Science.gov

Sample records for congestion management rules

  1. Congestion Management Requirements, Methods and Performance Indices

    SciTech Connect

    Kirby, B.J.

    2002-08-28

    Transmission congestion occurs when there is insufficient transmission capacity to simultaneously accommodate all requests for transmission service within a region. Historically, vertically integrated utilities managed this condition by constraining the economic dispatch of generators with the objective of ensuring security and reliability of their own and/or neighboring systems. Electric power industry restructuring has moved generation investment and operations decisions into the competitive market but has left transmission as a communal resource in the regulated environment. This mixing of competitive generation and regulated transmission makes congestion management difficult. The difficulty is compounded by increases in the amount of congestion resulting from increased commercial transactions and the relative decline in the amount of transmission. Transmission capacity, relative to peak load, has been declining in all regions of the U.S. for over a decade. This decline is expected to continue. Congestion management schemes used today have negative impacts on energy markets, such as disruptions and monetary penalties, under some conditions. To mitigate these concerns various congestion management methods have been proposed, including redispatch and curtailment of scheduled energy transmission. In the restructured electric energy industry environment, new congestion management approaches are being developed that strive to achieve the desired degree of reliability while supporting competition in the bulk power market. This report first presents an overview and background on key issues and emerging approaches to congestion management. It goes on to identify and describe policies affecting congestion management that are favored and/or are now being considered by FERC, NERC, and one of the regional reliability councils (WSCC). It reviews the operational procedures in use or proposed by three of the leading independent system operators (ISOs) including ERCOT

  2. Auctionable fixed transmission rights for congestion management

    NASA Astrophysics Data System (ADS)

    Alomoush, Muwaffaq Irsheid

    Electric power deregulation has proposed a major change to the regulated utility monopoly. The change manifests the main part of engineers' efforts to reshape three components of today's regulated monopoly: generation, distribution and transmission. In this open access deregulated power market, transmission network plays a major role, and transmission congestion is a major problem that requires further consideration especially when inter-zonal/intra-zonal scheme is implemented. Declaring that engineering studies and experience are the criteria to define zonal boundaries or defining a zone based on the fact that a zone is a densely interconnected area (lake) and paths connecting these densely interconnected areas are inter-zonal lines will render insufficient and fuzzy definitions. Moreover, a congestion problem formulation should take into consideration interactions between intra-zonal and inter-zonal flows and their effects on power systems. In this thesis, we introduce a procedure for minimizing the number of adjustments of preferred schedules to alleviate congestion and apply control schemes to minimize interactions between zones. In addition, we give the zone definition a certain criterion based on the Locational Marginal Price (LMP). This concept will be used to define congestion zonal boundaries and to decide whether any zone should be merged with another zone or split into new zones. The thesis presents a unified scheme that combines zonal and FTR schemes to manage congestion. This combined scheme is utilized with LMPs to define zonal boundaries more appropriately. The presented scheme gains the best features of the FTR scheme, which are providing financial certainty, maximizing the efficient use of the system and making users pay for the actual use of congested paths. LMPs may give an indication of the impact of wheeling transactions, and calculations of and comparisons of LMPs with and without wheeling transactions should be adequate criteria to approve

  3. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Federal lands congestion management system (CMS). 972... § 972.214 Federal lands congestion management system (CMS). (a) For purposes of this section, congestion... interference. For those FWS transportation systems that require a CMS, in both metropolitan and...

  4. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Federal lands congestion management system (CMS). 971... Federal lands congestion management system (CMS). (a) For purposes of this section, congestion means the...) Develop criteria to determine when a CMS is to be implemented for a specific FH; and (2) Have CMS...

  5. Medical management of congestive heart failure in a horse.

    PubMed

    Brumbaugh, G W; Thomas, W P; Hodge, T G

    1982-04-15

    A 4-year-old Quarter Horse gelding with atrial fibrillation, mitral regurgitation, and signs of bilateral congestive heart failure was initially treated IV with digoxin and furosemide. After parenteral digitalization, a daily maintenance dose of digoxin was administered orally at a rate of 21.7 micrograms/kg of body weight. At this dosage, a steady-state serum digoxin concentration of 2.3 ng/ml was achieved without clinical signs of toxicosis. The furosemide dosage was decreased and eventually discontinued as clinical improvement occurred. Clinical signs of congestive heart failure were controlled and sinus rhythm was intermittently established, but an unfavorable prognosis was given for future athletic work. After 35 days of therapy, cardiac catheterization was performed and the horse was euthanatized. At necropsy there was marked dilatation of all cardiac chambers, mitral valve fibrosis, and left atrial jet lesions. The response of this patient suggested that orally administered digoxin may be useful in the management of congestive heart failure in selected equine patients.

  6. Transmission dispatch and congestion management in open market systems

    NASA Astrophysics Data System (ADS)

    Fang, Risheng

    This thesis is located in the domain of electricity supply industry restructuring. It deals with emerging issues, whose understanding is essential to advancing knowledge of open access transmission theory and proceeds to develop approaches for solving the transmission dispatch and congestion management problem. An overview of current trends and experiences in utility restructuring and the main models for restructuring, as well as the classifications of system operators, is first presented. A fully unbundled competitive electricity market model, called the bilateral/multilateral trades model, is then developed. A survey of current research in transmission dispatch and congestion management is included with discussion of transmission capacity and ancillary services. A methodology for the power dispatch problem in a structure dominated by bilateral and multilateral transmission contracts is presented. Group structures are mathematically formulated and explored and three basic types of curtailment strategies proposed for use by market participants. A more complex model is then developed, which takes into account the co-existence of bilateral and multilateral contracts with pool type dynamic supplies and demands based on bids and market clearing prices. An integrated dispatch strategy to reconcile all three types of transactions (bilateral, multilateral and pool) is then developed. Prioritization of electricity transactions and related curtailment strategies are explored and a mechanism for coordination between market participants to achieve additional economic advantages is described. A theory of security based rescheduling is presented in order to investigate the security-related aspects of operation in an unbundled and deregulated system. The impact of post-contingency corrective capability on optimal rescheduling results has been identified and the advantage of incorporating post-contingency corrective rescheduling into the objective function demonstrated. Finally

  7. 23 CFR 973.214 - Indian lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Indian lands congestion management system (CMS). 973.214... HIGHWAYS MANAGEMENT SYSTEMS PERTAINING TO THE BUREAU OF INDIAN AFFAIRS AND THE INDIAN RESERVATION ROADS PROGRAM Bureau of Indian Affairs Management Systems § 973.214 Indian lands congestion management...

  8. 23 CFR 973.214 - Indian lands congestion management system (CMS).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Indian lands congestion management system (CMS). 973.214... (CMS). (a) For purposes of this section, congestion means the level at which transportation system... the tribes, shall develop criteria to determine when a CMS is to be implemented for a...

  9. Device therapy in the management of congestive heart failure.

    PubMed

    Turer, Aslan T; Rao, Sunil V

    2005-01-01

    Despite significant advancements in the treatment of heart failure over the past 2 decades, this patient population is still subject to considerably high morbidity and mortality rates. In recent years, the field of device therapy as adjunctive treatment to the medical management of congestive heart failure has grown in the wake of the large number of randomized trials that have demonstrated the safety and efficacy of these devices. The implantable defibrillator currently represents the standard of care in certain segments of the heart failure population, even in those without a prior arrhythmic event. Biventricular pacing systems appear to have a role in heart failure patients with prolongation of their QRS duration in improving ventricular performance and symptoms, if not mortality. Last, the shortage of organs available for orthotopic transplant has heightened interest in using ventricular-assist devices as destination therapy, and although there is evidence for the feasibility for this approach at the current time, there is a next generation of devices that appear even more promising.

  10. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Federal lands congestion management system (CMS). 972.214 Section 972.214 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management...

  11. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Federal lands congestion management system (CMS). 972.214 Section 972.214 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management...

  12. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Federal lands congestion management system (CMS). 972.214 Section 972.214 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management...

  13. Team management of congestive heart failure across the continuum.

    PubMed

    Venner, G H; Seelbinder, J S

    1996-01-01

    Despite an increased incidence of congestive heart failure and frequency of hospital admissions for the Medicare population, there is little information available on improving outcomes for these patients. As changes in health care lead toward capitation, efficient care with limited use of expensive inpatient hospital resources is a necessity. The coordination of three critical components--inpatient, outpatient, and home care--can lead to positive outcomes in terms of functional capacity changes, length of stay, readmission rates, patient self-care knowledge, and patient satisfaction.

  14. Streamling the Change Management with Business Rules

    NASA Technical Reports Server (NTRS)

    Savela, Christopher

    2015-01-01

    Will discuss how their organization is trying to streamline workflows and the change management process with business rules. In looking for ways to make things more efficient and save money one way is to reduce the work the workflow task approvers have to do when reviewing affected items. Will share the technical details of the business rules, how to implement them, how to speed up the development process by using the API to demonstrate the rules in action.

  15. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... performance of the multimodal transportation system, identify the causes of recurring and non-recurring... causes of congestion, and evaluate the efficiency and effectiveness of implemented actions. To the extent... designated as nonattainment area for ozone or carbon monoxide pursuant to the Clean Air Act, Federal...

  16. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... performance of the multimodal transportation system, identify the causes of recurring and non-recurring... causes of congestion, and evaluate the efficiency and effectiveness of implemented actions. To the extent... designated as nonattainment area for ozone or carbon monoxide pursuant to the Clean Air Act, Federal...

  17. Implementing a congestive heart failure disease management program to decrease length of stay and cost.

    PubMed

    Knox, D; Mischke, L

    1999-10-01

    Congestive heart failure (CHF) is the most common reason for a hospital admission in the Medicare age group and is nearly double the rate of pneumonia, the next highest volume diagnosis. The economic burden of this debilitating, chronic disease demands a mechanism to improve quality of care while preventing unnecessary hospitalizations. Beginning in 1995, Evanston Northwestern Healthcare (ENH) created a disease management program involving a multidisciplinary team designed to decrease length of stay (national average = 6.2 days; ENH = 4 days), reduce costs, prevent readmissions (national 30-day readmission rate = 23%; ENH CHF Program = 2.3%), and improve compliance with the treatment regimen. Compliance monitoring through an automated telemanagement program reinforces education, identifies early warning signs and reduces the likelihood of hospitalization. After 18 months, telemanagement participants' compliance rate averages 89.5%. CHF hospitalization rates are 0.6/patient/year compared with the national benchmark of 1.7/patient/year. A disease management program consists of inpatient consultation, education, outpatient CHF clinic, cardiac home care, and compliance monitoring. Throughout this continuum, education must be communicated consistently by all team members. A CHF Assessment Guide assists the multidisciplinary team to thoroughly complete all education and address unique solutions to patients' needs.

  18. FACTS Devices Cost Recovery During Congestion Management in Deregulated Electricity Markets

    NASA Astrophysics Data System (ADS)

    Sharma, Ashwani Kumar; Mittapalli, Ram Kumar; Pal, Yash

    2016-09-01

    In future electricity markets, flexible alternating current transmission system (FACTS) devices will play key role for providing ancillary services. Since huge cost is involved for the FACTS devices placement in the power system, the cost invested has to be recovered in their life time for the replacement of these devices. The FACTS devices in future electricity markets can act as an ancillary services provider and have to be remunerated. The main contributions of the paper are: (1) investment recovery of FACTS devices during congestion management such as static VAR compensator and unified power flow controller along with thyristor controlled series compensator using non-linear bid curves, (2) the impact of ZIP load model on the FACTS cost recovery of the devices, (3) the comparison of results obtained without ZIP load model for both pool and hybrid market model, (4) secure bilateral transactions incorporation in hybrid market model. An optimal power flow based approach has been developed for maximizing social welfare including FACTS devices cost. The optimal placement of the FACTS devices have been obtained based on maximum social welfare. The results have been obtained for both pool and hybrid electricity market for IEEE 24-bus RTS.

  19. Predictive functional control for active queue management in congested TCP/IP networks.

    PubMed

    Bigdeli, N; Haeri, M

    2009-01-01

    Predictive functional control (PFC) as a new active queue management (AQM) method in dynamic TCP networks supporting explicit congestion notification (ECN) is proposed. The ability of the controller in handling system delay along with its simplicity and low computational load makes PFC a privileged AQM method in the high speed networks. Besides, considering the disturbance term (which represents model/process mismatches, external disturbances, and existing noise) in the control formulation adds some level of robustness into the PFC-AQM controller. This is an important and desired property in the control of dynamically-varying computer networks. In this paper, the controller is designed based on a small signal linearized fluid-flow model of the TCP/AQM networks. Then, closed-loop transfer function representation of the system is derived to analyze the robustness with respect to the network and controller parameters. The analytical as well as the packet-level ns-2 simulation results show the out-performance of the developed controller for both queue regulation and resource utilization. Fast response, low queue fluctuations (and consequently low delay jitter), high link utilization, good disturbance rejection, scalability, and low packet marking probability are other features of the developed method with respect to other well-known AQM methods such as RED, PI, and REM which are also simulated for comparison.

  20. FACTS Devices Cost Recovery During Congestion Management in Deregulated Electricity Markets

    NASA Astrophysics Data System (ADS)

    Sharma, Ashwani Kumar; Mittapalli, Ram Kumar; Pal, Yash

    2015-07-01

    In future electricity markets, flexible alternating current transmission system (FACTS) devices will play key role for providing ancillary services. Since huge cost is involved for the FACTS devices placement in the power system, the cost invested has to be recovered in their life time for the replacement of these devices. The FACTS devices in future electricity markets can act as an ancillary services provider and have to be remunerated. The main contributions of the paper are: (1) investment recovery of FACTS devices during congestion management such as static VAR compensator and unified power flow controller along with thyristor controlled series compensator using non-linear bid curves, (2) the impact of ZIP load model on the FACTS cost recovery of the devices, (3) the comparison of results obtained without ZIP load model for both pool and hybrid market model, (4) secure bilateral transactions incorporation in hybrid market model. An optimal power flow based approach has been developed for maximizing social welfare including FACTS devices cost. The optimal placement of the FACTS devices have been obtained based on maximum social welfare. The results have been obtained for both pool and hybrid electricity market for IEEE 24-bus RTS.

  1. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... operational/ITS data) and coordinated with operations managers in the metropolitan area; (4) Identification... effective integrated management and operation of the multimodal transportation system, based on a... transportation system management and operations. Where the addition of general purpose lanes is determined to...

  2. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... operational/ITS data) and coordinated with operations managers in the metropolitan area; (4) Identification... effective integrated management and operation of the multimodal transportation system, based on a... transportation system management and operations. Where the addition of general purpose lanes is determined to...

  3. Management of air quality in the vicinity of congested area in Kuwait.

    PubMed

    Albassam, E; Khan, A; Popov, V

    2009-10-01

    An assessment of air quality in the vicinity of a selected school has been carried out by monitoring the concentrations of primary pollutants. The results has shown that during the school hours, the measured pollutants emitted from the cars next to the selected school, such as CO and NO(2), are always under the allowable limits for Kuwaiti air quality standards. On the other hand, the concentrations of non methane hydrocarbon pollutant (nm-HC), some of which are considered to be cancergenic, are found to be above the Kuwaiti standard most of the times. A traffic counter is used to record the number of cars in the main road next to the school in 15 min intervals for 10 days during the monitoring period for air quality. Statistical analysis is performed to develop a relation for prediction of the necessary reduction in traffic, based on CO concentrations, during morning and afternoon periods on working days. A computer dispersion model (CALINE4) is also used to assess the CO concentrations based on recorded flow of traffic and emission inventory with the prevailing meteorological conditions existed at the specified time. After the validation of model, different scenarios have been evaluated to provide an acceptable solution to resolve the traffic congestion problem near the schools in the early morning hours with substantial reduction in pollution levels. The optimal solution for CO concentration reduction by managing smooth traffic flow is to reduce the traffic intensity by half in early morning and afternoon rush hours. The results of the predicted CO concentration in the vicinity of the school for the model and the statistical analysis has shown reduction of 30% and 42% respectively, for approximately 50% decrease in the car use. On the other hand the predicted CO concentration for the model and the statistics reached 24% and 33% respectively when 50% of students opted for buses instead of using private cars.

  4. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and... cooperatively developed and implemented metropolitan-wide strategy, of new and existing transportation... travel demand reduction and operational management strategies. (b) The development of a...

  5. A multi-layer monitoring system for clinical management of Congestive Heart Failure

    PubMed Central

    2015-01-01

    Background Congestive Heart Failure (CHF) is a serious cardiac condition that brings high risks of urgent hospitalization and death. Remote monitoring systems are well-suited to managing patients suffering from CHF, and can reduce deaths and re-hospitalizations, as shown by the literature, including multiple systematic reviews. Methods The monitoring system proposed in this paper aims at helping CHF stakeholders make appropriate decisions in managing the disease and preventing cardiac events, such as decompensation, which can lead to hospitalization or death. Monitoring activities are stratified into three layers: scheduled visits to a hospital following up on a cardiac event, home monitoring visits by nurses, and patient's self-monitoring performed at home using specialized equipment. Appropriate hardware, desktop and mobile software applications were developed to enable a patient's monitoring by all stakeholders. For the first two layers, we designed and implemented a Decision Support System (DSS) using machine learning (Random Forest algorithm) to predict the number of decompensations per year and to assess the heart failure severity based on a variety of clinical data. For the third layer, custom-designed sensors (the Blue Scale system) for electrocardiogram (EKG), pulse transit times, bio-impedance and weight allowed frequent collection of CHF-related data in the comfort of the patient's home. We also performed a short-term Heart Rate Variability (HRV) analysis on electrocardiograms self-acquired by 15 healthy volunteers and compared the obtained parameters with those of 15 CHF patients from PhysioNet's PhysioBank archives. Results We report numerical performances of the DSS, calculated as multiclass accuracy, sensitivity and specificity in a 10-fold cross-validation. The obtained average accuracies are: 71.9% in predicting the number of decompensations and 81.3% in severity assessment. The most serious class in severity assessment is detected with good

  6. 23 CFR 970.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... criteria, as appropriate, funded through the FLHP. (b) The NPS shall consider the results of the CMS when selecting congestion mitigation strategies that are the most time efficient and cost effective and that add...-metropolitan areas, consideration shall be given to strategies that promote alternative transportation...

  7. 23 CFR 973.214 - Indian lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... the IRR transportation plan and the IRRTIP, when selecting strategies for implementation that provide... congestion and enhance mobility. (b) In addition to the requirements provided in § 973.204, the CMS must meet..., consideration shall be given to strategies that reduce private automobile travel and improve...

  8. CCS_WHMS: A Congestion Control Scheme for Wearable Health Management System.

    PubMed

    Kafi, Mohamed Amine; Ben Othman, Jalel; Bagaa, Miloud; Badache, Nadjib

    2015-12-01

    Wearable computing is becoming a more and more attracting field in the last years thanks to the miniaturisation of electronic devices. Wearable healthcare monitoring systems (WHMS) as an important client of wearable computing technology has gained a lot. Indeed, the wearable sensors and their surrounding healthcare applications bring a lot of benefits to patients, elderly people and medical staff, so facilitating their daily life quality. But from a research point of view, there is still work to accomplish in order to overcome the gap between hardware and software parts. In this paper, we target the problem of congestion control when all these healthcare sensed data have to reach the destination in a reliable manner that avoids repetitive transmission which wastes precious energy or leads to loss of important information in emergency cases, too. We propose a congestion control scheme CCS_WHMS that ensures efficient and fair data delivery while used in the body wearable system part or in the multi-hop inter bodies wearable ones to get the destination. As the congestion detection paradigm is very important in the control process, we do experimental tests to compare between state of the art congestion detection methods, using MICAz motes, in order to choose the appropriate one for our scheme.

  9. 23 CFR 970.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... selecting congestion mitigation strategies that are the most time efficient and cost effective and that add...-metropolitan areas, consideration shall be given to strategies that promote alternative transportation systems, reduce private automobile travel, and best integrate private automobile travel with other...

  10. Cardiac status assessment with a multi-signal device for improved home-based congestive heart failure management.

    PubMed

    Muehlsteff, Jens; Carvalho, Paulo; Henriques, Jorge; Paiva, Rui P; Reiter, Harald

    2011-01-01

    State-of-the-Art disease management for Congestive Heart Failure (CHF) patients is still based on easy-to-acquire measures such as heart rate (HR), weight and blood pressure (BP). However, these measures respond late to changes of the patient health status and provide limited information to personalize and adapt medication therapy. This paper describes our concept called "Cardiac Status Assessment" we have been investigating within the European project "HeartCycle" towards next-generation home-based disease management of CHF. In our concept we analyze non-invasive surrogate measures of the cardio-vascular function in particular systolic time intervals and pulse wave characteristics to estimate Cardiac Output (CO) and Systemic Vascular Resistance (SVR) both are established clinical measures. We discuss the underlying concept, a developed measurement system and first results. PMID:22254450

  11. 75 FR 4451 - Financial Management Service; Proposed Collection of Information: Final Rule-Management of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... Fiscal Service Financial Management Service; Proposed Collection of Information: Final Rule--Management of Federal Agency Disbursements. AGENCY: Financial Management Service, Fiscal Service, Treasury... written comments to Financial Management Service, Records and Information Management Branch, Room...

  12. Optimal Rescheduling of Generators for Congestion Management and Benefit Maximization in a Decentralized Bilateral Multi-transactions Power Network

    NASA Astrophysics Data System (ADS)

    Singh, Brijesh; Mahanty, Ranjit; Singh, S. P.

    2013-05-01

    This paper presents a framework to achieve an optimal power flow solution in a decentralized bilateral multitransaction-based market. An independent optimal dispatch solution has been used for each market. The interior point (IP)-based optimization technique has been used for finding a global economic optimal solution of the whole system. In this method, all the participants try to maximize their own profits with the help of system information announced by the operator. In the present work, a parallel algorithm has been used to find out a global optimum solution in decentralized market model. The study has been carried out on a modified IEEE-30 bus system. The results show that the suggested decentralized approach can provide a better optimal solution. The obtained results show the effectiveness of IP optimization-based optimal generator schedule and congestion management in the decentralized market.

  13. 23 CFR 970.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... LANDS HIGHWAYS NATIONAL PARK SERVICE MANAGEMENT SYSTEMS National Park Service Management Systems § 970... value (protection/rejuvenation of resources, improved visitor experience) to the park and...

  14. 23 CFR 970.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... LANDS HIGHWAYS NATIONAL PARK SERVICE MANAGEMENT SYSTEMS National Park Service Management Systems § 970... value (protection/rejuvenation of resources, improved visitor experience) to the park and...

  15. Knowledge-Centric Management of Business Rules in a Pharmacy

    NASA Astrophysics Data System (ADS)

    Puustjärvi, Juha; Puustjärvi, Leena

    A business rule defines or constraints some aspect of the business. In healthcare sector many of the business rules are dictated by law or medical regulations, which are constantly changing. This is a challenge for the healthcare organizations. Although there is available several commercial business rule management systems the problem from pharmacies point of view is that these systems are overly geared towards the automation and manipulation of business rules, while the main need in pharmacies lies in easy retrieving of business rules within daily routines. Another problem is that business rule management systems are isolated in the sense that they have their own data stores that cannot be accessed by other information systems used in pharmacies. As a result, a pharmacist is burdened by accessing many systems inside a user task. In order to avoid this problem we have modeled business rules as well as their relationships to other relevant information by OWL (Web Ontology Language) such that the ontology is shared among the pharmacy's applications. In this way we can avoid the problems of isolated applications and replicated data. The ontology also encourages pharmacies business agility, i.e., the ability to react more rapidly to the changes required by the new business rules. The deployment of the ontology requires that stored business rules are annotated by appropriate metadata descriptions, which are presented by RDF/XML serialization format. However, neither the designer nor the pharmacists are burdened by RDF/XML format as there are sophisticated graphical editors that can be used.

  16. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management Systems... means the level at which transportation system performance is no longer acceptable due to traffic... combinations of strategies for each area: (A) Transportation demand management measures; (B)...

  17. 10 rules for managing global innovation.

    PubMed

    Wilson, Keeley; Doz, Yves L

    2012-10-01

    More and more companies recognize that their dispersed, global operations are a treasure trove of ideas and capabilities for innovation. But it's proving harder than expected to unearth those ideas or exploit those capabilities. Part of the problem is that companies manage global innovation the same way they manage traditional, single-location projects. Single-location projects draw on a large reservoir of tacit knowledge, shared context, and trust that global projects lack. The management challenge, therefore, is to replicate the positive aspects of colocation while harnessing the opportunities of dispersion. In this article, Insead's Wilson and Doz draw on research into global strategy and innovation to present a set of guidelines for setting up and managing global innovation. They explore in detail the challenges that make global projects inherently different and show how these can be overcome by applying superior project management skills across teams, fostering a strong collaborative culture, and using a robust array of communications tools.

  18. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... strategies, or combinations of strategies for each area: (A) Transportation demand management measures; (B... meet minimum CMS criteria. (b) The tri-party partnership shall consider the results of the CMS when selecting the implementation of strategies that provide the most efficient and effective use of existing...

  19. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... strategies, or combinations of strategies for each area: (A) Transportation demand management measures; (B... meet minimum CMS criteria. (b) The tri-party partnership shall consider the results of the CMS when selecting the implementation of strategies that provide the most efficient and effective use of existing...

  20. Software Engineering Laboratory (SEL) relationships, models, and management rules

    NASA Technical Reports Server (NTRS)

    Decker, William; Hendrick, Robert; Valett, Jon D.

    1991-01-01

    Over 50 individual Software Engineering Laboratory (SEL) research results, extracted from a review of published SEL documentation, that can be applied directly to managing software development projects are captured. Four basic categories of results are defined and discussed - environment profiles, relationships, models, and management rules. In each category, research results are presented as a single page that summarizes the individual result, lists potential uses of the result by managers, and references the original SEL documentation where the result was found. The document serves as a concise reference summary of applicable research for SEL managers.

  1. Market Mechanism for Line Congestion Clearance

    NASA Astrophysics Data System (ADS)

    Ruiz Monroy, José Joaquín; Kita, Hiroyuki; Tanaka, Eiichi; Hasegawa, Jun

    This paper proposes a mechanism for clearance of line congestion and power flow control in a deregulated market environment. The mechanism applies penalties to the bilateral transactions that cause line congestion by increasing the prices of such transactions. The market regulates itself by redefining the transactions and checking again for violations, applying penalties if necessary and repeating the process until all the demand is satisfied without causing line congestion to the system. A bilateral transaction matrix (BTM) creation algorithm developed by the authors and a DC power flow program are integrated as parts of the market mechanism proposed in this paper. The congestion is cleared by the market participants when they reschedule their transactions. This mechanism is useful to study the effects of bilateral transactions on a power system and helps the Independent System Operator (ISO) to create rules and market mechanisms for line congestion clearance and power flow control.

  2. Medicaid program; Medicaid managed care--HCFA. Proposed rule.

    PubMed

    1998-09-29

    This proposed rule would amend the Medicaid regulations to allow the States greater flexibility by giving them the option to require Medicaid recipients to enroll in managed care entities without obtaining waivers. These revisions, which are authorized by the Balanced Budget Act of 1997, would establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services. They would eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing. They would also permit State agencies to amend their State plans to require enrollment in managed care organizations subject to certain conditions, including limits on whose enrollment can be mandated, and a requirement for beneficiary choice. In addition, this rule would extend most of these new requirements to prepaid health plans.

  3. Medicaid program; Medicaid managed care: new provisions. Final rule.

    PubMed

    2002-06-14

    This final rule amends the Medicaid regulations to implement provisions of the Balanced Budget Act of 1997 (BBA) that allow the States greater flexibility by permitting them to amend their State plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without obtaining waivers if beneficiary choice is provided; establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services; and eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as, the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing.

  4. Evaluation of wholesale electric power market rules and financial risk management by agent-based simulations

    NASA Astrophysics Data System (ADS)

    Yu, Nanpeng

    As U.S. regional electricity markets continue to refine their market structures, designs and rules of operation in various ways, two critical issues are emerging. First, although much experience has been gained and costly and valuable lessons have been learned, there is still a lack of a systematic platform for evaluation of the impact of a new market design from both engineering and economic points of view. Second, the transition from a monopoly paradigm characterized by a guaranteed rate of return to a competitive market created various unfamiliar financial risks for various market participants, especially for the Investor Owned Utilities (IOUs) and Independent Power Producers (IPPs). This dissertation uses agent-based simulation methods to tackle the market rules evaluation and financial risk management problems. The California energy crisis in 2000-01 showed what could happen to an electricity market if it did not go through a comprehensive and rigorous testing before its implementation. Due to the complexity of the market structure, strategic interaction between the participants, and the underlying physics, it is difficult to fully evaluate the implications of potential changes to market rules. This dissertation presents a flexible and integrative method to assess market designs through agent-based simulations. Realistic simulation scenarios on a 225-bus system are constructed for evaluation of the proposed PJM-like market power mitigation rules of the California electricity market. Simulation results show that in the absence of market power mitigation, generation company (GenCo) agents facilitated by Q-learning are able to exploit the market flaws and make significantly higher profits relative to the competitive benchmark. The incorporation of PJM-like local market power mitigation rules is shown to be effective in suppressing the exercise of market power. The importance of financial risk management is exemplified by the recent financial crisis. In this

  5. ATLAS Replica Management in Rucio: Replication Rules and Subscriptions

    NASA Astrophysics Data System (ADS)

    Barisits, M.; Serfon, C.; Garonne, V.; Lassnig, M.; Stewart, G.; Beermann, T.; Vigne, R.; Goossens, L.; Nairz, A.; Molfetas, A.; Atlas Collaboration

    2014-06-01

    The ATLAS Distributed Data Management system stores more than 150PB of physics data across 120 sites globally. To cope with the anticipated ATLAS workload of the coming decade, Rucio, the next-generation data management system has been developed. Replica management, as one of the key aspects of the system, has to satisfy critical performance requirements in order to keep pace with the experiment's high rate of continual data generation. The challenge lies in meeting these performance objectives while still giving the system users and applications a powerful toolkit to control their data workflows. In this work we present the concept, design and implementation of the replica management in Rucio. We will specifically introduce the workflows behind replication rules, their formal language definition, weighting and site selection. Furthermore we will present the subscription component, which offers functionality for users to proclaim interest in data that has not been created yet. This contribution describes the concept and the architecture behind those components and will show the benefits made by this system.

  6. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott; Jennings, Esther; Schoolcraft, Joshua

    2006-01-01

    Congestion control is an important feature that directly affects network performance. Network congestion may cause loss of data or long delays. Although this problem has been studied extensively in the Internet, the solutions for Internet congestion control do not apply readily to challenged network environments such as Delay Tolerant Networks (DTN) where end-to-end connectivity may not exist continuously and latency can be high. In DTN, end-to-end rate control is not feasible. This calls for congestion control mechanisms where the decisions can be made autonomously with local information only. We use an economic pricing model and propose a rule-based congestion control mechanism where each router can autonomously decide on whether to accept a bundle (data) based on local information such as available storage and the value and risk of accepting the bundle (derived from historical statistics). Preliminary experimental results show that this congestion control mechanism can protect routers from resource depletion without loss of data.

  7. Treatment of congestion in upper respiratory diseases

    PubMed Central

    Meltzer, Eli O; Caballero, Fernan; Fromer, Leonard M; Krouse, John H; Scadding, Glenis

    2010-01-01

    Congestion, as a symptom of upper respiratory tract diseases including seasonal and perennial allergic rhinitis, acute and chronic rhinosinusitis, and nasal polyposis, is principally caused by mucosal inflammation. Though effective pharmacotherapy options exist, no agent is universally efficacious; therapeutic decisions must account for individual patient preferences. Oral H1-antihistamines, though effective for the common symptoms of allergic rhinitis, have modest decongestant action, as do leukotriene receptor antagonists. Intranasal antihistamines appear to improve congestion better than oral forms. Topical decongestants reduce congestion associated with allergic rhinitis, but local adverse effects make them unsuitable for long-term use. Oral decongestants show some efficacy against congestion in allergic rhinitis and the common cold, and can be combined with oral antihistamines. Intranasal corticosteroids have broad anti-inflammatory activities, are the most potent long-term pharmacologic treatment of congestion associated with allergic rhinitis, and show some congestion relief in rhinosinusitis and nasal polyposis. Immunotherapy and surgery may be used in some cases refractory to pharmacotherapy. Steps in congestion management include (1) diagnosis of the cause(s), (2) patient education and monitoring, (3) avoidance of environmental triggers where possible, (4) pharmacotherapy, and (5) immunotherapy (for patients with allergic rhinitis) or surgery for patients whose condition is otherwise uncontrolled. PMID:20463825

  8. Case management insider. The 2-midnight rule--a game-changer for case management.

    PubMed

    Cesta, Toni

    2014-04-01

    As a case manager or case management leader, it is important for you to stay in touch with how CMS continues to roll out the two-midnight rules as well as the manner of auditing on a go-forward basis. It is also important that your department continue to have a close working relationship with the billing department in your hospital to ensure that the hospital remains compliant with this new rule. Finally, it is also critical that your emergency department and its physicians are kept up to date on the rule and its implications for hospital admissions. Having a case management presence in the emergency department will help to ensure a sound review process at this important route of entry to the hospital. A working team should be created to review the cases that fall outside of the rule, and these cases should also be presented to the utilization review committee so that the hospital can continue to learn and move forward. Finally, listen to the CMS National Provider Calls (www.cms. gov/NPC) to gain additional and updated information as it becomes available! For additional information on the two-midnight rule go to www.cms.gov and search for CMS-1599-F. PMID:24697139

  9. Recommendation System Based On Association Rules For Distributed E-Learning Management Systems

    NASA Astrophysics Data System (ADS)

    Mihai, Gabroveanu

    2015-09-01

    Traditional Learning Management Systems are installed on a single server where learning materials and user data are kept. To increase its performance, the Learning Management System can be installed on multiple servers; learning materials and user data could be distributed across these servers obtaining a Distributed Learning Management System. In this paper is proposed the prototype of a recommendation system based on association rules for Distributed Learning Management System. Information from LMS databases is analyzed using distributed data mining algorithms in order to extract the association rules. Then the extracted rules are used as inference rules to provide personalized recommendations. The quality of provided recommendations is improved because the rules used to make the inferences are more accurate, since these rules aggregate knowledge from all e-Learning systems included in Distributed Learning Management System.

  10. What can a pilot congestive heart failure disease management program tell us about likely return on investment?: A case study from a program offered to federal employees.

    PubMed

    vanVonno, Catherine J; Ozminkowski, Ronald J; Smith, Mark W; Thomas, Eileen G; Kelley, Doniece; Goetzel, Ron; Berg, Gregory D; Jain, Susheel K; Walker, David R

    2005-12-01

    In 1999, the Blue Cross and Blue Shield Federal Employee Program (FEP) implemented a pilot disease management program to manage congestive heart failure (CHF) among members. The purpose of this project was to estimate the financial return on investment in the pilot CHF program, prior to a full program rollout. A cohort of 457 participants from the state of Maryland was matched to a cohort of 803 nonparticipants from a neighboring state where the CHF program was not offered. Each cohort was followed for 12 months before the program began and 12 months afterward. The outcome measures of primary interest were the differences over time in medical care expenditures paid by FEP and by all payers. Independent variables included indicators of program participation, type of heart disease, comorbidity measures, and demographics. From the perspective of the funding organization (FEP), the estimated return on investment for the pilot CHF disease management program was a savings of $1.08 in medical expenditure for every dollar spent on the program. Adding savings to other payers as well, the return on investment was a savings of $1.15 in medical expenditures per dollar spent on the program. The amount of savings depended upon CHF risk levels. The value of a pilot initiative and evaluation is that lessons for larger-scale efforts can be learned prior to full-scale rollout.

  11. Risk management. National Aeronautics and Space Administration (NASA). Interim rule adopted as final with changes.

    PubMed

    2000-11-22

    This is a final rule amending the NASA FAR Supplement (NFS) to emphasize considerations of risk management, including safety, security (including information technology security), health, export control, and damage to the environment, within the acquisition process. This final rule addresses risk management within the context of acquisition planning, selecting sources, choosing contract type, structuring award fee incentives, administering contracts, and conducting contractor surveillance.

  12. Focus on renal congestion in heart failure.

    PubMed

    Afsar, Baris; Ortiz, Alberto; Covic, Adrian; Solak, Yalcin; Goldsmith, David; Kanbay, Mehmet

    2016-02-01

    Hospitalizations due to heart failure are increasing steadily despite advances in medicine. Patients hospitalized for worsening heart failure have high mortality in hospital and within the months following discharge. Kidney dysfunction is associated with adverse outcomes in heart failure patients. Recent evidence suggests that both deterioration in kidney function and renal congestion are important prognostic factors in heart failure. Kidney congestion in heart failure results from low cardiac output (forward failure), tubuloglomerular feedback, increased intra-abdominal pressure or increased venous pressure. Regardless of the cause, renal congestion is associated with increased morbidity and mortality in heart failure. The impact on outcomes of renal decongestion strategies that do not compromise renal function should be explored in heart failure. These studies require novel diagnostic markers that identify early renal damage and renal congestion and allow monitoring of treatment responses in order to avoid severe worsening of renal function. In addition, there is an unmet need regarding evidence-based therapeutic management of renal congestion and worsening renal function. In the present review, we summarize the mechanisms, diagnosis, outcomes, prognostic markers and treatment options of renal congestion in heart failure.

  13. Making the Traffic Operations Case for Congestion Pricing: Operational Impacts of Congestion Pricing

    SciTech Connect

    Chin, Shih-Miao; Hu, Patricia S; Davidson, Diane

    2011-02-01

    hours spent in traffic in a year, grew by 22% as the national average of hours spent in delay grew from 36 hours to 44 hours. Peak delay per traveler grew one-third in medium-size urban areas over the 10 year period. The traffic engineering community has developed an arsenal of integrated tools to mitigate the impacts of congestion on freeway throughput and performance, including pricing of capacity to manage demand for travel. Congestion pricing is a strategy which dynamically matches demand with available capacity. A congestion price is a user fee equal to the added cost imposed on other travelers as a result of the last traveler's entry into the highway network. The concept is based on the idea that motorists should pay for the additional congestion they create when entering a congested road. The concept calls for fees to vary according to the level of congestion with the price mechanism applied to make travelers more fully aware of the congestion externality they impose on other travelers and the system itself. The operational rationales for the institution of pricing strategies are to improve the efficiency of operations in a corridor and/or to better manage congestion. To this end, the objectives of this project were to: (1) Better understand and quantify the impacts of congestion pricing strategies on traffic operations through the study of actual projects, and (2) Better understand and quantify the impacts of congestion pricing strategies on traffic operations through the use of modeling and other analytical methods. Specifically, the project was to identify credible analytical procedures that FHWA can use to quantify the impacts of various congestion pricing strategies on traffic flow (throughput) and congestion.

  14. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott C.; Jennings, Esther H.

    2005-01-01

    Congestion control is an important feature that directly affects network performance. Network congestion may cause loss of data or long delays. Although this problem has been studied extensively in the Internet, the solutions for Internet congestion control do not apply readily to challenged network environments such as Delay Tolerant Networks (DTN) where end-to-end connectivity may not exist continuously and latency can be high. In DTN, end-to-end rate control is not feasible. This calls for congestion control mechanisms where the decisions can be made autonomously with local information only. We use an economic pricing model and propose a rule-based congestion control mechanism where each router can autonomously decide on whether to accept a bundle (data) based on local information such as available storage and the value and risk of accepting the bundle (derived from historical statistics).

  15. An evaluation and implementation of rule-based Home Energy Management System using the Rete algorithm.

    PubMed

    Kawakami, Tomoya; Fujita, Naotaka; Yoshihisa, Tomoki; Tsukamoto, Masahiko

    2014-01-01

    In recent years, sensors become popular and Home Energy Management System (HEMS) takes an important role in saving energy without decrease in QoL (Quality of Life). Currently, many rule-based HEMSs have been proposed and almost all of them assume "IF-THEN" rules. The Rete algorithm is a typical pattern matching algorithm for IF-THEN rules. Currently, we have proposed a rule-based Home Energy Management System (HEMS) using the Rete algorithm. In the proposed system, rules for managing energy are processed by smart taps in network, and the loads for processing rules and collecting data are distributed to smart taps. In addition, the number of processes and collecting data are reduced by processing rules based on the Rete algorithm. In this paper, we evaluated the proposed system by simulation. In the simulation environment, rules are processed by a smart tap that relates to the action part of each rule. In addition, we implemented the proposed system as HEMS using smart taps.

  16. An evaluation and implementation of rule-based Home Energy Management System using the Rete algorithm.

    PubMed

    Kawakami, Tomoya; Fujita, Naotaka; Yoshihisa, Tomoki; Tsukamoto, Masahiko

    2014-01-01

    In recent years, sensors become popular and Home Energy Management System (HEMS) takes an important role in saving energy without decrease in QoL (Quality of Life). Currently, many rule-based HEMSs have been proposed and almost all of them assume "IF-THEN" rules. The Rete algorithm is a typical pattern matching algorithm for IF-THEN rules. Currently, we have proposed a rule-based Home Energy Management System (HEMS) using the Rete algorithm. In the proposed system, rules for managing energy are processed by smart taps in network, and the loads for processing rules and collecting data are distributed to smart taps. In addition, the number of processes and collecting data are reduced by processing rules based on the Rete algorithm. In this paper, we evaluated the proposed system by simulation. In the simulation environment, rules are processed by a smart tap that relates to the action part of each rule. In addition, we implemented the proposed system as HEMS using smart taps. PMID:25136672

  17. Communication Privacy Management and College Instruction: Exploring the Rules and Boundaries that Frame Instructor Private Disclosures

    ERIC Educational Resources Information Center

    Hosek, Angela M.; Thompson, Jason

    2009-01-01

    This study examines the ways in which privacy rules are developed and boundaries are coordinated within the student-teacher relationship using Petronio's Communication Privacy Management theory as a framework. Forty-one college instructors described the specific criteria they use to develop privacy rules and the conditions under which boundaries…

  18. New accounting rules: asset allocation and portfolio management.

    PubMed

    Andrew, B K

    1997-01-01

    New accounting rules went into effect at the end of 1995 that are now starting to affect how medical practices must report income from equity and fixed income investments. This article explores the new accounting rules and considers the other factors that help practices determine investment strategies, including desired investment return, comfort with level of risk, appropriate time horizons, liquidity needs and legal restrictions. The author also presents an example that examines the different considerations that may affect an asset allocation decision, including endowments and operating reserve funds.

  19. Congestive Heart Failure and Central Sleep Apnea.

    PubMed

    Sands, Scott A; Owens, Robert L

    2016-03-01

    Congestive heart failure (CHF) is among the most common causes of admission to hospitals in the United States, especially in those over age 65. Few data exist regarding the prevalence CHF of Cheyne-Stokes respiration (CSR) owing to congestive heart failure in the intensive care unit (ICU). Nevertheless, CSR is expected to be highly prevalent among those with CHF. Treatment should focus on the underlying mechanisms by which CHF increases loop gain and promotes unstable breathing. Few data are available to determine prevalence of CSR in the ICU, or how CSR might affect clinical management and weaning from mechanical ventilation.

  20. Congestive heart failure and central sleep apnea.

    PubMed

    Sands, Scott A; Owens, Robert L

    2015-07-01

    Congestive heart failure (CHF) is among the most common causes of admission to hospitals in the United States, especially in those over age 65. Few data exist regarding the prevalence CHF of Cheyne-Stokes respiration (CSR) owing to congestive heart failure in the intensive care unit (ICU). Nevertheless, CSR is expected to be highly prevalent among those with CHF. Treatment should focus on the underlying mechanisms by which CHF increases loop gain and promotes unstable breathing. Few data are available to determine prevalence of CSR in the ICU, or how CSR might affect clinical management and weaning from mechanical ventilation.

  1. 78 FR 10206 - Notice of Final Supplementary Rules for Public Lands Managed by the Ukiah Field Office in Lake...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... Rules The BLM published interim final supplementary rules on June 2, 2011 (76 FR 31979). The rules... Management, issues these supplementary rules, effective upon publication for good cause shown at 76 FR 31980... means the discharge of a weapon for non-hunting purposes. Sink Hole means a natural depression or...

  2. 76 FR 55840 - Cape Hatteras National Seashore Proposed Rule: Off-Road Vehicle Management-Reopening of Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... National Park Service 36 CFR Part 7 RIN 1024-AD85 Cape Hatteras National Seashore Proposed Rule: Off-Road... comment period for the proposed rule to manage off-road vehicle use at Cape Hatteras National Seashore in... published in the Federal Register a proposed rule to manage off-road vehicle use at Cape Hatteras...

  3. General rules for managing and surveying networks of pests, diseases, and endangered species.

    PubMed

    Chadès, Iadine; Martin, Tara G; Nicol, Samuel; Burgman, Mark A; Possingham, Hugh P; Buckley, Yvonne M

    2011-05-17

    The efficient management of diseases, pests, or endangered species is an important global issue faced by agencies constrained by limited resources. The management challenge is even greater when organisms are difficult to detect. We show how to prioritize management and survey effort across time and space for networks of susceptible-infected-susceptible subpopulations. We present simple and robust rules of thumb for protecting desirable, or eradicating undesirable, subpopulations connected in typical network patterns (motifs). We further demonstrate that these rules can be generalized to larger networks when motifs are combined in more complex formations. Results show that the best location to manage or survey a pest or a disease on a network is also the best location to protect or survey an endangered species. The optimal starting point in a network is the fastest motif to manage, where line, star, island, and cluster motifs range from fast to slow. Managing the most connected node at the right time and maintaining the same management direction provide advantages over previously recommended outside-in strategies. When a species or disease is not detected and our belief in persistence decreases, our results recommend shifting resources toward management or surveillance of the most connected nodes. Our analytic approximation provides guidance on how long we should manage or survey networks for hard-to-detect organisms. Our rules take into account management success, dispersal, economic cost, and imperfect detection and offer managers a practical basis for managing networks relevant to many significant environmental, biosecurity, and human health issues. PMID:21536884

  4. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott; Jennings, Esther; Schoolcraft, Joshua

    2006-01-01

    This presentation highlights communication congestion control in delay-tolerant networks (DTNs). Large-scale future space exploration will offer complex communication challenges that may be best addressed by establishing a network infrastructure. However, current internet techniques for congestion control are not well suited for operation of a network over interplanetary distances. An alternative, delay-tolerant technique for congestion control in a delay-tolerant network is presented. A simple DTN was constructed and an experimental congestion control mechanism was applied. The mechanism appeared to be effective and each router was able to make its bundle acceptance decisions autonomously. Future research will examine more complex topologies and alternative bundle acceptance rules that might enhance performance.

  5. 36 CFR 1202.28 - What rules do NARA employees follow in managing personal information?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... follow in managing personal information? 1202.28 Section 1202.28 Parks, Forests, and Public Property... Collecting Information § 1202.28 What rules do NARA employees follow in managing personal information? All NARA employees and contractors involved in the design, development, operation or maintenance of...

  6. 42 CFR 438.706 - Special rules for temporary management.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Section 438.706 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN...) There is continued egregious behavior by the MCO, including but not limited to behavior that is... terminate temporary management until it determines that the MCO can ensure that the sanctioned behavior...

  7. 42 CFR 438.706 - Special rules for temporary management.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Section 438.706 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN...) There is continued egregious behavior by the MCO, including but not limited to behavior that is... terminate temporary management until it determines that the MCO can ensure that the sanctioned behavior...

  8. 42 CFR 438.706 - Special rules for temporary management.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Section 438.706 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN...) There is continued egregious behavior by the MCO, including but not limited to behavior that is... terminate temporary management until it determines that the MCO can ensure that the sanctioned behavior...

  9. 42 CFR 438.706 - Special rules for temporary management.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Section 438.706 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN...) There is continued egregious behavior by the MCO, including but not limited to behavior that is... terminate temporary management until it determines that the MCO can ensure that the sanctioned behavior...

  10. Risk management and decision rules for light water reactor

    SciTech Connect

    Griesmeyer, J. M.; Okrent, D.

    1981-01-01

    The process of developing and adopting safety objectives in quantitative terms can provide a basis for focusing societal decision making on the suitability of such objectives and upon questions of compliance with those objectives. A preliminary proposal for a light water reactor (LWR) risk management framework is presented as part of that process.

  11. Using a business rule management system to improve disposition of traumatized patients.

    PubMed

    Neuhaus, Philipp; Noack, Oliver; Majchrzak, Tim; Uckert, Frank

    2010-01-01

    We propose a business rule management system that is used to optimize the dispatchment on a mass casualty incident. Using geospatial information from available ambulances and rescue helicopters, a business rule engine calculates an optimized transportation plan for injured persons. It automatically considers special needs like ambulances equipped for baby transportation or special decontamination equipment, e.g. to deal with an accident in a chemical factory. The rules used in the system are not hardcoded; thus, it is possible to redefine them on the fly without changing the program's source code. It is possible to load and save a rule set in case of a catastrophe. Furthermore, it is possible to automatically recalculate an already planned operation if it becomes clear that the rescue vehicles assigned are needed by a person with life-threatening injuries.

  12. Local empathy provides global minimization of congestion in communication networks

    NASA Astrophysics Data System (ADS)

    Meloni, Sandro; Gómez-Gardeñes, Jesús

    2010-11-01

    We present a mechanism to avoid congestion in complex networks based on a local knowledge of traffic conditions and the ability of routers to self-coordinate their dynamical behavior. In particular, routers make use of local information about traffic conditions to either reject or accept information packets from their neighbors. We show that when nodes are only aware of their own congestion state they self-organize into a hierarchical configuration that delays remarkably the onset of congestion although leading to a sharp first-order-like congestion transition. We also consider the case when nodes are aware of the congestion state of their neighbors. In this case, we show that empathy between nodes is strongly beneficial to the overall performance of the system and it is possible to achieve larger values for the critical load together with a smooth, second-order-like, transition. Finally, we show how local empathy minimize the impact of congestion as much as global minimization. Therefore, here we present an outstanding example of how local dynamical rules can optimize the system’s functioning up to the levels reached using global knowledge.

  13. Bringing Agility to Business Process Management: Rules Deployment in an SOA

    NASA Astrophysics Data System (ADS)

    El Kharbili, Marwane; Keil, Tobias

    Business process management (BPM) has emerged as paradigm for integrating business strategies and enterprise architecture (EA). In this context, BPM implementation on top of web-service-based service oriented architectures is an accepted approach as shown by great amount of literature. One concern in this regard is how-to make BPs reactive to change. Our approach to the problem is the integration of business rule management (BRM) and BPM by allowing modeling of decisions hard-coded in BPs as separate business rules (BRs). These BRs become EA assets and need to be exploited when executing BPs. We motivate why BPM needs agility and discuss what requirements on BPM this poses. This paper presents prototyping work conducted at a BP modeling and analysis vendor which weeks to showcase how using business rule management (BRM) as a mean for modeling decisions can help achieve a much sought-after agility to BPM. This prototype relies on the integrated modeling of business rules (BRs) and BPs, and rule deployment as web services part of an SOA.

  14. Constraint and Flight Rule Management for Space Mission Operations

    NASA Technical Reports Server (NTRS)

    Barreiro, J.; Chachere, J.; Frank, J.; Bertels, C.; Crocker, A.

    2010-01-01

    The exploration of space is one of the most fascinating domains to study from a human factors perspective. Like other complex work domains such as aviation (Pritchett and Kim, 2008), air traffic management (Durso and Manning, 2008), health care (Morrow, North, and Wickens, 2006), homeland security (Cooke and Winner, 2008), and vehicle control (Lee, 2006), space exploration is a large-scale sociotechnical work domain characterized by complexity, dynamism, uncertainty, and risk in real-time operational contexts (Perrow, 1999; Woods et al, 1994). Nearly the entire gamut of human factors issues - for example, human-automation interaction (Sheridan and Parasuraman, 2006), telerobotics, display and control design (Smith, Bennett, and Stone, 2006), usability, anthropometry (Chaffin, 2008), biomechanics (Marras and Radwin, 2006), safety engineering, emergency operations, maintenance human factors, situation awareness (Tenney and Pew, 2006), crew resource management (Salas et al., 2006), methods for cognitive work analysis (Bisantz and Roth, 2008) and the like -- are applicable to astronauts, mission control, operational medicine, Space Shuttle manufacturing and assembly operations, and space suit designers as they are in other work domains (e.g., Bloomberg, 2003; Bos et al, 2006; Brooks and Ince, 1992; Casler and Cook, 1999; Jones, 1994; McCurdy et al, 2006; Neerincx et aI., 2006; Olofinboba and Dorneich, 2005; Patterson, Watts-Perotti and Woods, 1999; Patterson and Woods, 2001; Seagull et ai, 2007; Sierhuis, Clancey and Sims, 2002). The human exploration of space also has unique challenges of particular interest to human factors research and practice. This chapter provides an overview of those issues and reports on some of the latest research results as well as the latest challenges still facing the field.

  15. 76 FR 33342 - Final Supplementary Rules for Public Lands Managed by the California Desert District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... Interim Final Supplementary Rules for Public Lands Managed by the California Desert District (75 FR 36438... areas.'' Several commenters stated that: (1) Nudity is not offensive. (2) The public supports nude... commenter requested that nudity be allowed in traditionally nude areas. The BLM is not aware of...

  16. 75 FR 47444 - Amendments to the Informal and Other Procedures, Rules of Organization and Program Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    ... Organization and Program Management, and Rules of Practice; Interim Commission Review of Public Company Accounting Oversight Board Inspection Reports and Regulation P AGENCY: Securities and Exchange Commission... Accounting Oversight Board ] (``PCAOB'') inspection reports under Section 104(h) of the Sarbanes- Oxley...

  17. 75 FR 11002 - Hazardous Waste Management System; Identification and Listing of Hazardous Waste; Final Rule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ... AGENCY 40 CFR Part 261 Hazardous Waste Management System; Identification and Listing of Hazardous Waste..., Tennessee from the lists of hazardous wastes. This final rule responds to a petition submitted by Valero to delist F037 waste. The F037 waste is sediment generated in the Storm Water Basin. After careful...

  18. Dynamic congestion control mechanisms for MPLS networks

    NASA Astrophysics Data System (ADS)

    Holness, Felicia; Phillips, Chris I.

    2001-02-01

    Considerable interest has arisen in congestion control through traffic engineering from the knowledge that although sensible provisioning of the network infrastructure is needed, together with sufficient underlying capacity, these are not sufficient to deliver the Quality of Service required for new applications. This is due to dynamic variations in load. In operational Internet Protocol (IP) networks, it has been difficult to incorporate effective traffic engineering due to the limited capabilities of the IP technology. In principle, Multiprotocol Label Switching (MPLS), which is a connection-oriented label swapping technology, offers new possibilities in addressing the limitations by allowing the operator to use sophisticated traffic control mechanisms. This paper presents a novel scheme to dynamically manage traffic flows through the network by re-balancing streams during periods of congestion. It proposes management-based algorithms that will allow label switched routers within the network to utilize mechanisms within MPLS to indicate when flows are starting to experience frame/packet loss and then to react accordingly. Based upon knowledge of the customer's Service Level Agreement, together with instantaneous flow information, the label edge routers can then instigate changes to the LSP route and circumvent congestion that would hitherto violate the customer contacts.

  19. 75 FR 36438 - Notice of Interim Final Supplementary Rules for Public Lands Managed by the California Desert...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... enhance the safety of visitors, protect public health, protect natural resources, and improve recreation... management area. These supplementary rules will serve as an enforcement tool in minimizing resource impacts... managed by the BLM CDD and its five Field Offices. These rules are designed to protect the environment...

  20. Water and Sodium in Heart Failure: A Spotlight on Congestion

    PubMed Central

    Greene, Stephen J.; Torres, Daniele; Alderman, Michael; Bonventre, Joseph Vincent; Di Pasquale, Pietro; Gargani, Luna; Nohria, Anju; Fonarow, Gregg C.; Vaduganathan, Muthiah; Butler, Javed; Paterna, Salvatore; Stevenson, Lynne Warner; Gheorghiade, Mihai

    2015-01-01

    Despite all available therapies, the rates of hospitalization and death from heart failure (HF) remain unacceptably high. The most common reasons for hospital admission are symptoms related to congestion. During hospitalization, most patients respond well to standard therapy and are discharged with significantly improved symptoms. Post-discharge, many patients receive diligent and frequent follow-up. However, rehospitalization rates remain high. One potential explanation is a persistent failure by clinicians to adequately manage congestion in the outpatient setting. The failure to successfully manage these patients post-discharge may represent an unmet need to improve the way congestion is both recognized and treated. A primary aim of future HF management may be to improve clinical surveillance to prevent and manage chronic fluid overload while simultaneously maximizing the use of evidence-based therapies with proven long-term benefit. Improvement in cardiac function is the ultimate goal and maintenance of a “dry” clinical profile is important to prevent hospital admission and improve prognosis. This paper focuses on methods for monitoring congestion, and strategies for water and sodium management in the context of the complex interplay between the cardiac and renal systems. A rationale for improving recognition and treatment of congestion is also proposed. PMID:24942806

  1. Privacy-Sensitive Congestion Charging

    NASA Astrophysics Data System (ADS)

    Beresford, Alastair R.; Davies, Jonathan J.; Harle, Robert K.

    National-scale congestion charging schemes are increasingly viewed as the most viable long-term strategy for controlling congestion and maintaining the viability of the road network. In this paper we challenge the widely held belief that enforceable and economically viable congestion charging schemes require drivers to give up their location privacy to the government. Instead we explore an alternative scheme where privately-owned cars enforce congestion charge payments by using an on-board vehicle unit containing a camera and wireless communications. Our solution prevents centralised tracking of vehicle movements but raises an important issue: should we trust our neighbours with a little personal information in preference to entrusting it all to the government?

  2. Medicaid program; Medicaid managed care. Health Care Financing Administration (HCFA), HHS. Final rule with comment period.

    PubMed

    2001-01-19

    This final rule with comment period amends the Medicaid regulations to implement provisions of the Balanced Budget Act of 1997 (BBA) that allow the States greater flexibility by permitting them to amend their State plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without obtaining waivers if beneficiary choice is provided; establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services; eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing. In addition, this final rule expands on regulatory beneficiary protections provided to enrollees of prepaid health plans (PHPs) by requiring that PHPs comply with specified BBA requirements that would not otherwise apply to PHPs.

  3. Congestion control and routing over satellite networks

    NASA Astrophysics Data System (ADS)

    Cao, Jinhua

    Satellite networks and transmissions find their application in fields of computer communications, telephone communications, television broadcasting, transportation, space situational awareness systems and so on. This thesis mainly focuses on two networking issues affecting satellite networking: network congestion control and network routing optimization. Congestion, which leads to long queueing delays, packet losses or both, is a networking problem that has drawn the attention of many researchers. The goal of congestion control mechanisms is to ensure high bandwidth utilization while avoiding network congestion by regulating the rate at which traffic sources inject packets into a network. In this thesis, we propose a stable congestion controller using data-driven, safe switching control theory to improve the dynamic performance of satellite Transmission Control Protocol/Active Queue Management (TCP/AQM) networks. First, the stable region of the Proportional-Integral (PI) parameters for a nominal model is explored. Then, a PI controller, whose parameters are adaptively tuned by switching among members of a given candidate set, using observed plant data, is presented and compared with some classical AQM policy examples, such as Random Early Detection (RED) and fixed PI control. A new cost detectable switching law with an interval cost function switching algorithm, which improves the performance and also saves the computational cost, is developed and compared with a law commonly used in the switching control literature. Finite-gain stability of the system is proved. A fuzzy logic PI controller is incorporated as a special candidate to achieve good performance at all nominal points with the available set of candidate controllers. Simulations are presented to validate the theory. An effocient routing algorithm plays a key role in optimizing network resources. In this thesis, we briefly analyze Low Earth Orbit (LEO) satellite networks, review the Cross Entropy (CE

  4. 77 FR 71711 - Commission's Rules Regarding the Office of Managing Director and the Office of Inspector General

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ...In this document, the Federal Communications Commission (Commission) amends its rules to reassign to the Office of Managing Director (OMD) certain audit activities formerly assigned to the Office of Inspector General (OIG). The activities concern oversight of the annual audit of the Universal Service Administrative Corporation (USAC) required by the Commission's rules. In addition, the......

  5. Rules and management of biomedical waste at Vivekananda Polyclinic: A case study

    SciTech Connect

    Gupta, Saurabh Boojh, Ram Mishra, Ajai Chandra, Hem

    2009-02-15

    Hospitals and other healthcare establishments have a 'duty of care' for the environment and for public health, and have particular responsibilities in relation to the waste they produce (i.e., biomedical waste). Negligence, in terms of biomedical waste management, significantly contributes to polluting the environment, affects the health of human beings, and depletes natural and financial resources. In India, in view of the serious situation of biomedical waste management, the Ministry of Environment and Forests, within the Government of India, ratified the Biomedical Waste (Management and Handling) Rules, in July 1998. The present paper provides a brief description of the biomedical waste (Management and Handling) Rules 1998, and the current biomedical waste management practices in one of the premier healthcare establishments of Lucknow, the Vivekananda Polyclinic. The objective in undertaking this study was to analyse the biomedical waste management system, including policy, practice (i.e., storage, collection, transportation and disposal), and compliance with the standards prescribed under the regulatory framework. The analysis consisted of interviews with medical authorities, doctors, and paramedical staff involved in the management of the biomedical wastes in the Polyclinic. Other important stakeholders that were consulted and interviewed included environmental engineers (looking after the Biomedical Waste Cell) of the State Pollution Control Board, and randomly selected patients and visitors to the Polyclinic. A general survey of the facilities of the Polyclinic was undertaken to ascertain the efficacy of the implemented measures. The waste was quantified based on random samples collected from each ward. It was found that, although the Polyclinic in general abides by the prescribed regulations for the treatment and disposal of biomedical waste, there is a need to further build the capacity of the Polyclinic and its staff in terms of providing state

  6. Rule Driven Multi-Objective Management (RDMOM) - An Alternative Form for Describing and Developing Effective Water Resources Management Strategies

    NASA Astrophysics Data System (ADS)

    Sheer, D. P.

    2011-12-01

    Economics provides a model for describing human behavior applied to the management of water resources, but that model assumes, among other things, that managers have a way of directly relating immediate actions to long-term economic outcomes. This is rarely the case in water resources problems where uncertainty has significant impacts on the effectiveness of management strategies and where the management objectives are very difficult to commensurate. The difficulty in using economics is even greater in multiparty disputes, where each party has a different relative value for each of the management objectives, and many of the management objectives are shared. A three step approach to collaborative decision making can overcome these difficulties. The first step involves creating science based performance measures and evaluation tools to estimate the effect of alternative management strategies on each of the non-commensurate objectives. The second step involves developing short-term surrogate operating objectives that implicitly deal with all of the aspects of the long term uncertainty. Management that continually "optimizes" the short-term objectives subject to physical and other constraints that change through time can be characterized as Rule Driven Multi-Objective Management (RDMOM). RDMOM strategies are then tested in simulation models to provide the basis for evaluating performance measures. Participants in the collaborative process then engage in multiparty discussions that create new alternatives, and "barter" a deal. RDMOM does not assume that managers fully understand the link between current actions and long term goals. Rather, it assumes that managers operate to achieve short-term surrogate objectives which they believe will achieve an appropriate balance of both short and long-term incommensurable benefits. A reservoir rule curve is a simple, but often not particularly effective, example of the real-world implementation of RDMOM. Water managers find they

  7. Successful management of hamstring injuries in Australian Rules footballers: two case reports

    PubMed Central

    Hoskins, Wayne T; Pollard, Henry P

    2005-01-01

    Hamstring injuries are the most prevalent injury in Australian Rules football. There is a lack of evidence based literature on the treatment, prevention and management of hamstring injuries, although it is agreed that the etiology is complicated and multi-factorial. We present two cases of hamstring injury that had full resolution after spinal manipulation and correction of lumbar-pelvic biomechanics. There was no recurrence through preventative treatment over a twelve and sixteen week period. The use of spinal manipulation for treatment or prevention of hamstring injury has not been documented in sports medicine literature and should be further investigated in prospective randomized controlled trials. PMID:15967047

  8. The method of measurement system software automatic validation using business rules management system

    NASA Astrophysics Data System (ADS)

    Zawistowski, Piotr

    2015-09-01

    The method of measurement system software automatic validation using business rules management system (BRMS) is discussed in this paper. The article contains a description of the new approach to measurement systems execution validation, a description of the implementation of the system that supports mentioned validation and examples documenting the correctness of the approach. In the new approach BRMS are used for measurement systems execution validation. Such systems have not been used for software execution validation nor for measurement systems. The benefits of using them for the listed purposes are discussed as well.

  9. Simulation of operating rules and discretional decisions using a fuzzy rule-based system integrated into a water resources management model

    NASA Astrophysics Data System (ADS)

    Macian-Sorribes, Hector; Pulido-Velazquez, Manuel

    2013-04-01

    Water resources systems are operated, mostly, using a set of pre-defined rules not regarding, usually, to an optimal allocation in terms of water use or economic benefits, but to historical and institutional reasons. These operating policies are reproduced, commonly, as hedging rules, pack rules or zone-based operations, and simulation models can be used to test their performance under a wide range of hydrological and/or socio-economic hypothesis. Despite the high degree of acceptation and testing that these models have achieved, the actual operation of water resources systems hardly follows all the time the pre-defined rules with the consequent uncertainty on the system performance. Real-world reservoir operation is very complex, affected by input uncertainty (imprecision in forecast inflow, seepage and evaporation losses, etc.), filtered by the reservoir operator's experience and natural risk-aversion, while considering the different physical and legal/institutional constraints in order to meet the different demands and system requirements. The aim of this work is to expose a fuzzy logic approach to derive and assess the historical operation of a system. This framework uses a fuzzy rule-based system to reproduce pre-defined rules and also to match as close as possible the actual decisions made by managers. After built up, the fuzzy rule-based system can be integrated in a water resources management model, making possible to assess the system performance at the basin scale. The case study of the Mijares basin (eastern Spain) is used to illustrate the method. A reservoir operating curve regulates the two main reservoir releases (operated in a conjunctive way) with the purpose of guaranteeing a high realiability of supply to the traditional irrigation districts with higher priority (more senior demands that funded the reservoir construction). A fuzzy rule-based system has been created to reproduce the operating curve's performance, defining the system state (total

  10. Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability. Final rule.

    PubMed

    2016-05-01

    This final rule modernizes the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The final rule aligns, where feasible, many of the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implements statutory provisions; strengthens actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promotes the quality of care and strengthens efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It also ensures appropriate beneficiary protections and enhances policies related to program integrity. This final rule also implements provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes.

  11. Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability. Final rule.

    PubMed

    2016-05-01

    This final rule modernizes the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The final rule aligns, where feasible, many of the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implements statutory provisions; strengthens actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promotes the quality of care and strengthens efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It also ensures appropriate beneficiary protections and enhances policies related to program integrity. This final rule also implements provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes. PMID:27192729

  12. Individualized multi-modal management of osteitis pubis in an Australian Rules footballer

    PubMed Central

    Jarosz, Brett S.

    2011-01-01

    Objective The purpose of this case report is to describe and discuss the successful management of osteitis pubis in a semi-elite Australian Rules football player through the utilization of an individualized multi-modal treatment approach provided by a chiropractor. Clinical Features A 20-year-old male semi-elite Australian Rules football player presented to a chiropractic clinic with groin pain of eight months duration. A clinical diagnosis of osteitis pubis was made through synthesis of the patient history and physical examination. Intervention and Outcome Treatment consisted of high velocity low amplitude spinal manipulative therapy, mechanically assisted adjusting techniques utilizing a hand-held mechanical thrusting instrument and drop piece table, myofascial release and active release soft tissue techniques, proprioceptive neuromuscular facilitation stretching, and an individually designed rehabilitation program. Resolution of signs and symptoms occurred over four weeks. No recurrence of injury was reported over a six-month period. Conclusions This case suggests that the implementation of an individualized multi-modal management approach directed specifically toward an athlete's deficiencies and requirements, may lead to a more rapid recovery from osteitis pubis. PMID:22014865

  13. Signalling and obfuscation for congestion control

    NASA Astrophysics Data System (ADS)

    Mareček, Jakub; Shorten, Robert; Yu, Jia Yuan

    2015-10-01

    We aim to reduce the social cost of congestion in many smart city applications. In our model of congestion, agents interact over limited resources after receiving signals from a central agent that observes the state of congestion in real time. Under natural models of agent populations, we develop new signalling schemes and show that by introducing a non-trivial amount of uncertainty in the signals, we reduce the social cost of congestion, i.e., improve social welfare. The signalling schemes are efficient in terms of both communication and computation, and are consistent with past observations of the congestion. Moreover, the resulting population dynamics converge under reasonable assumptions.

  14. Nutrient dyshomeostasis in congestive heart failure.

    PubMed

    Kamalov, German; Holewinski, Joshua P; Bhattacharya, Syamal K; Ahokas, Robert A; Sun, Yao; Gerling, Ivan C; Weber, Karl T

    2009-07-01

    The clinical syndrome congestive heart failure (CHF) has its origins rooted in a salt-avid state mediated largely by effector hormones of the renin-angiotensin-aldosterone system. In recent years, this cardiorenal perspective of CHF has taken on a broader perspective. One which focuses on a progressive systemic illness, whose major features include the presence of oxidative stress in diverse tissues and elevated circulating levels of proinflammatory cytokines coupled with a wasting of soft tissues and bone. Experimental studies, which simulate chronic renin-angiotensin-aldosterone system activation, and translational studies in patients with salt avidity having decompensated biventricular failure with hepatic and splanchnic congestion have forged a broader understanding of this illness and the important contribution of a dyshomeostasis of Ca2+, Mg2+, Zn2+, Se2+, and vitamins D, B12, and B1. Herein, we review biomarkers indicative of the nutrient imbalance found in CHF and raise the question of a need for a polynutrient supplement in the overall management of CHF. PMID:19593100

  15. Management of donated foods in child nutrition programs, the Nutrition Services Incentive Program, and charitable institutions. Final rule.

    PubMed

    2008-08-01

    This final rule revises and clarifies requirements for the management, distribution, and use of donated foods in the National School Lunch Program and other child nutrition programs, in the Nutrition Services Incentive Program, and by charitable institutions. In response to an audit by the USDA Office of Inspector General, the rule establishes specific requirements to ensure that recipient agencies in child nutrition programs receive the benefit and value of all donated foods received and provided to food service management companies to conduct the food service. The rule also incorporates legislative changes affecting the distribution of donated foods in the Nutrition Services Incentive Program, and reduces reporting and administrative requirements for donated foods provided to charitable institutions. Lastly, the rule restructures and revises regulatory provisions in a plain language format to make them easier to read and understand. PMID:18949885

  16. Avoiding congestion in recommender systems

    NASA Astrophysics Data System (ADS)

    Ren, Xiaolong; Lü, Linyuan; Liu, Runran; Zhang, Jianlin

    2014-06-01

    Recommender systems use the historical activities and personal profiles of users to uncover their preferences and recommend objects. Most of the previous methods are based on objects’ (and/or users’) similarity rather than on their difference. Such approaches are subject to a high risk of increasingly exposing users to a narrowing band of popular objects. As a result, a few objects may be recommended to an enormous number of users, resulting in the problem of recommendation congestion, which is to be avoided, especially when the recommended objects are limited resources. In order to quantitatively measure a recommendation algorithm's ability to avoid congestion, we proposed a new metric inspired by the Gini index, which is used to measure the inequality of the individual wealth distribution in an economy. Besides this, a new recommendation method called directed weighted conduction (DWC) was developed by considering the heat conduction process on a user-object bipartite network with different thermal conductivities. Experimental results obtained for three benchmark data sets showed that the DWC algorithm can effectively avoid system congestion, and greatly improve the novelty and diversity, while retaining relatively high accuracy, in comparison with the state-of-the-art methods.

  17. A simple rule based model for scheduling farm management operations in SWAT

    NASA Astrophysics Data System (ADS)

    Schürz, Christoph; Mehdi, Bano; Schulz, Karsten

    2016-04-01

    For many interdisciplinary questions at the watershed scale, the Soil and Water Assessment Tool (SWAT; Arnold et al., 1998) has become an accepted and widely used tool. Despite its flexibility, the model is highly demanding when it comes to input data. At SWAT's core the water balance and the modeled nutrient cycles are plant growth driven (implemented with the EPIC crop growth model). Therefore, land use and crop data with high spatial and thematic resolution, as well as detailed information on cultivation and farm management practices are required. For many applications of the model however, these data are unavailable. In order to meet these requirements, SWAT offers the option to trigger scheduled farm management operations by applying the Potential Heat Unit (PHU) concept. The PHU concept solely takes into account the accumulation of daily mean temperature for management scheduling. Hence, it contradicts several farming strategies that take place in reality; such as: i) Planting and harvesting dates are set much too early or too late, as the PHU concept is strongly sensitivity to inter-annual temperature fluctuations; ii) The timing of fertilizer application, in SWAT this often occurs simultaneously on the same date in in each field; iii) and can also coincide with precipitation events. Particularly, the latter two can lead to strong peaks in modeled nutrient loads. To cope with these shortcomings we propose a simple rule based model (RBM) to schedule management operations according to realistic farmer management practices in SWAT. The RBM involves simple strategies requiring only data that are input into the SWAT model initially, such as temperature and precipitation data. The user provides boundaries of time periods for operation schedules to take place for all crops in the model. These data are readily available from the literature or from crop variety trials. The RBM applies the dates by complying with the following rules: i) Operations scheduled in the

  18. A rule-based approach for the correlation of alarms to support Disaster and Emergency Management

    NASA Astrophysics Data System (ADS)

    Gloria, M.; Minei, G.; Lersi, V.; Pasquariello, D.; Monti, C.; Saitto, A.

    2009-04-01

    Key words: Simple Event Correlator, Agent Platform, Ontology, Semantic Web, Distributed Systems, Emergency Management The importance of recognition of emergency's typology to control the critical situation for security of citizens has been always recognized. It follows this aspect is very important for proper management of a hazardous event. In this work we present a solution for the recognition of emergency's typology adopted by an Italian research project, called CI6 (Centro Integrato per Servizi di Emergenza Innovativi). In our approach, CI6 receives alarms by citizen or people involved in the work (for example: police, operator of 112, and so on). CI6 represents any alarm by a set of information, including a text that describes it and obtained when the user points out the danger, and a pair of coordinates for its location. The system realizes an analysis of text and automatically infers information on the type of emergencies by means a set of parsing rules and rules of inference applied by a independent module: a correlator of events based on their log and called Simple Event Correlator (SEC). SEC, integrated in CI6's platform, is an open source and platform independent event correlation tool. SEC accepts input both files and text derived from standard input, making it flexible because it can be matched to any application that is able to write its output to a file stream. The SEC configuration is stored in text files as rules, each rule specifying an event matching condition, an action list, and optionally a Boolean expression whose truth value decides whether the rule can be applied at a given moment. SEC can produce output events by executing user-specified shell scripts or programs, by writing messages to files, and by various other means. SEC has been successfully applied in various domains like network management, system monitoring, data security, intrusion detection, log file monitoring and analysis, etc; it has been used or integrated with many

  19. Parents' Management of Adolescents' Romantic Relationships through Dating Rules: Gender Variations and Correlates of Relationship Qualities

    ERIC Educational Resources Information Center

    Madsen, Stephanie D.

    2008-01-01

    This study examined parents' rules concerning their late adolescents' dating activities. Participants were mostly European-American, including 165 mothers or fathers and 103 of their children (ages 17-19; 28 sons and 75 daughters). Parents provided information regarding their use of dating rules; rules were coded by type (i.e., supervision,…

  20. Implementation of artificial intelligence rules in a data base management system

    NASA Technical Reports Server (NTRS)

    Feyock, S.

    1986-01-01

    The intelligent front end prototype was transformed into a RIM-integrated system. A RIM-based expert system was written which demonstrated the developed capability. The use of rules to produce extensibility of the intelligent front end, including the concept of demons and rule manipulation rules were investigated. Innovative approaches such as syntax programming were to be considered.

  1. Scientific or rule-of-thumb techniques of ground-water management--Which will prevail?

    USGS Publications Warehouse

    McGuinness, Charles Lee

    1969-01-01

    Emphasis in ground-water development, once directed largely to quantitatively minor (but sociologically vital) service of human and stock needs, is shifting: aquifers are treated as possible regulating reservoirs managed conjunctively with surface water. Too, emphasis on reducing stream pollution is stimulating interest in aquifers as possible waste-storage media. Such management of aquifers requires vast amounts of data plus a much better understanding of aquifer-system behavior than now exists. Implicit in this deficiency of knowledge is a need for much new research, lest aquifers be managed according to ineffective rule-of-thumb standards, or even abandoned as unmanageable. The geohydrologist's task is to define both internal and boundary characteristics of aquifer systems. Stratigraphy is a primary determinant of these characteristics, but stratigraphically minor features may make aquifers transcend stratigraphic boundaries. For example, a structurally insignificant fracture may carry more water than a major fault; a minor stratigraphic discontinuity may be a major hydrologic boundary. Hence, there is a need for ways of defining aquifer boundaries and quantifying aquifer and confining-bed characteristics that are very different from ordinary stratigraphic techniques. Among critical needs are techniques for measuring crossbed permeability; for extrapolating and interpolating point data on direction and magnitude of permeability in defining aquifer geometry; and for accurately measuring geochemical properties of water and aquifer material, and interpreting those measurements in terms of source of water, rate of movement, and waste-sorbing capacities of aquifers and of confining beds--in general, techniques adequate for predicting aquifer response to imposed forces whether static, hydraulic, thermal, or chemical. Only when such predictions can be made routinely can aquifer characteristics be inserted into a master model that incorporates both the hydrologic and

  2. 76 FR 62821 - Notice of Final Supplementary Rules for Public Lands in Colorado: North Fruita Desert Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-11

    ... Valley, including the North Fruita Desert, was designated as an Intensive Recreation Management Area... Comments The BLM GJFO proposed these supplementary rules in the Federal Register (74 FR 39100) on August 5... has moving parts. This includes but is not limited to sailboats, sailboards, hang gliders,...

  3. The Rules Grid: Helping Children with Social Communication and Interaction Needs Manage Social Complexity

    ERIC Educational Resources Information Center

    Devlin, Niall

    2009-01-01

    This article introduces a new practical visual approach, the Rules Grid, to support children who have social communication and interaction needs. The Rules Grid involves a system whereby behaviours of concern can be broken down into smaller behavioural manifestations which in turn lead not only to problem identification and specification, but…

  4. D-ribose, a metabolic substrate for congestive heart failure.

    PubMed

    Wagner, Susan; Herrick, James; Shecterle, Linda M; St Cyr, John A

    2009-06-01

    The incidence of congestive heart failure continues to escalate worldwide, taxing health care systems. Current therapies focus on clinical management. Current accepted regimens have provided some success; however, most patients show progression of their disease. Because of this failure, research continues to explore therapies directed at stabilization of their disease and hopefully to improve the downward spiral. Publications have asserted that the failing heart is energy starved. D-ribose, a naturally occurring pentose carbohydrate and a key component in the adenosine triphosphate (ATP) molecule, has demonstrated an ability to replenish ATP levels and improve diastolic dysfunction following myocardial ischemia, which has been shown to improve the clinical state of patients afflicted with congestive heart failure. D-ribose may provide the necessary metabolic substrate to benefit this energy-deficient state found in heart failure. PMID:19523159

  5. Understanding congested travel in urban areas

    NASA Astrophysics Data System (ADS)

    Çolak, Serdar; Lima, Antonio; González, Marta C.

    2016-03-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings.

  6. Traffic congestion in interconnected complex networks

    NASA Astrophysics Data System (ADS)

    Tan, Fei; Wu, Jiajing; Xia, Yongxiang; Tse, Chi K.

    2014-06-01

    Traffic congestion in isolated complex networks has been investigated extensively over the last decade. Coupled network models have recently been developed to facilitate further understanding of real complex systems. Analysis of traffic congestion in coupled complex networks, however, is still relatively unexplored. In this paper, we try to explore the effect of interconnections on traffic congestion in interconnected Barabási-Albert scale-free networks. We find that assortative coupling can alleviate traffic congestion more readily than disassortative and random coupling when the node processing capacity is allocated based on node usage probability. Furthermore, the optimal coupling probability can be found for assortative coupling. However, three types of coupling preferences achieve similar traffic performance if all nodes share the same processing capacity. We analyze interconnected Internet autonomous-system-level graphs of South Korea and Japan and obtain similar results. Some practical suggestions are presented to optimize such real-world interconnected networks accordingly.

  7. Understanding congested travel in urban areas.

    PubMed

    Çolak, Serdar; Lima, Antonio; González, Marta C

    2016-01-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings.

  8. Understanding congested travel in urban areas

    PubMed Central

    Çolak, Serdar; Lima, Antonio; González, Marta C.

    2016-01-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings. PMID:26978719

  9. Congestion control and avoidance for ATM networks

    NASA Astrophysics Data System (ADS)

    Wu, Chih-Ming

    1997-10-01

    The flow of papers proposing new schemes to cope with congestion in networks continues unabated. In particular as the deployment of ATM networks advances effective congestion control is required to ensure that these networks can effectively provide the wide range of services that they promise. This paper attempts to evaluate whether recently proposed algorithms are likely to be useful in practice using performance simulation and modeling methods. However the performance is very sensitive to the flow control parameters and identifying an appropriate set of parameters is difficult since it depends heavily on the traffic conditions. The aim of this paper described is to broaden the context within which ATM performance is considered, and outline ongoing work in performance evaluation of ATM networks. This paper presents the complete picture for evaluating the properties of congestion control mechanisms including fairness, overhead, data loss and network utilization are described. It is particularly aimed at estimating the effects of recent congestion control schemes for ATM networks.

  10. Understanding congested travel in urban areas.

    PubMed

    Çolak, Serdar; Lima, Antonio; González, Marta C

    2016-01-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings. PMID:26978719

  11. Route Optimization for Offloading Congested Meter Fixes

    NASA Technical Reports Server (NTRS)

    Xue, Min; Zelinski, Shannon

    2016-01-01

    The Optimized Route Capability (ORC) concept proposed by the FAA facilitates traffic managers to identify and resolve arrival flight delays caused by bottlenecks formed at arrival meter fixes when there exists imbalance between arrival fixes and runways. ORC makes use of the prediction capability of existing automation tools, monitors the traffic delays based on these predictions, and searches the best reroutes upstream of the meter fixes based on the predictions and estimated arrival schedules when delays are over a predefined threshold. Initial implementation and evaluation of the ORC concept considered only reroutes available at the time arrival congestion was first predicted. This work extends previous work by introducing an additional dimension in reroute options such that ORC can find the best time to reroute and overcome the 'firstcome- first-reroute' phenomenon. To deal with the enlarged reroute solution space, a genetic algorithm was developed to solve this problem. Experiments were conducted using the same traffic scenario used in previous work, when an arrival rush was created for one of the four arrival meter fixes at George Bush Intercontinental Houston Airport. Results showed the new approach further improved delay savings. The suggested route changes from the new approach were on average 30 minutes later than those using other approaches, and fewer numbers of reroutes were required. Fewer numbers of reroutes reduce operational complexity and later reroutes help decision makers deal with uncertain situations.

  12. Heuristic rules embedded genetic algorithm for in-core fuel management optimization

    NASA Astrophysics Data System (ADS)

    Alim, Fatih

    The objective of this study was to develop a unique methodology and a practical tool for designing loading pattern (LP) and burnable poison (BP) pattern for a given Pressurized Water Reactor (PWR) core. Because of the large number of possible combinations for the fuel assembly (FA) loading in the core, the design of the core configuration is a complex optimization problem. It requires finding an optimal FA arrangement and BP placement in order to achieve maximum cycle length while satisfying the safety constraints. Genetic Algorithms (GA) have been already used to solve this problem for LP optimization for both PWR and Boiling Water Reactor (BWR). The GA, which is a stochastic method works with a group of solutions and uses random variables to make decisions. Based on the theories of evaluation, the GA involves natural selection and reproduction of the individuals in the population for the next generation. The GA works by creating an initial population, evaluating it, and then improving the population by using the evaluation operators. To solve this optimization problem, a LP optimization package, GARCO (Genetic Algorithm Reactor Code Optimization) code is developed in the framework of this thesis. This code is applicable for all types of PWR cores having different geometries and structures with an unlimited number of FA types in the inventory. To reach this goal, an innovative GA is developed by modifying the classical representation of the genotype. To obtain the best result in a shorter time, not only the representation is changed but also the algorithm is changed to use in-core fuel management heuristics rules. The improved GA code was tested to demonstrate and verify the advantages of the new enhancements. The developed methodology is explained in this thesis and preliminary results are shown for the VVER-1000 reactor hexagonal geometry core and the TMI-1 PWR. The improved GA code was tested to verify the advantages of new enhancements. The core physics code

  13. Congestive heart failure in acromegaly: A review of 6 cases

    PubMed Central

    Dutta, P.; Das, S.; Bhansali, A.; Bhadada, S. K.; Rajesh, B. V.; Reddy, K. S.; Vaiphei, K.; Mukherjee, K. K.; Pathak, A.; Shah, V. N.

    2012-01-01

    Background: Though cardiac involvement is common in acromegaly, overt congestive heart failure is uncommon. Materials and Methods: This is retrospective analysis of hospital record between 1996 and 2007. We analyzed records of 150 consecutive patients with acromegaly. We included the patients with acromegaly those who had overt congestive heart failure either at presentation or during the course of illness for the present analysis. The diagnosis of acromegaly and congestive cardiac failure were based on standard criteria. Results: Out of 150 patients with acromegaly, 6 patients had overt CHF (4.0%), of which 4 presented with the features of CHF and 2 developed during the course of illness. Three patients had hypertension and 1 had diabetes. Baseline echocardiography showed severe biventricular dysfunction and global hypokinesia in all. Angiography showed dilated hypokinetic left ventricle with normal coronaries in 3, it was confirmed at autopsy in 1. Three underwent trans-sphenoidal surgery, 1 received somatostatin analogue as primary treatment modality. Normalization of growth hormone and IGF-1 led to improvement in cardiac function in 1, 1 patient lost to follow up, and 4 died during the course of illness. In 1 patient, autopsy was performed and cardiac specimen revealed normal coronaries, concentric ventricular hypertrophy, and dilatation with myofibrolysis and interfascicular fibrosis. Conclusion: Prevalence of overt CHF is 4% in present series. Overt CHF carries poor prognosis and hence, this complication should be recognized at earliest, and medical management to normalized cardiac function should be given utmost priority. PMID:23226648

  14. Role of Diuretics and Ultrafiltration in Congestive Heart Failure

    PubMed Central

    Shchekochikhin, Dmitry; Al Ammary, Fawaz; Lindenfeld, JoAnn; Schrier, Robert

    2013-01-01

    Volume overload in heart failure (HF) results from neurohumoral activation causing renal sodium and water retention secondary to arterial underfilling. Volume overload not only causes signs and symptoms of congestion, but can impact myocardial remodeling and HF progression. Thus, treating congestion is a cornerstone of HF management. Loop diuretics are the most commonly used drugs in this setting. However, up to 30% of the patients with decompensated HF present with loop-diuretic resistance. A universally accepted definition of loop diuretic resistance, however, is lacking. Several approaches to treat diuretic-resistant HF are available, including addition of distal acting thiazide diuretics, natriuretic doses of mineralocorticoid receptor antagonists (MRAs), or vasoactive drugs. Slow continuous veno-venous ultrafiltration is another option. Ultrafiltration, if it is started early in the course of HF decompensation, may result in prominent decongestion and a reduction in re-hospitalization. On the other hand, ultrafiltration in HF patients with worsening renal function and volume overload after aggressive treatment with loop diuretics, failed to show benefit compared to a stepwise pharmacological approach, including diuretics and vasoactive drugs. Early detection of congested HF patients for ultrafiltration treatment might improve decongestion and reduce readmission. However, the best patient characteristics and best timing of ultrafiltration requires further evaluation in randomized controlled studies. PMID:24276318

  15. CONGESTIVE HEART FAILURE: WHERE HOMEOSTASIS BEGETS DYSHOMEOSTASIS

    PubMed Central

    Kamalov, German; Bhattacharya, Syamal K.; Weber, Karl T.

    2010-01-01

    Despite today’s standard of care, aimed at containing homeostatic neurohormonal activation, 1 in every 5 patients recently hospitalized with congestive heart failure (CHF) will be readmitted within 30 days of discharge because of a recurrence of their symptoms and signs. In light of recent pathophysiologic insights, it is now propitious to revisit CHF with a view toward complementary and evolving management strategies. CHF is a progressive systemic illness. Its features include: oxidative stress in diverse tissues; an immunostimulatory state with circulating proinflammatory cytokines; a wasting of soft tissues; and a resorption of bone. Its origins are rooted in homeostatic mechanisms gone awry to beget dyshomeostasis. For example, marked excretory losses of Ca2+ and Mg2+ accompany renin-angiotensin-aldosterone system (RAAS) activation, causing ionized hypocalcemia and hypomagnesemia that lead to secondary hyperparathyroidism (SHPT) with consequent bone resorption and a propensity to atraumatic fractures. Parathyroid hormone (PTH) accounts for paradoxical intracellular Ca2+ overloading in diverse tissues and consequent systemic induction of oxidative stress. In cardiac myocytes and mitochondria these events orchestrate opening of the mitochondrial membrane permeability transition pore (mPTP) with an ensuing osmotic-based destruction of these organelles and resultant cardiomyocyte necrosis with myocardial scarring. Contemporaneous with Ca2+ and Mg2+ dyshomeostasis is hypozincemia and hyposelenemia, which compromise metalloenzyme-based antioxidant defenses while hypovitaminosis D threatens Ca2+ stores needed to prevent SHPT. An intrinsically coupled dyshomeostasis of intracellular Ca2+ and Zn2+, representing prooxidant and antioxidant, respectively, is integral to regulating mitochondrial redox state; it can be uncoupled by a Zn2+ supplement in favor of antioxidant defenses. Hence, the complementary use of nutriceuticals to nullify dyshomeostatic responses

  16. 5 CFR 1001.101 - In addition to this part, what other rules of conduct apply to Office of Personnel Management...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Management at 5 CFR part 4501; (g) The Employee Responsibilities and Conduct regulations at 5 CFR part 735... rules of conduct apply to Office of Personnel Management employees? 1001.101 Section 1001.101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) REGULATIONS GOVERNING EMPLOYEES OF THE...

  17. 5 CFR 1001.101 - In addition to this part, what other rules of conduct apply to Office of Personnel Management...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Management at 5 CFR part 4501; (g) The Employee Responsibilities and Conduct regulations at 5 CFR part 735... rules of conduct apply to Office of Personnel Management employees? 1001.101 Section 1001.101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) REGULATIONS GOVERNING EMPLOYEES OF THE...

  18. 5 CFR 1001.101 - In addition to this part, what other rules of conduct apply to Office of Personnel Management...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Management at 5 CFR part 4501; (g) The Employee Responsibilities and Conduct regulations at 5 CFR part 735... rules of conduct apply to Office of Personnel Management employees? 1001.101 Section 1001.101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) REGULATIONS GOVERNING EMPLOYEES OF THE...

  19. 5 CFR 1001.101 - In addition to this part, what other rules of conduct apply to Office of Personnel Management...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Management at 5 CFR part 4501; (g) The Employee Responsibilities and Conduct regulations at 5 CFR part 735... rules of conduct apply to Office of Personnel Management employees? 1001.101 Section 1001.101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) REGULATIONS GOVERNING EMPLOYEES OF THE...

  20. Research and development of methods/utilities and rules for managing cooperation for performance improvement in government offices

    SciTech Connect

    Kurstedt, H.A.

    1993-03-01

    Purpose is to help managers approach their responsibilities proactively, so that they can anticipate problems and take actions to alleviate or eliminate those problems. Continuous performance improvement, the philosophy behind total quality management, requires working cooperatively to do a little better each day. The most effective tools are working through a closed set of 9 methods: setting expectations, charting, defining indicators and standards, collecting and logging data, converting data to information, organizing and presenting information, reviewing status and progress, self-management, and appraising. In addition, there are 8 rules: focus on what you can do, supply physical evidence of progress, pay attention to detail, inspect (don't expect), review progress routinely and frequently, face ''success/fail'' squarely, communicate crisply, and conduct honest, open appraisals. Scope and plans of the draft research plan (study areas) are described.

  1. Evaluation of TCP congestion control algorithms.

    SciTech Connect

    Long, Robert Michael

    2003-12-01

    Sandia, Los Alamos, and Lawrence Livermore National Laboratories currently deploy high speed, Wide Area Network links to permit remote access to their Supercomputer systems. The current TCP congestion algorithm does not take full advantage of high delay, large bandwidth environments. This report involves evaluating alternative TCP congestion algorithms and comparing them with the currently used congestion algorithm. The goal was to find if an alternative algorithm could provide higher throughput with minimal impact on existing network traffic. The alternative congestion algorithms used were Scalable TCP and High-Speed TCP. Network lab experiments were run to record the performance of each algorithm under different network configurations. The network configurations used were back-to-back with no delay, back-to-back with a 30ms delay, and two-to-one with a 30ms delay. The performance of each algorithm was then compared to the existing TCP congestion algorithm to determine if an acceptable alternative had been found. Comparisons were made based on throughput, stability, and fairness.

  2. Congestion transition in air traffic networks.

    PubMed

    Monechi, Bernardo; Servedio, Vito D P; Loreto, Vittorio

    2015-01-01

    Air Transportation represents a very interesting example of a complex techno-social system whose importance has considerably grown in time and whose management requires a careful understanding of the subtle interplay between technological infrastructure and human behavior. Despite the competition with other transportation systems, a growth of air traffic is still foreseen in Europe for the next years. The increase of traffic load could bring the current Air Traffic Network above its capacity limits so that safety standards and performances might not be guaranteed anymore. Lacking the possibility of a direct investigation of this scenario, we resort to computer simulations in order to quantify the disruptive potential of an increase in traffic load. To this end we model the Air Transportation system as a complex dynamical network of flights controlled by humans who have to solve potentially dangerous conflicts by redirecting aircraft trajectories. The model is driven and validated through historical data of flight schedules in a European national airspace. While correctly reproducing actual statistics of the Air Transportation system, e.g., the distribution of delays, the model allows for theoretical predictions. Upon an increase of the traffic load injected in the system, the model predicts a transition from a phase in which all conflicts can be successfully resolved, to a phase in which many conflicts cannot be resolved anymore. We highlight how the current flight density of the Air Transportation system is well below the transition, provided that controllers make use of a special re-routing procedure. While the congestion transition displays a universal scaling behavior, its threshold depends on the conflict solving strategy adopted. Finally, the generality of the modeling scheme introduced makes it a flexible general tool to simulate and control Air Transportation systems in realistic and synthetic scenarios.

  3. Congestion Transition in Air Traffic Networks

    PubMed Central

    Monechi, Bernardo; Servedio, Vito D. P.; Loreto, Vittorio

    2015-01-01

    Air Transportation represents a very interesting example of a complex techno-social system whose importance has considerably grown in time and whose management requires a careful understanding of the subtle interplay between technological infrastructure and human behavior. Despite the competition with other transportation systems, a growth of air traffic is still foreseen in Europe for the next years. The increase of traffic load could bring the current Air Traffic Network above its capacity limits so that safety standards and performances might not be guaranteed anymore. Lacking the possibility of a direct investigation of this scenario, we resort to computer simulations in order to quantify the disruptive potential of an increase in traffic load. To this end we model the Air Transportation system as a complex dynamical network of flights controlled by humans who have to solve potentially dangerous conflicts by redirecting aircraft trajectories. The model is driven and validated through historical data of flight schedules in a European national airspace. While correctly reproducing actual statistics of the Air Transportation system, e.g., the distribution of delays, the model allows for theoretical predictions. Upon an increase of the traffic load injected in the system, the model predicts a transition from a phase in which all conflicts can be successfully resolved, to a phase in which many conflicts cannot be resolved anymore. We highlight how the current flight density of the Air Transportation system is well below the transition, provided that controllers make use of a special re-routing procedure. While the congestion transition displays a universal scaling behavior, its threshold depends on the conflict solving strategy adopted. Finally, the generality of the modeling scheme introduced makes it a flexible general tool to simulate and control Air Transportation systems in realistic and synthetic scenarios. PMID:25993476

  4. Congestion transition in air traffic networks.

    PubMed

    Monechi, Bernardo; Servedio, Vito D P; Loreto, Vittorio

    2015-01-01

    Air Transportation represents a very interesting example of a complex techno-social system whose importance has considerably grown in time and whose management requires a careful understanding of the subtle interplay between technological infrastructure and human behavior. Despite the competition with other transportation systems, a growth of air traffic is still foreseen in Europe for the next years. The increase of traffic load could bring the current Air Traffic Network above its capacity limits so that safety standards and performances might not be guaranteed anymore. Lacking the possibility of a direct investigation of this scenario, we resort to computer simulations in order to quantify the disruptive potential of an increase in traffic load. To this end we model the Air Transportation system as a complex dynamical network of flights controlled by humans who have to solve potentially dangerous conflicts by redirecting aircraft trajectories. The model is driven and validated through historical data of flight schedules in a European national airspace. While correctly reproducing actual statistics of the Air Transportation system, e.g., the distribution of delays, the model allows for theoretical predictions. Upon an increase of the traffic load injected in the system, the model predicts a transition from a phase in which all conflicts can be successfully resolved, to a phase in which many conflicts cannot be resolved anymore. We highlight how the current flight density of the Air Transportation system is well below the transition, provided that controllers make use of a special re-routing procedure. While the congestion transition displays a universal scaling behavior, its threshold depends on the conflict solving strategy adopted. Finally, the generality of the modeling scheme introduced makes it a flexible general tool to simulate and control Air Transportation systems in realistic and synthetic scenarios. PMID:25993476

  5. Adaptive mechanism-based congestion control for networked systems

    NASA Astrophysics Data System (ADS)

    Liu, Zhi; Zhang, Yun; Chen, C. L. Philip

    2013-03-01

    In order to assure the communication quality in network systems with heavy traffic and limited bandwidth, a new ATRED (adaptive thresholds random early detection) congestion control algorithm is proposed for the congestion avoidance and resource management of network systems. Different to the traditional AQM (active queue management) algorithms, the control parameters of ATRED are not configured statically, but dynamically adjusted by the adaptive mechanism. By integrating with the adaptive strategy, ATRED alleviates the tuning difficulty of RED (random early detection) and shows a better control on the queue management, and achieve a more robust performance than RED under varying network conditions. Furthermore, a dynamic transmission control protocol-AQM control system using ATRED controller is introduced for the systematic analysis. It is proved that the stability of the network system can be guaranteed when the adaptive mechanism is finely designed. Simulation studies show the proposed ATRED algorithm achieves a good performance in varying network environments, which is superior to the RED and Gentle-RED algorithm, and providing more reliable service under varying network conditions.

  6. On the Efficiency of the New York Independent System OperatorMarket for Transmission Congestion Contracts

    SciTech Connect

    Siddiqui, Afzal S.; Bartholomew, Emily S.; Marnay, Chris; Oren,Shmuel S.

    2003-04-01

    The physical nature of electricity generation and deliverycreates special problems for the design of efficient markets, notably theneed to manage delivery in real time and the volatile congestion andassociated costs that result. Proposals for the operation of thederegulated electricity industry tend towards one of two paradigms:centralized and decentralized. Transmission congestion management can beimplemented in the more centralized point-to-point approach, a in NewYork state, where derivative transmission congestion contracts (TCCs) aretraded, or in the more decentralized flowgate-based approach. While it iswidely accepted that theoretically TCCs have attractive properties ashedging instruments against congestion cost uncertainty, whetherefficient markets for them can be established in practice has beenquestioned. Based on an empirical analysis of publicly available datafrom years 2000 and 2001, it appears that New York TCCs providedmarketparticipants with a potentially effective hedge against volatilecongestion rents. However, the prices paid for TCCs systematicallydiverged from the resulting congestion rents for distant locations and athigh prices. The price paid for the hedge not being in line with thecongestion rents, i.e. unreasonably high risk premiums are being paid,suggests an inefficient market. The low liquidity of TCC markets and thedeviation of TCC feasibility requirements from actual energy flows arepossible explanations.

  7. Avoiding congestion through dynamic load control

    NASA Astrophysics Data System (ADS)

    Hnatyshin, Vasil; Sethi, Adarshpal S.

    2001-07-01

    The current best effort approach to quality of service in the Internet can no longer satisfy a diverse variety of customer service requirements, and that is why there is a need for alternative strategies. In order to solve this problem a number of service differentiation models have been proposed. Unfortunately, these schemes often fail to provide proper service differentiation during periods of congestion. To deal with the issue of congestion, we introduce a new load control mechanism that eliminates congestion based on the feedback from the network core by dynamically adjusting traffic load at the network boundary. We introduce four methods for calculating load distribution among the ingress routers and among different flows in each ingress router, and we evaluate these proposed methods through simulation.

  8. Fixed-rate layered multicast congestion control

    NASA Astrophysics Data System (ADS)

    Bing, Zhang; Bing, Yuan; Zengji, Liu

    2006-10-01

    A new fixed-rate layered multicast congestion control algorithm called FLMCC is proposed. The sender of a multicast session transmits data packets at a fixed rate on each layer, while receivers each obtain different throughput by cumulatively subscribing to deferent number of layers based on their expected rates. In order to provide TCP-friendliness and estimate the expected rate accurately, a window-based mechanism implemented at receivers is presented. To achieve this, each receiver maintains a congestion window, adjusts it based on the GAIMD algorithm, and from the congestion window an expected rate is calculated. To measure RTT, a new method is presented which combines an accurate measurement with a rough estimation. A feedback suppression based on a random timer mechanism is given to avoid feedback implosion in the accurate measurement. The protocol is simple in its implementation. Simulations indicate that FLMCC shows good TCP-friendliness, responsiveness as well as intra-protocol fairness, and provides high link utilization.

  9. Using relaxational dynamics to reduce network congestion

    NASA Astrophysics Data System (ADS)

    Piontti, Ana L. Pastore y.; La Rocca, Cristian E.; Toroczkai, Zoltán; Braunstein, Lidia A.; Macri, Pablo A.; López, Eduardo

    2008-09-01

    We study the effects of relaxational dynamics on congestion pressure in scale-free (SF) networks by analyzing the properties of the corresponding gradient networks (Toroczkai and Bassler 2004 Nature 428 716). Using the Family model (Family and Bassler 1986 J. Phys. A: Math. Gen. 19 L441) from surface-growth physics as single-step load-balancing dynamics, we show that the congestion pressure considerably drops on SF networks when compared with the same dynamics on random graphs. This is due to a structural transition of the corresponding gradient network clusters, which self-organize so as to reduce the congestion pressure. This reduction is enhanced when lowering the value of the connectivity exponent λ towards 2.

  10. Digoxin: A systematic review in atrial fibrillation, congestive heart failure and post myocardial infarction

    PubMed Central

    Virgadamo, Sebastiano; Charnigo, Richard; Darrat, Yousef; Morales, Gustavo; Elayi, Claude S

    2015-01-01

    infarction were more controversial. The extent to which discrepancies among studies are based on statistical methods is currently unclear, as these studies’ findings are generated by retrospective analyses that employed different techniques to address confounding. CONCLUSION: Based on the potential risks and benefits, as well as the presence of alternative drugs, there is a limited role for digoxin in the management of patients with normal sinus rhythm and congestive heart failure. Based on the retrospective studies reviewed there is a growing volume of data showing increased mortality in those with only atrial fibrillation. The proper role of digoxin is, however, less certain in other subgroups of patients, such as those with both atrial fibrillation and systolic congestive heart failure or after a myocardial infarction. Further studies may provide helpful information for such subgroups of patients. PMID:26635929

  11. Winning Strategies in Congested Traffic

    NASA Astrophysics Data System (ADS)

    Járai-Szabó, Ferenc; Néda, Zoltán

    2012-09-01

    One-directional traffic on two-lanes is modeled in the framework of a spring-block type model. A fraction q of the cars are allowed to change lanes, following simple dynamical rules, while the other cars keep their initial lane. The advance of cars, starting from equivalent positions and following the two driving strategies is studied and compared. As a function of the parameter q the winning probability and the average gain in the advancement for the lane-changing strategy is computed. An interesting phase-transition like behavior is revealed and conclusions are drawn regarding the conditions when the lane changing strategy is the better option for the drivers.

  12. Delivering Faster Congestion Feedback with the Mark-Front Strategy

    NASA Technical Reports Server (NTRS)

    Liu, Chunlei; Jain, Raj

    2001-01-01

    Computer networks use congestion feedback from the routers and destinations to control the transmission load. Delivering timely congestion feedback is essential to the performance of networks. Reaction to the congestion can be more effective if faster feedback is provided. Current TCP/IP networks use timeout, duplicate Acknowledgement Packets (ACKs) and explicit congestion notification (ECN) to deliver the congestion feedback, each provides a faster feedback than the previous method. In this paper, we propose a markfront strategy that delivers an even faster congestion feedback. With analytical and simulation results, we show that mark-front strategy reduces buffer size requirement, improves link efficiency and provides better fairness among users. Keywords: Explicit Congestion Notification, mark-front, congestion control, buffer size requirement, fairness.

  13. Analysis of Aircraft Clusters to Measure Sector-Independent Airspace Congestion

    NASA Technical Reports Server (NTRS)

    Bilimoria, Karl D.; Lee, Hilda Q.

    2005-01-01

    The Distributed Air/Ground Traffic Management (DAG-TM) concept of operations* permits appropriately equipped aircraft to conduct Free Maneuvering operations. These independent aircraft have the freedom to optimize their trajectories in real time according to user preferences; however, they also take on the responsibility to separate themselves from other aircraft while conforming to any local Traffic Flow Management (TFM) constraints imposed by the air traffic service provider (ATSP). Examples of local-TFM constraints include temporal constraints such as a required time of arrival (RTA), as well as spatial constraints such as regions of convective weather, special use airspace, and congested airspace. Under current operations, congested airspace typically refers to a sector(s) that cannot accept additional aircraft due to controller workload limitations; hence Dynamic Density (a metric that is indicative of controller workload) can be used to quantify airspace congestion. However, for Free Maneuvering operations under DAG-TM, an additional metric is needed to quantify the airspace congestion problem from the perspective of independent aircraft. Such a metric would enable the ATSP to prevent independent aircraft from entering any local areas of congestion in which the flight deck based systems and procedures may not be able to ensure separation. This new metric, called Gaggle Density, offers the ATSP a mode of control to regulate normal operations and to ensure safety and stability during rare-normal or off-normal situations (e.g., system failures). It may be difficult to certify Free Maneuvering systems for unrestricted operations, but it may be easier to certify systems and procedures for specified levels of Gaggle Density that could be monitored by the ATSP, and maintained through relatively minor flow-rate (RTA type) restrictions. Since flight deck based separation assurance is airspace independent, the challenge is to measure congestion independent of sector

  14. Proceedings of the ITE's 1987 national conference on strategies to alleviate traffic congestion

    SciTech Connect

    Not Available

    1988-01-01

    These proceedings discuss the papers presented at the conference on the subject of traffic congestion. The topics discussed were: Surveillance control and driver information system; fiber optics for traffic surveillance; solutions to traffic problems; traffic management in Texas; truck operations; traffic engineering; parking standards and requirements; and planning of improving traffic flow on local streets.

  15. Performance analysis of reactive congestion control for ATM networks

    NASA Astrophysics Data System (ADS)

    Kawahara, Kenji; Oie, Yuji; Murata, Masayuki; Miyahara, Hideo

    1995-05-01

    In ATM networks, preventive congestion control is widely recognized for efficiently avoiding congestion, and it is implemented by a conjunction of connection admission control and usage parameter control. However, congestion may still occur because of unpredictable statistical fluctuation of traffic sources even when preventive control is performed in the network. In this paper, we study another kind of congestion control, i.e., reactive congestion control, in which each source changes its cell emitting rate adaptively to the traffic load at the switching node (or at the multiplexer). Our intention is that, by incorporating such a congestion control method in ATM networks, more efficient congestion control is established. We develop an analytical model, and carry out an approximate analysis of reactive congestion control algorithm. Numerical results show that the reactive congestion control algorithms are very effective in avoiding congestion and in achieving the statistical gain. Furthermore, the binary congestion control algorithm with pushout mechanism is shown to provide the best performance among the reactive congestion control algorithms treated here.

  16. 75 FR 60689 - Hazardous Waste Management System; Identification and Listing of Hazardous Waste; Proposed Rule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ... Refinery (Beaumont Refinery) to exclude (or delist) a certain solid waste generated by its Beaumont, Texas, facility from the lists of hazardous wastes. EPA used the Delisting Risk Assessment Software (DRAS) Version... AGENCY 40 CFR Part 261 Hazardous Waste Management System; Identification and Listing of Hazardous...

  17. Improving Explicit Congestion Notification with the Mark-Front Strategy

    NASA Technical Reports Server (NTRS)

    Liu, Chunlei; Jain, Raj

    2001-01-01

    Delivering congestion signals is essential to the performance of networks. Current TCP/IP networks use packet losses to signal congestion. Packet losses not only reduces TCP performance, but also adds large delay. Explicit Congestion Notification (ECN) delivers a faster indication of congestion and has better performance. However, current ECN implementations mark the packet from the tail of the queue. In this paper, we propose the mark-front strategy to send an even faster congestion signal. We show that mark-front strategy reduces buffer size requirement, improves link efficiency and provides better fairness among users. Simulation results that verify our analysis are also presented.

  18. Improving UDP/IP Transmission Without Increasing Congestion

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott

    2006-01-01

    Datagram Retransmission (DGR) is a computer program that, within certain limits, ensures the reception of each datagram transmitted under the User Datagram Protocol/Internet Protocol. [User Datagram Protocol (UDP) is considered unreliable because it does not involve a reliability-ensuring connection-initiation dialogue between sender and receiver. UDP is well suited to issuing of many small messages to many different receivers.] Unlike prior software for ensuring reception of UDP datagrams, DGR does not contribute to network congestion by retransmitting data more frequently as an ever-increasing number of messages and acknowledgements is lost. Instead, DGR does just the opposite: DGR includes an adaptive timeout-interval- computing component that provides maximum opportunity for reception of acknowledgements, minimizing retransmission. By monitoring changes in the rate at which message-transmission transactions are completed, DGR detects changes in the level of congestion and responds by imposing varying degrees of delay on the transmission of new messages. In addition, DGR maximizes throughput by not waiting for acknowledgement of a message before sending the next message. All DGR communication is asynchronous, to maximize efficient utilization of network connections. DGR manages multiple concurrent datagram transmission and acknowledgement conversations.

  19. Abdominal contributions to cardiorenal dysfunction in congestive heart failure.

    PubMed

    Verbrugge, Frederik H; Dupont, Matthias; Steels, Paul; Grieten, Lars; Malbrain, Manu; Tang, W H Wilson; Mullens, Wilfried

    2013-08-01

    Current pathophysiological models of congestive heart failure unsatisfactorily explain the detrimental link between congestion and cardiorenal function. Abdominal congestion (i.e., splanchnic venous and interstitial congestion) manifests in a substantial number of patients with advanced congestive heart failure, yet is poorly defined. Compromised capacitance function of the splanchnic vasculature and deficient abdominal lymph flow resulting in interstitial edema might both be implied in the occurrence of increased cardiac filling pressures and renal dysfunction. Indeed, increased intra-abdominal pressure, as an extreme marker of abdominal congestion, is correlated with renal dysfunction in advanced congestive heart failure. Intriguing findings provide preliminary evidence that alterations in the liver and spleen contribute to systemic congestion in heart failure. Finally, gut-derived hormones might influence sodium homeostasis, whereas entrance of bowel toxins into the circulatory system, as a result of impaired intestinal barrier function secondary to congestion, might further depress cardiac as well as renal function. Those toxins are mainly produced by micro-organisms in the gut lumen, with presumably important alterations in advanced heart failure, especially when renal function is depressed. Therefore, in this state-of-the-art review, we explore the crosstalk between the abdomen, heart, and kidneys in congestive heart failure. This might offer new diagnostic opportunities as well as treatment strategies to achieve decongestion in heart failure, especially when abdominal congestion is present. Among those currently under investigation are paracentesis, ultrafiltration, peritoneal dialysis, oral sodium binders, vasodilator therapy, renal sympathetic denervation and agents targeting the gut microbiota. PMID:23747781

  20. Can complexity decrease in congestive heart failure?

    NASA Astrophysics Data System (ADS)

    Mukherjee, Sayan; Palit, Sanjay Kumar; Banerjee, Santo; Ariffin, M. R. K.; Rondoni, Lamberto; Bhattacharya, D. K.

    2015-12-01

    The complexity of a signal can be measured by the Recurrence period density entropy (RPDE) from the reconstructed phase space. We have chosen a window based RPDE method for the classification of signals, as RPDE is an average entropic measure of the whole phase space. We have observed the changes in the complexity in cardiac signals of normal healthy person (NHP) and congestive heart failure patients (CHFP). The results show that the cardiac dynamics of a healthy subject is more complex and random compare to the same for a heart failure patient, whose dynamics is more deterministic. We have constructed a general threshold to distinguish the border line between a healthy and a congestive heart failure dynamics. The results may be useful for wide range for physiological and biomedical analysis.

  1. Vasomotor rhinitis: neglected cause of nasal congestion.

    PubMed

    Stewart, T W

    1980-01-01

    Vasomotor rhinitis is a condition of chronic nasal congestion which is noninfectious and nonallergic. Its cause is thought to be an imbalance of autonomic control to the nasal mucosa. This disorder is a diagnosis of exclusion, and other causes of chronic nasal obstruction must be considered first. Treatment measures include avoidance of nonspecific stimuli which exacerbate symptoms and, for symptomatic relief, use of oral sympathomimetics. Antihistamine-decongestant combinations may be effective in some patients. Topical vasoconstrictors should not be used.

  2. Cerebral Venous Congestion as Indication for Thrombolytic Treatment

    SciTech Connect

    Tsai, Fong Y. Kostanian, Varoujan; Rivera, Monica; Lee, Kwo-Whie; Chen, Clayton C.; Nguyen, Thong H.

    2007-07-15

    Purpose. To carry out a retrospective analysis of patients with acute dural sinus thrombosis, and the role of cerebral venous congestion in patient management. Methods. Twenty-five patients were identified with the clinical and imaging diagnosis of acute dural sinus thrombosis. The imaging diagnosis was by magnetic resonance (MR) and/or computed tomography (CT) venography. There was a female predominance with a female to male ratio of 1.5 to 1 (16 women, 9 men). The age range was from 19 to 64 years old with an average age of 37 years. The first 10 patients, who ranged in age from 21 to 64 years old (average 37 years), received only anticoagulation therapy with heparin and warfarin for periods ranging from 5 days to 2 months. The remaining 15 patients ranged in age from 19 to 57 years old (average 38 years). They either underwent subsequent thrombectomy after a trial of anticoagulation therapy, or went straight to thrombectomy. These latter 15 patients had initial evidence of cerebral venous congestion, either clinically by severe or worsening symptoms despite anticoagulation therapy, or on initial or subsequent CT or MR imaging. In our experience, the cerebral venous congestion imaging findings included intracranial hemorrhage, a hematoma, or edema. The thrombolytic treatment technique consisted of the advancement of a 6 Fr guiding catheter to the jugular bulb or sigmoid sinus from a transfemoral approach. A microcatheter was then advanced to the proximal portion of the thrombus and then either tissue plasminogen activator (tPA) or urokinase was injected to prevent clot propagation. A balloon catheter was used to perform thrombectomy since the thrombolytic agents can be injected via the inner lumen with an inflated balloon. The inflated balloon helped to keep the venous flow from washing out the thrombolytic agent, thus facilitating the agent's effect. Results. The first 10 patients received only anticoagulation therapy with heparin and warfarin for periods

  3. CSLAA and FAA'S Rules: Incorporating a 'Risk Management Framework' to Minimise Human Space Flight Risks

    NASA Astrophysics Data System (ADS)

    Chaddha, S.

    2012-01-01

    th This year marks the 50 anniversary of a landmark victory for humankind in its endeavour of entering and exploring the final frontier. During these years of space activity, we have witnessed a number of cumulative successes. One of which is the emergence of the commercial human space flight, or "space tourism", market. Commercial companies have the aim of travelling people into space safely and affordably. This paper shall consider the U.S. regulatory framework governing the space tourism market. It scrutinises the adequacy of the Commercial Space Launch and Amendment Act of 2004 (CSLAA), as bolstered by the FAA's requirements, to protect launching passengers to an acceptable standard of safety from the inherent risks associated with human space flights. It is argued that the legislative regime embeds a three-limb "risk management framework" as an appropriate response to address the concern over the safety of public space travel.

  4. Status of the IAA study group on traffic management rules for space operations

    NASA Astrophysics Data System (ADS)

    Contant, Corinne; Lala, Petr; Schrogl, Kai-Uwe

    2007-10-01

    The investigation of space traffic and its management has only recently become a point of wider discussion. In particular, the series of workshops organized by the American Institute of Aeronautics and Astronautics (AIAA) and other international organizations on international cooperation highlighted the issue. It was discussed thoroughly at the workshops, which took place in 1999 and 2001, respectively. It was at the 2001 workshop, when the suggestion was made that an International Academy of Astronautics (IAA) Study on the subject of space traffic management should be prepared. This suggestion was taken up and a proposal was presented to the Board of Trustees of IAA, which, in late 2001, accepted this proposal. Following this, an interdisciplinary study group of around 20 persons was composed. One early milestone in the process of work was the conduct of an International Institute of Space Law (IISL)/European Center of Space Law (ECSL) Symposium alongside the 2002 session of the United Nations Committee on the Peaceful Uses of Outer Space (UNCOPUOS) Legal Subcommittee. This symposium consisted of presentations of members of the IAA study group. Also, close coordination with other study projects of IAA, in particular with the one on space debris, is sought. This paper presents the status of work of the study group, in particular, the approach and the scope of the study as well as its preliminary findings. The study group intends to finalize its work in early 2004, in order to be able to put the study before IAA and launch its review process before the 2004 International Astronautical Congress. Following this review, the study will be published and may be expected to make an impact in fora like the UNCOPUOS. The authors of this paper act as the coordinators/the rapporteur to this study. The paper will be presented in the IAA—as well as the IISL—session dealing with space traffic, by that bridging the two areas and seeking input from various sources.

  5. Salvage of venous congestion using medicinal leeches for traumatic nasal flap.

    PubMed

    Jose, Mathew; Varghese, Jomy; Babu, Arun

    2015-03-01

    Medicinal leeches are extremely useful and safe in the salvage of venous outflow compromised tissue, particularly in digit replants and various forms of flaps. Although it is unusual for a partial soft tissue avulsion of the face to require medicinal leech therapy, situations may occur in which there is adequate arterial inflow but inadequate venous outflow. In such cases, medicinal leeches may play a very important role in salvaging the soft tissue segment. We report a case of a 34-year-old gentleman who showed signs of venous congestion following primary management for a traumatic nasal flap. Successful salvage of venous congestion was done using medicinal leech therapy, once daily, for 5 days. His recovery deemed satisfactory and uncomplicated. Medicinal leeches are well-known in the treatment of venous congestion or complete venous outflow obstruction in larger pedicled flaps and microvascular transfers. In trauma, it is well established that medicinal leeches are invaluable in treating venous congestion in digit replants and replantation of totally avulsed external ear segments. A limited number of other reports have demonstrated the use of medicinal leeches for salvage of other partially avulsed facial structures. Medicinal leeches have a significant role in the management of traumatic and microvascular flaps, the oral and maxillofacial surgeon should weigh the benefits of such treatment before instituting other expensive or complex treatment modalities.

  6. Managing in the Virtual World: How Second Life is Rewriting the Rules of "Real Life" Business

    NASA Astrophysics Data System (ADS)

    Wyld, David C.

    In this paper, we will explore the growth of virtual worlds - one of the most exciting and fast-growing concepts in the Web 2.0 era. We will see that while there has been significant growth across all demographic groups, online gaming in MMOGs (Massively Multiplayer Online Games) are finding particular appeal in today's youth - the so-called "digital native" generation. We then overview the today's virtual world marketplace, both in the youth and adult-oriented markets. Second Life is emerging as the most important virtual world today, due to the intense interest amongst both large organizations and individual entrepreneurs to conduct real business in the virtual environment. Due to its prominence today and its forecasted growth over the next decade, we take a look at the unscripted world of Second Life, examining the corporate presence in-world, as well as the economic, technical, legal, ethical and security issues involved for companies doing business in the virtual world. In conclusion, we present an analysis of where we stand in terms of virtual world development today and a projection of where we will be heading in the near future. Finally, we present advice to management practitioners and academicians on how to learn about virtual worlds and explore the world of opportunities in them.

  7. Congestion Measures for Organized Markets in the U.S.

    SciTech Connect

    Fisher, Emily; Eto, Joseph H.

    2013-12-16

    Transmission lines deliver electricity that is generated at power plants to loads. When there is not sufficient transmission capacity to schedule or transport all desired electricity transfers, the transmission system is constrained, and the particular line, flowgate or interface is congested. While it is useful to measure congestion for several reasons—to identify where and how much congestion exists and how this changes over time, to determine whether or what to do about it, and to assess the effectiveness of actions taken—it is challenging to measure congestion in a meaningful and consistent way across markets or over time in the same market. This paper examines current public reporting of congestion measures for organized markets in the U.S., and what these measures can and cannot tell us about congestion across regions or over time in the same region.

  8. Advanced Congestive Heart Failure Associated With Disseminated Intravascular Coagulopathy.

    PubMed

    Sarcon, Annahita; Liu, Xiaoli; Ton, David; Haywood, James; Hitchcock, Todd

    2015-01-01

    Background. Disseminated intravascular coagulopathy (DIC) is a complication of an underlying disease and not a primary illness. It is most commonly associated with sepsis, trauma, obstetrical complications, and malignancies. There are very few cases in the literature illustrating the association between DIC and congestive heart failure. Findings. In this report, we present a case of severe congestive heart failure, leading to biventricular thrombi and subsequently DIC. Conclusion. We suggest that the association between congestive heart failure and DIC is an underrecognized one. Congestive heart failure continues to remain a major cause of morbidity and mortality despite advances in medical therapies. Thus far, the precise role of coagulation factors in congestive heart failure is unknown. Further investigations are needed to elucidate the pathophysiology of congestive heart failure and coagulation factors.

  9. Born Rule(s)

    SciTech Connect

    Sinha, Urbasi

    2011-09-23

    This paper is based on work published in [1]. It describes a triple slit experiment using single photons that has been used to provide a bound on one of the most fundamental axioms of quantum mechanics i.e. Born's rule for probabilities [2]. In spite of being one of the most successful theories which describes various natural phenomena, quantum mechanics has enough intricacies and ''weirdness'' associated with it which makes many physicists believe that it may not be the final theory and hints towards the possibility of more generalized versions. Quantum interference as shown by a double slit diffraction experiment only occurs from pairs of paths. Even in multi-slit versions, interference can only occur between pairs of possibilities and increasing the number of slits does not increase the complexity of the theory that still remains second-order. However, more generalized versions of quantum mechanics may allow for multi-path i.e. higher than second order interference. This experiment also provides a bound on the magnitude of such higher order interference. We have been able to bound the magnitude of three-path interference to less than 10{sup -2} of the expected two-path interference, thus ruling out third and higher order interference and providing a bound on the accuracy of Born's rule.

  10. Born Rule(s)

    NASA Astrophysics Data System (ADS)

    Sinha, Urbasi

    2011-09-01

    This paper is based on work published in [1]. It describes a triple slit experiment using single photons that has been used to provide a bound on one of the most fundamental axioms of quantum mechanics i.e. Born's rule for probabilities [2]. In spite of being one of the most successful theories which describes various natural phenomena, quantum mechanics has enough intricacies and "weirdness" associated with it which makes many physicists believe that it may not be the final theory and hints towards the possibility of more generalized versions. Quantum interference as shown by a double slit diffraction experiment only occurs from pairs of paths. Even in multi-slit versions, interference can only occur between pairs of possibilities and increasing the number of slits does not increase the complexity of the theory that still remains second-order. However, more generalized versions of quantum mechanics may allow for multi-path i.e. higher than second order interference. This experiment also provides a bound on the magnitude of such higher order interference. We have been able to bound the magnitude of three-path interference to less than 10-2 of the expected two-path interference, thus ruling out third and higher order interference and providing a bound on the accuracy of Born's rule.

  11. Development & optimization of a rule-based energy management strategy for fuel economy improvement in hybrid electric vehicles

    NASA Astrophysics Data System (ADS)

    Asfoor, Mostafa

    The gradual decline of oil reserves and the increasing demand for energy over the past decades has resulted in automotive manufacturers seeking alternative solutions to reduce the dependency on fossil-based fuels for transportation. A viable technology that enables significant improvements in the overall energy conversion efficiencies is the hybridization of conventional vehicle drive systems. This dissertation builds on prior hybrid powertrain development at the University of Idaho. Advanced vehicle models of a passenger car with a conventional powertrain and three different hybrid powertrain layouts were created using GT-Suite. These different powertrain models were validated against a variety of standard driving cycles. The overall fuel economy, energy consumption, and losses were monitored, and a comprehensive energy analysis was performed to compare energy sources and sinks. The GT-Suite model was then used to predict the formula hybrid SAE vehicle performance. Inputs to this model were a numerically predicted engine performance map, an electric motor torque curve, vehicle geometry, and road load parameters derived from a roll-down test. In this case study, the vehicle had a supervisory controller that followed a rule-based energy management strategy to insure a proper power split during hybrid mode operation. The supervisory controller parameters were optimized using discrete grid optimization method that minimized the total amount of fuel consumed during a specific urban driving cycle with an average speed of approximately 30 [mph]. More than a 15% increase in fuel economy was achieved by adding supervisory control and managing power split. The vehicle configuration without the supervisory controller displayed a fuel economy of 25 [mpg]. With the supervisory controller this rose to 29 [mpg]. Wider applications of this research include hybrid vehicle controller designs that can extend the range and survivability of military combat platforms. Furthermore, the

  12. A decision-making framework for river water quality management under uncertainty: Application of social choice rules.

    PubMed

    Zolfagharipoor, Mohammad Amin; Ahmadi, Azadeh

    2016-12-01

    An important issue in river water quality management is taking into account the role played by wastewater dischargers in the decision-making process and in the implementation of any proposed waste load allocation program in a given region. In this study, a new decision-making methodology, called 'stochastic social choice rules' (SSCR), was developed for modeling the bargaining process among different wastewater dischargers into shared environments. For this purpose, the costs associated with each treatment strategy were initially calculated as the sum of treatment cost and the fines incurred due to violation of water quality standards. The qualitative simulation model (QUAL2Kw) was then used to determine the penalty function. The uncertainty associated with the implementation of strategies under the economic costs (i.e., the sum of treatment and penalty costs) was dealt with by a Monte-Carlo selection method. This method was coupled with different social choice methods to identify the best solution for the waste load allocation problem. Finally, using the extended trading-ratio system (ETRS), the most preferred treatment strategy was exchanged among dischargers as the initial set of discharge permits aimed at reducing the costs and encouraging dischargers to participate in the river water quality protection scheme. The proposed model was finally applied to the Zarjoub River in Gilan Province, northern Iran, as a case study. Results showed the efficiency of the proposed model in developing waste load allocation strategies for rivers. PMID:27589917

  13. A hybrid routing model for mitigating congestion in networks

    NASA Astrophysics Data System (ADS)

    He, Kun; Xu, Zhongzhi; Wang, Pu

    2015-08-01

    Imbalance between fast-growing transport demand and limited network supply has resulted in severe congestion in many transport networks. Increasing network supply or reducing transport demand could mitigate congestion, but these remedies are usually associated with high implementation cost. Combining shortest path (SP) routing and minimum cost (MC) routing, we developed a hybrid routing model to alleviate congestion in networks. This model requires only a small fraction of the total number of agents to use MC routes, and effectively mitigates congestion in networks under homogeneous or heterogeneous transport demand, offering new insights for improving the efficiency of practical transport networks.

  14. Containing air pollution and traffic congestion: Transport policy and the environment in Singapore

    NASA Astrophysics Data System (ADS)

    Chin, Anthony T. H.

    Land transportation remains one of the main contributors of noise and air pollution in urban areas. This is in addition to traffic congestion and accidents which result in the loss of productive activity. While there is a close relationship between traffic volumes and levels of noise and air pollution, transport authorities often assume that solving traffic congestion would reduce noise and air pollutant levels. Tight control over automobile ownership and use in Singapore has contributed in improving traffic flows, travel speeds and air quality. The adoption of internationally accepted standards on automobile emissions and gasoline have been effective in reducing air pollution from motor vehicles. Demand management measures have largely focused on controlling the source of traffic congestion, i.e. private automobile ownership and its use especially within the Central Business District during the day. This paper reviews and analyzes the effectiveness of two measures which are instrumental in controlling congestion and automobile ownership, i.e. road pricing and the vehicle quota scheme (VQS). While these measures have been successful in achieving desired objectives, it has also led to the spreading of traffic externalities to other roads in the network, loss in consumer welfare and rent seeking by automobile traders.

  15. Rules and regulations as potential moderator on the relationship between organizational internal and external factors with effective construction risk management in Nigerian construction companies: A proposed framework

    NASA Astrophysics Data System (ADS)

    Adeleke, A. Q.; Bahaudin, A. Y.; Kamaruddeen, A. M.

    2016-08-01

    Certain organizational internal and external factors have been found to influence effective construction risk management within the construction company which has contributed to massive risk occurrence on the projects. Yet, the influence of the organizational factors such as effective communication, team competency with skills, active leadership, political factor, organizational culture, technology factor and economic factor on effective construction risk management among the construction companies operating in Abuja and Lagos state Nigeria have not received considerable attention. More so, a moderating variable is proposed. This paper proposes rules and regulations as the potential moderator on the relationship between organisational internal factors, external factors and effective construction risk management.

  16. Adapting End Host Congestion Control for Mobility

    NASA Technical Reports Server (NTRS)

    Eddy, Wesley M.; Swami, Yogesh P.

    2005-01-01

    Network layer mobility allows transport protocols to maintain connection state, despite changes in a node's physical location and point of network connectivity. However, some congestion-controlled transport protocols are not designed to deal with these rapid and potentially significant path changes. In this paper we demonstrate several distinct problems that mobility-induced path changes can create for TCP performance. Our premise is that mobility events indicate path changes that require re-initialization of congestion control state at both connection end points. We present the application of this idea to TCP in the form of a simple solution (the Lightweight Mobility Detection and Response algorithm, that has been proposed in the IETF), and examine its effectiveness. In general, we find that the deficiencies presented are both relatively easily and painlessly fixed using this solution. We also find that this solution has the counter-intuitive property of being both more friendly to competing traffic, and simultaneously more aggressive in utilizing newly available capacity than unmodified TCP.

  17. Hazardous waste management system; identification and listing of hazardous waste--EPA. Final rule and response to comments.

    PubMed

    1992-01-01

    On May 19, 1980, as part of its regulations implementing section 3001 of the Resource Conservation and Recovery Act (RCRA). EPA promulgated a series of criteria for listing wastes as hazardous. On July 19, 1991, the Agency proposed to conform the language of the regulation to reflect the Agency's intent and consistent interpretation of that regulation. Today's rule finalizes the proposed rule.

  18. 14 CFR 105.21 - Parachute operations over or into a congested area or an open-air assembly of persons.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Parachute operations over or into a... PARACHUTE OPERATIONS Operating Rules § 105.21 Parachute operations over or into a congested area or an open-air assembly of persons. (a) No person may conduct a parachute operation, and no pilot in command...

  19. 14 CFR 105.21 - Parachute operations over or into a congested area or an open-air assembly of persons.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Parachute operations over or into a... PARACHUTE OPERATIONS Operating Rules § 105.21 Parachute operations over or into a congested area or an open-air assembly of persons. (a) No person may conduct a parachute operation, and no pilot in command...

  20. 14 CFR 105.21 - Parachute operations over or into a congested area or an open-air assembly of persons.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Parachute operations over or into a... PARACHUTE OPERATIONS Operating Rules § 105.21 Parachute operations over or into a congested area or an open-air assembly of persons. (a) No person may conduct a parachute operation, and no pilot in command...

  1. 14 CFR 105.21 - Parachute operations over or into a congested area or an open-air assembly of persons.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Parachute operations over or into a... PARACHUTE OPERATIONS Operating Rules § 105.21 Parachute operations over or into a congested area or an open-air assembly of persons. (a) No person may conduct a parachute operation, and no pilot in command...

  2. 14 CFR 105.21 - Parachute operations over or into a congested area or an open-air assembly of persons.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false Parachute operations over or into a... PARACHUTE OPERATIONS Operating Rules § 105.21 Parachute operations over or into a congested area or an open-air assembly of persons. (a) No person may conduct a parachute operation, and no pilot in command...

  3. Strategy as simple rules.

    PubMed

    Eisenhardt, K M; Sull, D N

    2001-01-01

    The success of Yahoo!, eBay, Enron, and other companies that have become adept at morphing to meet the demands of changing markets can't be explained using traditional thinking about competitive strategy. These companies have succeeded by pursuing constantly evolving strategies in market spaces that were considered unattractive according to traditional measures. In this article--the third in an HBR series by Kathleen Eisenhardt and Donald Sull on strategy in the new economy--the authors ask, what are the sources of competitive advantage in high-velocity markets? The secret, they say, is strategy as simple rules. The companies know that the greatest opportunities for competitive advantage lie in market confusion, but they recognize the need for a few crucial strategic processes and a few simple rules. In traditional strategy, advantage comes from exploiting resources or stable market positions. In strategy as simple rules, advantage comes from successfully seizing fleeting opportunities. Key strategic processes, such as product innovation, partnering, or spinout creation, place the company where the flow of opportunities is greatest. Simple rules then provide the guidelines within which managers can pursue such opportunities. Simple rules, which grow out of experience, fall into five broad categories: how- to rules, boundary conditions, priority rules, timing rules, and exit rules. Companies with simple-rules strategies must follow the rules religiously and avoid the temptation to change them too frequently. A consistent strategy helps managers sort through opportunities and gain short-term advantage by exploiting the attractive ones. In stable markets, managers rely on complicated strategies built on detailed predictions of the future. But when business is complicated, strategy should be simple. PMID:11189455

  4. Applicability of explicit congestion notification in very high speed networks

    NASA Astrophysics Data System (ADS)

    Laalaoua, Rachid; Dotaro, Emmanuel; Atmaca, Tulin

    1999-11-01

    Congestion control avoidance in computer networks is still a major unresolved image. The applicability of previous congestion control mechanisms has to be demonstrated taking into account today's constraints. In this work, several schemes are studied in order to support differentiated services in a wide area, very high speed network.

  5. Pulmonary congestion predicts cardiac events and mortality in ESRD.

    PubMed

    Zoccali, Carmine; Torino, Claudia; Tripepi, Rocco; Tripepi, Giovanni; D'Arrigo, Graziella; Postorino, Maurizio; Gargani, Luna; Sicari, Rosa; Picano, Eugenio; Mallamaci, Francesca

    2013-03-01

    Pulmonary congestion is highly prevalent and often asymptomatic among patients with ESRD treated with hemodialysis, but whether its presence predicts clinical outcomes is unknown. Here, we tested the prognostic value of extravascular lung water measured by a simple, well validated ultrasound B-lines score (BL-US) in a multicenter study that enrolled 392 hemodialysis patients. We detected moderate-to-severe lung congestion in 45% and very severe congestion in 14% of the patients. Among those patients with moderate-to-severe lung congestion, 71% were asymptomatic or presented slight symptoms of heart failure. Compared with those patients having mild or no congestion, patients with very severe congestion had a 4.2-fold risk of death (HR=4.20, 95% CI=2.45-7.23) and a 3.2-fold risk of cardiac events (HR=3.20, 95% CI=1.75-5.88) adjusted for NYHA class and other risk factors. Including the degree of pulmonary congestion in the model significantly improved the risk reclassification for cardiac events by 10% (P<0.015). In summary, lung ultrasound can detect asymptomatic pulmonary congestion in hemodialysis patients, and the resulting BL-US score is a strong, independent predictor of death and cardiac events in this population.

  6. Local debris congestion in the geosynchronous environment with population augmentation

    NASA Astrophysics Data System (ADS)

    Anderson, Paul V.; Schaub, Hanspeter

    2014-02-01

    Forecasting of localized debris congestion in the geostationary (GEO) regime is performed to investigate how frequently near-miss events occur for each of the longitude slots in the GEO ring. The present-day resident space object (RSO) population at GEO is propagated forward in time to determine current debris congestion conditions, and new probability density functions that describe where GEO satellites are inserted into operational orbits are harnessed to assess longitude-dependent congestion in "business-as-usual" launch traffic, with and without re-orbiting at end-of-life. Congestion forecasting for a 50-year period is presented to illustrate the need for appropriately executed mitigation measures in the GEO ring. Results indicate that localized debris congestion will double within 50 years under current 80% re-orbiting success rates.

  7. 77 FR 75649 - Establishment of Interim Final Supplementary Rules for Public Lands Managed by the Carrizo Plain...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... established supplementary rules for the Natural Area at 62 FR 54126 (Oct. 17, 1997). The RMP/ROD for the... endangered or threatened species such as the Kern primrose sphinx moth; Re-establishment of the...

  8. Stochastic Stability in Internet Router Congestion Games

    NASA Astrophysics Data System (ADS)

    Chung, Christine; Pyrga, Evangelia

    Congestion control at bottleneck routers on the internet is a long standing problem. Many policies have been proposed for effective ways to drop packets from the queues of these routers so that network endpoints will be inclined to share router capacity fairly and minimize the overflow of packets trying to enter the queues. We study just how effective some of these queuing policies are when each network endpoint is a self-interested player with no information about the other players’ actions or preferences. By employing the adaptive learning model of evolutionary game theory, we study policies such as Droptail, RED, and the greedy-flow-punishing policy proposed by Gao et al. [10] to find the stochastically stable states: the states of the system that will be reached in the long run.

  9. Demand and Congestion in Multiplex Transportation Networks

    PubMed Central

    al-Awwad, Zeyad; Jiang, Shan; González, Marta C.

    2016-01-01

    Urban transportation systems are multimodal, sociotechnical systems; however, while their multimodal aspect has received extensive attention in recent literature on multiplex networks, their sociotechnical aspect has been largely neglected. We present the first study of an urban transportation system using multiplex network analysis and validated Origin-Destination travel demand, with Riyadh’s planned metro as a case study. We develop methods for analyzing the impact of additional transportation layers on existing dynamics, and show that demand structure plays key quantitative and qualitative roles. There exist fundamental geometrical limits to the metro’s impact on traffic dynamics, and the bulk of environmental accrue at metro speeds only slightly faster than those planned. We develop a simple model for informing the use of additional, “feeder” layers to maximize reductions in global congestion. Our techniques are computationally practical, easily extensible to arbitrary transportation layers with complex transfer logic, and implementable in open-source software. PMID:27657738

  10. Agent Reward Shaping for Alleviating Traffic Congestion

    NASA Technical Reports Server (NTRS)

    Tumer, Kagan; Agogino, Adrian

    2006-01-01

    Traffic congestion problems provide a unique environment to study how multi-agent systems promote desired system level behavior. What is particularly interesting in this class of problems is that no individual action is intrinsically "bad" for the system but that combinations of actions among agents lead to undesirable outcomes, As a consequence, agents need to learn how to coordinate their actions with those of other agents, rather than learn a particular set of "good" actions. This problem is ubiquitous in various traffic problems, including selecting departure times for commuters, routes for airlines, and paths for data routers. In this paper we present a multi-agent approach to two traffic problems, where far each driver, an agent selects the most suitable action using reinforcement learning. The agent rewards are based on concepts from collectives and aim to provide the agents with rewards that are both easy to learn and that if learned, lead to good system level behavior. In the first problem, we study how agents learn the best departure times of drivers in a daily commuting environment and how following those departure times alleviates congestion. In the second problem, we study how agents learn to select desirable routes to improve traffic flow and minimize delays for. all drivers.. In both sets of experiments,. agents using collective-based rewards produced near optimal performance (93-96% of optimal) whereas agents using system rewards (63-68%) barely outperformed random action selection (62-64%) and agents using local rewards (48-72%) performed worse than random in some instances.

  11. Assessment of the Municipal Solid Waste & Status of Implementation of Municipal Solid Waste (Management & Handling), Rules, 2000 in the State of Madhya Pradesh, 2008 - a case study.

    PubMed

    Lal Patel, Munna; Jain, Rajnikant; Saxena, Alok

    2011-05-01

    The municipal solid waste (MSW), generated from different activities in the township and city areas is a subject of deep concern for its proper management. The improper management of the MSW is a major cause for water, air and soil pollution. The population explosion and sustained drive for economic progress and development have resulted in a remarkable increase/ change in quantity and characteristics of MSW generation over the last 20 years. The local bodies are responsible for the management of the MSW in the State. The Municipal Solid Waste (Management & Handling), Rules, 2000 came into force from the date of its publication in the official Gazette of India and are applicable to every local body responsible for the proper management of the MSW in the State. The status report of the implementation of the Municipal Solid Waste (Management & Handling), Rules, 2000 in the State of Madhya Pradesh, is prepared as per the MOU signed by the State Pollution Control Board with the Central Pollution Control Board, New Delhi. The necessary data for the preparation of the report, collected from the respective local bodies through the regional offices of the Board during the period February to December 2008. There are 342 local bodies (municipal corporations, 14; municipal committees or municipalities, 86; Nagar Panchyats, 237; and cantonment boards, 5) responsible for the implementation of the MSW, in the State. It is estimated that around 4500 Mt day(-1) MSW is generated from all the 342 local bodies. The local bodies of the State are not well equipped for the proper management of the MSW. A total of 323 local bodies has identified land for the development of the landfill sites as per the provisions of the Rules but only 90 local bodies acquired the same. As an outcome of this assessment, the local bodies are not financially and technically capable for the proper implementation of the Rules. The collection of the waste is around 60-70%. This status report will serve as an

  12. Risk of venous congestion in live donors of extended right liver graft

    PubMed Central

    Radtke, Arnold; Sgourakis, George; Molmenti, Ernesto P; Beckebaum, Susanne; Cicinnati, Vito R; Schmidt, Hartmut; Peitgen, Heinz-Otto; Broelsch, Christoph E; Malagó, Massimo; Schroeder, Tobias

    2015-01-01

    AIM: To investigate middle hepatic vein (MHV) management in adult living donor liver transplantation and safer remnant volumes (RV). METHODS: There were 59 grafts with and 12 grafts without MHV (including 4 with MHV-5/8 reconstructions). All donors underwent our five-step protocol evaluation containing a preoperative protocol liver biopsy Congestive vs non-congestive RV, remnant-volume-body-weight ratios (RVBWR) and postoperative outcomes were evaluated in 71 right graft living donors. Dominant vs non-dominant MHV anatomy in total liver volume (d-MHV/TLV vs nd-MHV/TLV) was constellated with large/small congestion volumes (CV-index). Small for size (SFS) and non-SFS remnant considerations were based on standard cut-off- RVBWR and RV/TLV. Non-congestive RVBWR was based on non-congestive RV. RESULTS: MHV and non-MHV remnants showed no significant differences in RV, RV/TLV, RVBWR, total bilirubin, or INR. SFS-remnants with RV/TLV < 30% and non-SFS-remnants with RV/TLV ≥ 30% showed no significant differences either. RV and RVBWR for non-MHV (n = 59) and MHV-containing (n = 12) remnants were 550 ± 95 mL and 0.79 ± 0.1 mL vs 568 ± 97 mL and 0.79 ± 0.13, respectively (P = 0.423 and P = 0.919. Mean left RV/TLV was 35.8% ± 3.9%. Non-MHV (n = 59) and MHV-containing (n = 12) remnants (34.1% ± 3% vs 36% ± 4% respectively, P = 0.148. Eight SFS-remnants with RVBWR < 0.65 had a significantly smaller RV/TLV than 63 non-SFS-remnants with RVBWR ≥ 0.65 [SFS: RV/TLV 32.4% (range: 28%-35.7%) vs non-SFS: RV/TLV 36.2% (range: 26.1%-45.5%), P < 0.009. Six SFS-remnants with RV/TLV < 30% had significantly smaller RVBWR than 65 non-SFS-remnants with RV/TLV ≥ 30% (0.65 (range: 0.6-0.7) vs 0.8 (range: 0.6-1.27), P < 0.01. Two (2.8%) donors developed reversible liver failure. RVBWR and RV/TLV were concordant in 25%-33% of SFS and in 92%-94% of non-SFS remnants. MHV management options including complete MHV vs MHV-4A selective retention were necessary in n = 12 vs n = 2 remnants

  13. Improving Area Control Error Diversity Interchange (ADI) Program by Incorporating Congestion Constraints

    SciTech Connect

    Zhou, Ning; Etingov, Pavel V.; Makarov, Yuri V.; Guttromson, Ross T.; McManus, Bart

    2010-04-30

    The area control error (ACE) determines how much a balancing authority (BA) needs to move its regulating units to meet mandatory control performance standard requirements. Regulation is an expensive resource that could cost several hundred million dollars a year for a BA. The amount of regulation needed in a system is increasing with more intermittent generation resources added to the system. The ACE diversity interchange (ADI) program provides a tool for reducing the regulation requirement by combining ACEs from several participating BAs followed by sharing the total ACE among all participating balancing areas. The effect is achieved as a result of the low statistical correlation between the original ACEs of participating BAs. A rule-based ADI approach has already been put into practice in the US Western Interconnection. The degree of actual ACE sharing is artificially limited because of the unknown redistribution of power flows and possible system congestion (these factors are not monitored in the existing ADI). This paper proposes a two-step linear programming (LP) ADI approach that incorporates congestion constraints. In the first step of the proposed LP ADI, the line transmission limits are enforced by setting up corresponding constraints. In the second step, the business fairness is pursued. Simulation is performed to compare the properties of the proposed LP ADI and the existing rule-based ADI. Favorable features, such as avoiding line limit violations and increasing the degree of possible ACE sharing, are observed for the proposed LP ADI.

  14. Combining remote sensing with an inverse Bruun Rule for the analysis and management of almost equilibrium beaches

    NASA Astrophysics Data System (ADS)

    Eelsalu, Maris; Soomere, Tarmo; Männikus, Rain

    2016-04-01

    The management of beaches that suffer from sediment deficit and construction of nearshore infrastructure in locations with intense sediment transit require adequate predictions of the future of the relevant sedimentary systems. To a large extent, this task can be accomplished by using jointly the information about sediment texture and long-term changes in the dry beach volume and the location of the waterline. It is straightforward to evaluate relative changes in the dry beach volume from a succession of airborne laser scanning (ALS) surveys. We use in addition terrestrial laser scanning (TLS) technique to reduce ALS surveys performed with different devices and from different height to the same absolute height. This is accomplished using a TLS survey of a large horizontal surface of constant elevation within ALS snapshots. The most complicated, time-consuming and expensive task in beach management and planning of nearshore infrastructure is to get an adequate picture of the intensity and direction of underwater sediment transport processes. We demonstrate how a simple application of so-called inverse Bruun Rule makes it possible to evaluate the underwater volumetric changes for almost equilibrium beaches. The approach requires three data sets: wave statistics, sediment texture and changes in the average position of the waterline. The main properties of the wave climate, closure depths, magnitude and direction of wave-driven alongshore transport near the test areas are established using a triple nested high-resolution version of the wave model WAM that is forced for 34 years by high-quality marine winds. The relocation of the waterline is extracted from the ALS scanning of elevation isolines of 0.4-0.7 m on the subaerial beach. The technique has been applied to two basically different sections of Tallinn Bay, the Baltic Sea. Pirita Beach is gradually losing sand and requires beach refill while a moderate reclamation action is planned in the vicinity of gradually

  15. Local Debris Congestion in the Geosynchronous Environment with Population Augmentation

    NASA Astrophysics Data System (ADS)

    Anderson, P.; Schaub, H.

    2013-08-01

    Forecasting of localized debris congestion in the geostationary (GEO) ring is performed to investigate how frequently near-miss events occur for every longitude slot at GEO. A parallelized propagation routine is used to propagate the current resident space object (RSO) population at GEO forward in time, and representative augmentation of this population is implemented to simulate congestion in "business-as-usual" launch traffic, with and without mitigation at end-of-life. Congestion forecasting for a 50- year time frame is presented to illustrate the need for both appropriately-executed mitigation and active remediation measures at GEO.

  16. Dissemination of information in complex networks with congestion

    NASA Astrophysics Data System (ADS)

    Cholvi, Vicent

    2006-07-01

    We address the problem of message transfer in complex networks with congestion. We propose a new strategy aimed at improving routing efficiency. Such a strategy, contrary to the shortest available path length from a given source to its destination (perhaps the most widely analyzed routing strategy), takes into account the congestion of nodes and can be deployed, with a minimal overhead, on top of it. Our results show that, by distributing more homogeneously the congestion of nodes, it significantly reduces the average network load as well as the collapse point.

  17. An Application of the Phosphorus Consistent Rule for Environmentally Acceptable Cost-Efficient Management of Broiler Litter in Crop Production

    NASA Technical Reports Server (NTRS)

    Paudel, Krishna P.; Limaye, Ashutosh; Adhikari, Murali; Martin, Neil R., Jr.

    2004-01-01

    We calculated the profitability of using broiler litter as a source of plant nutrients using the phosphorus consistent litter application rule. The cost saving by using litter is 37% over the use of chemical fertilizer-only option to meet the nutrient needs of major crops grown in Alabama. In the optimal solution, only a few routes of all the possible routes developed were used for inter- and intra- county litter hauling. If litter is not adopted as the sole source of crop nutrients, the best environmental policy may be to pair the phosphorus consistent rule with taxes, marketable permits, and subsidies.flaws

  18. Products containing microorganisms as a tool in integrated pest management and the rules of their market placement in the European Union.

    PubMed

    Matyjaszczyk, Ewa

    2015-09-01

    Products containing microorganisms (bacteria, fungi and viruses) can be used in plant production as an intervention as well as a prevention method for pest control. Their utilisation is strictly in line with the principles of integrated pest management, provided that they are effective and safe. The rules of registration of microorganisms for crop production in the European Union differ, depending on whether they are placed on the market as plant protection products or not. For over 20 years, uniform rules for registration of plant protection products have been in force. Currently, 36 microorganisms marked up to the strain are approved for use in pest control in the Community. The decision concerning market placement of plant protection products containing approved microorganisms is issued for each member state separately. The approaches to market placement of other products with microorganisms differ within the EU, ranging from a complete lack of requirements to long and costly registration procedures.

  19. 75 FR 32968 - Final Supplementary Rules for Public Land Administered by the Bureau of Land Management in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... these supplementary rules in the Federal Register (73 FR 6999) on Feb. 6, 2008, to update supplementary... published in the Federal Register (55 FR 13672) on April 11, 1990, and, while it limited occupancy of any... engaged in recreational activities such as hiking, hunting, fishing, bicycling, sightseeing,...

  20. 77 FR 51939 - Temporary Rule To Establish Management Measures for the Limited Harvest and Possession of South...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ..., Saturdays, and Sundays and the commercial season will be open for 7 days, starting on the Monday following... and recreational sectors for red snapper are closed, except for a limited commercial season (7-day or... recreational fishing seasons for red snapper. The intended effect of this temporary rule is to preserve...

  1. 75 FR 26981 - Notice of Establishment of Interim Final Supplementary Rules for Public Lands Managed by the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ... California in order to protect human health, safety, and the environment. Clarity of the Interim Final..., protect natural and cultural resources, improve recreational opportunities, and protect public health. All... rules on an interim final basis, effective on the date of publication because of public health...

  2. Maximizing the Effectiveness of Structured Classroom Management Programs: Implementing Rule-Review Procedures with Disruptive and Distractible Students.

    ERIC Educational Resources Information Center

    Rosenberg, Michael S.

    1986-01-01

    Results of a study of five subjects (ages 7-9) in a multicategorical resource room employing a token economy indicated that the addition of a daily review of classroom rules resulted in an overall time-on-task improvement of 12% and a 50% reduction of instances of disruptive "talkout." (Author/JW)

  3. Research and development of methods/utilities and rules for managing cooperation for performance improvement in government offices. Second Technical progress report, September 1, 1992--January 31, 1993

    SciTech Connect

    Kurstedt, H.A.

    1993-03-01

    Purpose is to help managers approach their responsibilities proactively, so that they can anticipate problems and take actions to alleviate or eliminate those problems. Continuous performance improvement, the philosophy behind total quality management, requires working cooperatively to do a little better each day. The most effective tools are working through a closed set of 9 methods: setting expectations, charting, defining indicators and standards, collecting and logging data, converting data to information, organizing and presenting information, reviewing status and progress, self-management, and appraising. In addition, there are 8 rules: focus on what you can do, supply physical evidence of progress, pay attention to detail, inspect (don`t expect), review progress routinely and frequently, face ``success/fail`` squarely, communicate crisply, and conduct honest, open appraisals. Scope and plans of the draft research plan (study areas) are described.

  4. Cell therapy in congestive heart failure*

    PubMed Central

    Tao, Ze-wei; Li, Long-gui

    2007-01-01

    Congestive heart failure (CHF) has emerged as a major worldwide epidemic and its main causes seem to be the aging of the population and the survival of patients with post-myocardial infarction. Cardiomyocyte dropout (necrosis and apoptosis) plays a critical role in the progress of CHF; thus treatment of CHF by exogenous cell implantation will be a promising medical approach. In the acute phase of cardiac damage cardiac stem cells (CSCs) within the heart divide symmetrically and/or asymmetrically in response to the change of heart homeostasis, and at the same time homing of bone marrow stem cells (BMCs) to injured area is thought to occur, which not only reconstitutes CSC population to normal levels but also repairs the heart by differentiation into cardiac tissue. So far, basic studies by using potential sources such as BMCs and CSCs to treat animal CHF have shown improved ventricular remodelling and heart function. Recently, however, a few of randomized, double-blind, placebo-controlled clinical trials demonstrated mixed results in heart failure with BMC therapy during acute myocardial infarction. PMID:17726746

  5. Congestion Induced by the Structure of Multiplex Networks

    NASA Astrophysics Data System (ADS)

    Solé-Ribalta, Albert; Gómez, Sergio; Arenas, Alex

    2016-03-01

    Multiplex networks are representations of multilayer interconnected complex networks where the nodes are the same at every layer. They turn out to be good abstractions of the intricate connectivity of multimodal transportation networks, among other types of complex systems. One of the most important critical phenomena arising in such networks is the emergence of congestion in transportation flows. Here, we prove analytically that the structure of multiplex networks can induce congestion for flows that otherwise would be decongested if the individual layers were not interconnected. We provide explicit equations for the onset of congestion and approximations that allow us to compute this onset from individual descriptors of the individual layers. The observed cooperative phenomenon is reminiscent of Braess' paradox in which adding extra capacity to a network when the moving entities selfishly choose their route can in some cases reduce overall performance. Similarly, in the multiplex structure, the efficiency in transportation can unbalance the transportation loads resulting in unexpected congestion.

  6. Influence of periodic traffic congestion on epidemic spreading

    NASA Astrophysics Data System (ADS)

    Zheng, Muhua; Ruan, Zhongyuan; Tang, Ming; Do, Younghae; Liu, Zonghua

    2016-11-01

    In the metropolis, traffic congestion has become a very serious problem, especially in rush hours. This congestion causes people to have more chance to contact each other and thus will accelerate epidemic spreading. To explain this observation, we present a reaction-diffusion (RD) model with a periodic varying diffusion rate to represent the daily traveling behaviors of human beings and its influence to epidemic spreading. By extensive numerical simulations, we find that the epidemic spreading can be significantly influenced by traffic congestion where the amplitude, period and duration of diffusion rate are the three key parameters. Furthermore, a brief theory is presented to explain the effects of the three key parameters. These findings suggest that except the normal ways of controlling contagion in working places and long-distance traveling, controlling the contagion in daily traffic congestion may be another effective way to reduce epidemic spreading.

  7. 75 FR 22770 - National Electric Transmission Congestion Study

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... is seeking comments on all aspects of the study. The full text of the 2009 Congestion Study is... in each area.\\2\\ \\1\\ See 71 FR 45047 (August 6, 2006). \\2\\ See 72 FR 56992 (October 5, 2007)....

  8. On-board congestion control for satellite packet switching networks

    NASA Technical Reports Server (NTRS)

    Chu, Pong P.

    1991-01-01

    It is desirable to incorporate packet switching capability on-board for future communication satellites. Because of the statistical nature of packet communication, incoming traffic fluctuates and may cause congestion. Thus, it is necessary to incorporate a congestion control mechanism as part of the on-board processing to smooth and regulate the bursty traffic. Although there are extensive studies on congestion control for both baseband and broadband terrestrial networks, these schemes are not feasible for space based switching networks because of the unique characteristics of satellite link. Here, we propose a new congestion control method for on-board satellite packet switching. This scheme takes into consideration the long propagation delay in satellite link and takes advantage of the the satellite's broadcasting capability. It divides the control between the ground terminals and satellite, but distributes the primary responsibility to ground terminals and only requires minimal hardware resource on-board satellite.

  9. Efficiency and profit in the NYISO transmission congestion contract market

    SciTech Connect

    Hadsell, Lester; Shawky, Hany A.

    2009-11-15

    Evidence of speculator profit and TCC price less than congestion charges suggests that additional competition in the TCC auction should be encouraged as a way to increase efficiency and lower the price of this ''insurance'' for hedgers. (author)

  10. Decrease of cardiac chaos in congestive heart failure

    NASA Astrophysics Data System (ADS)

    Poon, Chi-Sang; Merrill, Christopher K.

    1997-10-01

    The electrical properties of the mammalian heart undergo many complex transitions in normal and diseased states. It has been proposed that the normal heartbeat may display complex nonlinear dynamics, including deterministic chaos,, and that such cardiac chaos may be a useful physiological marker for the diagnosis and management, of certain heart trouble. However, it is not clear whether the heartbeat series of healthy and diseased hearts are chaotic or stochastic, or whether cardiac chaos represents normal or abnormal behaviour. Here we have used a highly sensitive technique, which is robust to random noise, to detect chaos. We analysed the electrocardiograms from a group of healthy subjects and those with severe congestive heart failure (CHF), a clinical condition associated with a high risk of sudden death. The short-term variations of beat-to-beat interval exhibited strongly and consistently chaotic behaviour in all healthy subjects, but were frequently interrupted by periods of seemingly non-chaotic fluctuations in patients with CHF. Chaotic dynamics in the CHF data, even when discernible, exhibited a high degree of random variability over time, suggesting a weaker form of chaos. These findings suggest that cardiac chaos is prevalent in healthy heart, and a decrease in such chaos may be indicative of CHF.

  11. Radiographic and echocardiographic assessment of left atrial size in 100 cats with acute left-sided congestive heart failure.

    PubMed

    Schober, Karsten E; Wetli, Ellen; Drost, Wm Tod

    2014-01-01

    The aims of this study were to evaluate left atrial size in cats with acute left-sided congestive heart failure. We hypothesized that left atrial size as determined by thoracic radiography can be normal in cats with acute left-sided congestive heart failure. One hundred cats with acute left-sided congestive heart failure in which thoracic radiography and echocardiography were performed within 12 h were identified. Left atrial size was evaluated using right lateral and ventrodorsal radiographs. Measurements were compared to two-dimensional echocardiographic variables of left atrial size and left ventricular size. On echocardiography, left atrial enlargement was observed in 96% cats (subjective assessment) whereas maximum left atrial dimension was increased (>15.7 mm) in 93% cats. On radiographs left atrial enlargement (subjective assessment) was found in 48% (lateral view), 53% (ventrodorsal view), and 64% (any view) of cats whereas left atrial enlargement was absent in 36% of cats in both views. Agreement between both methods of left atrial size estimation was poor (Cohen's kappa 0.17). Receiver operating characteristic curve analysis identified a maximum echocardiographic left atrial dimension of approximately 20 mm as the best compromise (Youden index) between sensitivity and specificity in the prediction of radiographic left atrial enlargement. Left atrial enlargement as assessed by thoracic radiography may be absent in a clinically relevant number of cats with congestive heart failure. Therefore, normal left atrial size on thoracic radiographs does not rule out presence of left-sided congestive heart failure in cats with clinical signs of respiratory distress.

  12. [Intraoperative fluid therapy in infants with congestive heart failure due to intracranial pial arteriovenous fistula].

    PubMed

    Arroyo-Fernández, F J; Calderón-Seoane, E; Rodríguez-Peña, F; Torres-Morera, L M

    2016-05-01

    Pial arteriovenous fistula is a rare intracranial congenital malformation (0.1-1: 100,000). It has a high blood flow between one or more pial arteries and drains into the venous circulation. It is usually diagnosed during the childhood by triggering an intracranial hypertension and/or congestive heart failure due to left-right systemic shunt. It is a rare malformation with a complex pathophysiology. The perioperative anaesthetic management is not well established. We present a 6-month-old infant diagnosed with pial arteriovenous fistula with hypertension and congestive heart failure due to left-right shunt. He required a craniotomy and clipping of vascular malformation. Anaesthetic considerations in patients with this condition are a great challenge. It must be performed by multidisciplinary teams with experience in paediatrics. The maintenance of blood volume during the intraoperative course is very important. Excessive fluid therapy can precipitate a congestive heart failure or intracranial hypertension, and a lower fluid therapy may cause a tissue hypoxia due to the bleeding.

  13. Highly Dynamic and Adaptive Traffic Congestion Avoidance in Real-Time Inspired by Honey Bee Behavior

    NASA Astrophysics Data System (ADS)

    Wedde, Horst F.; Lehnhoff, Sebastian; van Bonn, Bernhard; Bay, Z.; Becker, S.; Böttcher, S.; Brunner, C.; Büscher, A.; Fürst, T.; Lazarescu, A. M.; Rotaru, E.; Senge, S.; Steinbach, B.; Yilmaz, F.; Zimmermann, T.

    Traffic congestions have become a major problem in metropolitan areas world-wide, within and between cities, to an extent where they make driving and transportation times largely unpredictable. Due to the highly dynamic character of congestion building and dissolving this phenomenon appears even to resist a formal treatment. Static approaches, and even more their global management, have proven counterproductive in practice. Given the latest progress in VANET technology and the remarkable commercially driven efforts like in the European C2C consortium, or the VSC Project in the US, allow meanwhile to tackle various aspects of traffic regulation through VANET communication. In this paper we introduce a novel, completely decentralized multi-agent routing algorithm (termed BeeJamA) which we have derived from the foraging behavior of honey bees. It is highly dynamic, adaptive, robust, and scalable, and it allows for both avoiding congestions, and minimizing traveling times to individual destinations. Vehicle guidance is provided well ahead of every intersection, depending on the individual speeds. Thus strict deadlines are imposed on, and respected by, the BeeJamA algorithm. We report on extensive simulation experiments which show the superior performance of BeeJamA over conventional approaches.

  14. A theory of traffic congestion at moving bottlenecks

    NASA Astrophysics Data System (ADS)

    Kerner, Boris S.; Klenov, Sergey L.

    2010-10-01

    The physics of traffic congestion occurring at a moving bottleneck on a multi-lane road is revealed based on the numerical analyses of vehicular traffic with a discrete stochastic traffic flow model in the framework of three-phase traffic theory. We find that there is a critical speed of a moving bottleneck at which traffic breakdown, i.e. a first-order phase transition from free flow to synchronized flow, occurs spontaneously at the moving bottleneck, if the flow rate upstream of the bottleneck is great enough. The greater the flow rate, the higher the critical speed of the moving bottleneck. A diagram of congested traffic patterns at the moving bottleneck is found, which shows regions in the flow-rate-moving-bottleneck-speed plane in which congested patterns emerge spontaneously or can be induced through large enough disturbances in an initial free flow. A comparison of features of traffic breakdown and resulting congested patterns at the moving bottleneck with known ones at an on-ramp (and other motionless) bottleneck is made. Nonlinear features of complex interactions and transformations of congested traffic patterns occurring at on- and off-ramp bottlenecks due to the existence of the moving bottleneck are found. The physics of the phenomenon of traffic congestion due to 'elephant racing' on a multi-lane road is revealed.

  15. Congestion, air pollution, and road fatalities in urban areas.

    PubMed

    Shefer, D

    1994-08-01

    The continuous rapid growth in vehicle miles travelled coupled with the rapid increase in traffic congestion on highways of virtually every large urban area, explain a major portion of the observed deterioration of urban air quality. To halt this deterioration and to secure safe and healthy environments and improve the quality of life in our cities, it is useful to initiate and implement programs that treat jointly traffic congestion, air quality, and road safety. Market-based strategies, driven by price mechanisms, have been proposed as the best and most efficient way to decrease traffic congestion and to reduce vehicle emission. Congestion pricing, emission fees, reducing emissions of high-polluting vehicles, and introducing more efficient vehicle and/or fuel technologies are not mutually exclusive strategies and therefore they can be employed jointly within an overall strategy. In view of the conflicting objectives that may exist between improving urban air quality and reducing road fatalities and traffic congestion, it is of great importance to investigate thoroughly these functional relationships. The results of such studies will help decision makers identify the "socially optimal level of congestion" that will yield the highest net social benefit.

  16. Optimal structure of complex networks for minimizing traffic congestion.

    PubMed

    Zhao, Liang; Cupertino, Thiago Henrique; Park, Kwangho; Lai, Ying-Cheng; Jin, Xiaogang

    2007-12-01

    To design complex networks to minimize traffic congestion, it is necessary to understand how traffic flow depends on network structure. We study data packet flow on complex networks, where the packet delivery capacity of each node is not fixed. The optimal configuration of capacities to minimize traffic congestion is derived and the critical packet generating rate is determined, below which the network is at a free flow state but above which congestion occurs. Our analysis reveals a direct relation between network topology and traffic flow. Optimal network structure, free of traffic congestion, should have two features: uniform distribution of load over all nodes and small network diameter. This finding is confirmed by numerical simulations. Our analysis also makes it possible to theoretically compare the congestion conditions for different types of complex networks. In particular, we find that network with low critical generating rate is more susceptible to congestion. The comparison has been made on the following complex-network topologies: random, scale-free, and regular.

  17. Congestion, air pollution, and road fatalities in urban areas.

    PubMed

    Shefer, D

    1994-08-01

    The continuous rapid growth in vehicle miles travelled coupled with the rapid increase in traffic congestion on highways of virtually every large urban area, explain a major portion of the observed deterioration of urban air quality. To halt this deterioration and to secure safe and healthy environments and improve the quality of life in our cities, it is useful to initiate and implement programs that treat jointly traffic congestion, air quality, and road safety. Market-based strategies, driven by price mechanisms, have been proposed as the best and most efficient way to decrease traffic congestion and to reduce vehicle emission. Congestion pricing, emission fees, reducing emissions of high-polluting vehicles, and introducing more efficient vehicle and/or fuel technologies are not mutually exclusive strategies and therefore they can be employed jointly within an overall strategy. In view of the conflicting objectives that may exist between improving urban air quality and reducing road fatalities and traffic congestion, it is of great importance to investigate thoroughly these functional relationships. The results of such studies will help decision makers identify the "socially optimal level of congestion" that will yield the highest net social benefit. PMID:7522455

  18. Guidelines for development and implementation of state solid waste management plans and criteria for classification of solid waste disposal facilities and practices--Environmental Protection Agency. Final rule.

    PubMed

    1981-09-23

    This rule modifies the Environmental Protection Agency's Guidelines for the Development and Implementation of State Solid Waste Management Plans (40 CFR Part 256) and the Criteria for the Classification of Solid Waste Disposal Facilities and Practices (40 CFR Part 257). The Guidelines are being amended to expand public participation opportunities in the planning process and provide for expedited approval of certain portions of the State plans. The Criteria are being amended to modify the groundwater, surface water and air protection criteria. EPA is taking this action as part of a settlement agreement reached with industrial groups which have challenged these regulations in Federal Court.

  19. Comprehensive Child Welfare Information System. Final rule.

    PubMed

    2016-06-01

    This final rule replaces the Statewide and Tribal Automated Child Welfare Information Systems (S/TACWIS) rule with the Comprehensive Child Welfare Information System (CCWIS) rule. The rule also makes conforming amendments in rules in related requirements. This rule will assist title IV-E agencies in developing information management systems that leverage new innovations and technology in order to better serve children and families. More specifically, this final rule supports the use of cost-effective, innovative technologies to automate the collection of high-quality case management data and to promote its analysis, distribution, and use by workers, supervisors, administrators, researchers, and policy makers.

  20. Exploration of SWRL Rule Bases through Visualization, Paraphrasing, and Categorization of Rules

    NASA Astrophysics Data System (ADS)

    Hassanpour, Saeed; O'Connor, Martin J.; Das, Amar K.

    Rule bases are increasingly being used as repositories of knowledge content on the Semantic Web. As the size and complexity of these rule bases increases, developers and end users need methods of rule abstraction to facilitate rule management. In this paper, we describe a rule abstraction method for Semantic Web Rule Language (SWRL) rules that is based on lexical analysis and a set of heuristics. Our method results in a tree data structure that we exploit in creating techniques to visualize, paraphrase, and categorize SWRL rules. We evaluate our approach by applying it to several biomedical ontologies that contain SWRL rules, and show how the results reveal rule patterns within the rule base. We have implemented our method as a plug-in tool for Protégé-OWL, the most widely used ontology modeling software for the Semantic Web. Our tool can allow users to rapidly explore content and patterns in SWRL rule bases, enabling their acquisition and management.

  1. Congestion Control for a Fair Packet Delivery in WSN: From a Complex System Perspective

    PubMed Central

    2014-01-01

    In this work, we propose that packets travelling across a wireless sensor network (WSN) can be seen as the active agents that make up a complex system, just like a bird flock or a fish school, for instance. From this perspective, the tools and models that have been developed to study this kind of systems have been applied. This is in order to create a distributed congestion control based on a set of simple rules programmed at the nodes of the WSN. Our results show that it is possible to adapt the carried traffic to the network capacity, even under stressing conditions. Also, the network performance shows a smooth degradation when the traffic goes beyond a threshold which is settled by the proposed self-organized control. In contrast, without any control, the network collapses before this threshold. The use of the proposed solution provides an effective strategy to address some of the common problems found in WSN deployment by providing a fair packet delivery. In addition, the network congestion is mitigated using adaptive traffic mechanisms based on a satisfaction parameter assessed by each packet which has impact on the global satisfaction of the traffic carried by the WSN. PMID:25177722

  2. Congestion control for a fair packet delivery in WSN: from a complex system perspective.

    PubMed

    Aguirre-Guerrero, Daniela; Marcelín-Jiménez, Ricardo; Rodriguez-Colina, Enrique; Pascoe-Chalke, Michael

    2014-01-01

    In this work, we propose that packets travelling across a wireless sensor network (WSN) can be seen as the active agents that make up a complex system, just like a bird flock or a fish school, for instance. From this perspective, the tools and models that have been developed to study this kind of systems have been applied. This is in order to create a distributed congestion control based on a set of simple rules programmed at the nodes of the WSN. Our results show that it is possible to adapt the carried traffic to the network capacity, even under stressing conditions. Also, the network performance shows a smooth degradation when the traffic goes beyond a threshold which is settled by the proposed self-organized control. In contrast, without any control, the network collapses before this threshold. The use of the proposed solution provides an effective strategy to address some of the common problems found in WSN deployment by providing a fair packet delivery. In addition, the network congestion is mitigated using adaptive traffic mechanisms based on a satisfaction parameter assessed by each packet which has impact on the global satisfaction of the traffic carried by the WSN. PMID:25177722

  3. Quality of congestive heart failure care

    PubMed Central

    Maddocks, Heather; Marshall, J. Neil; Stewart, Moira; Terry, Amanda L.; Cejic, Sonny; Hammond, Jo-Anne; Jordan, John; Chevendra, Vijaya; Denomme, Louisa Bestard; Thind, Amardeep

    2010-01-01

    ABSTRACT OBJECTIVE To study the feasibility of using electronic medical record (EMR) data from the Deliver Primary Healthcare Information (DELPHI) database to measure quality of care for patients with congestive heart failure (CHF) in primary care and to determine the percentage of patients with CHF receiving the recommended care. DESIGN Items listed on the Ontario Ministry of Health and Long-Term Care Heart Failure Patient Care Flow Sheet (CHF flow sheet) were assessed and measured using EMRs of patients diagnosed with CHF between October 1, 2005, and September 30, 2008. SETTING Ten primary health care practices in southwestern Ontario. PARTICIPANTS Four hundred eighty-eight patients who were considered to have CHF because at least 1 of the following was indicated in their EMRs: an International Classification of Diseases billing code for CHF (category 428), an International Classification of Primary Care diagnosis code for heart failure (ie, K77), or “CHF” reported on the problem list. MAIN OUTCOME MEASURES Number of CHF flow sheet items that were measurable using EMR data from the DELPHI database. Percentage of patients with CHF receiving required quality-of-care items since the date of diagnosis. RESULTS The DELPHI database contained information on 60 (65.9%) of the 91 items identified using the CHF flow sheet. The recommended tests and procedures were recorded infrequently: 55.5% of patients with CHF had chest radiographs; 32.6% had electrocardiograms; 32.2% had echocardiograms; 30.5% were prescribed angiotensin-converting enzyme inhibitors; 20.9% were prescribed β-blockers; and 15.8% were prescribed angiotensin II receptor blockers. CONCLUSION Low frequencies of recommended care items for patients with CHF were recorded in the EMR. Physicians explained that CHF care was documented in areas of the EMR that contained patient identifiers, such as the encounter notes, and was therefore not part of the DELPHI database. Extractable information from the EMR

  4. Increasing Intelligence in Inter-Vehicle Communications to Reduce Traffic Congestions: Experiments in Urban and Highway Environments

    PubMed Central

    Filho, Geraldo P. R.; Guidoni, Daniel L.; Pessin, Gustavo; Villas, Leandro A.; Ueyama, Jó

    2016-01-01

    Intelligent Transportation Systems (ITS) rely on Inter-Vehicle Communication (IVC) to streamline the operation of vehicles by managing vehicle traffic, assisting drivers with safety and sharing information, as well as providing appropriate services for passengers. Traffic congestion is an urban mobility problem, which causes stress to drivers and economic losses. In this context, this work proposes a solution for the detection, dissemination and control of congested roads based on inter-vehicle communication, called INCIDEnT. The main goal of the proposed solution is to reduce the average trip time, CO emissions and fuel consumption by allowing motorists to avoid congested roads. The simulation results show that our proposed solution leads to short delays and a low overhead. Moreover, it is efficient with regard to the coverage of the event and the distance to which the information can be propagated. The findings of the investigation show that the proposed solution leads to (i) high hit rate in the classification of the level of congestion, (ii) a reduction in average trip time, (iii) a reduction in fuel consumption, and (iv) reduced CO emissions PMID:27526048

  5. Increasing Intelligence in Inter-Vehicle Communications to Reduce Traffic Congestions: Experiments in Urban and Highway Environments.

    PubMed

    Meneguette, Rodolfo I; Filho, Geraldo P R; Guidoni, Daniel L; Pessin, Gustavo; Villas, Leandro A; Ueyama, Jó

    2016-01-01

    Intelligent Transportation Systems (ITS) rely on Inter-Vehicle Communication (IVC) to streamline the operation of vehicles by managing vehicle traffic, assisting drivers with safety and sharing information, as well as providing appropriate services for passengers. Traffic congestion is an urban mobility problem, which causes stress to drivers and economic losses. In this context, this work proposes a solution for the detection, dissemination and control of congested roads based on inter-vehicle communication, called INCIDEnT. The main goal of the proposed solution is to reduce the average trip time, CO emissions and fuel consumption by allowing motorists to avoid congested roads. The simulation results show that our proposed solution leads to short delays and a low overhead. Moreover, it is efficient with regard to the coverage of the event and the distance to which the information can be propagated. The findings of the investigation show that the proposed solution leads to (i) high hit rate in the classification of the level of congestion, (ii) a reduction in average trip time, (iii) a reduction in fuel consumption, and (iv) reduced CO emissions. PMID:27526048

  6. A perspective on sympathetic renal denervation in chronic congestive heart failure.

    PubMed

    Madanieh, Raef; El-Hunjul, Mohammed; Alkhawam, Hassan; Kosmas, Constantine E; Madanieh, Abed; Vittorio, Timothy J

    2016-01-01

    Medical therapy has indisputably been the mainstay of management for chronic congestive heart failure. However, a significant percentage of patients continue to experience worsening heart failure (HF) symptoms despite treatment with multiple therapeutic agents. Recently, catheter-based interventional strategies that interrupt the renal sympathetic nervous system have shown promising results in providing better symptom control in patients with HF. In this article, we will review the pathophysiology of HF for better understanding of the interplay between the cardiovascular system and the kidney. Subsequently, we will briefly discuss pivotal renal denervation (RDN) therapy trials in patients with resistant hypertension and then present the available evidence on the role of RDN in HF therapy.

  7. Ventricular arrhythmias in congestive heart failure: clinical significance and management.

    PubMed Central

    Khoshnevis, G R; Massumi, A

    1999-01-01

    The benefit of defibrillator therapy has been well established for patients with LV dysfunction (ejection fraction less than 35%), coronary artery disease, NSVT, and inducible and nonsuppressible ventricular tachycardia. Implantable cardioverter-defibrillator therapy is also indicated for all CHF patients in NYHA functional classes I, II, and III who present with aborted sudden cardiac death, or ventricular fibrillation, or hemodynamically unstable ventricular tachycardia--and also in patients with syncope with no documented ventricular tachycardia but with inducible ventricular tachycardia at electrophysiology study. The ongoing MADIT II trial was designed to evaluate the benefit of prophylactic ICD implantation in these patients (ejection fraction less than 30%, coronary artery disease, and NSVT) without prior risk stratification by PES. The CABG Patch trial concluded that prophylactic placement of an ICD during coronary artery bypass grafting in patients with low ejection fraction and abnormal SAECG is not justifiable. Except for the indications described above, ICD implantation has not been proved to be beneficial as primary or secondary therapy. Until more data are available, patients should be encouraged to enroll in the ongoing clinical trials. PMID:10217470

  8. Research on Urban Road Traffic Congestion Charging Based on Sustainable Development

    NASA Astrophysics Data System (ADS)

    Ye, Sun

    Traffic congestion is a major problem which bothers our urban traffic sustainable development at present. Congestion charging is an effective measure to alleviate urban traffic congestion. The paper first probes into several key issues such as the goal, the pricing, the scope, the method and the redistribution of congestion charging from theoretical angle. Then it introduces congestion charging practice in Singapore and London and draws conclusion and suggestion that traffic congestion charging should take scientific plan, support of public, public transportation development as the premise.

  9. Reliability and Congestion Effects on Embedded Cost of Transmission Services

    NASA Astrophysics Data System (ADS)

    Shooshtari, Alireza Tavakoli; Joorabian, Mahmood; Milani, Armin Ebrahimi

    2011-06-01

    The aim of this paper is to make a novel method for calculating the investment cost of Transmission services. It should be noted that some considerations such as used capacity, profits of reliability and profits of decreasing congestion-the money allocated to transmission services- are also taken into account. The proposed method is tested on an 8 bus test system. All simulations are done in MATLAB environment, and MATPOWER is used for Power Flow Analysis. In order to verify the proposed method, the optimal results are compared with the pervious techniques. Therefore, the proposed technique in the paper has important effects on investment on transmission network by improving the profits of reliability and decreasing congestion. Furthermore, simulations show that increasing maximum acceptable level of current will decrease the profit of decreasing congestion.

  10. Significantly Elevated Liver Alkaline Phosphatase in Congestive Heart Failure

    PubMed Central

    Shamban, Leonid; Patel, Brijesh; Williams, Michael

    2014-01-01

    Congestive hepatopathy can have a mildly elevated liver profile, which should normalize with appropriate therapy. Liver specific alkaline phosphatase (ALP) in decompensated heart failure (HF) can be mildly elevated. The levels exceeding beyond the expected rise should be a concern and lead to further investigation. The literature reports insubstantial number of cases regarding significantly elevated levels of ALP and congestive hepatopathy. We report a case of a 45-year-old female with known history of severe cardiomyopathy that had persistently elevated levels of ALP. The extensive workup was negative for any specific pathology. The liver biopsy was consistent with congestive hepatopathy. The patient’s ALP levels decreased with aggressive diuretic therapy but still remained elevated.

  11. Traffic Congestion Detection System through Connected Vehicles and Big Data.

    PubMed

    Cárdenas-Benítez, Néstor; Aquino-Santos, Raúl; Magaña-Espinoza, Pedro; Aguilar-Velazco, José; Edwards-Block, Arthur; Medina Cass, Aldo

    2016-04-28

    This article discusses the simulation and evaluation of a traffic congestion detection system which combines inter-vehicular communications, fixed roadside infrastructure and infrastructure-to-infrastructure connectivity and big data. The system discussed in this article permits drivers to identify traffic congestion and change their routes accordingly, thus reducing the total emissions of CO₂ and decreasing travel time. This system monitors, processes and stores large amounts of data, which can detect traffic congestion in a precise way by means of a series of algorithms that reduces localized vehicular emission by rerouting vehicles. To simulate and evaluate the proposed system, a big data cluster was developed based on Cassandra, which was used in tandem with the OMNeT++ discreet event network simulator, coupled with the SUMO (Simulation of Urban MObility) traffic simulator and the Veins vehicular network framework. The results validate the efficiency of the traffic detection system and its positive impact in detecting, reporting and rerouting traffic when traffic events occur.

  12. Universal waste rule: Final rule issued. Environmental Guidance Regulatory Bulletin

    SciTech Connect

    1995-08-14

    On February 11, 1993, EPA proposed to streamline the management requirements for certain hazardous wastes that were generated in large quantities by a variety of generators (i.e., residential, small businesses, industries, etc.). EPA`s intention was to facilitate the environmentally sound collection and disposal of these types of wastes. In this proposed rule, EPA termed these types of hazardous wastes ``universal wastes`` and developed a management system which was less stringent than the existing Subtitle C regulations. EPA proposed that the following three types of hazardous wastes be managed as universal wastes: batteries, certain pesticides, and thermostats. Because EPA believed that the authority to propose the promulgation of the universal waste rule was not significantly linked to HSWA provisions, the Agency proposed the promulgation of the universal waste rule under pre-HSWA authority. On May 11, 1995, at FR 25492, EPA promulgated a pre-HSWA rule that streamlined hazardous waste management regulations for universal wastes.

  13. Gene transfer for congestive heart failure: update 2013.

    PubMed

    Tang, Tong; Hammond, H Kirk

    2013-04-01

    Congestive heart failure is a major cause of morbidity and mortality with increasing social and economic costs. There have been no new high impact therapeutic agents for this devastating disease for more than a decade. However, many pivotal regulators of cardiac function have been identified using cardiac-directed transgene expression and gene deletion in preclinical studies. Some of these increase function of the failing heart. Altering the expression of these pivotal regulators using gene transfer is now either being tested in clinical gene transfer trials, or soon will be. In this review, we summarize recent progress in cardiac gene transfer for clinical congestive heart failure.

  14. Congestion estimation technique in the optical network unit registration process.

    PubMed

    Kim, Geunyong; Yoo, Hark; Lee, Dongsoo; Kim, Youngsun; Lim, Hyuk

    2016-07-01

    We present a congestion estimation technique (CET) to estimate the optical network unit (ONU) registration success ratio for the ONU registration process in passive optical networks. An optical line terminal (OLT) estimates the number of collided ONUs via the proposed scheme during the serial number state. The OLT can obtain congestion level among ONUs to be registered such that this information may be exploited to change the size of a quiet window to decrease the collision probability. We verified the efficiency of the proposed method through simulation and experimental results.

  15. 76 FR 31979 - Notice of Interim Final Supplementary Rules for Public Lands Managed by the Ukiah Field Office in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... purposes. Sink Hole means a natural depression or hole in the surface topography caused by the removal of...), Black Forest--247 acres (Scattered Tracts Management Area, Lake County), and The Cedars of Sonoma County... Creek, Cow Mountain, Knoxville, Geysers, Indian Valley, Black Forest, the Cedars of Sonoma County...

  16. A theoretical model for the development of a diagnosis-based clinical decision rule for the management of patients with spinal pain

    PubMed Central

    Murphy, Donald R; Hurwitz, Eric L

    2007-01-01

    Background Spinal pain is a common problem, and disability related to spinal pain has great consequence in terms of human suffering, medical costs and costs to society. The traditional approach to the non-surgical management of patients with spinal pain, as well as to research in spinal pain, has been such that the type of treatment any given patient receives is determined more by what type of practitioner he or she sees, rather than by diagnosis. Furthermore, determination of treatment depends more on the type of practitioner than by the needs of the patient. Much needed is an approach to clinical management and research that allows clinicians to base treatment decisions on a reliable and valid diagnostic strategy leading to treatment choices that result in demonstrable outcomes in terms of pain relief and functional improvement. The challenges of diagnosis in patients with spinal pain, however, are that spinal pain is often multifactorial, the factors involved are wide ranging, and for most of these factors there exist no definitive objective tests. Discussion The theoretical model of a diagnosis-based clinical decision rule has been developed that may provide clinicians with an approach to non-surgical spine pain patients that allows for specific treatment decisions based on a specific diagnosis. This is not a classification scheme, but a thought process that attempts to identify most important features present in each individual patient. Presented here is a description of the proposed approach, in which reliable and valid assessment procedures are used to arrive at a working diagnosis which considers the disparate factors contributing to spinal pain. Treatment decisions are based on the diagnosis and the outcome of treatment can be measured. Summary In this paper, the theoretical model of a proposed diagnosis-based clinical decision rule is presented. In a subsequent manuscript, the current evidence for the approach will be systematically reviewed, and we will

  17. Congestion Control in TCP/AQM Networks Using a Disturbance Observer

    NASA Astrophysics Data System (ADS)

    Kubo, Ryogo; Kani, Junichi; Fujimoto, Yukihiro

    This paper presents a novel congestion controller for transmission control protocol/active queue management (TCP/AQM) networks. In order to maintain the queue length to a value less than the buffer size at the aggregation nodes, the queue management mechanism drops some packets depending on the probability calculated by a congestion controller. However, conventional controllers such as random early detection (RED) algorithms and proportional-integral-derivative (PID)-based controllers are not compatible with parameter variation in TCP/AQM networks. Parameter variation in TCP/AQM networks includes the change of the number of TCP connections, the inflow of user datagram protocol (UDP) flows and so on. In the proposed method, the effect of parameter variation is estimated as drop probability disturbance by using a disturbance observer (DOB). By using the DOB, disturbance suppression characteristics of the controlled system can be drastically improved. In addition, the TCP/AQM network system is analyzed on the basis of an acceleration control scheme. The proposed method is validated by simulation studies performed using a nonlinear model of a TCP/AQM network and verifications made using the network simulator ns-2.

  18. Analysis of traffic congestion induced by the work zone

    NASA Astrophysics Data System (ADS)

    Fei, L.; Zhu, H. B.; Han, X. L.

    2016-05-01

    Based on the cellular automata model, a meticulous two-lane cellular automata model is proposed, in which the driving behavior difference and the difference of vehicles' accelerations between the moving state and the starting state are taken into account. Furthermore the vehicles' motion is refined by using the small cell of one meter long. Then accompanied by coming up with a traffic management measure, a two-lane highway traffic model containing a work zone is presented, in which the road is divided into normal area, merging area and work zone. The vehicles in different areas move forward according to different lane changing rules and position updating rules. After simulation it is found that when the density is small the cluster length in front of the work zone increases with the decrease of the merging probability. Then the suitable merging length and the appropriate speed limit value are recommended. The simulation result in the form of the speed-flow diagram is in good agreement with the empirical data. It indicates that the presented model is efficient and can partially reflect the real traffic. The results may be meaningful for traffic optimization and road construction management.

  19. Understanding congestion in China's medical market: an incentive structure perspective.

    PubMed

    Sun, Zesheng; Wang, Shuhong; Barnes, Stephen R

    2016-04-01

    Congestion has become one of the most important factors leading to patient dissatisfaction and doctor-patient conflicts in the medical market of China. In this study, we explore the causes and effects of structural congestion in the Chinese medical market from an incentive structure perspective. Our analysis reveals that prior medical system reforms with price regulation in China have induced hospitals to establish incentives for capital-intensive investments, while ignoring human capital, and have driven medical staff and patients to higher-level hospitals, reinforcing an incentive structure in which congestion in higher-level hospitals and idle resources in lower-level hospitals coexist. The existing incentive structure has led to cost increases and degradation of human capital and specific factor effects. Recent reforms to reduce congestion in the Chinese medical market were not effective. Most of them had no impact on and did not involve the existing distorted incentive structure. Future reforms should consider rebalancing expectations for medical quality, free flow of human capital and price regulation reforms to rebuild a new incentive structure. PMID:26185181

  20. Teaching Congestive Heart Failure to Doctor of Pharmacy Students.

    ERIC Educational Resources Information Center

    Parker, Robert B.

    1992-01-01

    This paper summarizes a lecture given to pharmacy students that emphasizes the pathophysiologic mechanisms causing congestive heart failure and the effects of drugs on these mechanisms. The approach shows the importance of drug therapy in this disorder and how this knowledge can improve patient care. An appendix provides a case study. (GLR)

  1. Cooperative multiagent congestion control for high-speed networks.

    PubMed

    Hwang, Kao-Shing; Tan, Shun-Wen; Hsiao, Ming-Chang; Wu, Cheng-Shong

    2005-04-01

    An adaptive multiagent reinforcement learning method for solving congestion control problems on dynamic high-speed networks is presented. Traditional reactive congestion control selects a source rate in terms of the queue length restricted to a predefined threshold. However, the determination of congestion threshold and sending rate is difficult and inaccurate due to the propagation delay and the dynamic nature of the networks. A simple and robust cooperative multiagent congestion controller (CMCC), which consists of two subsystems: a long-term policy evaluator, expectation-return predictor and a short-term rate selector composed of action-value evaluator and stochastic action selector elements has been proposed to solve the problem. After receiving cooperative reinforcement signals generated by a cooperative fuzzy reward evaluator using game theory, CMCC takes the best action to regulate source flow with the features of high throughput and low packet loss rate. By means of learning procedures, CMCC can learn to take correct actions adaptively under time-varying environments. Simulation results showed that the proposed approach can promote the system utilization and decrease packet losses simultaneously.

  2. Nuclear angiography in a dog with congestive cardiomyopathy

    SciTech Connect

    Lippert, A.C.; Twardock, A.R.; Gelberg, H.B.

    1986-03-01

    Nuclear angiography was used as a diagnostic aid and in monitoring the clinical course of a case of congestive cardiomyopathy in a dog. Serial examinations revealed progressively deteriorating values for left ventricular ejection fraction before the dog's death. This noninvasive technique can be an alternative to echocardiography for the evaluation of cardiac performance.

  3. Intramembrane congestion effects on lysenin channel voltage-induced gating

    PubMed Central

    Krueger, Eric; Bryant, Sheenah; Shrestha, Nisha; Clark, Tyler; Hanna, Charles; Pink, David; Fologea, Daniel

    2016-01-01

    All cell membranes are packed with proteins. The ability to investigate the regulatory mechanisms of protein channels in experimental conditions mimicking their congested native environment is crucial for understanding the environmental physicochemical cues that may fundamentally contribute to their functionality in natural membranes. Here we report on investigations of the voltage-induced gating of lysenin channels in congested conditions experimentally achieved by increasing the number of channels inserted into planar lipid membranes. Typical electrophysiology measurements reveal congestion-induced changes to the voltage-induced gating, manifested as a significant reduction of the response to external voltage stimuli. Furthermore, we demonstrate a similar diminished voltage sensitivity for smaller populations of channels by reducing the amount of sphingomyelin in the membrane. Given lysenin’s preference for targeting lipid rafts, this result indicates the potential role of the heterogeneous organization of the membrane in modulating channel functionality. Our work indicates that local congestion within membranes may alter the energy landscape and the kinetics of conformational changes of lysenin channels in response to voltage stimuli. This level of understanding may be extended to better characterize the role of the specific membrane environment in modulating the biological functionality of protein channels in health and disease. PMID:26695013

  4. Understanding congestion in China's medical market: an incentive structure perspective.

    PubMed

    Sun, Zesheng; Wang, Shuhong; Barnes, Stephen R

    2016-04-01

    Congestion has become one of the most important factors leading to patient dissatisfaction and doctor-patient conflicts in the medical market of China. In this study, we explore the causes and effects of structural congestion in the Chinese medical market from an incentive structure perspective. Our analysis reveals that prior medical system reforms with price regulation in China have induced hospitals to establish incentives for capital-intensive investments, while ignoring human capital, and have driven medical staff and patients to higher-level hospitals, reinforcing an incentive structure in which congestion in higher-level hospitals and idle resources in lower-level hospitals coexist. The existing incentive structure has led to cost increases and degradation of human capital and specific factor effects. Recent reforms to reduce congestion in the Chinese medical market were not effective. Most of them had no impact on and did not involve the existing distorted incentive structure. Future reforms should consider rebalancing expectations for medical quality, free flow of human capital and price regulation reforms to rebuild a new incentive structure.

  5. Flow and congestion control for Internet media streaming applications

    NASA Astrophysics Data System (ADS)

    Cen, Shanwei; Walpole, Jonathan; Pu, Calton

    1997-12-01

    The emergence of streaming multimedia players provides users with low latency audio and video content over the Internet. Providing high-quality, best-effort, real-time multimedia content requires adaptive delivery schemes that fairly share the available network bandwidth with reliable data protocols such as TCP. This paper proposes a new flow and congestion control scheme, SCP (streaming control protocol), for real- time streaming of continuous multimedia data across the Internet. The design of SCP arose from several years of experience in building and using adaptive real-time streaming video players. SCP addresses two issues associated with real- time streaming. First, it uses a congestion control policy that allows it to share network bandwidth fairly with both TCP and other SCP streams. Second, it improves smoothness in streaming and ensures low, predictable latency. This distinguishes it from TCP's jittery congestion avoidance policy that is based on linear growth and one-half reduction of its congestion window. In this paper, we present a description of SCP, and an evaluation of it using Internet- based experiments.

  6. Reinforcement learning for congestion-avoidance in packet flow

    NASA Astrophysics Data System (ADS)

    Horiguchi, Tsuyoshi; Hayashi, Keisuke; Tretiakov, Alexei

    2005-04-01

    Occurrence of congestion of packet flow in computer networks is one of the unfavorable problems in packet communication and hence its avoidance should be investigated. We use a neural network model for packet routing control in a computer network proposed in a previous paper by Horiguchi and Ishioka (Physica A 297 (2001) 521). If we assume that the packets are not sent to nodes whose buffers are already full of packets, then we find that traffic congestion occurs when the number of packets in the computer network is larger than some critical value. In order to avoid the congestion, we introduce reinforcement learning for a control parameter in the neural network model. We find that the congestion is avoided by the reinforcement learning and at the same time we have good performance for the throughput. We investigate the packet flow on computer networks of various types of topology such as a regular network, a network with fractal structure, a small-world network, a scale-free network and so on.

  7. 44 CFR 1.5 - Rules docket.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Rules docket. 1.5 Section 1.5 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL RULEMAKING; POLICY AND PROCEDURES General § 1.5 Rules docket. (a) Documents which are...

  8. Transport growth in Bangkok: Energy, environment, and traffic congestion. Workshop proceedings

    SciTech Connect

    Philpott, J.

    1995-07-01

    Bangkok, the capital of Thailand, is a physically and economically complexcity with a complicated transport system. With daily traffic congestion averaging 16 hours, the air quality is such that to breathe street level pollution for 8 eight hours is roughly equivalent to smoking nine cigarettes per day. Estimates suggest idling traffic costs up to $1.6 billion annually. Energy use within the transport sector is on a steady rise with an estimated increase in 11 years of two and one half times. Severe health impacts have begun to effect many residents - young children and the elderly being particularly vulnerable. Bangkok`s air quality and congestion problems are far from hopeless. Great potential exists for Bangkok to remedy its transport-related problems. The city has many necessary characteristics that allow an efficient, economical system of transport. For example, its high density level makes the city a prime candidate for an efficient system of mass transit and the multitude and close proximity of shops, street vendors, restaurants, and residential areas is highly conducive to walking and cycling. Technical knowledge and capacity to devise and implement innovative policies and projects to address air quality and congestion problems is plentiful. There is also consensus among Bangkokians that something needs to be done immediately to clear the air and the roads. However, little has been done. This report proposes a new approach to transport planning for Bangkok that integrates consideration of ecological, social, and financial viability in the process of making decisions regarding managing existing infrastructure and investments in new infrastructure. Selected papers have been indexed separately for inclusion in the Energy Science and Technology Database.

  9. Increased walking variability in elderly persons with congestive heart failure

    NASA Technical Reports Server (NTRS)

    Hausdorff, J. M.; Forman, D. E.; Ladin, Z.; Goldberger, A. L.; Rigney, D. R.; Wei, J. Y.

    1994-01-01

    OBJECTIVES: To determine the effects of congestive heart failure on a person's ability to walk at a steady pace while ambulating at a self-determined rate. SETTING: Beth Israel Hospital, Boston, a primary and tertiary teaching hospital, and a social activity center for elderly adults living in the community. PARTICIPANTS: Eleven elderly subjects (aged 70-93 years) with well compensated congestive heart failure (NY Heart Association class I or II), seven elderly subjects (aged 70-79 years) without congestive heart failure, and 10 healthy young adult subjects (aged 20-30 years). MEASUREMENTS: Subjects walked for 8 minutes on level ground at their own selected walking rate. Footswitches were used to measure the time between steps. Step rate (steps/minute) and step rate variability were calculated for the entire walking period, for 30 seconds during the first minute of the walk, for 30 seconds during the last minute of the walk, and for the 30-second period when each subject's step rate variability was minimal. Group means and 5% and 95% confidence intervals were computed. MAIN RESULTS: All measures of walking variability were significantly increased in the elderly subjects with congestive heart failure, intermediate in the elderly controls, and lowest in the young subjects. There was no overlap between the three groups using the minimal 30-second variability (elderly CHF vs elderly controls: P < 0.001, elderly controls vs young: P < 0.001), and no overlap between elderly subjects with and without congestive heart failure when using the overall variability. For all four measures, there was no overlap in any of the confidence intervals, and all group means were significantly different (P < 0.05).

  10. Site selection for managed aquifer recharge using fuzzy rules: integrating geographical information system (GIS) tools and multi-criteria decision making

    NASA Astrophysics Data System (ADS)

    Malekmohammadi, Bahram; Ramezani Mehrian, Majid; Jafari, Hamid Reza

    2012-11-01

    One of the most important water-resources management strategies for arid lands is managed aquifer recharge (MAR). In establishing a MAR scheme, site selection is the prime prerequisite that can be assisted by geographic information system (GIS) tools. One of the most important uncertainties in the site-selection process using GIS is finite ranges or intervals resulting from data classification. In order to reduce these uncertainties, a novel method has been developed involving the integration of multi-criteria decision making (MCDM), GIS, and a fuzzy inference system (FIS). The Shemil-Ashkara plain in the Hormozgan Province of Iran was selected as the case study; slope, geology, groundwater depth, potential for runoff, land use, and groundwater electrical conductivity have been considered as site-selection factors. By defining fuzzy membership functions for the input layers and the output layer, and by constructing fuzzy rules, a FIS has been developed. Comparison of the results produced by the proposed method and the traditional simple additive weighted (SAW) method shows that the proposed method yields more precise results. In conclusion, fuzzy-set theory can be an effective method to overcome associated uncertainties in classification of geographic information data.

  11. Fluid Volume Overload and Congestion in Heart Failure: Time to Reconsider Pathophysiology and How Volume Is Assessed.

    PubMed

    Miller, Wayne L

    2016-08-01

    Volume regulation, assessment, and management remain basic issues in patients with heart failure. The discussion presented here is directed at opening a reassessment of the pathophysiology of congestion in congestive heart failure and the methods by which we determine volume overload status. Peer-reviewed historical and contemporary literatures are reviewed. Volume overload and fluid congestion remain primary issues for patients with chronic heart failure. The pathophysiology is complex, and the simple concept of intravascular fluid accumulation is not adequate. The dynamics of interstitial and intravascular fluid compartment interactions and fluid redistribution from venous splanchnic beds to central pulmonary circulation need to be taken into account in strategies of volume management. Clinical bedside evaluations and right heart hemodynamic assessments can alert clinicians of changes in volume status, but only the quantitative measurement of total blood volume can help identify the heterogeneity in plasma volume and red blood cell mass that are features of volume overload in patients with chronic heart failure and help guide individualized, appropriate therapy-not all volume overload is the same.

  12. Hopf bifurcation and uncontrolled stochastic traffic-induced chaos in an RED-AQM congestion control system

    NASA Astrophysics Data System (ADS)

    Wang, Jun-Song; Yuan, Rui-Xi; Gao, Zhi-Wei; Wang, De-Jin

    2011-09-01

    We study the Hopf bifurcation and the chaos phenomena in a random early detection-based active queue management (RED-AQM) congestion control system with a communication delay. We prove that there is a critical value of the communication delay for the stability of the RED-AQM control system. Furthermore, we show that the system will lose its stability and Hopf bifurcations will occur when the delay exceeds the critical value. When the delay is close to its critical value, we demonstrate that typical chaos patterns may be induced by the uncontrolled stochastic traffic in the RED-AQM control system even if the system is still stable, which reveals a new route to the chaos besides the bifurcation in the network congestion control system. Numerical simulations are given to illustrate the theoretical results.

  13. School Children's Reasoning about School Rules

    ERIC Educational Resources Information Center

    Thornberg, Robert

    2008-01-01

    School rules are usually associated with classroom management and school discipline. However, rules also define ways of thinking about oneself and the world. Rules are guidelines for actions and for the evaluation of actions in terms of good and bad, or right and wrong, and therefore a part of moral or values education in school. This study is a…

  14. Mineralocorticoid receptor antagonists as diuretics: Can congestive heart failure learn from liver failure?

    PubMed

    Masoumi, Amirali; Ortiz, Fernando; Radhakrishnan, Jai; Schrier, Robert W; Colombo, Paolo C

    2015-05-01

    Despite significant improvements in diagnosis, understanding the pathophysiology and management of the patients with acute decompensated heart failure (ADHF), diuretic resistance, yet to be clearly defined, is a major hurdle. Secondary hyperaldosteronism is a pivotal factor in pathogenesis of sodium retention, refractory congestion in heart failure (HF) as well as diuretic resistance. In patients with decompensated cirrhosis who suffer from ascites, similar pathophysiological complications have been recognized. Administration of natriuretic doses of mineralocorticoid receptor antagonists (MRAs) has been well established in management of cirrhotic patients. However, this strategy in patients with ADHF has not been well studied. This article will discuss the potential use of natriuretic doses of MRAs to overcome the secondary hyperaldosteronism as an alternative diuretic regimen in patients with HF.

  15. Mineralocorticoid receptor antagonists as diuretics: Can congestive heart failure learn from liver failure?

    PubMed Central

    Ortiz, Fernando; Radhakrishnan, Jai; Schrier, Robert W.; Colombo, Paolo C.

    2014-01-01

    Despite significant improvements in diagnosis, understanding the pathophysiology and management of the patients with acute decompensated heart failure (ADHF), diuretic resistance, yet to be clearly defined, is a major hurdle. Secondary hyperaldosteronism is a pivotal factor in pathogenesis of sodium retention, refractory congestion in heart failure (HF) as well as diuretic resistance. In patients with decompensated cirrhosis who suffer from ascites, similar pathophysiological complications have been recognized. Administration of natriuretic doses of mineralocorticoid receptor antagonists (MRAs) has been well established in management of cirrhotic patients. However, this strategy in patients with ADHF has not been well studied. This article will discuss the potential use of natriuretic doses of MRAs to overcome the secondary hyperaldosteronism as an alternative diuretic regimen in patients with HF. PMID:25447845

  16. Using explicit decision rules to manage issues of justice, risk, and ethics in decision analysis: when is it not rational to maximize expected utility?

    PubMed

    Deber, R B; Goel, V

    1990-01-01

    Concepts of justice, risk, and ethics can be merged with decision analysis by requiring the analyst to specify explicity a decision rule or sequence of rules. Decision rules are categorized by whether they consider: 1) aspects of outcome distributions beyond central tendencies; 2) probabilities as well as utilities of outcomes; and 3) means as well as ends. This formulation suggests that distribution-based decision rules could address both risk (for an individual) and justice (for the population). Rational choice under risk if choices are one-time only (vs. repeated events) or if one branch contains unlikely but disastrous outcomes might ignore probability information. Incorporating risk attitude into decision rules rather than utilities could facilitate use of multiattribute approaches to measuring outcomes. Certain ethical concerns could be addressed by prior specification of rules for allowing particular branches. Examples, including selection of polio vaccine strategies, are discussed, and theoretical and practical implications of a decision rule approach noted. PMID:2196412

  17. Congestion Avoidance Control through Non-cooperative Games between Customers and Service Providers

    NASA Astrophysics Data System (ADS)

    Charilas, Dimitris E.; Panagopoulos, Athanasios D.; Vlacheas, Panagiotis; Markaki, Ourania I.; Constantinou, Philip

    Congestion avoidance control refers to controlling the load of the network by restricting the admission of new user’s sessions and resolving the unwanted overload situations. Admission control and Load control constitute key mechanisms regarding Radio Resource Management. As the wireless world is moving towards heterogeneous wireless networks, these types of control are facing more challenges, since efficiency and fairness are required. Game theory provides an appropriate framework for formulating fair and efficient congestion avoidance control problems. In this paper we formulate a non-cooperative game between service providers and customers. On the one hand, the service providers wish to maximize their revenue, but on the other hand, the users wish to maximize the quality of service received, keeping at the same time the expenses as low as possible. Therefore a balance has to be established among these contradictory demands. Our effort also concentrates in the proper modeling of the user’s level of satisfaction, so as to provide a logical decision-taking framework. The proposed scheme is then tested using the ns2 simulator. Results show that both parties can benefit from this mechanism.

  18. Collaboration rules.

    PubMed

    Evans, Philip; Wolf, Bob

    2005-01-01

    Corporate leaders seeking to boost growth, learning, and innovation may find the answer in a surprising place: the Linux open-source software community. Linux is developed by an essentially volunteer, self-organizing community of thousands of programmers. Most leaders would sell their grandmothers for workforces that collaborate as efficiently, frictionlessly, and creatively as the self-styled Linux hackers. But Linux is software, and software is hardly a model for mainstream business. The authors have, nonetheless, found surprising parallels between the anarchistic, caffeinated, hirsute world of Linux hackers and the disciplined, tea-sipping, clean-cut world of Toyota engineering. Specifically, Toyota and Linux operate by rules that blend the self-organizing advantages of markets with the low transaction costs of hierarchies. In place of markets' cash and contracts and hierarchies' authority are rules about how individuals and groups work together (with rigorous discipline); how they communicate (widely and with granularity); and how leaders guide them toward a common goal (through example). Those rules, augmented by simple communication technologies and a lack of legal barriers to sharing information, create rich common knowledge, the ability to organize teams modularly, extraordinary motivation, and high levels of trust, which radically lowers transaction costs. Low transaction costs, in turn, make it profitable for organizations to perform more and smaller transactions--and so increase the pace and flexibility typical of high-performance organizations. Once the system achieves critical mass, it feeds on itself. The larger the system, the more broadly shared the knowledge, language, and work style. The greater individuals' reputational capital, the louder the applause and the stronger the motivation. The success of Linux is evidence of the power of that virtuous circle. Toyota's success is evidence that it is also powerful in conventional companies. PMID

  19. Collaboration rules.

    PubMed

    Evans, Philip; Wolf, Bob

    2005-01-01

    Corporate leaders seeking to boost growth, learning, and innovation may find the answer in a surprising place: the Linux open-source software community. Linux is developed by an essentially volunteer, self-organizing community of thousands of programmers. Most leaders would sell their grandmothers for workforces that collaborate as efficiently, frictionlessly, and creatively as the self-styled Linux hackers. But Linux is software, and software is hardly a model for mainstream business. The authors have, nonetheless, found surprising parallels between the anarchistic, caffeinated, hirsute world of Linux hackers and the disciplined, tea-sipping, clean-cut world of Toyota engineering. Specifically, Toyota and Linux operate by rules that blend the self-organizing advantages of markets with the low transaction costs of hierarchies. In place of markets' cash and contracts and hierarchies' authority are rules about how individuals and groups work together (with rigorous discipline); how they communicate (widely and with granularity); and how leaders guide them toward a common goal (through example). Those rules, augmented by simple communication technologies and a lack of legal barriers to sharing information, create rich common knowledge, the ability to organize teams modularly, extraordinary motivation, and high levels of trust, which radically lowers transaction costs. Low transaction costs, in turn, make it profitable for organizations to perform more and smaller transactions--and so increase the pace and flexibility typical of high-performance organizations. Once the system achieves critical mass, it feeds on itself. The larger the system, the more broadly shared the knowledge, language, and work style. The greater individuals' reputational capital, the louder the applause and the stronger the motivation. The success of Linux is evidence of the power of that virtuous circle. Toyota's success is evidence that it is also powerful in conventional companies.

  20. Application of Epidemiology Model on Complex Networks in Propagation Dynamics of Airspace Congestion.

    PubMed

    Dai, Xiaoxu; Hu, Minghua; Tian, Wen; Xie, Daoyi; Hu, Bin

    2016-01-01

    This paper presents a propagation dynamics model for congestion propagation in complex networks of airspace. It investigates the application of an epidemiology model to complex networks by comparing the similarities and differences between congestion propagation and epidemic transmission. The model developed satisfies the constraints of actual motion in airspace, based on the epidemiology model. Exploiting the constraint that the evolution of congestion cluster in the airspace is always dynamic and heterogeneous, the SIR epidemiology model (one of the classical models in epidemic spreading) with logistic increase is applied to congestion propagation and shown to be more accurate in predicting the evolution of congestion peak than the model based on probability, which is common to predict the congestion propagation. Results from sample data show that the model not only predicts accurately the value and time of congestion peak, but also describes accurately the characteristics of congestion propagation. Then, a numerical study is performed in which it is demonstrated that the structure of the networks have different effects on congestion propagation in airspace. It is shown that in regions with severe congestion, the adjustment of dissipation rate is more significant than propagation rate in controlling the propagation of congestion. PMID:27336405

  1. Application of Epidemiology Model on Complex Networks in Propagation Dynamics of Airspace Congestion

    PubMed Central

    Dai, Xiaoxu; Hu, Minghua; Tian, Wen; Xie, Daoyi; Hu, Bin

    2016-01-01

    This paper presents a propagation dynamics model for congestion propagation in complex networks of airspace. It investigates the application of an epidemiology model to complex networks by comparing the similarities and differences between congestion propagation and epidemic transmission. The model developed satisfies the constraints of actual motion in airspace, based on the epidemiology model. Exploiting the constraint that the evolution of congestion cluster in the airspace is always dynamic and heterogeneous, the SIR epidemiology model (one of the classical models in epidemic spreading) with logistic increase is applied to congestion propagation and shown to be more accurate in predicting the evolution of congestion peak than the model based on probability, which is common to predict the congestion propagation. Results from sample data show that the model not only predicts accurately the value and time of congestion peak, but also describes accurately the characteristics of congestion propagation. Then, a numerical study is performed in which it is demonstrated that the structure of the networks have different effects on congestion propagation in airspace. It is shown that in regions with severe congestion, the adjustment of dissipation rate is more significant than propagation rate in controlling the propagation of congestion. PMID:27336405

  2. Evaluation of the efficacy of a nurse practitioner-led home-based congestive heart failure clinical pathway.

    PubMed

    Moore, Jo-Ann Mary

    2016-01-01

    Frequent exacerbations of symptoms and financial penalties for 30-day hospital readmissions of patients with congestive heart failure (CHF) have led to new disease management approaches. A nurse practitioner (NP)-led interdisciplinary program for CHF management that included home telemonitoring and early NP assessments and interventions was piloted by a home health agency. A 4-month evaluation of the efficacy of a clinical pathway for CHF patients resulted in the enrollment of 22 CHF patients in the program. Two clients were readmitted within 30 days. The new program was effective in reducing 30-day readmission rates to 9% compared to the national average of 23%.

  3. How congestion shapes cities: from mobility patterns to scaling

    NASA Astrophysics Data System (ADS)

    Louf, Rémi; Barthelemy, Marc

    2014-07-01

    The recent availability of data for cities has allowed scientists to exhibit scalings which present themselves in the form of a power-law dependence on population of various socio-economical and structural indicators. We propose here a stochastic theory of urban growth which accounts for some of the observed scalings and we confirm these predictions on US and OECD empirical data. In particular, we show that the dependence on population size of the total number of miles driven daily, the total length of the road network, the total traffic delay, the total consumption of gasoline, the quantity of CO2 emitted and the relation between area and population of cities, are all governed by a single parameter which characterizes the sensitivity to congestion. Our results suggest that diseconomies associated with congestion scale superlinearly with population size, implying that -despite polycentrism- cities whose transportation infrastructure rely heavily on traffic sensitive modes are unsustainable.

  4. How congestion shapes cities: from mobility patterns to scaling.

    PubMed

    Louf, Rémi; Barthelemy, Marc

    2014-01-01

    The recent availability of data for cities has allowed scientists to exhibit scalings which present themselves in the form of a power-law dependence on population of various socio-economical and structural indicators. We propose here a stochastic theory of urban growth which accounts for some of the observed scalings and we confirm these predictions on US and OECD empirical data. In particular, we show that the dependence on population size of the total number of miles driven daily, the total length of the road network, the total traffic delay, the total consumption of gasoline, the quantity of CO2 emitted and the relation between area and population of cities, are all governed by a single parameter which characterizes the sensitivity to congestion. Our results suggest that diseconomies associated with congestion scale superlinearly with population size, implying that -despite polycentrism- cities whose transportation infrastructure rely heavily on traffic sensitive modes are unsustainable.

  5. Evolution of the chronic congestive heart failure paradigm.

    PubMed

    Savino, John A; Kosmas, Constantine E; Wagman, Gabriel; Vittorio, Timothy J

    2013-01-01

    Paradigms are a part of our human nature. In the world of medicine and science, they allow investigators to work within a particular, previously accepted framework that provides certain constraints. This is the crux of Newton's quote, "If I've seen so far it's because I stood upon the shoulders of giants." However, in the same way that it allows us to build, it can constrain our thought processes if we fail to accept new data that are ill suited to an accepted paradigm. The physiological mechanisms to explain the phenomenon of chronic congestive heart failure are similar to other paradigms of science, in that they have undergone several shifts throughout their history, and continue to change with new evidence. Here, we seek to explore how our understanding of congestive heart failure has changed.

  6. The case for treating refractory congestive heart failure with ultrafiltration.

    PubMed

    Canaud, Bernard; Bowry, Sudhir K; Tetta, Ciro; Gatti, Emanuele

    2014-01-01

    Extracellular fluid retention and congestion is a fundamental manifestation of heart failure (HF) and cardiorenal syndrome (CRS). Patients are normally hospitalized and treated with diuretics, but their outcomes are often poor as severe congestion and diuretics resistance is the primary cause of HF-related hospital admissions and readmissions. Isolated ultrafiltration (UF), which can be considered as a 'mechanical diuretic and natriuretic' tool, offers promise in achieving safe and effective fluid volume removal in HF patients with CRS who are resistant to stepwise guided diuretic therapy. This paper outlines the rationale for machine-driven isolated UF in CRS and the available clinical evidence regarding its use in patients with HF. In addition, this article summarizes some future clinical perspectives for expanding the use of UF therapy in HF patients in order to improve outcomes. PMID:25196568

  7. Decreased renal clearance of digoxin in chronic congestive heart failure.

    PubMed

    Naafs, M A; van der Hoek, C; van Duin, S; Koorevaar, G; Schopman, W; Silberbusch, J

    1985-01-01

    Renal digoxin clearance was compared in patients suffering from atrial fibrillation with well preserved cardiac function (n = 9; salt intake +/- 170 mmol daily) and patients with chronic congestive heart failure (n = 10; salt intake 50 mmol daily and maintenance treatment with diuretics). There was no difference between the groups concerning digoxin dosage, creatinine clearance, diuresis or sodium excretion in the urine. Digoxin clearance in chronic heart failure proved to be significantly lower than in atrial fibrillation (48 +/- 21 vs 71 +/- 36 ml X min-1, p less than 0.05), and Cdig/Ccreat was similarly reduced at 0.73 +/- 0.15 compared to 1.09 +/- 0.27 (p less than 0.005). Steady state serum digoxin concentration was significantly higher in patients with congestive heart failure (1.44 +/- 0.47 vs 0.87 +/- 0.33 micrograms X 1(-1), p less than 0.01). Chronic congestive heart failure is a state with reduced digoxin clearance by the kidney, which could lead to digoxin intoxication not explicable by overdose, reduced renal function or the effect of interacting drugs. PMID:4007028

  8. Predictability of Road Traffic and Congestion in Urban Areas

    PubMed Central

    Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu

    2015-01-01

    Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion. PMID:25849534

  9. Traffic Congestion Detection System through Connected Vehicles and Big Data

    PubMed Central

    Cárdenas-Benítez, Néstor; Aquino-Santos, Raúl; Magaña-Espinoza, Pedro; Aguilar-Velazco, José; Edwards-Block, Arthur; Medina Cass, Aldo

    2016-01-01

    This article discusses the simulation and evaluation of a traffic congestion detection system which combines inter-vehicular communications, fixed roadside infrastructure and infrastructure-to-infrastructure connectivity and big data. The system discussed in this article permits drivers to identify traffic congestion and change their routes accordingly, thus reducing the total emissions of CO2 and decreasing travel time. This system monitors, processes and stores large amounts of data, which can detect traffic congestion in a precise way by means of a series of algorithms that reduces localized vehicular emission by rerouting vehicles. To simulate and evaluate the proposed system, a big data cluster was developed based on Cassandra, which was used in tandem with the OMNeT++ discreet event network simulator, coupled with the SUMO (Simulation of Urban MObility) traffic simulator and the Veins vehicular network framework. The results validate the efficiency of the traffic detection system and its positive impact in detecting, reporting and rerouting traffic when traffic events occur. PMID:27136548

  10. Predictability of road traffic and congestion in urban areas.

    PubMed

    Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu

    2015-01-01

    Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion.

  11. RATE-ADJUSTMENT ALGORITHM FOR AGGREGATE TCP CONGESTION CONTROL

    SciTech Connect

    P. TINNAKORNSRISUPHAP, ET AL

    2000-09-01

    The TCP congestion-control mechanism is an algorithm designed to probe the available bandwidth of the network path that TCP packets traverse. However, it is well-known that the TCP congestion-control mechanism does not perform well on networks with a large bandwidth-delay product due to the slow dynamics in adapting its congestion window, especially for short-lived flows. One promising solution to the problem is to aggregate and share the path information among TCP connections that traverse the same bottleneck path, i.e., Aggregate TCP. However, this paper shows via a queueing analysis of a generalized processor-sharing (GPS) queue with regularly-varying service time that a simple aggregation of local TCP connections together into a single aggregate TCP connection can result in a severe performance degradation. To prevent such a degradation, we introduce a rate-adjustment algorithm. Our simulation confirms that by utilizing our rate-adjustment algorithm on aggregate TCP, connections which would normally receive poor service achieve significant performance improvements without penalizing connections which already receive good service.

  12. Traffic Congestion Detection System through Connected Vehicles and Big Data.

    PubMed

    Cárdenas-Benítez, Néstor; Aquino-Santos, Raúl; Magaña-Espinoza, Pedro; Aguilar-Velazco, José; Edwards-Block, Arthur; Medina Cass, Aldo

    2016-01-01

    This article discusses the simulation and evaluation of a traffic congestion detection system which combines inter-vehicular communications, fixed roadside infrastructure and infrastructure-to-infrastructure connectivity and big data. The system discussed in this article permits drivers to identify traffic congestion and change their routes accordingly, thus reducing the total emissions of CO₂ and decreasing travel time. This system monitors, processes and stores large amounts of data, which can detect traffic congestion in a precise way by means of a series of algorithms that reduces localized vehicular emission by rerouting vehicles. To simulate and evaluate the proposed system, a big data cluster was developed based on Cassandra, which was used in tandem with the OMNeT++ discreet event network simulator, coupled with the SUMO (Simulation of Urban MObility) traffic simulator and the Veins vehicular network framework. The results validate the efficiency of the traffic detection system and its positive impact in detecting, reporting and rerouting traffic when traffic events occur. PMID:27136548

  13. Predictability of road traffic and congestion in urban areas.

    PubMed

    Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu

    2015-01-01

    Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion. PMID:25849534

  14. Dynamically-induced structures formation in congested magma

    NASA Astrophysics Data System (ADS)

    Petford, N.

    2008-12-01

    Crystal fabrics preserved in igneous rocks offer a glimpse into the magma emplacement process. Detailed field mapping, in combination with AMS studies, seem to provide the best available data for unravelling intrusion architecture on the decimetre scale. However, a full and proper understanding of the fluid dynamics of congested fluid-particle mixtures during shear remains elusive. This is a shame as without recourse to such fundamental understanding, the interpretation of structural field data in the context of magma flow remains problematic. One way to gain insight into the process is to treat flowing magma as a dynamic material with a rheology similar to sheared, congested slurries. The fancy that dense magma equates to a high temperature slurry is an attractive one, and opens up a way to examine the emplacement process that does not rely exclusively on equilibrium thermodynamics as a final explanation of commonly observed igneous structures. Instead, using examples from mafic rocks where cooling has been rapid, the idea is put forward that in high Peclet number suspensions (where particle diffusion is negligible), shearing and non- Newtonian behaviour imparts a rich diversity of structures including layering, grading and flow segregation. Key to understanding the rheology, hence flow dynamics of congested magma, is the particle microstructure, a still poorly known essence of suspension flows. Where magma transport is continental in scale and long lived (e.g. Large Igneous Provinces), rotation of the earth may in theory endow a small but potentially measurable imprint on the preserved flow fabric.

  15. Reasoning the causality of city sprawl, traffic congestion, and green land disappearance in Taiwan using the CLD model.

    PubMed

    Chen, Mei-Chih; Chang, Kaowen

    2014-11-01

    Many city governments choose to supply more developable land and transportation infrastructure with the hope of attracting people and businesses to their cities. However, like those in Taiwan, major cities worldwide suffer from traffic congestion. This study applies the system thinking logic of the causal loops diagram (CLD) model in the System Dynamics (SD) approach to analyze the issue of traffic congestion and other issues related to roads and land development in Taiwan's cities. Comparing the characteristics of development trends with yearbook data for 2002 to 2013 for all of Taiwan's cities, this study explores the developing phenomenon of unlimited city sprawl and identifies the cause and effect relationships in the characteristics of development trends in traffic congestion, high-density population aggregation in cities, land development, and green land disappearance resulting from city sprawl. This study provides conclusions for Taiwan's cities' sustainability and development (S&D). When developing S&D policies, during decision making processes concerning city planning and land use management, governments should think with a holistic view of carrying capacity with the assistance of system thinking to clarify the prejudices in favor of the unlimited developing phenomena resulting from city sprawl. PMID:25383609

  16. Reasoning the Causality of City Sprawl, Traffic Congestion, and Green Land Disappearance in Taiwan Using the CLD Model

    PubMed Central

    Chen, Mei-Chih; Chang, Kaowen

    2014-01-01

    Many city governments choose to supply more developable land and transportation infrastructure with the hope of attracting people and businesses to their cities. However, like those in Taiwan, major cities worldwide suffer from traffic congestion. This study applies the system thinking logic of the causal loops diagram (CLD) model in the System Dynamics (SD) approach to analyze the issue of traffic congestion and other issues related to roads and land development in Taiwan’s cities. Comparing the characteristics of development trends with yearbook data for 2002 to 2013 for all of Taiwan’s cities, this study explores the developing phenomenon of unlimited city sprawl and identifies the cause and effect relationships in the characteristics of development trends in traffic congestion, high-density population aggregation in cities, land development, and green land disappearance resulting from city sprawl. This study provides conclusions for Taiwan’s cities’ sustainability and development (S&D). When developing S&D policies, during decision making processes concerning city planning and land use management, governments should think with a holistic view of carrying capacity with the assistance of system thinking to clarify the prejudices in favor of the unlimited developing phenomena resulting from city sprawl. PMID:25383609

  17. Reasoning the causality of city sprawl, traffic congestion, and green land disappearance in Taiwan using the CLD model.

    PubMed

    Chen, Mei-Chih; Chang, Kaowen

    2014-11-06

    Many city governments choose to supply more developable land and transportation infrastructure with the hope of attracting people and businesses to their cities. However, like those in Taiwan, major cities worldwide suffer from traffic congestion. This study applies the system thinking logic of the causal loops diagram (CLD) model in the System Dynamics (SD) approach to analyze the issue of traffic congestion and other issues related to roads and land development in Taiwan's cities. Comparing the characteristics of development trends with yearbook data for 2002 to 2013 for all of Taiwan's cities, this study explores the developing phenomenon of unlimited city sprawl and identifies the cause and effect relationships in the characteristics of development trends in traffic congestion, high-density population aggregation in cities, land development, and green land disappearance resulting from city sprawl. This study provides conclusions for Taiwan's cities' sustainability and development (S&D). When developing S&D policies, during decision making processes concerning city planning and land use management, governments should think with a holistic view of carrying capacity with the assistance of system thinking to clarify the prejudices in favor of the unlimited developing phenomena resulting from city sprawl.

  18. 30 CFR 250.1607 - Field rules.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Sulphur Operations § 250.1607 Field rules. When geological and engineering information in a field enables a District Manager to determine specific operating... Manager's initiative or in response to a request from a lessee; such rules may modify the...

  19. 30 CFR 250.1607 - Field rules.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Sulphur Operations § 250.1607 Field rules. When geological and engineering information in a field enables a District Manager to determine specific operating... Manager's initiative or in response to a request from a lessee; such rules may modify the...

  20. 30 CFR 250.1607 - Field rules.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Sulphur Operations § 250.1607 Field rules. When geological and engineering information in a field enables a District Manager to determine specific operating... Manager's initiative or in response to a request from a lessee; such rules may modify the...

  1. Analysis of safety factors for urban expressways considering the effect of congestion in Shanghai, China.

    PubMed

    Sun, Jian; Li, Tienan; Li, Feng; Chen, Feng

    2016-10-01

    Urban expressways are the key components of the urban traffic network. The traffic safety situation on expressways directly influences the efficiency of the whole network. A total of 48,325 crashes were recorded by Shanghai Expressway Surveillance System in a three-year period. Considering the different crash mechanisms under different congestion levels, models for the total crashes, non-congested-flow crashes and congested-flow crashes were respectively formulated based on the real-time traffic condition corresponding to each crash. Moreover, considering the potential spatial correlation among segments, the adjacent-correlated spatial and distance-correlated spatial models were formulated and compared to the traditional non-spatial-correlated model. A Bayesian approach was employed to estimate the parameters. The results showed that the congestion index, merging ratio, ramp density, and average daily traffic significantly affect the crash frequency. The safety factors in non-congested flow and congested flow are different; diverging behavior is more risky in non-congested flow, more lanes tend to increase the risk of crashes in congested flow, and horizontal curves tend to decrease the crash risk in congested flow but cause high risk in non-congested flow. In addition, the distance-correlated spatial model is found to be the best-fitting model. The results of this study suggested that dedicated safety countermeasures can be designed for different traffic situations on urban expressways.

  2. Analysis of safety factors for urban expressways considering the effect of congestion in Shanghai, China.

    PubMed

    Sun, Jian; Li, Tienan; Li, Feng; Chen, Feng

    2016-10-01

    Urban expressways are the key components of the urban traffic network. The traffic safety situation on expressways directly influences the efficiency of the whole network. A total of 48,325 crashes were recorded by Shanghai Expressway Surveillance System in a three-year period. Considering the different crash mechanisms under different congestion levels, models for the total crashes, non-congested-flow crashes and congested-flow crashes were respectively formulated based on the real-time traffic condition corresponding to each crash. Moreover, considering the potential spatial correlation among segments, the adjacent-correlated spatial and distance-correlated spatial models were formulated and compared to the traditional non-spatial-correlated model. A Bayesian approach was employed to estimate the parameters. The results showed that the congestion index, merging ratio, ramp density, and average daily traffic significantly affect the crash frequency. The safety factors in non-congested flow and congested flow are different; diverging behavior is more risky in non-congested flow, more lanes tend to increase the risk of crashes in congested flow, and horizontal curves tend to decrease the crash risk in congested flow but cause high risk in non-congested flow. In addition, the distance-correlated spatial model is found to be the best-fitting model. The results of this study suggested that dedicated safety countermeasures can be designed for different traffic situations on urban expressways. PMID:26721569

  3. A "Sweet 16" of Rules About Teamwork

    NASA Technical Reports Server (NTRS)

    Laufer, Alexander (Editor)

    2002-01-01

    The following "Sweet 16" rules included in this paper derive from a longer paper by APPL Director Dr. Edward Hoffman and myself entitled " 99 Rules for Managing Faster, Better, Cheaper Projects." Our sources consisted mainly of "war stories" told by master project managers in my book Simultaneous Management: Managing Projects in a Dynamic Environment (AMACOM, The American Management Association, 1996). The Simultaneous Management model was a result of 10 years of intensive research and testing conducted with the active participation of master project managers from leading private organizations such as AT&T, DuPont, Exxon, General Motors, IBM, Motorola and Procter & Gamble. In a more recent study, led by Dr. Hoffman, we learned that master project managers in leading public organizations employ most of these rules as well. Both studies, in private and public organizations, found that a dynamic environment calls for dynamic management, and that is especially clear in how successful project managers think about their teams.

  4. Infinite horizon optimal impulsive control with applications to Internet congestion control

    NASA Astrophysics Data System (ADS)

    Avrachenkov, Konstantin; Habachi, Oussama; Piunovskiy, Alexey; Zhang, Yi

    2015-04-01

    We investigate infinite-horizon deterministic optimal control problems with both gradual and impulsive controls, where any finitely many impulses are allowed simultaneously. Both discounted and long-run time-average criteria are considered. We establish very general and at the same time natural conditions, under which the dynamic programming approach results in an optimal feedback policy. The established theoretical results are applied to the Internet congestion control, and by solving analytically and nontrivially the underlying optimal control problems, we obtain a simple threshold-based active queue management scheme, which takes into account the main parameters of the transmission control protocols, and improves the fairness among the connections in a given network.

  5. Pearls and pitfalls in the use and abuse of diuretics for chronic congestive heart failure.

    PubMed

    Constant, J

    1999-01-01

    The main purpose of using diuretics is usually lost sight of, i.e. it is for the relief of dyspnea by using the least amount of a diuretic. The production of a low output state and hypercoagulation in an attempt to achieve dry weight by lowering blood volume excessively are among the hazards of using more diuretic than is absolutely necessary to achieve the goal of relieving dyspnea. The use of jugular venous pressure measurement and the status of dyspnea should have precedence over body weight in determining diuretic dose adjustment. Often forgotten in using diuretics is that potassium without magnesium will not enter cells and that the almost universal preference for furosemide over thiazides threatens to increase the incidence of osteoporosis. Also, the tendency to ignore loss of the water-soluble vitamins thiamine and ascorbic acid may result in refractory edema and the inability to manage the stresses of congestive heart failure.

  6. VIDAS D-dimer in combination with clinical pre-test probability to rule out pulmonary embolism. A systematic review of management outcome studies.

    PubMed

    Carrier, Marc; Righini, Marc; Djurabi, Reza Karami; Huisman, Menno V; Perrier, Arnaud; Wells, Philip S; Rodger, Marc; Wuillemin, Walter A; Le Gal, Grégoire

    2009-05-01

    Clinical outcome studies have shown that it is safe to withhold anticoagulant therapy in patients with suspected pulmonary embolism (PE) who have a negative D-dimer result and a low pretest probability (PTP) either using a PTP model or clinical gestalt. It was the objective of the present study to assess the safety of the combination of a negative VIDAS D-dimer result in combination with a non-high PTP using the Wells or Geneva models to exclude PE. A systematic literature search strategy was conducted using MEDLINE, EMBASE, the Cochrane Register of Controlled Trials and all EBM Reviews. Seven studies (6 prospective management studies and 1 randomised controlled trial) reporting failure rates at three months were included in the analysis. Non-high PTP was defined as "unlikely" using the Wells' model, or "low/intermediate" PTP using either the Geneva score, the Revised Geneva Score, or clinical gestalt. Two reviewers independently extracted data onto standardised forms. A total of 5,622 patients with low/intermediate or unlikely PTP were assessed using the VIDAS D-dimer. PE was ruled out by a negative D-dimer test in 2,248 (40%, 95% confidence intervals [CI] 38.7 to 41.3%) of them. The three-month thromboembolic risk in patients left untreated on the basis of a low/intermediate or unlikely PTP and a negative D-dimer test was 3/2,166 (0.14%, 95% CI 0.05 to 0.41%). In conclusion, the combination of a negative VIDAS D-dimer result and a non-high PTP effectively and safely excludes PE in an important proportion of outpatients with suspected PE. PMID:19404542

  7. Nitrendipine binding in congestive heart failure due to myocardial infarction

    SciTech Connect

    Dixon, I.M.; Lee, S.L.; Dhalla, N.S. )

    1990-03-01

    Depressed cardiac pump function is the hallmark of congestive heart failure, and it is suspected that decreased influx of Ca2+ into the cardiac cell is responsible for depressed contractile function. Since Ca2+ channels in the sarcolemmal membrane are considered to be an important route for the entry of Ca2+, we examined the status of Ca2+ receptors/channels in failing rat hearts after myocardial infarction of the left ventricular free wall. For this purpose, the left coronary artery was ligated and hearts were examined 4, 8, and 16 weeks later; sham-operated animals served as controls. Hemodynamic assessment revealed decreased total mechanical energy (left ventricular systolic pressure x heart rate), increased left ventricular diastolic pressure, and decreased positive and negative dP/dt in experimental animals at 4, 8, and 16 weeks. Although accumulation of ascites in the abdominal cavity was evident at 4 weeks, other clinical signs of congestive heart failure in experimental rats were evident from the presence of lung congestion and cardiac dilatation at 8 and 16 weeks after induction of myocardial infarction. The density of Ca2+ receptors/channels in crude membranes, as assessed by (3H)nitrendipine binding assay, was found to be decreased in the uninfarcted experimental left ventricle at 8 and 16 weeks; however, no change in the affinity of nitrendipine was evident. A similar depression in the specific binding of another dihydropyridine compound, (3H)PN200-110, was also evident in failing hearts. Brain and skeletal muscle crude membrane preparations, unlike those of the right ventricle and liver, revealed a decrease in Ca2+ receptors/channels density in experimental animals at 16 weeks.

  8. Guess My Rule Revisited

    ERIC Educational Resources Information Center

    Carraher, David W.; Earnest, Darrell

    2003-01-01

    We present classroom research on a variant of the guess-my-rule game, in which nine-year-old students make up linear functions and challenge classmates to determine their secret rule. We focus on issues students and their teacher confronted in inferring underlying rules and in deciding whether the conjectured rule matched the rule of the creators.…

  9. 43 CFR 3483.6 - Special logical mining unit rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Special logical mining unit rules. 3483.6... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) COAL EXPLORATION AND MINING OPERATIONS RULES Diligence Requirements § 3483.6 Special logical mining unit rules. (a) Production anywhere...

  10. 43 CFR 3483.6 - Special logical mining unit rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Special logical mining unit rules. 3483.6... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) COAL EXPLORATION AND MINING OPERATIONS RULES Diligence Requirements § 3483.6 Special logical mining unit rules. (a) Production anywhere...

  11. 43 CFR 3483.6 - Special logical mining unit rules.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Special logical mining unit rules. 3483.6... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) COAL EXPLORATION AND MINING OPERATIONS RULES Diligence Requirements § 3483.6 Special logical mining unit rules. (a) Production anywhere...

  12. 43 CFR 3483.6 - Special logical mining unit rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Special logical mining unit rules. 3483.6... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) COAL EXPLORATION AND MINING OPERATIONS RULES Diligence Requirements § 3483.6 Special logical mining unit rules. (a) Production anywhere...

  13. 41 CFR 60-250.83 - Rulings and interpretations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true Rulings and interpretations. 60-250.83 Section 60-250.83 Public Contracts and Property Management Other Provisions Relating to... PROTECTED VETERANS Ancillary Matters § 60-250.83 Rulings and interpretations. Rulings under...

  14. 41 CFR 60-250.83 - Rulings and interpretations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Rulings and interpretations. 60-250.83 Section 60-250.83 Public Contracts and Property Management Other Provisions Relating to... PROTECTED VETERANS Ancillary Matters § 60-250.83 Rulings and interpretations. Rulings under...

  15. 41 CFR 60-250.83 - Rulings and interpretations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 1 2013-07-01 2013-07-01 false Rulings and interpretations. 60-250.83 Section 60-250.83 Public Contracts and Property Management Other Provisions Relating to... PROTECTED VETERANS Ancillary Matters § 60-250.83 Rulings and interpretations. Rulings under...

  16. 41 CFR 60-250.83 - Rulings and interpretations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 1 2011-07-01 2009-07-01 true Rulings and interpretations. 60-250.83 Section 60-250.83 Public Contracts and Property Management Other Provisions Relating to... PROTECTED VETERANS Ancillary Matters § 60-250.83 Rulings and interpretations. Rulings under...

  17. Essay in the theory of uncontrolled flows and congestion

    SciTech Connect

    Iri, M.

    1994-12-31

    A new type of network flow theory is proposed, where only those flows which are representable as a positive sum of elementary-path (or elementary-cycle) flows are considered and no cancellation of flows in an edge is admitted when two or more flows are superposed. It offers a general framework in which to discuss about congestion, blocking flows, etc. in a network. We will call the flows in this framework {open_quotes}uncontrollable flows{close_quotes} because they possess some basic properties of the flows which selfish and stubborn users, or users in emergency situations, generate in a network. Primarily, this is not a mathematics paper but one to introduce a new viewpoint from which to give another look at network flow problems. However, a number of interesting mathematical problems naturally arise in so doing: e.g., {open_quotes}Is a given flow uncontrollable{close_quotes}?, {open_quotes}How to determine a blocking flow or a bottleneck cut{close_quotes}?, {open_quotes}Can we design a network in which no congestion may occur{close_quotes}?, {open_quotes}Under what conditions does additional investment on a network improve its function in this framework{close_quotes}?, etc. What kind of practical problems will be the dual of the concept of uncontrollable flows will also be discussed.

  18. Congestion phenomena caused by matching pennies in evolutionary games.

    PubMed

    Szabó, György; Szolnoki, Attila

    2015-03-01

    Evolutionary social dilemma games are extended by an additional matching-pennies game that modifies the collected payoffs. In a spatial version players are distributed on a square lattice and interact with their neighbors. First, we show that the matching-pennies game can be considered as the microscopic force of the Red Queen effect that breaks the detailed balance and induces eddies in the microscopic probability currents if the strategy update is analogous to the Glauber dynamics for the kinetic Ising models. The resulting loops in probability current breaks symmetry between the chessboardlike arrangements of strategies via a bottleneck effect occurring along the four-edge loops in the microscopic states. The impact of this congestion is analogous to the application of a staggered magnetic field in the Ising model; that is, the order-disorder critical transition is wiped out by noise. It is illustrated that the congestion induced symmetry breaking can be beneficial for the whole community within a certain region of parameters. PMID:25871057

  19. Predicting travel time to limit congestion at a highway bottleneck

    NASA Astrophysics Data System (ADS)

    Davis, L. C.

    2010-09-01

    A new method is proposed to predict the travel time on a highway route with a bottleneck caused by an on-ramp. The method takes advantage of the slow variation of the bottleneck throughput when congestion exists. The predicted travel time for a vehicle leaving the origin is given by the current number of vehicles on the route divided by the estimated throughput. The latter is an average of N/T recorded as each vehicle reaches the destination where N is the number of vehicles at the start of the trip and T is the time to complete the trip. Drivers divert to an off-ramp when the predicted travel time exceeds a target value. The target could be historical average travel times of alternative routes or chosen to limit the amount of congestion. Simulations employing three-phase traffic theory show that the travel time converges to the target value and remains close to or below it with the proposed prediction strategy. Strong oscillations in travel time obtained when other strategies are used for diversion do not develop with the new method because the inherent delay is effectively removed.

  20. Congestion phenomena caused by matching pennies in evolutionary games.

    PubMed

    Szabó, György; Szolnoki, Attila

    2015-03-01

    Evolutionary social dilemma games are extended by an additional matching-pennies game that modifies the collected payoffs. In a spatial version players are distributed on a square lattice and interact with their neighbors. First, we show that the matching-pennies game can be considered as the microscopic force of the Red Queen effect that breaks the detailed balance and induces eddies in the microscopic probability currents if the strategy update is analogous to the Glauber dynamics for the kinetic Ising models. The resulting loops in probability current breaks symmetry between the chessboardlike arrangements of strategies via a bottleneck effect occurring along the four-edge loops in the microscopic states. The impact of this congestion is analogous to the application of a staggered magnetic field in the Ising model; that is, the order-disorder critical transition is wiped out by noise. It is illustrated that the congestion induced symmetry breaking can be beneficial for the whole community within a certain region of parameters.

  1. Congestion phenomena caused by matching pennies in evolutionary games

    NASA Astrophysics Data System (ADS)

    Szabó, György; Szolnoki, Attila

    2015-03-01

    Evolutionary social dilemma games are extended by an additional matching-pennies game that modifies the collected payoffs. In a spatial version players are distributed on a square lattice and interact with their neighbors. First, we show that the matching-pennies game can be considered as the microscopic force of the Red Queen effect that breaks the detailed balance and induces eddies in the microscopic probability currents if the strategy update is analogous to the Glauber dynamics for the kinetic Ising models. The resulting loops in probability current breaks symmetry between the chessboardlike arrangements of strategies via a bottleneck effect occurring along the four-edge loops in the microscopic states. The impact of this congestion is analogous to the application of a staggered magnetic field in the Ising model; that is, the order-disorder critical transition is wiped out by noise. It is illustrated that the congestion induced symmetry breaking can be beneficial for the whole community within a certain region of parameters.

  2. Nonlinear dynamics of congestive heart failure (Invited Paper)

    NASA Astrophysics Data System (ADS)

    Bernjak, Alan; Clarkson, Peter B. M.; McClintock, Peter V. E.; Stefanovska, Aneta

    2005-05-01

    Preliminary results are reported from a research project analysing congestive heart failure in terms a stochastic coupled-oscillator model of the cardiovascular system. Measurements of blood flow by laser Doppler flowmetry (LDF) have been processed by use of the wavelet transform to separate its oscillatory components, which number at least five. Particular attention was concentrated on the frequency content near 0.01 Hz, which is known to be associated with endothelial function. The LDF was carried out in conjunction with iontophoretically administered acetylcholine (ACh) and sodium nitroprusside (SNP) in order to evaluate endothelial reactivity. Measurements were made on 17 congestive heart failure (CHF) patients (a) on first diagnosis, and (b) again several weeks later after their treatment with a β-blocker had been stabilised. The results of these two sets of measurements are being compared with each other, and with data from an age and sex-matched group of healthy controls. It is confirmed that endothelial reactivity is reduced in CHF patients, as compared to healthy controls, and it is found that one effect of the Beta-blocker is to ameliorate the loss of endothelial function in CHF. The implications of these results are discussed.

  3. Quasi-static evolution and congested crowd transport

    NASA Astrophysics Data System (ADS)

    Alexander, Damon; Kim, Inwon; Yao, Yao

    2014-04-01

    We consider the relationship between Hele-Shaw evolution with drift, the porous medium equation with drift, and a congested crowd motion model originally proposed by Maury et al (2010 Math. Models Methods Appl. Sci. 20 1787-821). We first use viscosity solutions to show that the porous medium equation solutions converge to the Hele-Shaw solution as m → ∞ provided the drift potential is strictly subharmonic. Next, using the gradient-flow structure of both the porous medium equation and the crowd motion model, we prove that the porous medium equation solutions also converge to the congested crowd motion as m → ∞. Combining these results lets us deduce that in the case where the initial data to the crowd motion model is given by a patch, or characteristic function, the solution evolves as a patch that is the unique solution to the Hele-Shaw problem. While proving our main results we also obtain a comparison principle for solutions with the minimizing movement scheme based on the Wasserstein metric, of independent interest.

  4. A Bayesian ridge regression analysis of congestion's impact on urban expressway safety.

    PubMed

    Shi, Qi; Abdel-Aty, Mohamed; Lee, Jaeyoung

    2016-03-01

    With the rapid growth of traffic in urban areas, concerns about congestion and traffic safety have been heightened. This study leveraged both Automatic Vehicle Identification (AVI) system and Microwave Vehicle Detection System (MVDS) installed on an expressway in Central Florida to explore how congestion impacts the crash occurrence in urban areas. Multiple congestion measures from the two systems were developed. To ensure more precise estimates of the congestion's effects, the traffic data were aggregated into peak and non-peak hours. Multicollinearity among traffic parameters was examined. The results showed the presence of multicollinearity especially during peak hours. As a response, ridge regression was introduced to cope with this issue. Poisson models with uncorrelated random effects, correlated random effects, and both correlated random effects and random parameters were constructed within the Bayesian framework. It was proven that correlated random effects could significantly enhance model performance. The random parameters model has similar goodness-of-fit compared with the model with only correlated random effects. However, by accounting for the unobserved heterogeneity, more variables were found to be significantly related to crash frequency. The models indicated that congestion increased crash frequency during peak hours while during non-peak hours it was not a major crash contributing factor. Using the random parameter model, the three congestion measures were compared. It was found that all congestion indicators had similar effects while Congestion Index (CI) derived from MVDS data was a better congestion indicator for safety analysis. Also, analyses showed that the segments with higher congestion intensity could not only increase property damage only (PDO) crashes, but also more severe crashes. In addition, the issues regarding the necessity to incorporate specific congestion indicator for congestion's effects on safety and to take care of the

  5. A Bayesian ridge regression analysis of congestion's impact on urban expressway safety.

    PubMed

    Shi, Qi; Abdel-Aty, Mohamed; Lee, Jaeyoung

    2016-03-01

    With the rapid growth of traffic in urban areas, concerns about congestion and traffic safety have been heightened. This study leveraged both Automatic Vehicle Identification (AVI) system and Microwave Vehicle Detection System (MVDS) installed on an expressway in Central Florida to explore how congestion impacts the crash occurrence in urban areas. Multiple congestion measures from the two systems were developed. To ensure more precise estimates of the congestion's effects, the traffic data were aggregated into peak and non-peak hours. Multicollinearity among traffic parameters was examined. The results showed the presence of multicollinearity especially during peak hours. As a response, ridge regression was introduced to cope with this issue. Poisson models with uncorrelated random effects, correlated random effects, and both correlated random effects and random parameters were constructed within the Bayesian framework. It was proven that correlated random effects could significantly enhance model performance. The random parameters model has similar goodness-of-fit compared with the model with only correlated random effects. However, by accounting for the unobserved heterogeneity, more variables were found to be significantly related to crash frequency. The models indicated that congestion increased crash frequency during peak hours while during non-peak hours it was not a major crash contributing factor. Using the random parameter model, the three congestion measures were compared. It was found that all congestion indicators had similar effects while Congestion Index (CI) derived from MVDS data was a better congestion indicator for safety analysis. Also, analyses showed that the segments with higher congestion intensity could not only increase property damage only (PDO) crashes, but also more severe crashes. In addition, the issues regarding the necessity to incorporate specific congestion indicator for congestion's effects on safety and to take care of the

  6. Analysis of random drop for gateway congestion control. M.S. Thesis

    NASA Technical Reports Server (NTRS)

    Hashem, Emam Salaheddin

    1989-01-01

    Lately, the growing demand on the Internet has prompted the need for more effective congestion control policies. Currently No Gateway Policy is used to relieve and signal congestion, which leads to unfair service to the individual users and a degradation of overall network performance. Network simulation was used to illustrate the character of Internet congestion and its causes. A newly proposed gateway congestion control policy, called Random Drop, was considered as a promising solution to the pressing problem. Random Drop relieves resource congestion upon buffer overflow by choosing a random packet from the service queue to be dropped. The random choice should result in a drop distribution proportional to the bandwidth distribution among all contending TCP connections, thus applying the necessary fairness. Nonetheless, the simulation experiments demonstrate several shortcomings with this policy. Because Random Drop is a congestion control policy, which is not applied until congestion has already occurred, it usually results in a high drop rate that hurts too many connections including well-behaved ones. Even though the number of packets dropped is different from one connection to another depending on the buffer utilization upon overflow, the TCP recovery overhead is high enough to neutralize these differences, causing unfair congestion penalties. Besides, the drop distribution itself is an inaccurate representation of the average bandwidth distribution, missing much important information about the bandwidth utilization between buffer overflow events. A modification of Random Drop to do congestion avoidance by applying the policy early was also proposed. Early Random Drop has the advantage of avoiding the high drop rate of buffer overflow. The early application of the policy removes the pressure of congestion relief and allows more accurate signaling of congestion. To be used effectively, algorithms for the dynamic adjustment of the parameters of Early Random Drop

  7. Integrative Medical Care Plus Mindfulness Training for Patients With Congestive Heart Failure: Proof of Concept.

    PubMed

    Kemper, Kathi J; Carmin, Cheryl; Mehta, Bella; Binkley, Phillip

    2016-10-01

    Congestive heart failure (CHF) has a high rate of morbidity and mortality. It is often accompanied by other medical and psychosocial comorbidities that complicate treatment and adherence. We conducted a proof of concept pilot project to determine the feasibility of providing integrative group medical visits plus mindfulness training for patients recently discharged with CHF. Patients were eligible if they had been discharged from an inpatient stay for CHF within the 12 months prior to the new program. The Compassionate Approach to Lifestyle and Mind-Body (CALM) Skills for Patients with CHF consisted of 8 weekly visits focusing on patient education about medications, diet, exercise, sleep, and stress management; group support; and training in mind-body skills such as mindfulness, self-compassion, and loving-kindness. Over two 8-week sessions, 8/11 (73%) patients completed at least 4 visits. The patients had an average age of 57 years. The most common comorbidities were weight gain, sleep problems, and fatigue. After the sessions, 100% of patients planned to make changes to their diet, exercise, and stress management practices. Over half of the patients who met with a pharmacist had a medication-related problem. Improvements were observed in depression, fatigue, and satisfaction with life. Integrative group visits focusing on healthy lifestyle, support, and skill-building are feasible even among CHF patients and should be evaluated in controlled trials as a patient-centered approach to improving outcomes related to improving medication management, depression, fatigue, and quality of life.

  8. Integrative Medical Care Plus Mindfulness Training for Patients With Congestive Heart Failure: Proof of Concept.

    PubMed

    Kemper, Kathi J; Carmin, Cheryl; Mehta, Bella; Binkley, Phillip

    2016-10-01

    Congestive heart failure (CHF) has a high rate of morbidity and mortality. It is often accompanied by other medical and psychosocial comorbidities that complicate treatment and adherence. We conducted a proof of concept pilot project to determine the feasibility of providing integrative group medical visits plus mindfulness training for patients recently discharged with CHF. Patients were eligible if they had been discharged from an inpatient stay for CHF within the 12 months prior to the new program. The Compassionate Approach to Lifestyle and Mind-Body (CALM) Skills for Patients with CHF consisted of 8 weekly visits focusing on patient education about medications, diet, exercise, sleep, and stress management; group support; and training in mind-body skills such as mindfulness, self-compassion, and loving-kindness. Over two 8-week sessions, 8/11 (73%) patients completed at least 4 visits. The patients had an average age of 57 years. The most common comorbidities were weight gain, sleep problems, and fatigue. After the sessions, 100% of patients planned to make changes to their diet, exercise, and stress management practices. Over half of the patients who met with a pharmacist had a medication-related problem. Improvements were observed in depression, fatigue, and satisfaction with life. Integrative group visits focusing on healthy lifestyle, support, and skill-building are feasible even among CHF patients and should be evaluated in controlled trials as a patient-centered approach to improving outcomes related to improving medication management, depression, fatigue, and quality of life. PMID:26304695

  9. Evaluation of performance characteristics of the medicinal leech (Hirudo medicinalis) for the treatment of venous congestion.

    PubMed

    Conforti, Michael L; Connor, Nadine P; Heisey, Dennis M; Hartig, Gregory K

    2002-01-01

    Medicinal leeches (Hirudo medicinalis) are a standard treatment for venous congestion, a complication that can occur after reconstructive surgery. If the cause of venous congestion cannot be surgically corrected, then medicinal leeches are used to temporarily increase perfusion levels and maintain physiologic requirements within the congested tissue. Leeches increase perfusion within congested tissue by actively drawing off blood as a bloodmeal. Furthermore, the leech bite continues to bleed and relieve congestion after detachment because of the anticoagulation effects of leech saliva left behind in the bite. In a porcine model, a 10 x 10 cm cutaneous flank flap was congested by clamping the venae comitantes. Four medicinal leeches were allowed to attach to the congested flap, and parameters of active feeding and passive bleeding after detachment were recorded. The average bloodmeal volume for the medicinal leeches was 2.45 ml. Average passive bleeding for the first 2 and 4 hours after leech detachment totaled 2.21 and 2.50 ml, respectively, with 90 percent of passive bleeding occurring within 5 hours after detachment. Laser Doppler imaging indicated that the spatial arrangement of surface perfusion increases were localized to a 1.6-cm-diameter circle around the leech head (bite) and corresponded well with the visual return of normal skin tones to the same area. This study provides a realistic and quantitative estimate of the spatial and volumetric characteristics of leech feeding and passive bleeding using a clinically relevant model of acute, severe congestion.

  10. Congestion at Card and Book Catalogs--A Queuing-Theory Approach

    ERIC Educational Resources Information Center

    Bookstein, Abraham

    1972-01-01

    This paper attempts to analyze the problem of congestion, using a mathematical model shown to be of value in other similar applications. Three criteria of congestion are considered, and it is found that the conclusion one can draw is sensitive to which of these criteria is paramount. (8 references) (Author/NH)

  11. Traffic Congestion on a University Campus: A Consideration of Unconventional Remedies to Nontraditional Transportation Patterns

    ERIC Educational Resources Information Center

    Kaplan, Dave; Clapper, Thomas

    2007-01-01

    U.S. transportation data suggest that the number of vehicle miles traveled has far surpassed new capacity, resulting in increased traffic congestion in many communities throughout the country. This article reports on traffic congestion around a university campus located within a small town. The mix of trip purposes varies considerably in this…

  12. Estimation of Congestion in Free Disposal Hull Models Using Data Envelopment Analysis

    PubMed Central

    Abbasi, M.; Jahanshahloo, G. R.; Rostamy-Malkhlifeh, M.; Hosseinzadeh Lotfi, F.

    2014-01-01

    This paper deals with evaluating congestion in free disposal hull (FDH) models. There are several approaches in data envelopment analysis (DEA) literatures which discuss the theory and application of congestion. However, almost all of these approaches considered convex DEA technologies. So, in the case of nonconvex technologies, including FDH technology, this field is almost nil. This paper makes an attempt to fill in this void. To do so, this study provides a pairwise comparisons-based algorithm to evaluate congestion in FDH model. This algorithm identifies the sources of congestion and estimates its amounts. It is also capable of detecting the losses amounts of output due to congestion. The validity of the proposed model is demonstrated using some numerical and empirical examples. PMID:25379531

  13. Estimation of congestion in free disposal hull models using data envelopment analysis.

    PubMed

    Abbasi, M; Jahanshahloo, G R; Rostamy-Malkhlifeh, M; Hosseinzadeh Lotfi, F

    2014-01-01

    This paper deals with evaluating congestion in free disposal hull (FDH) models. There are several approaches in data envelopment analysis (DEA) literatures which discuss the theory and application of congestion. However, almost all of these approaches considered convex DEA technologies. So, in the case of nonconvex technologies, including FDH technology, this field is almost nil. This paper makes an attempt to fill in this void. To do so, this study provides a pairwise comparisons-based algorithm to evaluate congestion in FDH model. This algorithm identifies the sources of congestion and estimates its amounts. It is also capable of detecting the losses amounts of output due to congestion. The validity of the proposed model is demonstrated using some numerical and empirical examples. PMID:25379531

  14. Enhanced TCP Congestion Control with Higher Utilization in Under-Buffered Links

    NASA Astrophysics Data System (ADS)

    Hyun, Dowon; Jang, Ju Wook

    TCP Reno is not fully utilized in under-buffered links. We propose a new TCP congestion control algorithm that can utilize the link almost up to 100% except the first congestion avoidance cycle. Our scheme estimates the minimum congestion window size for full link utilization in every congestion avoidance cycle and sends extra packets without touching TCP Reno congestion control. It has the same RTT fairness and the same saw-tooth wave as TCP Reno does. Our scheme does not affect competing TCP Reno flows since it uses only unused link capacity. We provide a simple mathematical modeling as well as ns-2 simulation results which show that the link utilization is improved by up to 19.88% for k=1/8 against TCP Reno when the buffer is k times the optimal buffer size. We claim that our scheme is useful for transmitting large amount of data in under-buffered links.

  15. Relationship Between Carbon Dioxide Levels and Reported Congestion and Headaches on the International Space Station

    NASA Technical Reports Server (NTRS)

    Cole, Robert; Wear, Mary; Young, Millennia; Cobel, Christopher; Mason, Sara

    2017-01-01

    Congestion is commonly reported during spaceflight, and most crewmembers have reported using medications for congestion during International Space Station (ISS) missions. Although congestion has been attributed to fluid shifts during spaceflight, fluid status reaches equilibrium during the first week after launch while congestion continues to be reported throughout long duration missions. Congestion complaints have anecdotally been reported in relation to ISS CO2 levels; this evaluation was undertaken to determine whether or not an association exists. METHODS: Reported headaches, congestion symptoms, and CO2 levels were obtained for ISS expeditions 2-31, and time-weighted means and single-point maxima were determined for 24-hour (24hr) and 7-day (7d) periods prior to each weekly private medical conference. Multiple imputation addressed missing data, and logistic regression modeled the relationship between probability of reported event of congestion or headache and CO2 levels, adjusted for possible confounding covariates. The first seven days of spaceflight were not included to control for fluid shifts. Data were evaluated to determine the concentration of CO2 required to maintain the risk of congestion below 1% to allow for direct comparison with a previously published evaluation of CO2 concentrations and headache. RESULTS: This study confirmed a previously identified significant association between CO2 and headache and also found a significant association between CO2 and congestion. For each 1-mm Hg increase in CO2, the odds of a crew member reporting congestion doubled. The average 7-day CO2 would need to be maintained below 1.5 mmHg to keep the risk of congestion below 1%. The predicted probability curves of ISS headache and congestion curves appear parallel when plotted against ppCO2 levels with congestion occurring at approximately 1mmHg lower than a headache would be reported. DISCUSSION: While the cause of congestion is multifactorial, this study showed

  16. Investigation of Global Performance Affected by Congestion Avoiding Behavior in Theme Park Problem

    NASA Astrophysics Data System (ADS)

    Kawamura, Hidenori; Kataoka, Takashi; Kurumatani, Koichi; Ohuchi, Azuma

    We focus on the simple theme park problem, where there are two attractions and visitor agents which select their destination attraction based on congestion disregarding behavior and congestion avoiding behavior. According to the computer simulation, the result shows that the growth of individual congestion avoiding behavior is not always effective for improving global performance, and this phenomenon is caused by the oscillation of successive selection switching of the same destination by many congestion avoiding agents. Although the model and setting of this paper is simpler than other related works, we consider each phenomenon in those works has the same characteristic based on the ineffectiveness caused by the homogeneity of congestion avoiding behavior and information sharing.

  17. Venous Congestion, Endothelial and Neurohormonal Activation in Acute Decompensated Heart Failure: Cause or Effect?

    PubMed Central

    Colombo, Paolo C.; Doran, Amanda C.; Onat, Duygu; Wong, Ka Yuk; Ahmad, Myra; Sabbah, Hani N.; Demmer, Ryan T.

    2015-01-01

    Venous congestion and endothelial and neurohormonal activation are known to occur in acute decompensated heart failure (ADHF), yet the temporal role of these processes in the pathophysiology of decompensation is not fully understood. Conventional wisdom presumes congestion to be a consequence of worsening cardiovascular function; however, the biomechanically driven effects of venous congestion are biologically plausible contributors to ADHF that remain largely unexplored in vivo. Recent experimental evidence from human models suggests that fluid accumulation and venous congestion are not simply consequences of poor cardiovascular function, but rather are fundamental pro-oxidant, pro-inflammatory, and hemodynamic stimuli that contribute to acute decompensation. The latest advances in the monitoring of volume status using implantable devices allow for the detection of venous congestion before symptoms arise. This may ultimately lead to improved treatment strategies including not only diuretics, but also specific, adjuvant interventions to counteract endothelial and neurohormonal activation during early preclinical decompensation. PMID:25740404

  18. The biosphere rules.

    PubMed

    Unruh, Gregory C

    2008-02-01

    Sustainability, defined by natural scientists as the capacity of healthy ecosystems to function indefinitely, has become a clarion call for business. Leading companies have taken high-profile steps toward achieving it: Wal-Mart, for example, with its efforts to reduce packaging waste, and Nike, which has removed toxic chemicals from its shoes. But, says Unruh, the director of Thunderbird's Lincoln Center for Ethics in Global Management, sustainability is more than an endless journey of incremental steps. It is a destination, for which the biosphere of planet Earth--refined through billions of years of trial and error--is a perfect model. Unruh distills some lessons from the biosphere into three rules: Use a parsimonious palette. Managers can rethink their sourcing strategies and dramatically simplify the number and types of materials their companies use in production, making recycling cost-effective. After the furniture manufacturer Herman Miller discovered that its leading desk chair had 200 components made from more than 800 chemical compounds, it designed an award-winning successor whose far more limited materials palette is 96% recyclable. Cycle up, virtuously. Manufacturers should design recovery value into their products at the outset. Shaw Industries, for example, recycles the nylon fiber from its worn-out carpet into brand-new carpet tile. Exploit the power of platforms. Platform design in industry tends to occur at the component level--but the materials in those components constitute a more fundamental platform. Patagonia, by recycling Capilene brand performance underwear, has achieved energy costs 76% below those for virgin sourcing. Biosphere rules can teach companies how to build ecologically friendly products that both reduce manufacturing costs and prove highly attractive to consumers. And managers need not wait for a green technological revolution to implement them.

  19. The biosphere rules.

    PubMed

    Unruh, Gregory C

    2008-02-01

    Sustainability, defined by natural scientists as the capacity of healthy ecosystems to function indefinitely, has become a clarion call for business. Leading companies have taken high-profile steps toward achieving it: Wal-Mart, for example, with its efforts to reduce packaging waste, and Nike, which has removed toxic chemicals from its shoes. But, says Unruh, the director of Thunderbird's Lincoln Center for Ethics in Global Management, sustainability is more than an endless journey of incremental steps. It is a destination, for which the biosphere of planet Earth--refined through billions of years of trial and error--is a perfect model. Unruh distills some lessons from the biosphere into three rules: Use a parsimonious palette. Managers can rethink their sourcing strategies and dramatically simplify the number and types of materials their companies use in production, making recycling cost-effective. After the furniture manufacturer Herman Miller discovered that its leading desk chair had 200 components made from more than 800 chemical compounds, it designed an award-winning successor whose far more limited materials palette is 96% recyclable. Cycle up, virtuously. Manufacturers should design recovery value into their products at the outset. Shaw Industries, for example, recycles the nylon fiber from its worn-out carpet into brand-new carpet tile. Exploit the power of platforms. Platform design in industry tends to occur at the component level--but the materials in those components constitute a more fundamental platform. Patagonia, by recycling Capilene brand performance underwear, has achieved energy costs 76% below those for virgin sourcing. Biosphere rules can teach companies how to build ecologically friendly products that both reduce manufacturing costs and prove highly attractive to consumers. And managers need not wait for a green technological revolution to implement them. PMID:18314639

  20. 42 CFR 438.602 - Basic rule.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Basic rule. 438.602 Section 438.602 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Certifications and Program Integrity § 438.602 Basic rule. As a...

  1. 42 CFR 438.602 - Basic rule.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Basic rule. 438.602 Section 438.602 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Certifications and Program Integrity § 438.602 Basic rule. As a...

  2. 42 CFR 438.602 - Basic rule.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Basic rule. 438.602 Section 438.602 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Certifications and Program Integrity § 438.602 Basic rule. As a...

  3. 42 CFR 438.602 - Basic rule.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Basic rule. 438.602 Section 438.602 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Certifications and Program Integrity § 438.602 Basic rule. As a...

  4. 42 CFR 438.602 - Basic rule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Basic rule. 438.602 Section 438.602 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Certifications and Program Integrity § 438.602 Basic rule. As a...

  5. 30 CFR 250.1607 - Field rules.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Field rules. 250.1607 Section 250.1607 Mineral... OPERATIONS IN THE OUTER CONTINENTAL SHELF Sulphur Operations § 250.1607 Field rules. When geological and engineering information in a field enables a District Manager to determine specific operating...

  6. 14 CFR 91.1075 - Training program: Special rules.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Operations Program Management § 91.1075 Training program: Special rules. Other than the program manager, only... program manager operating under this subpart: (b) A training center certificated under part 142 of...

  7. Weighted congestion coefficient feedback in intelligent transportation systems

    NASA Astrophysics Data System (ADS)

    Dong, Chuan-Fei; Ma, Xu; Wang, Bing-Hong

    2010-03-01

    In traffic systems, a reasonable information feedback can improve road capacity. In this Letter, we study dynamics of traffic flow with real-time information. And the influence of a feedback strategy named Weighted Congestion Coefficient Feedback Strategy (WCCFS) is introduced, based on a two-route scenario in which dynamic information can be generated and displayed on the board to guide road users to make a choice. Our model incorporates the effects of adaptability into the cellular automaton models of traffic flow and simulation results adopting this optimal information feedback strategy have demonstrated high efficiency in controlling spatial distribution of traffic patterns compared with the other three information feedback strategies, i.e., vehicle number and flux.

  8. Road Usage Heterogeneity and Mitigation of Traffic Congestion

    NASA Astrophysics Data System (ADS)

    Gomzalez, Marta C.; Wang, Pu

    2012-02-01

    Road networks form the backbone of the social and economic life of a city. Until recently, however, data have not been available to study the impact of trip selection on traffic congestion at an urban scale. To that end, we combined the most complete record of daily trips with the detailed road GIS data to analyze the road usage patterns in two US metropolitan areas. We classify the importance of road segments based on their ability to attract drivers from diverse sources and find that most of them are mainly used by drivers from very few sources. Thanks to this heterogeneity, we find that it is possible to design an efficient strategy to largely reduce the travel time in the road system.

  9. Congestive heart failure from suspected ductal closure in utero.

    PubMed

    Arcilla, R A; Thilenius, O G; Ranniger, K

    1969-07-01

    This is the 1st case report of a ductal closure occurring during fetal growth. The case was a spontaneous delivery in cephalic presentation from a 31-year-old gravida 3, para 3 Black woman who had been treated with isoniazid and spreptomycin up to 2 months before her delivery. Gestational age was 37 weeks when the fetus was delivered weighing 3.15 kgm. The cord had been wrapped around the fetus's neck, and breathing was delayed 2 minutes. In the nursery, the baby's general condition was poor, and congestive heart failure was diagnosed. The newborn had trieuspid insufficiency, severe heart failure, and acidosis at birth. These disappeared the next day. Hemodynamic studies when the baby was 4 hours old showed a large cone-shaped ductus arteriousus extending from the pulmonary artery but ending blindly at the aortic end.

  10. Complexity in congestive heart failure: A time-frequency approach

    NASA Astrophysics Data System (ADS)

    Banerjee, Santo; Palit, Sanjay K.; Mukherjee, Sayan; Ariffin, MRK; Rondoni, Lamberto

    2016-03-01

    Reconstruction of phase space is an effective method to quantify the dynamics of a signal or a time series. Various phase space reconstruction techniques have been investigated. However, there are some issues on the optimal reconstructions and the best possible choice of the reconstruction parameters. This research introduces the idea of gradient cross recurrence (GCR) and mean gradient cross recurrence density which shows that reconstructions in time frequency domain preserve more information about the dynamics than the optimal reconstructions in time domain. This analysis is further extended to ECG signals of normal and congestive heart failure patients. By using another newly introduced measure—gradient cross recurrence period density entropy, two classes of aforesaid ECG signals can be classified with a proper threshold. This analysis can be applied to quantifying and distinguishing biomedical and other nonlinear signals.

  11. I/O Congestion Avoidance via Routing and Object Placement

    SciTech Connect

    Dillow, David A; Shipman, Galen M; Oral, H Sarp; Zhang, Zhe

    2011-01-01

    As storage systems get larger to meet the the demands of petascale systems, careful planning must be applied to avoid congestion points and extract the maximum performance. In addition, the large size of the data sets generated by such systems makes it desirable for all compute resources in a center to have common access to this data without needing to copy it to each machine. This paper describes a method of placing I/O close to the storage nodes to minimize contention on Cray's SeaStar2+ network, and extends it to a routed Lustre configuration to gain the same benefits when running against a center-wide file system. Our experiments show performance improvements for both direct attached and routed file systems.

  12. Respiratory sleep disorders in patients with congestive heart failure.

    PubMed

    Naughton, Matthew T

    2015-08-01

    Respiratory sleep disorders (RSD) occur in about 40-50% of patients with symptomatic congestive heart failure (CHF). Obstructive sleep apnea (OSA) is considered a cause of CHF, whereas central sleep apnea (CSA) is considered a response to heart failure, perhaps even compensatory. In the setting of heart failure, continuous positive airway pressure (CPAP) has a definite role in treating OSA with improvements in cardiac parameters expected. However in CSA, CPAP is an adjunctive therapy to other standard therapies directed towards the heart failure (pharmacological, device and surgical options). Whether adaptive servo controlled ventilatory support, a variant of CPAP, is beneficial is yet to be proven. Supplemental oxygen therapy should be used with caution in heart failure, in particular, by avoiding hyperoxia as indicated by SpO2 values >95%.

  13. Respiratory sleep disorders in patients with congestive heart failure

    PubMed Central

    2015-01-01

    Respiratory sleep disorders (RSD) occur in about 40-50% of patients with symptomatic congestive heart failure (CHF). Obstructive sleep apnea (OSA) is considered a cause of CHF, whereas central sleep apnea (CSA) is considered a response to heart failure, perhaps even compensatory. In the setting of heart failure, continuous positive airway pressure (CPAP) has a definite role in treating OSA with improvements in cardiac parameters expected. However in CSA, CPAP is an adjunctive therapy to other standard therapies directed towards the heart failure (pharmacological, device and surgical options). Whether adaptive servo controlled ventilatory support, a variant of CPAP, is beneficial is yet to be proven. Supplemental oxygen therapy should be used with caution in heart failure, in particular, by avoiding hyperoxia as indicated by SpO2 values >95%. PMID:26380758

  14. Flight Rules Critical Readiness Review

    NASA Technical Reports Server (NTRS)

    Kim, E.; Knudsen, F.; Rice, S.

    2010-01-01

    The increment 23/24 Critical Readiness Review (CRR) flight rules are presented. The topics include: 1) B13-152 Acoustic Constraints; 2) B13-113 IFM/Corrective Action Prioritization Due to Loss of Exercise Capability; 3) B13-116 Constraints on Treadmill VIS Failure; 4) B13-201 Medical Management of ISS Fire/Smoke Response; 5) ARED and T2 Exercise constraints Flight rules (flight and stage specific); 6) FYI: B14 FR to be updated with requirement to sample crew sleep locations prior to receiving a "recommendation" from SRAG on where to sleep.

  15. Accounting principles, reporting rules, and payment practices.

    PubMed

    Kovener, R R

    1979-12-01

    Misconceptions concerning the distinction between accounting principles, reporting rules, and payment practices and how they interrelate can lessen the effectiveness of hospital financial managers in these areas/clarification and recommendations are offered.

  16. Exploring feasibility of home telemanagement in African Americans with congestive heart failure.

    PubMed

    Finkelstein, Joseph; Cha, Eunme; Dennison, Cheryl R

    2010-01-01

    Existing telemonitoring systems provide limited support in implementing personalized treatment plans. We developed a Home Automated Telemanagement (HAT) system for patients with congestive heart failure (CHF) to provide support in following individualized treatment plans as well as to monitor symptoms, weight changes, and quality of life, while educating the patient on their disease. The system is designed to be placed in the patient's home and to communicate all patient data to a central server implementing real-time clinical decision support. The system questions the patient daily on their condition, monitors their weight, and provides the patient with instant feedback on their condition in the form of a 3-zone CHF action plan. Their medication regimen and suggested actions are determined by their care management team and integrated into the system, keeping a personalized approach to disease management while taking advantage of the technology available. The system is designed to be as simple as possible, making it usable by patients with no prior computer experience. A feasibility assessment in African American patients with CHF and without prior computer experience demonstrated high level of acceptance of the CHF HAT system. PMID:20841744

  17. Reliable on-demand multicast routing with congestion control in wireless ad hoc networks

    NASA Astrophysics Data System (ADS)

    Tang, Ken; Gerla, Mario

    2001-07-01

    In this paper, we address the congestion control multicast routing problem in wireless ad hoc networks through the medium access control (MAC) layer. We first introduce the Broadcast Medium Window (BMW) MAC protocol, which provides reliable delivery to broadcast packets at the MAC layer. We then extend the wireless On-Demand Multicast Routing Protocol (ODMRP) to facilitate congestion control in ad hoc networks using BMW. Through simulation, we show that ODMRP with congestion control adapts well to multicast sources that are aggressive in data transmissions.

  18. Diagnosis and Treatment of Depression in Patients With Congestive Heart Failure: A Review of the Literature

    PubMed Central

    Stern, Theodore A.; Hebert, Kathy A.; Musselman, Dominique L.

    2013-01-01

    Context: Major depressive disorder (MDD) can be challenging to diagnose in patients with congestive heart failure, who often suffer from fatigue, insomnia, weight changes, and other neurovegetative symptoms that overlap with those of depression. Pathophysiologic mechanisms (eg, inflammation, autonomic nervous system dysfunction, cardiac arrhythmias, and altered platelet function) connect depression and congestive heart failure. Objective: We sought to review the prevalence, diagnosis, neurobiology, and treatment of depression associated with congestive heart failure. Data Sources: A search of all English-language articles between January 2003 and January 2013 was conducted using the search terms congestive heart failure and depression. Study Selection: We found 1,498 article abstracts and 19 articles (meta-analyses, systematic reviews, and original research articles) that were selected for inclusion, as they contained information about our focus on diagnosis, treatment, and pathophysiology of depression associated with congestive heart failure. The search was augmented with manual review of reference lists of articles from the initial search. Articles selected for review were determined by author consensus. Data Extraction: The prevalence, diagnosis, neurobiology, and treatment of depression associated with congestive heart failure were reviewed. Particular attention was paid to the safety, efficacy, and tolerability of antidepressant medications commonly used to treat depression and how their side-effect profiles impact the pathophysiology of congestive heart failure. Drug-drug interactions between antidepressant medications and medications used to treat congestive heart failure were examined. Results: MDD is highly prevalent in patients with congestive heart failure. Moreover, the prevalence and severity of depression correlate with the degree of cardiac dysfunction and development of congestive heart failure. Depression increases the risk of congestive heart

  19. Recovery of chylous pulmonary congestion in tuberous sclerosis complex-associated lymphangioleiomyomatosis

    PubMed Central

    Kinoshita, Yoshiaki; Sakamoto, Atsuhiko; Hidaka, Kouko

    2014-01-01

    Chyloptysis and chylous pulmonary congestion are extremely rare complications of lymphangioleiomyomatosis (LAM). We report a case of a 50-year-old woman with tuberous sclerosis complex-associated LAM, who presented with expectorating milky-white bronchial casts. She was diagnosed with chyloptysis and chylous pulmonary congestion by sputum analysis. Her symptoms and lung infiltration were improved by oral sirolimus therapy; moreover, serum Krebs von den Lungen-6 (KL-6) levels paralleled the symptoms and lung infiltration of these complications. We suggest that serum KL-6 may be a useful monitoring biomarker of chyloptysis and chylous pulmonary congestion in LAM. PMID:25326562

  20. 47 CFR 1.427 - Effective date of rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Federal Register. Rules involving any military, naval or foreign affairs function of the United States; matters relating to agency management or personnel, public property, loans, grants, benefits or...

  1. 47 CFR 1.427 - Effective date of rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Federal Register. Rules involving any military, naval or foreign affairs function of the United States; matters relating to agency management or personnel, public property, loans, grants, benefits or...

  2. 47 CFR 1.427 - Effective date of rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Federal Register. Rules involving any military, naval or foreign affairs function of the United States; matters relating to agency management or personnel, public property, loans, grants, benefits or...

  3. 47 CFR 1.427 - Effective date of rules.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Federal Register. Rules involving any military, naval or foreign affairs function of the United States; matters relating to agency management or personnel, public property, loans, grants, benefits or...

  4. Phonological reduplication in sign language: Rules rule.

    PubMed

    Berent, Iris; Dupuis, Amanda; Brentari, Diane

    2014-01-01

    Productivity-the hallmark of linguistic competence-is typically attributed to algebraic rules that support broad generalizations. Past research on spoken language has documented such generalizations in both adults and infants. But whether algebraic rules form part of the linguistic competence of signers remains unknown. To address this question, here we gauge the generalization afforded by American Sign Language (ASL). As a case study, we examine reduplication (X→XX)-a rule that, inter alia, generates ASL nouns from verbs. If signers encode this rule, then they should freely extend it to novel syllables, including ones with features that are unattested in ASL. And since reduplicated disyllables are preferred in ASL, such a rule should favor novel reduplicated signs. Novel reduplicated signs should thus be preferred to nonreduplicative controls (in rating), and consequently, such stimuli should also be harder to classify as nonsigns (in the lexical decision task). The results of four experiments support this prediction. These findings suggest that the phonological knowledge of signers includes powerful algebraic rules. The convergence between these conclusions and previous evidence for phonological rules in spoken language suggests that the architecture of the phonological mind is partly amodal.

  5. Phonological reduplication in sign language: Rules rule

    PubMed Central

    Berent, Iris; Dupuis, Amanda; Brentari, Diane

    2014-01-01

    Productivity—the hallmark of linguistic competence—is typically attributed to algebraic rules that support broad generalizations. Past research on spoken language has documented such generalizations in both adults and infants. But whether algebraic rules form part of the linguistic competence of signers remains unknown. To address this question, here we gauge the generalization afforded by American Sign Language (ASL). As a case study, we examine reduplication (X→XX)—a rule that, inter alia, generates ASL nouns from verbs. If signers encode this rule, then they should freely extend it to novel syllables, including ones with features that are unattested in ASL. And since reduplicated disyllables are preferred in ASL, such a rule should favor novel reduplicated signs. Novel reduplicated signs should thus be preferred to nonreduplicative controls (in rating), and consequently, such stimuli should also be harder to classify as nonsigns (in the lexical decision task). The results of four experiments support this prediction. These findings suggest that the phonological knowledge of signers includes powerful algebraic rules. The convergence between these conclusions and previous evidence for phonological rules in spoken language suggests that the architecture of the phonological mind is partly amodal. PMID:24959158

  6. 42 CFR 35.2 - Compliance with hospital rules.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Compliance with hospital rules. 35.2 Section 35.2... EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients and visitors in stations and hospitals of the Service are expected to comply with the rules and...

  7. 42 CFR 35.1 - Hospital and station rules.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Hospital and station rules. 35.1 Section 35.1... EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in charge of a station or hospital of the Service is authorized to adopt such rules and issue such...

  8. 30 CFR 250.463 - Who establishes field drilling rules?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Who establishes field drilling rules? 250.463... Gas Drilling Operations Other Drilling Requirements § 250.463 Who establishes field drilling rules? (a) The District Manager may establish field drilling rules different from the requirements of...

  9. 41 CFR 101-8.704 - Rules against age discrimination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false Rules against age... FEDERAL FINANCIAL ASSISTANCE 8.7-Discrimination Prohibited on the Basis of Age § 101-8.704 Rules against age discrimination. The rules stated in this section are limited by the exceptions contained in §...

  10. 41 CFR 101-8.704 - Rules against age discrimination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 2 2014-07-01 2012-07-01 true Rules against age... FEDERAL FINANCIAL ASSISTANCE 8.7-Discrimination Prohibited on the Basis of Age § 101-8.704 Rules against age discrimination. The rules stated in this section are limited by the exceptions contained in §...

  11. 41 CFR 101-8.704 - Rules against age discrimination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Rules against age... FEDERAL FINANCIAL ASSISTANCE 8.7-Discrimination Prohibited on the Basis of Age § 101-8.704 Rules against age discrimination. The rules stated in this section are limited by the exceptions contained in §...

  12. 41 CFR 101-8.704 - Rules against age discrimination.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true Rules against age... FEDERAL FINANCIAL ASSISTANCE 8.7-Discrimination Prohibited on the Basis of Age § 101-8.704 Rules against age discrimination. The rules stated in this section are limited by the exceptions contained in §...

  13. 41 CFR 101-8.704 - Rules against age discrimination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true Rules against age... FEDERAL FINANCIAL ASSISTANCE 8.7-Discrimination Prohibited on the Basis of Age § 101-8.704 Rules against age discrimination. The rules stated in this section are limited by the exceptions contained in §...

  14. 30 CFR 250.512 - Field well-completion rules.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Field well-completion rules. 250.512 Section... Field well-completion rules. When geological and engineering information available in a field enables the District Manager to determine specific operating requirements, field well-completion rules may...

  15. 42 CFR 35.1 - Hospital and station rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in charge of a station or hospital of the Service is authorized to adopt such rules and issue such instructions... 42 Public Health 1 2012-10-01 2012-10-01 false Hospital and station rules. 35.1 Section...

  16. 42 CFR 35.1 - Hospital and station rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in charge of a station or hospital of the Service is authorized to adopt such rules and issue such instructions... 42 Public Health 1 2013-10-01 2013-10-01 false Hospital and station rules. 35.1 Section...

  17. 42 CFR 35.1 - Hospital and station rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in charge of a station or hospital of the Service is authorized to adopt such rules and issue such instructions... 42 Public Health 1 2014-10-01 2014-10-01 false Hospital and station rules. 35.1 Section...

  18. 42 CFR 35.1 - Hospital and station rules.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in charge of a station or hospital of the Service is authorized to adopt such rules and issue such instructions... 42 Public Health 1 2011-10-01 2011-10-01 false Hospital and station rules. 35.1 Section...

  19. A Better Budget Rule

    ERIC Educational Resources Information Center

    Dothan, Michael; Thompson, Fred

    2009-01-01

    Debt limits, interest coverage ratios, one-off balanced budget requirements, pay-as-you-go rules, and tax and expenditure limits are among the most important fiscal rules for constraining intertemporal transfers. There is considerable evidence that the least costly and most effective of such rules are those that focus directly on the rate of…

  20. Optimal information transmission in organizations: search and congestion

    SciTech Connect

    Arenas, A.; Cabrales, A.; Danon, L.; Diaz-Guilera, A.; Guimera, R.; Vega-Redondo, F.

    2008-01-01

    We propose a stylized model of a problem-solving organization whose internal communication structure is given by a fixed network. Problems arrive randomly anywhere in this network and must find their way to their respective specialized solvers by relying on local information alone. The organization handles multiple problems simultaneously. For this reason, the process may be subject to congestion. We provide a characterization of the threshold of collapse of the network and of the stock of floating problems (or average delay) that prevails below that threshold. We build upon this characterization to address a design problem: the determination of what kind of network architecture optimizes performance for any given problem arrival rate. We conclude that, for low arrival rates, the optimal network is very polarized (i.e. star-like or centralized), whereas it is largely homogeneous (or decentralized) for high arrival rates. These observations are in line with a common transformation experienced by information-intensive organizations as their work flow has risen in recent years.

  1. Serum digoxin concentrations in canine congestive heart failure.

    PubMed

    Tobias, A H; Bland-van den Berg, P; Kruse, M M; Tubbesing, U H; Berry, W L

    1989-03-01

    Digoxin was administered to dogs (n = 10) in congestive heart failure, at an oral dosage rate of 0.01 mg kg-1 lean body mass twice daily. Lean body mass was determined by reducing gross mass by the estimated degree of ascites and body fat. The dose was further adjusted for factors such as renal and hepatic function, the bioavailability of different formulations, and the size of the patient. Trough and peak serum digoxin concentrations were determined after 10 days of digitalisation, or when signs of toxicity became apparent. Serum digoxin concentrations in 6 of the 10 dogs were found to be partially or completely in the toxic or subtherapeutic range. This indicates that an oral digoxin dosage rate of 0.01 mg kg-1 lean body mass administered twice daily, even when adjusted appropriately for factors that affect digoxin pharmacokinetics, provides no more than a rough approximation of the precise dose required to provide serum digoxin concentrations within the therapeutic range. The observations also lend support to a recent recommendation that the digoxin dosage rate should be based on body surface area, although even when administered on this basis, serum digoxin concentrations outside of the therapeutic range could be anticipated. PMID:2724277

  2. Atrial natriuretic factor binding sites in experimental congestive heart failure

    SciTech Connect

    Bianchi, C.; Thibault, G.; Wrobel-Konrad, E.; De Lean, A.; Genest, J.; Cantin, M. )

    1989-10-01

    A quantitative in vitro autoradiographic study was performed on the aorta, renal glomeruli, and adrenal cortex of cardiomyopathic hamsters in various stages of heart failure and correlated, in some instances, with in vivo autoradiography. The results indicate virtually no correlation between the degree of congestive heart failure and the density of 125I-labeled atrial natriuretic factor ((Ser99, Tyr126)ANF) binding sites (Bmax) in the tissues examined. Whereas the Bmax was increased in the thoracic aorta in moderate and severe heart failure, there were no significant changes in the zona glomerulosa. The renal glomeruli Bmax was lower in mild and moderate heart failure compared with control and severe heart failure. The proportion of ANF B- and C-receptors was also evaluated in sections of the aorta, adrenal, and kidney of control and cardiomyopathic hamsters with severe heart failure. (Arg102, Cys121)ANF (des-(Gln113, Ser114, Gly115, Leu116, Gly117) NH2) (C-ANF) at 10(-6) M displaced approximately 505 of (Ser99, Tyr126)125I-ANF bound in the aorta and renal glomeruli and approximately 20% in the adrenal zona glomerulosa in both series of animals. These results suggest that ANF may exert a buffering effect on the vasoconstriction of heart failure and to a certain extent may inhibit aldosterone secretion. The impairment of renal sodium excretion does not appear to be related to glomerular ANF binding sites at any stage of the disease.

  3. 76 FR 75875 - Plan for Conduct of 2012 Electric Transmission Congestion Study

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... electric transmission congestion pursuant to section 216(a)(1) of the Federal Power Act (76 FR 70122). This.... Hoffman, Assistant Secretary, Office of Electricity Delivery and Energy Reliability. BILLING CODE...

  4. Computational realizations of the entropy condition in modeling congested traffic flow. Final report

    SciTech Connect

    Bui, D.D.; Nelson, P.; Narasimhan, S.L.

    1992-04-01

    Existing continuum models of traffic flow tend to provide somewhat unrealistic predictions for conditions of congested flow. Previous approaches to modeling congested flow conditions are based on various types of special treatments at the congested freeway sections. Ansorge (Transpn. Res. B, 24B(1990), 133-143) has suggested that such difficulties might be substantially alleviated, even for the simple conservation model of Lighthill and Whitman, if the entropy condition were incorporated into the numerical schemes. In this report the numerical aspects and effects of incorporating the entropy condition in congested traffic flow problems are discussed. Results for simple scenarios involving dissipation of traffic jams suggest that Godnunov's method, which in a numerical technique that incorporates the entropy condition, is more accurate than two alternative methods. Similarly, numerical results for this method, applied to simple model problems involving formation of traffic jams, appear at least as realistic as those obtained from the well-known code of FREFLO.

  5. Effects of tolvaptan on congestive heart failure complicated with chylothorax in a neonate.

    PubMed

    Sato, Nikiko; Sugiura, Tokio; Nagasaki, Rika; Suzuki, Kazutaka; Ito, Koichi; Kato, Takenori; Inukai, Sachiko; Saitoh, Shinji

    2015-10-01

    Tolvaptan is an oral vasopressin type 2 receptor antagonist that can be used for heart failure patients with hyponatremia or symptomatic congestion. Although the effects of tolvaptan in adults have been well documented, only limited information is available in children. The case of a neonate with congestive heart failure complicated with chylothorax after palliative surgery for transposition of the great arteries treated with tolvaptan is reported. Slow up-titration to 0.1 mg/kg successfully increased urine output and improved refractory congestive heart failure without hypernatremia. Subsequently, bodyweight and chylothorax decreased gradually. Moreover, the use of tolvaptan reduced the dosage of furosemide. Tolvaptan could be an alternative drug for neonates with congestive heart failure. Further large studies are needed to confirm the efficacy and identify the appropriate dose of tolvaptan in neonates.

  6. [Case of congestive heart failure associated with hypereosinophilia developed during antibiotics treatment].

    PubMed

    Sato, Takeo; Hagiwara, Kiyofumi; Matsuno, Hiroaki; Akiyama, Osamu

    2005-10-01

    A 92-year-old man with a history of bronchial asthma and allergic rhinitis received antibiotics for sepsis by methicillin-resistant Staphylococcus aureus and multidrug-resistant Enterococcus gallinarum. During the antibiotics treatment, skin eruptions, liver dysfunction, and hypereosinophilia developed, followed by dyspnea, congestive heart failure, electrocardiographic abnormalities, and diffuse mild myocardial hypokinesis. After the discontinuation of the antibiotics and the administration of steroid, skin eruptions, liver dysfunction, and hypereosinophilia improved parallel with the improvement of the congestive heart failure. Vancomycin hydrochloride and teicoplanin were suspected as the causative drugs on the basis of the treatment course. Although congestive heart failure is rare in the case of drug-induced hypereosinophilia, it is one of life-threatening complications. We describe herein a case of congestive heart failure associated with hypereosinophilia developed during antibiotics treatment, successfully treated with steroid after the discontinuation of the causative drug. PMID:16407668

  7. Chance Constrained Input Relaxation to Congestion in Stochastic DEA. An Application to Iranian Hospitals.

    PubMed

    Kheirollahi, Hooshang; Matin, Behzad Karami; Mahboubi, Mohammad; Alavijeh, Mehdi Mirzaei

    2015-01-01

    This article developed an approached model of congestion, based on relaxed combination of inputs, in stochastic data envelopment analysis (SDEA) with chance constrained programming approaches. Classic data envelopment analysis models with deterministic data have been used by many authors to identify congestion and estimate its levels; however, data envelopment analysis with stochastic data were rarely used to identify congestion. This article used chance constrained programming approaches to replace stochastic models with "deterministic equivalents". This substitution leads us to non-linear problems that should be solved. Finally, the proposed method based on relaxed combination of inputs was used to identify congestion input in six Iranian hospital with one input and two outputs in the period of 2009 to 2012.

  8. Atrioventricular valvular insufficiency and congestive heart failure in a carpet python.

    PubMed

    Rishniw, M; Carmel, B P

    1999-09-01

    Right atrioventricular valve insufficiency and bilateral congestive heart failure were identified in a carpet python (Morelia spilota variegata) with the aid of colour Doppler echocardiography, electrocardiography and radiography. The snake failed to respond to diuretic therapy and was euthanased. Based on this case, it appears that bilateral congestive failure is feasible in univentricular animals with lesions restricted to one side of the heart. Loop diuretic therapy may be inappropriate in non-crocodilian reptiles because reptiles lack a loop of Henle.

  9. Machine-Type-Communication (MTC) Device Grouping Algorithm for Congestion Avoidance of MTC Oriented LTE Network

    NASA Astrophysics Data System (ADS)

    Jung, Kwang-Ryul; Park, Aesoon; Lee, Sungwon

    Machine-Type-Communication (MTC) is a new paradigm in mobile wireless network domains such as Mobile WiMAX (IEEE 802.16e) and 3GPP LTE (3rd Generation Partnership Project Long Term Evolution). We explain the background for MTC environments, and its key issues. Then we focus on the uplink traffic aggressiveness characteristics in major applications such as Smart Grid. Then, we propose a new congestion avoidance algorithm to reduce the congestion of the uplink intensive applications.

  10. Immediate use of medicinal leeches to salvage venous congested reverse pedicled neurocutaneous flaps.

    PubMed

    Gideroglu, Kaan; Yildirim, Serkan; Akan, Mithat; Akoz, Tayfun

    2003-01-01

    Reverse pedicled neurocutaneous flaps have recently become popular for reconstructing soft tissue defects of the lower extremity. Venous congestion is a relatively common problem in these flaps in diabetic patients and those with electric burns, and this may cause partial or complete loss if capillary perfusion is not re-established urgently. We describe our experience of 13 neurocutaneous flaps, of which five developed venous congestion and were treated successfully with leeches placed immediately.

  11. Algorithm and data support of traffic congestion forecasting in the controlled transport

    NASA Astrophysics Data System (ADS)

    Dmitriev, S. V.

    2015-06-01

    The topicality of problem of the traffic congestion forecasting in the logistic systems of product movement highways is considered. The concepts: the controlled territory, the highway occupancy by vehicles, the parking and the controlled territory are introduced. Technical realizabilityof organizing the necessary flow of information on the state of the transport system for its regulation has been marked. Sequence of practical implementation of the solution is given. An algorithm for predicting traffic congestion in the controlled transport system is suggested.

  12. Rules on determining hearing appearances. Final rule.

    PubMed

    2013-05-21

    This final rule is another step in our continual efforts to handle workloads more effectively and efficiently. We are publishing final rules for portions of the rules we proposed in October 2007 that relate to persons, other than the claimant or any other party to the hearing, appearing by telephone. We are also clarifying that the administrative law judge (ALJ) will allow the claimant or any other party to a hearing to appear by telephone under certain circumstances when the claimant or other party requests to make his or her appearance in that manner. We expect that these final rules will make the hearings process more efficient and help us continue to reduce the hearings backlog. In addition, we made some minor editorial changes to our regulations that do not have any effect on the rights of claimants or any other parties.

  13. Conformance Testing: Measurement Decision Rules

    NASA Technical Reports Server (NTRS)

    Mimbs, Scott M.

    2010-01-01

    The goal of a Quality Management System (QMS) as specified in ISO 9001 and AS9100 is to provide assurance to the customer that end products meet specifications. Measuring devices, often called measuring and test equipment (MTE), are used to provide the evidence of product conformity to specified requirements. Unfortunately, processes that employ MTE can become a weak link to the overall QMS if proper attention is not given to the measurement process design, capability, and implementation. Documented "decision rules" establish the requirements to ensure measurement processes provide the measurement data that supports the needs of the QMS. Measurement data are used to make the decisions that impact all areas of technology. Whether measurements support research, design, production, or maintenance, ensuring the data supports the decision is crucial. Measurement data quality can be critical to the resulting consequences of measurement-based decisions. Historically, most industries required simplistic, one-size-fits-all decision rules for measurements. One-size-fits-all rules in some cases are not rigorous enough to provide adequate measurement results, while in other cases are overly conservative and too costly to implement. Ideally, decision rules should be rigorous enough to match the criticality of the parameter being measured, while being flexible enough to be cost effective. The goal of a decision rule is to ensure that measurement processes provide data with a sufficient level of quality to support the decisions being made - no more, no less. This paper discusses the basic concepts of providing measurement-based evidence that end products meet specifications. Although relevant to all measurement-based conformance tests, the target audience is the MTE end-user, which is anyone using MTE other than calibration service providers. Topics include measurement fundamentals, the associated decision risks, verifying conformance to specifications, and basic measurement

  14. Spatial-Temporal Congestion Identification Based on Time Series Similarity Considering Missing Data.

    PubMed

    Qi, Hongsheng; Liu, Meiqi; Wang, Dianhai; Chen, Mengwei

    2016-01-01

    Traffic congestion varies spatially and temporally. The observation of the formation, propagation and dispersion of network traffic congestion can lead to insights about the network performance, the bottleneck dynamics etc. While many researchers use the traffic flow data to reconstruct the congestion profile, the data missing problem is bypassed. Current methods either omit the missing data or supplement the missing part by average etc. Great error may be introduced during these processes. Rather than simply discarding the missing data, this research regards the data missing event as a result of either the severe congestion which prevent the floating vehicle from entering the congested area, or a type of feature of the resulting traffic flow time series. Hence a new traffic flow operational index time series similarity measurement is expected to be established as a basis of identifying the dynamic network bottleneck. The method first measures the traffic flow operational similarity between pairs of neighboring links, and then the similarity results are used to cluster the spatial-temporal congestion. In order to get the similarity under missing data condition, the measurement is implemented in a two-stage manner: firstly the so called first order similarity is calculated given that the traffic flow variables are bounded both upside and downside; then the first order similarity is aggregated to generate the second order similarity as the output. We implement the method on part of the real-world road network; the results generated are not only consistent with empirical observation, but also provide useful insights.

  15. How Travel Demand Affects Detection of Non-Recurrent Traffic Congestion on Urban Road Networks

    NASA Astrophysics Data System (ADS)

    Anbaroglu, B.; Heydecker, B.; Cheng, T.

    2016-06-01

    Occurrence of non-recurrent traffic congestion hinders the economic activity of a city, as travellers could miss appointments or be late for work or important meetings. Similarly, for shippers, unexpected delays may disrupt just-in-time delivery and manufacturing processes, which could lose them payment. Consequently, research on non-recurrent congestion detection on urban road networks has recently gained attention. By analysing large amounts of traffic data collected on a daily basis, traffic operation centres can improve their methods to detect non-recurrent congestion rapidly and then revise their existing plans to mitigate its effects. Space-time clusters of high link journey time estimates correspond to non-recurrent congestion events. Existing research, however, has not considered the effect of travel demand on the effectiveness of non-recurrent congestion detection methods. Therefore, this paper investigates how travel demand affects detection of non-recurrent traffic congestion detection on urban road networks. Travel demand has been classified into three categories as low, normal and high. The experiments are carried out on London's urban road network, and the results demonstrate the necessity to adjust the relative importance of the component evaluation criteria depending on the travel demand level.

  16. Large-Scale Transportation Network Congestion Evolution Prediction Using Deep Learning Theory

    PubMed Central

    Ma, Xiaolei; Yu, Haiyang; Wang, Yunpeng; Wang, Yinhai

    2015-01-01

    Understanding how congestion at one location can cause ripples throughout large-scale transportation network is vital for transportation researchers and practitioners to pinpoint traffic bottlenecks for congestion mitigation. Traditional studies rely on either mathematical equations or simulation techniques to model traffic congestion dynamics. However, most of the approaches have limitations, largely due to unrealistic assumptions and cumbersome parameter calibration process. With the development of Intelligent Transportation Systems (ITS) and Internet of Things (IoT), transportation data become more and more ubiquitous. This triggers a series of data-driven research to investigate transportation phenomena. Among them, deep learning theory is considered one of the most promising techniques to tackle tremendous high-dimensional data. This study attempts to extend deep learning theory into large-scale transportation network analysis. A deep Restricted Boltzmann Machine and Recurrent Neural Network architecture is utilized to model and predict traffic congestion evolution based on Global Positioning System (GPS) data from taxi. A numerical study in Ningbo, China is conducted to validate the effectiveness and efficiency of the proposed method. Results show that the prediction accuracy can achieve as high as 88% within less than 6 minutes when the model is implemented in a Graphic Processing Unit (GPU)-based parallel computing environment. The predicted congestion evolution patterns can be visualized temporally and spatially through a map-based platform to identify the vulnerable links for proactive congestion mitigation. PMID:25780910

  17. Simulation and analysis of congestion risk during escalator transfers using a modified social force model

    NASA Astrophysics Data System (ADS)

    Li, Wenhang; Gong, Jianhua; Yu, Ping; Shen, Shen; Li, Rong; Duan, Qishen

    2015-02-01

    The congestion risk during escalator transfers was simulated based on a modified social force model. A four-stage transfer model was proposed. A projection strategy was employed to calculate the social forces for inclined surfaces, and a schedule-line model was proposed to calculate the targets adaptively. Realistic simulations of escalator transfer activities were achieved. The results demonstrate that the spatial distribution of the congestion risks is inhomogeneous. A few areas contain clearly higher risks, and the congestion risk is higher in the transfer aisles than on the escalators. The congestion risk in the transfer aisle is influenced more by the average pedestrian speed than that of the escalators. Slower walkers in the transfer aisle may cause congestion, which is more serious when the escalator speed is faster than that of the pedestrians. Therefore, to reduce the congestion risk, the speed of the escalator should be set slower than the average speed of the pedestrians, and conductors can be employed to divert the traffic at the entrance, turns, and exit of the escalator.

  18. Large-scale transportation network congestion evolution prediction using deep learning theory.

    PubMed

    Ma, Xiaolei; Yu, Haiyang; Wang, Yunpeng; Wang, Yinhai

    2015-01-01

    Understanding how congestion at one location can cause ripples throughout large-scale transportation network is vital for transportation researchers and practitioners to pinpoint traffic bottlenecks for congestion mitigation. Traditional studies rely on either mathematical equations or simulation techniques to model traffic congestion dynamics. However, most of the approaches have limitations, largely due to unrealistic assumptions and cumbersome parameter calibration process. With the development of Intelligent Transportation Systems (ITS) and Internet of Things (IoT), transportation data become more and more ubiquitous. This triggers a series of data-driven research to investigate transportation phenomena. Among them, deep learning theory is considered one of the most promising techniques to tackle tremendous high-dimensional data. This study attempts to extend deep learning theory into large-scale transportation network analysis. A deep Restricted Boltzmann Machine and Recurrent Neural Network architecture is utilized to model and predict traffic congestion evolution based on Global Positioning System (GPS) data from taxi. A numerical study in Ningbo, China is conducted to validate the effectiveness and efficiency of the proposed method. Results show that the prediction accuracy can achieve as high as 88% within less than 6 minutes when the model is implemented in a Graphic Processing Unit (GPU)-based parallel computing environment. The predicted congestion evolution patterns can be visualized temporally and spatially through a map-based platform to identify the vulnerable links for proactive congestion mitigation. PMID:25780910

  19. Large-scale transportation network congestion evolution prediction using deep learning theory.

    PubMed

    Ma, Xiaolei; Yu, Haiyang; Wang, Yunpeng; Wang, Yinhai

    2015-01-01

    Understanding how congestion at one location can cause ripples throughout large-scale transportation network is vital for transportation researchers and practitioners to pinpoint traffic bottlenecks for congestion mitigation. Traditional studies rely on either mathematical equations or simulation techniques to model traffic congestion dynamics. However, most of the approaches have limitations, largely due to unrealistic assumptions and cumbersome parameter calibration process. With the development of Intelligent Transportation Systems (ITS) and Internet of Things (IoT), transportation data become more and more ubiquitous. This triggers a series of data-driven research to investigate transportation phenomena. Among them, deep learning theory is considered one of the most promising techniques to tackle tremendous high-dimensional data. This study attempts to extend deep learning theory into large-scale transportation network analysis. A deep Restricted Boltzmann Machine and Recurrent Neural Network architecture is utilized to model and predict traffic congestion evolution based on Global Positioning System (GPS) data from taxi. A numerical study in Ningbo, China is conducted to validate the effectiveness and efficiency of the proposed method. Results show that the prediction accuracy can achieve as high as 88% within less than 6 minutes when the model is implemented in a Graphic Processing Unit (GPU)-based parallel computing environment. The predicted congestion evolution patterns can be visualized temporally and spatially through a map-based platform to identify the vulnerable links for proactive congestion mitigation.

  20. Spatial-Temporal Congestion Identification Based on Time Series Similarity Considering Missing Data.

    PubMed

    Qi, Hongsheng; Liu, Meiqi; Wang, Dianhai; Chen, Mengwei

    2016-01-01

    Traffic congestion varies spatially and temporally. The observation of the formation, propagation and dispersion of network traffic congestion can lead to insights about the network performance, the bottleneck dynamics etc. While many researchers use the traffic flow data to reconstruct the congestion profile, the data missing problem is bypassed. Current methods either omit the missing data or supplement the missing part by average etc. Great error may be introduced during these processes. Rather than simply discarding the missing data, this research regards the data missing event as a result of either the severe congestion which prevent the floating vehicle from entering the congested area, or a type of feature of the resulting traffic flow time series. Hence a new traffic flow operational index time series similarity measurement is expected to be established as a basis of identifying the dynamic network bottleneck. The method first measures the traffic flow operational similarity between pairs of neighboring links, and then the similarity results are used to cluster the spatial-temporal congestion. In order to get the similarity under missing data condition, the measurement is implemented in a two-stage manner: firstly the so called first order similarity is calculated given that the traffic flow variables are bounded both upside and downside; then the first order similarity is aggregated to generate the second order similarity as the output. We implement the method on part of the real-world road network; the results generated are not only consistent with empirical observation, but also provide useful insights. PMID:27649412

  1. Limb congestion enhances the synchronization of sympathetic outflow with muscle contraction

    NASA Technical Reports Server (NTRS)

    Mostoufi-Moab, S.; Herr, M. D.; Silber, D. H.; Gray, K. S.; Leuenberger, U. A.; Sinoway, L. I.

    2000-01-01

    In this report, we examined if the synchronization of muscle sympathetic nerve activity (MSNA) with muscle contraction is enhanced by limb congestion. To explore this relationship, we applied signal-averaging techniques to the MSNA signal obtained during short bouts of forearm contraction (2-s contraction/3-s rest cycle) at 40% maximal voluntary contraction for 5 min. We performed this analysis before and after forearm venous congestion; an intervention that augments the autonomic response to sustained static muscle contractions via a local effect on muscle afferents. There was an increased percentage of the MSNA noted during second 2 of the 5-s contraction/rest cycles. The percentage of total MSNA seen during this particular second increased from minute 1 to 5 of contraction and was increased further by limb congestion (control minute 1 = 25.6 +/- 2.0%, minute 5 = 32.8 +/- 2.2%; limb congestion minute 1 = 29.3 +/- 2.1%, minute 5 = 37.8 +/- 3.9%; exercise main effect <0.005; limb congestion main effect P = 0.054). These changes in the distribution of signal-averaged MSNA were seen despite the fact that the mean number of sympathetic discharges did not increase over baseline. We conclude that synchronization of contraction and MSNA is seen during short repetitive bouts of handgrip. The sensitizing effect of contraction time and limb congestion are apparently due to feedback from muscle afferents within the exercising muscle.

  2. Spatial-Temporal Congestion Identification Based on Time Series Similarity Considering Missing Data

    PubMed Central

    Qi, Hongsheng; Liu, Meiqi; Wang, Dianhai; Chen, Mengwei

    2016-01-01

    Traffic congestion varies spatially and temporally. The observation of the formation, propagation and dispersion of network traffic congestion can lead to insights about the network performance, the bottleneck dynamics etc. While many researchers use the traffic flow data to reconstruct the congestion profile, the data missing problem is bypassed. Current methods either omit the missing data or supplement the missing part by average etc. Great error may be introduced during these processes. Rather than simply discarding the missing data, this research regards the data missing event as a result of either the severe congestion which prevent the floating vehicle from entering the congested area, or a type of feature of the resulting traffic flow time series. Hence a new traffic flow operational index time series similarity measurement is expected to be established as a basis of identifying the dynamic network bottleneck. The method first measures the traffic flow operational similarity between pairs of neighboring links, and then the similarity results are used to cluster the spatial-temporal congestion. In order to get the similarity under missing data condition, the measurement is implemented in a two-stage manner: firstly the so called first order similarity is calculated given that the traffic flow variables are bounded both upside and downside; then the first order similarity is aggregated to generate the second order similarity as the output. We implement the method on part of the real-world road network; the results generated are not only consistent with empirical observation, but also provide useful insights. PMID:27649412

  3. Managerial Innovation: Rules for Successful Implementation.

    ERIC Educational Resources Information Center

    Baldridge, J. Victor

    1980-01-01

    The Higher Education Research Institute studied the impact of Exxon Foundation grants from the Resource Allocation and Management Program (RAMP) at 49 private colleges to determine if and how college planning and financial stability were affected by changes in management techniques. Rules for supporting innovations at various phases of a project's…

  4. 30 CFR 250.1607 - Field rules.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... OFFSHORE OIL AND GAS AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Sulphur Operations § 250.1607 Field rules. When geological and engineering information in a field enables a District Manager to... well workover on the District Manager's initiative or in response to a request from a lessee;...

  5. Effects of desipramine on norepinephrine clearance in congestive heart failure

    SciTech Connect

    Clemson, B.; Baily, R.G.; Davis, D.; Zelis, R. )

    1990-08-01

    Elevated plasma norepinephrine (NE) in congestive heart failure (CHF) is caused by increased NE spillover and decreased NE clearance. To evaluate the effects of neuronal uptake blockade on NE clearance, we studied NE kinetics during steady-state infusions of (3H)NE, before and after oral desipramine (DMI, 50 mg) in 11 patients with CHF and 8 normal volunteers. Baseline plasma NE was greater in the CHF group (637 +/- 56 vs. 271 +/- 32 pg/ml; P less than 0.001), NE clearance was lower in CHF (1.31 +/- 0.21 vs. 1.94 +/- 0.17 l.min-1.m-2; P = 0.026), and NE spillover was greater in CHF (4.71 +/- 0.78 vs. 3.04 +/- 0.35 nmol.min-1.m-2, P = 0.054). After DMI, plasma NE rose significantly in CHF (778 +/- 67; P = 0.008), and NE clearance decreased further in CHF (0.97 +/- 0.16; P = 0.024), but neither changed in normal subjects. NE spillover did not change in either group. There appears to be an enhanced effect of DMI on NE clearance in CHF patients. Two general mechanisms may be responsible for this finding, an increased concentration of drug, possibly caused by a decreased volume of distribution, and an increased sensitivity of neuronal amine pumps to DMI. Both mechanisms may reflect a more general abnormality of clearance of drugs and hormones related to abnormalities of tissue perfusion in CHF.

  6. Pneumoconiosis increases the risk of congestive heart failure

    PubMed Central

    Yen, Chia-Ming; Lin, Cheng-Li; Lin, Ming-Chia; Chen, Huei-Yong; Lu, Nan-Han; Kao, Chia-Hung

    2016-01-01

    Abstract The purpose of the study was to determine the relationship between pneumoconiosis and congestive heart failure (CHF). We collected data from the National Health Insurance Research Database in Taiwan. The study sample comprised 8923 patients with pneumoconiosis and 35,692 nonpneumoconiosis controls enrolled from 2000 to 2011. Patients were followed up until the end of 2011 to evaluate the incidence of CHF. The risk of CHF was analyzed using Cox proportional hazard regression models, and the analysis accounted for factors such as sex, age, comorbidities, and air pollutants (μg/m3). The overall incidence of CHF was higher in the pneumoconiosis cohort (15.7 per 1000 person-y) than in the nonpneumoconiosis cohort (11.2 per 1000 person-y), with a crude hazard ratio (HR) of 1.40 (P < 0.001). The HR for CHF was 1.38-fold greater in the pneumoconiosis cohort than in the nonpneumoconiosis cohort (P < 0.001) after the model was adjusted for age, sex, various comorbidities, and air pollutants (μg/m3). The relative risk for CHF in the sex-specific pneumoconiosis cohort compared with the nonpneumoconiosis cohort was significant for men (adjusted HR = 1.40, 95% confidence interval = 1.21–1.62, P < 0.001). The incidence density rates of CHF increased with age; pneumoconiosis patients had a higher relative risk of CHF for all age group. Patients with pneumoconiosis were at higher risk for developing CHF than patients in the nonpneumoconiosis cohort, particularly in cases with coexisting coronary artery disease, hypertension, and chronic obstructive pulmonary disease. PMID:27336897

  7. Effects of bucindolol on neurohormonal activation in congestive heart failure

    SciTech Connect

    Eichhorn, E.J.; McGhie, A.L.; Bedotto, J.B.; Corbett, J.R.; Malloy, C.R.; Hatfield, B.A.; Deitchman, D.; Willard, J.E.; Grayburn, P.A. )

    1991-01-01

    To examine the effects of beta-adrenergic blockade on neurohormonal activation in patients with congestive heart failure, 15 men had assessments of hemodynamics and supine peripheral renin and norepinephrine levels before and after 3 months of oral therapy with bucindolol, a nonselective beta antagonist. At baseline, plasma renin activity did not correlate with any hemodynamic parameter. However, norepinephrine levels had a weak correlation with left ventricular end-diastolic pressure (r = 0.74, p less than 0.01), stroke volume index (r = 0.61, p less than 0.02) and pulmonary vascular resistance (r = 0.54, p less than 0.05). Plasma renin decreased with bucindolol therapy, from 11.6 +/- 13.4 to 4.3 +/- 4.1 ng/ml/hour (mean +/- standard deviation; p less than 0.05), whereas plasma norepinephrine was unchanged, from 403 +/- 231 to 408 +/- 217 pg/ml. A wide diversity of the norepinephrine response to bucindolol was observed with reduction of levels in some patients and elevation in others. Although plasma norepinephrine did not decrease, heart rate tended to decrease (from 82 +/- 20 vs 73 +/- 11 min-1, p = 0.059) with beta-adrenergic blockade, suggesting neurohormonal antagonism at the receptor level. No changes in I-123 metaiodobenzylguanidine uptake occurred after bucindolol therapy, suggesting unchanged adrenergic uptake of norepinephrine with beta-blocker therapy. Despite reductions in plasma renin activity and the presence of beta blockade, the response of renin or norepinephrine levels to long-term bucindolol therapy did not predict which patients had improved in hemodynamic status (chi-square = 0.37 for renin, 0.82 for norepinephrine).

  8. Cheyne-Stokes respiration and prognosis in congestive heart failure.

    PubMed

    Andreas, S; Hagenah, G; Moller, C; Werner, G S; Kreuzer, H

    1996-12-01

    Patients with congestive heart failure (CHF) frequently demonstrate Cheyne-Stokes respiration (CSR) with repetitive arousals and oxygen desaturations during sleep. Although it was evident from early publications that CSR during the daytime is a poor prognostic indicator in patients with CHF, it was speculated recently that CSR occurring during sleep could impede left ventricular function and even survival. We therefore followed up 36 patients with CHF and a left ventricular ejection fraction < or = 40% who underwent a sleep study at our institution. The patients showed a reduced ejection fraction (20 +/- 8%) and CSR with a median of 19% of total sleep time (lower and upper quartiles 9% and 56%). In 12 +/- 9% of their time in bed, the arterial oxygen saturation was <90%. No patient was lost to follow-up, which lasted for 32 +/- 15 months (range 11 to 53). One-year survival was 86 +/- 6%, and 2-year survival was 66 +/- 8%. Univariate comparisons for survival between groups stratified by the amount of CSR revealed no significant difference (log rank test, p = 0.84). However, the 20 patients with a left ventricular ejection fraction <20% had a shorter mean survival time than patients with an ejection fraction >20% (9.5 vs 28.3 months; log rank test, p = 0.013). Two patients with CSR during the daytime died within 1 month. No other patient had CSR during the daytime, and only 1 patient without daytime CSR died within 1 month (chi-square test, p <0.001). Higher age, reduced carbon dioxide end-tidal partial pressure, and increased transit time were found to be significantly related to the amount of nocturnal CSR. In conclusion, CSR occurring during sleep has no important prognostic impact in patients with CHF, but CSR present during the daytime suggests a high likelihood of dying within a few months.

  9. Implementing home telemanagement of congestive heart failure using Xbox gaming platform.

    PubMed

    Finkelstein, Joseph; Wood, Jeffrey

    2011-01-01

    Gaming platforms have been recognized for user-friendly interface which does not require previous computer-related experience. Easy to use and wide availability of these platforms at patient households make them an attractive means to facilitate consumer health. The potential of such widely used platforms as Xbox for self-management of chronic health conditions has not yet been fully uncovered. We developed a Home Automated Telemanagement (HAT) system which utilizes Xbox to access personal health record, receive self-care support and exchange information with health care providers. The system questions patients with congestive heart failure (CHF) to monitor symptoms, weight changes, medication adherence and quality of life while educating the patient on their disease. The patients receive an instant feedback on their condition in the form of a 3-zone CHF action plan. The patient self-management information can be reviewed by a provider on a designated web site. The system is programmed to run on the Microsoft Xbox videogame console using an active internet connection and a connection to a computer running Windows Media Center. The system is designed to be as simple as possible making it usable by patients with no prior computer or videogame experience. The feasibility of this approach was tested in ten adults with no previous Xbox experience who completed attitudinal surveys and semi-structured qualitative interviews after using the system. All participants claimed that they did not have any problems in using the system and that they would use the system in the future if necessary. An Xbox-based telemanagement system has potential to optimize the care of patients with CHF and other chronic conditions.

  10. Following new tax rules on charitable deductions.

    PubMed

    Luecke, R W; Sossi, F T

    1994-11-01

    The Omnibus Budget Reconciliation Act of 1993 established new rules governing individuals who make donations to charitable organizations and organizations that provide goods and services in return for charitable donations. Healthcare financial managers and fund-raising personnel need to become familiar with these rules so they can assure that donors of charitable contributions to their organizations will receive appropriate tax deductions and that the organizations themselves will not incur penalties for failing to make proper disclosures.

  11. 41 CFR 60-1.44 - Rulings and interpretations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 1 2011-07-01 2009-07-01 true Rulings and interpretations. 60-1.44 Section 60-1.44 Public Contracts and Property Management Other Provisions Relating to... OF LABOR 1-OBLIGATIONS OF CONTRACTORS AND SUBCONTRACTORS Ancillary Matters § 60-1.44 Rulings...

  12. 41 CFR 60-1.44 - Rulings and interpretations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 1 2014-07-01 2014-07-01 false Rulings and interpretations. 60-1.44 Section 60-1.44 Public Contracts and Property Management Other Provisions Relating to... OF LABOR 1-OBLIGATIONS OF CONTRACTORS AND SUBCONTRACTORS Ancillary Matters § 60-1.44 Rulings...

  13. 41 CFR 60-30.18 - Rules of evidence.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 1 2014-07-01 2014-07-01 false Rules of evidence. 60-30.18 Section 60-30.18 Public Contracts and Property Management Other Provisions Relating to Public... ORDER 11246 Hearings and Related Matters § 60-30.18 Rules of evidence. In any hearing, decision,...

  14. 41 CFR 60-30.18 - Rules of evidence.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Rules of evidence. 60-30.18 Section 60-30.18 Public Contracts and Property Management Other Provisions Relating to Public... ORDER 11246 Hearings and Related Matters § 60-30.18 Rules of evidence. In any hearing, decision,...

  15. 41 CFR 60-30.18 - Rules of evidence.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true Rules of evidence. 60-30.18 Section 60-30.18 Public Contracts and Property Management Other Provisions Relating to Public... ORDER 11246 Hearings and Related Matters § 60-30.18 Rules of evidence. In any hearing, decision,...

  16. 41 CFR 60-30.18 - Rules of evidence.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 1 2011-07-01 2009-07-01 true Rules of evidence. 60-30.18 Section 60-30.18 Public Contracts and Property Management Other Provisions Relating to Public... ORDER 11246 Hearings and Related Matters § 60-30.18 Rules of evidence. In any hearing, decision,...

  17. 41 CFR 60-30.18 - Rules of evidence.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 1 2013-07-01 2013-07-01 false Rules of evidence. 60-30.18 Section 60-30.18 Public Contracts and Property Management Other Provisions Relating to Public... ORDER 11246 Hearings and Related Matters § 60-30.18 Rules of evidence. In any hearing, decision,...

  18. 41 CFR 60-1.44 - Rulings and interpretations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true Rulings and interpretations. 60-1.44 Section 60-1.44 Public Contracts and Property Management Other Provisions Relating to... OF LABOR 1-OBLIGATIONS OF CONTRACTORS AND SUBCONTRACTORS Ancillary Matters § 60-1.44 Rulings...

  19. 41 CFR 60-300.83 - Rulings and interpretations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 1 2014-07-01 2014-07-01 false Rulings and interpretations. 60-300.83 Section 60-300.83 Public Contracts and Property Management Other Provisions Relating to... VETERANS, AND ARMED FORCES SERVICE MEDAL VETERANS Ancillary Matters § 60-300.83 Rulings and...

  20. 41 CFR 60-1.44 - Rulings and interpretations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 1 2013-07-01 2013-07-01 false Rulings and interpretations. 60-1.44 Section 60-1.44 Public Contracts and Property Management Other Provisions Relating to... OF LABOR 1-OBLIGATIONS OF CONTRACTORS AND SUBCONTRACTORS Ancillary Matters § 60-1.44 Rulings...

  1. 41 CFR 60-1.44 - Rulings and interpretations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Rulings and interpretations. 60-1.44 Section 60-1.44 Public Contracts and Property Management Other Provisions Relating to... OF LABOR 1-OBLIGATIONS OF CONTRACTORS AND SUBCONTRACTORS Ancillary Matters § 60-1.44 Rulings...

  2. 41 CFR 51-9.101-4 - Rules of conduct.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Rules of conduct. 51-9.101-4 Section 51-9.101-4 Public Contracts and Property Management Other Provisions Relating to Public...-General Policy § 51-9.101-4 Rules of conduct. Any employee of the Committee involved in the...

  3. Adaptive-compression based congestion control technique for wireless sensor networks.

    PubMed

    Lee, Joa-Hyoung; Jung, In-Bum

    2010-01-01

    Congestion in a wireless sensor network causes an increase in the amount of data loss and delays in data transmission. In this paper, we propose a new congestion control technique (ACT, Adaptive Compression-based congestion control Technique) based on an adaptive compression scheme for packet reduction in case of congestion. The compression techniques used in the ACT are Discrete Wavelet Transform (DWT), Adaptive Differential Pulse Code Modulation (ADPCM), and Run-Length Coding (RLC). The ACT first transforms the data from the time domain to the frequency domain, reduces the range of data by using ADPCM, and then reduces the number of packets with the help of RLC before transferring the data to the source node. It introduces the DWT for priority-based congestion control because the DWT classifies the data into four groups with different frequencies. The ACT assigns priorities to these data groups in an inverse proportion to the respective frequencies of the data groups and defines the quantization step size of ADPCM in an inverse proportion to the priorities. RLC generates a smaller number of packets for a data group with a low priority. In the relaying node, the ACT reduces the amount of packets by increasing the quantization step size of ADPCM in case of congestion. Moreover, in order to facilitate the back pressure, the queue is controlled adaptively according to the congestion state. We experimentally demonstrate that the ACT increases the network efficiency and guarantees fairness to sensor nodes, as compared with the existing methods. Moreover, it exhibits a very high ratio of the available data in the sink. PMID:22319280

  4. Physical Activity during a Prolonged Congested Period in a Top-Class European Football Team

    PubMed Central

    Djaoui, Léo; Wong, Del P.; Pialoux, Vincent; Hautier, Christophe; Da Silva, Cristiano D.; Chamari, Karim; Dellal, Alexandre

    2013-01-01

    Purpose The aim of the present study was to examine the variation in physical activity of elite soccer players within successive prolonged periods of fixture congestion over 5 months of competition during the competitive season 2011-2012. Methods Sixteen international players, classified into 6 positions (central defenders: CD; full-backs: FB; central defensive midfielders: CDM; wide midfielders: WM; central attacking midfielders: CAM; forwards: FW), were examined during the French First League, French Cup, and UEFA Champion's League matches. The total distance covered at light (<12 km.h−1), sustained-cruising (>18-21 km.h−1), high (>21-23 km.h−1), very high (>23-25 km.h−1), sub-maximal (>25-27 km.h−1), and maximal (>27 km.h−1) intensity running (IR) were measured and analysed using a semi-automatic match analysis system (Amisco Pro™). Results No differences were observed between congested and non-congested periods (two vs. one match a week, respectively) for the total distance covered at all the speed thresholds over 18 km.h−1, with no variation in physical fitness over the 5 studied months. Specifically to the playing positions, regardless of the congestion periods, FB and WM covered more distance than CDM over 21km.h−1; FB, WM and FW covered similar distances for all running intensities; and CD and CDM covered shorter distance during non-congested compared to congested periods (P<0.05) at light-IR. Conclusion The present study reveals that prolonged congested match fixture did not affect the high-intensity physical activity of top-class soccer players during official games during a 5 months fixture period. PMID:24868431

  5. Adaptive-Compression Based Congestion Control Technique for Wireless Sensor Networks

    PubMed Central

    Lee, Joa-Hyoung; Jung, In-Bum

    2010-01-01

    Congestion in a wireless sensor network causes an increase in the amount of data loss and delays in data transmission. In this paper, we propose a new congestion control technique (ACT, Adaptive Compression-based congestion control Technique) based on an adaptive compression scheme for packet reduction in case of congestion. The compression techniques used in the ACT are Discrete Wavelet Transform (DWT), Adaptive Differential Pulse Code Modulation (ADPCM), and Run-Length Coding (RLC). The ACT first transforms the data from the time domain to the frequency domain, reduces the range of data by using ADPCM, and then reduces the number of packets with the help of RLC before transferring the data to the source node. It introduces the DWT for priority-based congestion control because the DWT classifies the data into four groups with different frequencies. The ACT assigns priorities to these data groups in an inverse proportion to the respective frequencies of the data groups and defines the quantization step size of ADPCM in an inverse proportion to the priorities. RLC generates a smaller number of packets for a data group with a low priority. In the relaying node, the ACT reduces the amount of packets by increasing the quantization step size of ADPCM in case of congestion. Moreover, in order to facilitate the back pressure, the queue is controlled adaptively according to the congestion state. We experimentally demonstrate that the ACT increases the network efficiency and guarantees fairness to sensor nodes, as compared with the existing methods. Moreover, it exhibits a very high ratio of the available data in the sink. PMID:22319280

  6. 5 CFR 1001.101 - In addition to this part, what other rules of conduct apply to Office of Personnel Management...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Noncareer Employees regulations at 5 CFR part 2636; (d) Regulations Concerning Post Employment Conflict of Interest at 5 CFR part 2637; (e) Post-employment Conflict of Interest Restrictions regulations at 5 CFR... Management at 5 CFR part 4501; (g) The Employee Responsibilities and Conduct regulations at 5 CFR part...

  7. Increased Rho kinase activity in congestive heart failure

    PubMed Central

    Dong, Ming; Liao, James K.; Fang, Fang; Lee, Alex Pui-Wai; Yan, Bryan Ping-Yen; Liu, Ming; Yu, Cheuk-Man

    2012-01-01

    Aims Rho kinases (ROCKs) are the best characterized effectors of the small G-protein RhoA, and play a role in enhanced vasoconstriction in animal models of congestive heart failure (CHF). This study examined if ROCK activity is increased in CHF and how it is associated with the outcome in CHF. Methods and results Patients admitted with CHF (n =178), disease controls (n =31), and normal subjects (n =30) were studied. Baseline ROCK activity was measured by phosphorylation of themyosin-binding subunit in peripheral leucocytes. The patients were followed up for 14.4 ± 7.2 months (range 0.5–26 months) or until the occurrence of cardiac death. The ROCK activity in CHF patients (2.93 ± 0.87) was significantly higher than that of the disease control (2.06 ± 0.38, P < 0.001) and normal control (1.57 ± 0.43, P < 0.001) groups. Similarly, protein levels of ROCK1 and ROCK2 as well as the activity of RhoA in CHF were significantly higher than in disease controls and normal controls (all P < 0.05). Dyspnoea at rest (β =0.338, P < 0.001), low left ventricular ejection fraction (β = –0.277, P < 0.001), and high creatinine (β =0.202, P =0.006) were independent predictors of the baseline ROCK activity in CHF. Forty-five patients died within 2 years follow-up (25.3%). Combining ROCK activity and N-terminal pro brain natriuretic peptide (NT-proBNP) had an incremental value (log rank χ2 =11.62) in predicting long-term mortality when compared with only NT-proBNP (log rank χ2 =5.16, P < 0.05). Conclusion ROCK activity is increased in CHF and it might be associated with the mortality in CHF. ROCK activity might be a complementary biomarker to CHF risk stratification. PMID:22588320

  8. Medicinal Leech Therapy for Glans Penis Congestion After Primary Bladder Exstrophy-Epispadias Repair in an Infant: A Case Report.

    PubMed

    Wagenheim, Gavin N; Au, Jason; Gargollo, Patricio C

    2016-01-01

    Many postoperative complications have been reported after repair of classic bladder exstrophy. We present a case of medicinal leech therapy for glans penis congestion following exstrophy repair in an infant. A 2-week-old male with classic bladder exstrophy underwent complete primary repair. On postoperative day 1, he developed rapidly worsening glans penis venous congestion. Medicinal leech therapy was instituted with antibiotics and blood transfusions to maintain a hematocrit >30%. After 24 hours, venous congestion improved and therapy was discontinued. The patient's remaining hospital course was uncomplicated. Medicinal leeches are an effective therapy to relieve glans penis venous congestion.

  9. Multi-time-scale congestion control mechanism based on the alpha-stable self-similar processes

    NASA Astrophysics Data System (ADS)

    Ge, Xiaohu; Zhu, Guangxi; Zhu, Yaoting; Shi, Chunyan

    2004-04-01

    A multi-time scale congestion control mechanism has been proposed in this paper, which utilizes the characteristic of self-similar in the network. Based on the theory of the alpha-stable processes, a prediction model is brought forward and a frame of multi-time scale is designed. The aim of all of those is try to avoid the congestion of network in statistically. Moreover, the frame of the new congestion control mechanism is described and the working procedure of the new congestion control mechanism is explained.

  10. Rules, culture, and fitness.

    PubMed

    Baum, W M

    1995-01-01

    Behavior analysis risks intellectual isolation unless it integrates its explanations with evolutionary theory. Rule-governed behavior is an example of a topic that requires an evolutionary perspective for a full understanding. A rule may be defined as a verbal discriminative stimulus produced by the behavior of a speaker under the stimulus control of a long-term contingency between the behavior and fitness. As a discriminative stimulus, the rule strengthens listener behavior that is reinforced in the short run by socially mediated contingencies, but which also enters into the long-term contingency that enhances the listener's fitness. The long-term contingency constitutes the global context for the speaker's giving the rule. When a rule is said to be "internalized," the listener's behavior has switched from short- to long-term control. The fitness-enhancing consequences of long-term contingencies are health, resources, relationships, or reproduction. This view ties rules both to evolutionary theory and to culture. Stating a rule is a cultural practice. The practice strengthens, with short-term reinforcement, behavior that usually enhances fitness in the long run. The practice evolves because of its effect on fitness. The standard definition of a rule as a verbal statement that points to a contingency fails to distinguish between a rule and a bargain ("If you'll do X, then I'll do Y"), which signifies only a single short-term contingency that provides mutual reinforcement for speaker and listener. In contrast, the giving and following of a rule ("Dress warmly; it's cold outside") can be understood only by reference also to a contingency providing long-term enhancement of the listener's fitness or the fitness of the listener's genes. Such a perspective may change the way both behavior analysts and evolutionary biologists think about rule-governed behavior.

  11. Priority Based Congestion Control Dynamic Clustering Protocol in Mobile Wireless Sensor Networks

    PubMed Central

    Beulah Jayakumari, R.; Jawahar Senthilkumar, V.

    2015-01-01

    Wireless sensor network is widely used to monitor natural phenomena because natural disaster has globally increased which causes significant loss of life, economic setback, and social development. Saving energy in a wireless sensor network (WSN) is a critical factor to be considered. The sensor nodes are deployed to sense, compute, and communicate alerts in a WSN which are used to prevent natural hazards. Generally communication consumes more energy than sensing and computing; hence cluster based protocol is preferred. Even with clustering, multiclass traffic creates congested hotspots in the cluster, thereby causing packet loss and delay. In order to conserve energy and to avoid congestion during multiclass traffic a novel Priority Based Congestion Control Dynamic Clustering (PCCDC) protocol is developed. PCCDC is designed with mobile nodes which are organized dynamically into clusters to provide complete coverage and connectivity. PCCDC computes congestion at intra- and intercluster level using linear and binary feedback method. Each mobile node within the cluster has an appropriate queue model for scheduling prioritized packet during congestion without drop or delay. Simulation results have proven that packet drop, control overhead, and end-to-end delay are much lower in PCCDC which in turn significantly increases packet delivery ratio, network lifetime, and residual energy when compared with PASCC protocol. PMID:26504898

  12. Hysteresis-based congestion control at the B-ISDN access

    NASA Astrophysics Data System (ADS)

    Wissing, Johannes

    1993-11-01

    Multiplexing of bursty sources and refined congestion control strategies are still the subject of numerous research activities. Broadband applications with very high peak-to-mean bitrate ratio and long silence periods like still picture video gave rise to different ideas of rate control at the B-ISDN network access. Contributions on Input Rate Control for source coded traffic as well as on Server Rate Control within a LAN/ATM Interworking Unit have recently been presented. This paper addresses a congestion avoidance strategy at the network access regarding the aggregated traffic of bursty sources. Depending on the number of active sources as well as on certain defined congestion levels the cell rate at the network access is controlled. The proposed analytical approach is based on the model of uniform and continuous arrival and service. The selected underlying Markov chain contains `split' states in order to handle the congestion correlation. The proposed model is extended to an adaptive Non-Markov system where the buffer filling level is evaluated using a switching hysteresis. This type of congestion measurement turns out to be very useful for an adaptive rate control mechanism that guarantees a certain quality of service while still achieving a good statistical gain. The analytical approach is confirmed by results of a computer simulation that is extended to the more complex case of adaptive rate control.

  13. CRRT: Congestion-Aware and Rate-Controlled Reliable Transport in Wireless Sensor Networks

    NASA Astrophysics Data System (ADS)

    Alam, Muhammad Mahbub; Hong, Choong Seon

    For successful data collection in wireless sensor networks, it is important to ensure that the required delivery ratio is maintained while keeping a fair rate for every sensor. Furthermore, emerging high-rate applications might require complete reliability and the transfer of large volume of data, where persistent congestion might occur. These requirements demand a complete but efficient solution for data transport in sensor networks which reliably transports data from many sources to one or more sinks, avoids congestion and maintains fairness. In this paper, we propose congestion-aware and rate-controlled reliable transport (CRRT), an efficient and low-overhead data transport mechanism for sensor networks. CRRT uses efficient MAC retransmission to increase one-hop reliability and end-to-end retransmission for loss recovery. It also controls the total rate of the sources centrally, avoids the congestion in the bottleneck based on congestion notifications from intermediate nodes and centrally assigns the rate to the sources based on rate assignment policy of the applications. Performance of CRRT is evaluated in NS-2 and simulation results demonstrate the effectiveness of CRRT.

  14. Priority Based Congestion Control Dynamic Clustering Protocol in Mobile Wireless Sensor Networks.

    PubMed

    Jayakumari, R Beulah; Senthilkumar, V Jawahar

    2015-01-01

    Wireless sensor network is widely used to monitor natural phenomena because natural disaster has globally increased which causes significant loss of life, economic setback, and social development. Saving energy in a wireless sensor network (WSN) is a critical factor to be considered. The sensor nodes are deployed to sense, compute, and communicate alerts in a WSN which are used to prevent natural hazards. Generally communication consumes more energy than sensing and computing; hence cluster based protocol is preferred. Even with clustering, multiclass traffic creates congested hotspots in the cluster, thereby causing packet loss and delay. In order to conserve energy and to avoid congestion during multiclass traffic a novel Priority Based Congestion Control Dynamic Clustering (PCCDC) protocol is developed. PCCDC is designed with mobile nodes which are organized dynamically into clusters to provide complete coverage and connectivity. PCCDC computes congestion at intra- and intercluster level using linear and binary feedback method. Each mobile node within the cluster has an appropriate queue model for scheduling prioritized packet during congestion without drop or delay. Simulation results have proven that packet drop, control overhead, and end-to-end delay are much lower in PCCDC which in turn significantly increases packet delivery ratio, network lifetime, and residual energy when compared with PASCC protocol. PMID:26504898

  15. “We Made the Rule, We Have to Stick to It”: Towards Effective Management of Environmental Tobacco Smoke in Remote Australian Aboriginal Communities

    PubMed Central

    Robertson, Jan; Pointing, Boris Shane; Stevenson, Leah; Clough, Alan R.

    2013-01-01

    Smoking prevalence in remote Australian Aboriginal communities remains extraordinarily high, with rates reported of up to 82%. Widespread exposure to environmental tobacco smoke (ETS) is exacerbated by overcrowded housing. Implementation of existing smoke-free policies is challenged by the normalization of smoking and a lack of appropriate regulation resources. This paper celebrates a grassroots approach to control of environmental tobacco smoke (ETS) in these settings. We report on selected findings from a tobacco intervention study in Arnhem Land, Northern Territory in 2007–2012. In community-level tobacco use surveys at baseline (n = 400 ≥ 16 years), participants reported concern about the constant exposure of non-smokers to tobacco smoke. Suggestions for action included restricting smoking in private and public spaces. We selected three case studies illustrating management of ETS from observational data during the study’s intervention phase. Using a critical realist approach, the context and mechanisms that contributed to specific strategies, or outcomes, were examined in order to develop a hypothesis regarding more effective management of ETS in these environments. Our results suggest that in discrete, disadvantaged communities, enhanced local ownership of smoke-free policies and development of implementation strategies at the grassroots level that acknowledge and incorporate cultural contexts can contribute to more effective management of ETS. PMID:24157514

  16. Core Rules of Netiquette.

    ERIC Educational Resources Information Center

    Shea, Virginia

    1994-01-01

    Discusses rules of etiquette for communicating via computer networks, including conversing as politely as you would face-to-face; ethical behavior; becoming familiar with the domain that you are in; rules for discussion groups; quality of writing; sharing appropriate knowledge; and respecting individuals' privacy. (LRW)

  17. "Chaos Rules" Revisited

    ERIC Educational Resources Information Center

    Murphy, David

    2011-01-01

    About 20 years ago, while lost in the midst of his PhD research, the author mused over proposed titles for his thesis. He was pretty pleased with himself when he came up with "Chaos Rules" (the implied double meaning was deliberate), or more completely, "Chaos Rules: An Exploration of the Work of Instructional Designers in Distance Education." He…

  18. How Rules Shape Experience

    ERIC Educational Resources Information Center

    Emo, Kenneth

    2008-01-01

    Rules guide and constrain participants' actions as they participate in any educational activity. This ethnographically driven case study examines how organizational rules--the implicit and explicit regulations that constrain actions and interactions--influence children to use science in the experiential educational activity of raising 4-H market…

  19. Delayed rule following

    PubMed Central

    Schmitt, David R.

    2001-01-01

    Although the elements of a fully stated rule (discriminative stimulus [SD], some behavior, and a consequence) can occur nearly contemporaneously with the statement of the rule, there is often a delay between the rule statement and the SD. The effects of this delay on rule following have not been studied in behavior analysis, but they have been investigated in rule-like settings in the areas of prospective memory (remembering to do something in the future) and goal pursuit. Discriminative events for some behavior can be event based (a specific setting stimulus) or time based. The latter are more demanding with respect to intention following and show age-related deficits. Studies suggest that the specificity with which the components of a rule (termed intention) are stated has a substantial effect on intention following, with more detailed specifications increasing following. Reminders of an intention, too, are most effective when they refer specifically to both the behavior and its occasion. Covert review and written notes are two effective strategies for remembering everyday intentions, but people who use notes appear not to be able to switch quickly to covert review. By focusing on aspects of the setting and rule structure, research on prospective memory and goal pursuit expands the agenda for a more complete explanation of rule effects. PMID:22478363

  20. 5-Second Rule

    MedlinePlus

    ... 5-second rule" — that random saying about how food won't become contaminated with bacteria if you pick it up off the floor in 5 seconds or less. The 5-second rule has become such a part of our culture that scientists actually tested it. As you can ...

  1. Energy manager design for microgrids

    SciTech Connect

    Firestone, Ryan; Marnay, Chris

    2005-01-01

    On-site energy production, known as distributed energy resources (DER), offers consumers many benefits, such as bill savings and predictability, improved system efficiency, improved reliability, control over power quality, and in many cases, greener electricity. Additionally, DER systems can benefit electric utilities by reducing congestion on the grid, reducing the need for new generation and transmission capacity, and offering ancillary services such as voltage support and emergency demand response. Local aggregations of distributed energy resources (DER) that may include active control of on-site end-use energy devices can be called microgrids. Microgrids require control to ensure safe operation and to make dispatch decisions that achieve system objectives such as cost minimization, reliability, efficiency and emissions requirements, while abiding by system constraints and regulatory rules. This control is performed by an energy manager (EM). Preferably, an EM will achieve operation reasonably close to the attainable optimum, it will do this by means robust to deviations from expected conditions, and it will not itself incur insupportable capital or operation and maintenance costs. Also, microgrids can include supervision over end-uses, such as curtailing or rescheduling certain loads. By viewing a unified microgrid as a system of supply and demand, rather than simply a system of on-site generation devices, the benefits of integrated supply and demand control can be exploited, such as economic savings and improved system energy efficiency.

  2. Bilateral basal Xe-133 retention and ventilation/perfusion patterns in mild and subclinical congestive heart failure

    SciTech Connect

    Lee, H.K.; Skarzynski, J.J.; Spadaro, A. )

    1989-12-01

    The Xe-133 ventilation pattern in congestive heart failure (CHF) was assessed using 24 inpatient ventilation/perfusion studies performed to rule out pulmonary embolism. Patients with histories of CHF, myocardial infarction (MI), and cardiomyopathy were included in the study. Frank pulmonary edema, pulmonary embolism, and other known lung diseases such as chronic obstructive lung disease, tumor, and pneumonia were excluded. Fifteen of the 24 patients had abnormal ventilation scans. Twelve of the 15 showed bilateral basal Xe-133 retention on washout; the remaining 3 showed diffuse, posterior regional retention. On perfusion scans, 14 of the 15 abnormal ventilation patients showed evidence of CHF such as inverted perfusion gradient, enlarged cardiac silhouette, or patchy perfusion, and all of them had a history of CHF or cardiac disease. Nine of the 24 patients had normal ventilation scans, including normal washout patterns. Seven of the nine had normal perfusion (p less than 0.01). Four of the nine normal ventilation patients had a history of cardiac disease or CHF but no recent acute MI. Bilateral basal regional Xe-133 retention, coupled with perfusion scan evidence of CHF such as inverted perfusion gradient, enlarged cardiac silhouette, and patchy perfusion pattern, appears to be a sensitive and characteristic ventilation/perfusion finding in mild or subclinical CHF.

  3. Transitional Care for Patients With Congestive Heart Failure: A Systematic Review and Meta-Analysis

    PubMed Central

    Vedel, Isabelle; Khanassov, Vladimir

    2015-01-01

    PURPOSE We aimed to determine the impact of transitional care interventions (TCIs) on acute health service use by patients with congestive heart failure in primary care and to identify the most effective TCIs and their optimal duration. METHODS We conducted a systematic review and meta-analysis of randomized controlled trials, searching the Medline, PsycInfo, EMBASE, and Cochrane Library databases. We performed a meta-analysis to assess the impact of TCI on all-cause hospital readmissions and emergency department (ED) visits. We developed a taxonomy of TCIs based on intensity and assessed the methodologic quality of the trials. We calculated the relative risk (RR) and a 95% confidence interval for each outcome. We conducted a stratified analysis to identify the most effective TCIs and their optimal duration. RESULTS We identified 41 randomized controlled trials. TCIs significantly reduced risks of readmission and ED visits by 8% and 29%, respectively (relative risk = 0.92; 95% CI, 0.87–0.98; P = .006 and relative risk = 0.71; 95% CI, 0.51–0.98; P = .04). High-intensity TCIs (combining home visits with telephone followup, clinic visits, or both) reduced readmission risk regardless of the duration of follow-up. Moderate-intensity TCIs were efficacious if implemented for a longer duration (at least 6 months). In contrast, low-intensity TCIs, entailing only followup in outpatient clinics or telephone follow-up, were not efficacious. CONCLUSIONS Clinicians and managers who implement TCIs in primary care can incorporate these results with their own health care context to determine the optimal balance between intensity and duration of TCIs. High-intensity interventions seem to be the best option. Moderate-intensity interventions implemented for 6 months or longer may be another option. PMID:26553896

  4. Ultrasound of extravascular lung water: a new standard for pulmonary congestion

    PubMed Central

    Picano, Eugenio; Pellikka, Patricia A.

    2016-01-01

    Extravascular lung water (EVLW) is a key variable in heart failure management and prognosis, but its objective assessment remains elusive. Lung imaging has been traditionally considered off-limits for ultrasound techniques due to the acoustic barrier of high-impedance air wall. In pulmonary congestion however, the presence of both air and water creates a peculiar echo fingerprint. Lung ultrasound shows B-lines, comet-like signals arising from a hyper-echoic pleural line with a to-and-fro movement synchronized with respiration. Increasing EVLW accumulation changes the normal, no-echo signal (black lung, no EVLW) into a black-and-white pattern (interstitial sub-pleural oedema with multiple B-lines) or a white lung pattern (alveolar pulmonary oedema) with coalescing B-lines. The number and spatial extent of B-lines on the antero-lateral chest allows a semi-quantitative estimation of EVLW (from absent, ≤5, to severe pulmonary oedema, >30 B-lines). Wet B-lines are made by water and decreased by diuretics, which cannot modify dry B-lines made by connective tissue. B-lines can be evaluated anywhere (including extreme environmental conditions with pocket size instruments to detect high-altitude pulmonary oedema), anytime (during dialysis to titrate intervention), by anyone (even a novice sonographer after 1 h training), and on anybody (since the chest acoustic window usually remains patent when echocardiography is not feasible). Cardiologists can achieve much diagnostic gain with little investment of technology, training, and time. B-lines represent ‘the shape of lung water’. They allow non-invasive detection, in real time, of even sub-clinical forms of pulmonary oedema with a low cost, radiation-free approach. PMID:27174289

  5. Inflammatory Biomarkers in Refractory Congestive Heart Failure Patients Treated with Peritoneal Dialysis

    PubMed Central

    Kunin, Margarita; Carmon, Vered; Arad, Michael; Levin-Iaina, Nomy; Freimark, Dov; Holtzman, Eli J.; Dinour, Dganit

    2015-01-01

    Proinflammatory cytokines play a pathogenic role in congestive heart failure. In this study, the effect of peritoneal dialysis treatment on inflammatory cytokines levels in refractory congestive heart failure patients was investigated. During the treatment, the patients reached a well-tolerated edema-free state and demonstrated significant improvement in NYHA functional class. Brain natriuretic peptide decreased significantly after 3 months of treatment and remained stable at 6 months. C-reactive protein, a plasma marker of inflammation, decreased significantly following the treatment. Circulating inflammatory cytokines TNF-α and IL-6 decreased significantly after 3 months of peritoneal dialysis treatment and remained low at 6 months. The reduction in circulating inflammatory cytokines levels may be partly responsible for the efficacy of peritoneal dialysis for refractory congestive heart failure. PMID:26539513

  6. Packet Traffic Dynamics Near Onset of Congestion in Data Communication Network Model

    NASA Astrophysics Data System (ADS)

    Lawniczak, A. T.; Tang, X.

    2006-05-01

    The dominant technology of data communication networks is the Packet Switching Network (PSN). It is a complex technology organized as various hierarchical layers according to the International Standard Organization (ISO) Open Systems Interconnect (OSI) Reference Model. The Network Layer of the ISO OSI Reference Model is responsible for delivering packets from their sources to their destinations and for dealing with congestion if it arises in a network. Thus, we focus on this layer and present an abstraction of the Network Layer of the ISO OSI Reference Model. Using this abstraction we investigate how onset of traffic congestion is affected for various routing algorithms by changes in network connection topology. We study how aggregate measures of network performance depend on network connection topology and routing. We explore packets traffic spatio-temporal dynamics near the phase transition point from free flow to congestion for various network connection topologies and routing algorithms. We consider static and adaptive routings. We present selected simulation results.

  7. Evaluation of ABR traffic control schemes for ATM LAN and WAN: effects of congestion indication schemes and ER switch algorithms

    NASA Astrophysics Data System (ADS)

    Moh, W. Melody; Shenoy, Sandeep

    1997-10-01

    The ATM Forum has adopted rate-based congestion control for ABR (available bit rate) traffic. Much of the existing work evaluating ABR congestion control schemes has used some threshold value on buffer queue length to indicate congestion. On the other hand, many ER (explicit rate) algorithms calculate their 'fair-share' values based on utilization level, with the assumption that ER switches are able to measure the current utilization level of ABR traffic. If one would use the same mechanism -- measuring utilization level -- to indicate congestion, then the same switch could easily implement both binary and ER ABR control algorithms. Based on the above observations, in this paper we study the effect of using two different congestion indication methods: (1) buffer queue length (the most commonly used method); and (2) utilization level (the new method). We evaluate two binary ABR control schemes: EFCI (explicit forward congestion indication) and CI (congestion indication) using backward notification, using the two different congestion methods. We also evaluate and compare two ER algorithms: the ERICA (explicit rate indication for congestion avoidance) algorithm proposed by Jain and the CAPC-2 (congestion avoidance with proportional control - 2) algorithm proposed by Barnhart. Performance evaluation are carried out by computer simulation. We simulate two ABR switches connected by an OC-3 link, with each switch connecting five end-systems. The distance between the two switches are 20 km for LAN and 1,000 km for WAN, based on ATM forum specification. For each simulation run, we measure average queuing delay, maximum queue length, and network utilization. Traces of ACR (allowed cell rate) and buffer queue length are also examined. We found that using the new congestion method indication dramatically reduces the maximum queue length and average queuing delay, with a slight decrease in utilization. Both ER schemes show smooth buffer occupancy and attain high utilization.

  8. 78 FR 42863 - Rescission of Supervised Investment Bank Holding Company Rules

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... and Rule 30-3 of the Commission's Rules of Organization and Program Management. I. Discussion Section... Act Release No. 49831 (Jun. 8, 2004), 69 FR 34472 (Jun. 21, 2004) (adopting Exchange Act Rules 17i-1... Companies, Exchange Act Release No. 48694 (Oct. 24, 2003), 68 FR 62910 (Nov. 6, 2003) (proposing rules...

  9. 5 CFR 1.1 - Positions and employees affected by the rules in this subchapter.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Positions and employees affected by the rules in this subchapter. 1.1 Section 1.1 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES COVERAGE AND DEFINITIONS (RULE I) § 1.1 Positions and employees affected by the rules...

  10. 5 CFR 1.1 - Positions and employees affected by the rules in this subchapter.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Positions and employees affected by the rules in this subchapter. 1.1 Section 1.1 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES COVERAGE AND DEFINITIONS (RULE I) § 1.1 Positions and employees affected by the rules...

  11. 5 CFR 1.1 - Positions and employees affected by the rules in this subchapter.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Positions and employees affected by the rules in this subchapter. 1.1 Section 1.1 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES COVERAGE AND DEFINITIONS (RULE I) § 1.1 Positions and employees affected by the rules...

  12. 5 CFR 1.1 - Positions and employees affected by the rules in this subchapter.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Positions and employees affected by the rules in this subchapter. 1.1 Section 1.1 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES COVERAGE AND DEFINITIONS (RULE I) § 1.1 Positions and employees affected by the rules...

  13. 5 CFR 1.1 - Positions and employees affected by the rules in this subchapter.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Positions and employees affected by the rules in this subchapter. 1.1 Section 1.1 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES COVERAGE AND DEFINITIONS (RULE I) § 1.1 Positions and employees affected by the rules...

  14. 5 CFR 9701.502 - Rule of construction.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9701.502 Administrative Personnel DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM (DEPARTMENT OF HOMELAND SECURITY-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM Labor-Management Relations § 9701.502 Rule of construction. In interpreting...

  15. The economics of time shared computing: Congestion, user costs and capacity

    NASA Technical Reports Server (NTRS)

    Agnew, C. E.

    1982-01-01

    Time shared systems permit the fixed costs of computing resources to be spread over large numbers of users. However, bottleneck results in the theory of closed queueing networks can be used to show that this economy of scale will be offset by the increased congestion that results as more users are added to the system. If one considers the total costs, including the congestion cost, there is an optimal number of users for a system which equals the saturation value usually used to define system capacity.

  16. "Venous congestion" as a cause of subcortical white matter T2 hypointensity on magnetic resonance images.

    PubMed

    Kamble, Jayaprakash Harsha; Parameswaran, Krishnan

    2016-01-01

    Subcortical T2 hypointensity is an uncommon finding seen in very limited conditions such as multiple sclerosis, Sturge-Weber syndrome, and meningitis. Some of the conditions such as moyamoya disease, severe ischemic-anoxic insults, early cortical ischemia, and infarcts are of "arterial origin." We describe two conditions in which "venous congestion" plays a major role in T2 hypointensity - cerebral venous sinus thrombosis (CVST) and dural arteriovenous fistula (dAVF). The third case is a case of meningitis, showing T2 hypointensity as well, and can be explained by the "venous congestion" hypothesis. The same hypothesis can explain few of the other conditions causing subcortical T2 hypointensity. PMID:27570403

  17. Analysis of Traffic Congestion by Considering Merging on Entry Lines in Transportation System

    NASA Astrophysics Data System (ADS)

    Hoshino, Takahiro; Tsuboi, Kazuhiro; Hamamatsu, Yoshio

    In a transportation system, a merging control strategy is necessary to avoid collisions between vehicles at a merging section with entry lines. In this study, under the assumption that each entry line is assigned time-independent priority, we analyze traffic congestion with a stochastic model. A quantitative estimation of the congestion is successfully obtained in terms of the average queue length and the average queuing delay. On the basis of analytical results, we propose a control strategy that changes the priority periodically. Using simulation, it is clarified that the proposed control strategy gives an arbitrary values of the queue length and the queuing delay on each line.

  18. Is a red umbilical cord a sign of umbilical venous congestion?: a case report.

    PubMed

    Miyake, Hidehiko; Igarashi, Miwa; Inde, Yusuke; Nakai, Akihito; Suzuki, Shunji; Takeshita, Toshiyuki

    2011-01-01

    Postnatal examination of fetal appendages is important because this information may help predict perinatal outcome. We present a case of a red streak along the entire umbilical vein after a cesarean section due to non-reassuring fetal status. The pathological findings revealed an umbilical cord with dilated vascular changes and mild funisitis. Because the dilated change was intense in the umbilical vein, the red streak of the umbilical cord was caused by venous congestion. Moreover, we considered that the umbilical venous congestion was due to increased resistance in the fetal intra-abdominal umbilical vein, which was associated with the non-reassuring fetal status. PMID:21389648

  19. Following the Rules.

    PubMed

    Katz, Anne

    2016-05-01

    I am getting better at following the rules as I grow older, although I still bristle at many of them. I was a typical rebellious teenager; no one understood me, David Bowie was my idol, and, one day, my generation was going to change the world. Now I really want people to understand me: David Bowie remains one of my favorite singers and, yes, my generation has changed the world, and not necessarily for the better. Growing up means that you have to make the rules, not just follow those set by others, and, at times, having rules makes a lot of sense.
. PMID:27105186

  20. Draft Wetlands Rule Released

    NASA Astrophysics Data System (ADS)

    Zielinski, Sarah

    2006-04-01

    The U.S. Environmental Protection Agency (EPA) and the U.S. Army Corps of Engineers released on 28 March a draft of a new rule to guide compensatory mitigation for when wetlands are unavoidably lost due to development. However, whether the rule is successful in preventing a net loss in wetlands will depend largely on its implementation, according to two wetlands scientists who evaluated the issue for the U.S. National Research Council (NRC) in 2001. Under the federal Clean Water Act, developers who seek to build on wetlands must compensate for any wetlands loss if they are unable to avoid or minimize the loss. Such compensation is covered under the newly proposed compensatory mitigation rule. Benjamin Grumbles, EPA assistant administrator for water, called the rule an ``innovative new standard that will accelerate the pace of wetlands conservation and restoration.''

  1. Drug Plan Coverage Rules

    MedlinePlus

    ... works with other insurance Find health & drug plans Drug plan coverage rules Note Call your Medicare drug ... shingles vaccine) when medically necessary to prevent illness. Drugs you get in hospital outpatient settings In most ...

  2. How many probe vehicles are enough for identifying traffic congestion?—a study from a streaming data perspective

    NASA Astrophysics Data System (ADS)

    Wang, Handong; Yue, Yang; Li, Qingquan

    2013-03-01

    Many studies have been carried out using vehicle trajectory to analyze traffic conditions, for instance, identifying traffic congestion. However, there is a lack of a systematic study on the appropriate number of probe vehicles and their sampling interval in order to identify traffic congestion accurately. Moreover, most of related studies ignore the streaming feature of trajectory data. This paper first represents a novel method of identifying traffic congestion considering the stream feature of vehicle trajectories. Instead of processing the whole data stream, a series of snapshots are extracted. Congested road segments can be identified by analyzing the clusters' evolution among a series of adjacent snapshots. We then calculated a series of parameters and their corresponding congestion identification accuracy. The results have implications for related probe vehicle deployment and traffic analysis; for example, when 5% of probe vehicles are available, 85% identification accuracy can be reached if the sampling time interval is 10 s.

  3. (FIELD) SYMMETRIZATION SELECTION RULES

    SciTech Connect

    P. PAGE

    2000-08-01

    QCD and QED exhibit an infinite set of three-point Green's functions that contain only OZI rule violating contributions, and (for QCD) are subleading in the large N{sub c} expansion. We prove that the QCD amplitude for a neutral hybrid {l_brace}1,3,5. . .{r_brace}{+-} exotic current to create {eta}{pi}{sup 0} only comes from OZI rule violating contributions under certain conditions, and is subleading in N{sub c}.

  4. Medicaid and Children's Health Insurance Programs; Mental Health Parity and Addiction Equity Act of 2008; the Application of Mental Health Parity Requirements to Coverage Offered by Medicaid Managed Care Organizations, the Children's Health Insurance Program (CHIP), and Alternative Benefit Plans. Final rule.

    PubMed

    2016-03-30

    This final rule will address the application of certain requirements set forth in the Public Health Service Act, as amended by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, to coverage offered by Medicaid managed care organizations, Medicaid Alternative Benefit Plans, and Children’s Health Insurance Programs.

  5. 17 CFR 200.29 - Rules.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION ORGANIZATION; CONDUCT AND ETHICS; AND INFORMATION AND REQUESTS Organization and Program Management General Organization § 200.29 Rules. The.... Where any such proposals presents a legal problem or is a matter of first impression, or involves...

  6. Pushing the rules: effects and aftereffects of deliberate rule violations.

    PubMed

    Wirth, Robert; Pfister, Roland; Foerster, Anna; Huestegge, Lynn; Kunde, Wilfried

    2016-09-01

    Most of our daily life is organized around rules and social norms. But what makes rules so special? And what if one were to break a rule intentionally? Can we simply free us from the present set of rules or do we automatically adhere to them? How do rule violations influence subsequent behavior? To investigate the effects and aftereffects of violating simple S-R rule, we conducted three experiments that investigated continuous finger-tracking responses on an iPad. Our experiments show that rule violations are distinct from rule-based actions in both response times and movement trajectories, they take longer to initiate and execute, and their movement trajectory is heavily contorted. Data not only show differences between the two types of response (rule-based vs. violation), but also yielded a characteristic pattern of aftereffects in case of rule violations: rule violations do not trigger adaptation effects that render further rule violations less difficult, but every rule violation poses repeated effort on the agent. The study represents a first step towards understanding the signature and underlying mechanisms of deliberate rule violations, they cannot be acted out by themselves, but require the activation of the original rule first. Consequently, they are best understood as reformulations of existing rules that are not accessible on their own, but need to be constantly derived from the original rule, with an add-on that might entail an active tendency to steer away from mental representations that reflect (socially) unwanted behavior.

  7. A neural-fuzzy system for congestion control in ATM networks.

    PubMed

    Lee, S J; Hou, C L

    2000-01-01

    We propose the use of a neural-fuzzy scheme for rate-based feedback congestion control in asynchronous transfer mode (ATM) networks. Available bit rate (ABR) traffic is not guaranteed quality of service (QoS) in the setup connection, and it can dynamically share the available bandwidth. Therefore, congestion can be controlled by regulating the source rate, to a certain degree, according to the current traffic flow. Traditional methods perform congestion control by monitoring the queue length. The source rate is decreased by a fixed rate when the queue length is greater than a prespecified threshold. However, it is difficult to get a suitable rate according to the degree of traffic congestion. We employ a neural-fuzzy mechanism to control the source rate. Through learning, membership values can be generated and cell loss can be predicted from the status of the queue length. Then, an explicit rate is calculated and the source rate is controlled appropriately. Simulation results have shown that our method is effective compared with traditional methods.

  8. The Impact of Family Functioning on Caregiver Burden among Caregivers of Veterans with Congestive Heart Failure

    ERIC Educational Resources Information Center

    Moore, Crystal Dea

    2010-01-01

    A cross-sectional study of 76 family caregivers of older veterans with congestive heart failure utilized the McMaster model of family functioning to examine the impact of family functioning variables (problem solving, communication, roles, affective responsiveness, and affective involvement) on caregiver burden dimensions (relationship burden,…

  9. Bootstrapping Results of Exercise Therapy and Education for Patients with Congestive Heart Failure

    ERIC Educational Resources Information Center

    Witta, E. Lea; Brubaker, Craig

    2003-01-01

    When studies are conducted over a period of time, the sample size typically decreases. In a study of the effects of exercise therapy and education with recovering congestive heart failure (CHF) patients (Brubaker, Witta, & Angelopoulus, 2003), the sample size decreased from over 40 to 9 participants after an 18-month time span. Although the…

  10. Post-Acute Home Care and Hospital Readmission of Elderly Patients with Congestive Heart Failure

    ERIC Educational Resources Information Center

    Li, Hong; Morrow-Howell, Nancy; Proctor, Enola K.

    2004-01-01

    After inpatient hospitalization, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce…

  11. 78 FR 67442 - Congestion Mitigation and Air Quality Improvement Program Interim Guidance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... types of rail service in a January 16, 2002, Federal Register notice (67 FR 2278), and in a March 8... Federal Highway Administration Congestion Mitigation and Air Quality Improvement Program Interim Guidance... Mitigation and Air Quality Improvement (CMAQ) Program (Interim Guidance). The Interim Guidance revises...

  12. Decisions, Decisions, Decisions: Recreation Site Choice with Expected Congestion and Social Interaction

    ERIC Educational Resources Information Center

    Snipes, Katherine H.

    2009-01-01

    A set of computer-based recreation choice experiments were run to examine the effect of expected congestion and social interactions on the decision making process. MouseTrace is a process-tracing program that recorded individual subject's information acquisitions and provided the necessary information to determine if subjects used attribute-based…

  13. Political and Public Acceptability of Congestion Pricing: Ideology and Self-Interest

    ERIC Educational Resources Information Center

    Harsman, Bjorn; Quigley, John M.

    2010-01-01

    Studies of the "stated preferences" of households generally report public and political opposition by urban commuters to congestion pricing. It is thought that this opposition inhibits or precludes tolls and pricing systems that would enhance efficiency in the use of scarce roadways. This paper analyzes the only case in which road pricing was…

  14. The use of medical leeches for venous congestion. A review and case report.

    PubMed

    Buote, N J

    2014-01-01

    The medicinal leech, Hirudo medicinalis, has been used for hundreds of years in human medicine for a variety of diseases, most recently including venous congestion following reconstructive surgeries (skin flaps and reimplantations), excessive lingual and periorbital swelling, and non-traditional treatments for osteoarthritis, compartment syndrome and sialoadenitis. The treatment of venous congestion in animals using leeches has been mentioned anecdotally, but the only published report pertains to the use of leeches in a cat suffering from polycythemia vera. We report the use of medical grade leeches in a one-year-old male castrated Domestic Shorthaired cat presenting with severe swelling of the paw after sustaining a constrictive injury from a bandage. The limb use had become compromised and the swelling was not responsive to compression bandages so leech therapy was instituted for four days and the swelling dramatically improved. The patient's limb use improved back to normal and the constrictive wound went on to heal without complication. The use of leeches in this case allowed for resolution of severe venous congestion and a full return to function in this patient with no continued skin loss. The mechanism of action of hirudotherapy for venous congestion is to allow for an alternative egress of pooled venous blood leading to a reduction in capillary pressure and increases in arterial reperfusion of capillary beds. The human and veterinary applications, method, and potential complications with hirudotherapy are discussed in this review.

  15. Congestion at Card and Book Catalogs--A Queuing Theory Approach.

    ERIC Educational Resources Information Center

    Bookstein, Abraham

    The question of whether a library's catalog should consist of cards arranged in a single alphabetical order (the "dictionary catalog) or be segregated as a separate file is discussed. Development is extended to encompass related problems involved in the creation of a book catalog. A model to study the effects of congestion at the catalog is…

  16. Distinguishing congestion from malicious behavior in mobile ad-hoc networks

    NASA Astrophysics Data System (ADS)

    Ding, Jin; Medidi, Sirisha R.

    2004-08-01

    Packet dropping in Mobile Ad-hoc Networks could be a result of wireless link errors, congestion, or malicious packet drop attack. Current techniques for detecting malicious behavior either do not consider congestion in the network or are not able to detect in real time. Further more, they usually work at network layer. In this paper, we propose a TCP-Manet protocol, which reacts to congestion like TCP Reno protocol, and has additional capability to distinguish among congestion, wireless link error, and malicious packet drop attack. It is an end-to-end mechanism that does not require additional modifications to the nodes in the network. Since it is an extension of existing TCP protocol, it is compatible with existing protocols. It works in conjunction with the network layer and an unobtrusive monitor to assist the network in the detection and characterization of the nature of the behavior. Experimental results show that TCP-Manet has the same performance as that of TCP-Reno in wired network, and performs better in wireless ad-hoc networks in terms of throughput while having good detection effectiveness.

  17. Transcatheter ovarian vein embolisation without renal vein stenting for pelvic venous congestion and nutcracker anatomy.

    PubMed

    Perkov, Dražen; Vrkić Kirhmajer, Majda; Novosel, Luka; Popić Ramač, Jelena

    2016-01-01

    The diagnosis of a nutcracker syndrome can be aggravated by overlap of a nutcracker phenomenon with other pathologies. In patients with nutcracker anatomy and predominantly pelvic congestion symptoms, ovarian vein embolization without left renal vein stenting could be considered a first line therapy. PMID:27428503

  18. Input-Output Modeling and Control of the Departure Process of Congested Airports

    NASA Technical Reports Server (NTRS)

    Pujet, Nicolas; Delcaire, Bertrand; Feron, Eric

    2003-01-01

    A simple queueing model of busy airport departure operations is proposed. This model is calibrated and validated using available runway configuration and traffic data. The model is then used to evaluate preliminary control schemes aimed at alleviating departure traffic congestion on the airport surface. The potential impact of these control strategies on direct operating costs, environmental costs and overall delay is quantified and discussed.

  19. The effects of congested fixtures period on tactical and physical performance in elite football.

    PubMed

    Folgado, Hugo; Duarte, Ricardo; Marques, Pedro; Sampaio, Jaime

    2015-01-01

    The aim of this study was to examine the physical and tactical performances of a professional football team under congested and non-congested fixture periods. Six home matches of an English professional football team were analysed during competitive season (3 matches distancing three days from the previous fixture and 3 matches distancing six or more days from the previous fixture). Players' physical performances were measured by the total distance covered and distance covered at different speed categories. Tactical performances were measured by the percentage of time of players' movement synchronisation of lateral and longitudinal displacements. This variable was calculated considering all the possible pairs of outfield players, for the overall match and at different speed categories. Results showed no differences in the physical performance, although players' spent more time synchronised during the non-congested fixtures compared to congested fixtures, both for lateral (41.26% to 38.51%, ES: -0.3, P < 0.001) and longitudinal displacements (77.22% to 74.48%, ES: -0.5, P < 0.001). These coordination differences were particularly evident at the lower speed categories and in dyads composed by positions that tend to be further apart during the match, typically central and wing positioned players. Tactical performance seems to be affected by fixtures distribution, with players' spending more time synchronised during the non-congested fixtures. As players' cover the same amount of distance at similar intensities in both fixtures distribution, this reduction of synchronisation may be associated with an increased perception of fatigue and consequent adaptation strategies.

  20. 44 CFR 1.16 - Adoption of a final rule.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 1 CFR 18.12, the preamble shall contain the following information: (1) A discussion of the... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Adoption of a final rule. 1... Adoption of a final rule. (a) All timely comments will be considered in taking final action on a...

  1. 44 CFR 1.16 - Adoption of a final rule.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... rule. (b) When determined necessary by the Administrator in accordance with the provisions of 1 CFR 18... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Adoption of a final rule. 1.16... HOMELAND SECURITY GENERAL RULEMAKING; POLICY AND PROCEDURES Procedures for Rulemaking § 1.16 Adoption of...

  2. 44 CFR 1.16 - Adoption of a final rule.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 1 CFR 18.12, the preamble shall contain the following information: (1) A discussion of the... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Adoption of a final rule. 1... Adoption of a final rule. (a) All timely comments will be considered in taking final action on a...

  3. 44 CFR 1.16 - Adoption of a final rule.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 1 CFR 18.12, the preamble shall contain the following information: (1) A discussion of the... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Adoption of a final rule. 1... Adoption of a final rule. (a) All timely comments will be considered in taking final action on a...

  4. 30 CFR 250.463 - Who establishes field drilling rules?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Who establishes field drilling rules? 250.463... GAS AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Oil and Gas Drilling Operations Other Drilling Requirements § 250.463 Who establishes field drilling rules? (a) The District Manager...

  5. 30 CFR 250.612 - Field well-workover rules.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Field well-workover rules. 250.612 Section 250.612 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF... Well-Workover Operations § 250.612 Field well-workover rules. When geological and...

  6. 30 CFR 250.512 - Field well-completion rules.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Field well-completion rules. 250.512 Section 250.512 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT... Gas Well-Completion Operations § 250.512 Field well-completion rules. When geological and...

  7. 47 CFR 20.22 - Rules governing mobile spectrum holdings.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false Rules governing mobile spectrum holdings. 20.22... COMMERCIAL MOBILE SERVICES § 20.22 Rules governing mobile spectrum holdings. (a) Applicants for mobile... spectrum manager leasing arrangements as identified in § 1.9020(e)(1)(ii) must demonstrate that the...

  8. 31 CFR 270.1 - Rules governing availability of information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 2 2013-07-01 2013-07-01 false Rules governing availability of information. 270.1 Section 270.1 Money and Finance: Treasury Regulations Relating to Money and Finance... § 270.1 Rules governing availability of information. The records of the Financial Management...

  9. 31 CFR 270.1 - Rules governing availability of information.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Rules governing availability of information. 270.1 Section 270.1 Money and Finance: Treasury Regulations Relating to Money and Finance... § 270.1 Rules governing availability of information. The records of the Financial Management...

  10. 31 CFR 270.1 - Rules governing availability of information.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 2 2011-07-01 2011-07-01 false Rules governing availability of information. 270.1 Section 270.1 Money and Finance: Treasury Regulations Relating to Money and Finance... § 270.1 Rules governing availability of information. The records of the Financial Management...

  11. 31 CFR 270.1 - Rules governing availability of information.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Rules governing availability of information. 270.1 Section 270.1 Money and Finance: Treasury Regulations Relating to Money and Finance... § 270.1 Rules governing availability of information. The records of the Financial Management...

  12. 5 CFR 293.108 - Rules of conduct.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Basic Policies on Maintenance of Personnel Records § 293.108 Rules of conduct. (a) Scope. These rules of conduct..., use, dissemination, and safeguarding of personnel records. The Office and agencies shall require...

  13. 49 CFR 218.41 - Noncompliance with hump operations rule.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... § 218.41 Noncompliance with hump operations rule. A person (including a railroad and any manager... 49 Transportation 4 2013-10-01 2013-10-01 false Noncompliance with hump operations rule. 218.41 Section 218.41 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL...

  14. 49 CFR 218.41 - Noncompliance with hump operations rule.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... § 218.41 Noncompliance with hump operations rule. A person (including a railroad and any manager... 49 Transportation 4 2014-10-01 2014-10-01 false Noncompliance with hump operations rule. 218.41 Section 218.41 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL...

  15. 5 CFR 960.108 - Additional rules and directives.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Additional rules and directives. 960.108 Section 960.108 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EXECUTIVE BOARDS § 960.108 Additional rules and directives. The Director...

  16. 5 CFR 960.108 - Additional rules and directives.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Additional rules and directives. 960.108 Section 960.108 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EXECUTIVE BOARDS § 960.108 Additional rules and directives. The Director...

  17. 5 CFR 960.108 - Additional rules and directives.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Additional rules and directives. 960.108 Section 960.108 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EXECUTIVE BOARDS § 960.108 Additional rules and directives. The Director...

  18. 5 CFR 960.108 - Additional rules and directives.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Additional rules and directives. 960.108 Section 960.108 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EXECUTIVE BOARDS § 960.108 Additional rules and directives. The Director...

  19. 42 CFR 35.2 - Compliance with hospital rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Compliance with hospital rules. 35.2 Section 35.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients...

  20. 42 CFR 35.2 - Compliance with hospital rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Compliance with hospital rules. 35.2 Section 35.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients...

  1. 42 CFR 35.2 - Compliance with hospital rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Compliance with hospital rules. 35.2 Section 35.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients...

  2. 42 CFR 35.2 - Compliance with hospital rules.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Compliance with hospital rules. 35.2 Section 35.2 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients...

  3. Pharmaceutical validation of medication orders using an OWL Ontology and Business Rules.

    PubMed

    Chniti, Amina; Boussadi, Abdelali; Degoulet, Patrice; Albert, Patrick; Charlet, Jean

    2012-01-01

    In this paper we present an application of pharmaceutical validation of medication based on an OWL ontology and business rules or more specifically clinical decision rules. This application has been developed based on a prototype that enables business users to author, execute and manage their Business Rules over OWL Ontology. This prototype is based on the Business Rule Management System (BRMS) IBM WebSphere ILOG JRules. PMID:22874408

  4. The unified method rules

    SciTech Connect

    Juric, R.

    1996-12-31

    Any methodology for information systems development defines rules and conditions that are to be followed and satisfied when applying it to developing analysis and design models of a system. The newest attempt to achieve a successful systems development and establish standards in object oriented analysis and design technologies resulted in the unified method documentation set, version 0.8 being published in late 1995. In this paper I will analyse the first draft and present a set of rules that must be satisfied by the valid unified method. The rules are divided into different sections: (A) classes/objects and categories, (B) attributes and operations, (C) associations and inheritance, (D) message trace diagram/object message diagram/state diagram/use cases.

  5. Impact of traffic congestion on road accidents: a spatial analysis of the M25 motorway in England.

    PubMed

    Wang, Chao; Quddus, Mohammed A; Ison, Stephen G

    2009-07-01

    Traffic congestion and road accidents are two external costs of transport and the reduction of their impacts is often one of the primary objectives for transport policy makers. The relationship between traffic congestion and road accidents however is not apparent and less studied. It is speculated that there may be an inverse relationship between traffic congestion and road accidents, and as such this poses a potential dilemma for transport policy makers. This study aims to explore the impact of traffic congestion on the frequency of road accidents using a spatial analysis approach, while controlling for other relevant factors that may affect road accidents. The M25 London orbital motorway, divided into 70 segments, was chosen to conduct this study and relevant data on road accidents, traffic and road characteristics were collected. A robust technique has been developed to map M25 accidents onto its segments. Since existing studies have often used a proxy to measure the level of congestion, this study has employed a precise congestion measurement. A series of Poisson based non-spatial (such as Poisson-lognormal and Poisson-gamma) and spatial (Poisson-lognormal with conditional autoregressive priors) models have been used to account for the effects of both heterogeneity and spatial correlation. The results suggest that traffic congestion has little or no impact on the frequency of road accidents on the M25 motorway. All other relevant factors have provided results consistent with existing studies.

  6. Novice Rules for Projectile Motion.

    ERIC Educational Resources Information Center

    Maloney, David P.

    1988-01-01

    Investigates several aspects of undergraduate students' rules for projectile motion including general patterns; rules for questions about time, distance, solids and liquids; and changes in rules when asked to ignore air resistance. Reports approach differences by sex and high school physics experience, and that novice rules are situation…

  7. Badger's rule revisited

    NASA Astrophysics Data System (ADS)

    Cioslowski, Jerzy; Liu, Guanghua; Mosquera Castro, Ricardo A.

    2000-12-01

    Numerical experiments demonstrate that the accuracy of stretching force constants ke provided by Badger's rule is unlikely to be substantially improved either by modification of the functional dependence on the equilibrium bond length Re or the inclusion of bond parameters related to electron density. These results, based upon both the experimental and QCISD/6-311++G(3d2f, 3p2d) values of Re and ke, imply that most of the universal characteristics of the bond strength vs. bond length dependence are accounted for by Badger's rule, the more detailed features being unexplainable by first-order response properties such as electron density.

  8. Vet Centers. Final rule.

    PubMed

    2016-03-01

    The Department of Veterans Affairs (VA) adopts as final an interim final rule that amends its medical regulation that governs Vet Center services. The National Defense Authorization Act for Fiscal Year 2013 (the 2013 Act) requires Vet Centers to provide readjustment counseling services to broader groups of veterans, members of the Armed Forces, including a member of a reserve component of the Armed Forces, and family members of such veterans and members. This final rule adopts as final the regulatory criteria to conform to the 2013 Act, to include new and revised definitions. PMID:26934755

  9. Consequences of Slot Transactions on Airport Congestion and Environmental Protection

    NASA Technical Reports Server (NTRS)

    Abeyratne, Ruwantissa I.R.

    2000-01-01

    Recent trends in the liberalization of market access by many commercial airlines have opened the skies to virtually unlimited flights between many countries. However, this liberalization is stultified by the lack of airport capacity to accommodate the many flights that are generated by demand for capacity. Accordingly, the allocation of slots for open skies airlines remain dependent on the expansion and effective management of airport capacity. This article examines the ramifications of slot allocation on traffic peaking at airports and environmental concerns, which may emerge with this activity.

  10. 29 CFR 452.49 - Other union rules.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT.... Such rules are intended to encourage as many members as possible to seek positions of leadership in...

  11. 44 CFR 1.16 - Adoption of a final rule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Adoption of a final rule. 1.16 Section 1.16 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT... 1 CFR 18.12, the preamble shall contain the following information: (1) A discussion of...

  12. 41 CFR 105-60.201 - Published information and rules.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Published information and rules. 105-60.201 Section 105-60.201 Public Contracts and Property Management Federal Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General...

  13. 29 CFR 452.49 - Other union rules.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT.... Such rules are intended to encourage as many members as possible to seek positions of leadership in...

  14. 29 CFR 452.49 - Other union rules.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT.... Such rules are intended to encourage as many members as possible to seek positions of leadership in...

  15. 29 CFR 452.49 - Other union rules.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT.... Such rules are intended to encourage as many members as possible to seek positions of leadership in...

  16. 29 CFR 452.49 - Other union rules.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT.... Such rules are intended to encourage as many members as possible to seek positions of leadership in...

  17. 33 CFR 161.4 - Requirement to carry the rules.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) PORTS AND WATERWAYS SAFETY VESSEL TRAFFIC MANAGEMENT Vessel Traffic Services General Rules § 161... User's Manual which may be obtained by contacting the appropriate VTS, and periodically published...

  18. 41 CFR 102-117.100 - What business rules must I consider before acquiring transportation or related services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What business rules must... Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION TRANSPORTATION 117-TRANSPORTATION MANAGEMENT Business Rules To...

  19. The Physics of Traffic Congestion and Road Pricing in Transportation Planning

    NASA Astrophysics Data System (ADS)

    Levinson, David

    2010-03-01

    This presentation develops congestion theory and congestion pricing theory from its micro- foundations, the interaction of two or more vehicles. Using game theory, with a two- player game it is shown that the emergence of congestion depends on the players' relative valuations of early arrival, late arrival, and journey delay. Congestion pricing can be used as a cooperation mechanism to minimize total costs (if returned to the players). The analysis is then extended to the case of the three- player game, which illustrates congestion as a negative externality imposed on players who do not themselves contribute to it. A multi-agent model of travelers competing to utilize a roadway in time and space is presented. To realize the spillover effect among travelers, N-player games are constructed in which the strategy set includes N+1 strategies. We solve the N-player game (for N = 7) and find Nash equilibria if they exist. This model is compared to the bottleneck model. The results of numerical simulation show that the two models yield identical results in terms of lowest total costs and marginal costs when a social optimum exists. Moving from temporal dynamics to spatial complexity, using consistent agent- based techniques, we model the decision-making processes of users and infrastructure owner/operators to explore the welfare consequence of price competition, capacity choice, and product differentiation on congested transportation networks. Component models include: (1) An agent-based travel demand model wherein each traveler has learning capabilities and unique characteristics (e.g. value of time); (2) Econometric facility provision cost models; and (3) Representations of road authorities making pricing and capacity decisions. Different from small-network equilibrium models in prior literature, this agent- based model is applicable to pricing and investment analyses on large complex networks. The subsequent economic analysis focuses on the source, evolution

  20. Wind power development in the United States: Effects of policies and electricity transmission congestion

    NASA Astrophysics Data System (ADS)

    Hitaj, Claudia

    In this dissertation, I analyze the drivers of wind power development in the United States as well as the relationship between renewable power plant location and transmission congestion and emissions levels. I first examine the role of government renewable energy incentives and access to the electricity grid on investment in wind power plants across counties from 1998-2007. The results indicate that the federal production tax credit, state-level sales tax credit and production incentives play an important role in promoting wind power. In addition, higher wind power penetration levels can be achieved by bringing more parts of the electricity transmission grid under independent system operator regulation. I conclude that state and federal government policies play a significant role in wind power development both by providing financial support and by improving physical and procedural access to the electricity grid. Second, I examine the effect of renewable power plant location on electricity transmission congestion levels and system-wide emissions levels in a theoretical model and a simulation study. A new renewable plant takes the effect of congestion on its own output into account, but ignores the effect of its marginal contribution to congestion on output from existing plants, which results in curtailment of renewable power. Though pricing congestion removes the externality and reduces curtailment, I find that in the absence of a price on emissions, pricing congestion may in some cases actually increase system-wide emissions. The final part of my dissertation deals with an econometric issue that emerged from the empirical analysis of the drivers of wind power. I study the effect of the degree of censoring on random-effects Tobit estimates in finite sample with a particular focus on severe censoring, when the percentage of uncensored observations reaches 1 to 5 percent. The results show that the Tobit model performs well even at 5 percent uncensored observations

  1. Cramer's Rule Revisited

    ERIC Educational Resources Information Center

    Ayoub, Ayoub B.

    2005-01-01

    In 1750, the Swiss mathematician Gabriel Cramer published a well-written algebra book entitled "Introduction a l'Analyse des Lignes Courbes Algebriques." In the appendix to this book, Cramer gave, without proof, the rule named after him for solving a linear system of equations using determinants (Kosinki, 2001). Since then several derivations of…

  2. 13 Rules That Expire

    ERIC Educational Resources Information Center

    Karp, Karen S.; Bush, Sarah B.; Dougherty, Barbara J.

    2014-01-01

    Overgeneralizing commonly accepted strategies, using imprecise vocabulary, and relying on tips and tricks that do not promote conceptual mathematical understanding can lead to misunderstanding later in students' math careers. In this article, the authors present thirteen pervasive mathematics rules that "expire." With the…

  3. An Airship Slide Rule

    NASA Technical Reports Server (NTRS)

    Weaver, E R; Pickering, S F

    1924-01-01

    This report prepared for the National Advisory Committee for Aeronautics, describes an airship slide rule developed by the Gas-Chemistry Section of the Bureau of Standards, at the request of the Bureau of Engineering of the Navy Department. It is intended primarily to give rapid solutions of a few problems of frequent occurrence in airship navigation, but it can be used to advantage in solving a great variety of problems, involving volumes, lifting powers, temperatures, pressures, altitudes and the purity of the balloon gas. The rule is graduated to read directly in the units actually used in making observations, constants and conversion factors being taken care of by the length and location of the scales. It is thought that with this rule practically any problem likely to arise in this class of work can be readily solved after the user has become familiar with the operation of the rule; and that the solution will, in most cases, be as accurate as the data warrant.

  4. Crispen's Five Antivirus Rules.

    ERIC Educational Resources Information Center

    Crispen, Patrick Douglas

    2000-01-01

    Explains five rules to protect computers from viruses. Highlights include commercial antivirus software programs and the need to upgrade them periodically (every year to 18 months); updating virus definitions at least weekly; scanning attached files from email with antivirus software before opening them; Microsoft Word macro protection; and the…

  5. Crispen's Five Antivirus Rules.

    ERIC Educational Resources Information Center

    Crispen, Patrick Douglas

    2000-01-01

    Provides rules for protecting computers from viruses, Trojan horses, or worms. Topics include purchasing commercial antivirus programs and keeping them updated; updating virus definitions weekly; precautions before opening attached files; macro virus protection in Microsoft Word; and precautions with executable files. (LRW)

  6. Willpower and Personal Rules.

    ERIC Educational Resources Information Center

    Benabou, Roland; Tirole, Jean

    2004-01-01

    We develop a theory of internal commitments or "personal rules" based on self-reputation over one's willpower, which transforms lapses into precedents that undermine future self-restraint. The foundation for this mechanism is the imperfect recall of past motives and feelings, leading people to draw inferences from their past actions. The degree of…

  7. Junctional Bradycardia as Early Sign of Digoxin Toxicity in a Premature Infant with Congestive Heart Failure due to a Left to Right Shunt.

    PubMed

    Dasgupta, Soham; Aly, Ashraf M; Jain, Sunil K

    2016-03-01

    Introduction Congestive heart failure due to left to right cardiac shunt is usually managed medically with diuretics, angiotensin converting enzyme inhibitors, and, in some cases, with the addition of digoxin. Case We report a 31-week gestation premature male infant who did not respond to such treatment and developed hyperaldosteronism and severe hypokalemia secondary to activation of the renin angiotensin aldosterone system. The hypokalemia was not responsive to intravenous KCL supplementation and induced digoxin toxicity despite a relatively normal digoxin level. The earliest signs of digoxin toxicity in the patient were junctional rhythm and bradycardia. The discontinuation of digoxin and the administration of digoxin specific immunoglobulin fragments (Fab) reversed those changes. The addition of spironolactone (an aldosterone antagonist) had a dramatic effect, resulting in clinical improvement of the patient coupled with normalization of Q4 serum and urine electrolytes. Conclusion Serum Digoxin level alone may fail as an independent guide in the diagnosis of digoxin toxicity when hypokalemia is present. In premature infants with congestive heart failure and hypokalemia, addition of an aldosterone antagonist should be considered.

  8. A Study of the Effects of Congestion Information and a Priority Boarding Pass in a Theme Park with Multi-Agents

    NASA Astrophysics Data System (ADS)

    Tone, Tetsuya; Kohara, Kazuhiro

    We have investigated ways to reduce congestion in a theme park with multi-agents. We constructed a theme park model called Digital Park 1.0 with twenty-three attractions similar in form to Tokyo Disney Sea. We consider not only congestion information (number of vistors standing in line at each attraction) but also the advantage of a priority boarding pass, like Fast Pass which is used at Tokyo Disney Sea. The congestion-information-usage ratio, which reflects the ratio of visitors who behave according to congestion information, was changed from 0% to 100% in both models, with and without priority boarding pass. The “mean stay time of visitors" is a measure of satisfaction. The smaller mean stay time, the larger degree of satisfaction. Here, a short stay time means a short wait time. The resluts of each simulation are averaged over ten trials. The main results are as follows. (1) When congestion-information-usage ratio increased, the mean stay time decreases. When 20% of visitors behaved according to congestion information, the mean stay time was reduced by 30%. (2) A priority boarding pass reduced congestion, and mean stay time was reduced by 15%. (3) When visitors used congestion information and a priority boarding pass, mean stay time was further reduced. When the congestion-information-usage ratio was 20%, mean stay time was reduced by 35%. (4) When congestion-information-usage ratio was over 50%, the congestion reduction effects reached saturation.

  9. Usefulness of verapamil for congestive heart failure associated with abnormal left ventricular diastolic filling and normal left ventricular systolic performance

    SciTech Connect

    Setaro, J.F.; Zaret, B.L.; Schulman, D.S.; Black, H.R.; Soufer, R. )

    1990-10-15

    Normal left ventricular systolic performance with impaired left ventricular diastolic filling may be present in a substantial number of patients with congestive heart failure (CHF). To evaluate the effect of oral verapamil in this subset, 20 men (mean age 68 +/- 5 years) with CHF, intact left ventricular function (ejection fraction greater than 45%) and abnormal diastolic filling (peak filling rate less than 2.5 end-diastolic volumes per second (edv/s)) were studied in a placebo-controlled, double-blind 5-week crossover trial. All patients underwent echocardiography to rule out significant valvular disease, and thallium-201 stress scintigraphy to exclude major active ischemia. Compared to baseline values, verapamil significantly improved exercise capacity by 33% (13.9 +/- 4.3 vs 10.7 +/- 3.4 minutes at baseline) and peak filling rate by 30% (2.29 +/- 0.54 vs 1.85 +/- 0.45 edv/s at baseline) (all p less than 0.05). Placebo values were 12.3 +/- 4.0 minutes and 2.16 +/- 0.48 edv/s, respectively (difference not significant for both). Improvement from baseline in an objective clinico-radiographic heart failure score (scale 0 to 13) was significantly greater with verapamil compared to placebo (median improvement in score: 3 vs 1, p less than 0.01). Mean ejection fraction and systolic blood pressure were unchanged from baseline; diastolic blood pressure and heart rate decreased to a small degree. Verapamil may have therapeutic efficacy in patients with CHF, preserved systolic function and impaired diastolic filling.

  10. Traffic congestion forecasting model for the INFORM System. Final report

    SciTech Connect

    Azarm, A.; Mughabghab, S.; Stock, D.

    1995-05-01

    This report describes a computerized traffic forecasting model, developed by Brookhaven National Laboratory (BNL) for a portion of the Long Island INFORM Traffic Corridor. The model has gone through a testing phase, and currently is able to make accurate traffic predictions up to one hour forward in time. The model will eventually take on-line traffic data from the INFORM system roadway sensors and make projections as to future traffic patterns, thus allowing operators at the New York State Department of Transportation (D.O.T.) INFORM Traffic Management Center to more optimally manage traffic. It can also form the basis of a travel information system. The BNL computer model developed for this project is called ATOP for Advanced Traffic Occupancy Prediction. The various modules of the ATOP computer code are currently written in Fortran and run on PC computers (pentium machine) faster than real time for the section of the INFORM corridor under study. The following summarizes the various routines currently contained in the ATOP code: Statistical forecasting of traffic flow and occupancy using historical data for similar days and time (long term knowledge), and the recent information from the past hour (short term knowledge). Estimation of the empirical relationships between traffic flow and occupancy using long and short term information. Mechanistic interpolation using macroscopic traffic models and based on the traffic flow and occupancy forecasted (item-1), and the empirical relationships (item-2) for the specific highway configuration at the time of simulation (construction, lane closure, etc.). Statistical routine for detection and classification of anomalies and their impact on the highway capacity which are fed back to previous items.

  11. SIRE: A Simple Interactive Rule Editor for NICBES

    NASA Technical Reports Server (NTRS)

    Bykat, Alex

    1988-01-01

    To support evolution of domain expertise, and its representation in an expert system knowledge base, a user-friendly rule base editor is mandatory. The Nickel Cadmium Battery Expert System (NICBES), a prototype of an expert system for the Hubble Space Telescope power storage management system, does not provide such an editor. In the following, a description of a Simple Interactive Rule Base Editor (SIRE) for NICBES is described. The SIRE provides a consistent internal representation of the NICBES knowledge base. It supports knowledge presentation and provides a user-friendly and code language independent medium for rule addition and modification. The SIRE is integrated with NICBES via an interface module. This module provides translation of the internal representation to Prolog-type rules (Horn clauses), latter rule assertion, and a simple mechanism for rule selection for its Prolog inference engine.

  12. Nationwide SIP Telephony Network Design to Prevent Congestion Caused by Disaster

    NASA Astrophysics Data System (ADS)

    Satoh, Daisuke; Ashitagawa, Kyoko

    We present a session initiation protocol (SIP) network design for a voice-over-IP network to prevent congestion caused by people calling friends and family after a disaster. The design increases the capacity of SIP servers in a network by using all of the SIP servers equally. It takes advantage of the fact that equipment for voice data packets is different from equipment for signaling packets in SIP networks. Furthermore, the design achieves simple routing on the basis of telephone numbers. We evaluated the performance of our design in preventing congestion through simulation. We showed that the proposed design has roughly 20 times more capacity, which is 57 times the normal load, than the conventional design if a disaster were to occur in Niigata Prefecture struck by the Chuetsu earthquake in 2004.

  13. Decreasing Congestive Heart Failure Readmission Rates Within 30 Days at the Tampa VA.

    PubMed

    Messina, William

    2016-01-01

    High hospital readmission rates contribute to the problem of escalating costs and fragmented quality in the US health care system. This article describes the implementation of a home telehealth (HT) performance improvement project with subsequent cost-avoidance savings. The HT project was designed to potentiate communication between and among patients, clinicians, and administrative staff, in addition to reducing readmissions for patients with congestive heart failure at the James A. Haley Veterans Hospital in Tampa, Florida. Pre- and post-HT implementation comparisons were made of readmission rates, costs, and veteran satisfaction from the same 4-month periods in 2012 and 2013. The application of telehealth and phone care initiatives reduced the congestive heart failure hospital readmission rate by 5%, decreased costs, and improved veteran satisfaction with overall care experience.

  14. New rules for clinical trial-related injury and compensation.

    PubMed

    Choudhury, Khushboo; Ghooi, Ravindra

    2013-01-01

    The rules for compensation for injury and death in clinical trials have recently been notified. These rules clarify that medical management of all injuries in clinical trials is mandatory and in cases in which injury or death is related to the clinical trial, the subject (or nominee) is entitled to compensation over and above the medical management. They also specify procedures and timelines for reporting serious adverse events. These require simplification. The rules will hopefully make clinical trial safer for subjects and investigators alike. However, they suffer from certain inconsistencies that should be reconsidered. They need to be modified so that they do not damage the industry.

  15. Congestive heart failure patient monitoring using wearable Bio-impedance sensor technology.

    PubMed

    Seulki Lee; Squillace, Gabriel; Smeets, Christophe; Vandecasteele, Marianne; Grieten, Lars; de Francisco, Ruben; Van Hoof, Chris

    2015-08-01

    A new technique to monitor the fluid status of congestive heart failure (CHF) patients in the hospital is proposed and verified in a clinical trial with 8 patients. A wearable Bio-impedance (BioZ) sensor allows a continuous localized measurement which can be complement clinical tools in the hospital. Thanks to the multi-parametric approach and correlation analysis with clinical reference, BioZ is successfully shown as a promising parameter for continuous and wearable CHF patient monitoring application.

  16. Ameliorating TCP congestion control for improving TCP reliability over wireless networks

    NASA Astrophysics Data System (ADS)

    Xu, Chang-biao; Long, Ke-ping; Xian, Yong-ju

    2004-04-01

    TCP congestion control mechanism, being based on the presupposition that network congestion is the only reason for data loss, is suitable for wired environments rather than for wireless environments with characteristics of higher bit error rate, lower bandwidth, longer delay, frequent mobility and so on, where link corruption can also cause data loss. To avoid unnecessary decrease of packet sending rate resulting in lower throughput and longer delay, some improved TCP congestion mechanisms have been presented. However, one of the disadvantages of these mechanisms is that a great deal of unnecessary packets lost by corruption can be caused while heavy data loss rate by corruption lasts short time. As well known, energy consumption of mobile hosts is one of the most important factors for wireless communication. How to save energy of mobile host has become an important task for wireless communication. One of the methods is to improve reliability to decrease overheads resulting from re-transmitting lost data. Obviously, it is necessary to decrease data sending rate, but how does it do? This paper answers the question, and then presents an improved TCP congestion control mechanism, namely TCP_IR (TCP for Improving Reliability) whose implementations are based on two algorithms. Algorithm I-based TCP_IR is driven by data sending periodic, while algorithm II-based TCP_IR is driven by the event of data lost by corruption. They can be very easily implemented with fewer overheads and can effectively improve TCP reliability with light influence to throughput and delay. The paper"s contribution is to give valuable references to further study TCP in wireless networks.

  17. Network congestion can be controlled: Routing algorithms in optical networks and Ethernets

    SciTech Connect

    Goldberg, L.A.; MacKenzie, P.D.; Greenberg, D.S.

    1997-12-01

    Congestion and contention can greatly reduce the effective performance of an interconnection network. This report gathers together research done under a Laboratory Research and Development Program (LDRD) project at Sandia National Laboratories. The goal of the project was to explore the contention properties of novel optical interconnects. In the process of exploring optical interconnects the project also gained new insights into the use of backoff protocols in the current dominant interconnect technology, Ethernet.

  18. Nonlinear dynamics of internet congestion control: A frequency-domain approach

    NASA Astrophysics Data System (ADS)

    Gentile, Franco S.; Moiola, Jorge L.; Paolini, Eduardo E.

    2014-04-01

    In this paper a fluid-flow model for TCP congestion avoidance combined with different AQM schemes is analyzed. The conditions for the appearance of Hopf bifurcations are stated analytically using frequency-domain techniques. The proposed methodology allows the characterization of the emerging periodic orbits, providing approximations of their amplitude and frequency. In addition, multiple oscillations and limit cycle bifurcations are found via numerical tools.

  19. The effects of congestion charging on road traffic casualties: a causal analysis using difference-in-difference estimation.

    PubMed

    Li, Haojie; Graham, Daniel J; Majumdar, Arnab

    2012-11-01

    This paper aims to identify the impacts of the London congestion charge on road casualties within the central London charging zone. It develops a full difference-in-difference (DID) model that is integrated with generalized linear models, such as Poisson and Negative Binomial regression models. Covariates are included in the model to adjust for factors that violate the parallel trend assumption, which is critical in the DID model. The lower Bayesian Information Criterion value suggests that the full difference-in-difference model performs well in evaluating the relationship between road accidents and the London congestion charge as well as other socio-economic factors. After adjusting for a time trend and regional effects, the results show that the introduction of the London congestion charge has a significant influence on the incidence of road casualties. The congestion charge reduces the total number of car accidents, but is associated with an increase in two wheeled vehicle accidents.

  20. Internet video transmission via receiver-based congestion control mechanism (RCCM) and H.263+ frame rate control

    NASA Astrophysics Data System (ADS)

    Kim, Young-Gook; Song, Hwangjun; Chung, Yon J.; Kim, JongWon; Kuo, C.-C. Jay

    1999-10-01

    A feedback-based Internet video transmission scheme based on the ITU-T H.263+ is presented. The proposed system is capable of continually adjusting the stream size to avoid the congestion in response to network condition changes. It consists of several major components such as TCP-friendly end- to-end congestion control with available bandwidth estimation, encoding frame rate control and transmission buffer smoothing at the server. These components are designed to meet the low computational complexity requirement so that the whole system can operate in real time. Among these, video-aware congestion control, which is called the receiver-based congestion control mechanism (RCCM), and the variable frame rate H.263+ encoding are the two key features. Through a seamless integration of these feature components, it is demonstrated that network adaptivity is enhanced to mitigate the packet loss and the bandwidth fluctuation, resulting in a smoother video experience at the receiver.