need to be addressed. In this project, the long term alternatives for cooling and heating electric vehicles effectively, efficiently (with minimum range penalties), and without adverse environmental impacts have been examined. Identification of options that can provide both heating and cooling is important, in view of the disadvantages of carrying separate heating and cooling systems in the vehicle.

  18. Study of long term options for electric vehicle air conditioning

    SciTech Connect

    Dieckmann, J.; Mallory, D. , Inc., Cambridge, MA )

    1991-07-01

    There are strong incentives in terms of national energy and environmental policy to encourage the commercialization of electrically powered vehicles in the U.S. Among these incentives are reduced petroleum consumption, improved electric generation capacity utilization, reduced IC engine emissions, and, depending on the primary fuel used for electric power generation, reduced emissions of carbon dioxide. A basic requirement for successfully commercializing any motor vehicle in the US is provision of adequate passenger comfort heating and air conditioning (cooling). Although air conditioning is generally sold as optional equipment, in excess of 80% of the automobiles and small trucks sold in the US have air conditioning systems. In current, pre-commercial electric vehicles, comfort heating is provided by a liquid fuel fired heater that heats water which is circulated through the standard heater core in the conventional interior air handling unit. Air conditioning is provided by electric motor driven compressors, installed in a system having, perhaps, an [open quotes]upsized[close quotes] condenser and a standard evaporator (front and rear evaporators in some instances) installed in the conventional interior air handler. Although this approach is adequate in the near term for initial commercialization efforts, a number of shortcomings of this arrangement, as well as longer range concerns need to be addressed. In this project, the long term alternatives for cooling and heating electric vehicles effectively, efficiently (with minimum range penalties), and without adverse environmental impacts have been examined. Identification of options that can provide both heating and cooling is important, in view of the disadvantages of carrying separate heating and cooling systems in the vehicle.

  19. Child Day Care Center Licensing Study, 1997.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    The 1997 Child Care Center Licensing Study contains an update of information compiled in 1991 by the Children's Foundation. The data was obtained from the central regulatory office of each of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The study is organized in alphabetical order by states and territories. The…

  20. Center for Japanese Study Abroad. Fastback 386.

    ERIC Educational Resources Information Center

    Jassey, William

    The Center for Japanese Study Abroad (CJSA) is a Japanese immersion and study abroad program implemented as a magnet program at inner-city Brien MacMahon High School in Norwalk, Connecticut. The program is supported by a grant from the state department of education. Attended by 60-70 students from high schools in southern Fairfield County…

  1. Child Day Care Center Licensing Study, 1997.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    The 1997 Child Care Center Licensing Study contains an update of information compiled in 1991 by the Children's Foundation. The data was obtained from the central regulatory office of each of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The study is organized in alphabetical order by states and territories. The…

  2. Weekend Study Buddies: Using Portable Learning Centers.

    ERIC Educational Resources Information Center

    Stephens, Harristina; Jairrels, Veda

    2003-01-01

    This article discusses how one teacher uses a weekend study buddy as a portable learning center for students (ages 5-9) with mild disabilities. The study buddy is a colorful cloth or paper bag that the students take home over the weekend. It can also be individualized to target particular needs. (Contains 8 references.) (CR)

  3. American Indian Studies Center Fortieth Anniversary

    ERIC Educational Resources Information Center

    Nash, Gary B.

    2011-01-01

    In this article, the author shares his comments on the past, present, and future of the American Indian Studies Center (AISC). He discusses how AISC was established and describes how American Indian studies have come a long way from the neglect and disparagement of Native Americans in the way American history is written and taught. He also…

  4. Cosmos, an international center for advanced studies

    NASA Technical Reports Server (NTRS)

    Ryzhov, Iurii; Alifanov, Oleg; Sadin, Stanley; Coleman, Paul

    1990-01-01

    The concept of Cosmos, a Soviet operating center for aerospace activities, is presented. The main Cosmos participants are the Institute for Aerospace Education, the Institute for Research and Commercial Development, and the Department of Space Policy and Socio-Economic Studies. Cosmos sponsors a number of educational programs, basic research, and studies of the social impact of space-related technologies.

  5. American Indian Studies Center Fortieth Anniversary

    ERIC Educational Resources Information Center

    Nash, Gary B.

    2011-01-01

    In this article, the author shares his comments on the past, present, and future of the American Indian Studies Center (AISC). He discusses how AISC was established and describes how American Indian studies have come a long way from the neglect and disparagement of Native Americans in the way American history is written and taught. He also…

  6. Cosmos, an international center for advanced studies

    NASA Technical Reports Server (NTRS)

    Ryzhov, Iurii; Alifanov, Oleg; Sadin, Stanley; Coleman, Paul

    1990-01-01

    The concept of Cosmos, a Soviet operating center for aerospace activities, is presented. The main Cosmos participants are the Institute for Aerospace Education, the Institute for Research and Commercial Development, and the Department of Space Policy and Socio-Economic Studies. Cosmos sponsors a number of educational programs, basic research, and studies of the social impact of space-related technologies.

  7. Stockbridge Munsee Community Health and Wellness Center and the Mohican Family Center Renewable Energy and Energy Efficiency Feasibility Study

    SciTech Connect

    DeRocher, Andy; Barrnett, Michael

    2014-03-14

    The results of the Renewable Energy and Energy Efficiency Feasibility Study of Stockbridge Munsee Community’s Health and Wellness Center (HWC) indicate that a variety of renewable energy options and energy conservation measures (ECMs) exist for the facility. A requirement of the Request for Proposal for this study was to assess renewable energy options that could offset 30 to 100 percent of the HWC’s energy use. This study identifies that a geothermal system is the most cost effective renewable energy option available to decrease the HWC’s energy consumption by 30 to 100 percent. Currently the HWC performs in the lowest 8 percent of buildings in its building category, as scored in the EPA portfolio manager benchmarking tool. Multiple ECM opportunities have been identified with paybacks of less than five years to yield an estimated 25-percent decrease in annual energyconsumption. The ECMs within this payback period are estimated to save $26,800 per year with an implementation cost of just $4,650 (0.2 year payback). For the Mohican Family Center document: The results of the Renewable Energy and Energy Efficiency Feasibility Study of Stockbridge Munsee Community’s Mohican Family Center (MFC) indicate that a variety of renewable energy options and energy conservation measures (ECMs) exist for the facility. A requirement of the Request for Proposal for this study was to assess renewable energy options that could offset 30 to 100 percent of the MFC’s energy use. This study identifies that a geothermal system is the most cost effective renewable energy option available to decrease the MFC’s energy consumption by 30 to 100 percent. Currently the MFC performs better than 80 percent of buildings in its building category, as scored in the EPA portfolio manager benchmarking tool. Multiple ECM opportunities have been identified with short term paybacks to yield an estimated 13-percent decrease in energy consumption. The ECMs within this payback period are estimated

  8. The Center for Star Formation Studies

    NASA Technical Reports Server (NTRS)

    Hollenbach, D.; Bell, K. R.; Laughlin, G.

    2002-01-01

    The Center for Star Formation Studies, a consortium of scientists from the Space Science Division at Ames and the Astronomy Departments of the University of California at Berkeley and Santa Cruz, conducts a coordinated program of theoretical research on star and planet formation. Under the directorship of D. Hollenbach (Ames), the Center supports postdoctoral fellows, senior visitors, and students; meets regularly at Ames to exchange ideas and to present informal seminars on current research; hosts visits of outside scientists; and conducts a week-long workshop on selected aspects of star and planet formation each summer.

  9. Child Day Care Center Licensing Study, 1995.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    This study updates 1991 information from the Children's Foundation. It contains results of a survey of the regulatory offices of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The information is intended for use by center directors and staff, child advocates, the media, state and local regulatory offices, students,…

  10. Child Care Center Licensing Study, 1998.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    This report details a study of regulations for day care centers in the 50 United States, the District of Columbia, Puerto Rico, and the Virgin Islands. Data were collected by means of a mail questionnaire sent to each state central regulatory office. Following an introduction by Kay Hollestelle, the Children's Foundation executive director, the…

  11. Teacher Curriculum Work Center: A Descriptive Study.

    ERIC Educational Resources Information Center

    Feiman, Sharon

    This monograph is one of a continuing series initiated to provide materials for teachers, parents, school administrators, and governmental decision-makers that might encourage reexamination of a range of evaluation issues and perspectives about schools and schooling. This monograph is a descriptive study of the Teacher Curriculum Work Center,…

  12. Child Care Center Licensing Study, 1998.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    This report details a study of regulations for day care centers in the 50 United States, the District of Columbia, Puerto Rico, and the Virgin Islands. Data were collected by means of a mail questionnaire sent to each state central regulatory office. Following an introduction by Kay Hollestelle, the Children's Foundation executive director, the…

  13. Energy Education Training Center--Feasibility Study.

    ERIC Educational Resources Information Center

    Mead, George R.; And Others

    Presented are findings and recommendations of a study conducted to determine the need for an Energy Education Training Center in the Columbia Plateau region of Oregon and Washington. Four sections comprise this report: (1) service area, (2) service population, (3) problem definition, and (4) proposed solution, the EETC. Information summarized in…

  14. Energy Education Training Center--Feasibility Study.

    ERIC Educational Resources Information Center

    Mead, George R.; And Others

    Presented are findings and recommendations of a study conducted to determine the need for an Energy Education Training Center in the Columbia Plateau region of Oregon and Washington. Four sections comprise this report: (1) service area, (2) service population, (3) problem definition, and (4) proposed solution, the EETC. Information summarized in…

  15. Case study of recycling options for New Hampshire generators

    SciTech Connect

    Coleman, P.M.

    1993-12-31

    The successful development of utilization programs for ash generated by the combustion of biomass in Northern New England is described, with special focus on the State of New Hampshire. With the development of over 25 large scale biomass boilers in Northern New England during the past ten years, has come the need to dispose of the over 300,000 cubic yards of ash produced as a combustion by-product. Resource Conservation Services, Inc., a private company, pioneered the development of various utilization options for biomass boiler ash. The major use of ash has been as an agricultural soil amendment. The high levels of calcium in wood ash make it valuable as a lime substitute for raising soil pH. Wood ash also contains significant levels of potassium, phosphorus and magnesium as well as lesser amounts of other plant nutrients which make it valuable as a fertilizer. Soil testing is used to determine application rates to agricultural land. Ash use is regulated by State environmental protection agencies. Heavy metal content of wood ash meets regulatory standards. Wood ash also proven valuable as a bulking and odor control material when mixed with municipal wastewater treatment plant sludge and composted. The high pH of wood ash controls odor producing compounds generated by the composting process. High carbon ash also controls odors through improved aeration and by adsorption of odor producing compounds by the {open_quotes}char{close_quotes} in the ash. Additional uses for wood ash are as a component of concrete products such as {open_quotes}flowable fill{close_quotes} and {open_quotes}soil cement,{close_quotes} as a lime substitute for sludge stabilization, and as landfill daily cover. As higher value uses for wood ash have been developed, ash disposal costs have been reduced and ash is viewed more like a commodity than a waste material.

  16. Space Operations Center system analysis study extension. Volume 2: Programmatics and cost

    NASA Technical Reports Server (NTRS)

    1982-01-01

    A summary of Space Operations Center (SOC) orbital space station costs, program options and program recommendations is presented. Program structure, hardware commonality, schedules and program phasing are considered. Program options are analyzed with respect to mission needs, design and technology options, and anticipated funding constraints. Design and system options are discussed.

  17. Preliminary Results From the C-Pulse® OPTIONS HF European Multicenter Post-Market Study

    PubMed Central

    Schulz, Antonia; Krabatsch, Thomas; Schmitto, Jan D.; Hetzer, Roland; Seidel, Mirko; Dohmen, Pascal M.; Hotz, Holger

    2016-01-01

    Background The C-Pulse® System is an extra-aortic balloon counterpulsation device. It is used to treat patients with heart failure disease in NYHA functional class III or ambulatory class IV. Material/Methods We present preliminary site-reported 6-month data from 3 centers in Germany as part of the prospective observational post-market OPTIONS HF study. Results Between May 2013 and March 2014, the C-Pulse System was implanted in 8 patients (7 male) with a mean age of 61.6±9.3 years. Four had ischemic and 4 had non-ischemic cardiomyopathy. No stroke, myocardial infarction, major bleeding, or major infection due to the device were reported. One patient developed non-device-related refractory tachycardia with worsening heart failure 12 h after surgery and underwent left ventricular assist device implantation. Within 6 months of observation, functional status improved from NYHA III to II in 5 patients, and 2 remained in NYHA III. Mean left ventricular ejection fraction increased from 24.3±7.9% to 44.5±4.5% (p<0.0001). Mean Kansas City Cardiomyopathy Questionnaire overall score improved from 28.6±19.1 to 59.1±22.5 (p=0.0183). Six-minute walk test was performed in 6 out of 7 patients at follow-up. The mean distance improved from 252.0±85.1 m to 279.2±87.5 m (p>0.05). One patient was weaned off the device after 6 months of support. Conclusions The C-Pulse System provides a therapeutic option for patients with moderate-to-severe heart failure and seems to improve quality of life and cardiac function over time. PMID:26887528

  18. The Effect of Response Option Order on Self-Rated Health: A Replication Study

    PubMed Central

    Garbarski, Dana; Schaeffer, Nora Cate; Dykema, Jennifer

    2016-01-01

    Purpose Following calls for replication of research studies, this study documents the results of two studies that experimentally examine the impact of response option order on self-rated health (SRH). Methods Two studies from an online panel survey examined how the order of response options (positive to negative vs. negative to positive) influences the distribution of SRH answers. Results The results of both studies indicate that the distribution of SRH varies across the experimental treatments, and mean SRH is lower (worse) when the response options start with “poor” rather than “excellent.” In addition, there are differences across the two studies in the distribution of SRH and mean SRH when the response options begin with “excellent,” but not when the response options begin with “poor.” Conclusion The similarities in the general findings across the two studies strengthen the claim that SRH will be lower (worse) when the response options are ordered beginning with “poor” rather than “excellent” in online self-administered questionnaires, with implications for the validity of SRH. The slight differences in the administration of the seemingly identical studies further strengthen the claim and also serve as a reminder of the inherent variability of a single permutation of any given study. PMID:26911155

  19. Expanding contraceptive options for PMTCT clients: a mixed methods implementation study in Cape Town, South Africa

    PubMed Central

    2014-01-01

    Background Clients of prevention of mother-to-child transmission (PMTCT) services in South Africa who use contraception following childbirth rely primarily on short-acting methods like condoms, pills, and injectables, even when they desire no future pregnancies. Evidence is needed on strategies for expanding contraceptive options for postpartum PMTCT clients to include long-acting and permanent methods. Methods We examined the process of expanding contraceptive options in five health centers in Cape Town providing services to HIV-positive women. Maternal/child health service providers received training and coaching to strengthen contraceptive counseling for postpartum women, including PMTCT clients. Training and supplies were introduced to strengthen intrauterine device (IUD) services, and referral mechanisms for female sterilization were reinforced. We conducted interviews with separate samples of postpartum PMTCT clients (265 pre-intervention and 266 post-intervention) to assess knowledge and behaviors regarding postpartum contraception. The process of implementing the intervention was evaluated through systematic documentation and interpretation using an intervention tracking tool. In-depth interviews with providers who participated in study-sponsored training were conducted to assess their attitudes toward and experiences with promoting voluntary contraceptive services to HIV-positive clients. Results Following the intervention, 6% of interviewed PMTCT clients had the desired knowledge about the IUD and 23% had the desired knowledge about female sterilization. At both pre- and post-intervention, 7% of clients were sterilized and IUD use was negligible; by comparison, 75% of clients used injectables. Intervention tracking and in-depth interviews with providers revealed intervention shortcomings and health system constraints explaining the failure to produce intended effects. Conclusions The intervention failed to improve PMTCT clients’ knowledge about the IUD

  20. Expanding contraceptive options for PMTCT clients: a mixed methods implementation study in Cape Town, South Africa.

    PubMed

    Hoke, Theresa; Harries, Jane; Crede, Sarah; Green, Mackenzie; Constant, Deborah; Petruney, Tricia; Moodley, Jennifer

    2014-01-10

    Clients of prevention of mother-to-child transmission (PMTCT) services in South Africa who use contraception following childbirth rely primarily on short-acting methods like condoms, pills, and injectables, even when they desire no future pregnancies. Evidence is needed on strategies for expanding contraceptive options for postpartum PMTCT clients to include long-acting and permanent methods. We examined the process of expanding contraceptive options in five health centers in Cape Town providing services to HIV-positive women. Maternal/child health service providers received training and coaching to strengthen contraceptive counseling for postpartum women, including PMTCT clients. Training and supplies were introduced to strengthen intrauterine device (IUD) services, and referral mechanisms for female sterilization were reinforced. We conducted interviews with separate samples of postpartum PMTCT clients (265 pre-intervention and 266 post-intervention) to assess knowledge and behaviors regarding postpartum contraception. The process of implementing the intervention was evaluated through systematic documentation and interpretation using an intervention tracking tool. In-depth interviews with providers who participated in study-sponsored training were conducted to assess their attitudes toward and experiences with promoting voluntary contraceptive services to HIV-positive clients. Following the intervention, 6% of interviewed PMTCT clients had the desired knowledge about the IUD and 23% had the desired knowledge about female sterilization. At both pre- and post-intervention, 7% of clients were sterilized and IUD use was negligible; by comparison, 75% of clients used injectables. Intervention tracking and in-depth interviews with providers revealed intervention shortcomings and health system constraints explaining the failure to produce intended effects. The intervention failed to improve PMTCT clients' knowledge about the IUD and sterilization or to increase use of

  1. Space Operations Center: Shuttle interaction study

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The implication of using the Shuttle with the Space Operation Center (SOC), including constraints that the Shuttle will place upon the SOC design. The study identifies the considerations involved in the use of the Shuttle as a part of the SOC concept, and also identifies the constraints to the SOC imposed by the Shuttle in its interactions with the SOC, and on the design or technical solutions which allow satisfactory accomplishment of the interactions.

  2. Nuclear Power Options Viability Study. Volume 3. Nuclear discipline topics

    SciTech Connect

    Trauger, D B; White, J D; Bowers, H I; Braid, R B; Cantor, R A; Daniels, L; Davis, R M; Delene, J G; Gat, U; Hood, T C

    1986-09-01

    Innovative reactor concepts are described and evaluated in accordance with criteria established in the study. The reactors to be studied were chosen on the basis of three ground rules: (1) the potential for commercialization between 2000-2010, (2) economic competiveness with coal-fired plants, and (3) the degree of passive safety in the design. The concepts, classified by coolants, were light water reactors, liquid metal reactors, and high temperature reactors, and most were of modular design. All the concepts appear to be potentially viable in the time frame selected, but the information available is not adequate for a definitive evaluation of their economic competitiveness. This volume primarily reports in greater detail on several topics from the study. These are: Construction, Economics, Regulation, Safety and Economic Risk, Nuclear Waste Transportation and Disposal, and Market Acceptance. Although treated generically, the topics are presented in the context of the reactor concepts of the study.

  3. VAMOS: The verification and monitoring options study: Current research options for in-situ monitoring and verification of contaminant remediation and containment within the vadose zone

    SciTech Connect

    Betsill, J.D.; Gruebel, R.D.

    1995-09-01

    The Verification and Monitoring Options Study Project (VAMOS) was established to identify high-priority options for future vadose-zone environmental research in the areas of in-situ remediation monitoring, post-closure monitoring, and containment emplacement and verification monitoring. VAMOS examined projected needs not currently being met with applied technology in order to develop viable monitoring and verification research options. The study emphasized a compatible systems approach to reinforce the need for utilizing compatible components to provide user friendly site monitoring systems. To identify the needs and research options related to vadose-zone environmental monitoring and verification, a literature search and expert panel forums were conducted. The search included present drivers for environmental monitoring technology, technology applications, and research efforts. The forums included scientific, academic, industry, and regulatory environmental professionals as well as end users of environmental technology. The experts evaluated current and future monitoring and verification needs, methods for meeting these needs, and viable research options and directions. A variety of high-priority technology development, user facility, and technology guidance research options were developed and presented as an outcome of the literature search and expert panel forums.

  4. Nuclear Power Options Viability Study. Volume 1. Executive summary

    SciTech Connect

    Trauger, D.B.; White, J.D.; Booth, R.S.; Bowers, H.I.; Braid, R.B.; Cantor, R.A.; Cleveland, J.C.; Delene, J.G.; Gat, U.; Hood, T.C.

    1986-09-01

    Innovative reactor concepts are described and evaluated in accordance with criteria established in the study. The reactors to be studied were selected on the basis of three ground rules: (1) the potential for commercialization between 2000 to 2010, (2) economic competitiveness with coal, and (3) the degree of passive safety in the design. The concepts, classified by coolants, were light water reactors, liquid metal reactors, and high-temperature reactors, and most were of modular design. Although the information available is not adequate for a definitive evaluation of economic competitiveness, all of the concepts appear to be potentially viable in the time frame selected. Public and institutional acceptance of nuclear power was found to be affected primarily by four issues: (1) operational safety, (2) waste handling and disposal, (3) construction and operating costs, and (4) the adequacy of management and regulatory controls.

  5. Architecture options for the Manned Transportation Systems Study

    NASA Technical Reports Server (NTRS)

    Gaunce, M. T.; Geyer, M. S.; Lance, N.; Anson, H. W.; Bienhoff, D. G.; Carey, D. A.; Emmet, B. R.; Mccandless, B.; Wetzel, E. D.

    1992-01-01

    The Manned Transportation System (MTS) Study has constructed a comprehensive set of transportation architectures, using current and possible vehicle systems to address specifically a series of considerations which focus and guide what the future transportation architectures should be. Payload manifesting ground rules are presented to illustrate the present approach in establishing flight rates from the MTS mission models. Manned system flight rates and relative personnel safety characteristics differences are presented.

  6. Safeguards considerations in the study of proliferation resistance of plutonium disposition options

    SciTech Connect

    Hakkila, E.A.; Burr, T.

    1997-11-01

    Domestic and international safeguards considerations of the various plutonium disposition program options were studied. The options included immobilization in either glass or ceramic; deep borehole disposal, either directly as oxide or after immobilization in ceramic pellets; and nine options of burning in reactors as mixed oxide (MOX) fuel. Two of the MOX options considered burning in CANDU (Canadian deuterium uranium) reactors in Canada; the remaining options used either existing or new reactors in the US. A facility for conversion of weapons-grade PU metal to plutonium oxide is common to all options. Although domestic safeguards are applied for all material in the facility, international verification probably will not be possible until weapons design information from material form can no longer be inferred. Assuming that the facility processed 5 tonnes of Pu/year and all measurements are made to meet 1993 ESARDA (European Safeguards Research and Development Association) Target Values, the best annual detection limit (false alarm probability = 0.05, detection probability = 0.95) for loss of Pu can be no smaller than 16.5 kg, and probably will be higher. A MOX fuel fabrication facility is required for all of the reactor options, and location of the facility either in the US or in a EURATOM country was considered. Assuming that the facility processes 3.2 tonnes of Pu/year, and all measurements are made to meet ESARDA Target Values, the best annual detection limit for loss of Pu can be no smaller than 24 kg. Location in Europe adds an additional international safeguards burden. Impact of the various disposal options on domestic and international safeguards will be reviewed.

  7. Engineering study of tank fill options for landfill closure

    SciTech Connect

    Skelly, W.A.

    1996-09-27

    To prepare single-shell tanks for closure, it will be necessary to piece some type of load- bearing fill material inside the tanks to support the domes. Provision of internal support permits the simplifying assumption that the combined weight of the dome, the existing operational soil cover, and the surface barrier will eventually transfer to and be carried by the fill. This engineering study provides descriptions and evaluations of four alternative concepts for fitting and stabilizing nominally empty SSTs with fill materials. For this study it is assumed that 99 percent (or more) of tank wastes will be retrieved before closure is undertaken. The alternatives are: Gravel: tanks would be fitted with crushed aggregate using a rotating stinger apparatus installed in the central riser; Grout: tanks would be fitted with a pumpable, ex-situ mixed grout formulation; Hybrid: tanks would be fitted first with coarse aggregate, then with grout, producing a pre-placed aggregate concrete material; or Concrete: tank. would be filled with a highly-flowable, ex-situ mixed concrete formulation.

  8. Seismometer readings studied in Mission Control Center

    NASA Technical Reports Server (NTRS)

    1971-01-01

    The seismometer reading from the impact made by the Apollo 15 Saturn S-IVB stage when it struck the lunar surface is studied by scientists in the Mission Control Center. Dr. Gary Latham (dark suit, wearing lapel button) of Columbia University is responsible for the design and experiment data analysis of the Passive Seismic Experiment of the Apollo Lunar Surface Experiment Package (ALSEP). The man on the left, writing, is Nafi Toksos of the Massachusetts Institute of Technology. Looking on at upper left is Dave Lammlein, also with Columbia.

  9. Seismometer readings studied in Mission Control Center

    NASA Image and Video Library

    1971-07-29

    The seismometer reading from the impact made by the Apollo 15 Saturn S-IVB stage when it struck the lunar surface is studied by scientists in the Mission Control Center. Dr. Gary Latham (dark suit, wearing lapel button) of Columbia University is responsible for the design and experiment data analysis of the Passive Seismic Experiment of the Apollo Lunar Surface Experiment Package (ALSEP). The man on the left, writing, is Nafi Toksos of the Massachusetts Institute of Technology. Looking on at upper left is Dave Lamneline, also with Columbia.

  10. NCI Start-Up 2.0: An Evaluation Option License Program | NCI Technology Transfer Center | TTC

    Cancer.gov

    NCI's Start-Up Evaluation Option License minimizes barriers to entry faced by start-up companies that seek to license NIH technologies. The license encourages and supports the commercial development of early-stage technologies developed in the NIH Intramural Research Program. While the NIH has been quite flexible in structuring licenses for the benefit of start-up companies, one of the goals of the NIH Start-up License program is to further reduce the time and capital to negotiate and finalize an exclusive license agreement. | [google6f4cd5334ac394ab.html

  11. Send Them Packing: Study Abroad as an Option for Gifted Students.

    ERIC Educational Resources Information Center

    Limburg-Weber, Lisa

    2000-01-01

    This article describes the benefits of study abroad programs for gifted students. It discusses options available for study abroad programs, the planning process for study abroad programs, deciding where to go and getting there, and tuition and other cost considerations. Key questions for assessing a study abroad program are provided. (Contains…

  12. CHoosing Options for Insomnia in Cancer Effectively (CHOICE): Design of a patient centered comparative effectiveness trial of acupuncture and cognitive behavior therapy for insomnia.

    PubMed

    Garland, Sheila N; Gehrman, Philip; Barg, Frances K; Xie, Sharon X; Mao, Jun J

    2016-03-01

    Insomnia is a prevalent and persistent side effect of cancer, which if left unaddressed, can be unremitting and negatively influence physical and mental well-being. Acupuncture and Cognitive Behavioral Therapy (CBT) are commonly used non-pharmacological treatments that are efficacious for treating insomnia in cancer patients; however, little is known about the comparative effectiveness of these options. The goal of personalized medicine is to determine which treatments are most effective for which individuals, and patient preference for treatment is a particularly important contributor to adherence and outcomes. Here we describe the design of a clinical trial that begins to determine how best to personalize the treatment of insomnia for cancer survivors. This project is a randomized controlled comparative effectiveness trial with a nested qualitative study comparing acupuncture and CBT for insomnia and co-morbid symptoms in a heterogeneous sample of 160 cancer survivors. The primary aim is to determine which treatment is associated with the largest reduction in insomnia severity. The secondary aim is to examine the demographic, clinical, and psychological characteristics that predict and/or moderate treatment effect. Patients will receive ten treatments of acupuncture or 7 sessions of CBT over eight weeks and complete validated patient-reported outcome measures of sleep and co-morbid symptoms at baseline, mid-treatment, post-treatment, and at three-months to assess durability of effect. The results of the proposed study have the potential to improve healthcare outcomes by helping cancer survivors and their caregivers make informed and evidence-based decisions, leading to patient-centered and personalized care for cancer survivors with insomnia.

  13. Environments and Desalination: A Study of Optional Porcess

    NASA Astrophysics Data System (ADS)

    Weiss, C.

    2016-12-01

    Desalination is the process of removing salt from salt water. As a human, you cannot safely drink salt water, because it will make you sick. 72% of earth is covered in water, and about 97% of that is salt water. Seawater's parts per million is around 750 ppm. In this science fair project, I will be trying to figure out if the environments affect the water desalination process, and if so, trying to find out what is the best desalinating environment. Water evaporates faster when it is hotter, and the more types of heat you use, the hotter it gets. Unblocked sunlight has two types of heat, heat from light, and heat from the atmosphere. I hypothesize that the environment that will evaporate the most water, and desalinate the water the most. I believe that this environment will be the best because most of the research I did showed the set up outside in the sun . Also, I believe this environment is the best because it has the most forms of heat. The environment with the most heat will do the best because heat plays a major role in evaporation, and my set-up uses evaporation to desalinate the water. So, more heat equals more evaporated, desalinated water. To conclude my studies, my hypothesis was partially supported. My hypothesis was sating that the outside with sunlight and heat would evaporate the most water and be the one with the lowest ppm level. While I collected the most water in this environment, it wasn't the one with the lowest salinity level. Although it wasn't the one with the lowest, it was still drinkable, uncontaminated water, and was there in the most quantity, therefore, I chose this environment to be the best place to naturally desalinate the most water.

  14. A prefeasibility study of energy resource options in Hainan, China

    SciTech Connect

    Hill, L.J.; Russell, M. |; Barron, W.F.; LaRocco, P.; Shen, Z.

    1992-10-01

    This study identifies a strategy that (1) provides future energy services for Hainan in the least environmentally degrading way, (2) eliminates the need to build significant amounts of new fossil-fueled, electric generating capacity, saving capital to invest in other development projects, (3) lowers the cost that Hainan households and businesses will pay to light their homes and run their industries, (4) reduces the future coal import bill, and (5) improves the prospects for export industries. implementing this strategy will promote economic development and growth in Hainan, improve the standard of living, and preserve to the greatest extent possible Hainan`s rich environmental resource base, a key requirement for its tourist industry. The focus of this strategy is to adapt proven policies and techniques for producing and using energy more efficiently to existing conditions in Hainan. This Report applies the principles of integrated resource planning (IRP) and the experiences in other countries to outline a strategy for the Province. The experience is that fuel consumption can be reduced without lessening the ability of consumers, industry, and the government to obtain the energy services that higher use of fuel would otherwise bring. Further, those energy services can be provided with less capital investment than would be necessary if traditional practices were followed. Both of these results have obvious and important development and environmental benefits. In short, consumers have more money available to buy other things; production costs are lowered, improving the ability of firms to compete in international markets; and more capital is available to invest in new machinery and equipment that produces goods and services to use in Hainan or to export to other countries.

  15. A prefeasibility study of energy resource options in Hainan, China

    SciTech Connect

    Hill, L.J.; Russell, M. Tennessee Univ., Knoxville, TN ); Barron, W.F. ); LaRocco, P. ); Shen, Z. )

    1992-10-01

    This study identifies a strategy that (1) provides future energy services for Hainan in the least environmentally degrading way, (2) eliminates the need to build significant amounts of new fossil-fueled, electric generating capacity, saving capital to invest in other development projects, (3) lowers the cost that Hainan households and businesses will pay to light their homes and run their industries, (4) reduces the future coal import bill, and (5) improves the prospects for export industries. implementing this strategy will promote economic development and growth in Hainan, improve the standard of living, and preserve to the greatest extent possible Hainan's rich environmental resource base, a key requirement for its tourist industry. The focus of this strategy is to adapt proven policies and techniques for producing and using energy more efficiently to existing conditions in Hainan. This Report applies the principles of integrated resource planning (IRP) and the experiences in other countries to outline a strategy for the Province. The experience is that fuel consumption can be reduced without lessening the ability of consumers, industry, and the government to obtain the energy services that higher use of fuel would otherwise bring. Further, those energy services can be provided with less capital investment than would be necessary if traditional practices were followed. Both of these results have obvious and important development and environmental benefits. In short, consumers have more money available to buy other things; production costs are lowered, improving the ability of firms to compete in international markets; and more capital is available to invest in new machinery and equipment that produces goods and services to use in Hainan or to export to other countries.

  16. The culture of education in a large dialysis organization: informing patient-centered decision making on treatment options for renal replacement therapy.

    PubMed

    Mollicone, Debra; Pulliam, Joseph; Lacson, Eduardo

    2013-01-01

    Challenged by the observation that newly admitted dialysis patients were often unaware of their treatment options, Fresenius Medical Care, North America developed a program to improve information delivered to chronic kidney disease (CKD) patients prior to their need for renal replacement therapy. Six years ago, the Treatment Options Program (TOPs) was established utilizing a standardized approach to educate individuals with CKD Stages 3 and 4. The program education focuses on modality and vascular access options. A key component includes follow-up at predetermined intervals, offering additional education and patient reminders to continue to work with their physician in selecting a preferred renal replacement modality. Since program inception, over 73,000 individuals have been educated through TOPs. Home therapy utilization as first treatment is higher in the patient population that received TOPs education. Similarly, participants had a higher rate of permanent vascular access with decreased use of hemodialysis catheters upon admission. Avoiding hemodialysis catheter use and expanding home therapy utilization both offer potential benefits to all stakeholders: patients, providers, and payors, particularly as we move toward accountable healthcare systems. The ability to expand the TOPs program relies on seeing patients early enough to allow each patient time to process the information and work with their physician to select the modality and access that best meets their healthcare and lifestyle needs. Educating our patients facilitates empowerment and active participation in their therapy, a much coveted component of patient-centered health care for the renal provider community as we look to the future.

  17. The New Center for Advanced Energy Studies

    SciTech Connect

    L.J. Bond; K. Kostelnik; R.A. Wharton; A. Kadak

    2006-06-01

    A secure and affordable energy supply is essential for achieving U.S. national security, in continuing U.S. prosperity and in laying the foundation to enable future economic growth. The next generation energy workforce in the U.S. is a critical element in meeting both national and global energy needs. The Center for Advanced Energy Studies (CAES) was established in 2005 in response to U.S. Department of Energy (DOE) requirements. CAES, located at the new Idaho National Laboratory (INL), will address critical energy education, research, policy study and training needs. CAES is a unique joint partnership between the Battelle Energy Alliance (BEA), the State of Idaho, an Idaho University Consortium (IUC), and a National University Consortium (NUC). CAES will be based in a new facility that will foster collaborative academic and research efforts among participating institutions.

  18. ART attrition and risk factors among Option B+ patients in Haiti: A retrospective cohort study.

    PubMed

    Puttkammer, Nancy; Domerçant, Jean Wysler; Adler, Michelle; Yuhas, Krista; Myrtil, Martine; Young, Paul; François, Kesner; Grand'Pierre, Reynold; Lowrance, David

    2017-01-01

    In October 2012, the Haitian Ministry of Health endorsed the "Option B+" strategy to eliminate mother-to-child transmission of HIV and achieve HIV epidemic control. The objective of this paper is to assess and identify risk factors for attrition from the national ART program among Option B+ patients in the 12 months after ART initiation. This retrospective cohort study included patients newly initiating ART from October 2012-August 2013 at 68 ART sites covering 45% of all newly enrolled ART patients in all regions of Haiti. With data from electronic medical records, we carried out descriptive analysis of sociodemographic, clinical, and pregnancy-related correlates of ART attrition, and used a modified Poisson regression approach to estimate relative risks in a multivariable model. There were 2,166 Option B+ patients who initiated ART, of whom 1,023 were not retained by 12 months (47.2%). One quarter (25.3%) dropped out within 3 months of ART initiation. Protective factors included older age, more advanced HIV disease progression, and any adherence counseling prior to ART initiation, while risk factors included starting ART late in gestation, starting ART within 7 days of HIV testing, and using an atypical ART regimen. Our study demonstrates early ART attrition among Option B+ patients and contributes evidence on the characteristics of women who are most at risk of attrition in Haiti. Our findings highlight the importance of targeted strategies to support retention among Option B+ patients.

  19. Revisiting Graduation Requirements and Diploma Options for Youth with Disabilities: A National Study. Technical Report 49

    ERIC Educational Resources Information Center

    Johnson, David R.; Thurlow, Martha L.; Stout, Karen E.

    2007-01-01

    This paper examines the results of a national study on the current status of state graduation policies and diploma options for youth with disabilities. It examines state policies in relation to their intended benefits as well as possible unintended consequences, and compared the findings with a similar study conducted by Johnson and Thurlow in…

  20. Center for Advanced Energy Studies Program Plan

    SciTech Connect

    Kevin Kostelnik

    2005-09-01

    The world is facing critical energy-related challenges regarding world and national energy demands, advanced science and energy technology delivery, nuclear engineering educational shortfalls, and adequately trained technical staff. Resolution of these issues is important for the United States to ensure a secure and affordable energy supply, which is essential for maintaining U.S. national security, continued economic prosperity, and future sustainable development. One way that the U.S. Department of Energy (DOE) is addressing these challenges is by tasking the Battelle Energy Alliance, LLC (BEA) with developing the Center for Advanced Energy Studies (CAES) at the Idaho National Laboratory (INL). By 2015, CAES will be a self-sustaining, world-class, academic and research institution where the INL; DOE; Idaho, regional, and other national universities; and the international community will cooperate to conduct critical energy-related research, classroom instruction, technical training, policy conceptualization, public dialogue, and other events.

  1. Center for Micro Air Vehicle Studies

    DTIC Science & Technology

    2013-02-01

    25 Figure 30: Insect Wing Comparison: (Top) Bumblebee; (Center) Cicada ; (Bottom) Wasp ......... 26 Figure 31... cicada , and wasp. At first glance, these wings appear to be unrelated in venial structure. It was found that each of these insects belong to...Bumblebee; (Center) Cicada ; (Bottom) Wasp Another common characteristic of these wings is the tendency to maintain a heavy structure closest to the wing

  2. Environmental Studies. Plano Outdoor Learning Center.

    ERIC Educational Resources Information Center

    Plano Independent School District, TX.

    This curriculum guide for the Plano Intermediate School District (Texas) Outdoor Learning Center is divided into three major sections. Section I provides information on the numbered stations/posts found along the perimeter and inner trails of the center and includes brief comments on the philosophy of environmental education and the history…

  3. Writing Centers in Context: Twelve Case Studies.

    ERIC Educational Resources Information Center

    Kinkead, Joyce A., Ed.; Harris, Jeanette G., Ed.

    This book profiles 12 writing centers that function effectively on their college and university campuses. Following an introduction that provides an overview and suggests ways the book can be used, the centers are examined in detail in the following chapters: (1) "A Multiservice Writing Lab in a Multiversity: The Purdue University Writing…

  4. Environmental Studies. Plano Outdoor Learning Center.

    ERIC Educational Resources Information Center

    Plano Independent School District, TX.

    This curriculum guide for the Plano Intermediate School District (Texas) Outdoor Learning Center is divided into three major sections. Section I provides information on the numbered stations/posts found along the perimeter and inner trails of the center and includes brief comments on the philosophy of environmental education and the history…

  5. Options for commercial tokamaks

    SciTech Connect

    Dabiri, A.E.; Keeton, D.C.; Thomson, S.L.

    1986-07-01

    Systems studies have been performed at the Fusion Engineering Design Center (FEDC) to assess commercial tokamak options. One study investigates the economics of high-beta operation and determines an optimum operating range of 10 to 20% beta, with a corresponding neutron wall loading of 6 to 8 MW/m/sup 2/. A second study determines conditions under which small, low-power tokamaks can be economically combined into a 1200-MW(electric) multiplex power plant. The results of these studies have directed future efforts at the FEDC toward a high-beta, tokamak design using a modular maintenance configuration.

  6. PHILADELPHIA AIR TOXICS STUDY: EVALUATION OF RISK MANAGEMENT OPTIONS USING MIRA

    EPA Science Inventory

    Evaluation of risk management options usually takes place within single programs at the U.S. EPA. This can produce inadvertent tradeoffs among important criteria by risk managers and other decision makers; resulting in decision surprises. This study is a demonstration of a diff...

  7. Options and limitations in studies of successive pregnancy outcomes: an overview.

    PubMed

    Basso, Olga

    2007-07-01

    This paper provides a brief overview of options and limitations in studies of successive pregnancy outcomes, largely derived from the author's personal experience on Danish registries. The issues discussed here by no means constitute an exhaustive list, but aim at providing an introduction for researchers interested in this topic.

  8. PHILADELPHIA AIR TOXICS STUDY: EVALUATION OF RISK MANAGEMENT OPTIONS USING MIRA

    EPA Science Inventory

    Evaluation of risk management options usually takes place within single programs at the U.S. EPA. This can produce inadvertent tradeoffs among important criteria by risk managers and other decision makers; resulting in decision surprises. This study is a demonstration of a diff...

  9. Family options for parents with mental illnesses: a developmental, mixed methods pilot study.

    PubMed

    Nicholson, Joanne; Albert, Karen; Gershenson, Bernice; Williams, Valerie; Biebel, Kathleen

    2009-01-01

    The objective of this paper is to provide a description of Family Options, a rehabilitation intervention for parents with serious mental illnesses and their children focusing on recovery and resilience, and to report the findings from a pilot study at 6-months post-enrollment for participating mothers. A developmental design, and mixed quantitative and qualitative methods facilitate an in-depth understanding of Family Options and its impact on parents early in the implementation process. Participating families faced significant challenges, including long-term mental health conditions in adults, and emotional and behavioral difficulties in children. Data from mothers (n = 22) demonstrate significant improvements in well-being, functioning, and supports and resources at 6 months post-enrollment in Family Options. Mothers report help from Family Options staff consistent with the intervention as conceptualized, and high levels of satisfaction with the intervention as delivered. Innovative study design and analytic strategies are required to build the evidence base and promote rapid dissemination of effective interventions. Findings from this study will assist purveyors in refining the intervention, and will lay the groundwork for further replication and testing to build the evidence base for parents with serious mental illnesses and their families.

  10. Feasibility Study for the Ivano-Frankivsk District Heating Repowering: Analysis of Options

    SciTech Connect

    Markel, L.; Popelka, A.; Laskarevsky, V.

    2002-03-20

    Part of the U.S. Initiative on Joint Implementation with the Ukraine Inter-Ministerial Commission on Climate Change, financed by the US Department of Energy. The project was implemented by a team consisting of the US company SenTech, Inc. and the Ukrainian company Esco-West. The main objective of the effort was to assess available alternatives of Ivano-Frankivsk (I-F) District Heating repowering and provide information for I-F's investment decision process. This study provides information on positive and negative technical and economic aspects of available options. Three options were analyzed for technical merit and economic performance: 1. Installation of cogeneration system based on Gas Turbine (GT) and Heat Recovery Heat Exchanger with thermal capacity of 30 MW and electrical capacity of 13.5 MW. This Option assumes utilization of five existing boilers with total capacity of 221 MW. Existing boilers will be equipped with modern controls. Equipment in this Option was sized for longest operating hours, about 8000 based on the available summer baseload. 2. Installation of Gas Turbine Combined Cycle (GTCC) and Heat Recovery Steam Generator (HRSG) with thermal capacity 45 MW and electrical capacity of 58.7 MW. This Option assumes utilization of five existing boilers with total capacity of 221 MW. Existing boilers will be equipped with modern controls. The equipment was sized for medium, shoulder season thermal load, and some cooling was assumed during the summer operation for extension of operating hours for electricity production. 3. Retrofit of six existing boilers (NGB) with total thermal capacity of 255.9 MW by installation of modern control system and minor upgrades. This option assumes only heat production with minimum investment. The best economic performance and the largest investment cost would result from alternative GTCC. This alternative has positive Net Present Value (NPV) with discount rate lower than about 12%, and has IRR slightly above 12%. The

  11. Trade study: Liquid hydrogen transportation - Kennedy Space Center. [cost and operational effectivenss of shipping methods.

    NASA Technical Reports Server (NTRS)

    Gray, D. J.

    1978-01-01

    Cryogenic transportation methods for providing liquid hydrogen requirements are examined in support of shuttle transportation system launch operations at Kennedy Space Center, Florida, during the time frames 1982-1991 in terms of cost and operational effectiveness. Transportation methods considered included sixteen different options employing mobile semi-trailer tankers, railcars, barges and combinations of each method. The study concludes that the most effective method of delivering liquid hydrogen from the vendor production facility in New Orleans to Kennedy Space Center includes maximum utilization of existing mobile tankers and railcars supplemented by maximum capacity mobile tankers procured incrementally in accordance with shuttle launch rates actually achieved.

  12. Study of urban population attitudes towards various wastewater reuse options: Israel as a case study.

    PubMed

    Friedler, Eran; Lahav, Ori; Jizhaki, Hagar; Lahav, Tali

    2006-12-01

    This paper summarizes the findings of a survey (256 participants) conducted to determine the attitude of the Israeli urban public towards various urban water reuse options. Israel is known for its long and successful agricultural water reuse scheme, but to date no large-scale urban reuse projects have been implemented. The survey included 21 reuse options, which were clustered into three reuse categories, namely: low, medium, and high contact levels. Results show that a high proportion of the participants supported medium contact reuse options such as sidewalk landscaping (95%), domestic WC flushing (85%) and firefighting (96%). Higher contact reuse options such as domestic laundry (38%), preserved food (13%), and potable aquifer recharge (11%) found much lesser support. Less than expected support was found for low contact reuse options with 86% for field crop irrigation, 62% for aquifer recharge for agricultural irrigation, and as low as 49% for orchard irrigation. This low support is surprising, since all three options have been practiced on a large scale for over three decades in Israel without any adverse effects to the public. No correlation was found between any biographical characteristic examined (education, gender, income, marital status, having young children, and age) and support for medium contact options. For the medium contact options, the results suggest that perceived financial gain (individual and/or communal) and positive public opinion enhances support, while perceived health effects negatively affects the degree of support. Technology, trust in authorities and awareness of water and environmental issues were found to not have a significant effect on support for medium contact reuse options. Analyzing the four possible reasons for support given by participants who identified themselves as supporters of wastewater reuse revealed that the most important reason for support was "water saving", followed by "minimization of importing water from abroad

  13. ART attrition and risk factors among Option B+ patients in Haiti: A retrospective cohort study

    PubMed Central

    Domerçant, Jean Wysler; Adler, Michelle; Yuhas, Krista; Myrtil, Martine; Young, Paul; François, Kesner; Grand’Pierre, Reynold; Lowrance, David

    2017-01-01

    Objectives In October 2012, the Haitian Ministry of Health endorsed the “Option B+” strategy to eliminate mother-to-child transmission of HIV and achieve HIV epidemic control. The objective of this paper is to assess and identify risk factors for attrition from the national ART program among Option B+ patients in the 12 months after ART initiation. Design This retrospective cohort study included patients newly initiating ART from October 2012-August 2013 at 68 ART sites covering 45% of all newly enrolled ART patients in all regions of Haiti. Methods With data from electronic medical records, we carried out descriptive analysis of sociodemographic, clinical, and pregnancy-related correlates of ART attrition, and used a modified Poisson regression approach to estimate relative risks in a multivariable model. Results There were 2,166 Option B+ patients who initiated ART, of whom 1,023 were not retained by 12 months (47.2%). One quarter (25.3%) dropped out within 3 months of ART initiation. Protective factors included older age, more advanced HIV disease progression, and any adherence counseling prior to ART initiation, while risk factors included starting ART late in gestation, starting ART within 7 days of HIV testing, and using an atypical ART regimen. Discussion Our study demonstrates early ART attrition among Option B+ patients and contributes evidence on the characteristics of women who are most at risk of attrition in Haiti. Our findings highlight the importance of targeted strategies to support retention among Option B+ patients. PMID:28264045

  14. Space station needs, attributes and architectural options study. Volume 1: Executive study

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Mission identification and validation, the benefits of a manned presence in space; attributes and architectures; time-phased mission and system requirements imposed on the space station; orbit selection; space station architectural options; technology selection; and program planning are addressed.

  15. Vomiting Center reanalyzed: An electrical stimulation study

    NASA Technical Reports Server (NTRS)

    Miller, A. D.; Wilson, V. J.

    1982-01-01

    Electrical stimulation of the brainstem of 15 decerebrate cats produced stimulus-bound vomiting in only 4 animals. Vomiting was reproducible in only one cat. Effective stimulating sites were located in the solitary tract and reticular formation. Restricted localization of a vomiting center, stimulation of which evoked readily reproducible results, could not be obtained.

  16. ITER blanket and shield studies for high aspect ratio design option

    SciTech Connect

    Gohar, Y.; Attaya, H.; Billone, M.; Johnson, C.; Kopasz, J.; Majumdar, S.; Mattas, R.; Smith, D.L. ); Lousteau, D.; Nelson, B.; Williamson, D. ); Raffray, A.; Badawi, A.; Ying, A.; Abdou, M. ); El-Guebaly, L.; Sawan, M.; Sviatoslavsky, I.; Mogahed, E.; Kulcinski, G. (Wisconsin U

    1991-01-01

    The attractiveness of the high aspect ratio design (HARD) option for ITER has motivated a study to assess the blanket and shield design performance for this configuration relative to the ITER reference design. The blanket and shield have been configured to take an advantage of the HARD option. The layered solid breeder blanket concept with water-coolant and steel-structure and the water-steel shield have been used. The changes in the neutron wall loading distribution, the mechanical design, the net tritium breeding ratio, the total tritium inventory, and the nuclear heating profiles are evaluated. The tradeoff between the net tritium breeding ratio, and the fuel operating cost is analyzed. The mechanical design and the structural interaction between the first wall and the blanket is studied. 4 refs., 3 figs., 5 tabs.

  17. An Early Study of Disposal Options for the Hubble Space Telescope

    NASA Astrophysics Data System (ADS)

    Griffin, Thomas J.; Hull, Scott M.; Bretthauer, Joy W.; Leete, Stephen

    2013-08-01

    Since its launch in 1990, the Hubble Space Telescope has been one of the most productive scientific endeavors in history. Nonetheless, all good things must eventually come to an end, including the useful life of this spacecraft. Since Hubble has no on-board propulsion system, its orbit is currently decaying, and recent models predict that without any intervention the telescope will reenter the atmosphere, no earlier than 2031. Due to the very large size of the spacecraft and the extensive use of materials that are expected to survive reentry heating, an uncontrolled reentry would pose an unacceptable risk of injury to the general public. The original designs called for the telescope to be retrieved by the Space Shuttle at the end of its mission, but that is no longer an option. An early study has been conducted to examine options for disposing of Hubble in a way that would drastically reduce the risk, or eliminate it entirely. In order to lay the foundation for an eventual decision several years from now, four basic options for disposal were studied, each based on three possible telescope hardware status conditions. The study included an examination of the feasibility, reliability, end-to-end risk, cost, and schedule for each potential approach. A summary of the findings of the feasibility, reliability, and risk assessments from that study will be presented.

  18. An Early Study of Disposal Options for the Hubble Space Telescope

    NASA Astrophysics Data System (ADS)

    Griffin, Thomas J.; Hull, Scott M.; Bretthaauer, Joy W.; Leete, Stephen

    2013-09-01

    Since its launch in 1990, the Hubble Space Telescope has been one of the most productive scientific endeavors in history. Nonetheless, all good things must eventually come to an end, including the useful life of this spacecraft. Since Hubble has no on-board propulsion system, its orbit is currently decaying, and recent models predict that without any intervention the telescope will reenter the atmosphere, no earlier than 2031. Due to the very large size of the spacecraft and the extensive use of materials that are expected to survive reentry heating, an uncontrolled reentry would pose an unacceptable risk of injury to the general public. The original designs called for the telescope to be retrieved by the Space Shuttle at the end of its mission, but that is no longer an option. An early study has been conducted to examine options for disposing of Hubble in a way that would drastically reduce the risk, or eliminate it entirely. In order to lay the foundation for an eventual decision several years from now, four basic options for disposal were studied, each based on three possible telescope hardware status conditions. The study included an examination of the feasibility, reliability, end-to-end risk, cost, and schedule for each potential approach. A summary of the findings of the feasibility, reliability, and risk assessments from that study will be presented.

  19. Client Impact Study of Six Detoxification Centers ("Sub-Acute Receiving Centers").

    ERIC Educational Resources Information Center

    Mayer, Steven E.; And Others

    Results are reported of a study to determine the effects of detoxification centers on the people who use their services. A detoxification center is "a social rehabilitation facility established for the purpose of facilitating access into care and rehabilitation by detoxifying and evaluating the person and providing entrance into the continuum…

  20. Student-Centered and Teacher-Centered Classroom Management: A Case Study of Three Elementary Teachers

    ERIC Educational Resources Information Center

    Garrett, Tracey

    2008-01-01

    The major purpose of this case study was to document the classroom management beliefs and practices of three teachers reputed to implement student-centered instruction and to examine the relationship between their instructional and managerial approaches. More specifically, do teachers who use student-centered instruction also implement…

  1. Perpetual American vanilla option pricing under single regime change risk: an exhaustive study

    NASA Astrophysics Data System (ADS)

    Montero, Miquel

    2009-07-01

    Perpetual American options are financial instruments that can be readily exercised and do not mature. In this paper we study in detail the problem of pricing this kind of derivatives, for the most popular flavour, within a framework in which some of the properties—volatility and dividend policy—of the underlying stock can change at a random instant of time but in such a way that we can forecast their final values. Under this assumption we can model actual market conditions because most relevant facts usually entail sharp predictable consequences. The effect of this potential risk on perpetual American vanilla options is remarkable: the very equation that will determine the fair price depends on the solution to be found. Sound results are found under the optics both of finance and physics. In particular, a parallelism among the overall outcome of this problem and a phase transition is established.

  2. Building America Case Study: New Town Builders' Power of Zero Energy Center, Denver, Colorado (Brochure)

    SciTech Connect

    Not Available

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a 'Power of Zero Energy Center' linked to its model home in the Stapleton community of Denver. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. The case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  3. Control selection options for genome-wide association studies in cohorts.

    PubMed

    Wacholder, Sholom; Rotunno, Melissa

    2009-03-01

    Investigators planning studies within cohorts have many options for choosing an efficient sampling design for genome-wide association and other molecular epidemiology studies. Consideration of person-year and proportional hazards analyses of full cohorts may add further insight into ramifications of different designs. Empirical evidence from genome-wide association studies can supplement intuition and simulations in comparing properties of various case-control designs within cohorts. Additional theoretical and empirical work, justification of sampling choice in publications, and consideration of context and scientific aims can improve designs and, thereby, increase the scientific value and cost effectiveness of future studies.

  4. Detector design studies for Turkish Accelerator Center

    NASA Astrophysics Data System (ADS)

    Aksu, Burçin; Piliçer, Ercan

    2017-02-01

    The proposed Particle Factory detector at Turkish Accelerator Center (TAC-PF) aims to search for charm physics, CP violation and mixing of D0 mesons as well as new physics effects by investigating head-on collisions of 1 GeV electron from Energy Recovery Linac (ERL) with 3.56 GeV positrons from synchrotron storage ring. In this work, we constructed the TAC-PF detector design by using a recently developed framework namely Detector Description for High Energy Physics (DD4hep). The baseline TAC-PF detector design and its qualifications were summarized, followed by a general description.

  5. "Provoking conversations": case studies of organizations where Option Grid™ decision aids have become 'normalized'.

    PubMed

    Scalia, Peter; Elwyn, Glyn; Durand, Marie-Anne

    2017-08-18

    Implementing patient decision aids in clinic workflow has proven to be a challenge for healthcare organizations and physicians. Our aim was to determine the organizational strategies, motivations, and facilitating factors to the routine implementation of Option Grid™ encounter decision aids at two independent settings. Case studies conducted by semi-structured interview, using the Normalization Process Theory (NPT) as a framework for thematic analysis. Twenty three interviews with physicians, nurses, hospital staff and stakeholders were conducted at: 1) CapitalCare Medical Group in Albany, New York; 2) HealthPartners Clinics in Minneapolis, Minnesota. 'Coherent' motivations were guided by financial incentives at CapitalCare, and by a 'champion' physician at HealthPartners. Nurses worked 'collectively' at both settings and played an important role at sites where successful implementation occurred. Some physicians did not understand the perceived utility of Option Grid™, which led to varying degrees of implementation success across sites. The appraisal work (reflexive monitoring) identified benefits, particularly in terms of information provision. Physicians at both settings, however, were concerned with time pressures and the suitability of the tool for patients with low levels of health literacy. Although both practice settings illustrated the mechanisms of normalization postulated by the theory, the extent to which Option Grid™ was routinely embedded in clinic workflow varied between sites, and between clinicians. Implementation of new interventions will require attention to an identified rationale (coherence), and to the collective action, cognitive participation, and assessment of value by organizational members of the organization.

  6. Feasibility Study on Performance Enhancement Options for the ECR Ion Thruster µ10

    NASA Astrophysics Data System (ADS)

    Nishiyama, Kazutaka; Hosoda, Satoshi; Usui, Miyuki; Tsukizaki, Ryudo; Hayashi, Hiroshi; Shimizu, Yukio; Kuninaka, Hitoshi

    In order to adapt to a wide variety of the space flights, such as small geosynchronous satellites and deep space explorers, feasibility study of performance enhancement options for the microwave discharge ion thruster µ10 is underway. Authors are considering the following five options: 1. Lower insertion loss DC blocks; 2. Direct monopole antenna insertion to the discharge chamber without using a circular waveguide part; 3. Optimization of gas injector layout which was originally located deep in the waveguide; 4. Additional magnet rings aiming ion loss reduction to the side wall of the discharge chamber; 5. New ion optics consists of a thinner screen grid and a smaller-hole accelerator grid. Not all but most of them have already been tested and reported in this article. The original models for Hayabusa asteroid explorer generated 8 mN at maximum. Larger thrust generation was impossible even if propellant flow rates and microwave powers were increased. It turned out to be feasible to increase the maximum thrust to a range of 10 - 11 mN with above mentioned options by supplying more flow rates and/or more microwave powers.

  7. HIV-positive pregnant and postpartum women's perspectives about Option B+ in Malawi: a qualitative study

    PubMed Central

    Katirayi, Leila; Namadingo, Hazel; Phiri, Mafayo; Bobrow, Emily A; Ahimbisibwe, Allan; Berhan, Aida Yemane; Buono, Nicole; Moland, Karen Marie; Tylleskär, Thorkild

    2016-01-01

    Introduction The implementation of lifelong antiretroviral treatment (ART) for all pregnant women (Option B+) in Malawi has resulted in a significant increase in the number of HIV-positive pregnant women initiating treatment. However, research has highlighted the challenge of retaining newly initiated women in care. This study explores barriers and facilitators that affect a woman's decision to initiate and to adhere to Option B+. Methods A total of 39 in-depth interviews and 16 focus group discussions were conducted. Eligible women were ≥18 years old, living with HIV and either pregnant and receiving antenatal care from a study site or had delivered a child within the last 18 months, breastfed their child and received services at one of the study sites. Eligible women were identified by healthcare workers (HCWs) in the antenatal clinic and ART unit. Focus groups were also conducted with HCWs employed in these departments. Qualitative data were analyzed using Maxqda version 10 (VERBI Software, Berlin, Germany). Results The general perception towards the drug regimen used in Option B+ was positive; women reported fewer side effects and acknowledged the positive benefits of ART. Women felt hopeful about prolonging their life and having an HIV-uninfected baby, yet grappled with the fact that ART is a lifelong commitment. Women and HCWs discussed challenges with the counselling services for prevention of mother-to-child HIV transmission under the new Option B+ guidelines, and many women struggled with initiating ART on the same day as learning their HIV status. Women wanted to discuss their circumstances with their husbands first, receive a CD4 count and obtain an HIV test at another facility to confirm their HIV status. HCWs expressed concern that women might just agree to take the drugs to please them. HCWs also discussed concerns around loss to follow-up and drug resistance. Conclusions Although Option B+ has significantly increased the number of women initiating

  8. Center Hill Reservoir Fishery Study--Water Level Effects.

    DTIC Science & Technology

    1986-08-01

    WORDS (Continue on reverse aide It noc.esr anidmt ntby block mbi’) Center Hill Lake, TN, Water Levels, Fisheries, Water Quality, Trends. 12A4, C -gvr...Nashville District Center Hill Reservoir Fishery Study- Water Level Effects in 0 DTI ELECTEI D DTSTRIDu’rJoN STATEMENT A 8 3 Approved fo. public ,relea0 D...ORGANIZATION NAMIE AND ADDRESS 10. PROGRAM ELEMENT, PROJECT, TASK Center for the Management, Utiliaation and Hydropower Studies, Protection of Water Resources

  9. Patient housing barriers to hematopoietic cell transplantation: results from a mixed-methods study of transplant center social workers

    PubMed Central

    Mau, Lih-Wen; Majhail, Navneet S.; Bevans, Margaret; Clancy, Emilie; Messner, Carolyn; Parran, Leslie; Pederson, Kate A.; Ferguson, Stacy Stickney; Walters, Kent; Murphy, Elizabeth A.; Denzen, Ellen M.

    2015-01-01

    Purpose Hematopoietic cell transplantation (HCT) is performed in select centers in the United States (U.S.), and patients are often required to temporarily relocate to receive care. The purpose of this study was to identify housing barriers impacting access to HCT and potential solutions. Methods A mixed-methods primary study of HCT social workers was conducted to learn about patient housing challenges and solutions in place that help address those barriers. Three telephone focus groups were conducted with adult and pediatric transplant social workers (n=15). Focus group results informed the design of a national survey. The online survey was e-mailed to a primary social worker contact at 133 adult and pediatric transplant centers in the U.S. Transplant centers were classified based on the patient population cared for by the social worker. Results The survey response rate was 49 %. Among adult programs (n=45), 93 % of centers had patients that had to relocate closer to the transplant center to proceed with HCT. The most common type of housing option offered was discounted hotel rates. Among pediatric programs (n=20), 90 % of centers had patients that had to relocate closer to the transplant center to proceed with HCT. Ronald McDonald House was the most common option available. Conclusions This study is the first to explore housing challenges faced by patients undergoing HCT in the U.S. from the perspective of social workers and to highlight solutions that centers use. Transplant centers will benefit from this knowledge by learning about options for addressing housing barriers for their patients. PMID:26275767

  10. Technical draft study report for TOPEX satellite options study, volume 1

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The use of two spacecraft for adaptation to the TOPEX mission, namely the P80-1 and the GPS phase 2 are considered. The mission involved three mission options, each option varying in payload definition, payload weight, orbital altitude and payload power requirements. The P80-1 spacecraft is an Air Force Space Test Program satellite which carries a number of payloads to an orbital altitude of 400 n.mi. at a minimum inclination of 72.5 deg, and which has an orbital life capability of three years. The GPS phase 2 spacecraft is the operational satellite for the Global Positioning NAVSTAR navigation constellation provided for all service (and commercial) use.

  11. Pulsed activation analyses of the ITER blanket design options considered in the blanket trade-off study

    SciTech Connect

    Wang, Q.; Henderson, D.L.

    1994-12-31

    The International Thermonuclear Experimental Reactor (ITER) project began a new design phase called the Engineering Design Activity (EDA) which started in July 1992. A variety of blanket designs options were analyzed as a part of the U.S. ITER home team blanket option trade-off study (BOTS) which began in May 1993. The options considered were a self-cooled Li/V blanket, a helium cooled Li/V blanket and a water cooled 316 SS nonbreeding shield option. Detailed activation, dose rate and waste disposal rating calculations have been performed for these different ITER blanket design options based on a fluence of 3.0 MWa/m{sup 2} and an average neutron wall loading of 2.0 MW/m{sup 2}. A continuous operation assumption was utilized in the analysis. The results of this work are presented in this conference.

  12. Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO): protocol for an educational intervention study.

    PubMed

    Sanchez, Katherine; Eghaneyan, Brittany H; Trivedi, Madhukar H

    2016-07-29

    Barriers to depression treatment among Hispanic populations include persistent stigma, inadequate doctor patient communication (DPC) and resultant sub-optimal use of anti-depressant medications. Stigma is primarily perpetuated due to inadequate disease literacy and cultural factors. Common concerns about depression treatments among Hispanics include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking psychotropic medications. The current manuscript presents the study protocol for the Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO) study funded by the Center for Medicare and Medicaid Services (CMS) Grants to Support the Hispanic Health Services Research Grant Program. DESEO will implement universal screening with a self-report depression screening tool (the 9-item Patient Health Questionnaire (PHQ-9)) that is presented through a customized web application and a Depression Education Intervention (DEI) designed to increase disease literacy, and dispel myths about depression and its treatment among Hispanic patients thus reducing stigma and increasing treatment engagement. This project will be conducted at one community health center whose patient population is majority Hispanic. The target enrollment for recruitment is 350 patients over the 24-month study period. A one-group, pretest-posttest design will be used to asses knowledge of depression and its treatment and related stigma before, immediately after, and one month post intervention. Primary care settings often are the gateway to identifying undiagnosed mental health disorders, particularly for people with comorbid physical health conditions. This study is unique in that it aims to examine the specific role of patient education as an intervention to increase engagement in depression treatment. By participating in the DEI, it is expected that patients will have time to understand treatment

  13. Liquid–Liquid Mixing Studies in Annular Centrifugal Contactors Comparing Stationary Mixing Vane Options

    SciTech Connect

    Wardle, Kent E.

    2015-11-10

    Comparative studies of multiphase operation of annular centrifugal contactors showing the impact of housing stationary mixing vane configuration. A number of experimental results for several different mixing vane options are reported with selected measurements in a lab-scale 5 cm contactor and 12.5 cm engineering-scale unit. Fewer straight vanes give greater mixingzone hold-up compared to curved vanes. Quantitative comparison of droplet size distribution also showed a significant decrease in mean diameter for four straight vanes versus eight curved vanes. This set of measurements gives a compelling case for careful consideration of mixing vane geometry when evaluating hydraulic operation and extraction process efficiency of annular centrifugal contactors.

  14. Liquid–liquid mixing studies in annular centrifugal contactors comparing stationary mixing vane options

    SciTech Connect

    Wardle, Kent E.

    2015-09-11

    Comparative studies of multiphase operation of an annular centrifugal contactor show the impact of housing stationary mixing vane configuration. A number of experimental results for several different mixing vane options are reported for operation of a 12.5 cm engineering-scale contactor unit. Fewer straight vanes give greater mixing-zone hold-up compared to curved vanes. Quantitative comparison of droplet size distribution also showed a significant decrease in mean diameter for four straight vanes versus eight curved vanes. This set of measurements gives a compelling case for careful consideration of mixing vane geometry when evaluating hydraulic operation and extraction process efficiency of annular centrifugal contactors.

  15. Heat Exchanger Design Options and Tritium Transport Study for the VHTR System

    SciTech Connect

    Chang H. Oh; Eung S. Kim

    2008-09-01

    This report presents the results of a study conducted to consider heat exchanger options and tritium transport in a very high temperature reactor (VHTR) system for the Next Generation Nuclear Plant Project. The heat exchanger options include types, arrangements, channel patterns in printed circuit heat exchangers (PCHE), coolant flow direction, and pipe configuration in shell-and-tube designs. Study considerations include: three types of heat exchanger designs (PCHE, shell-and-tube, and helical coil); single- and two-stage unit arrangements; counter-current and cross flow configurations; and straight pipes and U-tube designs in shell-and-tube type heat exchangers. Thermal designs and simple stress analyses were performed to estimate the heat exchanger options, and the Finite Element Method was applied for more detailed calculations, especially for PCHE designs. Results of the options study show that the PCHE design has the smallest volume and heat transfer area, resulting in the least tritium permeation and greatest cost savings. It is theoretically the most reliable mechanically, leading to a longer lifetime. The two-stage heat exchanger arrangement appears to be safer and more cost effective. The recommended separation temperature between first and second stages in a serial configuration is 800oC, at which the high temperature unit is about one-half the size of the total heat exchanger core volume. Based on simplified stress analyses, the high temperature unit will need to be replaced two or three times during the plant’s lifetime. Stress analysis results recommend the off-set channel pattern configuration for the PCHE because stress reduction was estimated at up to 50% in this configuration, resulting in a longer lifetime. The tritium transport study resulted in the development of a tritium behavior analysis code using the MATLAB Simulink code. In parallel, the THYTAN code, previously performed by Ohashi and Sherman (2007) on the Peach Bottom data, was revived

  16. Rehabilitation Options

    MedlinePlus

    ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ...

  17. Pricing Options.

    ERIC Educational Resources Information Center

    Tenopir, Carol

    1998-01-01

    Presents results of a recent survey of over 100 public and academic libraries about pricing options from online companies. Most options fall into three categories: pay-as-you-go, fixed-rate, and user-based. Results are discussed separately for public and academic libraries and for consortial discounts. Trends in pricing options preferred by…

  18. Pricing Options.

    ERIC Educational Resources Information Center

    Tenopir, Carol

    1998-01-01

    Presents results of a recent survey of over 100 public and academic libraries about pricing options from online companies. Most options fall into three categories: pay-as-you-go, fixed-rate, and user-based. Results are discussed separately for public and academic libraries and for consortial discounts. Trends in pricing options preferred by…

  19. A study of health centers in Saudi Arabia.

    PubMed

    Mansour, A A; al-Osimy, M

    1996-06-01

    Saudi Arabia is a developing country with a tremendous potential for growth and development. In an attempt to endorse Primary Health Care (PHC) concepts, it abolished all its former dispensaries and maternal and child health centers, and amalgamated their services into health centers that deliver PHC services. This expansion in centers development created a need for evaluation to assess the extent at which the new objectives are being achieved. The purpose of this study was to evaluate the resources available in three large health centers in Saudi Arabia, and determine consumers' satisfaction with the services provided. The study was conducted in the City of Riyadh. Three centers were chosen purposefully and the consumers of the respective centers were interviewed as to their satisfaction with the services provided. The results show that there was a discrepancy between the findings obtained from the centers' resources evaluation and those derived from the satisfaction portion. It is recommended that the Saudi Ministry of Health would upgrade its centers' resources, and that more studies would be conducted in the other centers of the country.

  20. Royal Canadian Mounted Police National Operations Center Layout Study and Design Options

    DTIC Science & Technology

    2012-03-01

    for the individual requirements are as follows: 1. UFC: United Facilities Criteria (Department of Defense, 2008); 2. ISO 11064: Ergonomic Design ...NOC is required to accommodate additional personnel above and beyond the existing seated capacity. As such, the proposed design needs to improve the...for Standardization. (2000). 1SO 11064 - Ergonomic Design of Control Centres. Larson, C. E., & LaFasto, F. M. (1989). Teamwork: What must go right

  1. Charter School Facility Financing: Constraints and Options. A Study for the Massachusetts Charter School Resource Center.

    ERIC Educational Resources Information Center

    Dolan, John V.; Murray, Douglas P.; Walsh, Gregory J.

    In 1991, the charter school movement began in Minnesota and since then, 28 more states and the District of Columbia have passed similar versions of charter school law. This paper examines a facility planning model designed to help charter schools maximize their chances of succeeding in the effort to secure permanent facilities. The model includes…

  2. Evaluation of advanced propulsion options for the next manned transportation system: Propulsion evolution study

    NASA Technical Reports Server (NTRS)

    Spears, L. T.; Kramer, R. D.

    1990-01-01

    The objectives were to examine launch vehicle applications and propulsion requirements for potential future manned space transportation systems and to support planning toward the evolution of Space Shuttle Main Engine (SSME) and Space Transportation Main Engine (STME) engines beyond their current or initial launch vehicle applications. As a basis for examinations of potential future manned launch vehicle applications, we used three classes of manned space transportation concepts currently under study: Space Transportation System Evolution, Personal Launch System (PLS), and Advanced Manned Launch System (AMLS). Tasks included studies of launch vehicle applications and requirements for hydrogen-oxygen rocket engines; the development of suggestions for STME engine evolution beyond the mid-1990's; the development of suggestions for STME evolution beyond the Advanced Launch System (ALS) application; the study of booster propulsion options, including LOX-Hydrocarbon options; the analysis of the prospects and requirements for utilization of a single engine configuration over the full range of vehicle applications, including manned vehicles plus ALS and Shuttle C; and a brief review of on-going and planned LOX-Hydrogen propulsion technology activities.

  3. The optional VenaTech(™) Convertible (™) vena cava filter: experimental study in sheep.

    PubMed

    Le Blanche, Alain F; Ricco, Jean-Baptiste; Bonneau, Michel; Reynaud, Philippe

    2012-10-01

    Retrieval of optional caval filters may be impaired by filter tilting, migration, fracture, or embedding in the IVC wall. The goal of this experimental study was to evaluate a new optional filter, convertible by unlocking and removing the filter head. Forty-nine Pre-Alp sheep (average weight, 55 kg) were anesthetized. IVC was catheterized via the right femoral vein (n = 46) or via the internal jugular vein (n = 3) with a 12.9-F sheath. VenaTech(™) Convertible(™) IVC filters were inserted as either permanent filters (n = 14) or as filters to be converted. Conversion was immediately after deployment (n = 19) or delayed after 1, 3, or 6 months (n = 20). Filter delivery, deployment, and conversion with measurement of migration and tilting were evaluated by cavography. Incorporation of the filter's stabilizers and arms in the IVC wall was assessed by gross anatomy. Delivery system insertion, filter release, and immediate conversion were successful in all cases. Delayed conversion was completed in all but one sheep, due to insufficient snare tension. Complimentary balloon-catheter inflation was required in 12 of 20 delayed conversions to achieve filter opening. In all 49 sheep, no thrombosis, migration, or significant tilting occurred. Within 4 weeks of conversion, the filter's stabilizers and arms were incorporated into the IVC wall. Upon removal, the filter head was free of intimal growth. The VenaTech(™) Convertible(™) optional IVC filter was successfully implanted in all sheep with no migration or tilting. Conversion at various dates by filter head removal was feasible in all but one case.

  4. Patient-Centered Personal Health Record and Portal Implementation Toolkit for Ambulatory Clinics: A Feasibility Study.

    PubMed

    Nahm, Eun-Shim; Diblasi, Catherine; Gonzales, Eva; Silver, Kristi; Zhu, Shijun; Sagherian, Knar; Kongs, Katherine

    2017-04-01

    Personal health records and patient portals have been shown to be effective in managing chronic illnesses. Despite recent nationwide implementation efforts, the personal health record and patient portal adoption rates among patients are low, and the lack of support for patients using the programs remains a critical gap in most implementation processes. In this study, we implemented the Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit in a large diabetes/endocrinology center and assessed its preliminary impact on personal health record and patient portal knowledge, self-efficacy, patient-provider communication, and adherence to treatment plans. Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit is composed of Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General, clinic-level resources for clinicians, staff, and patients, and Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit Plus, an optional 4-week online resource program for patients ("MyHealthPortal"). First, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General was implemented, and all clinicians and staff were educated about the center's personal health record and patient portal. Then general patient education was initiated, while a randomized controlled trial was conducted to test the preliminary effects of "MyHealthPortal" using a small sample (n = 74) with three observations (baseline and 4 and 12 weeks). The intervention group showed significantly greater improvement than the control group in patient-provider communication at 4 weeks (t56 = 3.00, P = .004). For other variables, the intervention group tended to show greater improvement; however, the differences were not significant. In this preliminary study, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit showed potential for filling the gap in the current

  5. A Study of Hair Follicular Transplantation as a Treatment Option for Vitiligo

    PubMed Central

    Thakur, Parul; Sacchidanand, S; Nataraj, HV; Savitha, AS

    2015-01-01

    Background: Repigmentation of vitiligo is closely related to hair follicles. Hence, replenishing melanocytes in vitiliginous patches utilizing undifferentiated stem cells of the hair follicles using follicular unit transplantation (FUT) is a possible treatment option. Objectives of the Study: To study the efficacy of FUT in cases of segmental/stabilized vitiligo as a treatment option for leukotrichia. Materials and Methods: Fifty patients with 63 lesions of stable vitiligo over nonglabrous areas were treated with follicular unit grafts. Reduction in the size of vitiligo patches as well as improvement in the associated leukotrichia were evaluated using subjective and objective assessments. Results: Of the 63 patches, good to excellent response was seen in 39 (61.9%), fair in 16 (25.4%), and poor in eight (12.7%) lesions. No repigmentation was seen in two (4.8%) lesions. The mean improvement seen was 61.17%. Excellent color match was observed in 44 lesions (69.8%). Repigmentation of the depigmented hairs occurred in 11 out of 46 patients with associated leukotrichia. Conclusion: FUT is a safe and effective method for treating localized and segmental vitiligo, especially on hairy parts of the skin. Though labor intensive, it was found to be associated with a quick patient recovery time, very low morbidity, and good color match. PMID:26865785

  6. The best MSW treatment option by considering greenhouse gas emissions reduction: a case study in Georgia.

    PubMed

    Tayyeba, Omid; Olsson, Monika; Brandt, Nils

    2011-08-01

    The grave concern over climate change and new economic incentives such as the clean development mechanism (CDM) have given more weight to the potential of projects for reducing greenhouse gas (GHG) emissions. In the Adjara solid waste management project, even though the need for reductions in GHG emissions is acknowledged, it is not one of the key factors for selecting the most appropriate treatment method. This study addresses the benefit of various solid waste treatment methods that could be used in the Adjara project in terms of reducing GHG emissions. Seven different options for solid waste treatment are examined: open dumping as the baseline case, four options for landfill technology (no provision of landfill gas capture, landfill gas capture with open flare system, with enclosed flare system and with electricity generation), composting and anaerobic digestion with electricity production. CDM methodologies were used to quantify the amount of reductions for the scenarios. The study concludes sanitary landfill with capture and burning of landfill gas by an enclosed flare system could satisfy the requirements, including GHG reduction potential. The findings were tested for uncertainty and sensitivity by varying the data on composition and amount of waste and were found to be robust.

  7. Comparative study of the efficacy of different treatment options in patients with chronic blepharitis.

    PubMed

    Arrúa, M; Samudio, M; Fariña, N; Cibils, D; Laspina, F; Sanabria, R; Carpinelli, L; Mino de Kaspar, H

    2015-03-01

    To compare the efficacy of 3 treatment options in patients with chronic blepharitis. An experimental, randomized, controlled study was conducted on 45 patients (female 67%; Mean age: 40.5 years) diagnosed with chronic blepharitis, in order to compare the effectiveness of three treatment options. Group 1: eyelid hygiene with neutral shampoo three times/day; group 2: neutral shampoo eyelid hygiene plus topical metronidazole gel 0.75% twice/day; group 3: neutral eyelid hygiene with shampoo plus neomycin 3.5% and polymyxin 10% antibiotic ointment with 0.5% dexamethasone 3 times/day. The symptoms and signs were assessed by assigning scores from 0: no symptoms and/or signs; 1: mild symptoms and/or signs, 2: moderate symptoms and/or signs; and 3: severe symptoms and/or signs. A significant improvement was observed in the signs and symptoms in all 3 treatment groups. While groups 1 and 2 had more improvement in all variables studied (P<.05), Group 3 showed no clinical improvement for itching (P=.16), dry eye (P=.29), eyelashes falling (P=.16), and erythema at the eyelid margin (P=.29). Shampoo eyelid hygiene neutral and neutral shampoo combined with the use of metronidazole gel reported better hygiene results than neutral shampoo lid with antibiotic ointment and neomycin and polymyxin dexamethasone. Copyright © 2013 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  8. Preferences for different insomnia treatment options in people with schizophrenia and related psychoses: a qualitative study

    PubMed Central

    Waters, Flavie; Chiu, Vivian W.; Janca, Aleksandar; Atkinson, Amanda; Ree, Melissa

    2015-01-01

    Symptoms of psychosis such as hallucinations and delusions can be intrusive and unwanted and often remain treatment-resistant. Due to recent progress in basic and clinical sciences, novel approaches such as sleep-based interventions are increasingly becoming offered to address the physical and mental health issues of people with severe mental illness. While the primary outcome is to improve sleep, studies have demonstrated that interventions that target symptoms of insomnia can also produce improvements in the severity of psychotic symptoms, quality of life, and functional outcomes. This study presents qualitative data on the attitudes and preferences of people with schizophrenia and schizo-affective disorders to three different types of therapies for insomnia (standard pharmacological, melatonin-based, and cognitive and/or behavior therapy). Interviews included discussions regarding the perceived advantages and limitations of different therapies, enablers to taking up the preferred option, as well as personal strategies that have helped respondents with sleep problems in the past. Results showed that, when given the choice, these individuals prefer psychological and behavioral-type therapy to other sleep interventions because of its potential to support and empower them in taking responsibility for their own recovery. Pharmacological therapies, by contrast, are viewed as useful in managing acute sleep problems, but only as a short-term solution. Overall, the findings underscore the need for patients’ active engagement when making decisions about treatment options. PMID:26236265

  9. Options for Braille Centralization. Study I--Implementation Study of Centralized Braille Book Storage and Distribution System. Part 1--Options for Braille Centralization. Final Report.

    ERIC Educational Resources Information Center

    ManTech Technical Services Corp., Fairfax, VA.

    This final report presents results of the first phase of an effort to develop in detail the resource requirements, operating procedures, and estimated costs for several centralized braille service options at the Library of Congress. Existing procedures and services were analyzed, and three models for centralized braille services were formulated.…

  10. Center for the Study of Writing. Final Report.

    ERIC Educational Resources Information Center

    Center for the Study of Writing, Berkeley, CA.

    This final report from the Center for the Study of Writing, which, over the past 5 years, has engaged in a program of research aimed at understanding how written language is acquired and how it can best be taught, is in three main sections. The first section (Executive Summary) summarizes the Center's major findings related to each problem area…

  11. Evaluation Study of Day-Care Centers in Israel.

    ERIC Educational Resources Information Center

    Korazim, Malka; Trachtenberg, Silvia

    In recent years, day-care centers for the elderly have been playing an increasingly important role in the community service system for the elderly in Israel. ESHEL, one of the leading agencies in developing day-care services in Israel initiated a comprehensive evaluation study of day-care centers to identify variations among different types of…

  12. A Descriptive Study of Three Typical "Quality" Day Care Centers.

    ERIC Educational Resources Information Center

    Drezek, Wendy

    This paper describes a study designed to collect quantified observational data on the behavior of children and teachers throughout the day at three typical quality day care centers. From 50 to 55 hours of observation were completed on five randomly-chosen 3-year-olds in each setting. While the number of subjects and centers was limited, the…

  13. Real Options in Military System Acquisition: The Case Study of Technology Development for the Javelin Anti-Tank Weapon System

    DTIC Science & Technology

    2013-08-22

    systems engineering from the University of Florida in 1996. She was commissioned an officer in the United States Air Force in 1984...píìÇó= Real Options in Military System Acquisition: The Case Study of Technology Development for the Javelin Anti-Tank Weapon System 22 August 2013...Real Options in Military System Acquisition: The Case Study of Technology Development for the Javelin Anti-Tank Weapon System 5a.

  14. Deep UV to NIR Space Telescopes and Exoplanet Coronagraphs: A Trade Study on Throughput, Polarization, Mirror Coating Options and Requirements

    NASA Technical Reports Server (NTRS)

    Balasubramanian, Kunjithapatham; Shaklan, Stuart; Give'on, Amir; Cady, Eric; Marchen, Luis

    2011-01-01

    The NASA Exoplanet program and the Cosmic Origins program are exploring technical options to combine the visible to NIR performance requirements of a space coronagraph with the general astrophysics requirements of a space telescope covering the deep UV spectrum. Are there compatible options in terms of mirror coatings and telescope architecture to satisfy both goals? In this paper, we address some of the main concerns, particularly relating to polarization in the visible and throughput in the UV. Telescope architectures employing different coating options compatible with current technology are considered in this trade study.

  15. Deep UV to NIR Space Telescopes and Exoplanet Coronagraphs: A Trade Study on Throughput, Polarization, Mirror Coating Options and Requirements

    NASA Technical Reports Server (NTRS)

    Balasubramanian, Kunjithapatham; Shaklan, Stuart; Give'on, Amir; Cady, Eric; Marchen, Luis

    2011-01-01

    The NASA Exoplanet program and the Cosmic Origins program are exploring technical options to combine the visible to NIR performance requirements of a space coronagraph with the general astrophysics requirements of a space telescope covering the deep UV spectrum. Are there compatible options in terms of mirror coatings and telescope architecture to satisfy both goals? In this paper, we address some of the main concerns, particularly relating to polarization in the visible and throughput in the UV. Telescope architectures employing different coating options compatible with current technology are considered in this trade study.

  16. The IAEA CRP on Studies of Advanced Reactor Technology Options for Effective Incineration of Radioactive Waste

    SciTech Connect

    Maschek, W.; Chen, X.; Rineiski, A.; Schikorr, M.; Stanculescu, A.; Arien, B.; Malambu, E.; Bai, Y.; Li, J.; Wu, Y.; Zheng, S.; Chabert, C.; Peneliau, Y.; Chebeskov, A.; Dekoussar, V.; Vorotyntsev, M.; da Cruz, D.F.; Devan, K.; Gopalakrishnan, V.; Harish, R.; Mohanakrishnan, P.; Pandikumar, G.; Dulla, S.; Ravetto, P.; Feynberg, O.; Ignatiev, V.; Subbotin, V.; Surenkov, A.; Zakirov, R.; Kophazi, J.; Szieberth, M.; Morita, K.; Srivenkatesan, R.; Taczanowski, S.; Tucek, K.; Wider, H.; Vertes, P.; Uhlir, J.

    2007-07-01

    In 2003, the IAEA has initiated the Coordinated Research Project (CRP) on 'Studies of Advanced Reactor Technology Options for Effective Incineration of Radioactive Waste'. The overall objective of the CRP, performed within the framework of IAEA's Nuclear Energy Department's Technical Working Group on Fast Reactors, is to increase the capability of Member States in developing and applying advanced technologies in the area of long-lived radioactive waste utilization and transmutation. Twenty institutions from 15 Member States and one international organization participated in this CRP. The CRP concentrated on the assessment of the dynamic behavior of various transmutation systems. The reactor systems investigated comprise critical reactors, sub-critical accelerator driven systems with heavy liquid metal and gas cooling, critical molten salt systems, and hybrid fusion/fission systems. Both fertile and fertile-free fuel options have been investigated. Apart from the benchmarking of steady state core configurations (including the investigation of transmutation potential, burn-up behavior and decay heat of minor actinide (MA) bearing fuels), the CRP participants determined the safety coefficients for the individual systems and, in a second stage, performed transient analyses which reflected the generic safety related behavior of the various reactors types. (authors)

  17. A Study of Hair Follicular Transplantation as a Treatment Option for Vitiligo.

    PubMed

    Thakur, Parul; Sacchidanand, S; Nataraj, H V; Savitha, A S

    2015-01-01

    Repigmentation of vitiligo is closely related to hair follicles. Hence, replenishing melanocytes in vitiliginous patches utilizing undifferentiated stem cells of the hair follicles using follicular unit transplantation (FUT) is a possible treatment option. To study the efficacy of FUT in cases of segmental/stabilized vitiligo as a treatment option for leukotrichia. Fifty patients with 63 lesions of stable vitiligo over nonglabrous areas were treated with follicular unit grafts. Reduction in the size of vitiligo patches as well as improvement in the associated leukotrichia were evaluated using subjective and objective assessments. Of the 63 patches, good to excellent response was seen in 39 (61.9%), fair in 16 (25.4%), and poor in eight (12.7%) lesions. No repigmentation was seen in two (4.8%) lesions. The mean improvement seen was 61.17%. Excellent color match was observed in 44 lesions (69.8%). Repigmentation of the depigmented hairs occurred in 11 out of 46 patients with associated leukotrichia. FUT is a safe and effective method for treating localized and segmental vitiligo, especially on hairy parts of the skin. Though labor intensive, it was found to be associated with a quick patient recovery time, very low morbidity, and good color match.

  18. Child Day Care Center Licensing Study, 1994.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    An update of information first compiled by the Children's Foundation in 1991 and updated in 1993, this 1994 day care licensing study presents the results of a survey of the regulatory offices of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. Following a summary of results in question-answer format, the entries for…

  19. Child Day Care Center Licensing Study, 1996.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    The information contained in this report was compiled by The Children's Foundation in fall 1995 and reflects data provided by the regulatory offices in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The study is organized in alphabetical order of the states and territories. The requirements, regulations, and policies…

  20. Child Day Care Center Licensing Study, 1996.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    The information contained in this report was compiled by The Children's Foundation in fall 1995 and reflects data provided by the regulatory offices in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The study is organized in alphabetical order of the states and territories. The requirements, regulations, and policies…

  1. Adult Skills Training Center: Feasibility Study.

    ERIC Educational Resources Information Center

    Skalski, John M.; Baratta, Anthony N.

    A 4-phase project, this study was conducted to determine the feasibility of a bilingual vocational skill training program for out-of-school youth and adults of the Perth Amboy Hispanic community. Sampled were 494 out-of-school youth and adults in the area. Findings include: (1) There is a significant need for an adult vocational skills training…

  2. 34 CFR 413.33 - What substantive studies must the National Center or Centers conduct and submit?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... CENTER OR CENTERS FOR RESEARCH IN VOCATIONAL EDUCATION What Conditions Must Be Met After an Award? § 413... 34 Education 3 2010-07-01 2010-07-01 false What substantive studies must the National Center or Centers conduct and submit? 413.33 Section 413.33 Education Regulations of the Offices of the Department...

  3. Primary breast lymphoma: A single center study

    PubMed Central

    Zhang, Na; Cao, Caineng; Zhu, Yuan; Liu, Peng; Liu, Luying; Lu, Ke; Luo, Jialin; Zhou, Ning

    2017-01-01

    The aim of the present study was to summarize the clinical characteristics of primary breast lymphoma (PBL) and evaluate its management approaches. A total of 29 patients newly diagnosed with PBL, and treated between April 2006 and May 2013, were analyzed retrospectively. The median survival follow-up time for all patients was 66.8 (range, 25.4–110.0) months. The results of the follow-up revealed 22 living lymphoma-free patients and 7 patients who had succumbed to PBL. Of the 7 deceased patients, 6 had succumbed to lymphoma and 1 to chemotherapy-associated hepatic failure. In total, 1 patient who presented with bilateral breast lymphoma developed left breast relapse following lumpectomy and chemotherapy, 2 patients developed a bone marrow relapse, 1 patient developed lung and mediastinal lymph node relapses, and 1 patient developed a skin relapse. The Kaplan-Meier estimator predicted 5-year overall survival and progression-free survival rates for all patients of 74.4 and 74.6%, respectively. PBL appears to be a rare disease with a good overall prognosis and low incidence of local relapse, following chemotherapy alone or in combination with other treatments. Further studies investigating the development of effective agents for use in treatment-resistant patients are required.

  4. A choice experiment analysis for solid waste disposal option: a case study in Malaysia.

    PubMed

    Pek, Chuen-Khee; Jamal, Othman

    2011-11-01

    In Malaysia, most municipal wastes currently are disposed into poorly managed 'controlled tipping' systems with little or no pollution protection measures. This study was undertaken to assist the relevant governmental bodies and service providers to identify an improved waste disposal management strategy. The study applied the choice experiment technique to estimate the nonmarket values for a number of waste disposal technologies. Implicit prices for environmental attributes such as psychological fear, land use, air pollution, and river water quality were estimated. Compensating surplus estimates incorporating distance from the residences of the respondents to the proposed disposal facility were calculated for a number of generic and technology-specific choice sets. The resulting estimates were higher for technology-specific options, and the distance factor was a significant determinant in setting an equitable solid waste management fee. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. Systems engineering study: tank 241-C-103 organic skimming,storage, treatment and disposal options

    SciTech Connect

    Klem, M.J.

    1996-10-23

    This report evaluates alternatives for pumping, storing, treating and disposing of the separable phase organic layer in Hanford Site Tank 241-C-103. The report provides safety and technology based preferences and recommendations. Two major options and several varations of these options were identified. The major options were: 1) transfer both the organic and pumpable aqueous layers to a double-shell tank as part of interim stabilization using existing salt well pumping equipment or 2) skim the organic to an above ground before interim stabilization of Tank 241-C-103. Other options to remove the organic were considered but rejected following preliminary evaluation.

  6. The Plant Information Center (PIC): A Web-Based Learning Center for Botanical Study.

    ERIC Educational Resources Information Center

    Greenberg, J.; Daniel, E.; Massey, J.; White, P.

    The Plant Information Center (PIC) is a project funded under the Institute of Museum and Library Studies that aims to provide global access to both primary and secondary botanical resources via the World Wide Web. Central to the project is the development and employment of a series of applications that facilitate resource discovery, interactive…

  7. Center for the Study of Plasma Microturbulence

    SciTech Connect

    Parker, Scott E.

    2012-03-02

    We have discovered a possible "natural fueling" mechanism in tokamak fusion reactors using large scale gyrokinetic turbulence simulation. In the presence of a heat flux dominated tokamak plasma, cold ions naturally pinch radially inward. If cold DT fuel is introduced near the edge using shallow pellet injection, the cold fuel will pinch inward, at the expense of hot helium ash going radially outward. By adjusting the cold DT fuel concentration, the core DT density profiles can be maintained. We have also shown that cold source ions from edge recycling of cold neutrals are pinched radially inward. This mechanism may be important for fully understanding the edge pedestal buildup after an ELM crash. Work includes benchmarking the gyrokinetic turbulence codes in the electromagnetic regime. This includes cyclone base case parameters with an increasing plasma beta. The code comparisons include GEM, GYRO and GENE. There is good linear agreement between the codes using the Cyclone base case, but including electromagnetics and scanning the plasma beta. All the codes have difficulty achieving nonlinear saturation as the kinetic ballooning limit is approached. GEM does not saturate well when beta gets above about 1/2 of the ideal ballooning limit. We find that the lack of saturation is due to the long wavelength k{sub y} modes being nonlinearly pumped to high levels. If the fundamental k{sub y} mode is zeroed out, higher values of beta nonlinearly saturate well. Additionally, there have been studies to better understand CTEM nonlinear saturation and the importance of zonal flows. We have continued our investigation of trapped electron mode (TEM) turbulence. More recently, we have focused on the nonlinear saturation of TEM turbulence. An important feature of TEM is that in many parameter regimes, the zonal flow is unimportant. We find that when zonal flows are unimportant, zonal density is the dominant saturation mechanism. We developed a simple theory that agrees with the

  8. Liquid–liquid mixing studies in annular centrifugal contactors comparing stationary mixing vane options

    DOE PAGES

    Wardle, Kent E.

    2015-09-11

    Comparative studies of multiphase operation of an annular centrifugal contactor show the impact of housing stationary mixing vane configuration. A number of experimental results for several different mixing vane options are reported for operation of a 12.5 cm engineering-scale contactor unit. Fewer straight vanes give greater mixing-zone hold-up compared to curved vanes. Quantitative comparison of droplet size distribution also showed a significant decrease in mean diameter for four straight vanes versus eight curved vanes. This set of measurements gives a compelling case for careful consideration of mixing vane geometry when evaluating hydraulic operation and extraction process efficiency of annular centrifugalmore » contactors.« less

  9. Women's experiences of three early miscarriage management options a qualitative study

    PubMed Central

    Smith, Lindsay F; Frost, Julia; Levitas, Ruth; Bradley, Harriet; Garcia, Jo

    2006-01-01

    Background Miscarriage affects around one in six pregnancies. Much research has taken place identifying the consequences of this for parents but is mainly quantitative. Of the limited qualitative studies, none have explored women's experiences of the methods of miscarriage management received. Aim To assess the social and personal impact of different management methods (expectant, medical and surgical) on women's experience of first trimester miscarriage. Design of study Qualitative interviews using a topic guide with a purposive cohort of four categories of women (each management method plus non-participants) 6 months to 1 year after first trimester miscarriage. Focus groups with both research participants and health workers. Setting Women from three hospitals in the South West of England that participated in the Miscarriage Treatment (MIST) trial. Method Seventy-two interviews were undertaken between September 1999 and June 2000. There were also five focus groups (47 participants) and two feedback sessions (8 participants) with written feedback from 12 women. Interviews lasted 0.5–2.5 hours generating over 2000 A4 pages of transcripts. The transcripts were analysed for common themes, using standard proformas, which were filled in by individual team members and then discussed by the whole research team. Iterative readings in the light of new emerging issues ensured that new themes could be identified throughout the analytical process. All transcripts were then encoded for the identified themes using NUDIST. Results Common themes emerged across all management options although some were specific to just one or two management options. The five major themes arising out of the data analysis were: intervention; experiences of care; finality; the ‘baby’; and pain and bleeding. Conclusions Women's experiences and beliefs vary widely and their preferences need to be considered in their early miscarriage management. The three methods have different benefits and

  10. Space station needs, attributes and architectural options study. Final executive review

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Identification and validation of missions, the benefits of manned presence in space, attributes and architectures, space station requirements, orbit selection, space station architectural options, technology selection, and program planning are addressed.

  11. Space Station Systems Analysis Study. Volume 2: Program options, book 1, parts 1 and 2

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Program options are defined and requirements are determined for integrating crew, mass, volume, and electrical power for a space construction base which incorporates the space shuttle external tanks. Orbits, stabilization, flight control hardware, as well as modules and aids for orbital assembly and servicing are considered. The effectiveness of various program options for life science and radio astronomy missions, for the solar terrestrial observatory, and for public service platforms is assessed. Technology development items are identified and costs are estimated.

  12. Mineral carbonation: energy costs of pretreatment options and insights gained from flow loop reaction studies

    SciTech Connect

    Penner, Larry R.; O'Connor, William K.; Dahlin, David C.; Gerdemann, Stephen J.; Rush, Gilbert E.

    2004-01-01

    Sequestration of carbon as a stable mineral carbonate has been proposed to mitigate environmental concerns that carbon dioxide may with time escape from its sequestered matrix using alternative sequestration technologies. A method has been developed to prepare stable carbonate products by reacting CO2 with magnesium silicate minerals in aqueous bicarbonate/chloride media at high temperature and pressure. Because this approach is inherently expensive due to slow reaction rates and high capital costs, studies were conducted to improve the reaction rates through mineral pretreatment steps and to cut expenses through improved reactor technology. An overview is given for the estimated cost of the process including sensitivity to grinding and heating as pretreatment options for several mineral feedstocks. The energy costs are evaluated for each pretreatment in terms of net carbon avoided. New studies with a high-temperature, high-pressure flow-loop reactor have yielded information on overcoming kinetic barriers experienced with processing in stirred autoclave reactors. Repeated tests with the flow-loop reactor have yielded insights on wear and failure of system components, on challenges to maintain and measure flow, and for better understanding of the reaction mechanism.

  13. The Center for Coastal Studies: Sustainable Development Education in Mexico

    ERIC Educational Resources Information Center

    Ollervides, F.; Farrell, T.

    2007-01-01

    Purpose: The purpose of this paper is to present The School for Field Studies-Center for Coastal Studies (SFS-CCS) as a success story in sustainable development education. This success is based on a unique academic model, which incorporates sustainable development opportunities and challenges faced by the local community into the program…

  14. Center for Advanced Technology Training (CATT) Feasibility Study.

    ERIC Educational Resources Information Center

    Albuquerque Technical Vocational Inst., NM.

    A study of the feasibility of establishing a Center for Advanced Technology Training (CATT) at the Albuquerque Technical Vocational Institute (TVI Community College, New Mexico) was conducted by members of the Albuquerque business community, government representatives, and college administrators. Phase 1 of the study was an examination of the…

  15. The Center for Coastal Studies: Sustainable Development Education in Mexico

    ERIC Educational Resources Information Center

    Ollervides, F.; Farrell, T.

    2007-01-01

    Purpose: The purpose of this paper is to present The School for Field Studies-Center for Coastal Studies (SFS-CCS) as a success story in sustainable development education. This success is based on a unique academic model, which incorporates sustainable development opportunities and challenges faced by the local community into the program…

  16. Case Studies in Managing School Library Media Centers.

    ERIC Educational Resources Information Center

    Callison, Daniel; Morris, Jacqueline

    Thirty-two case studies illustrating problem areas and situations that develop in the modern environment of the electronic school library media program are presented for use by library science students and library/media center managers. Based on input from practicing librarians at the elementary and secondary levels, the studies are designed to…

  17. Center of Discovery I Study Guide. Education 302.

    ERIC Educational Resources Information Center

    Cain, Robert B.; And Others

    This study guide contains the objectives, design, and evaluation in plan for Center of Discovery I, and lists topics, directives, and basic readings and in-depth references and the self-tests for an 11-week program of independent study within the first of four education courses in a 2-year program. The major part of the guide is devoted to a…

  18. Optional thinking ability among hospital-treated deliberate self-harm patients: a 1-year follow-up study.

    PubMed

    McAuliffe, Carmel; Corcoran, Paul; Hickey, Portia; McLeavey, Breda C

    2008-03-01

    To investigate the association between optional thinking (the ability to generate alternative solutions to interpersonal problems) in deliberate self-harm (DSH) patients and repeated self-harm. A prospective study of the association between optional thinking in interpersonal problem solving and repeated DSH within 12 months. A non-consecutive sample (N=152) of DSH patients presenting to the Accident and Emergency department of an acute hospital in Cork city, Ireland, was assessed using a structured interview schedule including the Suicide Intent Scale, the Hopelessness Scale, and the Optional Thinking Test. Repetition within 1 year was established by checking Accident and Emergency records at all three city hospitals. Participants were categorized as repeaters if they engaged in at least one further hospital-treated DSH episode, or non-repeaters. Approximately two-thirds (63.1%) of the sample had engaged in at least one act of DSH prior to their index episode. During follow-up 31 individuals (20.4%) repeated. History of self-harm was significantly associated with prospective repetition when considered alongside all the other predictor variables. Among first evers, low scores on the optional thinking test were significantly associated with the increased risk of repetition within 12 months. Among those with previous DSH, there was no evidence of an association between optional thinking and repetition within 12 months. Poor optional thinking is associated with increased risk of repeated deliberate self-harm in those who present with a first self-harm episode. Interventions to improve optional thinking skills, delivered soon after a first DSH presentation, may be useful in preventing repetition.

  19. [Space for the new. Archive - library - study center].

    PubMed

    Weber, Danny

    2014-01-01

    This article features a short outline of both the architectural history and the inventories of Leopoldina's archive and library. Moreover, the article presents the construction plans that will--when implemented in the near future--generate and provide outstanding working facilities in the form of a building ensemble consisting of an archive, library and study center. The future infrastructure of these Leopoldina buildings, located in the area of Emil-Abderhalden-/August-Bebel-Strasse, will sustainably foster and support the establishment of research projects at the Leopoldina Study Center.

  20. Comparison of three options for geologic sequestration of CO2 - a case study for California

    SciTech Connect

    Benson, S.M.

    2000-09-01

    Options for sequestration of CO{sub 2} are best viewed in light of the regional distribution of CO{sub 2} sources and potential sequestration sites. This study examines the distribution of carbon emissions from fossil fuel power plants in California and their proximity to three types of reservoirs that may be suitable for sequestration: (1) active or depleted oil fields, (2) active or depleted gas fields, and (3) brine formations. This paper also presents a preliminary assessment of the feasibility of sequestering CO{sub 2} generated from large fossil-fuel fired power plants in California and discusses the comparative advantages of three different types of reservoirs for this purpose. Based on a volumetric analysis of sequestration capacity and current CO{sub 2} emission rates from oil/gas fired power plants, this analysis suggests that oil reservoirs, gas fields and brine formations can all contribute significantly to sequestration in California. Together they could offer the opportunity to meet both short and long term needs. In the near term, oil and gas reservoirs are the most promising because the trapping structures have already stood the test of time and opportunities for offsetting the cost of sequestration with revenues from enhanced oil and gas production. In the long term, if the trapping mechanisms are adequately understood and deemed adequate, brine formations may provide an even larger capacity for geologic sequestration over much of California.

  1. More options and better job security required in career paths of physiotherapist researchers: an observational study.

    PubMed

    Bernhardt, Julie; Tang, Lili Shyn-Li

    2008-01-01

    What career paths have physiotherapist researchers taken? What should career paths for physiotherapist researchers look like? Observational study with questionnaire. Australian physiotherapists who had a completed a Doctor of Philosophy degree by 2006. Fifty-six of 87 physiotherapists with a doctorate degree (response rate 64%) completed the questionnaire. Over half had completed the doctorate since 2000. An interest in clinical research was the strongest driver for undertaking a doctorate degree. Of the respondents, 52% worked in traditional academic roles while those who pursued other mixed clinical/research or pure research paths reported a lack of job security; 38% continued to work clinically, with a further 43% reporting they would like to but had insufficient time or a career structure that did not allow clinical work. 54% felt that the profession valued research, while 63% felt that research was valued by clinicians. The four main suggestions for improving current research career paths were: 1) develop research careers that allow mixed clinical/research and academic/clinical roles; 2) improve funding for training, particularly post-doctoral positions, and secure appropriately funded physiotherapy research positions; 3) improve co-operation between academic (university) and clinical researchers; and 4) develop more flexible research careers to accommodate private practitioner researchers and others wishing to combine clinical work with teaching and research. Physiotherapist researchers need broader career options and seek greater opportunity to link with clinical practice. Encouraging a vibrant research culture should foster professional excellence and enhance our reputation in the community.

  2. Options in Education Transcript: Program No. 158: "Black Studies, One." Program No. 159: "Black Studies, Two."

    ERIC Educational Resources Information Center

    George Washington Univ., Washington, DC. Inst. for Educational Leadership.

    The evolution of black studies programs from the 1960s to date is described in this radio transcript. Criticisms of early black studies programs are discussed. Changes in black studies teaching materials are mentioned. The lack of a black perspective in instructional materials is examined. Inadequate teacher preparation in minority studies is…

  3. Peritoneal Dialysis Can Be an Option for Dominant Polycystic Kidney Disease: an Observational Study

    PubMed Central

    Janeiro, Darío; Portolés, Jose; Tato, Ana María; López-Sánchez, Paula; Del Peso, Gloria; Rivera, Maite; Castellano, Inés; Fernández-Reyes, Maria J.; Pérez-Gómez, Vanessa; Ortega, Mayra; Martínez-Miguel, Patricia; Felipe, Carmen; Caparrós, Guadalupe; Ortiz, Alberto; Selgas, Rafael

    2015-01-01

    ♦ Background: Autosomal dominant polycystic kidney disease (ADPKD) has been considered a relative contraindication for peritoneal dialysis (PD), although there are few specific studies available. ♦ Methods: A multicenter historical prospective matched-cohort study was conducted to describe the outcome of ADPKD patients who have chosen PD. All ADPKD patients starting PD (n = 106) between January 2003 and December 2010 and a control group (2 consecutive patients without ADPKD) were studied. Mortality, PD-technique failure, peritonitis, abdominal wall leaks and cyst infections were compared. ♦ Results: Patients with ADPKD had similar age but less comorbidity at PD inclusion: Charlson comorbidity index (CCI) 4.3 (standard deviation [SD] 1.6) vs 5.3 (SD 2.5) p < 0.001, diabetes mellitus 5.7% vs 29.2%, p < 0.001 and previous cardiovascular events 10.4% vs 27.8%, p < 0.001. No differences were observed in clinical events that required transient transfer to hemodialysis, nor in peritoneal leakage episodes or delivered dialysis dose. The cyst infection rate was low (0.09 episodes per patient-year) and cyst infections were not associated to peritonitis episodes. Overall technique survival was similar in both groups. Permanent transfer to hemodialysis because of surgery or peritoneal leakage was more frequent in ADPKD. More ADPKD patients were included in the transplant waiting list (69.8 vs 58%, p = 0.04) but mean time to transplantation was similar (2.08 [1.69 – 2.47] years). The mortality rate was lower (2.5 vs 7.6 deaths/100 patient-year, p = 0.02) and the median patient survival was longer in ADPKD patients (6.04 [5.39 – 6.69] vs 5.57 [4.95 – 6.18] years, p = 0.024). ♦ Conclusion: Peritoneal dialysis is a suitable renal replacement therapy option for ADPKD patients. PMID:25292408

  4. Peritoneal Dialysis Can Be an Option for Dominant Polycystic Kidney Disease: an Observational Study.

    PubMed

    Janeiro, Darío; Portolés, Jose; Tato, Ana María; López-Sánchez, Paula; Del Peso, Gloria; Rivera, Maite; Castellano, Inés; Fernández-Reyes, Maria J; Pérez-Gómez, Vanessa; Ortega, Mayra; Martínez-Miguel, Patricia; Felipe, Carmen; Caparrós, Guadalupe; Ortiz, Alberto; Selgas, Rafael

    2015-01-01

    Autosomal dominant polycystic kidney disease (ADPKD) has been considered a relative contraindication for peritoneal dialysis (PD), although there are few specific studies available. A multicenter historical prospective matched-cohort study was conducted to describe the outcome of ADPKD patients who have chosen PD. All ADPKD patients starting PD (n = 106) between January 2003 and December 2010 and a control group (2 consecutive patients without ADPKD) were studied. Mortality, PD-technique failure, peritonitis, abdominal wall leaks and cyst infections were compared. Patients with ADPKD had similar age but less comorbidity at PD inclusion: Charlson comorbidity index (CCI) 4.3 (standard deviation [SD] 1.6) vs 5.3 (SD 2.5) p < 0.001, diabetes mellitus 5.7% vs 29.2%, p < 0.001 and previous cardiovascular events 10.4% vs 27.8%, p < 0.001. No differences were observed in clinical events that required transient transfer to hemodialysis, nor in peritoneal leakage episodes or delivered dialysis dose. The cyst infection rate was low (0.09 episodes per patient-year) and cyst infections were not associated to peritonitis episodes. Overall technique survival was similar in both groups. Permanent transfer to hemodialysis because of surgery or peritoneal leakage was more frequent in ADPKD. More ADPKD patients were included in the transplant waiting list (69.8 vs 58%, p = 0.04) but mean time to transplantation was similar (2.08 [1.69 - 2.47] years). The mortality rate was lower (2.5 vs 7.6 deaths/100 patient-year, p = 0.02) and the median patient survival was longer in ADPKD patients (6.04 [5.39 - 6.69] vs 5.57 [4.95 - 6.18] years, p = 0.024). Peritoneal dialysis is a suitable renal replacement therapy option for ADPKD patients. Copyright © 2015 International Society for Peritoneal Dialysis.

  5. Decontamination Options for Bacillus anthracis-Contaminated Drinking Water Determined from Spore Surrogate Studies

    PubMed Central

    Raber, Ellen; Burklund, Alison

    2010-01-01

    Five parameters were evaluated with surrogates of Bacillus anthracis spores to determine effective decontamination alternatives for use in a contaminated drinking water supply. The parameters were as follows: (i) type of Bacillus spore surrogate (B. thuringiensis or B. atrophaeus), (ii) spore concentration in suspension (102 and 106 spores/ml), (iii) chemical characteristics of the decontaminant (sodium dichloro-S-triazinetrione dihydrate [Dichlor], hydrogen peroxide, potassium peroxymonosulfate [Oxone], sodium hypochlorite, and VirkonS), (iv) decontaminant concentration (0.01% to 5%), and (v) exposure time to decontaminant (10 min to 1 h). Results from 138 suspension tests with appropriate controls are reported. Hydrogen peroxide at a concentration of 5% and Dichlor or sodium hypochlorite at a concentration of 2% were highly effective at spore inactivation regardless of spore type tested, spore exposure time, or spore concentration evaluated. This is the first reported study of Dichlor as an effective decontaminant for B. anthracis spore surrogates. Dichlor's desirable characteristics of high oxidation potential, high level of free chlorine, and a more neutral pH than that of other oxidizers evaluated appear to make it an excellent alternative. All three oxidizers were effective against B. atrophaeus spores in meeting the EPA biocide standard of greater than a 6-log kill after a 10-min exposure time and at lower concentrations than typically reported for biocide use. Solutions of 5% VirkonS and Oxone were less effective as decontaminants than other options evaluated in this study and did not meet the EPA's efficacy standard for a biocide, although they were found to be as effective for concentrations of 102 spores/ml. Differences in methods and procedures reported by other investigators make quantitative comparisons among studies difficult. PMID:20709855

  6. Decontamination options for Bacillus anthracis-contaminated drinking water determined from spore surrogate studies.

    PubMed

    Raber, Ellen; Burklund, Alison

    2010-10-01

    Five parameters were evaluated with surrogates of Bacillus anthracis spores to determine effective decontamination alternatives for use in a contaminated drinking water supply. The parameters were as follows: (i) type of Bacillus spore surrogate (B. thuringiensis or B. atrophaeus), (ii) spore concentration in suspension (10(2) and 10(6) spores/ml), (iii) chemical characteristics of the decontaminant (sodium dichloro-S-triazinetrione dihydrate [Dichlor], hydrogen peroxide, potassium peroxymonosulfate [Oxone], sodium hypochlorite, and VirkonS), (iv) decontaminant concentration (0.01% to 5%), and (v) exposure time to decontaminant (10 min to 1 h). Results from 138 suspension tests with appropriate controls are reported. Hydrogen peroxide at a concentration of 5% and Dichlor or sodium hypochlorite at a concentration of 2% were highly effective at spore inactivation regardless of spore type tested, spore exposure time, or spore concentration evaluated. This is the first reported study of Dichlor as an effective decontaminant for B. anthracis spore surrogates. Dichlor's desirable characteristics of high oxidation potential, high level of free chlorine, and a more neutral pH than that of other oxidizers evaluated appear to make it an excellent alternative. All three oxidizers were effective against B. atrophaeus spores in meeting the EPA biocide standard of greater than a 6-log kill after a 10-min exposure time and at lower concentrations than typically reported for biocide use. Solutions of 5% VirkonS and Oxone were less effective as decontaminants than other options evaluated in this study and did not meet the EPA's efficacy standard for a biocide, although they were found to be as effective for concentrations of 10(2) spores/ml. Differences in methods and procedures reported by other investigators make quantitative comparisons among studies difficult.

  7. Environmental Studies Center Teacher Books. 3rd Grade - Grassflat Communities.

    ERIC Educational Resources Information Center

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with elementary children in grade three prior to and after a visit to an environmental studies center located near an estuarine area.…

  8. Environmental Studies Center Teacher Books. 6th Grade - River Investigation.

    ERIC Educational Resources Information Center

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with elementary children in grade six prior to and after a visit to an environmental studies center located near an estuarine area. The…

  9. Environmental Studies Center Teacher Books. 4th Grade - Mangrove Communities.

    ERIC Educational Resources Information Center

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with elementary children in grade four prior to and after a visit to an environmental studies center located near an estuarine area. The…

  10. Group Time in Early Childhood Centers: An Exploratory Study.

    ERIC Educational Resources Information Center

    McAfee, Oralie

    To investigate the current status of group time in early childhood centers, a small-scale exploratory study was designed and executed. Results of interviews with 35 teachers and observations in five classrooms serving children ages 2 1/2 through kindergarten revealed that all classrooms had at least one group time or circle time, usually in the…

  11. Social Work Information Center 2.0: A Case Study

    ERIC Educational Resources Information Center

    Xu, F. Grace

    2009-01-01

    The social work library at USC provides a case study of an academic library's transition to an information center service model. Analysis of the collection, user community, Web 2.0 applications, and Web usage data demonstrates how the changes facilitated library services and information literacy instruction. (Contains 6 tables and 3 figures.)

  12. Environmental Studies Center Teacher Books. 5th Grade - Ecosystems.

    ERIC Educational Resources Information Center

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with elementary children in grade five prior to and after a visit to an environmental studies center located near an estuarine area. The…

  13. Environmental Studies Center Teacher Books. 1st Grade - Habitats.

    ERIC Educational Resources Information Center

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with elementary children in grade one prior to and after a visit to an environmental studies center located near an estuarine area. This…

  14. Social Work Information Center 2.0: A Case Study

    ERIC Educational Resources Information Center

    Xu, F. Grace

    2009-01-01

    The social work library at USC provides a case study of an academic library's transition to an information center service model. Analysis of the collection, user community, Web 2.0 applications, and Web usage data demonstrates how the changes facilitated library services and information literacy instruction. (Contains 6 tables and 3 figures.)

  15. ACLCP Periodical Storage Center: Feasibility Study, September 1974-April 1975.

    ERIC Educational Resources Information Center

    Cieslicki, Dorothy

    A study of alternative models for establishing a cooperative storage center for little used library materials by the members of the Area College Libraries of Central Pennsylvania (ACLCP) focused on periodicals. Considerations discussed include advantages--lower cost; space for growth and better access to holdings retained in active collections;…

  16. Environmental Studies Center Teacher Books. 8th Grade - Beach Investigation.

    ERIC Educational Resources Information Center

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with secondary children in grade eight prior to and after a visit to an environmental studies center located near an estuarine area. The…

  17. The University of Illinois Film Center Collection Use Study.

    ERIC Educational Resources Information Center

    Mills, Terry R.

    This report describes a study which used computer analyses of the center's film booking records for fiscal year 1981 to identify those subject areas in the collection for which holdings did not seem to accurately reflect the clientele's levels of interest, as indicated by their use of the collection. Results identified 60 subject areas which met…

  18. Usability Studies and User-Centered Design in Digital Libraries

    ERIC Educational Resources Information Center

    Comeaux, David J.

    2008-01-01

    Digital libraries continue to flourish. At the same time, the principles of user-centered design and the practice of usability testing have been growing in popularity, spreading their influence into the library sphere. This article explores the confluence of these two trends by surveying the current literature on usability studies of digital…

  19. Outcomes and satisfaction of two optional cadaveric dissection courses: A 3-year prospective study.

    PubMed

    Pais, Diogo; Casal, Diogo; Mascarenhas-Lemos, Luís; Barata, Pedro; Moxham, Bernard J; Goyri-O'Neill, João

    2017-03-01

    Teaching time dedicated to anatomy education has been reduced at many medical schools around the world, including Nova Medical School in Lisbon, Portugal. In order to minimize the effects of this reduction, the authors introduced two optional, semester-long cadaveric dissection courses for the first two years of the medical school curriculum. These courses were named Regional Anatomy I (RAI) and Regional Anatomy II (RAII). In RAI, students focus on dissecting the thorax, abdomen, pelvis, and perineum. In RAII, the focus shifts to the head, neck, back, and upper and lower limbs. This study prospectively analyzes students' academic achievement and perceptions within the context of these two, newly-introduced, cadaveric dissection courses. Students' satisfaction was assessed anonymously through a questionnaire that included items regarding students' perception of the usefulness of the courses for undergraduate teaching, as well as with regards to future professional activity. For each of the three academic years studied, the final score (1 to 20) in General Anatomy (GA), RAI, and RAII was on average 14.26 ± 1.89; 16.94 ± 1.02; 17.49 ± 1.01, respectively. The mean results were lower in GA than RAI or RAII (P < 0.001). Furthermore, students who undertook these courses ranked them highly with regards to consolidating their knowledge of anatomy, preparing for other undergraduate courses, and training for future clinical practice. These survey data, combined with data on participating students' academic achievement, lend strong support to the adoption of similar courses as complementary and compulsory disciplines in a modern medical curriculum. Anat Sci Educ 10: 127-136. © 2016 American Association of Anatomists.

  20. Use of large-scale silvicultural studies to evaluate management options in Pacific Northwest forests of the United States.

    Treesearch

    Stephen E. Reutebuch; Constance A. Harrington; David D. Marshall; Leslie C. Brodie

    2004-01-01

    A suite of large-scale silvicultural experiments has been established to develop and assess operational silviculture options for the Pacific Northwest Douglas-fir (Pseudotsuga menziesii [Mirb.] Franco vat. menziesii) forests. This paper summarizes three such studies that focus on three major stages in the life of managed stands...

  1. A Case Study on the Perspectives of an Optional K-5 Year-Round/Multi-Age Program in Virginia.

    ERIC Educational Resources Information Center

    Morris, Roger N.

    Noting that the growing popularity of year-round schools (extended calendar without increasing the number of school days) has coincided with an increase in school accountability, this report provides a descriptive case study on one year-round school located within a large elementary school district in central Virginia. An optional year-round…

  2. Photosynthetic reaction center of green sulfur bacteria studied by EPR

    SciTech Connect

    Nitschke, W.; Rutherford, A.W. ); Fieler, U. )

    1990-04-24

    Membrane preparations of two species of the green sulfur bacteria Chlorobium have been studied be EPR. Three signals were detected which were attributed to iron-sulfur centers acting as electron acceptors in the photosynthetic reaction center. (1) A signal from a center designated F{sub B}, was photoinduced at 4K. (2) A similar signal, F{sub A}, was photoinduced in addition to the F{sub B} signal upon a short period of illumination at 200 K. (3) Further illumination at 200 K resulted in the appearance of a broad feature at g=1.78. This is attributed to the g{sub x} component of an iron-sulfur center designated F{sub X}. The designations of these signals as F{sub B}, F{sub A}, and F{sub X} are based on their spectroscopic similarities to signals in photosystem I (PS I). The orientation dependence of these EPR signals in ordered Chlorobium membrane multilayers is remarkably similar to that of their PS I homologues. A magnetic interaction between the reduced forms of F{sub B} and F{sub A} occurs, which is also very similar to that seen in PS I. The triplet state of P{sub 840}, the primary electron donor, could be photoinduced at 4 K in samples which had been preincubated with sodium dithionite and methyl viologen and then preilluminated at 200 K. The preillumination reduces the iron-sulfur centers while the preincubation is thought to result in the inactivation of an earlier electron acceptor. Orientation studies of the triplet signal in ordered multilayers indicate that the bacteriochlorophylls which act as the primary electron donor in Chlorobium are arranged with a structural geometry almost identical with that of the special pair in purple bacteria. The Chlorobium reaction center appears to be similar in some respects to both PS I and to the purple bacterial reaction center. This is discussed with regard to the evolution of the different types of reaction centers from a common ancestor.

  3. Development of the Jackson Heart Study Coordinating Center

    PubMed Central

    Campbell-Jenkins, Brenda W.; Addison, Clifton C.; Young, Lavon; Anugu, Pramod; Wilson, Gregory; Sarpong, Daniel

    2009-01-01

    The public health burden caused by cardiovascular disease (CVD) continues to adversely affect individuals in terms of cost, life expectancy, medical, pharmaceutical and hospital care. This burden has been excessive in the case of African Americans. The objective of this paper is to chronicle the procedures and processes that were implemented in the development of the Jackson Heart Study Coordinating Center. The Jackson Heart Study (JHS) is a population-based investigation of traditional and emerging risk factors that predict progression to CVD among African Americans. In response to the struggle against CVD, the Jackson Heart Study has convened a professional, technical, and administrative staff with specific competence in the operation of a coordinating center to handle the wide variety of areas related to CVD studies. The Jackson Heart Study Coordinating Center (JHSCC) was created to assure validity of the JHS findings and provide the resources necessary to meet comprehensive statistical needs (planning, implementing and monitoring data analysis); data management (designing, implementing and managing data collection and quality control), and administrative support. The JHSCC began with a commitment to support study functions in order to increase participant recruitment, retention and safety, meet regulatory requirements, prepare progress reports, and facilitate effective communication with the community and between all JHS centers. The JHSCC facilitates the efforts of the JHS scientists through the development and implementation of the study protocol. The efforts of the JHSCC have resulted in the successful preparation of scientific reports and manuscripts for publication and presentation of study findings and results. In summary, the JHSCC has emerged as an effective research mechanism that serves as the driving force behind the Jackson Heart Study activities. PMID:19543408

  4. Development of the Jackson Heart Study Coordinating Center.

    PubMed

    Campbell-Jenkins, Brenda W; Addison, Clifton C; Young, Lavon; Anugu, Pramod; Wilson, Gregory; Sarpong, Daniel

    2009-05-01

    The public health burden caused by cardiovascular disease (CVD) continues to adversely affect individuals in terms of cost, life expectancy, medical, pharmaceutical and hospital care. This burden has been excessive in the case of African Americans. The objective of this paper is to chronicle the procedures and processes that were implemented in the development of the Jackson Heart Study Coordinating Center. The Jackson Heart Study (JHS) is a population-based investigation of traditional and emerging risk factors that predict progression to CVD among African Americans. In response to the struggle against CVD, the Jackson Heart Study has convened a professional, technical, and administrative staff with specific competence in the operation of a coordinating center to handle the wide variety of areas related to CVD studies. The Jackson Heart Study Coordinating Center (JHSCC) was created to assure validity of the JHS findings and provide the resources necessary to meet comprehensive statistical needs (planning, implementing and monitoring data analysis); data management (designing, implementing and managing data collection and quality control), and administrative support. The JHSCC began with a commitment to support study functions in order to increase participant recruitment, retention and safety, meet regulatory requirements, prepare progress reports, and facilitate effective communication with the community and between all JHS centers. The JHSCC facilitates the efforts of the JHS scientists through the development and implementation of the study protocol. The efforts of the JHSCC have resulted in the successful preparation of scientific reports and manuscripts for publication and presentation of study findings and results. In summary, the JHSCC has emerged as an effective research mechanism that serves as the driving force behind the Jackson Heart Study activities.

  5. Outcomes and Satisfaction of Two Optional Cadaveric Dissection Courses: A 3-Year Prospective Study

    ERIC Educational Resources Information Center

    Pais, Diogo; Casal, Diogo; Mascarenhas-Lemos, Luís; Barata, Pedro; Moxham, Bernard J.; Goyri-O'Neill, João

    2017-01-01

    Teaching time dedicated to anatomy education has been reduced at many medical schools around the world, including Nova Medical School in Lisbon, Portugal. In order to minimize the effects of this reduction, the authors introduced two optional, semester-long cadaveric dissection courses for the first two years of the medical school curriculum.…

  6. Case Studies of Programs Serving Adults. OPTIONS. Expanding Educational Services for Adults.

    ERIC Educational Resources Information Center

    Warmbrod, Catharine P.; Liming, Roxi A.

    This book is part of OPTIONS, a packaged set of materials developed to provide postsecondary administrators, program planners, curriculum developers, counselors, and instructors with up-to-date, reliable information. This publication describes 61 exemplary practices and programs that have successfully improved or expanded educational services for…

  7. A study of space station needs, attributes and architectural options. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    Steinbronn, O.

    1983-01-01

    Missions that will benefit from the development of a permanent manned space station are examined. The missions that will determine the space station architecture include spaceborne scientific experiments, space industrialization and commercialization, remote space operations, and U.S. national security. Architectural options and economic analysis are also presented.

  8. The "None of the Above" Option in Multiple-Choice Testing: An Experimental Study

    ERIC Educational Resources Information Center

    DiBattista, David; Sinnige-Egger, Jo-Anne; Fortuna, Glenda

    2014-01-01

    The authors assessed the effects of using "none of the above" as an option in a 40-item, general-knowledge multiple-choice test administered to undergraduate students. Examinees who selected "none of the above" were given an incentive to write the correct answer to the question posed. Using "none of the above" as the…

  9. New Whole-House Solutions Case Study: New Town Builders' Power of Zero Energy Center - Denver, Colorado

    SciTech Connect

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a "Power of Zero Energy Center" linked to its model home in the Stapleton community. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. This case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  10. Technology Transfer Challenges: A Case Study of User-Centered Design in NASA's Systems Engineering Culture

    NASA Technical Reports Server (NTRS)

    Quick, Jason

    2009-01-01

    The Upper Stage (US) section of the National Aeronautics and Space Administration's (NASA) Ares I rocket will require internal access platforms for maintenance tasks performed by humans inside the vehicle. Tasks will occur during expensive critical path operations at Kennedy Space Center (KSC) including vehicle stacking and launch preparation activities. Platforms must be translated through a small human access hatch, installed in an enclosed worksite environment, support the weight of ground operators and be removed before flight - and their design must minimize additional vehicle mass at attachment points. This paper describes the application of a user-centered conceptual design process and the unique challenges encountered within NASA's systems engineering culture focused on requirements and "heritage hardware". The NASA design team at Marshall Space Flight Center (MSFC) initiated the user-centered design process by studying heritage internal access kits and proposing new design concepts during brainstorming sessions. Simultaneously, they partnered with the Technology Transfer/Innovative Partnerships Program to research inflatable structures and dynamic scaffolding solutions that could enable ground operator access. While this creative, technology-oriented exploration was encouraged by upper management, some design stakeholders consistently opposed ideas utilizing novel, untested equipment. Subsequent collaboration with an engineering consulting firm improved the technical credibility of several options, however, there was continued resistance from team members focused on meeting system requirements with pre-certified hardware. After a six-month idea-generating phase, an intensive six-week effort produced viable design concepts that justified additional vehicle mass while optimizing the human factors of platform installation and use. Although these selected final concepts closely resemble heritage internal access platforms, challenges from the application of the

  11. Studies of Short Time Response Options for Potentially Hazardous Objects: Current and Forthcoming Results

    NASA Technical Reports Server (NTRS)

    Barbee, Brent W.; Greenaugh, Kevin C.; Seery, Bernard D.; Bambacus, Myra; Leung, Ronald Y.; Finewood, Lee; Dearborn, David S. P.; Miller, Paul L.; Weaver, Robert P.; Plesko, Catherine; hide

    2017-01-01

    NASA's Goddard Space Flight Center (GSFC) and the National Nuclear Security Administration (NNSA), Department of Energy (DOE) National Laboratories, Lawrence Livermore National Laboratory (LLNL), Los Alamos National Laboratory(LANL), and Sandia National Laboratory (SNL) are collaborating on Planetary Defense Research. The research program is organized around three case studies: 1. Deflection of the Potentially Hazardous Asteroid (PHA) 101955 Bennu (1999 RQ36)[OSIRIS-REx mission target], 2. Deflection of the secondary member of the PHA 65803 Didymos (1996 GT) [DART mission target], 3. Deflection of a scaled-down version of the comet 67PChuryumov-Gerasimenko [Rosetta mission target]. NASAGSFC is providing astrodynamics and spacecraft mission design expertise, while NNSA, DOE, LLNL, LANL and SNL are providing expertise in modeling the effects of kinetic impactor spacecraft and nuclear explosive devices on the target objects.

  12. The NASA Lewis Research Center: An Economic Impact Study

    NASA Technical Reports Server (NTRS)

    Austrian, Ziona

    1996-01-01

    The NASA Lewis Research Center (LeRC), established in 1941, is one of ten NASA research centers in the country. It is situated on 350 acres of land in Cuyahoga County and occupies more than 140 buildings and over 500 specialized research and test facilities. Most of LeRC's facilities are located in the City of Cleveland; some are located within the boundaries of the cities of Fairview Park and Brookpark. LeRC is a lead center for NASA's research, technology, and development in the areas of aeropropulsion and selected space applications. It is a center of excellence for turbomachinery, microgravity fluid and combustion research, and commercial communication. The base research and technology disciplines which serve both aeronautics and space areas include materials and structures, instrumentation and controls, fluid physics, electronics, and computational fluid dynamics. This study investigates LeRC's economic impact on Northeast Ohio's economy. It was conducted by The Urban Center's Economic Development Program in Cleveland State University's Levin College of Urban Affairs. The study measures LeRC's direct impact on the local economy in terms of jobs, output, payroll, and taxes, as well as the indirect impact of these economic activities when they 'ripple' throughout the economy. To fully explain LeRC's overall impact on the region, its contributions in the areas of technology transfer and education are also examined. The study uses a highly credible and widely accepted research methodology. First, regional economic multipliers based on input-output models were used to estimate the effect of LERC spending on the Northeast Ohio economy. Second, the economic models were complemented by interviews with industrial, civic, and university leaders to qualitatively assess LeRC's impact in the areas of technology transfer and education.

  13. SAID Partial Wave Analyses from CNS DAC (Center for Nuclear Studies Data Analysis Center)

    DOE Data Explorer

    George Washington University (GW) has one of the largest university-based nuclear-physics groups in the nation. Many of the current and future projects are geared to Thomas Jefferson National Accelerator Facility (JLab) at Newport News, VA. JLab is the world's premier electron accelerator for nuclear physics, and GW is one of the charter members of the governing body of JLab, the Southeastern Universities Research Association (SURA). The George Washington Data Analysis Center (DAC) was created in 1998 by an agreement among the Department of Energy, Jefferson Lab, and the GW Center for Nuclear Studies.The activities of the DAC fall into four distinct categories: 1) Performing partial-wave analyses of fundamental two- and three-body reactions; 2) Maintenance of databases associated with these reactions; 3) Development of software to disseminate DAC results (as well as the results of competing model-independent analyses and potential approaches); and 4) Phenomenological and theoretical investigations which bridge the gap between theory and experiment; in particular, the extraction of N* and D * hadronic and electromagnetic couplings. Partial Wave Analyses (and the associated databases) available at GW are: Pion-Nucleon, Kaon-Nucleon, Nucleon-Nucleon, Pion Photoproduction, Pion Electroproduction, Kaon Photoproduction, Eta Photoproduction, Eta-Prime Photoproduction, Pion-Deuteron (elastic), and Pion-Deuteron to Proton+Proton. [Taken from http://www.gwu.edu/~ndl/dac.htm">http://www.gwu.edu/~ndl/dac.htm

  14. AVTA Federal Fleet PEV Readiness Data Logging and Characterization Study for NASA Stennis Space Center

    SciTech Connect

    Schey, Stephen; Francfort, Jim

    2015-05-01

    Federal agencies are mandated to purchase alternative fuel vehicles, increase consumption of alternative fuels, and reduce petroleum consumption. Available plug-in electric vehicles (PEVs) provide an attractive option in the selection of alternative fuel vehicles. PEVs, which consist of both battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), have significant advantages over internal combustion engine (ICE) vehicles in terms of energy efficiency, reduced petroleum consumption, and reduced production of greenhouse gas (GHG) emissions, and they provide performance benefits with quieter, smoother operation. This study intended to evaluate the extent to which NASA Stennis Space Center (Stennis) could convert part or all of their fleet of vehicles from petroleum-fueled vehicles to PEVs.

  15. Career options.

    PubMed

    2011-06-24

    Practitioners at all levels can plan their future career options through the NHS Nursing Career Framework interactive tool. The tool builds on the pathway-based framework set out in the post-registration career framework for nurses. Career pathways are outlined under each branch and the specialties within the branches, and cover topics including clinical careers, management and moving into education or research.

  16. Comparative cost-effectiveness of Option B+ for prevention of mother to child transmission of HIV in Malawi: Mathematical modelling study

    PubMed Central

    Tweya, Hannock; Keiser, Olivia; Haas, Andreas D.; Tenthani, Lyson; Phiri, Sam; Egger, Matthias; Estill, Janne

    2016-01-01

    Objective To estimate the cost-effectiveness of prevention of mother to child transmission (MTCT) of HIV with lifelong antiretroviral therapy (ART) for pregnant and breastfeeding women (‘Option B+’) compared to ART during pregnancy or breastfeeding only unless clinically indicated (‘Option B’). Design Mathematical modelling study of first and second pregnancy, informed by data from the Malawi Option B+ programme. Methods Individual-based simulation model. We simulated cohorts of 10,000 women and their infants during two subsequent pregnancies, including the breastfeeding period, with either Option B+ or B. We parameterised the model with data from the literature and by analysing programmatic data. We compared total costs of ante-natal and post-natal care, and lifetime costs and disability-adjusted life-years (DALYs) of the infected infants between Option B+ and Option B. Results During the first pregnancy, 15% of the infants born to HIV-infected mothers acquired the infection. With Option B+, 39% of the women were on ART at the beginning of the second pregnancy, compared to 18% with Option B. For second pregnancies, the rates MTCT were 11.3% with Option B+ and 12.3% with Option B. The incremental cost-effectiveness ratio comparing the two options ranged between about US$ 500 and US$ 1300 per DALY averted. Conclusion Option B+ prevents more vertical transmissions of HIV than Option B, mainly because more women are already on ART at the beginning of the next pregnancy. Option B+ is a cost-effective strategy for PMTCT if the total future costs and lost lifetime of the infected infants are taken into account. PMID:26691682

  17. Using unfolding case studies in a subject-centered classroom.

    PubMed

    Day, Lisa

    2011-08-01

    The recently published report of the Carnegie Foundation's National Study of Nursing Education points out significant problems with classroom teaching in schools of nursing. This article suggests Palmer's idea of the subject-centered classroom as a way to transform nursing school classrooms into collaborative learning communities. For Palmer, the subject is the big idea of nursing practice-the nurse-patient/client/family/community relationship-that should take the lead in stimulating inquiry and discussion. The article goes on to describe how teachers can develop and use unfolding case studies to bring the subject to the center of the classroom. By doing so, the classroom becomes a place where students learn a sense of salience, develop their clinical imagination, and begin their formation as professional nurses.

  18. Comparison between effects of various partial inferior turbinectomy options on nasal airflow: a computer simulation study.

    PubMed

    Lee, Heow Pueh; Garlapati, Revanth Reddy; Chong, Vincent Fook Hin; Wang, De Yun

    2013-01-01

    Partial inferior turbinectomy is typically performed on patients suffering from chronic nasal obstruction due to hypertrophy of inferior turbinates and is refractory to other more conservative treatments. The effects of the various options of incision performed on the inferior turbinate in terms of the resulting nasal airflow pattern are examined using computational fluid mechanics. The pressure drops across the severely blocked nose and healthy nose models were found to be 32.3 and 12.3 Pa, respectively, whereas the pressure drops across the nasal cavity following one-third turbinate resection, total turbinate resection and front-end resection were obtained as 5.8, 6.1 and 30.5 Pa correspondingly. Based on the total pressure drop results, the one-third resection option seems to be better than the front-end surgery and the total turbinate resection.

  19. Asia Pacific Center for Security Studies 2007 Annual Report

    DTIC Science & Technology

    2007-01-01

    PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Asia-Pacific Center for Security Studies,2058 Maluhia Road,Honolulu,HI,96815 8. PERFORMING ORGANIZATION...improv- ing what we contribute have worked diligently to transform systems to meet needs and expectations. 2007 has been a year of refocusing...development of a collaborative international institutional and leadership capacity, and willingness, to addresses complex security-related systems in

  20. Microcomputer Productivity Study for the Naval Training Systems Center.

    DTIC Science & Technology

    1986-12-01

    rctt sd a uiu, art" 88 1 Technical Report 86-028 percent said it benefited them personally . The personal computer was rated by 97 percent of the finance ...IU.0 I~ 1.5U-. 1111 .0 X/? ZK . . % %. NAVAL TRAINING SYSTEMS CENTER ORLANDO. FLORIDA 00T UI FI LE COW" TECHNICAL REPORT 86-028 MICROCOMPUTER...ACKNOWLEDGMENTS Appreciation is expressed to the following persons for their contributions to this study: Thomas 0. Peeples for his assistance in

  1. Reactivation study for NASA Lewis Research Center's Hypersonic Tunnel Facility

    NASA Technical Reports Server (NTRS)

    Haas, Jeffrey E.

    1987-01-01

    The Hypersonic Tunnel Facility (HTF) at NASA Lewis Research Center's Plum Brook Station is a blowdown, free-jet, nonvitiated propulsion facility capable of Mach 5, 6, and 7 with true temperature, altitude, and air composition simulation. The facility has been in a deactivated status for 13 years. Discussed are the capabilities of HTF, and the results of a deactivation study recently conducted to determine the cost, schedule, and technical effort required to restore HTF to its original design operating capabilities are summarized.

  2. Reactivation study for NASA Lewis Research Center's hypersonic tunnel facility

    NASA Technical Reports Server (NTRS)

    Haas, Jeffrey E.

    1987-01-01

    The Hypersonic Tunnel Facility (HTF) at NASA Lewis Research Center's Plum Brook Station is a blowdown, free-jet, nonvitiated propulsion facility capable of Mach 5, 6, and 7 with true temperature, altitude, and air composition simulation. The facility has been in a deactivated status for 13 years. Discussed are the capabilities of HTF, and the results of a deactivation study recently conducted to determine the cost, schedule, and technical effort required to restore HTF to its original design operating capabilities are summarized.

  3. Space station needs, attributes and architectural options study. Briefing material, mid-term review

    NASA Technical Reports Server (NTRS)

    1982-01-01

    User mission requirements and their relationship to the current space transportation system are examined as a means of assuring the infusion of corporate ideas and knowledge in the space station program. Specific tasks include developing strategies to develop user consistency; determine DOD implication and requirements; and foster industry involvement in the space station. Mission alternatives; accrued benefits; program options; system attributes and characteristics; and a recommended plan for space station evolution are covered.

  4. Innovation and Change Management in Public and Private Organizations: Case Studies and Options for EPA

    DTIC Science & Technology

    2003-04-01

    change management that helped the selected organizations become more innovative; and (3) use the findings from the cases to suggest options for innovation within the U.S. Environmental Protection Agency (EPA). RAND selected three public organizations (Food and Drug Administration, the Veterans Health Administration, and the U.S. Customs Service) and three private organizations (DuPont, Marriott, and Procter and Gamble) that had implemented and sustained innovative practices. Beyond meeting this threshold criterion, these organizations also had operational and structural

  5. Negative emissions—interactions with other mitigation options: a case study for South East Asia

    NASA Astrophysics Data System (ADS)

    Yowargana, Ping; Leduc, Sylvain; Schepaschenko, Dmitry; Fuss, Sabine; Patrizio, Piera; Mesfun, Sennai; Kraxner, Florian

    2017-04-01

    BECCS (here the combination of forest-based bioenergy with carbon capture and storage) is seen as a promising tool to deliver large quantities of negative emissions needed to comply with ambitious climate stabilization targets. In many IPCC AR5 scenarios to stabilize GHG concentration at levels consistent with 2°C above pre-industrial levels, BECCS is an important feature contributing to more than 5% of global energy supply. However, a land-based mitigation option such as large-scale bioenergy production (w/o CCS) might interfere with other land-based mitigation options popular for their large co-benefits such as reforestation and reduced emissions from deforestation and degradation (REDD+). We develop a systems approach to identify and quantify possible tradeoffs between REDD+ and BECCS with the help of remote sensing and engineering modeling and apply this for illustration to South East Asia. First results indicate that prioritizing REDD+ does imply that the BECCS potential remains limited. However, reforestation has the chance to be developed into a larger portfolio of land-based mitigation options such as bioenergy and BECCS, which still have a very good mitigation potential in terms of emissions, but at the same time help to conserve and restore ecosystems.

  6. Exercising options

    NASA Astrophysics Data System (ADS)

    Carlowicz, Michael

    In a recent speech to graduates of the College of Computer, Mathematical, and Physical Sciences at the University of Maryland, Anne Petersen, deputy director of the National Science Foundation, encouraged a new generation of scientists to embrace opportunity and choice, and to use their scientific training as an employment credential, not a limit. In her May 23 commencement address, Petersen exhorted students to view their freshly minted diplomas as tickets to a broad and diverse job market, not just one-way trips to the laboratory.“Looking for the options and alternatives open to us—and creating options for ourselves where they are not apparent—can give us a sense of direction and volition that enriches our lives immensely…

  7. Adherence to Antiretroviral Therapy During and After Pregnancy: Cohort Study on Women Receiving Care in Malawi's Option B+ Program

    PubMed Central

    Haas, Andreas D.; Msukwa, Malango T.; Egger, Matthias; Tenthani, Lyson; Tweya, Hannock; Jahn, Andreas; Gadabu, Oliver J.; Tal, Kali; Salazar-Vizcaya, Luisa; Estill, Janne; Spoerri, Adrian; Phiri, Nozgechi; Chimbwandira, Frank; van Oosterhout, Joep J.; Keiser, Olivia

    2016-01-01

    Background. Adherence to antiretroviral therapy (ART) is crucial to preventing mother-to-child transmission of human immunodeficiency virus (HIV) and ensuring the long-term effectiveness of ART, yet data are sparse from African routine care programs on maternal adherence to triple ART. Methods. We analyzed data from women who started ART at 13 large health facilities in Malawi between September 2011 and October 2013. We defined adherence as the percentage of days “covered” by pharmacy claims. Adherence of ≥90% was deemed adequate. We calculated inverse probability of censoring weights to adjust adherence estimates for informative censoring. We used descriptive statistics, survival analysis, and pooled logistic regression to compare adherence between pregnant and breastfeeding women eligible for ART under Option B+, and nonpregnant and nonbreastfeeding women who started ART with low CD4 cell counts or World Health Organization clinical stage 3/4 disease. Results. Adherence was adequate for 73% of the women during pregnancy, for 66% in the first 3 months post partum, and for about 75% during months 4–21 post partum. About 70% of women who started ART during pregnancy and breastfeeding adhered adequately during the first 2 years of ART, but only about 30% of them had maintained adequate adherence at every visit. Risk factors for inadequate adherence included starting ART with an Option B+ indication, at a younger age, or at a district hospital or health center. Conclusions. One-third of women retained in the Option B+ program adhered inadequately during pregnancy and breastfeeding, especially soon after delivery. Effective interventions to improve adherence among women in this program should be implemented. PMID:27461920

  8. CENTER FOR PULSED POWER DRIVEN HIGH ENERGY DENSITY PLASMA STUDIES

    SciTech Connect

    Professor Bruce R. Kusse; Professor David A. Hammer

    2007-04-18

    This annual report summarizes the activities of the Cornell Center for Pulsed-Power-Driven High-Energy-Density Plasma Studies, for the 12-month period October 1, 2005-September 30, 2006. This period corresponds to the first year of the two-year extension (awarded in October, 2005) to the original 3-year NNSA/DOE Cooperative Agreement with Cornell, DE-FC03-02NA00057. As such, the period covered in this report also corresponds to the fourth year of the (now) 5-year term of the Cooperative Agreement. The participants, in addition to Cornell University, include Imperial College, London (IC), the University of Nevada, Reno (UNR), the University of Rochester (UR), the Weizmann Institute of Science (WSI), and the P.N. Lebedev Physical Institute (LPI), Moscow. A listing of all faculty, technical staff and students, both graduate and undergraduate, who participated in Center research activities during the year in question is given in Appendix A.

  9. Space Shuttle orbiter trimmed center-of-gravity extension study

    NASA Technical Reports Server (NTRS)

    Scallion, W. I.; Phillips, W. P.

    1985-01-01

    Aerodynamic, heat transfer, and system design studies to determine removable modifications for the Space Shuttle orbiter that would extend its forward center-of-gravity triom capability are summarized. Wind-tunnel tests were conducted at Mach numbers ranging from 0.25 to 20.3 to determine the most effective aerodynamic modifications. Heat transfer and system design studies determined the impact of the modifications on the thermal protection system and structural weight of the vehicle. The most effective modifications were in-fillet canards or a forward extension of the existing forward wing fillet.

  10. Vegetation studies, National Training Center, Fort Irwin, California

    SciTech Connect

    Brandt, C.A.; Rickard, W.H.; Cadoret, N.A.

    1997-09-01

    During the spring of 1992, the Pacific Northwest National Laboratory (PNNL) conducted surveys of the Avawatz and Granite mountains springs for the National Training Center (NTC) to evaluate the occurrence of sensitive plant species in these areas. PNNL also conducted a survey of the eastern outwash of the Paradise Range for the occurrence of Lane Mountain milk vetch (Astragalus jaegerianus). In spring of 1993, PNNL conducted an additional study of Lane Mountain milk vetch on the NTC to determine habitat characteristics for this plant and to develop a method for predicting its potential occurrence, based on simple habitat attributes. The results of these studies are itemized.

  11. Robotic versus laparoscopic liver resection: a comparative study from a single center.

    PubMed

    Yu, Young-Dong; Kim, Ki-Hun; Jung, Dong-Hwan; Namkoong, Jung-Man; Yoon, Sam-Youl; Jung, Sung-Won; Lee, Sang-Kyung; Lee, Sung-Gyu

    2014-12-01

    The significant advantages of robotic surgery have expanded the scope of surgical procedures that can be performed through minimally invasive techniques. The aim of this study was to compare the perioperative outcomes between robotic and laparoscopic liver surgeries at a single center. From July 2007 to October 2011, a total of 206 patients underwent laparoscopic or robotic liver surgery at the Asan Medical Center, Seoul, Korea. We compared the surgical outcomes between robotic liver surgery and laparoscopic liver surgery during the same period. Only patients who underwent left hemihepatectomy or left lateral sectionectomy were included in this study. The robotic group consisted of 13 patients who underwent robotic liver resection including 10 left lateral sectionectomies and three left hemihepatectomies. The laparoscopic group consisted of 17 patients who underwent laparoscopic liver resection during the same period including six left lateral sectionectomies and 11 left hemihepatectomies. The groups were similar with regard to age, gender, tumor type, and tumor size. There were no significant differences in perioperative outcome such as operative time, intraoperative blood loss, postoperative liver function tests, complication rate, and hospital stay between robotic liver resection and laparoscopic liver resection. However, the medical cost was higher in the robotic group. Robotic liver resection is a safe and feasible option for liver resection in experienced hands. The authors suggest that since the robotic surgical system provides sophisticated advantages, the retrenchment of medical cost for the robotic system in addition to refining its liver transection tool may substantially increase its application in clinical practice in the near future.

  12. An accelerated line-by-line option for MODTRAN combining on-the-fly generation of line center absorption within 0.1 cm-1 bins and pre-computed line tails

    NASA Astrophysics Data System (ADS)

    Berk, Alexander; Conforti, Patrick; Hawes, Fred

    2015-05-01

    A Line-By-Line (LBL) option is being developed for MODTRAN6. The motivation for this development is two-fold. Firstly, when MODTRAN is validated against an independent LBL model, it is difficult to isolate the source of discrepancies. One must verify consistency between pressure, temperature and density profiles, between column density calculations, between continuum and particulate data, between spectral convolution methods, and more. Introducing a LBL option directly within MODTRAN will insure common elements for all calculations other than those used to compute molecular transmittances. The second motivation for the LBL upgrade is that it will enable users to compute high spectral resolution transmittances and radiances for the full range of current MODTRAN applications. In particular, introducing the LBL feature into MODTRAN will enable first-principle calculations of scattered radiances, an option that is often not readily available with LBL models. MODTRAN will compute LBL transmittances within one 0.1 cm-1 spectral bin at a time, marching through the full requested band pass. The LBL algorithm will use the highly accurate, pressure- and temperature-dependent MODTRAN Padé approximant fits of the contribution from line tails to define the absorption from all molecular transitions centered more than 0.05 cm-1 from each 0.1 cm-1 spectral bin. The beauty of this approach is that the on-the-fly computations for each 0.1 cm-1 bin will only require explicit LBL summing of transitions centered within a 0.2 cm-1 spectral region. That is, the contribution from the more distant lines will be pre-computed via the Padé approximants. The status of the LBL effort will be presented. This will include initial thermal and solar radiance calculations, validation calculations, and self-validations of the MODTRAN band model against its own LBL calculations.

  13. Femtosecond photodichroism studies of isolated photosystem II reaction centers.

    PubMed

    Wiederrecht, G P; Seibert, M; Govindjee; Wasielewski, M R

    1994-09-13

    Photosynthetic conversion of light energy into chemical potential begins in reaction center protein complexes, where rapid charge separation occurs with nearly unit quantum efficiency. Primary charge separation was studied in isolated photosystem II reaction centers from spinach containing 6 chlorophyll a, 2 pheophytin a (Pheo), 1 cytochrome b559, and 2 beta-carotene molecules. Time-resolved pump-probe kinetic spectroscopy was carried out with 105-fs time resolution and with the pump laser polarized parallel, perpendicular, and at the magic angle (54.7 degrees) relative to the polarized probe beam. The time evolution of the transient absorption changes due to the formation of the oxidized primary electron donor P680+ and the reduced primary electron acceptor Pheo- were measured at 820 nm and 545 nm, respectively. In addition, kinetics were obtained at 680 nm, the wavelength ascribed to the Qy transition of the primary electron donor P680 in the reaction center. At each measured probe wavelength the kinetics of the transient absorption changes can be fit to two major kinetic components. The relative amplitudes of these components are strongly dependent on the polarization of the pump beam relative to that of the probe. At the magic angle, where no photoselection occurs, the amplitude of the 3-ps component, which is indicative of the charge separation, dominates. When the primary electron acceptor Pheo is reduced prior to P680 excitation, the 3-ps component is eliminated.

  14. Femtosecond photodischroism studies of isolated photosystem II reaction centers

    SciTech Connect

    Wiederrecht, G.P.; Wasielewski, M.R.; Siebert, M.; Govindjee

    1994-09-13

    Photosynthetic conversion of light energy into chemical potential begins in reaction center protein complexes, where rapid charge separation occurs with nearly unit quantum efficiency. Primary charge separation was studied in isolated photosystem II reaction centers from spinach containing 6 chlorophyll a, 2 pheophytin a (Pheo), 1 cytochrome b{sub 559}, and 2 {beta}-carotene molecules. Time-resolved pump-probe kinetic spectroscopy was carried out with 105-fs time resolution and with the pump laser polarized parallel, perpendicular, and at the magic angle (54.7{degrees}) relative to the polarized probe beam. The time evolution of the oxidized primary electron donor P680{sup +} and the reduced primary electron acceptor Pheo{sup {minus}} were measured at 820 nm and 545 nm, respectively. In addition, kinetics were obtained at 680 nm, the wavelength ascribed to the Q{sub y} transition of the primary electron donor P680 in the reaction center. At each measured probe wavelength the kinetics of the transient absorption changes can be fit to two major kinetic components. The relative amplitudes of these components are strongly dependent on the polarization of the pump beam relative to that of the probe. At the magic angle, where no photoselection occurs, the amplitude of the 3-ps component, which is indicative of the charge separation, dominates. When the primary electron acceptor Pheo is reduced prior to P680 excitation, the 3-ps component is eliminated. 48 refs., 6 figs., 1 tab.

  15. Modeling studies of water consumption for transportation fuel options: Hawaii, US-48

    NASA Astrophysics Data System (ADS)

    King, C. W.; Webber, M. E.

    2011-12-01

    flow restoration that has already been ordered requires that an additional 18.5 Mgal/d from East Maui streams and 12.5 Mgal/d from West Maui streams not be diverted for irrigation or other uses. Further environmental flow requirements based on a habitat-protective standard enumerated by the Department of Aquatic Resources could be an additional 45 Mgal/d. Thus, it is conceivable that over the next several years a total of 76 Mgal/d, which is 20%-30% of the irrigation water at existing sugarcane farms, could be appropriated away from agriculture on Maui. Many locals have never viewed the large-scale diversion of stream flow for agriculture as legitimate. Now that much of the plantation agriculture in Hawai'i has shut down due to lack of competitive economics, the discussion of the priority for use of 'old' agricultural water is prompting more water to be left in streams. At the same time, Hawai'i has goals for energy sustainability that include producing biofuels. Thus, Maui is a microcosm of the struggle for energy and water sustainability. Brief discussions of other studies on the water needs for transportation fuel options for the continental 48 U.S. states will also be presented.

  16. [Fetal bradycardia: a retrospective study in 9 Spanish centers].

    PubMed

    Perin, F; Rodríguez Vázquez del Rey, M M; Deiros Bronte, L; Ferrer Menduiña, Q; Rueda Nuñez, F; Zabala Arguelles, J I; García de la Calzada, D; Teodoro Marin, S; Centeno Malfaz, F; Galindo Izquierdo, A

    2014-11-01

    The aim of this study is to review the current management and outcomes of fetal bradycardia in 9 Spanish centers. Retrospective multicenter study: analysis of all fetuses with bradycardia diagnosed between January 2008 and September 2010. Underlying mechanisms of fetal bradyarrhythmias were studied with echocardiography. A total of 37 cases were registered: 3 sinus bradycardia, 15 blocked atrial bigeminy, and 19 high grade atrioventricular blocks. Sinus bradycardia: 3 cases (100%) were associated with serious diseases. Blocked atrial bigeminy had an excellent outcome, except for one case with post-natal tachyarrhythmia. Of the atrioventricular blocks, 16% were related to congenital heart defects with isomerism, 63% related to the presence of maternal SSA/Ro antibodies, and 21% had unclear etiology. Overall mortality was 20% (37%, if terminations of pregnancy are taken into account). Risk factors for mortality were congenital heart disease, hydrops and/or ventricular dysfunction. Management strategies differed among centers. Steroids were administrated in 73% of immune-mediated atrioventricular blocks, including the only immune-mediated IInd grade block. More than half (58%) of atrioventricular blocks had a pacemaker implanted in a follow-up of 18 months. Sustained fetal bradycardia requires a comprehensive study in all cases, including those with sinus bradycardia. Blocked atrial bigeminy has a good prognosis, but tachyarrhythmias may develop. Heart block has significant mortality and morbidity rates, and its management is still highly controversial. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  17. More options lead to more searching and worse choices in finding partners for romantic relationships online: an experimental study.

    PubMed

    Wu, Pai-Lu; Chiou, Wen-Bin

    2009-06-01

    It is not surprising that the Internet has become a means by which people expand their social networks and form close relationships. Almost every online-dating Web site provides members with search tools. However, do users truly benefit from more complete searches of a large pool of possibilities? The present study, based on the cognitive perspective, examined whether more search options triggered excessive searching, leading to worse choices and poorer selectivity. We argue that more search options lead to less selective processing by reducing users' cognitive resources, distracting them with irrelevant information, and reducing their ability to screen out inferior options. A total of 128 Taiwanese late adolescents and adults with experience in online romantic relationships participated in an experimental study. After entering the characteristics they found desirable in a partner in such a relationship, participants were randomly assigned to receive one of three levels of available profiles. The dependent measures consisted of the number of profiles searched, the average preference difference for all profiles viewed, the preference difference for the chosen profile, and the degree of selectivity. These measures were used to determine whether more attention was devoted to better alternatives and less attention to worse alternatives. The data supported the predictions. Implications and directions for further research are discussed.

  18. Case study: a data warehouse for an academic medical center.

    PubMed

    Einbinder, J S; Scully, K W; Pates, R D; Schubart, J R; Reynolds, R E

    2001-01-01

    The clinical data repository (CDR) is a frequently updated relational data warehouse that provides users with direct access to detailed, flexible, and rapid retrospective views of clinical, administrative, and financial patient data for the University of Virginia Health System. This article presents a case study of the CDR, detailing its five-year history and focusing on the unique role of data warehousing in an academic medical center. Specifically, the CDR must support multiple missions, including research and education, in addition to administration and management. Users include not only analysts and administrators but clinicians, researchers, and students.

  19. A case study in working with cell-centered data

    SciTech Connect

    CROSSNO,PATRICIA J.

    2000-03-30

    This case study provides examples of how some simple decisions the authors made in structuring their algorithms for handling cell-centered data can dramatically influence the results. Although they all know that these decisions produce variations in results, they think that they underestimate the potential magnitude of the differences. More importantly, the users of the codes may not be aware that these choices have been made or what they mean to the resulting visualizations of their data. This raises the question of whether or not these decisions are inadvertently distorting user interpretations of data sets.

  20. PREFER study: a randomized clinical trial testing treatment preference and two dietary options in behavioral weight management--rationale, design and baseline characteristics.

    PubMed

    Burke, Lora E; Choo, Jina; Music, Edvin; Warziski, Melanie; Styn, Mindi A; Kim, Yookyung; Sevick, Mary Ann

    2006-02-01

    Obesity, a disorder associated with a myriad of comorbidities, is increasing at an alarming rate around the world. Given that pharmacotherapy has limited available options and that bariatric surgery is reserved for those who are morbidly obese or who have significant comorbidities, the most common approach to the treatment of obesity is standard behavioral treatment. This approach includes behavior modification related to eating and activity habits. The purpose of this paper is to describe the rationale, design, methods and baseline sample characteristics of a randomized controlled trial of a behavioral intervention in weight loss management, referred to as the PREFER study. The PREFER study, using a four-group design, includes: (1) a randomization scheme that permits participants to indicate a preferred dietary treatment approach, and (2) two dietary options, one of which is a lacto-ovo-vegetarian diet that has demonstrated potential for long-term adherence. The intervention (32 treatment sessions) is delivered over 12 months and is followed by a 6-month maintenance phase; final assessment occurs at 18 months. We screened 932 individuals and randomized 197 to the study: Treatment Preference-Yes (n=84) and Treatment Preference-No (n=98). To maintain a balance across the four treatment groups, 15 subjects who preferred the standard diet had to be discarded from the Treatment Preference-Yes group. Retention at 18 months for the first of three cohorts was 82%. The PREFER study is a single center study and is the first randomized controlled trial examining a lacto-ovo-vegetarian diet as part of weight loss treatment. The ethnically diverse sample includes males and females with a body mass index of 27 to 43. The study has the potential to make a contribution to understanding the role of treatment preference and the potential of a lacto-ovo-vegetarian diet for long-term weight loss.

  1. Lifestyle modification and metformin as long-term treatment options for obese adolescents: study protocol.

    PubMed

    Wilson, A Justine; Prapavessis, Harry; Jung, Mary E; Cramp, Anita G; Vascotto, Joy; Lenhardt, Larissa; Shoemaker, J Kevin; Watson, Margaret; Robinson, Tracy; Clarson, Cheril L

    2009-11-30

    Childhood obesity is a serious health concern affecting over 155 million children in developed countries worldwide. Childhood obesity is associated with significantly increased risk for development of type 2 diabetes, cardiovascular disease and psychosocial functioning problems (i.e., depression and decreased quality of life). The two major strategies for management of obesity and associated metabolic abnormalities are lifestyle modification and pharmacologic therapy. This paper will provide the background rationale and methods of the REACH childhood obesity treatment program. The REACH study is a 2-year multidisciplinary, family-based, childhood obesity treatment program. Seventy-two obese adolescents (aged 10-16 years) and their parents are being recruited to participate in this randomized placebo controlled trial. Participants are randomized to receive either metformin or placebo, and are then randomized to a moderate or a vigorous intensity supervised exercise program for the first 12-weeks. After the 12-week exercise program, participants engage in weekly exercise sessions with an exercise facilitator at a local community center. Participants engage in treatment sessions with a dietitian and social worker monthly for the first year, and then every three months for the second year. The primary outcome measure is change in body mass index and the secondary outcome measures are changes in body composition, risk factors for type 2 diabetes and cardiovascular disease, changes in diet, physical activity, and psychosocial well-being (e.g., quality of life). It is hypothesized that participants who take metformin and engage in vigorous intensity exercise will show the greatest improvements in body mass index. In addition, it is hypothesized that participants who adhere to the REACH program will show improvements in body composition, physical activity, diet, psychosocial functioning and risk factor profiles for type 2 diabetes and cardiovascular disease. These

  2. Lifestyle modification and metformin as long-term treatment options for obese adolescents: study protocol

    PubMed Central

    2009-01-01

    Background Childhood obesity is a serious health concern affecting over 155 million children in developed countries worldwide. Childhood obesity is associated with significantly increased risk for development of type 2 diabetes, cardiovascular disease and psychosocial functioning problems (i.e., depression and decreased quality of life). The two major strategies for management of obesity and associated metabolic abnormalities are lifestyle modification and pharmacologic therapy. This paper will provide the background rationale and methods of the REACH childhood obesity treatment program. Methods/design The REACH study is a 2-year multidisciplinary, family-based, childhood obesity treatment program. Seventy-two obese adolescents (aged 10-16 years) and their parents are being recruited to participate in this randomized placebo controlled trial. Participants are randomized to receive either metformin or placebo, and are then randomized to a moderate or a vigorous intensity supervised exercise program for the first 12-weeks. After the 12-week exercise program, participants engage in weekly exercise sessions with an exercise facilitator at a local community center. Participants engage in treatment sessions with a dietitian and social worker monthly for the first year, and then every three months for the second year. The primary outcome measure is change in body mass index and the secondary outcome measures are changes in body composition, risk factors for type 2 diabetes and cardiovascular disease, changes in diet, physical activity, and psychosocial well-being (e.g., quality of life). It is hypothesized that participants who take metformin and engage in vigorous intensity exercise will show the greatest improvements in body mass index. In addition, it is hypothesized that participants who adhere to the REACH program will show improvements in body composition, physical activity, diet, psychosocial functioning and risk factor profiles for type 2 diabetes and

  3. A numerical study of the European option by the MLPG method with moving kriging interpolation.

    PubMed

    Phaochoo, P; Luadsong, A; Aschariyaphotha, N

    2016-01-01

    In this paper, the meshless local Petrov-Galerkin (MLPG) method is applied for solving a generalized Black-Scholes equation in financial problems. This equation is a PDE governing the price evolution of a European call or a European put under the Black-Scholes model. The θ-weighted method and MLPG are used for discretizing the governing equation in time variable and option pricing, respectively. We show that the spectral radius of amplification matrix with the discrete operator is less than 1. This ensures that this numerical scheme is stable. Numerical experiments are performed with time varying volatility and the results are compared with the analytical and the numerical results of other methods.

  4. Space station needs, attributes and architectural options study. Briefing material: Final review and executive summary

    NASA Astrophysics Data System (ADS)

    1983-04-01

    Advantages and disadvantages were assessed for configuration options for a modular 14' diameter space station, a modular aft cargo carrier and a shuttle derived vehicle. Early, intermediate, and mature configurations were defined as well as power requirements, heat rejection, hydrazine usage, and the external scavenging concept. Subsystems were analyzed for propulsion, attitude control, data processing, and communications. Areas of uncertainties, associated costs and benefits, and the cost by phase of the modular and shuttle derived vehicle configurations were identified. Technologies assessed included solar vs nuclear; gravity gradient vs active control; heat pipe radiators vs fluid loops; distributed processors vs centralized, and modular vs shuttle derived configuration. It was determined that the early space station architecture should include: (1) reusable OTV with aerobraking; (2) TMS with telepresence services; (3) OTV/TMS refueling and servicing capability; and (4) attached research laboratories for life sciences and materials processing.

  5. A Titan exploration study: Science, technology and mission planning options, volume 1

    NASA Technical Reports Server (NTRS)

    Tindle, E. L.; Manning, L. A.; Sadin, S. R.; Edsinger, L. E.; Weissman, P. R.; Swenson, B. L.

    1976-01-01

    Mission concepts and technology advancements that can be used in the exploration of the outer planet satellites were examined. Titan, the seventh satellite of Saturn was selected as the target of interest. Science objectives for Titan exploration were identified, and recommended science payloads for four basic mission modes were developed (orbiter, atmospheric probe, surface penetrator and lander). Trial spacecraft and mission designs were produced for the various mission modes. Using these trial designs as a base, technology excursions were then made to find solutions to the problems resulting from these conventional approaches and to uncover new science, technology and mission planning options. Several mission modes were developed that take advantage of the unique conditions expected at Titan. They include a combined orbiter, atmosphere probe and lander vehicle, a combined probe and surface penetrator configuration and concepts for advanced remote sensing orbiters.

  6. Space station needs, attributes and architectural options study. Briefing material: Final review and executive summary

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Advantages and disadvantages were assessed for configuration options for a modular 14' diameter space station, a modular aft cargo carrier and a shuttle derived vehicle. Early, intermediate, and mature configurations were defined as well as power requirements, heat rejection, hydrazine usage, and the external scavenging concept. Subsystems were analyzed for propulsion, attitude control, data processing, and communications. Areas of uncertainties, associated costs and benefits, and the cost by phase of the modular and shuttle derived vehicle configurations were identified. Technologies assessed included solar vs nuclear; gravity gradient vs active control; heat pipe radiators vs fluid loops; distributed processors vs centralized, and modular vs shuttle derived configuration. It was determined that the early space station architecture should include: (1) reusable OTV with aerobraking; (2) TMS with telepresence services; (3) OTV/TMS refueling and servicing capability; and (4) attached research laboratories for life sciences and materials processing.

  7. [Strategic options for the relationship-management between hospital and statutory health insurance - an explorative study].

    PubMed

    Pick, V; Rossbach, C

    2010-05-01

    This investigation examines the specific demands of statutory health insurance organisations on hospitals. The need for such an analysis is determined by the increasing competition in the German health care system in the past years. Hospitals are confronted with growing and perhaps conflictual demands on the hospital's stakeholders. An empirical investigation should provide first insight into the widely unexplored relationship between statutory health insurances and hospitals. For this reason, 23 explorative interviews with managers of hospitals and statutory health insurance organisations were conducted. The resulting demands are structured and assigned to identified areas of demand. Aspects which are important for statutory health insurance organisations and aspects that hospitals assume are important were compared. Thus, an existing gap was identified. Furthermore, options for statutory health insurance (dis-)satisfaction are shown. Such an analysis is essential for hospitals to develop and maintain a positive relationship to the statutory health insurances and to achieve competitive advantages. Georg Thieme Verlag KG Stuttgart, New York.

  8. Boulder Capture System Design Options for the Asteroid Robotic Redirect Mission Alternate Approach Trade Study

    NASA Technical Reports Server (NTRS)

    Belbin, Scott P.; Merrill, Raymond G.

    2014-01-01

    This paper presents a boulder acquisition and asteroid surface interaction electromechanical concept developed for the Asteroid Robotic Redirect Mission (ARRM) option to capture a free standing boulder on the surface of a 100 m or larger Near Earth Asteroid (NEA). It details the down select process and ranking of potential boulder capture methods, the evolution of a simple yet elegant articulating spaceframe, and ongoing risk reduction and concept refinement efforts. The capture system configuration leverages the spaceframe, heritage manipulators, and a new microspine technology to enable the ARRM boulder capture. While at the NEA it enables attenuation of terminal descent velocity, ascent to escape velocity, boulder collection and restraint. After departure from the NEA it enables, robotic inspection, sample caching, and crew Extra Vehicular Activities (EVA).

  9. Community Involvement: A Case Study of the Education Resource Center.

    ERIC Educational Resources Information Center

    Wilson, Stephen; And Others

    The Education Resource Center (ERC) is a community-based teachers' resource center located in Chicago (Illinois). Its conceptual base is broader than that of a typical teachers center as ERC represents a community-based social movement with a wider orientation than teacher training. ERC's policy board reflects community organizations and the…

  10. Community Involvement: A Case Study of the Education Resource Center.

    ERIC Educational Resources Information Center

    Wilson, Stephen; And Others

    The Education Resource Center (ERC) is a community-based teachers' resource center located in Chicago (Illinois). Its conceptual base is broader than that of a typical teachers center as ERC represents a community-based social movement with a wider orientation than teacher training. ERC's policy board reflects community organizations and the…

  11. Cast Study: National Naval Medical Center, A Graduate Management Project

    DTIC Science & Technology

    2002-06-10

    of Health Sciences), the Naval Medical Research Institute (now the Naval Medical Research Center), and the Naval Dental School (now the National...Naval Dental Center) (History, 2000). The NNMC mission became regional on January 1, 1973 with the establishment of the National Naval Medical Center...General Surgery Material Management Inpatient Surgery Postal Operations Ophthalmology Oerations Service Oral & Maxillo- Bahelor Housing facial/ Dental

  12. Study of a conceptual nuclear energy center at Green River, Utah. Power demand, load center assessment and transmission

    SciTech Connect

    Smith, D.R.; Thaik, A.; Pingel, P.

    1982-02-01

    This document constitutes a segment of a feasibility study investigating the ramification of constructing a nuclear energy center in an arid western region. In this phase of the study. The projected power demands and load center locations were reviewed and assessed. Alternative transmission systems were analysed and a conceptual transmission for bulk power transportation is proposed with potential line routes. Environmental impacts of the proposed transmission were also identified.

  13. Automating the Analytical Laboratories Section, Lewis Research Center, National Aeronautics and Space Administration: A feasibility study

    NASA Technical Reports Server (NTRS)

    Boyle, W. G.; Barton, G. W.

    1979-01-01

    The feasibility of computerized automation of the Analytical Laboratories Section at NASA's Lewis Research Center was considered. Since that laboratory's duties are not routine, the automation goals were set with that in mind. Four instruments were selected as the most likely automation candidates: an atomic absorption spectrophotometer, an emission spectrometer, an X-ray fluorescence spectrometer, and an X-ray diffraction unit. Two options for computer automation were described: a time-shared central computer and a system with microcomputers for each instrument connected to a central computer. A third option, presented for future planning, expands the microcomputer version. Costs and benefits for each option were considered. It was concluded that the microcomputer version best fits the goals and duties of the laboratory and that such an automted system is needed to meet the laboratory's future requirements.

  14. Option study of an orthogonal X-ray radiography axis for pRad at LANSCE area C, Los Alamos.

    SciTech Connect

    Oliver, Bryan Velten; Johnson, David L.; Leckbee, Joshua J.; Jones, Peter

    2010-10-01

    We report on an option study of two potential x-ray systems for orthogonal radiography at Area C in the LANSCE facility at Los Alamos National Laboratory. The systems assessed are expected to be near equivalent systems to the presently existing Cygnus capability at the Nevada Test Site. Nominal dose and radiographic resolution of 4 rad (measured at one meter) and 1 mm spot are desired. Both a system study and qualitative design are presented as well as estimated cost and schedule. Each x-ray system analyzed is designed to drive a rod-pinch electron beam diode capable of producing the nominal dose and spot.

  15. Patients' views on the use of an Option Grid for knee osteoarthritis in physiotherapy clinical encounters: An interview study.

    PubMed

    Kinsey, Katharine; Firth, Jill; Elwyn, Glyn; Edwards, Adrian; Brain, Katherine; Marrin, Katy; Nye, Alan; Wood, Fiona

    2017-08-04

    Patient decision support tools have been developed as a means of providing accurate and accessible information in order for patients to make informed decisions about their care. Option Grids(™) are a type of decision support tool specifically designed to be used during clinical encounters. To explore patients' views of the Option Grid encounter tool used in clinical consultations with physiotherapists, in comparison with usual care, within a patient population who are likely to be disadvantaged by age and low health literacy. Semi-structured interviews with 72 patients (36 who had been given an Option Grid in their consultation and 36 who had not). Thematic analysis explored patients' understanding of treatment options, perceptions of involvement, and readability and utility of the Option Grid. Interviews suggested that the Option Grid facilitated more detailed discussion about the risks and benefits of a wider range of treatment options for osteoarthritis of the knee. Participants indicated that the Option Grid was clear and aided their understanding of a structured progression of the options as their condition advanced, although it was not clear whether the Option Grid facilitated greater engagement in shared decision making. The Option Grid for osteoarthritis of the knee was well received by patient participants who reported that it helped them to understand their options, and made the notion of choice explicit. Use of Option Grids should be considered within routine consultations. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  16. Data Center Energy Benchmarking: Part 2 - Case Studies on TwoCo-location Network Data Centers (No. 18 and 19)

    SciTech Connect

    Xu, Tengfang; Greenberg, Steve

    2007-08-01

    Two data centers in this study were within a co-location facility located on the sixth floor of a multi-story building in downtown Los Angeles, California. The facility had 37,758 gross square feet floor area with 2-foot raised-floors in the data services area. The two data centers were designated as the west data center (DC No.18) and the east data center (DC No.19). The study found that 56% of the overall electric power was consumed by sixth floor critical loads in both data centers, 33% of the power was consumed by HVAC systems, 3% of the power was consumed by UPS units, 3% of the power was for generator losses, and the remaining 5% was used by lighting and miscellaneous loads in the building. The power density of installed computer loads (rack load) in the two data centers was 20 W/ft{sup 2} and 56 W/ft{sup 2}, respectively. The power density was relatively lower in DC No.18 compared to other data centers previously studied. In addition, HVAC to IT power demand ratio was 0.6 in DC No.18 in this study, and was 0.4 in DC No.19. Two out of three chillers were running at a low partial load, making the operation very energy inefficient. The operation and control of the chillers and air-handling units should be optimized while providing sufficient cooling to the data centers. Although arranging hot aisle/cold aisle design to separate airflow streams would be difficult in such a co-location data center, optimizing air distribution should be pursued. General recommendations for improving overall data center energy efficiency include improving the design, operation, and control of mechanical systems serving the data centers with various critical loads in place. This includes chiller operation, chilled water system, AHUs, airflow management and control in data centers. Additional specific recommendations or considerations to improve energy efficiency are provided in this report.

  17. Reducing between scanner differences in multi-center PET studies.

    PubMed

    Joshi, Aniket; Koeppe, Robert A; Fessler, Jeffrey A

    2009-05-15

    This work is part of the multi-center Alzheimer's Disease Neuroimaging Initiative (ADNI), a large multi-site study of dementia, including patients having mild cognitive impairment (MCI), probable Alzheimer's disease (AD), as well as healthy elderly controls. A major portion of ADNI involves the use of [(18)F]-fluorodeoxyglucose (FDG) with positron emission tomography (PET). The objective of this paper is the reduction of inter-scanner differences in the FDG-PET scans obtained from the 50 participating PET centers having fifteen different scanner models. In spite of a standardized imaging protocol, systematic inter-scanner variability in PET images from various sites is observed primarily due to differences in scanner resolution, reconstruction techniques, and different implementations of scatter and attenuation corrections. Two correction steps were developed by comparison of 3-D Hoffman brain phantom scans with the 'gold standard' digital 3-D Hoffman brain phantom: i) high frequency correction; where a smoothing kernel for each scanner model was estimated to smooth all images to a common resolution and ii) low frequency correction; where smooth affine correction factors were obtained to reduce the attenuation and scatter correction errors. For the phantom data, the high frequency correction reduced the variability by 20%-50% and the low frequency correction further reduced the differences by another 20%-25%. Correction factors obtained from phantom studies were applied to 95 scans from normal control subjects obtained from the participating sites. The high frequency correction reduced differences similar to the phantom studies. However, the low frequency correction did not further reduce differences; hence further refinement of the procedure is necessary.

  18. [Recruiting and Personal Development in Surgical Departments of Large Referral Centers - Current Practice and Options for Improvement from Industry and Service Business].

    PubMed

    Homayounfar, K; König, S; Rabe, C; Beck-Broichsitter, B; Lützen, U; Ghadimi, M B; Schmidt, C

    2016-06-23

    Background: Cut-throat competition, cost pressure, generation Y, shortage of qualified staff and feminisation influence human resources management in visceral surgery. The assessment of the current situation by chief surgeons (CS) as well as proof of transferability of strategies from industry and service business (ISB) have not yet been investigated. Material and Methods: The CS of university hospitals and large referral centres (> 800 beds) were interviewed (n = 100) on the basis of a standardised questionnaire including 43 items. Closed questions were designed with a 5-point Likert scale and their analysis was presented as means (MW) and standard deviations (±). Ten human resources manager (HMR) of ISB were invited to participate in 45-minute telephone interviews. Results: Thirty-seven CS participated in the survey, 15 of whom were full professors. Unsolicited applications (100 %), job advertisements (78 %) and direct approaches to final year students (78 %) were the most common ways of recruitment. Only 17 % of CS used a standardised form for preparation. Professional expertise (MW 2.2 ± 0.9), social skills (MW 1.9 ± 0.6) and excellent German language skills (MW 1.8 ± 0.8) were named as important qualifications for employment, while references and certificates were regarded as being less important (MW 3.2 ± 0.9). Personal development was regarded as important (MW 1.1 ± 0.2), but a defined period for residency was not guaranteed (MW 3.0 ± 1.5). Transparent selection criteria for career opportunities (MW 2.5 ± 1.1) and different career models (MW 2.7 ± 1.2) were only rarely available. Six HRM participated in the interviews. Active head-hunting (75 %), Internet platforms (75 %), presentations at conferences (75 %), as well as hiring trainees (50 %), job advertisements (50 %) and social media (50 %) were established options to find qualified employees. Professional and management careers were often

  19. Study on Venture Capital Investment Risk Avoiding Base on Option Pricing in Agricultural Production and Processing Enterprises

    NASA Astrophysics Data System (ADS)

    Zhang, Xubo

    This paper uses the approaches and models of option theory to analyze two-stage venture capital investment in agricultural production and processing enterprises decision-making under uncertainty. Mathematics expressions of this two-stage venture capital investment decision-making are presented. An option value model about two-stage venture capital investment decision-making base on options pricing theory under the uncertainty is presented. Get the solution of option pricing model which we present.

  20. Studies on nonsense mediated decay reveal novel therapeutic options for genetic diseases.

    PubMed

    Bashyam, Murali D

    2009-01-01

    Scientific breakthroughs have often led to commercially viable patents mainly in the field of engineering. Commercialization in the field of medicine has been restricted mostly to machinery and engineering on the one hand and therapeutic drugs for common chronic ailments such as cough, cold, headache, etc, on the other. Sequencing of the human genome has attracted the attention of pharmaceutical companies and now biotechnology has become a goldmine for commercialization of products and processes. Recent advances in our understanding of basic biological processes have resulted in the opening of new avenues for treatment of human genetic diseases, especially single gene disorders. A significant proportion of human genetic disorders have been shown to be caused due to degradation of transcripts for specific genes through a process called nonsense mediated decay (NMD). The modulation of NMD provides a viable therapeutic option for treatment of several genetic disorders and therefore has been a good prospect for patenting and commercialization. In this review the molecular basis for NMD and attempts to treat genetic diseases which result from NMD are discussed.

  1. [Is Sexual Identity Optional? A Study of The Genetics of Transsexuality].

    PubMed

    Fernández García, Rosa M; Pásaro Méndez, Eduardo

    2017-01-01

    Transsexualism in the ICD-10 (International Classification of Diseases, Tenth Revision), Gender Dysphoria in adolescents and adults in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), is characterized by a marked incongruence between one's experienced gender and biological sex. The etiology is complex, but some hypotheses suggest that Gender Dysphoria (GD) arises from discrepant cerebral and biological sexual differentiation. Increasing evidence supports the idea of genetic vulnerability. Henningsson et al, (2004) found significant differences when they examined estrogen receptor β (ERβ) in a male-to- female (MtF) population. They suggested that a long ERβ polymorphism is more common in MtFs. Hare et al, (2009) also examined an MtF population and found a significant association between the androgen receptor (AR) and GD. Our group analyzed the same polymorphisms and found an association between ERα, ERβ and AR in GD. Our results suggest a genetic basis of GD in MtF and FtM populations. Our data corroborate the implication of the two estrogen receptors, ERα and β, and the androgen receptor in the genetic basis of GD, and advise the importance of estrogens and androgens in cerebral masculinization. Our data also confirm that sexual identity is not optional, but is determined prenatally by the genes, although it has a very important hormonal component. Therefore, its substrate is cerebral, not ideological.

  2. Center on Centers.

    ERIC Educational Resources Information Center

    Utah System Approach to Individualized Learning Project.

    Classroom areas organized into centers for specific study purposes are discussed. These centers are used for individual or small group work. The physical arrangement of the area used for a study center is described, including the organization of furniture, materials, and preferred locations. Suggestions are made for the management and stocking of…

  3. 75 FR 67999 - Notice of Inventory Completion: Anthropological Studies Center, Archaeological Collections...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... Completion: Anthropological Studies Center, Archaeological Collections Facility, Sonoma State University... completion of an inventory of human remains in the possession of the Anthropological Studies Center.... A detailed assessment of the human remains was made by the Anthropological Studies...

  4. [Science and society. Guidelines for the Leopoldina Study Center].

    PubMed

    Hacker, Jörg

    2014-01-01

    In order to adequately perform its many diverse tasks as a scholars' society and as the German National Academy of Sciences, the Deutsche Akademie der Naturforscher Leopoldina needs to view itself in a historical context. This can only happen as part of a culture of remembrance which fosters the memory of the Leopoldina's past and subjects this to a critical analysis in the context of the history of science and academies. The newly founded Leopoldina Study Center for the History of Science and Science Academies is to be a forum that pursues established forms of historical research at the Leopoldina, organizes new scientific projects, and presents its findings to the public. The aim is to involve as many Leopoldina members as possible from all of its disciplines, as well as to collaborate with national and international partners.

  5. Life Sciences Division and Center for Human Genome Studies 1994

    SciTech Connect

    Cram, L.S.; Stafford, C.

    1995-09-01

    This report summarizes the research and development activities of the Los Alamos National Laboratory`s Life Sciences Division and the biological aspects of the Center for Human Genome Studies for the calendar year 1994. The technical portion of the report is divided into two parts, (1) selected research highlights and (2) research projects and accomplishments. The research highlights provide a more detailed description of a select set of projects. A technical description of all projects is presented in sufficient detail so that the informed reader will be able to assess the scope and significance of each project. Summaries useful to the casual reader desiring general information have been prepared by the group leaders and appear in each group overview. Investigators on the staff of the Life Sciences Division will be pleased to provide further information.

  6. Improving Conceptual Design for Launch Vehicles. The Bimese Concept: A Study of Mission and Economic Options

    NASA Technical Reports Server (NTRS)

    Olds, John R.; Tooley, Jeffrey

    1999-01-01

    This report summarizes key activities conducted in the third and final year of the cooperative agreement NCC1-229 entitled "Improving Conceptual Design for Launch Vehicles." This project has been funded by the Vehicle Analysis Branch at NASA's Langley Research Center in Hampton, VA. Work has been performed by the Space Systems Design Lab (SSDL) at the Georgia Institute of Technology, Atlanta, GA. Accomplishments during the first and second years of this project have been previously reported in annual progress reports. This report will focus on the third and final year of the three year activity.

  7. Space Operations Center system analysis study extension. Volume 4, book 2: SOC system analysis report

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The Space Operations Center (SOC) orbital space station research missions integration, crew requirements, SOC operations, and configurations are analyzed. Potential research and applications missions and their requirements are described. The capabilities of SOC are compared with user requirements. The SOC/space shuttle and shuttle-derived vehicle flight support operations and SOC orbital operations are described. Module configurations and systems options, SOC/external tank configurations, and configurations for geostationary orbits are described. Crew and systems safety configurations are summarized.

  8. Study of a conceptual nuclear energy center at Green River, Utah. Final summary report

    SciTech Connect

    Williams, J.T.

    1982-09-01

    This document summarizes a conceptual study on the feasibility and practicality of developing a nuclear energy center (NEC) at a representative Western site. The site selected for this conceptual study, an area of about 50 square miles, is located 15 miles south of Green River, Utah. The conceptual NEC would consist of nine nuclear electric generating units, arranged on the site in three clusters of three reactors each (triads), separated by about 2 1/2 miles. Of the total electric output of 11,250 MWe that the NEC could produce, about 82% is assumed to be transmitted out of Utah to Colorado, New Mexico, Arizona, Nevada, and California. The technical engineering issues studied included geology and seismology, plant design, low-level radioactive waste disposal, transmission, and construction schedules and costs. Socioeconomic issues included were demographics, land use, community service needs, and fiscal impacts. Environmental considerations included terrestrial and aquatic ecology, visual impact, and secondary population impacts. Radiological issues were concerned with the safety and risks of an NEC and an on-site low-level waste facility. Institutional issues included methods of ownership, taxation, implications of energy export, and water allocation. The basic finding was that an NEC would be technically feasible, but a number of socioeconomic and institutional issues would require resolution before a Western regional NEC could be considered a viable power plant siting option.

  9. Recombinant human factor VIIa prevents hysterectomy in severe postpartum hemorrhage: single center study.

    PubMed

    Huber, Alexander W; Raio, Luigi; Alberio, Lorenzo; Ghezzi, Fabio; Surbek, Daniel V

    2011-10-24

    To evaluate the effectiveness of human recombinant activated factor VII (rhFVIIa, NovoSeven) in avoiding hysterectomy postpartum in the management of severe postpartum hemorrhage (PPH). We performed a prospective cohort study at our university tertiary care center. Patients with severe post partum hemorrhage (blood loss >2000 mL) and failed medical and uterus-preserving surgical management, were treated with intravenous bolus administration of rhVIIa. Main outcome measures were cessation of bleeding, postpartum hysterectomy and thromboembolic events. In 20/22 patients included, PPH was caused primarily by uterine atony, including 7 (32%) with additional lower genital tract lesion; in two women, it was due to pathologic placentation (placenta increta, 9%). One case of amniotic fluid embolism and one woman with uterine inversion were included. Recombinant hFVIIa was successful in stopping the PPH and in preventing a hysterectomy in 20/22 women (91%). The remaining two patients with persistent bleeding despite rhFVIIa treatment, who underwent postpartum hysterectomy, had placenta increta. No thromboembolic event was noticed. This study describes the largest single center series of rhFVIIa treatment for fertility preservation in severe postpartum hemorrhage published to date. Our data suggest that administration of rhFVIIa is effective in avoiding postpartum hysterectomy after conservative medical and surgical measures have failed. Although randomized studies are lacking, rhFVIIa should be considered as a second-line therapeutic option of life-threatening postpartal bleeding, in particular if preservation of fertility is warranted and hysterectomy is to be avoided.

  10. Cognitive and Affective Aspects of Creative Option Generation in Everyday Life Situations

    PubMed Central

    Schweizer, T. Sophie; Schmalenberger, Katja M.; Eisenlohr-Moul, Tory A.; Mojzisch, Andreas; Kaiser, Stefan; Funke, Joachim

    2016-01-01

    Which factors influence a human being’s ability to develop new perspectives and be creative? This ability is pivotal for any context in which new cognitions are required, such as innovative endeavors in science and art, or psychotherapeutic settings. In this article, we seek to bring together two research programs investigating the generation of creative options: On the one hand, research on option generation in the decision-making literature and, on the other hand, cognitive and clinical creativity research. Previous decision-making research has largely neglected the topic of generating creative options. Experiments typically provided participants with a clear set of options to choose from, but everyday life situations are less structured and allow countless ways to react. Before choosing an option, agents have to self-generate a set of options to choose from. Such option generation processes have only recently moved to the center of attention. The present study examines the creative quality of self-generated options in daily life situations. A student sample (N = 48) generated options for action in 70 briefly described everyday life scenarios. We rated the quality of the options on three dimensions of creativity- originality, feasibility, and divergence -and linked these qualities to option generation fluency (speed and number of generated options), situational features like the familiarity and the affective valence of the situation in which the options were generated, and trait measures of cognitive performance. We found that when situations were familiar to the participant, greater negative affective valence of the situation was associated with more originality and divergence of generated options. We also found that a higher option generation fluency was associated with a greater maximal originality of options. We complete our article with a joint research agenda for researchers in the decision-making field focusing on option generation and, on the other hand

  11. Cognitive and Affective Aspects of Creative Option Generation in Everyday Life Situations.

    PubMed

    Schweizer, T Sophie; Schmalenberger, Katja M; Eisenlohr-Moul, Tory A; Mojzisch, Andreas; Kaiser, Stefan; Funke, Joachim

    2016-01-01

    Which factors influence a human being's ability to develop new perspectives and be creative? This ability is pivotal for any context in which new cognitions are required, such as innovative endeavors in science and art, or psychotherapeutic settings. In this article, we seek to bring together two research programs investigating the generation of creative options: On the one hand, research on option generation in the decision-making literature and, on the other hand, cognitive and clinical creativity research. Previous decision-making research has largely neglected the topic of generating creative options. Experiments typically provided participants with a clear set of options to choose from, but everyday life situations are less structured and allow countless ways to react. Before choosing an option, agents have to self-generate a set of options to choose from. Such option generation processes have only recently moved to the center of attention. The present study examines the creative quality of self-generated options in daily life situations. A student sample (N = 48) generated options for action in 70 briefly described everyday life scenarios. We rated the quality of the options on three dimensions of creativity- originality, feasibility, and divergence -and linked these qualities to option generation fluency (speed and number of generated options), situational features like the familiarity and the affective valence of the situation in which the options were generated, and trait measures of cognitive performance. We found that when situations were familiar to the participant, greater negative affective valence of the situation was associated with more originality and divergence of generated options. We also found that a higher option generation fluency was associated with a greater maximal originality of options. We complete our article with a joint research agenda for researchers in the decision-making field focusing on option generation and, on the other hand

  12. The Micro Revolution and Information Analysis Centers: A Case Study.

    ERIC Educational Resources Information Center

    Pfuderer, H. A.; Allison, L. J.

    1985-01-01

    Recounts experiences of the Carbon Dioxide Information Center, a technical information analysis center at the Oak Ridge National Laboratory, which has utilized a microcomputer for exchange of automated bibliographic references. Procedures and problems in adding microcomputer information to mainframe databases are noted and other microcomputer…

  13. A Planning Study for the Billerica Human Service Center.

    ERIC Educational Resources Information Center

    Boston Coll., Chestnut Hill, MA.

    This document discusses the development and implementation of a multiservice center that could offer a variety of human social services in a single location. The paper focuses on seven components of the center's operation: governance, organizational structure, core services, joint funding, joint planning, joint programming, and evaluation. The…

  14. Case Study of a Hypothetical Higher Education Library Media Center.

    ERIC Educational Resources Information Center

    Reppert, James E.

    This paper describes the organizational scope, structure, and financial approach of a mock university higher education library media center (i.e., an instructional technology center which functions primarily as a curriculum or training support agency). The paper is organized according to objectives in four main categories. The first category is a…

  15. The Micro Revolution and Information Analysis Centers: A Case Study.

    ERIC Educational Resources Information Center

    Pfuderer, H. A.; Allison, L. J.

    1985-01-01

    Recounts experiences of the Carbon Dioxide Information Center, a technical information analysis center at the Oak Ridge National Laboratory, which has utilized a microcomputer for exchange of automated bibliographic references. Procedures and problems in adding microcomputer information to mainframe databases are noted and other microcomputer…

  16. [Fingolimod compassionate use program: case study on the concept of a therapy option for multiple sclerosis prior to marketing approval].

    PubMed

    Haas, J; Linker, R A; Hartung, H P; Meergans, M; Ortler, S; Tracik, F

    2012-12-01

    In order to meet the needs of therapy of multiple sclerosis (MS) new immune therapies with a user-friendly application and better effectiveness together with good tolerability are necessary. With respect to its potential to improve MS therapy, patients with a high medical need were given access to Fingolimod even before marketing approval. Therefore, a compassionate use program unique in the field of MS was initiated. In total 137 centers participated (75 % outpatient neurologists and 25 % hospitals). Within 19 weeks 135 patients were enrolled to receive Fingolimod. The patients in the compassionate use program can be representatively described as showing hardly controllable disease activity and progression with currently available, often poorly tolerated therapy. The compassionate use program for these patients offered better control of the disease with Fingolimod. The adverse events were as expected. The Fingolimod compassionate use program demonstrated the need for this new therapeutic option. Patients who were not yet sufficiently treated were provided with an effective therapy with a good safety profile and a user-friendly administration form.

  17. Extracorporeal Membrane Oxygenation Outcomes in Acute Respiratory Distress Treatment: Case Study in a Chinese Referral Center.

    PubMed

    Huang, Lei; Li, Tong; Xu, Lei; Hu, Xiao-Min; Duan, Da-Wei; Li, Zhi-Bo; Gao, Xin-Jing; Li, Jun; Wu, Peng; Liu, Ying-Wu

    2017-02-10

    BACKGROUND No definitive conclusions have been drawn from the available data about the utilization of extracorporeal membrane oxygenation (ECMO) to treat severe acute respiratory distress syndrome (ARDS). The aim of this study was to review our center's experience with ECMO and determine predictors of outcome from our Chinese center. MATERIAL AND METHODS We retrospectively analyzed a total of 23 consecutive candidates who fulfilled the study entry criteria between January 2009 and December 2015. Detailed clinical data, ECMO flow, and respiratory parameters before and after the introduction of ECMO were compared among in-hospital survivors and nonsurvivors; factors associated with mortality were investigated. RESULTS Hemodynamics and oxygenation parameters were significantly improved after ECMO initiation. Thirteen patients survived to hospital discharge. Univariate correlation analysis demonstrated that APACHE II score (r=-0.463, p=0.03), acute kidney injury (r=-0.574, p=0.005), membrane oxygenator replacement (r=-0.516, p=0.014) and total length of hospital stay (r=0.526, p=0.012) were significantly correlated with survival to hospital discharge, and that the evolution of the levels of urea nitrogen, platelet, and fibrinogen may help to determine patient prognosis. Sixteen patients referred for ECMO from an outside hospital were successfully transported to our institution by ambulance, including seven transported under ECMO support. The survival rate of the ECMO-transport group was comparable to the conventional transport or the non-transport group (both p=1.000). CONCLUSIONS ECMO is an effective alternative option for severe ARDS. APACHE II score on admission, onset of acute kidney injury, and membrane oxygenator replacement, and the evolution of levels of urea nitrogen, platelet, and fibrinogen during hospitalization may help to determine the in-hospital patient prognosis. By establishing a well-trained mobile ECMO team, a long-distance, inter-hospital transport

  18. Data Information for Global Change Studies: NASA's Distributed Active Archive Centers and Cooperating Data Centers

    NASA Technical Reports Server (NTRS)

    2000-01-01

    The Earth Observing System (EOS) is an integral part of the National Aeronautics and Space Administration's (NASA's) Earth Science Enterprise (ESE). ESE is a long-term global change research program designed to improve our understanding of the Earth's interrelated processes involving the atmosphere, oceans, land surfaces, and polar regions. Data from EOS instruments and other Earth science measurement systems are useful in understanding the causes and processes of global climate change and the consequences of human activities. The EOS Data and Information System (EOSDIS) provides a structure for data management and user services for products derived from EOS satellite instruments and other NASA Earth science data. Within the EOSDIS framework, the Distributed Active Archive Centers (DAACs) have been established to provide expertise in one or more Earth science disciplines. The DAACs and cooperating data centers provide data and information services to support the global change research community. Much of the development of the DAACs has been in anticipation of the enormous amount of data expected from EOS instruments to be launched within the next two decades. Terra, the EOS flagship launched in December 1999, is the first of a series of EOS satellites to carry several instruments with multispectral capabilities. Some data products from these instruments are now available from several of the DAACs. These and other data products can be ordered through the EOS Data Gateway (EDG) and DAAC-specific online ordering systems.

  19. Mars ISRU for Production of Mission Critical Consumables - Options, Recent Studies, and Current State of the Art

    NASA Technical Reports Server (NTRS)

    Sanders, G. B.; Paz, A.; Oryshchyn, L.; Araghi, K.; Muscatello, A.; Linne, D.; Kleinhenz, J.; Peters, T.

    2015-01-01

    In 1978, a ground breaking paper titled, "Feasibility of Rocket Propellant Production on Mars" by Ash, Dowler, and Varsi discussed how ascent propellants could be manufactured on the Mars surface from carbon dioxide collected from the atmosphere to reduce launch mass. Since then, the concept of making mission critical consumables such as propellants, fuel cell reactants, and life support consumables from local resources, commonly known as In-Situ Resource Utilization (ISRU), for robotic and human missions to Mars has been studied many times. In the late 1990's, NASA initiated a series of Mars Human Design Reference Missions (DRMs), the first of which was released in 1997. These studies primarily focused on evaluating the impact of making propellants on Mars for crew ascent to Mars orbit, but creating large caches of life support consumables (water & oxygen) as a backup for regenerative life support systems for long-duration surface stays (>500 days) was also considered in Mars DRM 3.0. Until science data from the Mars Odyssey orbiter and subsequent robotic missions revealed that water may be widely accessable across the surface of Mars, prior Mars ISRU studies were limited to processing Mars atmospheric resources (carbon dioxide, nitrogen, argon, oxygen, and water vapor). In December 2007, NASA completed the Mars Human Design Reference Architecture (DRA) 5.0 study which considered water on Mars as a potential resource for the first time in a human mission architecture. While knowledge of both water resources on Mars and the hardware required to excavate and extract the water were very preliminary, the study concluded that a significant reduction in mass and significant enhancements to the mission architecture were possible if Mars water resources were utilized. Two subsequent Mars ISRU studies aimed at reexamining ISRU technologies, processing options, and advancements in the state-of-the-art since 2007 and to better understand the volume and packaging associated

  20. NASA Langley Research Center Systems Analysis & Concepts Directorate Participation in the Exploration Systems Architecture Study

    NASA Technical Reports Server (NTRS)

    Keyes, Jennifer; Troutman, Patrick A.; Saucillo, Rudolph; Cirillo, William M.; Cavanaugh, Steve; Stromgren, Chel

    2006-01-01

    The NASA Langley Research Center (LaRC) Systems Analysis & Concepts Directorate (SACD) began studying human exploration missions beyond low Earth orbit (LEO) in the year 1999. This included participation in NASA s Decadal Planning Team (DPT), the NASA Exploration Team (NExT), Space Architect studies and Revolutionary Aerospace Systems Concepts (RASC) architecture studies that were used in formulating the new Vision for Space Exploration. In May of 2005, NASA initiated the Exploration Systems Architecture Study (ESAS). The primary outputs of the ESAS activity were concepts and functional requirements for the Crewed Exploration Vehicle (CEV), its supporting launch vehicle infrastructure and identification of supporting technology requirements and investments. An exploration systems analysis capability has evolved to support these functions in the past and continues to evolve to support anticipated future needs. SACD had significant roles in supporting the ESAS study team. SACD personnel performed the liaison function between the ESAS team and the Shuttle/Station Configuration Options Team (S/SCOT), an agency-wide team charged with using the Space Shuttle to complete the International Space Station (ISS) by the end of Fiscal Year (FY) 2010. The most significant of the identified issues involved the ability of the Space Shuttle system to achieve the desired number of flights in the proposed time frame. SACD with support from the Kennedy Space Center performed analysis showing that, without significant investments in improving the shuttle processing flow, that there was almost no possibility of completing the 28-flight sequence by the end of 2010. SACD performed numerous Lunar Surface Access Module (LSAM) trades to define top level element requirements and establish architecture propellant needs. Configuration trades were conducted to determine the impact of varying degrees of segmentation of the living capabilities of the combined descent stage, ascent stage, and other

  1. Penn/VA center for studies of addiction.

    PubMed

    O'Brien, Charles P; McLellan, A Thomas; Childress, Anna Rose; Woody, George E

    2009-01-01

    The Penn/VA Center was founded in 1971 because of great concern over the number of Vietnam veterans returning home addicted to heroin. At that time little was known about the science of addiction, so our program from the very beginning was designed to gather data about the nature of addiction and measure the effects of available treatments. In other words, the goals were always a combination of treatment and research. This combination has continued to the present day. A human laboratory for the study of addiction phenomena such as conditioned responses was also founded in 1971. The key clinician investigators in this group have remained in the Center since the 1970s with most of the research staff continuing to work together. Important new investigators have been added over the years. Treatment was empirically based with randomized, controlled clinical trials as the gold standard for determining evidence-based treatment. The patients coming to treatment do not distinguish between abuse of alcohol and other drugs, so the treatment and research programs have always focused on all drugs including ethyl alcohol and the combination of ethyl alcohol with other drugs such as cocaine and opioids. Most of the patients coming for treatment also suffered from additional psychiatric disorders such as depression, anxiety, bipolar disorder or schizophrenia. Thus, the addiction treatment program in 1980 absorbed the rest of the VA Psychiatry Service into the Substance Abuse Program forming a new Behavioral Health Service with responsibility for over 9000 patients. The integration of substance abuse treatment with overall mental health care was the most efficient way to handle patients with complicated combinations of disorders. While this continues to be the best way to treat patients, it has proven difficult in practice. The main reason for this difficulty is that most mental health therapists whether they are psychiatrists, psychologists or social workers feel very inadequate

  2. Peak load management: Potential options

    SciTech Connect

    Englin, J.E.; De Steese, J.G.; Schultz, R.W.; Kellogg, M.A.

    1989-10-01

    This report reviews options that may be alternatives to transmission construction (ATT) applicable both generally and at specific locations in the service area of the Bonneville Power Administration (BPA). Some of these options have potential as specific alternatives to the Shelton-Fairmount 230-kV Reinforcement Project, which is the focus of this study. A listing of 31 peak load management (PLM) options is included. Estimated costs and normalized hourly load shapes, corresponding to the respective base load and controlled load cases, are considered for 15 of the above options. A summary page is presented for each of these options, grouped with respect to its applicability in the residential, commercial, industrial, and agricultural sectors. The report contains comments on PLM measures for which load shape management characteristics are not yet available. These comments address the potential relevance of the options and the possible difficulty that may be encountered in characterizing their value should be of interest in this investigation. The report also identifies options that could improve the efficiency of the three customer utility distribution systems supplied by the Shelton-Fairmount Reinforcement Project. Potential cogeneration options in the Olympic Peninsula are also discussed. These discussions focus on the options that appear to be most promising on the Olympic Peninsula. Finally, a short list of options is recommended for investigation in the next phase of this study. 9 refs., 24 tabs.

  3. Treatment options for osteoarthritis.

    PubMed

    Singh, Gurkirpal

    2003-01-01

    Osteoarthritis (OA) is a debilitating, degenerative disease of the articular cartilage and synovial fluid. Approximately 20 million Americans suffer from this disease for which no cure exists as yet. The primary goals of current OA therapy are centered on controlling pain; improving, preserving, or both, joint function and mobility; and improving health-related quality of life-but not on reversing the disease process. Current treatment options of OA consist of both non-pharmacological and pharmacological modalities. Non-pharmacological therapy that consists of patient education and physical/occupational therapy is a primary component of OA management, either rendered alone or in combination with pharmacological treatment. The several options for pharmacological treatment include acetaminophen, nonspecific NSAIDs, and COX-2 specific inhibitors. Many of these drugs, however, are beset with serious side effects. For patients with severe OA not responsive to medical treatment, nonsurgical interventions such as viscosupplements and injectable compounds that mimic healthy synovial fluid or surgical interventions are two likely options. The former, however, have not been shown unequivocally to be effective. Future treatment modalities for OA are geared toward reversing the disease process and may include disease-modifying drugs and gene therapy.

  4. Person-centered Climate Questionnaire-Patient in English: A psychometric evaluation study in long-term care settings.

    PubMed

    Yoon, Ju Young; Roberts, Tonya; Grau, Bruce; Edvardsson, David

    2015-01-01

    There is increasing evidence that person-centered care improves nursing home residents' quality of life. Despite the clear focus of person-centered care on enhancing care for residents and engaging residents in care, there are few options available for measuring person-centered care from the perspective of the elder residents. The aim of this study was to assess the psychometric properties of the English version of the Person-centered Climate Questionnaire-Patient (PCQ-P) in U.S. long-term care settings. A total of 189 older adults from six nursing homes in the Midwestern United States were included. Convergent validity and known-group comparison were examined for construct validity. Exploratory factor analysis and second-order confirmatory factor analysis were utilized to examine the factor structure. Reliability was tested using Cronbach's alpha values for internal consistency. This study demonstrated a substantial convergent validity of the PCQ-P in English as higher scores correlated significantly with higher resident life satisfaction (r=0.459), and the satisfactory construct validity as evidenced by a significantly higher mean PCQ-P score from residents in higher quality nursing homes. Factor analysis demonstrated that the PCQ-P had three factors (hospitality, safety, and everydayness) in U.S. nursing home residents. The PCQ-P showed satisfactory internal consistency reliability (α=0.89). The English version of the PCQ-P is a valid and reliable tool to directly measure the perceptions of the person-centered climate in the U.S nursing homes. The simple and straightforward PCQ-P items are easy to administer to nursing home residents. Consequently, clinical staff can utilize the PCQ-P to assess the unit climate, and evaluate outcomes of person-centered interventions. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. Center for Advanced Energy Studies (CAES) Strategic Plan

    SciTech Connect

    Kevin Kostelnik; Keith Perry

    2007-07-01

    Twenty-first century energy challenges include demand growth, national energy security, and global climate protection. The Center for Advanced Energy Studies (CAES) is a public/private partnership between the State of Idaho and its academic research institutions, the federal government through the U.S. Department of Energy (DOE) and the Idaho National Laboratory (INL) managed by the Battelle Energy Alliance (BEA). CAES serves to advance energy security for our nation by expanding the educational opportunities at the Idaho universities in energy-related areas, creating new capabilities within its member institutions, and delivering technological innovations leading to technology-based economic development for the intermountain region. CAES has developed this strategic plan based on the Balanced Scorecard approach. A Strategy Map (Section 7) summarizes the CAES vision, mission, customers, and strategic objectives. Identified strategic objectives encompass specific outcomes related to three main areas: Research, Education, and Policy. Technical capabilities and critical enablers needed to support these objectives are also identified. This CAES strategic plan aligns with and supports the strategic objectives of the four CAES institutions. Implementation actions are also presented which will be used to monitor progress towards fulfilling these objectives.

  6. Biosphere 2 Center as a unique tool for environmental studies.

    PubMed

    Walter, Achim; Lambrecht, Susanne Carmen

    2004-04-01

    The Biosphere 2 Laboratory of Biosphere 2 Center, Arizona, is a unique, self-contained glasshouse fostering several mesocosms of tropical and subtropical regions on an area of 12,700 m2. It was constructed around 1990 to test whether human life is possible in this completely sealed, self-sustaining artificial ecosystem. Mainly due to overly rich organic soils, the initial mission failed in a spectacular manner that raised enormous disbelief in the scientific seriousness of the project. From 1995 to 2003, the facility had been operated by Columbia University under a completely new scientific management. The aim of the project had then been to conduct research in the field of 'experimental climate change science'. Climatic conditions within the mesocosms can be precisely controlled. In studies with elevated CO2, altered temperature and irrigation regimes performed in the rainforest, coral reef and agriforestry mesocosm, the facility had proven to be a valuable tool for global climate change research. Upon submission of this manuscript, Columbia University is relinquishing the management of this facility now although there was a contract to operate the facility until 2010, leaving it with an unclear destiny that might bring about anything from complete abandonment to a new flowering phase with a new destination.

  7. The IMS Satellite Situation Center. [International Magnetospheric Study

    NASA Technical Reports Server (NTRS)

    Sugiura, M.; Vette, J. I.

    1977-01-01

    Following a brief historical review of the SSC (Satellite Situation Center), created by the U.S. for the IMS (International Magnetospheric Study), its main functions are discussed. The services of the SSC include the accurate orbit determination of the satellites, 12-18 months in advance and the coordination of simultaneous observations by a multispacecraft system, which are essential for the optimization of the scientific gains from experiments conducted with limited resources. For 1976 SSC generated plots of the satellites Vela 5B, Vela 6A, Vela 6B, Hawkeye 1, Imp H (7), Imp J (8) by computing certain projections of the solar ecliptic, solar magnetospheric, and solar magnetic coordinate systems. The SSC system was automated by the addition of a computer system capable of interactive graphics. The SSC can also provide the ground-based campaigns with a graphical or tabular information about the position low-altitude satellites in any coordinate system. The possible participation of the SSC in future Electrodynamics Explorer mission, Space Shuttle programs is also being explored.

  8. Centrality preferences in choices among similar options.

    PubMed

    Shaw, J I; Bergen, J E; Brown, C A; Gallagher, M E

    2000-04-01

    Three explanations were explored for the finding that people prefer the middle option rather than the extremes when choosing from an array of similar options. In Study 1, 68% chose the middle item from a set of three highlighters and three surveys, whereas 32% chose an item from either end, p < .0001. In Study 2, 71% selected the middle chair from a row of three chairs that were either all empty, or had a backpack occupying either one of the two end chairs, p < .0001. These results support a minimal mental effort principle rather than a preference for symmetry rule. In Study 3, 54.2% recalled more graphic items from the center poster of a 3-poster collage, whereas 31.3% and 14.5% recalled more items from the left and right posters, respectively, p < .004. These findings lend additional support to a focus of attention explanation.

  9. Manatí Medical Center Sepsis Management Epidemiological Study.

    PubMed

    Morales Serrano, Tamara; Ramos, Shirley; Lara Gonzalez, Yanira; Torres Colberg, Heileene; Vera Quiñones, Alexis; Miranda Santiago, Roberto; Amill, Samuel; Otero, Marielys; Cintron, Vielka; Villarreal Morales, Martha Lissete

    2015-01-01

    Sepsis is the combination of infection and physiological changes known as the systemic inflammatory response syndrome. There have been improvements in mortality rates and outcomes of septic patients based on "Surviving Sepsis Campaign" guidelines. Current management of sepsis at our Institution follows no specific mandatory protocols. This study aimed to verify the incidence and outcome of sepsis in Manati Medical Center, Puerto Rico. An observational retrospective study was conducted. All the Emergency Department admissions from May 1/ to October 31/ 2013 were screened for sepsis per ICD-9 code. For all included patients, demographic and clinical data at ED admission were collected. During this period 8931 patients were admitted and 148 met criteria for sepsis and related conditions. The overall mortality rate was 43.91%. Mortality increased with age, from 10.52% among ≤ 44 years old to 68.75% in those ≥ 85 years old. The main infection sources were respiratory (32.66%) and urinary tract (24.62%). Mean age among non-survivors was 10.8 years higher than the survivor group (95% Cl 5.2-1 6.5, p < 0.05). Multivariate analysis showed an increased fatality rate associated to severity of sepsis (HR 1.33; 95% Cl; 1.03-1.72, p = 0.02) and the APACHE2 score (HR 1.05; 95% Cl, 1.01-1.09 p = 0.03). Our data suggests that sepsis is an important problem to consider. We strongly encourage an institutional standardized protocol to diminish the mortality impact. Our results will allow adequate preventive strategies to improve early diagnosis, mortality rates and outcomes of septic patients.

  10. Making the Change: From a Teacher-Centered to a Learner-Centered Environment--A Phenomenological Study

    ERIC Educational Resources Information Center

    Roof, Patty L.

    2012-01-01

    Nursing education is calling for transformation in teaching practices which includes learner-centered environments. The purpose of this qualitative phenomenological study was to explore 15 nursing faculty life experiences as they relate to the choice of a learning environment. Participants expressed their life experiences through interview…

  11. A Study to Determine a Methodology for Establishing a Center of Excellence Program at Fitzsimons Army Medical Center.

    DTIC Science & Technology

    1992-01-10

    69 D. SPECIAL REQUIREMENTS FOR GRADUATE MEDICAL EDUCATION PROGRAM IN CARDIOLOGY ............................ 74 E...FITZSIMONS ARMY MEDICAL CENTER GRADUATE MEDICAL EDUCATION PROGRAM IN CARDIOLOGY ................... 76 1 A Study to Determine a Methodology for...prioritized according to average government cost for 27 different diagnostic medical specialties to include adverse reaction, allergy, cardiology

  12. Identifying the Local Impacts of National ATE Centers on Their Host Institutions: An Exploratory Study

    ERIC Educational Resources Information Center

    Henderson, Charles; Fynewever, Herb; Petcovic, Heather; Bierema, Andrea

    2012-01-01

    The purpose of this study is to identify the local impacts of national advanced technological education (ATE) centers on their host institutions. A sample of three mature, national ATE centers are chosen, with each center serving as a case for a mixed-methods, collective case study research design. Results, drawn from interviews and surveys,…

  13. Identifying the Local Impacts of National ATE Centers on Their Host Institutions: An Exploratory Study

    ERIC Educational Resources Information Center

    Henderson, Charles; Fynewever, Herb; Petcovic, Heather; Bierema, Andrea

    2012-01-01

    The purpose of this study is to identify the local impacts of national advanced technological education (ATE) centers on their host institutions. A sample of three mature, national ATE centers are chosen, with each center serving as a case for a mixed-methods, collective case study research design. Results, drawn from interviews and surveys,…

  14. Meeting the Expectations of the Social Studies Teacher at a Teacher Center.

    ERIC Educational Resources Information Center

    Schober, Helen

    1984-01-01

    Teacher centers respond to a teacher's own defined needs by offering assistance, instruction, and materials to help enrich classroom learning experiences. Services provided social studies educators by the Teacher Center in Humboldt County, California, are described. (RM)

  15. Exploring factors associated with ART adherence and retention in care under Option B+ strategy in Malawi: A qualitative study

    PubMed Central

    Potter, Katy; Tweya, Hannock; Phiri, Sam; Sande, Odala; Sikwese, Pascal; Chikonda, Janet; O’Malley, Gabrielle

    2017-01-01

    Although several studies have documented challenges related to inadequate adherence to antiretroviral therapy (ART) and high loss to follow-up (LTFU) among Option B+ women, there is limited understanding of why these challenges occur and how to address them. This qualitative study examines women’s experiences with ART adherence and retention in care. Between July and October 2015, in-depth interviews were conducted with 39 pregnant and lactating women who initiated ART at Bwaila Hospital in Lilongwe, Malawi. Study participants included 14 in care and 25 out of care women, according to facility records. Data were analyzed using an inductive, open-coding approach to thematic analysis. Ten of the respondents (7 out of care, 3 in-care) had stopped and re-started treatment before the interview date. One of the most important factors influencing adherence and retention was the strength of women’s support systems. In contrast to women in-care, most out-of-care women lacked emotional and financial support from male partners, received minimal counseling from providers at initiation, lacked designated guardians to assist with medication refills or clinic appointments, and were highly mobile. Mobility led to difficulties in accessing treatment in new settings. The most common reasons women re-started treatment following interruptions were due to providers’ counseling and encouragement and the mother’s desire to be healthy. Improved counseling at initiation, active follow-up counseling, women’s economic empowerment interventions, promotion of peer counseling schemes and meaningful engagement of male partners can help in addressing the identified barriers and promoting sustained retention of Option B+ women. PMID:28636669

  16. Options of sustainable groundwater supply from safe aquifers in areas with elevated arsenic - a case study from Bangladesh

    NASA Astrophysics Data System (ADS)

    Jakariya, M.; Bhattacharya, P.; Bromssen, M. V.

    2008-05-01

    Access to safe drinking water is a basic human right. Several millions of people, mainly in developing countries are affected by arsenic in drinking water and the global impact now makes it a top priority water quality issue. A wide gap between the number of exposed people and the pace of mitigation programmes in rural areas of developing countries is the main problem in providing safe drinking water. The main challenge is to develop a sustainable mitigation option that rural and disadvantaged people can adopt and implement themselves to overcome possible public heath hazards. During the recent years, new approaches have emerged in Bangladesh, primarily emerging out of people's own initiative. The local drillers target presumed safe aquifers on the basis of colour and texture of the sediments. A recent study by our research group revealed a distinct correlation between the colour characteristics of the sediments and the groundwater redox conditions. The coupling between the colour of sediments and the redox characteristics of groundwater may thus be used as a tool to assess the risk for As mobilization from the aquifers. The study showed that it is possible to assess the relative risk of high concentrations of As in aquifers if the colour characteristics of the sediments are known and thus, local drillers may target safe aquifers. For validating the sustainability of this mitigation option geological, hydrogeological and microbiological investigations are needed. The sustainability of the aquifers needs to be assessed by combining results from various field and laboratory investigations and by running predictive models. There is also a need to raise the awareness and thereby create a platform for motivating the local drillers to be educated in installing safe tubewells. Awareness raising and community mobilisation are two top priorities for implementing a sustainable safe water project in rural village areas. Significant preparation, attention, and focus must be

  17. Identity Options in Russian Textbooks

    ERIC Educational Resources Information Center

    Shardakova, Marya; Pavlenko, Aneta

    2004-01-01

    This article introduces a new analytical approach to the study of identity options offered in foreign and second language textbooks. This approach, grounded in poststructuralist theory and critical discourse analysis, is applied to 2 popular beginning Russian textbooks. Two sets of identity options are examined in the study: imagined learners…

  18. A Comparison of Platform Options for Deep-water Floating Offshore Vertical Axis Wind Turbines: An Initial Study.

    SciTech Connect

    Bull, Diana L; Fowler, Matthew; Goupee, Andrew

    2014-08-01

    This analysis utilizes a 5 - MW VAWT topside design envelope created by Sandia National Laborator ies to compare floating platform options fo r each turbine in the design space. The platform designs are based on two existing designs, the OC3 Hywind spar - buoy and Principal Power's WindFloat semi - submersible. These designs are scaled using Froude - scaling relationships to determine an appropriately sized spar - buoy and semi - submersible design for each topside. Both the physical size of the required platform as well as mooring configurations are considered. Results are compared with a comparable 5 - MW HAWT in order to identify potential differences in the platform and mooring sizing between the VAWT and HAWT . The study shows that there is potential for cost savings due to reduced platform size requirements for the VAWT.

  19. Current Treatment Options for Type 2 Diabetes Mellitus in Youth: Today’s Realities and Lessons from the TODAY Study

    PubMed Central

    George, Minu M.; Copeland, Kenneth C.

    2012-01-01

    The incidence of type 2 diabetes in children and adolescents has increased over the last 2 decades, paralleled by an increase in obesity over the same time period. Although the value of lifestyle modification in obese youth is unquestioned, scant evidence for optimal treatment of type 2 diabetes in this age group exists. Despite recent therapeutic drug trials, metformin and insulin are the only medicines currently approved by the US Food and Drug Administration for the treatment of type 2 diabetes in youth. Because of recently amended pharmaceutical regulations, however, it is likely that more anti-diabetic medications soon will be added to the armamentarium of therapeutic options for youth with type 2 diabetes. Additionally, the recently published TODAY study comparing safety and efficacy of 3 treatment regimens in maintaining glycemic control in youth with type 2 diabetes has shed new light on the problem. PMID:23065368

  20. Option price and market instability

    NASA Astrophysics Data System (ADS)

    Baaquie, Belal E.; Yu, Miao

    2017-04-01

    An option pricing formula, for which the price of an option depends on both the value of the underlying security as well as the velocity of the security, has been proposed in Baaquie and Yang (2014). The FX (foreign exchange) options price was empirically studied in Baaquie et al., (2014), and it was found that the model in general provides an excellent fit for all strike prices with a fixed model parameters-unlike the Black-Scholes option price Hull and White (1987) that requires the empirically determined implied volatility surface to fit the option data. The option price proposed in Baaquie and Cao Yang (2014) did not fit the data during the crisis of 2007-2008. We make a hypothesis that the failure of the option price to fit data is an indication of the market's large deviation from its near equilibrium behavior due to the market's instability. Furthermore, our indicator of market's instability is shown to be more accurate than the option's observed volatility. The market prices of the FX option for various currencies are studied in the light of our hypothesis.

  1. Options in making use of pregnancy history in planning and analysing studies of reproductive failure.

    PubMed Central

    Olsen, J

    1994-01-01

    BACKGROUND--Although more epidemiological studies of reproductive health have been published recently, important scientific achievements remain few. Among the reasons for this are existing methodological constraints. Fertility is low in most parts of the industralized world, making the observation time short. Pregnancy itself is under extremely close medical surveillance with intensive health care interventions such as prenatal screening, induced abortions, induced labour, and prescribed changes in environmental exposures, but the epidemiologists are generally left with cause-effect experiences which escaped medical attention or study of diseases for which there is no cure. The main problem in non-experimental research of reproductive failure, however, is the most pregnancies are planned and past pregnancy experience is used in the planning. Self selection into different exposure categories according to past pregnancy experience should therefore be considered when studies are designed and analysed. STUDY OBJECTIVE--To consider how to deal with past pregnancy experience as an indicator "background" risk of reproductive failure. The present standard is to take parity or gravidity into consideration but this may be of little value and could even be very misleading. MAIN RESULTS--No simple and universal analytic strategy is available in reproductive epidemiology. On some occasions studies should be restricted to the first pregnancy only, in other situations the past reproductive experience may be used to form groups that are comparable in terms of pre-exposure risk. PMID:8189173

  2. Case Study: Randolph County Vocational Technical Center, Elkins, W. Va.

    ERIC Educational Resources Information Center

    Southern Regional Education Board, Atlanta, GA.

    Randolph County Vocational Technical Center, Elkins, West Virginia, received a grant in 1997 for a project that was part of the High Schools That Work (HSTW) initiative to improve academic skills of career-bound students. The superintendent and faculty knew that improving achievement meant reaching out to the three home high schools to bring them…

  3. Asia-Pacific Center for Security Studies Annual Report 2008

    DTIC Science & Technology

    2008-01-01

    reducing system interdiction risks, and educa- tional technology upgrades permeate all learning spaces within the Center, as well as at the condominium ...analy- ses – in some cases reducing cycle- times from days to minutes. EKMS will be comprised of a suite of modern software applications that will

  4. ADVANCED COMPOSITES TECHNOLOGY CASE STUDY AT NASA LANGLEY RESEARCH CENTER

    EPA Science Inventory

    This report summarizes work conducted at the National Aeronautics and Space Administration's Langley Research Center (NASA-LaRC) in Hampton, VA, under the U.S. Environmental Protection Agency’s (EPA) Waste Reduction Evaluations at Federal Sites (WREAFS) Program. Support for...

  5. Really Useful Knowledge: A Cultural Studies Agenda for Writing Centers.

    ERIC Educational Resources Information Center

    Cooper, Marilyn M.

    1994-01-01

    Argues that writing centers have the essential function of critiquing institutions and creating knowledge about writing. Explains how this function has clear implications for what tutors should know and how they should be trained. Enlists Antonio Gramsci's theory of culture to analyze traditional composition teaching and research. (HB)

  6. Language-Centered Social Studies: A Natural Integration.

    ERIC Educational Resources Information Center

    Barrera, Rosalinda B.; Aleman, Magdalena

    1983-01-01

    Described is a newspaper project in which elementary students report life as it was in the Middle Ages. Students are involved in a variety of language-centered activities. For example, they gather and evaluate information about medieval times and write, edit, and proofread articles for the newspaper. (RM)

  7. Centers for Catholic Studies and the Public Voice of Religion

    ERIC Educational Resources Information Center

    Brigham, Erin

    2011-01-01

    This article explores debates about the public role of religion in a secular context. Drawing on the work of critical theorist, Jurgen Habermas, this article claims that the United States requires a viable public sphere in which religious and secular voices can learn from each other. Highlighting the work of the Lane Center for Catholic Studies…

  8. Centers for Catholic Studies and the Public Voice of Religion

    ERIC Educational Resources Information Center

    Brigham, Erin

    2011-01-01

    This article explores debates about the public role of religion in a secular context. Drawing on the work of critical theorist, Jurgen Habermas, this article claims that the United States requires a viable public sphere in which religious and secular voices can learn from each other. Highlighting the work of the Lane Center for Catholic Studies…

  9. Really Useful Knowledge: A Cultural Studies Agenda for Writing Centers.

    ERIC Educational Resources Information Center

    Cooper, Marilyn M.

    1994-01-01

    Argues that writing centers have the essential function of critiquing institutions and creating knowledge about writing. Explains how this function has clear implications for what tutors should know and how they should be trained. Enlists Antonio Gramsci's theory of culture to analyze traditional composition teaching and research. (HB)

  10. Evaluative Study of the Neighborhood Information Center Project.

    ERIC Educational Resources Information Center

    Franklin, Hardy R.; Summers, F. William

    The 1972-1974 Neighborhood Information Center (NIC) Project was undertaken in Atlanta, Cleveland, Detroit, Houston, and Queens Borough to demonstrate that urban public libraries could be a vital force in daily living by providing free information and referrals to low income communities, and by adapting in non-traditional ways to meet neighborhood…

  11. Language-Centered Social Studies: A Natural Integration.

    ERIC Educational Resources Information Center

    Barrera, Rosalinda B.; Aleman, Magdalena

    1983-01-01

    Described is a newspaper project in which elementary students report life as it was in the Middle Ages. Students are involved in a variety of language-centered activities. For example, they gather and evaluate information about medieval times and write, edit, and proofread articles for the newspaper. (RM)

  12. Evaluative Study of the Neighborhood Information Center Project.

    ERIC Educational Resources Information Center

    Franklin, Hardy R.; Summers, F. William

    The 1972-1974 Neighborhood Information Center (NIC) Project was undertaken in Atlanta, Cleveland, Detroit, Houston, and Queens Borough to demonstrate that urban public libraries could be a vital force in daily living by providing free information and referrals to low income communities, and by adapting in non-traditional ways to meet neighborhood…

  13. ADVANCED COMPOSITES TECHNOLOGY CASE STUDY AT NASA LANGLEY RESEARCH CENTER

    EPA Science Inventory

    This report summarizes work conducted at the National Aeronautics and Space Administration's Langley Research Center (NASA-LaRC) in Hampton, VA, under the U.S. Environmental Protection Agency’s (EPA) Waste Reduction Evaluations at Federal Sites (WREAFS) Program. Support for...

  14. Classroom Learning Communities in Educational Leadership: A Comparison Study of Three Delivery Options

    ERIC Educational Resources Information Center

    Ritter, Carol; Polnick, Barbara; Fink, Raymond, II; Oescher, Jeffery

    2010-01-01

    In this study the authors investigated the perceptions of educational leadership graduate students with regard to how well their face-to-face, online and hybrid classes built a sense of classroom community. Perceptions were measured using the Classroom Community Scale (CCS), which included three measures: total classroom community, connectedness,…

  15. Little Cypress Creek study: A watershed restoration option for protection of wetlands

    Treesearch

    Lisa Gandy; Randy Roberson; Tom Foti

    2000-01-01

    The Little Cypress Creek watershed, which is the home of the Louisiana Purchase Historic State Park and Natural Area, is one of the only remaining examples of a headwater swamp ecosystem left in Arkansas. An increase in water elevations and a change in species composition were noticed in the park in late 1970. A study of the upper watershed of Little Cypress Creek was...

  16. Costs and Policy Options for Federal Student Loan Programs. A CBO Study

    ERIC Educational Resources Information Center

    Lucas, Deborah; Moore, Damien

    2010-01-01

    The Department of Education oversees various programs to help students pay for the costs of postsecondary education. This Congressional Budget Office (CBO) study focuses on the two largest student loan programs created under the authority of the Higher Education Act of 1965 (as amended): (1) The Federal Family Education Loan (FFEL) program, which…

  17. Space station needs, attributes and architectural options study. Volume 2: Mission analysis

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Space environment studies, astrophysics, Earth environment, life sciences, and material sciences are discussed. Commercial communication, materials processing, and Earth observation missions are addressed. Technology development, space operations, scenarios of operational capability, mission requirements, and benefits analysis results for space-produced gallium arsenide crystals, direct broadcasting satellite systems, and a high inclination space station are covered.

  18. An Experiment in ''Less Time, More Options": A Study of Accelerated University Students.

    ERIC Educational Resources Information Center

    Litwin, James L.; And Others

    This study investigated the characteristics and experiences of 59 college students accelerated from their freshman to their junior year. The students showed high academic performance and few social problems, but questions of personal identity remained problematic; the best single predictor of academic success was found to be freshman grade-point…

  19. Fusion Centers: Issues and Options for Congress

    DTIC Science & Technology

    2007-07-06

    local law enforcement that “...revealed a Canadian-based organization supplying precursor chemicals to Mexican methamphetamine producers was in fact a...known gaps. Step 4 includes synthesis and CRS-90 analysis of collected intelligence and results in the creation of an intelligence product, which in

  20. Fusion Centers: Issues and Options for Congress

    DTIC Science & Technology

    2008-01-18

    to Mexican methamphetamine producers was in fact a Hezbollah support cell.” A second case involved a local law enforcement investigation in Torrance...gaps in existing knowledge, and which is followed by Step 3 - the collection of intelligence based on known gaps. Step 4 includes synthesis and CRS

  1. Feasibility Study for the Establishment of Experimental Field Study Centers (Beachhead Colleges). Final Report.

    ERIC Educational Resources Information Center

    Antioch Coll., Yellow Springs, OH.

    The Union for Research and Experimentation in Higher Education, a consortium of 10 colleges, initiated an experimental study of a new model for off-campus education in selected problematic areas. The model places students and faculty members in Field Study Centers-- or Beachhead Colleges --to help solve local problems through interaction between…

  2. Pharmacogenomic study of side-effects for antidepressant treatment options in STAR*D.

    PubMed

    Clark, S L; Adkins, D E; Aberg, K; Hettema, J M; McClay, J L; Souza, R P; van den Oord, E J C G

    2012-06-01

    Understanding individual differences in susceptibility to antidepressant therapy side-effects is essential to optimize the treatment of depression. We performed genome-wide association studies (GWAS) to search for genetic variation affecting the susceptibility to side-effects. The analysis sample consisted of 1439 depression patients, successfully genotyped for 421K single nucleotide polymorphisms (SNPs), from the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study. Outcomes included four indicators of side-effects: general side-effect burden, sexual side-effects, dizziness and vision/hearing-related side-effects. Our criterion for genome-wide significance was a prespecified threshold ensuring that, on average, only 10% of the significant findings are false discoveries. Thirty-four SNPs satisfied this criterion. The top finding indicated that 10 SNPs in SACM1L mediated the effects of bupropion on sexual side-effects (p = 4.98 × 10(-7), q = 0.023). Suggestive findings were also found for SNPs in MAGI2, DTWD1, WDFY4 and CHL1. Although our findings require replication and functional validation, this study demonstrates the potential of GWAS to discover genes and pathways that could mediate adverse effects of antidepressant medication.

  3. Study on partitioning and transmutation as a possible option for spent fuel management within a nuclear phase-out scenario

    SciTech Connect

    Fazion, C.; Rineiski, A.; Salvatores, M.; Schwenk-Ferrero, A.; Romanello, V.; Vezzoni, B.; Gabrielli, F.

    2013-07-01

    Most Partitioning and Transmutation (PT) studies implicitly presuppose the continuous use of nuclear energy. In this case the development of new facilities or the modification of the fuel cycle can be justified in the long-term as an important feature in order to improve sustainability by minimizing radioactive waste and reducing the burden at waste disposal. In the case of a country with nuclear energy phase-out policy, the PT option might have also an important role for what concerns the final disposal strategies of the spent fuel. In this work three selected scenarios are analyzed in order to assess the impact of PT implementation in a nuclear energy phase out option. The scenarios are: -) Scenario 1: Identification of Research/Development activities needs for a technological development of PT while postponing the decision of PT implementation; -) Scenario 2: Isolated application of PT in a phase-out context; and -) Scenario 3: Implementation of PT in a European context. In order to facilitate the discrimination among the 3 scenarios, a number of figures of indicators have been evaluated for each scenario. The selected indicators are: the mass of High Level Waste (HLW), Uranium inventory, thermal output of HLW, Radiotoxicity, Fuel cycle secondary waste associated to the PT operation, and Facility capacity/number requirements. The reduction, due to PT implementation, of high level wastes masses and their associated volumes can be significant. For what concerns the thermal output and radiotoxicity a significant impact can be also expected. However, when assessing these two indicators the contribution coming from already vitrified waste should also not be neglected. Moreover, an increase of secondary waste inventory is also expected. On the contrary, the increase of fission product inventories due to the operation of the transmutation system has a relatively limited impact on the fuel cycle.

  4. Space Station redesign option A: Modular buildup concept

    NASA Technical Reports Server (NTRS)

    1993-01-01

    In early 1993, President Clinton mandated that NASA look at lower cost alternatives to Space Station Freedom. He also established an independent advisory committee - the Blue Ribbon Panel - to review the redesign work and evaluate alternatives. Daniel Goldin, NASA Administrator, established a Station Redesign Team that began operating in late March from Crystal City, Virginia. NASA intercenter teams - one each at Marshall Space Flight Center, Johnson Space Center, and Langley Research Center provided engineering and other support. The results of the Option A study done at Marshall Space Flight Center are summarized. Two configurations (A-1 and A-2) are covered. Additional data is provided in the briefing package MSFC SRT-001, Final System Review to SRT-002, Space Station Option A Modular Buildup Concept, Volumes 1-5, Revision B, June 10, 1993. In June 1993, President Clinton decided to proceed with a modular concept consistent with Option A, and asked NASA to provide an Implementation Plan by September. All data from the Option A redesign activity was provided to NASA's Transition Team for use in developing the Implementation Plan.

  5. A Center for Environmental Communication and Education Studies. Periodic Report: 1968-1982.

    ERIC Educational Resources Information Center

    Wisconsin Univ., Madison. Center for Environmental Communications and Education Studies.

    This report summarizes the role of the University of Wisconsin-Madison's Center for Environmental Communication and Education Studies (CECES) in helping to foster teaching, research, and public service programs. Included in the first section are program highlights (1968-1982), Center organization, and lists of Center personnel (executive…

  6. The Poynter Center for the Study of Ethics and American Institutions.

    ERIC Educational Resources Information Center

    Granbois, Judith A.

    1994-01-01

    Describes the background and activities of the Poynter Center for the Study of Ethics and American Institutions at Indiana University. Maintains that the center's programs focus on topics such as ethics and the professions, medical ethics, research ethics, and religion and the morality of professions. Provides a list of center publications. (CFR)

  7. The Story of the Hawaiian Studies Center on the Brigham Young University-Hawaii Campus.

    ERIC Educational Resources Information Center

    Benham, Maenette K. P.

    2002-01-01

    With an advisory committee of native community members, elders, educators, and students, the Center for Hawaiian Language and Cultural Studies has successfully founded, within a mainstream institution with strong religious foundations, a cultural center that teaches native values and language. The center creates cultural/educational projects that…

  8. THE ENGLISH PROGRAM OF THE USOE CURRICULUM STUDY AND DEMONSTRATION CENTER MATERIALS CURRENTLY AVAILABLE.

    ERIC Educational Resources Information Center

    1967

    AFTER FIVE YEARS OF FEDERALLY-SUPPORTED CURRICULUM RESEARCH IN ENGLISH, 14 STUDY CENTERS AND FIVE DEMONSTRATION CENTERS ARE NOW MAKING THE RESULTS OF THEIR WORK AVAILABLE TO THE PUBLIC. THIS PAMPHLET LISTS TITLES OF REPORTS AND INSTRUCTIONAL MATERIALS PREPARED BY THE FOLLOWING CENTERS--(1) CARNEGIE-MELLON UNIVERSITY, (2) TEACHERS COLLEGE, COLUMBIA…

  9. The Poynter Center for the Study of Ethics and American Institutions.

    ERIC Educational Resources Information Center

    Granbois, Judith A.

    1994-01-01

    Describes the background and activities of the Poynter Center for the Study of Ethics and American Institutions at Indiana University. Maintains that the center's programs focus on topics such as ethics and the professions, medical ethics, research ethics, and religion and the morality of professions. Provides a list of center publications. (CFR)

  10. 2 Centers for International Studies Fight To Survive Without Federal Funds.

    ERIC Educational Resources Information Center

    Rubin, Amy Magaro

    1997-01-01

    The East-West Center (Hawaii) and North-South Center (Florida) for hemisphere-oriented international studies have lost most federal funding and have had to trim staff, cut programs, and begin solicitation of private support. While lawmakers admit the centers do important work, they feel they are unnecessary and the work could be done elsewhere.…

  11. THE ENGLISH PROGRAM OF THE USOE CURRICULUM STUDY AND DEMONSTRATION CENTER MATERIALS CURRENTLY AVAILABLE.

    ERIC Educational Resources Information Center

    1967

    AFTER FIVE YEARS OF FEDERALLY-SUPPORTED CURRICULUM RESEARCH IN ENGLISH, 14 STUDY CENTERS AND FIVE DEMONSTRATION CENTERS ARE NOW MAKING THE RESULTS OF THEIR WORK AVAILABLE TO THE PUBLIC. THIS PAMPHLET LISTS TITLES OF REPORTS AND INSTRUCTIONAL MATERIALS PREPARED BY THE FOLLOWING CENTERS--(1) CARNEGIE-MELLON UNIVERSITY, (2) TEACHERS COLLEGE, COLUMBIA…

  12. The Center for the Study of Terrestrial and Extraterrestrial Atmospheres (CSTEA)

    NASA Technical Reports Server (NTRS)

    Thorpe, Arthur N.; Morris, Vernon R.

    1997-01-01

    The Center for the Study of Terrestrial and Extraterrestrial Atmospheres (CSTEA) was established in 1992. The center began with 14 active Principal Investigators (PI's). The research of the Center's PIs has, for the most part, continued in the same four areas as presented in the original proposal: Remote Sensing, Atmospheric Chemistry, Sensors and Detectors, and Spacecraft Dynamics.

  13. The Minnesota Project English Center: Selected Materials. Unit 701: Introduction to the Study of Language.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Center for Curriculum Development in English.

    This Minnesota Curriculum Center report recounts the development of teaching materials on the nature and uses of language for grades 7-12 and presents the first of five seventh-grade units. A description of the origins, purposes, and personnel of the Center is followed by brief discussions of (1) the Center's underlying assumption that a study of…

  14. Default options in advance directives: study protocol for a randomised clinical trial

    PubMed Central

    Gabler, Nicole B; Cooney, Elizabeth; Small, Dylan S; Troxel, Andrea B; Arnold, Robert M; White, Douglas B; Angus, Derek C; Loewenstein, George; Volpp, Kevin G; Bryce, Cindy L; Halpern, Scott D

    2016-01-01

    Introduction Although most seriously ill Americans wish to avoid burdensome and aggressive care at the end of life, such care is often provided unless patients or family members specifically request otherwise. Advance directives (ADs) were created to provide opportunities to set limits on aggressive care near life's end. This study tests the hypothesis that redesigning ADs such that comfort-oriented care is provided as the default, rather than requiring patients to actively choose it, will promote better patient-centred outcomes. Methods and analysis This multicentre trial randomises seriously ill adults to receive 1 of 3 different ADs: (1) a traditional AD that requires patients to actively choose their goals of care or preferences for specific interventions (eg, feeding tube insertion) or otherwise have their care guided by their surrogates and the prevailing societal default toward aggressive care; (2) an AD that defaults to life-extending care and receipt of life-sustaining interventions, enabling patients to opt out from such care; or (3) an AD that defaults to comfort care, enabling patients to opt into life-extending care. We seek to enrol 270 patients who return complete, legally valid ADs so as to generate sufficient power to detect differences in the primary outcome of hospital-free days (days alive and not in an acute care facility). Secondary outcomes include hospital and intensive care unit admissions, costs of care, hospice usage, decision conflict and satisfaction, quality of life, concordance of preferences with care received and bereavement outcomes for surrogates of patients who die. Ethics and dissemination This study has been approved by the Institutional Review Boards at all trial centres, and is guided by a data safety and monitoring board and an ethics advisory board. Study results will be disseminated using methods that describe the results in ways that key stakeholders can best understand and implement. Trial registration number NCT02017548

  15. Factors influencing postnatal Option B+ participation and breastfeeding duration among HIV-positive women in Lilongwe District, Malawi: A qualitative study

    PubMed Central

    Flax, Valerie L.; Hamela, Gloria; Mofolo, Innocent; Hosseinipour, Mina C.; Hoffman, Irving F.; Maman, Suzanne

    2017-01-01

    To ensure the health of mothers and children, prevention of mother-to-child HIV transmission (PMTCT) programs test women for HIV, engage HIV-positive women in care, and promote recommended breastfeeding practices. Under Malawi’s Option B+ PMTCT program, ~20% of women are lost-to-follow-up (LTFU) and little is known about their breastfeeding practices. The purpose of this study is to describe facilitators and barriers to Option B+ participation and how participation influences breastfeeding duration. We conducted in-depth interviews with HIV-positive women in Option B+ (n = 32) or LTFU from Option B+ (n = 32). They were recruited from four government clinics in Lilongwe District and had a child aged 0–23 months. Women in Option B+ had better disclosure experiences and more social support than LTFU women. The most common reasons for LTFU were fear of HIV disclosure, anticipated or experienced stigma, and insufficient social support. Other reasons included: non-acceptance of HIV status, antiretroviral therapy (ART) side effects, lack of funds for transport, and negative experiences with clinic staff. Worries about possible transmission, even while on ART, influenced timing of weaning for some women in Option B+. Despite their knowledge of the risk of HIV transmission to the child, most LTFU women continued to breastfeed after stopping ART because they considered breastmilk to be an important source of nutrients for the child. Given that HIV-positive Malawian women LTFU from Option B+ breastfeed in the absence of ART, efforts are needed to use evidence-based strategies to address the barriers to Option B+ participation and avert preventable transmission through breastmilk. PMID:28410374

  16. Miscellaneous: Uruguay energy supply options study assessing the market for natural gas - executive summary.

    SciTech Connect

    Conzelmann, G.; Veselka, T.; Decision and Information Sciences

    2008-03-04

    Uruguay is in the midst of making critical decisions affecting the design of its future energy supply system. Momentum for change is expected to come from several directions, including recent and foreseeable upgrades and modifications to energy conversion facilities, the importation of natural gas from Argentina, the possibility for a stronger interconnection of regional electricity systems, the country's membership in MERCOSUR, and the potential for energy sector reforms by the Government of Uruguay. The objective of this study is to analyze the effects of several fuel diversification strategies on Uruguay's energy supply system. The analysis pays special attention to fuel substitution trends due to potential imports of natural gas via a gas pipeline from Argentina and increasing electricity ties with neighboring countries. The Government of Uruguay has contracted with Argonne National Laboratory (ANL) to study several energy development scenarios with the support of several Uruguayan institutions. Specifically, ANL was asked to conduct a detailed energy supply and demand analysis, develop energy demand projections based on an analysis of past energy demand patterns with support from local institutions, evaluate the effects of potential natural gas imports and electricity exchanges, and determine the market penetration of natural gas under various scenarios.

  17. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.

    PubMed

    Couët, Nicolas; Desroches, Sophie; Robitaille, Hubert; Vaillancourt, Hugues; Leblanc, Annie; Turcotte, Stéphane; Elwyn, Glyn; Légaré, France

    2015-08-01

    We have no clear overview of the extent to which health-care providers involve patients in the decision-making process during consultations. The Observing Patient Involvement in Decision Making instrument (OPTION) was designed to assess this. To systematically review studies that used the OPTION instrument to observe the extent to which health-care providers involve patients in decision making across a range of clinical contexts, including different health professions and lengths of consultation. We conducted online literature searches in multiple databases (2001-12) and gathered further data through networking. (i) OPTION scores as reported outcomes and (ii) health-care providers and patients as study participants. For analysis, we only included studies using the revised scale. Extracted data included: (i) study and participant characteristics and (ii) OPTION outcomes (scores, statistical associations and reported psychometric results). We also assessed the quality of OPTION outcomes reporting. We found 33 eligible studies, 29 of which used the revised scale. Overall, we found low levels of patient-involving behaviours: in cases where no intervention was used to implement shared decision making (SDM), the mean OPTION score was 23 ± 14 (0-100 scale). When assessed, the variables most consistently associated with higher OPTION scores were interventions to implement SDM (n = 8/9) and duration of consultations (n = 8/15). Whatever the clinical context, few health-care providers consistently attempt to facilitate patient involvement, and even fewer adjust care to patient preferences. However, both SDM interventions and longer consultations could improve this. © 2013 John Wiley & Sons Ltd.

  18. An applied study using systems engineering methods to prioritize green systems options

    SciTech Connect

    Lee, Sonya M; Macdonald, John M

    2009-01-01

    For many years, there have been questions about the effectiveness of applying different green solutions. If you're building a home and wish to use green technologies, where do you start? While all technologies sound promising, which will perform the best over time? All this has to be considered within the cost and schedule of the project. The amount of information available on the topic can be overwhelming. We seek to examine if Systems Engineering methods can be used to help people choose and prioritize technologies that fit within their project and budget. Several methods are used to gain perspective into how to select the green technologies, such as the Analytic Hierarchy Process (AHP) and Kepner-Tregoe. In our study, subjects applied these methods to analyze cost, schedule, and trade-offs. Results will document whether the experimental approach is applicable to defining system priorities for green technologies.

  19. A study of beam chopping options for the ATLAS Positive Ion Linac

    SciTech Connect

    Pardo, R.C.; Bogaty, J.M.; Clifft, B.E.

    1996-10-01

    Unbunched beam components from the injection beam bunching system must be removed prior to acceleration in the ATLAS Positive Ion Injector Linac (PII). A sine wave chopper has been used for this purpose up to now. Such a device can have a significant detrimental effect on the longitudinal and transverse beam emittance of heavy-ion beams which can be sufficiently severe to limit the overall beam quality from the ATLAS accelerator. A study of the optimum chopper configuration and chopper type was undertaken as part of a new ion source project for ATLAS. A transmission line chopper and a two harmonic chopper were investigated as alternatives to the conventional sine wave chopper. This paper reports the results of that investigation and discusses the design of the selected transmission line chopper.

  20. Mini–slings – an option in stress urinary incontinence treatment. Case studies

    PubMed Central

    Markowski, Michał; Kliś, Rafał; Różański, Waldemar

    2015-01-01

    Introduction Stress urinary incontinence (SUI) is a social disease caused by numerous contributing factors such as natural childbirth, obesity, hormonal deficiencies and changes in collagen fibers, to name a few. Currently, mini–slings, among all the surgical treatment methods, have gained significance. The aim of this study was to establish the effectiveness of this method. Material and methods From 2008 to 2012, one hundred sixty women suffering from SUI underwent surgical procedures to implant mini–slings under the middle part of the urethra and 140 (87.5%) of them remained under observation. In 65 cases, Johnson & Johnson's TVT–Secur was used; in 70 cases, BARD's Adjust mini–sling was used; and in 5 cases, AMS Mini–Arc mini–sling was used. The average period of hospitalization was 3 days per admission, operation and discharge day. Results In 82 cases, patients urinated well after the removal of the catheter, and had full urine continence. Fourteen patients showed great improvement, and in four cases temporary urine retention was observed. In two cases vaginal bleeding was observed, yet there was no need for wound revision. Evaluation of the ‘quality of life improvement’ was done using the Visual Analog Scale (VAS). Conclusions The obtained results allowed the conclusion that the implantation of mini–slings is a low invasive, relatively safe and effective procedure for the treatment of SUI even in cases of recurrence. Almost full recovery was achieved in all the cases of this study. The mini–sling has become an important element in modern urogynecology. PMID:25914841

  1. Development of Carbon Sequestration Options by Studying Carbon Dioxide-Methane Exchange in Hydrates

    NASA Astrophysics Data System (ADS)

    Horvat, Kristine Nicole

    Gas hydrates form naturally at high pressures (>4 MPa) and low temperatures (<4 °C) when a set number of water molecules form a cage in which small gas molecules can be entrapped as guests. It is estimated that about 700,000 trillion cubic feet (tcf) of methane (CH4) exist naturally as hydrates in marine and permafrost environments, which is more than any other natural sources combined as CH4 hydrates contain about 14 wt% CH4. However, a vast amount of gas hydrates exist in marine environments, which makes gas extraction an environmental challenge, both for potential gas losses during extraction and the potential impact of CH4 extraction on seafloor stability. From the climate change point of view, a 100 ppm increase in atmospheric carbon dioxide (CO2) levels over the past century is of urgent concern. A potential solution to both of these issues is to simultaneously exchange CH4 with CO 2 in natural hydrate reserves by forming more stable CO2 hydrates. This approach would minimize disturbances to the host sediment matrix of the seafloor while sequestering CO2. Understanding hydrate growth over time is imperative to prepare for large scale CH4 extraction coupled with CO2 sequestration. In this study, we performed macroscale experiments in a 200 mL high-pressure Jerguson cell that mimicked the pressure-temperature conditions of the seafloor. A total of 13 runs were performed under varying conditions. These included the formation of CH4 hydrates, followed by a CO2 gas injection and CO2 hydrate formation followed by a CH4 gas injection. Results demonstrated that once gas hydrates formed, they show "memory effect" in subsequent charges, irrespective of the two gases injected. This was borne out by the induction time data for hydrate formation that reduced from 96 hours for CH4 and 24 hours for CO2 to instant hydrate formation in both cases upon injection of a secondary gas. During the study of CH4-CO2 exchange where CH4 hydrates were first formed and CO2 gas was

  2. Impact of Pediatric Chronic Dialysis on Long-Term Patient Outcome: Single Center Study

    PubMed Central

    Krause, Irit; Dagan, Amit; Cleper, Roxana; Falush, Yafa; Davidovits, Miriam

    2016-01-01

    Objective. Owing to a shortage of kidney donors in Israel, children with end-stage renal disease (ESRD) may stay on maintenance dialysis for a considerable time, placing them at a significant risk. The aim of this study was to understand the causes of mortality. Study Design. Clinical data were collected retrospectively from the files of children on chronic dialysis (>3 months) during the years 1995–2013 at a single pediatric medical center. Results. 110 patients were enrolled in the study. Mean age was 10.7 ± 5.27 yrs. (range: 1 month–24 yrs). Forty-five children (42%) had dysplastic kidneys and 19 (17.5%) had focal segmental glomerulosclerosis. Twenty-five (22.7%) received peritoneal dialysis, 59 (53.6%) hemodialysis, and 6 (23.6%) both modalities sequentially. Median dialysis duration was 1.46 years (range: 0.25–17.54 years). Mean follow-up was 13.5 ± 5.84 yrs. Seventy-nine patients (71.8%) underwent successful transplantation, 10 (11.2%) had graft failure, and 8 (7.3%) continued dialysis without transplantation. Twelve patients (10.9%) died: 8 of dialysis-associated complications and 4 of their primary illness. The 5-year survival rate was 84%: 90% for patients older than 5 years and 61% for younger patients. Conclusions. Chronic dialysis is a suitable temporary option for children awaiting renal transplantation. Although overall long-term survival rate is high, very young children are at high risk for life-threatening dialysis-associated complications. PMID:27597898

  3. A study of the remote neighborhood office center concept

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The substitution of communications for commuting to work is examined from several aspects. Attention is focused on the possibility of certain groups of white collar workers conducting their business affairs through a network of Remote Neighborhood Office Centers (RNOC's) located near their homes. Typically, employees would communicate with their headquarters organizations by means of voice and digital circuits. Although current technology is readily able to support such an RNOC network, the main problems confronting would-be implementers center around the need for demonstrating that a sufficient number of business operations can be carried out in such a decentralized configuration as efficiently as they are under more conventional circumstances. The description of a pilot program is presented which is intended to identify pacing issues that must be settled before firm conclusions can be reached on whether the concept is operationally viable.

  4. Report on HVAC option selections for a relocatable classroom energy and indoor environmental quality field study

    SciTech Connect

    Apte, Michael G.; Delp, Woody W.; Diamond, Richard C.; Hodgson, Alfred T.; Kumar, Satish; Rainer, Leo I.; Shendell, Derek G.; Sullivan, Doug P.; Fisk, William J.

    2001-10-11

    It is commonly assumed that efforts to simultaneously develop energy efficient building technologies and to improve indoor environmental quality (IEQ) are unfeasible. The primary reason for this is that IEQ improvements often require additional ventilation that is costly from an energy standpoint. It is currently thought that health and productivity in work and learning environments requires adequate, if not superior, IEQ. Despite common assumptions, opportunities do exist to design building systems that provide improvements in both energy efficiency and IEQ. This report outlines the selection of a heating, ventilation, and air conditioning (HVAC) system to be used in demonstrating such an opportunity in a field study using relocatable school classrooms. Standard classrooms use a common wall mounted heat pump HVAC system. After reviewing alternative systems, a wall-mounting indirect/direct evaporative cooling system with an integral hydronic gas heating is selected. The anticipated advantages of this system include continuous ventilation of 100 percent outside air at or above minimum standards, projected cooling energy reductions of about 70 percent, inexpensive gas heating, improved airborne particle filtration, and reduced peak load electricity use. Potential disadvantages include restricted climate regions and possible increases in indoor relative humidity levels under some conditions.

  5. Photovoltaics as a worldwide energy option: A case study in development strategy

    NASA Astrophysics Data System (ADS)

    Jones, G.; Pate, R.; Hill, R.

    Renewable energy technologies, such as solar thermal electric, photovoltaics (PV), and wind energy have made significant gains in cost and performance in the past decades. As a result, there have been high expectations on the part of the public for these sources to play a major role in future energy supply, especially as environmental concerns about conventional sources increase. Despite these past gains and high expectations, the global potential of renewable energy technologies still remains largely untapped, principally because of issues of industrialization and user acceptance. There is increasing recognition that government energy programs must incorporate a broader strategy than the traditional basic research role if they are to address these issues. Essential elements of this strategy are affordable technology, a healthy industry, sustained market growth, user acceptance, and equitable policy and financial environments. The U.S. Department of Energy (DOE) programs in solar electric conversion have already started the development of the required broader based effort. This paper presents the status of that work, using the U.S. National Photovoltaic Program as a case study.

  6. Postapproval Development Options in COPD: A Case Study in Value-Based Healthcare Systems.

    PubMed

    Murphy, Michael F; Antonini, Paola; Lai, Zhihong Vicki

    2011-01-01

    Research and development activities in an era of globalization encounter a mosaic of providers, products, services, and intermediaries; regulatory and other government institutions; and consumers. The introduction of novel therapeutics into this environment mandates research programs that are relevant to the registration process, payers and purchasers, transparent pricing, and rule-driven business practices, while providing data relevant to marketing initiatives internationally. To outline an example for clinical development programs that incorporate the perspective of multiple stakeholders into a portfolio of study designs to provide optimal data platforms that can resonate with diverse recipients. A contract research organization directly involved in the design, execution, and analysis of clinical trials for new drugs and devices across pharmaceutical and biotechnology companies provides a unique perspective regarding opportunities and challenges within the international clinical research environment. Drs Murphy, Antonini, and Lai, representing Worldwide Clinical Trials, utilize chronic obstructive pulmonary disease as a demonstration project exploiting its prevalence, direct and indirect costs, and the rapid infusion/diffusion of innovative therapy into practice as a rationale for focus, and illustrate methods of informing registration and technology assessments during a prototypical development process. By virtue of its chronicity, prevalence, and pattern of healthcare utilization, chronic obstructive pulmonary disease provides an ideal case for illustrating the application of clinical trial methodology that can facilitate data evaluation through the prism of multiple stakeholders. Adding an international dimension exacerbates system complexity and serves to illustrate the breadth of issues that can be addressed within this therapeutic area.

  7. Case-finding options for COPD: Results from the BOLD Study

    PubMed Central

    Jithoo, Anamika; Enright, Paul; Burney, Peter; Buist, A Sonia; Bateman, Eric D; Tan, Wan C; Studnicka, Michael; Mejza, Filip; Gillespie, Suzanne; Vollmer, William M

    2012-01-01

    Aim To compare strategies for COPD case-finding using data from the Burden of Obstructive Lung Disease (BOLD) study. Methods Population-based samples of adults aged ≥40 years (n= 9390) from 14 countries completed a questionnaire and spirometry. We compared the screening efficiency of different staged algorithms that used questionnaire data and/or PEF to identify persons at risk for COPD and hence needing confirmatory spirometry. Separate algorithms were fitted for moderate/severe COPD and for severe COPD. We estimated the cost of each algorithm in 1000 people. Results For moderate/severe COPD, use of questionnaire data alone permitted high sensitivity (97%), but required confirmatory spirometry on 80% of participants. Use of PEF only required confirmatory spirometry in only 19-22% of subjects with 83-84% sensitivity. For severe COPD, use of PEF achieved 91-93% sensitivity, requiring confirmatory spirometry in <9% of participants. Cost analysis suggested that a staged screening algorithm using only PEF initially, followed by confirmatory spirometry as needed, was the most cost-effective case finding strategy. Conclusion Our results support the use of PEF as a simple, cost-effective initial screening tool for conducting COPD case-finding in adults ≥40 years. These findings should be validated in real-world settings such as the primary care environment. PMID:22743668

  8. Greenhouse gas emissions of waste management processes and options: A case study.

    PubMed

    de la Barrera, Belen; Hooda, Peter S

    2016-07-01

    Increasing concern about climate change is prompting organisations to mitigate their greenhouse gas emissions. Waste management activities also contribute to greenhouse gas emissions. In the waste management sector, there has been an increasing diversion of waste sent to landfill, with much emphasis on recycling and reuse to prevent emissions. This study evaluates the carbon footprint of the different processes involved in waste management systems, considering the entire waste management stream. Waste management data from the Royal Borough of Kingston upon Thames, London (UK), was used to estimate the carbon footprint for its (Royal Borough of Kingston upon Thames) current source segregation system. Second, modelled full and partial co-mingling scenarios were used to estimate carbon emissions from these proposed waste management approaches. The greenhouse gas emissions from the entire waste management system at Royal Borough of Kingston upon Thames were 12,347 t CO2e for the source-segregated scenario, and 11,907 t CO2e for the partial co-mingled model. These emissions amount to 203.26 kg CO2e t(-1) and 196.02 kg CO2e t(-1) municipal solid waste for source-segregated and partial co-mingled, respectively. The change from a source segregation fleet to a partial co-mingling fleet reduced the emissions, at least partly owing to a change in the number and type of vehicles.

  9. Research and Development Support for the Center for Seismic Studies.

    DTIC Science & Technology

    1984-07-15

    Terminal Description (RST) *6.0 Input Data Sources 6.1 Introduction 6.2 Data from Regional Seismic Test Network ( RSTN ) 6.3 Waveform Data from Global...objectives for which it was designed. These accomplishments are summarized below. (1) The signals received at the Center from the five RSTN stations were...presented in Appendix B. 4P Types of help information to be provided with each item: Description (purpose) of item (executive overview) How to access

  10. Energy use baselining study for the National Naval Medical Center

    SciTech Connect

    Parker, G.B.; Halverson, M.A.

    1992-04-01

    This report provides an energy consumption profile for fourteen buildings at the National Naval Medical Center (NNMC) in Bethesda, Maryland. Recommendations are also made for viable energy efficiency projects funded with assistance from the servicing utility (Potomic Electric Power Company) in the form of rebates and incentives available in their Demand Side Management (DSM) program and through Shared Energy Savings (SES) projects. This report also provides estimates of costs and potential energy savings of the recommended projects.

  11. Energy use baselining study for the National Naval Medical Center

    SciTech Connect

    Parker, G.B.; Halverson, M.A.

    1992-04-01

    This report provides an energy consumption profile for fourteen buildings at the National Naval Medical Center (NNMC) in Bethesda, Maryland. Recommendations are also made for viable energy efficiency projects funded with assistance from the servicing utility (Potomic Electric Power Company) in the form of rebates and incentives available in their Demand Side Management (DSM) program and through Shared Energy Savings (SES) projects. This report also provides estimates of costs and potential energy savings of the recommended projects.

  12. Center for Dielectric Studies at the Pennsylvania State University,

    DTIC Science & Technology

    1983-05-01

    its response, there is a need to introduce heterogeneity either by mixing phases on a grain-by-grain basis , between grain and boundary phases, or by...but the coefficients are sufficiently different to introduce S thermal anisotropy into a multilayer system. For directions parallel to the electrodes...contract, a major effort has been made to establish a sound basis for industrial participation in the Center program. Planning for this function was much

  13. Study of Residential Vocational Technical Center(s) in Maryland: Part II. Final Report.

    ERIC Educational Resources Information Center

    McManis Associates, Inc., Washington, DC.

    Part 1 of the project aimed at determining unmet vocational-technical education needs in the State of Maryland which might be met through residential education; Part 2 was designed to study the possible alternatives for meeting the needs discovered and to make recommendations regarding how these could best be met. A summary of Part 1 of the…

  14. Pain alleviation during castration of piglets: a comparative study of different farm options.

    PubMed

    Gottardo, F; Scollo, A; Contiero, B; Ravagnani, A; Tavella, G; Bernardini, D; De Benedictis, G M; Edwards, S A

    2016-12-01

    Pain alleviation associated with castration of piglets is an important welfare issue. The present study compares the effect of different approaches and products suitable for farmer use, with the aim to alleviate pain due to castration in piglets. A randomized within-litter design, with 28 replicate litters, compared 7 treatments: handling () restraint of the piglet and manipulation of the scrotum, castration without pain relief (), 2 treatments (, ) with different concentrations of tetracaine (2 and 6%) applied topically 10 min before and immediately post-surgery, and 3 treatments with i.m. injection of different nonsteroidal anti-inflammatory drugs () 10 min prior to surgery (-meloxicam, -ketoprofen, -tolfenamic acid). Efficacy of pain relief was assessed during a 300 min period after castration by serum cortisol, behavior (walking, lying, suckling, in the nest, isolated and pain related: tremors, rubbing the rear, hunching, wagging of the tail), facial expression and scrotal skin pressure sensitivity. C pigs had greater serum cortisol concentration than all other groups at 60 min post-surgery ( < 0.001), while H pigs had lower concentrations than pigs given topical anesthesia ( < 0.001) though not injected analgesia. No treatment differences were significant at 180 min, but at 300 min cortisol concentration was greater in T2 and T6 piglets than those given NSAIDs ( = 0.03). These treatment differences were mirrored by the pressure sensitivity of the scrotum; in comparison with C piglets, those given NSAIDs showed a reduced sensitivity ( 0.003) but those given local anesthesia did not ( = 0.15). C pigs showed increased frequency of pain-related behavior in the first 30 min in comparison with all other treatments, more time isolated than H or NSAID treatments, and more time standing inactive than H or K treatments. No behavioral differences were apparent after 60 min. No differences in facial expressions were observed among treatments. In conclusion, on

  15. Cardiovascular screening to reduce the burden from cardiovascular disease: microsimulation study to quantify policy options

    PubMed Central

    Allen, Kirk; Hickey, Graeme L; Guzman-Castillo, Maria; Bandosz, Piotr; Buchan, Iain; Capewell, Simon; O’Flaherty, Martin

    2016-01-01

    Objectives To estimate the potential impact of universal screening for primary prevention of cardiovascular disease (National Health Service Health Checks) on disease burden and socioeconomic inequalities in health in England, and to compare universal screening with alternative feasible strategies. Design Microsimulation study of a close-to-reality synthetic population. Five scenarios were considered: baseline scenario, assuming that current trends in risk factors will continue in the future; universal screening; screening concentrated only in the most deprived areas; structural population-wide intervention; and combination of population-wide intervention and concentrated screening. Setting Synthetic population with similar characteristics to the community dwelling population of England. Participants Synthetic people with traits informed by the health survey for England. Main outcome measure Cardiovascular disease cases and deaths prevented or postponed by 2030, stratified by fifths of socioeconomic status using the index of multiple deprivation. Results Compared with the baseline scenario, universal screening may prevent or postpone approximately 19 000 cases (interquartile range 11 000-28 000) and 3000 deaths (−1000-6000); concentrated screening 17 000 cases (9000-26 000) and 2000 deaths (−1000-5000); population-wide intervention 67 000 cases (57 000-77 000) and 8000 deaths (4000-11 000); and the combination of the population-wide intervention and concentrated screening 82 000 cases (73 000-93 000) and 9000 deaths (6000-13 000). The most equitable strategy would be the combination of the population-wide intervention and concentrated screening, followed by concentrated screening alone and the population-wide intervention. Universal screening had the least apparent impact on socioeconomic inequalities in health. Conclusions When primary prevention strategies for reducing cardiovascular disease burden and inequalities are

  16. The Colorado Center for Lunar Dust and Atmospheric Studies

    NASA Astrophysics Data System (ADS)

    Collette, A.; Gruen, E.; Horanyi, M.; Munsat, T.; Poppe, A. R.; Robertson, S. H.; Srama, R.; Shu, A. J.; Sternovsky, Z.; Wang, X.; Ccldas Team

    2010-12-01

    The Colorado Center for Lunar Dust and Atmospheric Studies (CCLDAS) is a member of the NASA Lunar Science Institute, focused on experimental and theoretical investigations of the lunar surface, including dusty plasma and impact processes, the origins of the lunar atmosphere, and the development of new instrument concepts, with a complementary program of education and community development. The tenuous lunar atmosphere is a surface-bound exosphere (SBE) similar to that found throughout the solar system, for example on Mercury, various icy satellites, over the rings of Saturn, on large asteroids, and on Kuiper Belt objects. Its time-dependent constituents arise from a dynamic balance between sources that may be sporadic (solar wind, sputtering, micrometeoroid impacts, outgassing) and loss mechanisms (escape, ionization), creating a natural dusty plasma laboratory. CCLDAS supports a diverse experimental program, performed in conjunction with theory and simulation, to investigate the near-surface lunar plasma environment, dust charging and mobilization, and the effects of micrometeoroids. The flagship device at CCLDAS is a dust accelerator, currently under construction, which will allow simulation of micrometeoroid impacts at speeds relevant to the lunar environment. The accelerator will be available for direct science investigation as well as instrument calibration; in addition to our own research program, the experimental facilities are open to the lunar and space physics community. One use will be to support the calibration of the Lunar Dust EXperiment (LDEX) instrument, scheduled for launch in 2013 onboard the Lunar Atmosphere and Dust Environment Explorer (LADEE) spacecraft. LDEX will measure the density and temporal variation of micron and submicron sized dust particles released from the lunar surface and elevated to > 30 km altitude by micrometeoroid bombardment and/or electrostatic forces. The new Lunar Environment and Impact Laboratory (LEIL) at CCLDAS

  17. Extracorporeal Membrane Oxygenation Outcomes in Acute Respiratory Distress Treatment: Case Study in a Chinese Referral Center

    PubMed Central

    Huang, Lei; Li, Tong; Xu, Lei; Hu, Xiao-min; Duan, Da-wei; Li, Zhi-bo; Gao, Xin-jing; Li, Jun; Wu, Peng; Liu, Ying-Wu

    2017-01-01

    Background No definitive conclusions have been drawn from the available data about the utilization of extracorporeal membrane oxygenation (ECMO) to treat severe acute respiratory distress syndrome (ARDS). The aim of this study was to review our center’s experience with ECMO and determine predictors of outcome from our Chinese center. Material/Methods We retrospectively analyzed a total of 23 consecutive candidates who fulfilled the study entry criteria between January 2009 and December 2015. Detailed clinical data, ECMO flow, and respiratory parameters before and after the introduction of ECMO were compared among in-hospital survivors and nonsurvivors; factors associated with mortality were investigated. Results Hemodynamics and oxygenation parameters were significantly improved after ECMO initiation. Thirteen patients survived to hospital discharge. Univariate correlation analysis demonstrated that APACHE II score (r=−0.463, p=0.03), acute kidney injury (r=−0.574, p=0.005), membrane oxygenator replacement (r=−0.516, p=0.014) and total length of hospital stay (r=0.526, p=0.012) were significantly correlated with survival to hospital discharge, and that the evolution of the levels of urea nitrogen, platelet, and fibrinogen may help to determine patient prognosis. Sixteen patients referred for ECMO from an outside hospital were successfully transported to our institution by ambulance, including seven transported under ECMO support. The survival rate of the ECMO-transport group was comparable to the conventional transport or the non-transport group (both p=1.000). Conclusions ECMO is an effective alternative option for severe ARDS. APACHE II score on admission, onset of acute kidney injury, and membrane oxygenator replacement, and the evolution of levels of urea nitrogen, platelet, and fibrinogen during hospitalization may help to determine the in-hospital patient prognosis. By establishing a well-trained mobile ECMO team, a long-distance, inter

  18. Miami-Dade Community College 1984 Institutional Self-Study. Volume VIII: Medical Center Campus Studies.

    ERIC Educational Resources Information Center

    Miami-Dade Community Coll., FL.

    Part of a systematic, in-depth assessment of Miami-Dade Community College's (MDCC's) educational programs, student support systems, and selected campus-level activities, this volume of the college's institutional self-study report examines the impact and effectiveness of the Medical Center Campus. The report contains the results of a campus study…

  19. The silvicultural options study

    Treesearch

    Robert O. Curtis; Dean S. DeBell; Jeffrey D. DeBell

    2004-01-01

    The Washington Department of Natural Resources (DNR) administers some 2.1 million acres of state forest land, much of it in the highly productive west-side Douglas-fir region. The primary objective—defined by law—is to generate income in perpetuity for trust beneficiaries consisting of educational and other state and county institutions. The DNR also must retain broad...

  20. [Clinical safety audits for primary care centers. A pilot study].

    PubMed

    Ruiz Sánchez, Míriam; Borrell-Carrió, Francisco; Ortodó Parra, Cristina; Fernàndez I Danés, Neus; Fité Gallego, Anna

    2013-01-01

    To identify organizational processes, violations of rules, or professional performances that pose clinical levels of insecurity. Descriptive cross-sectional survey with customized externally-behavioral verification and comparison of sources, conducted from June 2008 to February 2010. Thirteen of the 53 primary care teams (PCT) of the Catalonian Health Institute (ICS Costa de Ponent, Barcelona). Employees of 13 PCT classified into: director, nurse director, customer care administrators, and general practitioners. Non-random selection, teaching (TC)/non-teaching, urban (UC)/rural and small/large (LC) health care centers (HCC). A total of 33 indicators were evaluated; 15 of procedures, 9 of attitude, 3 of training, and 6 of communication. Level of uncertainty: <50% positive answers for each indicator. no collaboration. A total of 55 professionals participated (84.6% UC, 46.2% LC and 76.9% TC). Rank distribution: 13 customer care administrators, 13 nurse directors, 13 HCC directors, and 16 general practitioners. Levels of insecurity emerged from the following areas: reception of new medical professionals, injections administration, nursing weekend home calls, urgent consultations to specialists, aggressive patients, critical incidents over the agenda of the doctors, communication barriers with patients about treatment plans, and with immigrants. Clinical safety is on the agenda of the health centers. Identified areas of uncertainty are easily approachable, and are considered in the future system of accreditation of the Catalonian Government. General practitioners are more critical than directors, and teaching health care centers, rural and small HCC had a better sense of security. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  1. A Case Study Documenting the Process by Which Biology Instructors Transition from Teacher-Centered to Learner-Centered Teaching

    PubMed Central

    Marbach-Ad, Gili; Hunt Rietschel, Carly

    2016-01-01

    In this study, we used a case study approach to obtain an in-depth understanding of the change process of two university instructors who were involved with redesigning a biology course. Given the hesitancy of many biology instructors to adopt evidence-based, learner-centered teaching methods, there is a critical need to understand how biology instructors transition from teacher-centered (i.e., lecture-based) instruction to teaching that focuses on the students. Using the innovation-decision model for change, we explored the motivation, decision-making, and reflective processes of the two instructors through two consecutive, large-enrollment biology course offerings. Our data reveal that the change process is somewhat unpredictable, requiring patience and persistence during inevitable challenges that arise for instructors and students. For example, the change process requires instructors to adopt a teacher-facilitator role as opposed to an expert role, to cover fewer course topics in greater depth, and to give students a degree of control over their own learning. Students must adjust to taking responsibility for their own learning, working collaboratively, and relinquishing the anonymity afforded by lecture-based teaching. We suggest implications for instructors wishing to change their teaching and administrators wishing to encourage adoption of learner-centered teaching at their institutions. PMID:27856550

  2. A Case Study Documenting the Process by Which Biology Instructors Transition from Teacher-Centered to Learner-Centered Teaching.

    PubMed

    Marbach-Ad, Gili; Hunt Rietschel, Carly

    2016-01-01

    In this study, we used a case study approach to obtain an in-depth understanding of the change process of two university instructors who were involved with redesigning a biology course. Given the hesitancy of many biology instructors to adopt evidence-based, learner-centered teaching methods, there is a critical need to understand how biology instructors transition from teacher-centered (i.e., lecture-based) instruction to teaching that focuses on the students. Using the innovation-decision model for change, we explored the motivation, decision-making, and reflective processes of the two instructors through two consecutive, large-enrollment biology course offerings. Our data reveal that the change process is somewhat unpredictable, requiring patience and persistence during inevitable challenges that arise for instructors and students. For example, the change process requires instructors to adopt a teacher-facilitator role as opposed to an expert role, to cover fewer course topics in greater depth, and to give students a degree of control over their own learning. Students must adjust to taking responsibility for their own learning, working collaboratively, and relinquishing the anonymity afforded by lecture-based teaching. We suggest implications for instructors wishing to change their teaching and administrators wishing to encourage adoption of learner-centered teaching at their institutions.

  3. Menopause: Weighing Your Treatment Options

    MedlinePlus

    ... of this page please turn JavaScript on. Feature: Menopause Weighing Your Treatment Options Winter 2017 Table of ... What led you to study older women and menopause? I started studying women's health many years ago ...

  4. Addressing underutilization of consumer health information resource centers: a formative study*

    PubMed Central

    Kennedy, May G.; Kiken, Laura; Shipman, Jean P.

    2008-01-01

    Problem: Four consumer health information centers in Richmond, Virginia, provide one-on-one assistance in accessing health information. Because they may not be fully utilized at present, an exploratory marketing study of factors affecting usage of the centers was conducted. Method: Observers counted center passers-by and tracked their paths. Also, brief intercept interviews were conducted with people who had just used a center, people nearby who could have used one but did not, and people on the street. Finally, in-depth individual interviews were conducted with key informants. Results: There was a high degree of satisfaction with the centers among users. Nonusers universally endorsed the center concept. However, most passers-by did not even glance at the centers, and intercept interviewees suggested better signage and promoting the resource centers through various media channels. Key informants added suggestions about interpersonal strategies (e.g., physician referrals) for center usage promotion but cautioned that a large increase in traffic could not be accommodated without increasing staff size or shifting from a model of individualized service. Conclusions: Triangulating findings from multiple data collection methods can provide useful guidance for efforts to promote center utilization. At minimum, steps should be taken to make the largest centers more noticeable. Because center utilization is not only associated with consumer satisfaction with hospitals, but may also foster health literacy, both hospital-based and community-based usage promotion strategies may be warranted. All such promotional strategies should be audience-tested before they are adopted. PMID:18219380

  5. Addressing underutilization of consumer health information resource centers: a formative study.

    PubMed

    Kennedy, May G; Kiken, Laura; Shipman, Jean P

    2008-01-01

    Four consumer health information centers in Richmond, Virginia, provide one-on-one assistance in accessing health information. Because they may not be fully utilized at present, an exploratory marketing study of factors affecting usage of the centers was conducted. Observers counted center passers-by and tracked their paths. Also, brief intercept interviews were conducted with people who had just used a center, people nearby who could have used one but did not, and people on the street. Finally, in-depth individual interviews were conducted with key informants. There was a high degree of satisfaction with the centers among users. Nonusers universally endorsed the center concept. However, most passers-by did not even glance at the centers, and intercept interviewees suggested better signage and promoting the resource centers through various media channels. Key informants added suggestions about interpersonal strategies (e.g., physician referrals) for center usage promotion but cautioned that a large increase in traffic could not be accommodated without increasing staff size or shifting from a model of individualized service. Triangulating findings from multiple data collection methods can provide useful guidance for efforts to promote center utilization. At minimum, steps should be taken to make the largest centers more noticeable. Because center utilization is not only associated with consumer satisfaction with hospitals, but may also foster health literacy, both hospital-based and community-based usage promotion strategies may be warranted. All such promotional strategies should be audience-tested before they are adopted.

  6. Medication wrong route administration: a poisons center-based study.

    PubMed

    Bloch-Teitelbaum, Alexandra; Lüde, Saskia; Rauber-Lüthy, Christine; Kupferschmidt, Hugo; Russmann, Stefan; Kullak-Ublick, Gerd A; Ceschi, Alessandro

    2013-03-01

    To describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. Retrospective single-center consecutive review of parenteral route errors of medications, reported to our center between January 2006 and June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. Seventy-eight cases (68 adults, 10 children) were available for analysis. The following wrong administration routes were recorded: paravenous (51%), intravenous (33%), subcutaneous (8%), and others (8%). Medications most frequently involved were iodinated x-ray contrast media (11%) and iron infusions (9%). Twenty-eight percent of the patients were asymptomatic and 54% showed mild symptoms; moderate and severe symptoms were observed in 9% and 7.7%, respectively, and were mostly due to intravenous administration errors. There was no fatal outcome. In most symptomatic cases local nonspecific treatment was performed. Enquiries concerning administration of medicines by an incorrect parenteral route were rare, and mainly involved iodinated x-ray contrast media and iron infusions. Most events occurred in adults and showed a benign clinical course. Although the majority of exposures concerned the paravenous route, the occasional severe cases were observed mainly after inadvertent intravenous administration.

  7. User-centered semantic harmonization: a case study.

    PubMed

    Weng, Chunhua; Gennari, John H; Fridsma, Douglas B

    2007-06-01

    Semantic interoperability is one of the great challenges in biomedical informatics. Methods such as ontology alignment or use of metadata neither scale nor fundamentally alleviate semantic heterogeneity among information sources. In the context of the Cancer Biomedical Informatics Grid program, the Biomedical Research Integrated Domain Group (BRIDG) has been making an ambitious effort to harmonize existing information models for clinical research from a variety of sources and modeling agreed-upon semantics shared by the technical harmonization committee and the developers of these models. This paper provides some observations on this user-centered semantic harmonization effort and its inherent technical and social challenges. The authors also compare BRIDG with related efforts to achieve semantic interoperability in healthcare, including UMLS, InterMed, the Semantic Web, and the Ontology for Biomedical Investigations initiative. The BRIDG project demonstrates the feasibility of user-centered collaborative domain modeling as an approach to semantic harmonization, but also highlights a number of technology gaps in support of collaborative semantic harmonization that remain to be filled.

  8. Progress in implantable gastric stimulation: summary of results of the European multi-center study.

    PubMed

    De Luca, Maurizio; Segato, Gianni; Busetto, Luca; Favretti, Franco; Aigner, Franz; Weiss, Helmut; de Gheldere, Charles; Gaggiotti, Giorgio; Himpens, Jacques; Limao, Jorge; Scheyer, Matthias; Toppino, Mauro; Zurmeyer, Ernst L; Bottani, Giorgio; Penthaler, Heinrich

    2004-09-01

    The Implantable Gastric Stimulator (IGS(R)), a pacemaker-like device, has been found to be safe and effective to induce and maintain weight loss. The LOSS (Laparoscopic Obesity Stimulation Survey) is a prospective non-randomized trial which enrolled 69 patients involving 11 investigator centers in 5 European Countries. In 19 patients, ghrelin was analyzed. Between January 2002 and December 2003, 69 patients (F/M 49/20), mean age 41 years (18-65) underwent IGS implantation. Mean BMI was 41 (35-57), mean weight 115.0 kg (65-160) and mean excess weight (EW) 52 kg (13-89). The IGS was actived 30 days after implantation. In a subset of 19 patients studied further, 0, 6, and 12 months appetite and satiety score were evaluated and 0 and 6 months ghrelin profile was analyzed. The mean +/- standard error %EWL was: 8.6+/-1.8 at 1 month, 15.8+/-2.3 at 3 months, 17.8+/-2.6 at 6 months, 21.0+/-3.5 at 10 months, and 21.0+/-5.0 at 15 months. There were no intraoperative surgical or long-term complications. 7 intra-operative gastric penetrations occurred, observed by gastroscopy, without sequelae. 1 patient required a reoperation to remove a retained lead needle. In the subset of 19 patients, appetite was reduced and post-prandial and inter-prandial satiety was increased after IGS implantation. In the 19 patients, despite weight reduction, ghrelin did not increase. IGS can be implanted laparoscopically with minimal perioperative complications. Appetite is reduced and satiety is increased after the implantation. Ghrelin levels could be one of the mechanisms explaining weight loss and weight maintenance in IGS patients. If weight loss is maintained, IGS could be considered a good option for selected patients.

  9. Structural studies of iron and manganese in photosynthetic reaction centers

    SciTech Connect

    McDermott, A.E.

    1987-11-01

    Electron paramagnetic resonance (EPR) and x-ray absorption spectroscopy (XAS) were used to characterize components involved in the light reactions of photosynthetic reaction centers from spinach and a thermophilic cyanobacterium, Synechococcus sp.: center X, the low electron potential acceptor in Photosystem I (PS I) and the Mn complex involved in water oxidation and oxygen evolution. The dependence of its EPR amplitude on microwave power and temperature indicate an Orbach spin relaxation mechanism involving an excited state at 40 cm/sup -1/. This low energy contributes to its unusually anisotropic g-tensor. XAS of iron in PS I preparations containing ferredoxins A, B and X are consistent with a model with (4Fe-4S) ferredoxins, which are presumably centers A and B and (2Fe-2S) ferredoxins, which would be X. Illumination of dark-adapted Synechococcus PS II samples at 220 to 240 K results in the formation of the multiline EPR signal previously assigned as a Mn S/sub 2/ species, and g = 1.8 and 1.9 signals of Fe/sup 2 +/ Q/sub A//sup -/. In contrast to spinach, illumination at 110 to 160 K produces only a new EPR signal at g = 1.6 which we assign to another configuration of Fe/sup 2+ - Q/sup -/. Following illumination of a S/sub 1/ sample at 140 K or 215 K, the Mn x-ray absorption edge inflection energy changes from 6550 eV to 6551 eV, indicating an oxidation of Mn, and average valences greater than Mn(II). Concomitant changes in the shape of the pre-edge spectrum indicate oxidation of Mn(III) to Mn(IV). The Mn EXAFS spectrum of PS II from Synechococcus is similar in the S/sub 1/ and S/sub 2/ states, indicating O or N ligands at 1.75 +- 0.05 A, transition metal neighbor(s) at 2.75 +- 0.05 A, and N and O ligands at 2.2 A with heterogeneous bond lengths; these data demonstrate the presence of a di-..mu..-oxo bridged Mn structure. 202 refs., 40 figs., 7 tabs.

  10. Osteoporosis: Therapeutic Options.

    PubMed

    Ivanova, Stefka; Vasileva, Liliya; Ivanova, Stanislava; Peikova, Lily; Obreshkova, Danka

    2015-01-01

    The definition of osteoporosis was originally formulated at a conference of the World Health Organization (WHO) in 1993 as 'a systemic skeletal disease characterized by decreased bone mass and altered micro-architecture of bone tissue, leading to enhanced bone fragility and risk of fractures'. Osteoporosis is characterized by low bone mineral density (BMD) and loss of the structural and bio-mechanical properties that are required to maintain bone homeostasis. This review aims to address the currently available options in prevention and treatment of osteoporosis. Management of osteoporosis includes non-pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy. Combination of non-pharmacological and pharmacological treatment options have to be considered for prevention of osteoporosis and minimization of the risk of fractures. Given the heterogeneity of osteoporosis syndrome and lack of significant number of comparative studies, the choice of a pharmacological agents should be individualized.

  11. Space Operations Center, shuttle interaction study, volume 1

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The feasibility of the shuttle remote manipulator system (SRMS)-aided space operations center (SOC)/orbiter berthing was evaluated to determine: (1) whether the initial rates between the SOC and the orbiter can be removed by the arm; (2) what is the best strategy to be used; (3) whether the post-capture and maneuvering loads are within the capability of the SRMS; (4) can the SOC berthing port be brought in the immediate proximity of the orbiter berthing port; and (5) what is the best way to remove the residual relative motions. Various notational conventions are established and various important locations on the orbiter and SOC structures are defined. Reference frames are defined together with the mass properties of both the SOC and the orbiter.

  12. Space operations center: Shuttle interaction study extension, executive summary

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The Space Operations Center (SOC) is conceived as a permanent facility in low Earth orbit incorporating capabilities for space systems construction; space vehicle assembly, launching, recovery and servicing; and the servicing of co-orbiting satellites. The Shuttle Transportation System is an integral element of the SOC concept. It will transport the various elements of the SOC into space and support the assembly operation. Subsequently, it will regularly service the SOC with crew rotations, crew supplies, construction materials, construction equipment and components, space vehicle elements, and propellants and spare parts. The implications to the SOC as a consequence of the Shuttle supporting operations are analyzed. Programmatic influences associated with propellant deliveries, spacecraft servicing, and total shuttle flight operations are addressed.

  13. Examining mutable reform options for urban schools with multilevel analysis in the National Educational Longitudinal Study:88

    NASA Astrophysics Data System (ADS)

    Roberts, John Kyle

    2000-11-01

    The present study examined the effects of science course taking and school urbanicity on students' science achievement levels. More specifically, this study analyzed the National Educational Longitudinal Study (NELS:88) with multilevel techniques to investigate mutable reform options for urban schools in the area of science achievement. This study provided a unique insight into current research because all analyses were conducted with both ordinary least squares regression (OLS) and multilevel modeling techniques. Results from the comparison of OLS and multilevel techniques showed little effect on either overestimation or underestimation between the OLS weighted sample and the multilevel analysis. Although the differences between these two analyses were small, the multilevel techniques were optimized when the differences between schools was largest. Results from the multilevel and weighted analyses produced large differences when compared against the unweighted analysis. The unweighted sample consistently overestimated the coefficients of slope for each of the predictor variables. Because of these findings, researchers should be strongly cautioned against interpreting analyses run with the NELS:88 dataset without a weighted sample or without multilevel techniques. The results from the multiple regression analysis in both multilevel modeling and weighted OLS indicated that students who had parents who attended a school event, were not afraid to ask questions in science class, spent more time on homework each week, did not attend a school where science was taught in a non-English language, and had parents who belonged to a parent/teacher organization scored higher in terms of student science achievement than did their urban counterparts who did not meet these qualifications. From these results, several recommendations were made for schools concerning ways they could improve science education, including fostering attitudes of inquiry in science, increasing the

  14. Bicortical facet screws as a new option for posterior C2 fixation: anatomical study and clinical experience.

    PubMed

    Rusconi, Angelo; Freitas-Olim, E; Coloma, P; Messerer, R; Barrey, C

    2017-04-01

    C2 fixation is a demanding procedure, particularly in patients with variants of C1-C2 anatomy. The inferior articular process (IAP) of the axis can be an alternative for screw placement. We report the results of a CT study of C2 IAP anatomy and we present the clinical experience of 28 patients operated with this technique. Anatomical study: 50 CT angiographies of the vertebral arteries (VA) were used for this study and, therefore, 100 IAPs were considered. We measured on the axial and sagittal planes the length, height and width of the facet, the distance between the anterior cortex and the VA and the distance between the screw entry point and the VA. We also measured the angle between the sagittal plane and the external tangent line of the VA. 28 patients were treated with C2 IAP screws at the Spine Surgery Department of the University Hospital in Lyon, France, from January 2014 to January 2016. Anatomical study: the mean length of C2 IAP was 12 ± 2 mm, the mean distance between the anterior cortical layer and the VA was 5.2 ± 1.4 mm, and the mean angle we found was 0.2° ± 5.3°. 16 of the 28 patients presented post-traumatic C1-C2 instability, 8 patients presented degenerative disease, 1 patient was treated for pseudoarthrosis, 1 for tumour, 1 for OPLL and 1 for rheumatoid arthritis. All the screws were correctly positioned and there was no VA injury. IAP screws can represent a safe alternative option for C2 fixation.

  15. The Woodlands Metro Center energy study. Case studies of project planning and design for energy conservation

    SciTech Connect

    Not Available

    1980-03-01

    The Woodlands is a HUD Title VII New Town located near Houston, including 22,000 acres; the plan for the new town consists of 6 residential villages, a town center (Metro), and a Trade Center for larger-scale industrial use. Included within the program for each village are schools and commercial activities, as well as employment activities. The Woodlands is planned to be developed over a 26-year period (commenced in 1972) with an ultimate population of 150,000. Following a summary chapter, Chapter II presents background material on The Woodlands and results of the study are summarized. Chapter III describes the project team and its organizational structure. Chapter IV outlines and documents the methodology that was employed in developing, analyzing, and evaluating the case study. The next chapter describes and analyzes the conventional plan, documents the process by which energy-conserving methods were selected, and evaluates the application of these methods to the Metro Center Study area. Chapter VI discusses constraints to implementation and is followed by a final chapter that presents the general conclusions from the case study and suggests directions for further investigation.

  16. The Impact on Family Functioning of Social Media Use by Depressed Adolescents: A Qualitative Analysis of the Family Options Study.

    PubMed

    Lewis, Andrew J; Knight, Tess; Germanov, Galit; Benstead, Michelle Lisa; Joseph, Claire Ingrid; Poole, Lucinda

    2015-01-01

    Adolescent depression is a prevalent mental health problem, which can have a major impact on family cohesion. In such circumstances, excessive use of the Internet by adolescents may exacerbate family conflict and lack of cohesion. The current study aims to explore these patterns within an intervention study for depressed adolescents. The current study draws upon data collected from parents within the family options randomized controlled trial that examined family based interventions for adolescent depression (12-18 years old) in Melbourne, Australia (2012-2014). Inclusion in the trial required adolescents to meet diagnostic criteria for a major depressive disorder via the Structured Clinical Interview for DSM-IV Childhood Disorders. The transcripts of sessions were examined using qualitative thematic analysis. The transcribed sessions consisted of 56 h of recordings in total from 39 parents who took part in the interventions. The thematic analysis explored parental perceptions of their adolescent's use of social media (SM) and access to Internet content, focusing on the possible relationship between adolescent Internet use and the adolescent's depressive disorder. Two overarching themes emerged as follows: the sense of loss of parental control over the family environment and parents' perceived inability to protect their adolescent from material encountered on the Internet and social interactions via SM. Parents within the context of family based treatments felt that prolonged exposure to SM exposed their already vulnerable child to additional stressors and risks. The thematic analysis uncovered a sense of parental despair and lack of control, which is consistent with their perception of SM and the Internet as relentless and threatening to their parental authority and family cohesion.

  17. Fiscal Year 1988 program report: Maine Environmental Studies Center

    SciTech Connect

    White, G.K.

    1989-07-01

    Groundwater protection continues to be a primary water resource issue in Maine. Concerns have developed as a result of numerous cases of groundwater contamination from hazardous waste sites, underground fuel tanks, and other sources. Maine is seeking new methods of aquifer classification and protection. Geographic information systems appear to be capable of making a significant contribution, by offering improved handling of a variety of geographically oriented information, to the efforts of both State and local governments in dealing with groundwater issues. Radon was a priority research issue for the Center in the late 1970s and early 1980s. Because of the state's bedrock geology, radon levels in well water and in household air are high enough in some Maine homes to entail significant health risks. Maine is unique among the lower forty-eight states in having so many lakes and ponds and so many miles of undeveloped rivers and streams. Numerous conflicts have arisen because of increasing development pressure as well as other factors such as intensified forestry practices, expanding recreational use of inland waters, and more stringent federal drinking water standards.

  18. Evaluation of Participant Needs in a Regional Center for Security Studies

    ERIC Educational Resources Information Center

    Schmoker, Oliver E., III.

    2009-01-01

    This research study was implemented within the subject headquarters of a regional center, an organization responsible for security cooperation in Europe and Eurasia. The focus of the study was the center's program of security education. This program was designed to support evolving security objectives of foreign countries in order to increase the…

  19. A Management Model for Establishing a Graduate Center of Cross-Cultural Studies.

    ERIC Educational Resources Information Center

    Stambler, Moses

    This model is an abstraction of a content and process model proposed and partially implemented at Southern Connecticut State College for establishing a Graduate Center of Cross-Cultural Studies. Outlined in the model are: (1) major objectives for the Graduate Center of Cross-Cultural Studies; (2) college inputs (organization, resources to be…

  20. Evaluation of Participant Needs in a Regional Center for Security Studies

    ERIC Educational Resources Information Center

    Schmoker, Oliver E., III.

    2009-01-01

    This research study was implemented within the subject headquarters of a regional center, an organization responsible for security cooperation in Europe and Eurasia. The focus of the study was the center's program of security education. This program was designed to support evolving security objectives of foreign countries in order to increase the…

  1. Uptake of prevention of mother-to-child-transmission using Option B+ in northern rural Malawi: a retrospective cohort study.

    PubMed

    Price, Alison J; Kayange, Michael; Zaba, Basia; Chimbwandira, Frank M; Jahn, Andreas; Chirwa, Zengani; Dasgupta, Aisha Nz; Katundu, Cynthia; Saul, Jacqueline L; Glynn, Judith R; Koole, Olivier; Crampin, Amelia C

    2014-06-01

    To identify points of dropout on the pathway from offering HIV testing to maintenance on antiretroviral therapy (ART), following the introduction of the Option B+ policy for pregnant women in Malawi (lifelong ART for HIV-positive mothers and 6 weeks nevirapine for the infants), a retrospective cohort study within a demographic surveillance system in northern Malawi. Women living in the demographic surveillance system who initiated antenatal care (ANC) between July 2011 (date of policy change) and January 2013, were eligible for inclusion. Women who consented were interviewed at home about their health facility attendance and care since pregnancy, including antenatal clinic (ANC) visits, delivery and postpartum care. Women's reports, patient-held health records and clinic health records were manually linked to ascertain service use. Among 395 women, 86% had tested for HIV before the pregnancy, 90% tested or re-tested at the ANC visit, and <1% had never tested. Among 53 mothers known to be HIV-positive before attending ANC, 15 (28%) were already on ART prior to pregnancy. Ten women tested HIV-positive for the first time during pregnancy. Of the 47 HIV-positive mothers not already on ART, 26/47 (55%) started treatment during pregnancy. All but five women who started ART were still on treatment at the time of study interview. HIV testing was almost universal and most women who initiated ART were retained in care. However, nearly half of eligible pregnant women not on ART at the start of ANC had not taken up the invitation to initiate (lifelong) ART by the time of delivery, leaving their infants potentially HIV-exposed.

  2. Trends in Connectivity Technologies and Their Socioeconomic Impacts. Final Report of the Study: Policy Options for the Ubiquitous Internet Society. Technical Report

    ERIC Educational Resources Information Center

    Cave, Jonathan; van Oranje-Nassau, Constantijn; Schindler, Helen Rebecca; Shehabi, Ala'a; Brutscher, Philipp-Bastian; Robinson, Neil

    2009-01-01

    This report is intended to inform the European Commission's DG Information Society and Media in developing its policies for the period 2010-2020. It is targeted to policymakers with expert knowledge of the field. The report summarises the work conducted in the study: "Policy Options for the Ubiquitous Internet Society". It builds on…

  3. Trends in Connectivity Technologies and Their Socioeconomic Impacts. Final Report of the Study: Policy Options for the Ubiquitous Internet Society. Technical Report

    ERIC Educational Resources Information Center

    Cave, Jonathan; van Oranje-Nassau, Constantijn; Schindler, Helen Rebecca; Shehabi, Ala'a; Brutscher, Philipp-Bastian; Robinson, Neil

    2009-01-01

    This report is intended to inform the European Commission's DG Information Society and Media in developing its policies for the period 2010-2020. It is targeted to policymakers with expert knowledge of the field. The report summarises the work conducted in the study: "Policy Options for the Ubiquitous Internet Society". It builds on…

  4. A Study of the Piggyback Option of the Minnesota State Assessment Program. A Report Prepared for the Minnesota State Assessment Program, Minnesota Department of Education.

    ERIC Educational Resources Information Center

    Minnesota State Dept. of Education, St. Paul. Office of Planning and Evaluation.

    The Local District Assessment Option (piggyback program) is an integral part of the Minnesota Statewide Educational Assessment Program, which provides the 162 participating local school districts with materials and procedures developed for the statewide program. Materials are available in reading, mathematics, social studies, and science for…

  5. Study of Traces of Tritium at the World Trade Center

    SciTech Connect

    Semkow, T M; Hafner, S R; Parekh, P P; Wozniak, G J; Haines, D K; Husain, L; Rabun, R L; Williams, P G

    2002-10-01

    Traces of tritiated water (HTO) were detected at the World Trade Center (WTC) ground zero after the 9/11/01 terrorist attack. A water sample from the WTC sewer, collected on 9/13/01, contained 0.164 {+-} 0.074 (2 {sigma}) nCi/L of HTO. A split water sample, collected on 9/21/01 from the basement of WTC Building 6, contained 3.53 {+-} 0.17 and 2.83 {+-} 0.15 nCi/L, respectively. These results are well below the levels of concern to human exposure. Several water and vegetation samples were analyzed from sites outside ground zero, located in Manhattan, Brooklyn, Queens, and the Kensico and Croton Reservoirs. No HTO above the background was found in those samples. Tritium radioluminescent (RL) devices were investigated as possible sources of the traces of tritium at ground zero. It was determined that the two Boeing 767 aircraft that hit the Twin Towers contained a combined 34 Ci of tritium at the time of impact in their emergency exit signs. There is also evidence that many weapons from law enforcement were present and destroyed at WTC. Such weaponry contains by design tritium sights. The fate and removal of tritium from ground zero were investigated, taking into consideration tritium chemistry and water flow originating from the fire fighting, rain, as well as leaks from the Hudson River and broken mains. A box model was developed to describe the above scenario. The model is consistent with instantaneous oxidation of the airplane tritium in the jet-fuel explosion, deposition of a small fraction of HTO at ground zero, and water-flow controlled removal of HTO from the debris. The model also suggests that tritium from the weapons would be released and oxidized to HTO at a much slower rate in the lingering fires at ground zero.

  6. Economic analysis of centralized vs. decentralized electronic data capture in multi-center clinical studies.

    PubMed

    Walden, Anita; Nahm, Meredith; Barnett, M Edwina; Conde, Jose G; Dent, Andrew; Fadiel, Ahmed; Perry, Theresa; Tolk, Chris; Tcheng, James E; Eisenstein, Eric L

    2011-01-01

    New data management models are emerging in multi-center clinical studies. We evaluated the incremental costs associated with decentralized vs. centralized models. We developed clinical research network economic models to evaluate three data management models: centralized, decentralized with local software, and decentralized with shared database. Descriptive information from three clinical research studies served as inputs for these models. The primary outcome was total data management costs. Secondary outcomes included: data management costs for sites, local data centers, and central coordinating centers. Both decentralized models were more costly than the centralized model for each clinical research study: the decentralized with local software model was the most expensive. Decreasing the number of local data centers and case book pages reduced cost differentials between models. Decentralized vs. centralized data management in multi-center clinical research studies is associated with increases in data management costs.

  7. Farmers' Options to Address Water Scarcity in a Changing Climate: Case Studies from two Basins in Mediterranean Chile

    NASA Astrophysics Data System (ADS)

    Roco, Lisandro; Poblete, David; Meza, Francisco; Kerrigan, George

    2016-12-01

    Irrigated agriculture in Mediterranean areas faces tremendous challenges because of its exposure to hydroclimatic variability, increasing competition for water from different sectors, and the possibility of a climatic change. In this context, efficient management of water resources emerges as a critical issue. This requires the adoption of technological innovations, investment in infrastructure, adequate institutional arrangements, and informed decision makers. To understand farmers' perceptions and their implementation of climate change adaptation strategies with regards to water management, primary information was captured in the Limarí and Maule river basins in Chile. Farmers identified stressors for agriculture; climate change, droughts, and lack of water appeared as the most relevant stressors compared to others productive, economic, and institutional factors; revealing a rising relevance of climate related factors. While most producers perceived climate changes in recent years (92.9 %), a significant proportion (61.1 %) claim to have experienced drought, whereas only a fraction (31.9 %) have implemented a strategy to deal with this situation. Identified actions were classified in four groups: investments for water accumulation, modernization of irrigation systems, rationalization of water use, and partnership activities. Using a multinomial logit model these strategies were related to socioeconomic and productive characteristics. Results show that gender and farm size are relevant for investments, implementation and improvement of irrigation systems. For all the strategies described, access to weather information was a relevant element. The study provides empirical evidence of a recent increase in the importance assigned to climate factors by producers and adaptation options that can be supported by agricultural policy.

  8. Farmers' Options to Address Water Scarcity in a Changing Climate: Case Studies from two Basins in Mediterranean Chile.

    PubMed

    Roco, Lisandro; Poblete, David; Meza, Francisco; Kerrigan, George

    2016-12-01

    Irrigated agriculture in Mediterranean areas faces tremendous challenges because of its exposure to hydroclimatic variability, increasing competition for water from different sectors, and the possibility of a climatic change. In this context, efficient management of water resources emerges as a critical issue. This requires the adoption of technological innovations, investment in infrastructure, adequate institutional arrangements, and informed decision makers. To understand farmers' perceptions and their implementation of climate change adaptation strategies with regards to water management, primary information was captured in the Limarí and Maule river basins in Chile. Farmers identified stressors for agriculture; climate change, droughts, and lack of water appeared as the most relevant stressors compared to others productive, economic, and institutional factors; revealing a rising relevance of climate related factors. While most producers perceived climate changes in recent years (92.9 %), a significant proportion (61.1 %) claim to have experienced drought, whereas only a fraction (31.9 %) have implemented a strategy to deal with this situation. Identified actions were classified in four groups: investments for water accumulation, modernization of irrigation systems, rationalization of water use, and partnership activities. Using a multinomial logit model these strategies were related to socioeconomic and productive characteristics. Results show that gender and farm size are relevant for investments, implementation and improvement of irrigation systems. For all the strategies described, access to weather information was a relevant element. The study provides empirical evidence of a recent increase in the importance assigned to climate factors by producers and adaptation options that can be supported by agricultural policy.

  9. A study of space station needs, attributes and architectural options. Final briefing: Cost working group discussion session

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The economic factors involved in the design and utilization of the space station are investigated. Topics include the economic benefits associated with research and production, the orbit transfer vehicle, and satellite servicing. Program costs and design options are examined. The possibilities of financing from the private sector are discussed.

  10. A study of space station needs, attributes, and architectural options, volume 2, technical. Book 2: Mission implementation concepts

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Space station systems characteristics and architecture are described. A manned space station operational analysis is performed to determine crew size, crew task complexity and time tables, and crew equipment to support the definition of systems and subsystems concepts. This analysis is used to select and evaluate the architectural options for development.

  11. Postmission disposal options for upper stages

    NASA Astrophysics Data System (ADS)

    Eichler, Peter; Reynolds, Robert C.; Zhang, Jingchang; Bade, Anette; Jackson, A. A.; Johnson, Nicholas L.; McNamara, Roger

    1997-10-01

    NASA Management Instruction (NMI) 1700.8 directs each project office to limit orbital debris generation if this action is cost-effective and consistent with achieving mission objectives. To implement this policy, the NASA Office of Safety and Mission Assurance, the sponsor of NMI 1700.8, tasked NASA Johnson Space Center (JSC) to develop the NASA Safety Standard 1740.14: Guidelines and Assessment Procedures for Limiting Orbital Debris, August 1995. To mitigate the accumulation of mass in Earth orbit, NSS 1740.14 addresses the issues of postmission disposal of spacecraft and upper stages. According to the guidelines, these systems in general should be left in an orbit in which, using conservative projections for solar activity, atmospheric drag and gravitational perturbations will limit the lifetime in low Earth orbit (LEO) to no longer than 25 years after completion of mission. Consequently, JSC undertook a series of studies to investigate the most efficient and cost effective options for reducing orbit lifetime. In this paper we present an overview of the various options and give hints for the choice of the option best suited for specific mission types, e.g., depending on initial orbit, existing propulsion systems, existing electrical power level, electrical power and attitude control lifetime, and acceptable maneuver time and mass penalties.

  12. Breast Cancer: Treatment Options

    MedlinePlus

    ... Breast Cancer > Breast Cancer: Treatment Options Request Permissions Breast Cancer: Treatment Options Approved by the Cancer.Net Editorial ... recommendations for ovarian ablation . Hormonal therapy for metastatic breast cancer Hormonal therapies are also commonly used to treat ...

  13. Numerical Algorithm for Delta of Asian Option.

    PubMed

    Zhang, Boxiang; Yu, Yang; Wang, Weiguo

    2015-01-01

    We study the numerical solution of the Greeks of Asian options. In particular, we derive a close form solution of Δ of Asian geometric option and use this analytical form as a control to numerically calculate Δ of Asian arithmetic option, which is known to have no explicit close form solution. We implement our proposed numerical method and compare the standard error with other classical variance reduction methods. Our method provides an efficient solution to the hedging strategy with Asian options.

  14. African Studies Centers' Students of Arabic and of Swahili.

    ERIC Educational Resources Information Center

    Kuntz, Patricia S.

    A study examined beliefs about language learning held by students of Arabic and Swahili in six African studies programs. A survey administered to 134 students gathered demographic information and student attitudes about 47 statements concerning language learning strategies, ability, usefulness, and skill difficulty, multilingualism, and reasons…

  15. Data and spatial studies of the USGS Texas Water Science Center

    USGS Publications Warehouse

    Burley, Thomas E.

    2014-01-01

    Hydrologists, geographers, geophysicists, and geologists with the U.S. Geological Survey (USGS) Texas Water Science Center (TXWSC) work in the USGS Water Mission Area on a diverse range of projects built on a foundation of spatial data. The TXWSC has developed sophisticated data and spatial-studies-related capabilities that are an integral part of the projects undertaken by the Center.

  16. Ancillary Pilot Study for the Educational Policy Research Center Program. Final Report.

    ERIC Educational Resources Information Center

    Hudson Inst., Croton-on-Hudson, NY.

    The role of the Hudson Institute in the policy research center program was to build on and adapt current studies of the future for the purpose of assisting the Office of Education and its five pilot centers. Part 1 of this report comments briefly on some methodological and substantive issues that arose during the pilot phase and suggests how…

  17. Academic Skills Center Program: Peer Tutoring, Study Skills Classes, Academic Assistance.

    ERIC Educational Resources Information Center

    Anderson, Betty Marie; And Others

    The Academic Skills Center at Black Hills State University provides a peer assistance program comprising both individual tutoring in classes offered in each academic division and credit classes in study skills. The goal of the Center is to respond effectively and quickly to individual educational needs of students and faculty through a…

  18. Off-Campus Study Centers for Federal Employees, Fiscal Year 1969.

    ERIC Educational Resources Information Center

    Civil Service Commission, Washington, DC. Bureau of Training.

    One of three major training and educational resource publications from the Civil Service Commission, this directory provides information on individual off campus study centers for Federal Employees. Numbers of centers and participants are tabulated by agency and by state or other geographic location. Cooperating institutions, programs or course…

  19. The Organization and Governance of Academic Health Centers: Report of a Study.

    ERIC Educational Resources Information Center

    Hastings, Douglas A.; And Others

    1981-01-01

    Selected data from an Association of Academic Health Centers study of academic health center organization and governance is discussed. Administrative roles and responsibilities, areas of concern (such as resource and space allocation), and anticipated conditions (e.g., accreditation, promotion and tenure) are reported. (MLW)

  20. U.S.-Russian joint study report of geologic disposition options for excess plutonium from dismantled nuclear weapons: combined report, Group 5: burial in geological formations

    SciTech Connect

    Gupalo, T.A.; Jardine, L.J.

    1996-09-01

    This report summarizes the Joint U.S.-Russian Studies of the Geologic Disposal Working Group. The group evaluated a consistent set of geologic disposal options in conjunction with five other working groups for disposition of excess plutonium from dismantled weapons. Mutually agreed-to technical facts and findings were identified for all of the studied excess plutonium disposal forms. These findings were summarized in terms of five joint study criteria identified during the January 1994 Summit between Presidents Yeltsin and Clinton.

  1. Environmental contaminant studies by the Patuxent Wildlife Research Center

    USGS Publications Warehouse

    Heinz, G.H.; Hill, E.F.; Stickel, W.H.; Stickel, L.F.; Kenaga, E.E.

    1979-01-01

    Evaluation of the effects of environmental contaminants on wildlife is geared to interpreting events in the field, especially population effects, and both field and laboratory studies are planned for this purpose; procedures are adapted to specific problems and therefore do not include strict protocols or routine testing. Field evaluations include measurements of cholinesterase inhibition in brain or blood, search for dead or disabled animals, study of nesting success of birds, and general ecological observations. Residue analyses are used in evaluating organochlorine chemicals; samples may include whole bodies for determining level of exposure, brains for mortality diagnosis, whole blood for certain special studies, and eggs to help in evaluation of possible reproductive effects. Bird counts, singing-male census counts, small mamrnal trapping, and cage-in-field tests have proven to be ineffective or misleading and are not considered suitable for field evaluations under most circumstances. Usefulness of simulated field trials is limited to very special situations. Experimental studies that help predict and interpret field effects include determinations of lethal diagnostic levels, comparative lethal dietary toxicity tests, tests of secondary poisoning measurement of residue loss rates, measurement of blood enzymes, tests of behavioral effects, and studies of reproductive effects.

  2. Adolescent depressive disorders and family based interventions in the family options multicenter evaluation: study protocol for a randomized controlled trial

    PubMed Central

    2013-01-01

    Background There is increasing community and government recognition of the magnitude and impact of adolescent depression. Family based interventions have significant potential to address known risk factors for adolescent depression and could be an effective way of engaging adolescents in treatment. The evidence for family based treatments of adolescent depression is not well developed. The objective of this clinical trial is to determine whether a family based intervention can reduce rates of unipolar depressive disorders in adolescents, improve family functioning and engage adolescents who are reluctant to access mental health services. Methods/Design The Family Options study will determine whether a manualized family based intervention designed to target both individual and family based factors in adolescent depression (BEST MOOD) will be more effective in reducing unipolar depressive disorders than an active (standard practice) control condition consisting of a parenting group using supportive techniques (PAST). The study is a multicenter effectiveness randomized controlled trial. Both interventions are delivered in group format over eight weekly sessions, of two hours per session. We will recruit 160 adolescents (12 to 18 years old) and their families, randomized equally to each treatment condition. Participants will be assessed at baseline, eight weeks and 20 weeks. Assessment of eligibility and primary outcome will be conducted using the KID-SCID structured clinical interview via adolescent and parent self-report. Assessments of family mental health, functioning and therapeutic processes will also be conducted. Data will be analyzed using Multilevel Mixed Modeling accounting for time x treatment effects and random effects for group and family characteristics. This trial is currently recruiting. Challenges in design and implementation to-date are discussed. These include diagnosis and differential diagnosis of mental disorders in the context of adolescent

  3. Problem-Centered Social Studies Instruction. Approaches to Reflective Teaching.

    ERIC Educational Resources Information Center

    Gross, Richard E., Ed.; Muessig, Raymond H., Ed.

    The plea of this bulletin, the second and full revision of The Problems Approach and the Social Studies copyrighted in 1955 and 1960, is for teachers to do more with the reflective method in their classrooms. It draws upon the latest and most pertinent insights distilled from research, theory, and practice associated with reflective thinking;…

  4. Developmental Growth at Woodhaven Center: An Eight Year Longitudinal Study.

    ERIC Educational Resources Information Center

    Spreat, Scott; Hill, Jane

    1987-01-01

    Developmental growth of residents of a university operated institution was studied over an eight-year period of time. Long-term residents received decreasing benefits over time, although shorter term residents evidenced only linear growth. The ideal duration of services was estimated as approximately three to four years. (Author)

  5. The effect of an internet option and single-sided printing format to increase the response rate to a population-based study: a randomized controlled trial.

    PubMed

    Flüß, Elisa; Bond, Christine M; Jones, Gareth T; Macfarlane, Gary J

    2014-09-09

    Paper questionnaires are a common means to collect self-reported information in population-based epidemiological studies. Over the past decades, the response rates to epidemiological studies have been decreasing which can affect the selection process of eligible subjects and lead to non-response bias. Hence, research into strategies to increase questionnaire response rates is crucial. The aim of this study was therefore to explore the effectiveness of single-sided questionnaires and an internet option for response in increasing response rates to a population-based study. A 2 × 2 factorial experiment was embedded within a large population-based study of pain and pain management. Persons in the study sample were 4600 residents in Grampian (north of Scotland) aged 25 years and over who were randomly selected from health board records. Sampled persons were randomly assigned to either receive a single-sided or double-sided questionnaire with or without an internet option to respond. The study questionnaire was distributed via post. The overall study response rate was 36.3%. When compared to the reference group that received no intervention (response rate = 35.5%), the response rate changed only marginally when single-sided questionnaires were distributed (35.8%) or when an option to reply via the internet was provided (34.3%). A somewhat higher increase in response rates was achieved when both strategies were employed (39.6%). Overall, no significant effect on response rate was determined for each strategy or their interaction. Evidence from this study suggests that neither single-sided questionnaires nor the option to reply via the internet resulted in a significant increase in response rates to population-based studies.

  6. A simulation study of the energy-efficient options for upgrading and retrofitting a medium-size municipal wastewater treatment plant.

    PubMed

    Mucha, Zbigniew; Mikosz, Jerzy

    2016-10-01

    Many municipal wastewater treatment plants are retrofitted with membrane filtration that replaces secondary clarification. Such a solution saves space and improves overall treatment efficiency but at the cost of increased energy consumption and reduced potential for energy recovery from sewage sludge. Thus, the plant takes a step back from reaching energy self-sufficiency. In the presented case study, two alternative upgrade options were simulated for a medium-size municipal wastewater treatment plant in Poland: the first one assumed optimization of the existing bioreactor, and the other - installation of microfiltration membrane units inside the bioreactor. In both cases, anaerobic digestion of waste sludge with biogas utilization is planned. The results have shown that while under both upgrade options, the plant's capacity can be effectively increased by approximately 50%, their effects on the plant's energy balance will be very different. Although the installation of membrane modules accompanied by the construction of anaerobic digestion tanks improves the plant's energy balance, it will remain negative. The option of optimizing the existing biological treatment system produces a positive energy balance with more energy produced from biogas than consumed. Thus, the plant is able to approach energy self-sufficiency. It has been concluded that retrofitting the plants with membrane filtration is not always the best option from the energy balance point of view and it should be preceded with a detailed analysis on a case-by-case basis.

  7. Screening regional management options for their impact on climate resilience: an approach and case study in the Venen-Vechtstreek wetlands in the Netherlands.

    PubMed

    Wardekker, J A; Wildschut, D; Stemberger, S; van der Sluijs, J P

    2016-01-01

    Freshwater systems provide various resources and services. These are often vulnerable to climate change and other pressures. Therefore, enhancing resilience to climate change is important for their long term viability. This paper explores how management options can be evaluated on their resilience implications. The approach included five steps: (1) characterizing the system, (2) characterizing the impacts of climate change and other disturbances, (3) inventorying management options, (4) assessing the impacts of these on climate resilience, and (5) follow-up analysis. For the resilience assessment, we used a set of 'resilience principles': homeostasis, omnivory, high flux, flatness, buffering, and redundancy. We applied the approach in a case study in a Dutch wetlands region. Many options in the region's management plan contribute to resilience, however, the plan underutilised several principles, particularly flatness, but also redundancy and omnivory for agriculture, and high flux for nature. Co-benefits was identified as an important additional criterion to obtain support for adaptation from local stakeholders, such as farmers. The approach provided a relatively quick and participatory way to screen options. It allowed us to consider multiple impacts and sectors, multiple dimensions of resilience, and stakeholder perspectives. The results can be used to identify gaps or pitfalls, and set priorities for follow-up analyses.

  8. Initial thin film penetration studies at the Colorado Center for Lunar Dust and Atmospheric Studies

    NASA Astrophysics Data System (ADS)

    Shu, A. J.; Collette, A.; Drake, K. J.; Gruen, E.; Horanyi, M.; Kempf, S.; Munsat, T.; Northway, P.; Robertson, S. H.; Srama, R.; Sternovsky, Z.; Thomas, E.; Colorado CenterLunar Dust; Atmospheric Studies

    2011-12-01

    Initial studies of damage caused by hypervelocity impacts of various micrometeorite materials into a range of targets are being performed at the Colorado Center for Lunar Dust and Atmospheric Studies (CCLDAS). Cratering studies are initially focused on polyvinylidene fluoride (PVDF) films in order to characterize the crater dependencies on impactor mass, size, and speed, and to better understand its capabilities as a dust detector. Additional cratering studies include optical glass, and geological samples as targets. These studies will lead to a better understanding of damage to spacecraft windows and instruments, and space weathering on airless bodies. In parallel, penetration studies will be conducted to determine how hole sizes in thin film materials depend on the properties of the film and the projectile. These thin film penetration studies will be critical to the design of dust detectors similar to that used on NASA's Stardust and New Horizons spacecraft, and in the design of solar sails. Thin film detectors can also be used to characterize beam profiles of laboratory dust accelerators. These studies are being performed at the 3MV hypervelocity dust accelerator at CCLDAS. The facility can accelerate dust particles up to 10's of km/s with user control over the velocity and mass ranges of particles reaching the target chamber. Complementary studies will be conducted at the Johnson Space Center Light Gas Gun using the same target and particle properties. These parallel studies will allow us to cover an extended range of acceleration parameters as well as better understand the similarities and differences between electrostatic accelerators and light gas guns.

  9. TANK SPACE OPTIONS REPORT

    SciTech Connect

    WILLIS WL; AHRENDT MR

    2009-08-11

    Since this report was originally issued in 2001, several options proposed for increasing double-shell tank (DST) storage space were implemented or are in the process of implementation. Changes to the single-shell tank (SST) waste retrieval schedule, completion of DST space saving options, and the DST space saving options in progress have delayed the projected shortfall of DST storage space from the 2007-2011 to the 2018-2025 timeframe (ORP-11242, River Protection Project System Plan). This report reevaluates options from Rev. 0 and includes evaluations of new options for alleviating projected restrictions on SST waste retrieval beginning in 2018 because of the lack of DST storage space.

  10. Calciphylaxis in peritoneal dialysis patients: a single center cohort study

    PubMed Central

    Zhang, Yanchen; Corapi, Kristin M; Luongo, Maria; Thadhani, Ravi; Nigwekar, Sagar U

    2016-01-01

    Background Calciphylaxis is a rare but devastating condition in end-stage renal disease (ESRD) patients. Most research in the field of calciphylaxis is focused on hemodialysis (HD) patients; however, data on calciphylaxis incidence, risk factors, and mortality in peritoneal dialysis (PD) patients are limited. Methods In this cohort study, we examined data from adult patients who initiated PD for ESRD management at our institute’s PD unit from January 2001 to December 2015. Associations with the development of calciphylaxis were examined for clinical, laboratory, and medication exposures. Incidence of calciphylaxis and mortality in PD patients who developed calciphylaxis were analyzed. Treatments administered to treat calciphylaxis in PD patients were summarized. Results In this cohort of 63 patients, 7 patients developed calciphylaxis (incidence rate: 9.0 per 1,000 patient-years). Median age of PD patients who developed calciphylaxis was 50 years, 57% were white, 71% females, and 71% were previously on HD. Female sex, obesity, HD as a prior dialysis modality, recurrent hypotension, elevated time-averaged serum phosphorous levels, reduced time-averaged serum albumin levels, and warfarin therapy were associated with increased calciphylaxis risk in univariate logistic regression analyses. Intravenous sodium thiosulfate was administered in 57% of PD patients who developed calciphylaxis. One-year mortality in PD patients who developed calciphylaxis was 71% despite multimodal treatment including sodium thiosulfate, hyperbaric oxygen, cinacalcet, and wound debridement. Conclusion Calciphylaxis is a rare but frequently fatal condition in PD patients. Our study provides critical early insights into calciphylaxis incidence, risk factors, and prognosis in PD patients. Sample size and characteristics of patients included in our study limit generalizability to overall PD population and warrant examination in larger independent studies. PMID:27698566

  11. Nuclear Monitoring Research at the Center for Seismic Studies

    DTIC Science & Technology

    1991-05-13

    Pachelmsky aula -’ . - d approximately 100 km to the south-east of OBN (Belyaevsky,1974). I- ,r,:ssion is traced to t-,e south-ea, 0. approximately 700...contributes to its poor backazimuth estimation. These results, combipred with those described in the section on polarization characteris- tics , confirm...ARCESS, using polarization characteris- tics as predictors. The attributes studied in the section on polarization (with the exception of azimuth) are

  12. Space Operations Center, shuttle interaction study, volume 1

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The implication of using the Shuttle with the SOC, including constraints that the Shuttle places upon the SOC design is studied. The considerations involved in the use of the Shuttle as a part of the SOC concept, and the constraints to the SOC imposed by the Shuttle in its interactions with the SOC, and on the design or technical solutions which allow satisfactory accomplishment of the interactions are identified.

  13. Occupational risk for Crohn's disease: A two-center study.

    PubMed

    Liu, Song; Ding, Jie; Wang, Meng; Wang, Gefei; Wu, Xiuwen; Feng, Min; Song, Peng; Ren, Jianan; Guan, Wenxian

    2016-11-01

    Occupational factors have been suggested as possible elements in the etiology of Crohn's disease, although evidences have not been fully obtained. This study is to investigate possible associations between occupation and development of Crohn's disease. This prospective study was carried out in two major hospitals during January 2010 and December 2014. Demographic and clinical data were collected for the calculation of standard incidence ratios and 95% confidence intervals by occupation. A total of 401 patients with Crohn's disease were recruited into this study. Participants were distributed into 8 major occupational groups, among which "professionists" (17.7%), "service and sales" (18.7%) and "unclassified individuals" (mainly students) (20.2%) took up the most proportions. Increased standard incidence ratios were found in "service and sales" (2.526±0.135, 95% CI: 1.939-3.290), "professionists" (4.216±0.142, 95% CI: 3.194-5.565), and most significantly, in "administrative staffs" (5.476±0.170, 95% CI: 3.926-7.639). In contrast, decreased standard incidence ratios for Crohn's disease were observed in the category of "workers in agriculture, forestry, animal husbandry, fishery and water conservancy" (0.088±0.146, 95% CIs: 0.066-0.117). Occupational elements are implicated in the likelihood of development of Crohn's disease. Copyright © 2016 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  14. A prospective pilot study to evaluate an animated home-based physical exercise program as a treatment option for patients with rheumatoid arthritis.

    PubMed

    Zernicke, Jan; Kedor, Claudia; Müller, Angela; Burmester, Gerd-Rüdiger; Reißhauer, Anett; Feist, Eugen

    2016-08-18

    Physical exercises and physiotherapy are of great importance for maintenance of joint function in patients with rheumatoid arthritis (RA). However, many RA patients complain about problems to receive prescriptions or have a lack of access to physiotherapy. Recent reports have shown positive effects of the Wii game console on physical and psychosocial conditions of patients with other underlying diseases. The primary objectives of this prospective controlled pilot study were to investigate feasibility and patients' assessment using an animated home-based exercise program. This pilot study was conducted as a single-center, cross-over trial with two treatment arms over 24 weeks. Eligibility criteria included patients with RA reaching low disease activity under therapy with a biological disease modifying anti-rheumatic drug (bDMARD). After detailed instruction, 15 patients started with a conventional home-based physical exercise program and 15 patients began with a predefined animated exercise program by using the Wii game console for 12 weeks. Afterwards, patients were crossed-over to the other treatment arm for another period of 12 weeks. Multi-methodical assessments were performed by qualitative analysis of the interview-data as well as statistical analysis of functional tests and patient reported outcomes (PRO's). Evaluation of the interviews indicated feasibility and usefulness of the chosen animated home-based exercise program. Forefoot disabilities were identified as a main limiting factor for performing some of the animated exercises. After 12 weeks, both treatment arms showed improvement of functional tests without significant differences between groups: Overall muscle strength improved for a mean value of 10 Newton (+12 %) and the mean 6-min walk test (6-MWT) distance increased for 28 meters (+5 %). This study showed that an animated home-based exercise program by using a Wii game console was feasible and beneficial for RA patients. Compared to standard

  15. A single-center retrospective study of pediatric hepatoblastoma

    PubMed Central

    Zhang, Yi; Zhang, Weiling; Tang, Suoqin; Chen, Liping; Yi, You; Zhang, Pinwei; Liu, Aiping; Zhi, Tian; Huang, Dongsheng

    2016-01-01

    Hepatoblastoma is a malignant liver tumor generally diagnosed in infants and children <3 years old. The current retrospective study aimed to investigate the associations of tumor stage, pathological type, metastasis and chemotherapy with clinical outcomes. In the current study, a total of 102 patients with hepatoblastoma were enrolled between September 2006 and June 2014. Clinical records and follow-up information for each of patient were obtained to conduct a Kaplan-Meier survival analysis and log-rank test. The median age of the subjects was 1.5 years, and 98 patients had stage III or IV hepatoblastoma. Complete or partial remittance occurred in 72 subjects, and 91 underwent surgical operation. The survival rate differed significantly among patients with different tumor stages (P=0.015, χ2=8.359). The mortality rate of stage IV subjects with intrahepatic metastasis was significantly higher than that of those without (P=0.004). Among the 45 subjects with relapsed hepatoblastoma, the mortality rate was higher in the subjects that abandoned chemotherapy than in patients who continued regular chemotherapy. In total, 27 of 45 subjects with relapsed hepatoblastoma succumbed to the disease; 20 of them abandoned chemotherapy treatment; and the remaining 7 patients underwent regular chemotherapy and succumbed to the disease by the end of follow-up. The present study indicates that the increased mortality rate was associated with postoperative residual-induced intrahepatic metastasis and relapsed hepatoblastoma; and that regular chemotherapy is necessary for patient to achieve complete or partial remission following surgical operation. PMID:27895749

  16. Process comparison study. MSFC Center Director's Discretionary Fund (CDDF)

    NASA Technical Reports Server (NTRS)

    Golden, T.; Krawiec, J.

    1992-01-01

    A process comparison study was conducted using four different advanced manufacturing techniques to fabricate a composite solid rocket booster systems tunnel cover. Costs and labor hours were tracked to provide the comparison between the processes. A relative structural comparison of the components is also included. The processes utilized included filament winding, pultrusion, automated tape laying, and thermoplastic thermoforming. The hand layup technique is also compared. Of the four advanced processes evaluated, the thermoformed thermoplastic component resulted in the least total cost. The automated tape laying and filament winding techniques closely followed the thermoplastic component in terms of total cost; and, these techniques show the most promise for high quality components and lower production costs. The pultruded component, with its expensive tooling and material requirements, was by far the most expensive process evaluated, although the results obtained would not be representative of large production runs.

  17. Process comparison study. MSFC Center Director's Discretionary Fund (CDDF)

    NASA Astrophysics Data System (ADS)

    Golden, T.; Krawiec, J.

    1992-11-01

    A process comparison study was conducted using four different advanced manufacturing techniques to fabricate a composite solid rocket booster systems tunnel cover. Costs and labor hours were tracked to provide the comparison between the processes. A relative structural comparison of the components is also included. The processes utilized included filament winding, pultrusion, automated tape laying, and thermoplastic thermoforming. The hand layup technique is also compared. Of the four advanced processes evaluated, the thermoformed thermoplastic component resulted in the least total cost. The automated tape laying and filament winding techniques closely followed the thermoplastic component in terms of total cost; and, these techniques show the most promise for high quality components and lower production costs. The pultruded component, with its expensive tooling and material requirements, was by far the most expensive process evaluated, although the results obtained would not be representative of large production runs.

  18. Impulsive and compulsive behaviors in Parkinson Study Group (PSG) centers performing deep brain stimulation surgery.

    PubMed

    Hack, Nawaz; Akbar, Umer; Thompson-Avila, Amanda; Fayad, Sarah M; Hastings, Erin M; Moro, Elena; Nestor, Kelsey; Ward, Herbert; York, Michele; Okun, Michael S

    2014-01-01

    Impulse control disorders (ICDs), dopamine dysregulation syndrome (DDS), and dopamine agonist withdrawal syndrome (DAWS) have been reported commonly in Parkinson's disease (PD) populations. The treatment approaches may be widely variable and there is not much information on these syndromes in the setting of deep brain stimulation (DBS). To evaluate (1) ICDs, DAWS and DDS pre- and post DBS in PD and (2) to investigate pre-DBS treatment strategies regarding these behaviors among Parkinson Study Group (PSG) centers. Forty-eight PSG centers were surveyed on ICDs, DAWS and DDS, as well as on potential relationships to DBS and treatment approaches. Sixty-seven percent of PSG centers reported that they served a population of over 500 PD patients per year, and 94% of centers performed DBS surgery. Most centers (92%) reported screening for ICDs, DAWS and DDS. Of the centers screening for these symptoms, 13% reported always employing a formal battery of pre-operative tests, 46% of sites inconsistently used a formal battery, while 23% of sites reported never using a formal battery to screen for these symptoms. The estimated numbers of centers observing ICDs, DAWS and DDS pre-operatively in individuals with PD were 71%, 69%, and 69%, respectively. PSG DBS centers observing at least one case of a new de novo occurrence of an ICD, DAWS or DDS after DBS surgery were 67%, 65% and 65%, respectively. The results suggest that addiction-like syndromes and withdrawal syndromes are prevalent in expert PSG centers performing DBS. Most centers reported screening for these issues without the use of a formal battery, and there were a large number of centers reporting ICDs, DAWS and DDS post-DBS. A single treatment strategy did not emerge.

  19. Pilot Study of a Patient-Centered Radiology Process Model.

    PubMed

    Swan, J Shannon; Furtado, Vanessa F; Keller, Lisa A; Lotti, Judith Borsody; Saltalamacchia, Catherine A; Lennes, Inga T; Salazar, Gloria M

    2017-02-01

    The Radiology Process Model (RPM) was previously described in terms of its conceptual basis and proposed survey items. The current study describes the first pilot application of the RPM in the field and the results of initial psychometric analysis. We used an Institutional Review Board-approved pilot RPM survey in 100 patients having outpatient interventional radiology procedures. The 24 survey items had 4 or 5 levels of severity. We assessed for missing data, items that patients found confusing, any suggestions by patients for additional items and clarity of items from patient feedback. Factor analysis was performed and internal consistency measured. Construct validity was assessed by correlation of patient responses to the items as a summated scale with a visual analog scale (VAS) they completed indicating their interventional radiology experience. The visual analog scale and the RPM summated scale were strongly correlated (r = 0.7). Factor analysis showed four factors: interactions with facility and doctors/staff, time-sensitive aspects, pain, and anxiety. The items showed high internal consistency (alpha: 0.86) as a group and approximately 0.7 to 0.9 by the factors. Analysis shows that two items could be deleted (cost and communication between radiologist and referrers). Revision of two items and potential addition of others are discussed. The RPM shows initial evidence of psychometric validity and internal consistency reliability. Minor changes are anticipated before wider use. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  20. Treatment Options for Myopia

    PubMed Central

    Gwiazda, Jane

    2009-01-01

    Myopia is a significant public health problem and its prevalence may be increasing over time. The main treatment options of single vision spectacle lenses, contact lenses, and refractive surgery do not slow the accompanying eye growth or retard the physiological changes associated with excessive axial elongation. High myopia is a predisposing factor for retinal detachment, myopic retinopathy, and glaucoma, contributing to loss of vision and blindness. The high prevalence of myopia and its prominence as a public health problem emphasize the importance of finding effective treatments that slow myopia progression and axial elongation. Treatments that have been investigated include various types of spectacle lenses and contact lenses, as well as pharmaceutical agents such as atropine and pirenzepine. The bulk of evidence from well-conducted studies shows that overall, most therapies for myopia have small treatment benefits that last for a relatively short period of time or have significant side effects. Some therapies may be more effective in subsets of myopic children. This review of treatment options for myopia will emphasize recent results from well-designed clinical studies and will suggest possible future therapies. PMID:19390466

  1. Study of Refractory Status Epilepticus from a Tertiary Care Center.

    PubMed

    Kohli, Sahil; Pasangulapati, Suresh Babu; Yoganathan, Sangeetha; Rynjah, Gideon Lyngsyun; Prabhakar, A T; Aaron, Sanjith; Alexander, Mathew; Mathew, Vivek

    2017-01-01

    To determine the proportion of refractory status epilepticus (RSE) and super-RSE (SRSE) among patients with status epilepticus (SE) and to analyze RSE and non-RSE (NRSE) in terms of etiology and predictors for RSE. Patients were identified from discharge summaries database with keywords of SE and records of the portable electroencephalogram (EEG) machine from January 2011 to March 2016. Two hundred and eighteen events were included in the study with 114 (52.3%) males, bimodal age preponderance age <5 years 30%, and second peak in age 15-65 years 52.8%, preexisting seizures were present in 34.4% (n = 75). Nearly 77.1% had NRSE (n = 168) and 22.9% had RSE (n = 50). This included 17 patients with SRSE (n = 17, 7.8% of all SE). Central nervous system (CNS) infection was a single largest etiological group in SE (69/218, 31.7%). In RSE, autoimmune encephalitis (17/50) and CNS infection (13/50) were the largest groups. De novo seizures (P = 0.007), low sensorium at admission (P = 0.001), low albumin at admission (P = 0.002), and first EEG being abnormal (P = 0.001) were risk factors on bivariate analysis. An unfavorable status epilepticus severity score (STESS) was predictive for RSE (P = 0.001). On multivariate analysis, de novo seizures (P = 0.009) and abnormal EEG at admission (P = 0.03) were predictive for RSE. Fifty patients had RSE (22.9%), of which 17 went on to become SRSE (7.8%). Unfavorable STESS score was predictive for RSE on bivariate analysis. On multivariate analysis, de novo seizures and abnormal initial EEG were predictors of RSE.

  2. Key success factors of health research centers: A mixed method study

    PubMed Central

    Tofighi, Shahram; Teymourzadeh, Ehsan; Heydari, Majid

    2017-01-01

    Background In order to achieve success in future goals and activities, health research centers are required to identify their key success factors. Objective This study aimed to extract and rank the factors affecting the success of research centers at one of the medical universities in Iran. Methods This study is a mixed method (qualitative-quantitative) study, which was conducted between May to October in 2016. The study setting was 22 health research centers. In qualitative phase, we extracted the factors affecting the success in research centers through purposeful interviews with 10 experts of centers, and classified them into themes and sub-themes. In the quantitative phase, we prepared a questionnaire and scored and ranked the factors recognized by 54 of the study samples by Friedman test. Results Nine themes and 42 sub-themes were identified. Themes included: strategic orientation, management, human capital, support, projects, infrastructure, communications and collaboration, paradigm and innovation and they were rated respectively as components of success in research centers. Among the 42 identified factors, 10 factors were ranked respectively as the key factors of success, and included: science and technology road map, strategic plan, evaluation indexes, committed human resources, scientific evaluation of members and centers, innovation in research and implementation, financial support, capable researchers, equipment infrastructure and teamwork. Conclusion According to the results, the strategic orientation was the most important component in the success of research centers. Therefore, managers and authorities of research centers should pay more attention to strategic areas in future planning, including the science and technology road map and strategic plan.

  3. Highlighting High Performance: Adam Joseph Lewis Center for Environmental Studies, Oberlin College, Oberlin, Ohio

    SciTech Connect

    2002-11-01

    Oberlin College’s Adam Joseph Lewis Center for Environmental Studies is a high-performance building featuring an expansive photovoltaic system and a closed-loop groundwater heat pump system. Designers incorporated energy-efficient components and materials

  4. Western Fisheries Research Center--Forage fish studies in Puget Sound

    USGS Publications Warehouse

    Liedtke, Theresa L.

    2012-01-01

    Researchers at the Western Fisheries Research Center are working with other U.S. Geological Survey (USGS) Centers to better understand the interconnected roles of forage fishes throughout the ecosystem of Puget Sound, Washington. Support for these studies primarily is from the USGS Coastal Habitats in Puget Sound (CHIPS) program, which supports studies of the nearshore areas of Puget Sound. Human perturbations in the nearshore area such as shoreline armoring or urban development can affect the nearshore habitats critical to forage fish.

  5. Variation in Structure and Process of Care in Traumatic Brain Injury: Provider Profiles of European Neurotrauma Centers Participating in the CENTER-TBI Study

    PubMed Central

    Cnossen, Maryse C.; Polinder, Suzanne; Lingsma, Hester F.; Maas, Andrew I. R.; Menon, David; Steyerberg, Ewout W.

    2016-01-01

    Introduction The strength of evidence underpinning care and treatment recommendations in traumatic brain injury (TBI) is low. Comparative effectiveness research (CER) has been proposed as a framework to provide evidence for optimal care for TBI patients. The first step in CER is to map the existing variation. The aim of current study is to quantify variation in general structural and process characteristics among centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. Methods We designed a set of 11 provider profiling questionnaires with 321 questions about various aspects of TBI care, chosen based on literature and expert opinion. After pilot testing, questionnaires were disseminated to 71 centers from 20 countries participating in the CENTER-TBI study. Reliability of questionnaires was estimated by calculating a concordance rate among 5% duplicate questions. Results All 71 centers completed the questionnaires. Median concordance rate among duplicate questions was 0.85. The majority of centers were academic hospitals (n = 65, 92%), designated as a level I trauma center (n = 48, 68%) and situated in an urban location (n = 70, 99%). The availability of facilities for neuro-trauma care varied across centers; e.g. 40 (57%) had a dedicated neuro-intensive care unit (ICU), 36 (51%) had an in-hospital rehabilitation unit and the organization of the ICU was closed in 64% (n = 45) of the centers. In addition, we found wide variation in processes of care, such as the ICU admission policy and intracranial pressure monitoring policy among centers. Conclusion Even among high-volume, specialized neurotrauma centers there is substantial variation in structures and processes of TBI care. This variation provides an opportunity to study effectiveness of specific aspects of TBI care and to identify best practices with CER approaches. PMID:27571205

  6. Pricing and hedging Asian basket spread options

    NASA Astrophysics Data System (ADS)

    Deelstra, Griselda; Petkovic, Alexandre; Vanmaele, Michèle

    2010-04-01

    Asian options, basket options and spread options have been extensively studied in the literature. However, few papers deal with the problem of pricing general Asian basket spread options. This paper aims to fill this gap. In order to obtain prices and Greeks in a short computation time, we develop approximation formulae based on comonotonicity theory and moment matching methods. We compare their relative performances and explain how to choose the best approximation technique as a function of the Asian basket spread characteristics. We also give explicitly the Greeks for our proposed methods. In the last section we extend our results to options denominated in foreign currency.

  7. A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

    NASA Astrophysics Data System (ADS)

    Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

    2016-07-01

    This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

  8. Management options for recycling radioactive scrap metals

    SciTech Connect

    Dehmel, J.C.; MacKinney, J.; Bartlett, J.

    1997-02-01

    The feasibility and advantages of recycling radioactive scrap metals (RSM) have yet to be assessed, given the unique technical, regulatory, safety, and cost-benefit issues that have already been raised by a concerned recycling industry. As is known, this industry has been repeatedly involved with the accidental recycling of radioactive sources and, in some cases, with costly consequences. If recycling were deemed to be a viable option, it might have to be implemented with regulatory monitoring and controls. Its implementation may have to consider various and complex issues and address the requirements and concerns of distinctly different industries. There are three basic options for the recycling of such scraps. They are: (1) recycling through the existing network of metal-scrap dealers and brokers, (2) recycling directly and only with specific steelmills, or (3) recycling through regional processing centers. Under the first option, scrap dealers and brokers would receive material from RSM generators and determine at which steelmills such scraps would be recycled. For the second option, RSM generators would deal directly with selected steelmills under specific agreements. For the third option, generators would ship scraps only to regional centers for processing and shipment to participating steelmills. This paper addresses the potential advantages of each option, identifies the types of arrangements that would need to be secured among all parties, and attempts to assess the receptivity of the recycling industry to each option.

  9. Quantitative and qualitative assessment of structural magnetic resonance imaging data in a two-center study.

    PubMed

    Chalavi, Sima; Simmons, Andrew; Dijkstra, Hildebrand; Barker, Gareth J; Reinders, A A T Simone

    2012-08-06

    Multi-center magnetic resonance imaging (MRI) studies present an opportunity to advance research by pooling data. However, brain measurements derived from MR-images are susceptible to differences in MR-sequence parameters. It is therefore necessary to determine whether there is an interaction between the sequence parameters and the effect of interest, and to minimise any such interaction by careful choice of acquisition parameters. As an exemplar of the issues involved in multi-center studies, we present data from a study in which we aimed to optimize a set of volumetric MRI-protocols to define a protocol giving data that are consistent and reproducible across two centers and over time. Optimization was achieved based on data quality and quantitative measures, in our case using FreeSurfer and Voxel Based Morphometry approaches. Our approach consisted of a series of five comparisons. Firstly, a single-center dataset was collected, using a range of candidate pulse-sequences and parameters chosen on the basis of previous literature. Based on initial results, a number of minor changes were implemented to optimize the pulse-sequences, and a second single-center dataset was collected. FreeSurfer data quality measures were compared between datasets in order to determine the best performing sequence(s), which were taken forward to the next stage of testing. We subsequently acquired short-term and long-term two-center reproducibility data, and quantitative measures were again assessed to determine the protocol with the highest reproducibility across centers. Effects of a scanner software and hardware upgrade on the reproducibility of the protocols at one of the centers were also evaluated. Assessing the quality measures from the first two datasets allowed us to define artefact-free protocols, all with high image quality as assessed by FreeSurfer. Comparing the quantitative test and retest measures, we found high within-center reproducibility for all protocols, but lower

  10. The neural correlates of object-centered processing in reading: a lesion study of neglect dyslexia.

    PubMed

    Ptak, Radek; Di Pietro, Marie; Schnider, Armin

    2012-05-01

    Neglect dyslexia--a peripheral reading disorder generally associated with left spatial neglect--is characterized by omissions or substitutions of the initial letters of words. Several observations suggest that neglect dyslexia errors are independent of viewer-centered coordinates; the disorder is therefore thought to reflect impairment at the level of object-centered representations. This hypothesis is indirectly supported by lesion studies connecting object-centered neglect errors with damage to posterior cortical regions lying in the ventral visual stream. Here, we performed a lesion-symptom mapping study of 40 patients with spatial neglect asked to read words presented at different positions relative to a viewer-centered coordinate frame. We found that the frequency of object-centered reading errors was constant across horizontal positions, whereas the frequency of entirely neglected words (reflecting a page-centered deficit) linearly increased from right to left. Damage to the intraparietal sulcus and the angular and middle temporal gyri was the best predictor of object-centered errors. We discuss these findings with reference to a role of the posterior parietal lobe in adapting the size of the attentional focus and biasing object representations elaborated in the ventral visual stream. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. An Anatomic Study on Whether the Immature Patella is Centered on an Anteroposterior Radiograph.

    PubMed

    Kyriakedes, James C; Liu, Raymond W

    2017-03-01

    In the operating room, after first obtaining a proper lateral radiograph with the condyles superimposed, a 90-degree rotation of the intraoperative fluoroscopy unit does not always produce an anteroposterior (AP) image with the patella centered. The orthogonality of these 2 views has not been well determined in children. This study was comprised of a radiographic group (35 knees) and a cadaveric group (59 knees). Both cadaveric and clinical images were obtained by resting or positioning the femur with the posterior condyles overlapped, and then taking an orthogonal AP image. Centering of the patella was calculated and multiple regression analysis was performed to determine the relationship between patellar centering and age, sex, ethnicity, mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle (MPTA), and contralateral centering. Mean patellar centering, expressed as the lateral position of the patella with respect to the total condylar width, was 0.08±0.10 in the radiographic group and 0.06±0.03 in the cadaveric group. Positive (lateral) patellar centering in 1 knee had a statistically significant correlation with positive patellar centering in the contralateral knee in both the radiographs and the cadavers. In the radiographic group, there was a statistically significant correlation between femoral varus and valgus deformities and positive patellar centering. In the cadaveric group, there was a statistically significant correlation between tibial valgus and negative (medial) patellar centering. The patella in an immature knee is rarely perfectly centered on a true AP image, and is usually seated slightly laterally within the femoral condyles. Obtaining a true AP intraoperative radiograph is critical to analyzing and correcting valgus and varus deformities, and in the proper placement of implants. When addressing knee deformity one should consider obtaining an AP view orthogonal either to a perfect lateral of the knee or orthogonal to the

  12. Progress in Evaluation Study. Third Annual Report of the Center for the Study of Evaluation of Instructional Programs.

    ERIC Educational Resources Information Center

    California Univ., Los Angeles. Center for the Study of Evaluation.

    This report covers the activities of the Center for the Study of Evaluation (CSE) from October 1, 1967 through October 31, 1968, and indicates the major efforts projected for the future. Included in the report are descriptions of the Center's projects and activities, the new CSE approach, administrative functions and supporting services, its staff…

  13. Study of the Alsys implementation of the Catalogue of Interface Features and Options for the Ada language for 80386 Unix

    NASA Technical Reports Server (NTRS)

    Gibson, James S.; Barnes, Michael J.; Ostermiller, Daniel L.

    1993-01-01

    A set of programs was written to test the functionality and performance of the Alsys Ada implementation of the Catalogue of Interface Features and Options (CIFO), a set of optional Ada packages for real-time applications. No problems were found with the task id, preemption control, or shared-data packages. Minor problems were found with the dispatching control, dynamic priority, events, non-waiting entry call, semaphore, and scheduling packages. The Alsys implementation is derived mostly from Release 2 of the CIFO standard, but includes some of the features of Release 3 and some modifications unique to Alsys. Performance measurements show that the semaphore and shared-data features are an order-of-magnitude faster than the same mechanisms using an Ada rendezvous. The non-waiting entry call is slightly faster than a standard rendezvous. The existence of errors in the implementation, the incompleteness of the documentation from the published standard impair the usefulness of this implementation. Despite those short-comings, the Alsys CIFO implementation might be of value in the development of real-time applications.

  14. Centering prayer for women receiving chemotherapy for recurrent ovarian cancer: a pilot study.

    PubMed

    Johnson, Mary E; Dose, Ann M; Pipe, Teri Britt; Petersen, Wesley O; Huschka, Mashele; Gallenberg, Mary M; Peethambaram, Prema; Sloan, Jeff; Frost, Marlene H

    2009-07-01

    To explore the feasibility of implementing centering prayer in chemotherapy treatment and assess its influence on mood, spiritual well-being, and quality of life in women with recurrent ovarian cancer. Descriptive pilot study. Outpatient chemotherapy treatment suite in a large cancer center in the midwestern United States. A convenience sample of 10 women receiving outpatient chemotherapy for recurrent ovarian cancer. A centering prayer teacher led participants through three one-hour sessions over nine weeks. Data were collected prior to the first session, at the conclusion of the final session, and at three and six months after the final session. Feasibility and influence of centering prayer on mood, spiritual well-being, and quality of life. Most participants identified centering prayer as beneficial. Emotional well-being, anxiety, depression, and faith scores showed improvement. Centering prayer can potentially benefit women with recurrent ovarian cancer. Additional research is needed to assess its feasibility and effectiveness. Nurses may promote or suggest centering prayer as a feasible intervention for the psychological and spiritual adjustment of patients with recurrent ovarian cancer.

  15. Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study

    PubMed Central

    Rabin, Tracy; Canavan, Maureen E.; Nassali, Faith; Kirchhoff, Phillip; Kalyesubula, Robert; Coca, Steven; Rastegar, Asghar; Knauf, Felix

    2016-01-01

    Background The majority of non-communicable disease related deaths occur in low- and middle-income countries. Patient-centered care is an essential component of chronic disease management in high income settings. Objective To examine feasibility of implementation of a validated patient-centered education tool among patients with heart failure in Uganda. Design Mixed-methods, prospective cohort. Settings A private and public cardiology clinic in Mulago National Referral and Teaching Hospital, Kampala, Uganda. Participants Adults with a primary diagnosis of heart failure. Interventions PocketDoktor Educational Booklets with patient-centered health education. Main Measures The primary outcomes were the change in Patient Activation Measure (PAM-13), as well as the acceptability of the PocketDoktor intervention, and feasibility of implementing patient-centered education in outpatient clinical settings. Secondary outcomes included the change in satisfaction with overall clinical care and doctor-patient communication. Key Results A total of 105 participants were enrolled at two different clinics: the Mulago Outpatient Department (public) and the Uganda Heart Institute (private). 93 participants completed follow up at 3 months and were included in analysis. The primary analysis showed improved patient activation measure scores regarding disease-specific knowledge, treatment options and prevention of exacerbations among both groups (mean change 0.94 [SD = 1.01], 1.02 [SD = 1.15], and 0.92 [SD = 0.89] among private paying patients and 1.98 [SD = 0.98], 1.93 [SD = 1.02], and 1.45 [SD = 1.02] among public paying patients, p<0.001 for all values) after exposure to the intervention; this effect was significantly larger among indigent patients. Participants reported that materials were easy to read, that they had improved knowledge of disease, and stated improved communication with physicians. Conclusions Patient-centered medical education can improve confidence in self

  16. Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study.

    PubMed

    Siddharthan, Trishul; Rabin, Tracy; Canavan, Maureen E; Nassali, Faith; Kirchhoff, Phillip; Kalyesubula, Robert; Coca, Steven; Rastegar, Asghar; Knauf, Felix

    2016-01-01

    The majority of non-communicable disease related deaths occur in low- and middle-income countries. Patient-centered care is an essential component of chronic disease management in high income settings. To examine feasibility of implementation of a validated patient-centered education tool among patients with heart failure in Uganda. Mixed-methods, prospective cohort. A private and public cardiology clinic in Mulago National Referral and Teaching Hospital, Kampala, Uganda. Adults with a primary diagnosis of heart failure. PocketDoktor Educational Booklets with patient-centered health education. The primary outcomes were the change in Patient Activation Measure (PAM-13), as well as the acceptability of the PocketDoktor intervention, and feasibility of implementing patient-centered education in outpatient clinical settings. Secondary outcomes included the change in satisfaction with overall clinical care and doctor-patient communication. A total of 105 participants were enrolled at two different clinics: the Mulago Outpatient Department (public) and the Uganda Heart Institute (private). 93 participants completed follow up at 3 months and were included in analysis. The primary analysis showed improved patient activation measure scores regarding disease-specific knowledge, treatment options and prevention of exacerbations among both groups (mean change 0.94 [SD = 1.01], 1.02 [SD = 1.15], and 0.92 [SD = 0.89] among private paying patients and 1.98 [SD = 0.98], 1.93 [SD = 1.02], and 1.45 [SD = 1.02] among public paying patients, p<0.001 for all values) after exposure to the intervention; this effect was significantly larger among indigent patients. Participants reported that materials were easy to read, that they had improved knowledge of disease, and stated improved communication with physicians. Patient-centered medical education can improve confidence in self-management as well as satisfaction with doctor-patient communication and overall care in Uganda. Our results

  17. Approximate option pricing

    SciTech Connect

    Chalasani, P.; Saias, I.; Jha, S.

    1996-04-08

    As increasingly large volumes of sophisticated options (called derivative securities) are traded in world financial markets, determining a fair price for these options has become an important and difficult computational problem. Many valuation codes use the binomial pricing model, in which the stock price is driven by a random walk. In this model, the value of an n-period option on a stock is the expected time-discounted value of the future cash flow on an n-period stock price path. Path-dependent options are particularly difficult to value since the future cash flow depends on the entire stock price path rather than on just the final stock price. Currently such options are approximately priced by Monte carlo methods with error bounds that hold only with high probability and which are reduced by increasing the number of simulation runs. In this paper the authors show that pricing an arbitrary path-dependent option is {number_sign}-P hard. They show that certain types f path-dependent options can be valued exactly in polynomial time. Asian options are path-dependent options that are particularly hard to price, and for these they design deterministic polynomial-time approximate algorithms. They show that the value of a perpetual American put option (which can be computed in constant time) is in many cases a good approximation to the value of an otherwise identical n-period American put option. In contrast to Monte Carlo methods, the algorithms have guaranteed error bounds that are polynormally small (and in some cases exponentially small) in the maturity n. For the error analysis they derive large-deviation results for random walks that may be of independent interest.

  18. Mars Surface Habitability Options

    NASA Technical Reports Server (NTRS)

    Howe, A. Scott; Simon, Matthew; Smitherman, David; Howard, Robert; Toups, Larry; Hoffman, Stephen J.

    2015-01-01

    This paper reports on current habitability concepts for an Evolvable Mars Campaign (EMC) prepared by the NASA Human Spaceflight Architecture Team (HAT). For many years NASA has investigated alternative human Mars missions, examining different mission objectives, trajectories, vehicles, and technologies; the combinations of which have been referred to as reference missions or architectures. At the highest levels, decisions regarding the timing and objectives for a human mission to Mars continue to evolve while at the lowest levels, applicable technologies continue to advance. This results in an on-going need for assessments of alternative system designs such as the habitat, a significant element in any human Mars mission scenario, to provide meaningful design sensitivity characterizations to assist decision-makers regarding timing, objectives, and technologies. As a subset of the Evolvable Mars Campaign activities, the habitability team builds upon results from past studies and recommends options for Mars surface habitability compatible with updated technologies.

  19. Source options for RHIC

    SciTech Connect

    Prelec, K.

    1988-01-01

    Conceptual designs of the RHIC facility are matched to the parameters of existing tandem Van de Graaff accelerators at Brookhaven National Laboratory. It has been shown that tandems could produce many ion species up to gold with sufficient intensities for injection into the BNL booster and further acceleration and storage in AGS and RHIC synchrotrons. There have been, however, questions about the long-term performance of tandem accelerators, in view of their reliability, cost of maintenance, and expected requests for higher intensities than they could provide. A study was done in 1986 to investigate the possibility of replacing the tandems with a more compact preinjector situated close to the booster. This report will review the options for such a preinjector. 5 refs., 4 tabs.

  20. Mars Surface Habitability Options

    NASA Technical Reports Server (NTRS)

    Howe, A. Scott; Simon, Matthew; Smitherman, David; Howard, Robert; Toups, Larry; Hoffman, Stephen J.

    2015-01-01

    This paper reports on current habitability concepts for an Evolvable Mars Campaign (EMC) prepared by the NASA Human Spaceflight Architecture Team (HAT). For many years NASA has investigated alternative human Mars missions, examining different mission objectives, trajectories, vehicles, and technologies; the combinations of which have been referred to as reference missions or architectures. At the highest levels, decisions regarding the timing and objectives for a human mission to Mars continue to evolve while at the lowest levels, applicable technologies continue to advance. This results in an on-going need for assessments of alternative system designs such as the habitat, a significant element in any human Mars mission scenario, to provide meaningful design sensitivity characterizations to assist decision-makers regarding timing, objectives, and technologies. As a subset of the Evolvable Mars Campaign activities, the habitability team builds upon results from past studies and recommends options for Mars surface habitability compatible with updated technologies.

  1. The Effects of Policy Changes on the Educational Opportunity Centers: A Case Study

    ERIC Educational Resources Information Center

    Fountain-Ellis, Debra L.

    2011-01-01

    The purpose of this study is to explore the programmatic changes that occurred in the Educational Opportunity Centers (EOC) and how those changes influenced educational opportunities for adults. A case study design was used for this investigation. The directors of three EOCs were selected and interviewed for the study. These directors combined…

  2. Using a Pattern-Centered Approach to Assess Sexual Risk-Taking in Study Abroad Students

    ERIC Educational Resources Information Center

    Marcantonio, Tiffany; Angelone, D. J.; Sledjeski, Eve

    2016-01-01

    Objectives: The purpose of this study was to examine the impact of several potential factors related to sexually risky behaviors in study abroad students. The authors utilized a pattern-centered analysis to identify specific groups that can be targeted for intervention. Participants: The sample consisted of 173 students who studied abroad in a…

  3. Head Start Evaluation and Research Center. Progress Report of Research Studies, 1966-1967.

    ERIC Educational Resources Information Center

    Zimiles, Herbert; Horton, Donald

    The studies which comprise this report are as follows: (a) Document 1, Development of the Matrix Test by Herbert Zimiles and Harvery Asch (PS 001 072); (b) Document 2, Studies of the Social Organization of Head Start Centers by Donald Horton and others (PS 001 073); (c) Document 3, An Experimental Approach to Studying Non-Verbal Representation in…

  4. An exploratory study of alternative configurations of governing boards of substance abuse treatment centers

    PubMed Central

    Blum, Terry C.; Roman, Paul M.

    2011-01-01

    Boards of directors are the ultimate governing authorities for most organizations providing substance abuse treatment. A governing board may establish policies, monitor and improve operations, and represent a treatment organization to the public. This paper explores alternative configurations of governing boards in a national sample of 500 substance abuse treatment centers. The study proceeds from the premise that boards may be configured with varying levels of engagement in five aspects of internal management and external connections in treatment center operating environments. Based on interviews with treatment center administrative directors, four clusters emerge, describing boards that are: (1) active and balanced across internal and external domains; (2) active boundary spanners concentrating primarily on external relationships; (3) focused primarily on internal organizational management; and (4) relatively inactive. In post hoc analysis, we found that placement in these clusters is associated with treatment center attributes such as rate of growth and financial results, use of evidence based practices and provision of integrated care. PMID:21489737

  5. The Lathrop Wells volcanic center: Status of field and geochronology studies

    SciTech Connect

    Crowe, B.; Morley, R.; Wells, S.; Geissman, J.; McDonald, E.; McFadden, L.; Perry, F.; Murrell, M.; Poths, J.; Forman, S.

    1993-03-01

    The Lathrop Wells volcanic center is located 20 km south of the potential Yucca Mountain site, at the south end of the Yucca Mountain range. It has long been recognized as the youngest basalt center in the region. However, determination of the age and eruptive history of the center has proven problematic. The purpose of this paper is to describe the status of field and geochronology studies of the Lathrop Wells center. Our perspective is that it is critical to assess all possible methods for obtaining cross-checking data to resolve chronology and field problems. It is equally important to consider application of the range of chronology methods available in Quaternary geologic research. Such an approach seeks to increase the confidence in data interpretations through obtaining convergence among separate isotopic, radiogenic, and age-correlated methods. Finally, the assumptions, strengths, and weaknesses of each dating method need to be carefully described to facilitate an impartial evaluation of results.

  6. Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury: a survey in 66 neurotrauma centers participating in the CENTER-TBI study.

    PubMed

    Cnossen, Maryse C; Huijben, Jilske A; van der Jagt, Mathieu; Volovici, Victor; van Essen, Thomas; Polinder, Suzanne; Nelson, David; Ercole, Ari; Stocchetti, Nino; Citerio, Giuseppe; Peul, Wilco C; Maas, Andrew I R; Menon, David; Steyerberg, Ewout W; Lingsma, Hester F

    2017-09-06

    No definitive evidence exists on how intracranial hypertension should be treated in patients with traumatic brain injury (TBI). It is therefore likely that centers and practitioners individually balance potential benefits and risks of different intracranial pressure (ICP) management strategies, resulting in practice variation. The aim of this study was to examine variation in monitoring and treatment policies for intracranial hypertension in patients with TBI. A 29-item survey on ICP monitoring and treatment was developed on the basis of literature and expert opinion, and it was pilot-tested in 16 centers. The questionnaire was sent to 68 neurotrauma centers participating in the Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. The survey was completed by 66 centers (97% response rate). Centers were mainly academic hospitals (n = 60, 91%) and designated level I trauma centers (n = 44, 67%). The Brain Trauma Foundation guidelines were used in 49 (74%) centers. Approximately 90% of the participants (n = 58) indicated placing an ICP monitor in patients with severe TBI and computed tomographic abnormalities. There was no consensus on other indications or on peri-insertion precautions. We found wide variation in the use of first- and second-tier treatments for elevated ICP. Approximately half of the centers were classified as using a relatively aggressive approach to ICP monitoring and treatment (n = 32, 48%), whereas the others were considered more conservative (n = 34, 52%). Substantial variation was found regarding monitoring and treatment policies in patients with TBI and intracranial hypertension. The results of this survey indicate a lack of consensus between European neurotrauma centers and provide an opportunity and necessity for comparative effectiveness research.

  7. Current prevention strategies against cytomegalovirus in the studies in pediatric liver transplantation (SPLIT) centers.

    PubMed

    Danziger-Isakov, L; Bucavalas, J

    2014-08-01

    Cytomegalovirus (CMV) continues to be a significant posttransplant infectious complication after pediatric liver transplant (PLT). The optimal prevention strategy is not currently known. To assess current CMV prevention practices, a web-based survey was conducted within the North American Studies in Pediatric Liver Transplantation (SPLIT) network. Twenty-nine of the 31 centers (94%) surveyed responded. Only seven centers reported evidence-based development of protocols. For most at-risk (donor or recipient CMV seropositive) PLT recipients, a prophylactic strategy predominates current practice. For high-risk (D+/R-), only three centers used nonprophylaxis-based protocols: one preemptive and two sequential/hybrid. Duration of prophylaxis ranged from 84 to 730 days with 14 centers using around 100 days and nine centers using around 200 days. Initial therapy with ganciclovir followed by valganciclovir was the most common strategy. For lower-risk recipients (CMV D-/R-), more centers (10/29) employed a preemptive strategy while the remainder described prophylaxis (15) and sequential/hybrid (3) strategies. Prophylaxis predominates current CMV prevention strategies for at-risk recipients within SPLIT. The variation in duration of therapy provides the opportunity to perform comparative effectiveness studies within SPLIT. © Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons.

  8. EPR study of Fe3+ in α-quartz: Further lithium-compensated centers

    NASA Astrophysics Data System (ADS)

    Choi, Deok; Weil, John A.

    1990-12-01

    Fe3+ (S=52) centers in synthetic α-quartz, designated by S'1 and S''1 by previous workers, which are very similar to the previously studied center [FeO4/Li]0α (called S1), have been examined at temperatures around 35 K via an X-band electron-paramagnetic-resonance study. Hyperfine signals due to the Li7 nucleus were detected for both centers, establishing their alkali-metal-ion content. The spin-Hamiltonian parameters were determined, allowing for anisotropy of the g factor as well as [g,D,A(Li7), P(Li7)]-matrix noncoaxiality, and including high-spin terms of the form S4. Evaluation of the results indicates that the lithium 1+ ion is present interstitially near to the substitutional Fe3+ ion (located at a Si4+ site) on the same crystal twofold axis, for all three centers: S1, S'1 and S''1. The designations [FeO4/Li]0α' are proposed for the centers S'1 and S''1, respectively. The relative concentrations of these centers appear to depend sensitively on the growth regions within each crystal.

  9. Development of remedial process options: Phase II, Feasibility study: Installation Restoration Program, Naval Air Station Fallon, Fallon, Nevada

    SciTech Connect

    Cronk, T.A.; Smuin, D.R.; Schlosser, R.M.

    1991-11-01

    This technical memorandum develops process options which are appropriate for environmental restoration activities at Naval Air Station Fallon (NAS Fallon), Nevada. Introduction of contaminants to the environment has resulted from deliberate disposal activities (both through dumping and landfilling) and accidental spills and leaks associated with normal activities at NAS Fallon over its lifetime of operation. Environmental sampling results indicate that the vast majority of contaminants of concern are petroleum hydrocarbon related. These contaminants include JP-4, JP-5, leaded and unleaded gasoline, waste oils and lubricants, hydraulic fluids, and numerous solvents and cleaners. The principal exposure pathways of concern associated with NAS Fallon contaminants appear to be the surface flows and shallow drainage systems to which the base contributes. Available data indicate NAS Fallon IR Program sites are not contributing excessive contamination to surface flows emanating from the base. Contaminants appear to be contained in a relatively immobile state in the shallow subsurface with little or no contaminant migration off site.

  10. Development of remedial process options: Phase II, Feasibility study: Installation Restoration Program, Naval Air Station Fallon, Fallon, Nevada

    SciTech Connect

    Cronk, T.A.; Smuin, D.R. ); Schlosser, R.M. )

    1991-11-01

    This technical memorandum develops process options which are appropriate for environmental restoration activities at Naval Air Station Fallon (NAS Fallon), Nevada. Introduction of contaminants to the environment has resulted from deliberate disposal activities (both through dumping and landfilling) and accidental spills and leaks associated with normal activities at NAS Fallon over its lifetime of operation. Environmental sampling results indicate that the vast majority of contaminants of concern are petroleum hydrocarbon related. These contaminants include JP-4, JP-5, leaded and unleaded gasoline, waste oils and lubricants, hydraulic fluids, and numerous solvents and cleaners. The principal exposure pathways of concern associated with NAS Fallon contaminants appear to be the surface flows and shallow drainage systems to which the base contributes. Available data indicate NAS Fallon IR Program sites are not contributing excessive contamination to surface flows emanating from the base. Contaminants appear to be contained in a relatively immobile state in the shallow subsurface with little or no contaminant migration off site.

  11. The Origins of Options

    PubMed Central

    Smaldino, Paul E.; Richerson, Peter J.

    2012-01-01

    Most research on decision making has focused on how human or animal decision makers choose between two or more options, posed in advance by the researchers. The mechanisms by which options are generated for most decisions, however, are not well understood. Models of sequential search have examined the trade-off between continued exploration and choosing one’s current best option, but still cannot explain the processes by which new options are generated. We argue that understanding the origins of options is a crucial but untapped area for decision making research. We explore a number of factors which influence the generation of options, which fall broadly into two categories: psycho-biological and socio-cultural. The former category includes factors such as perceptual biases and associative memory networks. The latter category relies on the incredible human capacity for culture and social learning, which doubtless shape not only our choices but the options available for choice. Our intention is to start a discussion that brings us closer toward understanding the origins of options. PMID:22514515

  12. Maintenance and supply options

    NASA Technical Reports Server (NTRS)

    1988-01-01

    The object of the Maintenance and Supply Option was to develop a high level operational philosophy related to maintenance and supply operations and incorporate these concepts into the Lunar Base Study. Specific products to be generated during this task were three trade studies and a conceptual design of the Logistic Supply Module. The crew size study was performed to evaluate crew sizes from the baseline size of four to a crew size of eight and determine the preferred crew size. The second trade study was to determine the impact of extending surface stay times and recommend a preferred duration of stay time as a function of crew, consumables, and equipment support capabilities. The third trade study was an evaluation of packaging and storage methods to determine the preferred logistics approach to support the lunar base. A modified scenario was developed and served as the basis of the individual trade studies. Assumptions and guidelines were also developed from experience with Apollo programs, Space Shuttle operations, and Space Station studies. With this information, the trade studies were performed and a conceptual design for the Logistic Supply Module was developed.

  13. Radioisotope Stirling Generator Options for Pluto Fast Flyby Mission

    SciTech Connect

    Schock, Alfred

    1993-10-01

    The preceding paper described conceptual designs and analytical results for five Radioisotope Thermoelectric Generator (RTG) options for the Pluto Fast Flyby (PFF) mission, and the present paper describes three Radioisotope Stirling Generator (RSG) options for the same mission. The RSG options are based on essentially the same radioisotope heat source modules used in previously flown RTGs and on designs and analyses of a 75-watt free-piston Stirling engine produced by Mechanical Technology Incorporated (MTI) for NASA's Lewis Research Center. The integrated system design options presented were generated in a Fairchild Space study sponsored by the Department of Energy's Office of Special Applications, in support of ongoing PFF mission and spacecraft studies that the Jet Propulsion Laboratory (JPL) is conducting for the National Aeronautics and Space Administration (NASA). That study's NASA-directed goal is to reduce the spacecraft mass from its baseline value of 166 kg to ~110 kg, which implies a mass goal of less than 10 kg for a power source able to deliver 69 watts(e) at the end of the 9.2-year mission. In general, the Stirling options were found to be lighter than the thermoelectric options described in the preceding paper. But they are less mature, requiring more development, and entailing greater programmatic risk. The Stirling power system mass ranged from 7.3 kg (well below the 10-kg goal) for a non-redundant system to 11.3 kg for a redundant system able to maintain full power if one of its engines fails. In fact, the latter system could deliver as much as 115 watts(e) if desired by the mission planners. There are 5 copies in the file.

  14. Radioisotope Stirling Generator Options for Pluto Fast Flyby Mission

    NASA Astrophysics Data System (ADS)

    Schock, Alfred

    1994-07-01

    The preceding paper (Schock 1994) described conceptual designs and analytical results for five Radioisotope Thermoelectric Generator (RTG) options for the Pluto Fast Flyby (PFF) mission, and the present paper describes three Radioisotope Stirling Generator (RSG) options for the same mission. The RSG options are based on essentially the same radioisotope heat source modules used in previously flown RTGs and on designs and analyses of a 75-Watt free-piston Stirling engine produced by Mechanical Technology Incorporated (MTI) for NASA's Lewis Research Center. The integrated system design options presented were generated in a Fairchild Space study sponsored by the Department of Energy's Office of Special Applications, in support of ongoing PFF mission and spacecraft studies that the Jet Propulsion Laboratory (JPL) is conducting for the National Aeronautics and Space Administration (NASA). That study's NASA-directed goal is to reduce the spacecraft mass from its baseline value of 166 kg to -110 kg, which implies a mass goal of less than 10 kg for a power source able to deliver 69 Watts(e) at the end of the 9.2-year mission. In general, the Stirling options were found to be lighter than the thermoelectric options described in the preceding paper. But they are less mature, requiring more development, and entailing greater programmatic risk. The Stirling power system mass ranged from 7.3 kg (well below the 10-kg goal) for a non-redundant system to 11.3 kg for a redundant system able to maintain full power if one of its two engines fails. In fact, the latter system could deliver as much as 115 Watts(e) if desired by the mission planners.

  15. Radioisotope Stirling Generator Options for Pluto Fast Flyby Mission

    SciTech Connect

    Schock, Alfred

    2012-01-19

    The preceding paper described conceptual designs and analytical results for five Radioisotope Thermoelectric Generator (RTG) options for the Pluto Fast Flyby (PFF) mission, and the present paper describes three Radioisotope Stirling Generator (RSG) options for the same mission. The RSG options are based on essentially the same radioisotope heat source modules used in previously flown RTGs and on designs and analyses of a 75-watt free-piston Stirling engine produced by Mechanical Technology Incorporated (MTI) for NASA's Lewis Research Center. The integrated system design options presented were generated in a Fairchild Space study sponsored by the Department of Energy's Office of Special Applications, in support of ongoing PFF mission and spacecraft studies that the Jet Propulsion Laboratory (JPL) is conducting for the National Aeronautics and Space Administration (NASA). That study's NASA-directed goal is to reduce the spacecraft mass from its baseline value of 166 kg to ~110 kg, which implies a mass goal of less than 10 kg for a power source able to deliver 69 watts(e) at the end of the 9.2-year mission. In general, the Stirling options were found to be lighter than the thermoelectric options described in the preceding paper. But they are less mature, requiring more development, and entailing greater programmatic risk. The Stirling power system mass ranged from 7.3 kg (well below the 10-kg goal) for a non-redundant system to 11.3 kg for a redundant system able to maintain full power if one of its engines fails. In fact, the latter system could deliver as much as 115 watts(e) if desired by the mission planners. There are 2 copies in the file.

  16. The management approach to the NASA space station definition studies at the Manned Spacecraft Center

    NASA Technical Reports Server (NTRS)

    Heberlig, J. C.

    1972-01-01

    The overall management approach to the NASA Phase B definition studies for space stations, which were initiated in September 1969 and completed in July 1972, is reviewed with particular emphasis placed on the management approach used by the Manned Spacecraft Center. The internal working organizations of the Manned Spacecraft Center and its prime contractor, North American Rockwell, are delineated along with the interfacing techniques used for the joint Government and industry study. Working interfaces with other NASA centers, industry, and Government agencies are briefly highlighted. The controlling documentation for the study (such as guidelines and constraints, bibliography, and key personnel) is reviewed. The historical background and content of the experiment program prepared for use in this Phase B study are outlined and management concepts that may be considered for future programs are proposed.

  17. The NASA Lewis Research Center's Expendable Launch Vehicle Program: An Economic Impact Study

    NASA Technical Reports Server (NTRS)

    Austrian, Ziona

    1996-01-01

    This study investigates the economic impact of the Lewis Research Center's (LeRC) Expendable Launch Vehicle Program (ELVP) on Northeast Ohio's economy. It was conducted by The Urban Center's Economic Development Program in Cleveland State University's Levin College of Urban Affairs. The study measures ELVP's direct impact on the local economy in terms of jobs, output, payroll, and taxes, as well as the indirect impact of these economic activities when they "ripple" throughout the economy. The study uses regional economic multipliers based on input-output models to estimate the effect of ELVP spending on the Northeast Ohio economy.

  18. The NASA Lewis Research Center's Expendable Launch Vehicle Program: An Economic Impact Study

    NASA Technical Reports Server (NTRS)

    Austrian, Ziona

    1996-01-01

    This study investigates the economic impact of the Lewis Research Center's (LeRC) Expendable Launch Vehicle Program (ELVP) on Northeast Ohio's economy. It was conducted by The Urban Center's Economic Development Program in Cleveland State University's Levin College of Urban Affairs. The study measures ELVP's direct impact on the local economy in terms of jobs, output, payroll, and taxes, as well as the indirect impact of these economic activities when they 'ripple' throughout the economy. The study uses regional economic multipliers based on input-output models to estimate the effect of ELVP spending on the Northeast Ohio economy.

  19. Changing trends of speech outcomes after total laryngectomy in the 21st century: a single-center study.

    PubMed

    Moon, Seo; Raffa, Francesca; Ojo, Rosemary; Landera, Mario A; Weed, Donald T; Sargi, Zouka; Lundy, Donna

    2014-11-01

    To describe the speech rehabilitation outcomes of patients undergoing total laryngectomy (TL) in the 21st century. Retrospective chart review. Tertiary academic center Retrospective review of 167 patients who underwent TL from June 2000 to February 2012. Demographics, disease variables, and surgical factors were reviewed. Primary alaryngeal speech modality, speech outcome, and tracheoesophageal puncture (TEP) complication rates were assessed. Overall TEP speech success rate (primary or secondary) was 72%. Overall TEP speech success rate was 76% for those with primary TEP and was 68% for those with secondary TEP. TEP speech success rates at first, second, and beyond second year were 75%, 72%, and 70%, respectively. Success rates for primary TL, salvage TL, primary TL with pharyngeal reconstruction, or salvage TL with pharyngeal reconstruction groups were 71%, 72%, 73%, and 71%, respectively. TEP-related complications occurred in 43% of patients, with no difference in complication rates between primary versus salvage TL or primary versus secondary TEP. For those with complications, TEP success rate was 65%. This study showed TEP speech-outcome success rates lower than what has been historically reported. There was no significant difference in TEP speech outcome between primary versus salvage TL or primary versus secondary TEP. Patients with TEP-related complications had TEP speech-outcome success rates comparable to those without any complication. TEP may continue to be a superior option as a mode of speech in patients with TL, including those undergoing salvage TL. 4. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

  20. Polyethylene Glycol Electrolyte Lavage Solution versus Colonic Hydrotherapy for Bowel Preparation before Colonoscopy: A Single Center, Randomized, and Controlled Study

    PubMed Central

    Cao, Yan; Zhang, Kai-Yuan; Li, Jiao; Lu, Hao; Xie, Wan-Ling; Liao, Sheng-Tao; Chen, Dong-Feng; Zeng, Deng-Feng; Lan, Chun-Hui

    2014-01-01

    This single center, randomized, and controlled study aimed to compare the effectiveness and safety of polyethylene glycol electrolyte lavage (PEG-EL) solution and colonic hydrotherapy (CHT) for bowel preparation before colonoscopy. A total of 196 eligible outpatients scheduled for diagnostic colonoscopy were randomly assigned to the PEG-EL (n = 102) or CHT (n = 94) groups. Primary outcome measures included colonic cleanliness and adverse effects. Secondary outcome measures were patient satisfaction and preference, colonoscopic findings, ileocecal arrival rate, examiner satisfaction, and cecal intubation time. The results show that PEG-EL group was associated with significantly better colonic cleanliness than CHT group, fewer adverse effects, and increased examiner satisfaction. However, the CHT group had higher patient satisfaction and higher diverticulosis detection rates. Moreover, the results showed the same ileocecal arrival rate and patient preference between the two groups (P > 0.05). These findings indicate that PEG-EL is the preferred option in patients who followed the preparation instructions completely. PMID:24995014

  1. The Impact of Introducing Centering Pregnancy in a Community Health Setting: A Qualitative Study of Experiences and Perspectives of Health Center Clinical and Support Staff.

    PubMed

    Kania-Richmond, Ania; Hetherington, Erin; McNeil, Deborah; Bayrampour, Hamideh; Tough, Suzanne; Metcalfe, Amy

    2017-01-12

    Objectives Introducing new programming into an existing setting may be challenging. Understanding how staff and clinicians who are not directly involved in program delivery view the program can help support program implementation. This study aimed to understand how peripheral staff and clinicians perceived a newly implemented Centering Pregnancy group prenatal care program in a community-based health center and its impact on clinic operations. Methods Semi-structured interviews were conducted with a purposive sample of 12 staff members at a community-based health center. The interview guide covered topics such as perceptions of Centering Pregnancy and how the program impacted their work. An interpretive description approach was used to analyze the interview data. A coding framework was developed iteratively and all interview data were analyzed independently by multiple researchers. Results Staff had overall positive perceptions of Centering Pregnancy, but the level of understanding about the program varied widely. Most respondents viewed the Centering Pregnancy program as separate from other programs offered by the clinic, which created both opportunities and challenges. Opportunities included increased cross-referrals between established services and Centering Pregnancy. Challenges included a lack of communication about responsibilities of staff in relation to Centering Pregnancy patients. Impact on staff and overall clinic operations was perceived to be minimal to moderate, and most tensions related to roles and expectations were resolved. Conclusions for Practice Clear communication regarding fit within clinic structures and processes and expectations of staff in relation to the program was critical to the integration of Centering Pregnancy program into an established health center.

  2. Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study

    PubMed Central

    Shrestha, Khadka Narayan; Homer, Caroline S. E.

    2017-01-01

    Background Maternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers. Methods We conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis. Results Irregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center. Conclusion The rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries. PMID:28493987

  3. Assessing the Value of Team Science A Study Comparing Center- and Investigator-Initiated Grants

    PubMed Central

    Hall, Kara L.; Stokols, Daniel; Stipelman, Brooke A.; Vogel, Amanda L.; Feng, Annie; Masimore, Beth; Morgan, Glen; Moser, Richard P.; Marcus, Stephen E.; Berrigan, David

    2013-01-01

    Background Large cross-disciplinary scientific teams are becoming increasingly prominent in the conduct of research. Purpose This paper reports on a quasi-experimental longitudinal study conducted to compare bibliometric indicators of scientific collaboration, productivity, and impact of center-based transdisciplinary team science initiatives and traditional investigator-initiated grants in the same field. Methods All grants began between 1994 and 2004 and up to 10 years of publication data were collected for each grant. Publication information was compiled and analyzed during the spring and summer of 2010. Results Following an initial lag period, the transdisciplinary research center grants had higher overall publication rates than the investigator-initiated R01 (NIH Research Project Grant Program) grants. There were relatively uniform publication rates across the research center grants compared to dramatically dispersed publication rates among the R01 grants. On average, publications produced by the research center grants had greater numbers of coauthors but similar journal impact factors compared with publications produced by the R01 grants. Conclusions The lag in productivity among the transdisciplinary center grants was offset by their overall higher publication rates and average number of coauthors per publication, relative to investigator-initiated grants, over the 10-year comparison period. The findings suggest that transdisciplinary center grants create benefits for both scientific productivity and collaboration. (Am J Prev Med 2012;42(2):157–163) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine PMID:22261212

  4. An analytical and experimental study of crack extension in center-notched composites

    NASA Technical Reports Server (NTRS)

    Beuth, Jack L., Jr.; Herakovich, Carl T.

    1987-01-01

    The normal stress ratio theory for crack extension in anisotropic materials is studied analytically and experimentally. The theory is applied within a microscopic-level analysis of a single center notch of arbitrary orientation in a unidirectional composite material. The bulk of the analytical work of this study applies an elasticity solution for an infinite plate with a center line to obtain critical stress and crack growth direction predictions. An elasticity solution for an infinite plate with a center elliptical flaw is also used to obtain qualitative predictions of the location of crack initiation on the border of a rounded notch tip. The analytical portion of the study includes the formulation of a new crack growth theory that includes local shear stress. Normal stress ratio theory predictions are obtained for notched unidirectional tensile coupons and unidirectional Iosipescu shear specimens. These predictions are subsequently compared to experimental results.

  5. Usability of patient-centered health IT: mixed-methods usability study of ePill.

    PubMed

    Schmidt-Kraepelin, Manuel; Dehling, Tobias; Sunyaev, Ali

    2014-01-01

    To facilitate use of patient-centered health IT applications in everyday life, a high degree of usability is required. Based on the example of a patient-centered web application, we propose a usability study design enabling developers and researchers to assess usability of patient-centered health IT applications and derive implications for their improvement. Our study design integrates tasks that subjects have to process, an associated questionnaire based on Perceived Ease of Use, Perceived Usefulness, Attitude Toward Using, and Behavioral Intention to Use, a System Usability Scale questionnaire, and focus groups. Application of the usability study design demonstrates its feasibility and provides insights for assessment of usability in related projects in research and practice.

  6. Five hydrologic studies conducted by or in cooperation with the Center for Forested Wetlands Research

    Treesearch

    Devendra M. Amatya; Carl C. Trettin; R. Wayne Skaggs; Marianne K. Burke; T.J. Callahan; Ge Sun; J.E. Nettles; J.E. Parsons; M. Miwa

    2005-01-01

    The U.S. Department of Agriculture Forest Service Center for Forested Wetlands Research has conducted or cooperated in studies designed to improve understanding of fundamental hydrologic and biogeochemical processes that link aquatic and terrestrial ecosystems. Five of these studies are discussed here. The first is based on observations made on long-term experimental...

  7. A Case Study of Spirituality in Senior Center Education: Qualitative Research in Adult Education

    ERIC Educational Resources Information Center

    Demarse, Laura

    2016-01-01

    This article presents a case study on the role of spirituality in adult education at a suburban senior center located in the southeast region of the country. The purpose of the case study was to understand the deeply personal role of spirituality in adult education as seen through teaching seniors and examine the personal manifestation of…

  8. A Patient Learning Center for an Army MEDDAC - A Feasibility Study. Final Report.

    ERIC Educational Resources Information Center

    Kucha, Deloros H.

    A feasibility study was conducted to examine in detail, analyze, and describe the development and operation (system effectiveness and efficiency) of a patient learning center in a MEDDAC, and to provide such information to the Surgeon General for use in planning future health care delivery to military-care eligible beneficiaries. Study objectives…

  9. Patterns for Voluntary Cooperation. Self-Study Report of the College Center of the Finger Lakes.

    ERIC Educational Resources Information Center

    College Center of the Finger Lakes, Corning, NY.

    This final self-study report of the College Center of the Finger Lakes (CCFL) represents 8 months of investigation in which over 500 faculty members, administrative officers and students from the 9 member colleges participated. The objectives of the study were to (1) identify the collective resources of the 9 member colleges and universities; (2)…

  10. Keldysh research center's experimental facility for studying of thermal control systems with two-phase coolant

    NASA Astrophysics Data System (ADS)

    Bednov, Sergey M.; Vezhnevets, Petr D.; Desyatov, Andrey V.; Tsikhotsky, Yury M.; Prokhorov, Yury. M.; Kopiatkevich, R.; Gorbenko, Gennady; Diev, M.

    1997-01-01

    This Paper presents a brief description of the experimental facility which was developed in the Keldysh Research Center (KeRC) for studying and working out the thermal control system (TCS) for the Russian segment of the International space station ``Alpha'' (ISSA). The list of scientific and design problems which will be studied during ground testing is given.

  11. Faculty Members' Perceptions of Community College Centers for Teaching and Learning: A Qualitative Study

    ERIC Educational Resources Information Center

    Frey, Sandra A.

    2012-01-01

    The purpose of this study was to explore faculty members' perceptions of community college Centers for Teaching and Learning (CTLs); whose main purpose is to promote, facilitate, and honor excellence in teaching and learning through the support of full-time and adjunct faculty, at all career stages. A generic qualitative study with a grounded…

  12. Leaders' Experiences with High School-College Writing Center Collaborations: A Qualitative Multiple-Case Study

    ERIC Educational Resources Information Center

    Story, Julie A.

    2014-01-01

    The purpose of this qualitative multiple-case study was to explore academic leaders' experiences with the organizational elements of their own high school-college writing center collaborations. Conjoining theories framed this study: collaborative leadership theory, Kenneth Bruffee's notion of social constructionism and collaborative learning…

  13. Leaders' Experiences with High School-College Writing Center Collaborations: A Qualitative Multiple-Case Study

    ERIC Educational Resources Information Center

    Story, Julie A.

    2014-01-01

    The purpose of this qualitative multiple-case study was to explore academic leaders' experiences with the organizational elements of their own high school-college writing center collaborations. Conjoining theories framed this study: collaborative leadership theory, Kenneth Bruffee's notion of social constructionism and collaborative learning…

  14. A Case Study: An ACT Stress Management Group in a University Counseling Center

    ERIC Educational Resources Information Center

    Daltry, Rachel M.

    2015-01-01

    The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants' ability to tolerate distress, which directly affects their ability to function in a stressful college…

  15. A Case Study: An ACT Stress Management Group in a University Counseling Center

    ERIC Educational Resources Information Center

    Daltry, Rachel M.

    2015-01-01

    The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants' ability to tolerate distress, which directly affects their ability to function in a stressful college…

  16. A Qualitative Study of Information Technology Managers' Experiences and Perceptions Regarding Outsourced Data Centers

    ERIC Educational Resources Information Center

    Reid, Eric Justin

    2015-01-01

    This qualitative study explored the perceptions and experiences of IT Managers in publicly traded companies within the San Antonio, Texas area about outsourced data centers. Narrative data was collected using open-ended questions and face-to-face interviews within semi-structured environments. The research questions guided the study: (1)…

  17. A Qualitative Study of Information Technology Managers' Experiences and Perceptions Regarding Outsourced Data Centers

    ERIC Educational Resources Information Center

    Reid, Eric Justin

    2015-01-01

    This qualitative study explored the perceptions and experiences of IT Managers in publicly traded companies within the San Antonio, Texas area about outsourced data centers. Narrative data was collected using open-ended questions and face-to-face interviews within semi-structured environments. The research questions guided the study: (1)…

  18. A STUDY OF THE INTEGRATION OF SERVICES OF INDUSTRIAL MEDICAL DEPARTMENTS AND A REHABILITATION CENTER. FINAL REPORT.

    ERIC Educational Resources Information Center

    MCQUILLEN, ANITA; AND OTHERS

    THIS IS A DEMONSTRATION PROJECT OF COOPERATION BETWEEN A REHABILITATION CENTER AND THREE LARGE INDUSTRIAL COMPANIES. OVER A 3-YEAR PERIOD, 56 WORKERS WHO HAD BEEN INJURED ON THE JOB AND HOSPITALIZED WERE ADMITTED TO THE REHABILITATION CENTER. OF THE 50 WORKERS STUDIED, THE AVERAGE LENGTH OF STAY IN THE CENTER WAS 36 DAYS. A FOLLOWUP STUDY,…

  19. Real Time Pricing as a Default or Optional Service for C&ICustomers: A Comparative Analysis of Eight Case Studies

    SciTech Connect

    Barbose, Galen; Goldman, Charles; Bharvirkar, Ranjit; Hopper,Nicole; Ting, Michael; Neenan, Bernie

    2005-08-01

    Demand response (DR) has been broadly recognized to be an integral component of well-functioning electricity markets, although currently underdeveloped in most regions. Among the various initiatives undertaken to remedy this deficiency, public utility commissions (PUC) and utilities have considered implementing dynamic pricing tariffs, such as real-time pricing (RTP), and other retail pricing mechanisms that communicate an incentive for electricity consumers to reduce their usage during periods of high generation supply costs or system reliability contingencies. Efforts to introduce DR into retail electricity markets confront a range of basic policy issues. First, a fundamental issue in any market context is how to organize the process for developing and implementing DR mechanisms in a manner that facilitates productive participation by affected stakeholder groups. Second, in regions with retail choice, policymakers and stakeholders face the threshold question of whether it is appropriate for utilities to offer a range of dynamic pricing tariffs and DR programs, or just ''plain vanilla'' default service. Although positions on this issue may be based primarily on principle, two empirical questions may have some bearing--namely, what level of price response can be expected through the competitive retail market, and whether establishing RTP as the default service is likely to result in an appreciable level of DR? Third, if utilities are to have a direct role in developing DR, what types of retail pricing mechanisms are most appropriate and likely to have the desired policy impact (e.g., RTP, other dynamic pricing options, DR programs, or some combination)? Given a decision to develop utility RTP tariffs, three basic implementation issues require attention. First, should it be a default or optional tariff, and for which customer classes? Second, what types of tariff design is most appropriate, given prevailing policy objectives, wholesale market structure, ratemaking

  20. Expensing options solves nothing.

    PubMed

    Sahlman, William A

    2002-12-01

    The use of stock options for executive compensation has become a lightning rod for public anger, and it's easy to see why. Many top executives grew hugely rich on the back of the gains they made on their options, profits they've been able to keep even as the value they were supposed to create disappeared. The supposed scam works like this: Current accounting regulations let companies ignore the cost of option grants on their income statements, so they can award valuable option packages without affecting reported earnings. Not charging the cost of the grants supposedly leads to overstated earnings, which purportedly translate into unrealistically high share prices, permitting top executives to realize big gains when they exercise their options. If an accounting anomaly is the problem, then the solution seems obvious: Write off executive share options against the current year's revenues. The trouble is, Sahlman writes, expensing option grants won't give us a more accurate view of earnings, won't add any information not already included in the financial statements, and won't even lead to equal treatment of different forms of executive pay. Far worse, expensing evades the real issue, which is whether compensation (options and other-wise) does what it's supposed to do--namely, help a company recruit, retain, and provide the right people with appropriate performance incentives. Any performance-based compensation system has the potential to encourage cheating. Only ethical management, sensible governance, adequate internal control systems, and comprehensive disclosure will save the investor from disaster. If, Sahlman warns, we pass laws that require the expensing of options, thinking that's fixed the fundamental flaws in corporate America's accounting, we will have missed a golden opportunity to focus on the much more extensive defects in the present system.