Advanced public transportation systems deployment in the United States

DOT National Transportation Integrated Search

2003-01-01

Traffic control devices shall be defined as all signs, signals, markings, and other devices used to regulate, warn, or guide traffic, placed on, over, or adjacent to a street, highway, pedestrian facility, or bikeway by authority of a public agency h...

41 CFR 102-74.335 - Who is responsible for furnishing and installing signs concerning smoking restrictions in the...

Code of Federal Regulations, 2014 CFR

2014-01-01

... furnishing and installing signs concerning smoking restrictions in the building, and in and around building... PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.335 Who is responsible for furnishing and installing signs concerning smoking restrictions in the building, and in and around building...

41 CFR 102-74.335 - Who is responsible for furnishing and installing signs concerning smoking restrictions in the...

Code of Federal Regulations, 2012 CFR

2012-01-01

... furnishing and installing signs concerning smoking restrictions in the building, and in and around building... PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.335 Who is responsible for furnishing and installing signs concerning smoking restrictions in the building, and in and around building...

41 CFR 102-74.335 - Who is responsible for furnishing and installing signs concerning smoking restrictions in the...

Code of Federal Regulations, 2011 CFR

2011-01-01

... furnishing and installing signs concerning smoking restrictions in the building, and in and around building... PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.335 Who is responsible for furnishing and installing signs concerning smoking restrictions in the building, and in and around building...

41 CFR 102-74.335 - Who is responsible for furnishing and installing signs concerning smoking restrictions in the...

Code of Federal Regulations, 2013 CFR

2013-07-01

... furnishing and installing signs concerning smoking restrictions in the building, and in and around building... PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.335 Who is responsible for furnishing and installing signs concerning smoking restrictions in the building, and in and around building...

41 CFR 102-74.335 - Who is responsible for furnishing and installing signs concerning smoking restrictions in the...

Code of Federal Regulations, 2010 CFR

2010-07-01

... furnishing and installing signs concerning smoking restrictions in the building, and in and around building... PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.335 Who is responsible for furnishing and installing signs concerning smoking restrictions in the building, and in and around building...

Suspected adverse reactions to oral administration of a praziquantel-pyrantel combination in captive cheetahs (Acinonyx jubatus).

PubMed

Whitehouse-Tedd, Katherine M; Smith, Liesl; Budd, Jane A; Lloyd, Christopher G

2017-11-15

OBJECTIVE To characterize adverse reactions to oral administration of a combination of praziquantel and pyrantel embonate or pyrantel pamoate, with or without oxantel embonate, in captive cheetahs (Acinonyx jubatus). DESIGN Retrospective case series and case-control study. ANIMALS 16 captive cheetahs with signs of adverse reaction to oral administration of praziquantel and pyrantel, with or without oxantel embonate (affected group), and 27 cheetahs without such reactions (unaffected group), all from 3 independent facilities. PROCEDURES Medical records and postmortem findings for affected cheetahs were reviewed and compared with those of unaffected animals. Anthelmintic doses administered, age, and sex of cheetahs were compared between groups. RESULTS 3 reactions in affected cheetahs were fatal, whereas the remainder ranged from mild to severe. Postmortem examination failed to reveal any disease processes or conditions to explain the deaths. No differences in anthelmintic dose were identified between affected and unaffected cheetahs for all facilities combined, and no correlation existed between dose and reaction severity. No association with sex was detected, but affected cheetahs were significantly younger than unaffected cheetahs. This difference was not significant after controlling for facility. CONCLUSIONS AND CLINICAL RELEVANCE Cheetahs were concluded to have had an adverse reaction to the praziquantel-pyrantel combination because of temporal proximity of onset of clinical signs to dose administration, similarity of signs to those reported for toxicosis in other species for these drugs, and a lack of other disease process or environmental explanatory factors. A highly cautious approach to the use of this drug combination is recommended for cheetahs.

Facility 136, view of north end, "No Smoking" sign, view ...

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

Facility 136, view of north end, "No Smoking" sign, view facing south-southwest - U.S. Naval Base, Pearl Harbor, Latrines, Off Avenue C, at Repair Basins B13, B15-B18 & B20, Pearl City, Honolulu County, HI

Evaluation of post-interchange guide signs

DOT National Transportation Integrated Search

2002-12-01

There are four basic types of guide signs related to tourist and recreational facilities, each with its own requirements and purpose. These include limited supplemental guide signs, cultural and recreational supplemental guide signs, fifth legend log...

Analysis of factors of treatment completion in dots health facilities in metro Manila, Philippines: a case-control study.

PubMed

Lagrada, Leizel P; Uehara, Naruo; Kawahara, Kazuo

2008-12-01

STUDY BACKGROUND AND OBJECTIVES: The Philippines is one of the 22 countries with high TB burden. DOTS was adopted not only by purely public providers (PP) but also by public-private mix (PPM) facilities. This study aims to identify the patient and facility factors that promote completion of TB treatment in DOTS facilities in an urban setting. The study also explores the difference between the PP and PPM DOTS facilities in terms of case management and treatment outcomes. [Methods] A case control study was done by interviewing 394 patients sampled from TB cohort report between 2003 and 2005 of 14 DOTS facilities in Metro Manila. Statistical analyses used include chi-square test and logistic regression analysis. Being female and aged 30-44 (OR = 7.04; 95% CI 1.12-44.35), unemployed (OR = 2.73; 95% CI 1.18-6.33), being above per capita poverty threshold (OR = 2.03; 95% CI 1.03-3.99), having experienced at least one of the signs and symptoms of TB (OR = 4.64; 95% CI 1.29-16.67), taking the medication at health facility (OR = 3.87; 95% CI 1.48-10.16) and patient's understanding of DOT (OR = 2.67; 95% CI 1.37-5.23) predict TB treatment completion. Public-private mix type of DOTS facility was also significantly associated with completing treatment (chi 2 (1) = 54.76, p = 0.000). Patient factors like middle-aged female compared to female aged more than 60, being above per capita poverty threshold, unemployment and having experienced at least one signs and symptoms of TB and facility factors like providing treatment at the facility and explaining the DOT to patient increase the likelihood of completing treatment. Thus, encouraging patients to take their medication at the facility and helping the patients understand the importance of DOT can increase TB treatment completion. The seemingly better DOTS implementation and treatment outcomes by the PPM must be evaluated further through cost effectiveness and efficiency studies.

Clinical signs and symptoms cannot reliably predict Plasmodium falciparum malaria infection in pregnant women living in an area of high seasonal transmission.

PubMed

Tahita, Marc C; Tinto, Halidou; Menten, Joris; Ouedraogo, Jean-Bosco; Guiguemde, Robert T; van Geertruyden, Jean Pierre; Erhart, Annette; D'Alessandro, Umberto

2013-12-27

Malaria in pregnancy is a major public health problem in endemic countries. Though the signs and symptoms of malaria among pregnant women have been already described, clinical presentation may vary according to intensity of transmission and local perceptions. Therefore, determining common signs and symptoms among pregnant women with a malaria infection may be extremely useful to identify those in need of further investigation by rapid diagnostic test or microscopy. Six hundred pregnant women attending the maternity clinic of Nanoro District Hospital, Burkina Faso were recruited, 200 with suspected clinical malaria and 400 as controls. Cases were matched with controls by gestational age and parity. Signs and symptoms were collected and a blood sample taken for rapid diagnostic test, microscopy and haemoglobin measurement. A multivariate model was used to assess the predictive value of signs and symptoms for malaria infection. The overall prevalence of malaria was 42.6% (256/600) while anaemia was found in 60.8% (365/600) of the women. Nearly half (49%) of the cases and 39.5% of the controls had a malaria infection (p = 0.03). The most common signs and symptoms among the cases were fever (36%,72/200), history of fever (29%,58/200) and headache (52%,104/200). The positive predictive value for fever was 53% (95% CI:41-64), history of fever 58% (95% CI:37-63) and headache 51% (95% CI:41-61). Signs and symptoms suggestive of malaria are frequent among pregnant women living in areas of intense transmission. Common malaria symptoms are not strong predictors of infection. For a better management of malaria in pregnancy, active screening to detect and treat malaria infection early should be performed on all pregnant women attending a health facility.

Facilities Performance Indicators Report 2013-14: Tracking Your Facilities Vital Signs

ERIC Educational Resources Information Center

APPA: Association of Higher Education Facilities Officers, 2015

2015-01-01

This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA: Association of Higher Education Facilities Officers (APPA's) Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance…

Teaching Integer Operations Using Ring Theory

ERIC Educational Resources Information Center

Hirsch, Jenna

2012-01-01

A facility with signed numbers forms the basis for effective problem solving throughout developmental mathematics. Most developmental mathematics textbooks explain signed number operations using absolute value, a method that involves considering the problem in several cases (same sign, opposite sign), and in the case of subtraction, rewriting the…

Working together to ensure safety at hydro projects

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

Bartel, J.W.

Providing for public safety around a hydroelectric facility can be critically important to the welfare of a hydro-power producer. With this in mind, Wisconsin Electric Power Company and Wisconsin Public Service Corporation have worked together to develop consistent safety signage and several for their hydro projects. Although the two utilities sometimes compete for electric customers, they cooperate to ensure the safety to those customers. Both WE and WPS took steps in 1986 to make their operations safer through involvement in the Wisconsin/Michigan Hydro User Group. The organization has 25 members-primarily of electric utilities and paper companies-who operate hydro facilities inmore » the two states. The two areas that the HUG studied in public safety were signs and warning systems. HUG established a sign committee to study how to increase safety of people around hydro plants through signs, explained Ted Handrick, hydro plant superintendent at WPS. The committee's recommendations led to development of a statewide uniform sign system adopted by all HUG members. The committee used Wisconsin Department of Natural Resources' guidelines for warning signs and portages in developing the signage standards. HUG members are converting to these new sign standards as they replace old signs and/or install new signs. Notices describing the new signage system have been placed near each hydro plant, at boat landings, and in campgrounds. The signs are mounted well above ground level so they can be seen and easily read by recreationalists. Warning systems, in accordance with HUG warning standards, were installed at WE and WPS hydro facilities. These systems alert nearby recreational users of rapid increases in water flow when generating units are turned on or when spillway gates are opened. Soon after the authors installed equipment to remotely operate its hydro facilities, the utility experienced a dramatic increase increase in intrusion on dams and other structures at the projects.« less

33 CFR 127.1113 - Warning signs.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Warning signs. 127.1113 Section... Waterfront Facilities Handling Liquefied Hazardous Gas Design and Construction § 127.1113 Warning signs. (a) The marine transfer area for LHG must have warning signs that— (1) Meet paragraph (b) of this section...

33 CFR 127.1113 - Warning signs.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Warning signs. 127.1113 Section... Waterfront Facilities Handling Liquefied Hazardous Gas Design and Construction § 127.1113 Warning signs. (a) The marine transfer area for LHG must have warning signs that— (1) Meet paragraph (b) of this section...

33 CFR 127.1113 - Warning signs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Warning signs. 127.1113 Section... Waterfront Facilities Handling Liquefied Hazardous Gas Design and Construction § 127.1113 Warning signs. (a) The marine transfer area for LHG must have warning signs that— (1) Meet paragraph (b) of this section...

33 CFR 127.1113 - Warning signs.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Warning signs. 127.1113 Section... Waterfront Facilities Handling Liquefied Hazardous Gas Design and Construction § 127.1113 Warning signs. (a) The marine transfer area for LHG must have warning signs that— (1) Meet paragraph (b) of this section...

33 CFR 127.1113 - Warning signs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Warning signs. 127.1113 Section... Waterfront Facilities Handling Liquefied Hazardous Gas Design and Construction § 127.1113 Warning signs. (a) The marine transfer area for LHG must have warning signs that— (1) Meet paragraph (b) of this section...

Facilities and support systems for a 90-day test of a regenerative life support system

NASA Technical Reports Server (NTRS)

Malin, R. L.

1972-01-01

A 90-day test is reported of a regenerative life support system which was completed in a space station simulator. The long duration of the test and the fact that it was manned, imposed rigid reliability and safety requirements on the facility. Where adequate reliability could not be built into essential facility systems, either backup systems or components were provided. Awareness was intensified by: (1) placing signs on every piece of equipment that could affect the test, (2) painting switches on all breaker panels a bright contrasting color, (3) restricting access to the test control area, and (4) informing personnel in the facility (other than test personnel) of test activities. It is concluded that the basic facility is satisfactory for conducting long-duration manned tests, and it is recommended that all monitor and alarm functions be integrated into a single operation.

Construction safety in DOE. Part 1, Students guide

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

Handwerk, E C

This report is the first part of a compilation of safety standards for construction activities on DOE facilities. This report covers the following areas: general safety and health provisions; occupational health and environmental control/haz mat; personal protective equipment; fire protection and prevention; signs, signals, and barricades; materials handling, storage, use, and disposal; hand and power tools; welding and cutting; electrical; and scaffolding.

Facilities Performance Indicators Report 2012-13: Tracking Your Facilities Vital Signs

ERIC Educational Resources Information Center

APPA: Association of Higher Education Facilities Officers, 2014

2014-01-01

This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA's Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance Indicators Report" is designed for survey…

29 CFR 1917.128 - Signs and marking.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Signs and marking. 1917.128 Section 1917.128 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) MARINE TERMINALS Terminal Facilities § 1917.128 Signs and marking. (a) General. Signs required by this part shall be clearly worded and...

33 CFR 127.113 - Warning signs.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Warning signs. 127.113 Section... Waterfront Facilities Handling Liquefied Natural Gas § 127.113 Warning signs. (a) The marine transfer area for LNG must have warning signs that— (1) Meet paragraph (b) of this section; (2) Can be seen from the...

33 CFR 127.113 - Warning signs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Warning signs. 127.113 Section... Waterfront Facilities Handling Liquefied Natural Gas § 127.113 Warning signs. (a) The marine transfer area for LNG must have warning signs that— (1) Meet paragraph (b) of this section; (2) Can be seen from the...

33 CFR 127.113 - Warning signs.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Warning signs. 127.113 Section... Waterfront Facilities Handling Liquefied Natural Gas § 127.113 Warning signs. (a) The marine transfer area for LNG must have warning signs that— (1) Meet paragraph (b) of this section; (2) Can be seen from the...

33 CFR 127.113 - Warning signs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Warning signs. 127.113 Section... Waterfront Facilities Handling Liquefied Natural Gas § 127.113 Warning signs. (a) The marine transfer area for LNG must have warning signs that— (1) Meet paragraph (b) of this section; (2) Can be seen from the...

33 CFR 127.113 - Warning signs.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Warning signs. 127.113 Section... Waterfront Facilities Handling Liquefied Natural Gas § 127.113 Warning signs. (a) The marine transfer area for LNG must have warning signs that— (1) Meet paragraph (b) of this section; (2) Can be seen from the...

Effectiveness of the Home Based Life Saving Skills training by community health workers on knowledge of danger signs, birth preparedness, complication readiness and facility delivery, among women in Rural Tanzania.

PubMed

August, Furaha; Pembe, Andrea B; Mpembeni, Rose; Axemo, Pia; Darj, Elisabeth

2016-06-02

In spite of government efforts, maternal mortality in Tanzania is currently at more than 400 per 100,000 live births. Community-based interventions that encourage safe motherhood and improved health-seeking behaviour through acquiring knowledge on the danger signs and improving birth preparedness, and, ultimately, reduce maternal mortality, have been initiated in different parts of low-income countries. Our aim was to evaluate if the Home Based Life Saving Skills education by community health workers would improve knowledge of danger signs, birth preparedness and complication readiness and facility-based deliveries in a rural community in Tanzania. A quasi-experimental study design was used to evaluate the effectiveness of Home Based Life Saving Skills education to pregnant women and their families through a community intervention. An intervention district received training with routine care. A comparison district continued to receive routine antenatal care. A structured household questionnaire was used in order to gather information from women who had delivered a child within the last two years before the intervention. This questionnaire was used in both the intervention and comparison districts before and after the intervention. The net intervention effect was estimated using the difference between the differences in the intervention and control districts at baseline and endline. A total of 1,584 and 1,486 women were interviewed at pre-intervention and post intervention, respectively. We observed significant improvement of knowledge of three or more danger signs during pregnancy (15.2 % vs. 48.1 %) with a net intervention effect of 29.0 % (95 % CI: 12.8-36.2; p < .0001) compared to the comparison district. There was significant effect on the knowledge of three or more danger signs during childbirth (15.3 % vs. 43.1 %) with a net intervention effect of 18.3 % (95 % CI: 11.4-25.2; p < .0001) and postpartum for those mentioning three or more of the signs (8.8 % vs. 19.8 %) with net effect of 9.4 % (95 % CI: 6.4-15.7; p < .0001). Birth preparedness practice improved for those who made more than three actions (20.8 vs. 35.3 %) with a net intervention effect of 10.3 % (95 % CI: 10.3-20.3; p < .0001) between the intervention and control district at pre-intervention and post intervention. Utilisation of antenatal care with four visits improved significantly (43.4 vs. 67.8 %) with net effect of 25.3 % (95 % CI: 16.9-33.2; p < .0001), use of facility delivery improved in the intervention area (75.6 vs. 90.2 %; p = 0.0002) but there was no significant net effect 11.5 % (95 % CI: -5.1-39.6; p = 0.123) compared to comparison district. This study shows that a community-based intervention employing community health workers as teachers in delivering Home Based Life Saving Skills program to pregnant women and their families improved their knowledge of danger signs during pregnancy, childbirth and postpartum, preparedness for childbirth and increased deliveries at health facilities which employ skilled health workers in this rural community.

23 CFR 810.108 - Designation of existing facilities.

Code of Federal Regulations, 2014 CFR

2014-04-01

... facilities, trail blazer signs, and passenger loading areas and facilities. (2) The approval criteria in 23... approved on any public road if they facilitate more efficient use of any Federal-aid highway. (c...

23 CFR 810.108 - Designation of existing facilities.

Code of Federal Regulations, 2011 CFR

2011-04-01

... facilities, trail blazer signs, and passenger loading areas and facilities. (2) The approval criteria in 23... approved on any public road if they facilitate more efficient use of any Federal-aid highway. (c...

23 CFR 810.108 - Designation of existing facilities.

Code of Federal Regulations, 2013 CFR

2013-04-01

... facilities, trail blazer signs, and passenger loading areas and facilities. (2) The approval criteria in 23... approved on any public road if they facilitate more efficient use of any Federal-aid highway. (c...

23 CFR 810.108 - Designation of existing facilities.

Code of Federal Regulations, 2012 CFR

2012-04-01

... facilities, trail blazer signs, and passenger loading areas and facilities. (2) The approval criteria in 23... approved on any public road if they facilitate more efficient use of any Federal-aid highway. (c...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2014 CFR

2014-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2012 CFR

2012-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2013 CFR

2013-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

Assessing infection control practices to protect health care workers and patients in Malawi from nosocomial transmission of Mycobacterium tuberculosis.

PubMed

Flick, Robert J; Munthali, Adamson; Simon, Katherine; Hosseinipour, Mina; Kim, Maria H; Mlauzi, Lameck; Kazembe, Peter N; Ahmed, Saeed

2017-01-01

Transmission of Mycobacterium tuberculosis (TB) in health settings threatens health care workers and people living with HIV in sub-Saharan Africa. Nosocomial transmission is reduced with implementation of infection control (IC) guidelines. The objective of this study is to describe implementation of TB IC measures in Malawi. We conducted a cross-sectional study utilizing anonymous health worker questionnaires, semi-structured interviews with facility managers, and direct observations at 17 facilities in central Malawi. Of 592 health care workers surveyed, 34% reported that all patients entering the facility were screened for cough and only 8% correctly named the four most common signs and symptoms of TB in adults. Of 33 managers interviewed, 7 (21%) and 1 (3%) provided the correct TB screening questions for use in adults and children, respectively. Of 592 health workers, only 2.4% had been screened for TB in the previous year. Most (90%) reported knowing their HIV status, 53% were tested at their facility of employment, and half reported they would feel comfortable receiving ART or TB treatment at their facility of employment. We conclude that screening is infrequently conducted and knowledge gaps may undercut its effectiveness. Further, health care workers do not routinely access TB and HIV diagnostic and treatment services at their facility of employment.

41 CFR 102-74.385 - What is the policy concerning conformity with official signs and directions?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Conduct on Federal Property Conformity with Signs and... in and on property must at all times comply with official signs of a prohibitory, regulatory or...

30 CFR 250.154 - What identification signs must I display?

Code of Federal Regulations, 2014 CFR

2014-07-01

... number of the facility location as depicted on OCS Official Protraction Diagrams or leasing maps; (iii...; and (3) For subsea wells that flow individually into separate pipelines, affix the required sign on... receiving platform. For multiple subsea wells that flow into a common pipeline or pipelines, no sign is...

30 CFR 250.154 - What identification signs must I display?

Code of Federal Regulations, 2013 CFR

2013-07-01

... number of the facility location as depicted on OCS Official Protraction Diagrams or leasing maps; (iii...; and (3) For subsea wells that flow individually into separate pipelines, affix the required sign on... receiving platform. For multiple subsea wells that flow into a common pipeline or pipelines, no sign is...

30 CFR 250.154 - What identification signs must I display?

Code of Federal Regulations, 2012 CFR

2012-07-01

... number of the facility location as depicted on OCS Official Protraction Diagrams or leasing maps; (iii...; and (3) For subsea wells that flow individually into separate pipelines, affix the required sign on... receiving platform. For multiple subsea wells that flow into a common pipeline or pipelines, no sign is...

30 CFR 250.154 - What identification signs must I display?

Code of Federal Regulations, 2011 CFR

2011-07-01

... number of the facility location as depicted on OCS Official Protraction Diagrams or leasing maps; (iii...; and (3) For subsea wells that flow individually into separate pipelines, affix the required sign on... receiving platform. For multiple subsea wells that flow into a common pipeline or pipelines, no sign is...

Facilities Performance Indicators Report 2011-12: Tracking Your Facilities Vital Signs

ERIC Educational Resources Information Center

APPA: Association of Higher Education Facilities Officers, 2013

2013-01-01

This paper provides an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA's Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. APPA's Information and Research Committee's goal for this year was to enhance the…

Outbreak of Adverse Reactions Associated with Contaminated Heparin

PubMed Central

Blossom, David B.; Kallen, Alexander J.; Patel, Priti R.; Elward, Alexis; Robinson, Luke; Gao, Ganpan; Langer, Robert; Perkins, Kiran M.; Jaeger, Jennifer L.; Kurkjian, Katie M.; Jones, Marilyn; Schillie, Sarah F.; Shehab, Nadine; Ketterer, Daniel; Venkataraman, Ganesh; Kishimoto, Takashi Kei; Shriver, Zachary; McMahon, Ann W.; Austen, K. Frank; Kozlowski, Steven; Srinivasan, Arjun; Turabelidze, George; Gould, Carolyn V.; Arduino, Matthew J.; Sasisekharan, Ram

2013-01-01

BACKGROUND In January 2008, the Centers for Disease Control and Prevention began a nationwide investigation of severe adverse reactions that were first detected in a single hemodialysis facility. Preliminary findings suggested that heparin was a possible cause of the reactions. METHODS Information on clinical manifestations and on exposure was collected for patients who had signs and symptoms that were consistent with an allergic-type reaction after November 1, 2007. Twenty-one dialysis facilities that reported reactions and 23 facilities that reported no reactions were included in a case–control study to identify facility-level risk factors. Unopened heparin vials from facilities that reported reactions were tested for contaminants. RESULTS A total of 152 adverse reactions associated with heparin were identified in 113 patients from 13 states from November 19, 2007, through January 31, 2008. The use of heparin manufactured by Baxter Healthcare was the factor most strongly associated with reactions (present in 100.0% of case facilities vs. 4.3% of control facilities, P<0.001). Vials of heparin manufactured by Baxter from facilities that reported reactions contained a contaminant identified as oversulfated chondroitin sulfate (OSCS). Adverse reactions to the OSCS-contaminated heparin were often characterized by hypotension, nausea, and shortness of breath occurring within 30 minutes after administration. Of 130 reactions for which information on the heparin lot was available, 128 (98.5%) occurred in a facility that had OSCS-contaminated heparin on the premises. Of 54 reactions for which the lot number of administered heparin was known, 52 (96.3%) occurred after the administration of OSCS-contaminated heparin. CONCLUSIONS Heparin contaminated with OSCS was epidemiologically linked to adverse reactions in this nationwide outbreak. The reported clinical features of many of the cases further support the conclusion that contamination of heparin with OSCS was the cause of the outbreak. PMID:19052120

The effect of user fee exemption on the utilization of maternal health care at mission health facilities in Malawi

PubMed Central

Manthalu, Gerald; Yi, Deokhee; Farrar, Shelley; Nkhoma, Dominic

2016-01-01

The Government of Malawi has signed contracts called service level agreements (SLAs) with mission health facilities in order to exempt their catchment populations from paying user fees. Government in turn reimburses the facilities for the services that they provide. SLAs started in 2006 with 28 out of 165 mission health facilities and increased to 74 in 2015. Most SLAs cover only maternal, neonatal and in some cases child health services due to limited resources. This study evaluated the effect of user fee exemption on the utilization of maternal health services. The difference-in-differences approach was combined with propensity score matching to evaluate the causal effect of user fee exemption. The gradual uptake of the policy provided a natural experiment with treated and control health facilities. A second control group, patients seeking non-maternal health care at CHAM health facilities with SLAs, was used to check the robustness of the results obtained using the primary control group. Health facility level panel data for 142 mission health facilities from 2003 to 2010 were used. User fee exemption led to a 15% (P <  0.01) increase in the mean proportion of women who made at least one antenatal care (ANC) visit during pregnancy, a 12% (P < 0.05) increase in average ANC visits and an 11% (P < 0.05) increase in the mean proportion of pregnant women who delivered at the facilities. No effects were found for the proportion of pregnant women who made the first ANC visit in the first trimester and the proportion of women who made postpartum care visits. We conclude that user fee exemption is an important policy for increasing maternal health care utilization. For certain maternal services, however, other determinants may be more important. PMID:27175033

47 CFR 90.425 - Station identification.

Code of Federal Regulations, 2010 CFR

2010-10-01

... call sign of either the mobile station or the base station may be transmitted. Further, a single mobile... will be permitted to use a single call sign for commonly owned facilities that are operated as part of a single system. The call sign must be transmitted each hour within five minutes of the hour, or...

47 CFR 90.425 - Station identification.

Code of Federal Regulations, 2011 CFR

2011-10-01

... call sign of either the mobile station or the base station may be transmitted. Further, a single mobile... will be permitted to use a single call sign for commonly owned facilities that are operated as part of a single system. The call sign must be transmitted each hour within five minutes of the hour, or...

Validation of Mobility of Pedestrians with Low Vision Using Graphic Floor Signs and Voice Guides.

PubMed

Omori, Kiyohiro; Yanagihara, Takao; Kitagawa, Hiroshi; Ikeda, Norihiro

2015-01-01

Some people with low vision or elderly persons tend to walk while watching a nearby floor, therefore, they often overlook or hard to read suspended signs. In this study, we propose two kinds of voice guides, and an experiment is conducted by participants with low vision using these voice guides and graphic floor signs in order to investigate effectiveness of these combinations. In clock position method (CP), each direction of near facilities are described in using an analogy of a 12-hour clock. Meanwhile, in numbering method (NU), near facilities are put the number in clockwise order, however, each direction are only illustrated in a crossing sign. As a result of an experiment, it is showed that both voice guides are effective for pedestrians with low vision. NU is used as a complement of graphic floor signs. Meanwhile, CP is used independently with graphic floor signs, however, there is a risk in the case of using in the environment where pedestrians are easy to mistake the reference direction defined by the sounding speaker.

Assessing infection control practices to protect health care workers and patients in Malawi from nosocomial transmission of Mycobacterium tuberculosis

PubMed Central

Simon, Katherine; Hosseinipour, Mina; Kim, Maria H.; Mlauzi, Lameck; Kazembe, Peter N.; Ahmed, Saeed

2017-01-01

Transmission of Mycobacterium tuberculosis (TB) in health settings threatens health care workers and people living with HIV in sub-Saharan Africa. Nosocomial transmission is reduced with implementation of infection control (IC) guidelines. The objective of this study is to describe implementation of TB IC measures in Malawi. We conducted a cross-sectional study utilizing anonymous health worker questionnaires, semi-structured interviews with facility managers, and direct observations at 17 facilities in central Malawi. Of 592 health care workers surveyed, 34% reported that all patients entering the facility were screened for cough and only 8% correctly named the four most common signs and symptoms of TB in adults. Of 33 managers interviewed, 7 (21%) and 1 (3%) provided the correct TB screening questions for use in adults and children, respectively. Of 592 health workers, only 2.4% had been screened for TB in the previous year. Most (90%) reported knowing their HIV status, 53% were tested at their facility of employment, and half reported they would feel comfortable receiving ART or TB treatment at their facility of employment. We conclude that screening is infrequently conducted and knowledge gaps may undercut its effectiveness. Further, health care workers do not routinely access TB and HIV diagnostic and treatment services at their facility of employment. PMID:29211793

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Wendy Lawrence autographs the sign presented to workers in the Orbiter Processing Facility. Lawrence is a new addition to the crew. The STS-114 crew is at KSC to take part in crew equipment and orbiter familiarization.

NASA Image and Video Library

2003-10-30

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Wendy Lawrence autographs the sign presented to workers in the Orbiter Processing Facility. Lawrence is a new addition to the crew. The STS-114 crew is at KSC to take part in crew equipment and orbiter familiarization.

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

Cozzi, A; Cora Berry, C; Michael Bronikowski, M

The decontaminated salt solution waste stream from the Modular Caustic Side Solvent Extraction Unit and the Salt Waste Processing Facility is anticipated to contain entrained extraction solvent. The decontaminated salt solution is scheduled to be processed through Tank 50 into the Saltstone Production Facility. This study, among others, has been undertaken because the solvent concentration in the decontaminated salt solution may cause flammability issues within the Saltstone Disposal Facility that may need to be addressed prior to operation. Previous work at the Savannah River National Laboratory determined the release of Isopar{reg_sign} L from saltstone prepared with a simulated DSS withmore » Isopar{reg_sign} L concentrations ranging from 50 to 200 {micro}g/g in the salt fraction and with test temperatures ranging from ambient to 95 C. The results from the curing of the saltstone showed that the Isopar{reg_sign} L release data can be treated as a percentage of initial concentration in the concentration range studied. The majority of the Isopar{reg_sign} L that was released over the test duration was released in the first few days. The release of Isopar{reg_sign} L begins immediately and the rate of release decreases over time. At higher temperatures the immediate release is larger than at lower temperatures. In this study, saltstone was prepared using a simulated decontaminated salt solution containing Isopar{reg_sign} L concentrations of 50 {micro}L/L (30 {micro}g/g) and 100 {micro}L/L (61 {micro}g/g) and cured at 55 C. The headspace of each sample was purged and the Isopar{reg_sign} L was trapped on a coconut shell carbon tube. The amount of Isopar{reg_sign} L captured was determined using NIOSH Method 1501. The percentage of Isopar{reg_sign} L released after 20 days was 1.4 - 3.7% for saltstone containing 50 {micro}L/L concentration and 2.1 - 4.3% for saltstone containing 100 {micro}L/L concentration. Given the measurement uncertainties in this work there is no clearly discernible relationship between percentage release and initial Isopar{reg_sign} L concentration.« less

30 CFR 56.6130 - Explosive material storage facilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... authorities for over-the-road use. Facilities other than magazines used to store blasting agents shall contain... appropriate warning signs that indicate the contents and are visible from each approach. ...

30 CFR 56.6130 - Explosive material storage facilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... authorities for over-the-road use. Facilities other than magazines used to store blasting agents shall contain... appropriate warning signs that indicate the contents and are visible from each approach. ...

30 CFR 56.6130 - Explosive material storage facilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... authorities for over-the-road use. Facilities other than magazines used to store blasting agents shall contain... appropriate warning signs that indicate the contents and are visible from each approach. ...

Plum Brook Reactor Facility Control Room during Facility Startup

NASA Image and Video Library

1961-02-21

Operators test the National Aeronautics and Space Administration’s (NASA) Plum Brook Reactor Facility systems in the months leading up to its actual operation. The “Reactor On” signs are illuminated but the reactor core was not yet ready for chain reactions. Just a couple weeks after this photograph, Plum Brook Station held a media open house to unveil the 60-megawatt test reactor near Sandusky, Ohio. More than 60 members of the print media and radio and television news services met at the site to talk with community leaders and representatives from NASA and Atomic Energy Commission. The Plum Brook reactor went critical for the first time on the evening of June 14, 1961. It was not until April 1963 that the reactor reached its full potential of 60 megawatts. The reactor control room, located on the second floor of the facility, was run by licensed operators. The operators manually operated the shim rods which adjusted the chain reaction in the reactor core. The regulating rods could partially or completely shut down the reactor. The control room also housed remote area monitoring panels and other monitoring equipment that allowed operators to monitor radiation sensors located throughout the facility and to scram the reactor instantly if necessary. The color of the indicator lights corresponded with the elevation of the detectors in the various buildings. The reactor could also shut itself down automatically if the monitors detected any sudden irregularities.

Patient-controlled sharing of medical imaging data across unaffiliated healthcare organizations

PubMed Central

Ahn, David K; Unde, Bhagyashree; Gage, H Donald; Carr, J Jeffrey

2013-01-01

Background Current image sharing is carried out by manual transportation of CDs by patients or organization-coordinated sharing networks. The former places a significant burden on patients and providers. The latter faces challenges to patient privacy. Objective To allow healthcare providers efficient access to medical imaging data acquired at other unaffiliated healthcare facilities while ensuring strong protection of patient privacy and minimizing burden on patients, providers, and the information technology infrastructure. Methods An image sharing framework is described that involves patients as an integral part of, and with full control of, the image sharing process. Central to this framework is the Patient Controlled Access-key REgistry (PCARE) which manages the access keys issued by image source facilities. When digitally signed by patients, the access keys are used by any requesting facility to retrieve the associated imaging data from the source facility. A centralized patient portal, called a PCARE patient control portal, allows patients to manage all the access keys in PCARE. Results A prototype of the PCARE framework has been developed by extending open-source technology. The results for feasibility, performance, and user assessments are encouraging and demonstrate the benefits of patient-controlled image sharing. Discussion The PCARE framework is effective in many important clinical cases of image sharing and can be used to integrate organization-coordinated sharing networks. The same framework can also be used to realize a longitudinal virtual electronic health record. Conclusion The PCARE framework allows prior imaging data to be shared among unaffiliated healthcare facilities while protecting patient privacy with minimal burden on patients, providers, and infrastructure. A prototype has been implemented to demonstrate the feasibility and benefits of this approach. PMID:22886546

30 CFR 57.6130 - Explosive material storage facilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... local authorities for over-the-road use. Facilities other than magazines used to store blasting agents... or other appropriate warning signs that indicate the contents and are visible from each approach. ...

30 CFR 57.6130 - Explosive material storage facilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... local authorities for over-the-road use. Facilities other than magazines used to store blasting agents... or other appropriate warning signs that indicate the contents and are visible from each approach. ...

30 CFR 57.6130 - Explosive material storage facilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... local authorities for over-the-road use. Facilities other than magazines used to store blasting agents... or other appropriate warning signs that indicate the contents and are visible from each approach. ...

CDC Vital Signs: Making Health Care Safer

MedlinePlus

... safety efforts happening across the state. Health care facility CEOs/administrators can: Implement systems to alert receiving ... Germs spread between patients and across health care facilities. Antibiotic resistance is a threat. Nightmare germs called ...

43 CFR 3162.6 - Well and facility identification.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Well and facility identification. 3162.6... for Operating Rights Owners and Operators § 3162.6 Well and facility identification. (a) Every well within a Federal or Indian lease or supervised agreement shall have a well indentification sign. All...

43 CFR 3162.6 - Well and facility identification.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Well and facility identification. 3162.6... for Operating Rights Owners and Operators § 3162.6 Well and facility identification. (a) Every well within a Federal or Indian lease or supervised agreement shall have a well indentification sign. All...

43 CFR 3162.6 - Well and facility identification.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Well and facility identification. 3162.6... for Operating Rights Owners and Operators § 3162.6 Well and facility identification. (a) Every well within a Federal or Indian lease or supervised agreement shall have a well indentification sign. All...

Evaluation of electronic speed limit signs on US 30.

DOT National Transportation Integrated Search

2011-09-01

This study documents the speed : reduction impacts of two dynamic, : electronic school zone speed limit signs : at United Community Schools between : Ames and Boone, Iowa. The school : facility is situated along US Highway 30, : a rural four-lane div...

LSE-Sign: A lexical database for Spanish Sign Language.

PubMed

Gutierrez-Sigut, Eva; Costello, Brendan; Baus, Cristina; Carreiras, Manuel

2016-03-01

The LSE-Sign database is a free online tool for selecting Spanish Sign Language stimulus materials to be used in experiments. It contains 2,400 individual signs taken from a recent standardized LSE dictionary, and a further 2,700 related nonsigns. Each entry is coded for a wide range of grammatical, phonological, and articulatory information, including handshape, location, movement, and non-manual elements. The database is accessible via a graphically based search facility which is highly flexible both in terms of the search options available and the way the results are displayed. LSE-Sign is available at the following website: http://www.bcbl.eu/databases/lse/.

33 CFR 334.1390 - Pacific Ocean off the Pacific Missile Range Facility at Barking Sands, Island of Kauai, Hawaii...

Code of Federal Regulations, 2014 CFR

2014-07-01

... Missile Range Facility at Barking Sands, Island of Kauai, Hawaii; danger zone. 334.1390 Section 334.1390... AND RESTRICTED AREA REGULATIONS § 334.1390 Pacific Ocean off the Pacific Missile Range Facility at... Pacific Missile Range Facility range boats, beach markings including beach signs along the north and south...

The effect of user fee exemption on the utilization of maternal health care at mission health facilities in Malawi.

PubMed

Manthalu, Gerald; Yi, Deokhee; Farrar, Shelley; Nkhoma, Dominic

2016-11-01

The Government of Malawi has signed contracts called service level agreements (SLAs) with mission health facilities in order to exempt their catchment populations from paying user fees. Government in turn reimburses the facilities for the services that they provide. SLAs started in 2006 with 28 out of 165 mission health facilities and increased to 74 in 2015. Most SLAs cover only maternal, neonatal and in some cases child health services due to limited resources. This study evaluated the effect of user fee exemption on the utilization of maternal health services. The difference-in-differences approach was combined with propensity score matching to evaluate the causal effect of user fee exemption. The gradual uptake of the policy provided a natural experiment with treated and control health facilities. A second control group, patients seeking non-maternal health care at CHAM health facilities with SLAs, was used to check the robustness of the results obtained using the primary control group. Health facility level panel data for 142 mission health facilities from 2003 to 2010 were used. User fee exemption led to a 15% (P <  0.01) increase in the mean proportion of women who made at least one antenatal care (ANC) visit during pregnancy, a 12% (P < 0.05) increase in average ANC visits and an 11% (P < 0.05) increase in the mean proportion of pregnant women who delivered at the facilities. No effects were found for the proportion of pregnant women who made the first ANC visit in the first trimester and the proportion of women who made postpartum care visits. We conclude that user fee exemption is an important policy for increasing maternal health care utilization. For certain maternal services, however, other determinants may be more important. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

76 FR 68170 - Instructions for Implementing Sustainable Locations for Federal Facilities in Accordance With...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-03

... for integrating sustainable facility location decision-making principles into agency policies and..., Energy, and Economic Performance,'' signed by President Obama on October 5, 2009. 74 FR 52117, Oct. 8...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2014 CFR

2014-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2012 CFR

2012-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2013 CFR

2013-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2011 CFR

2011-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

24 CFR 960.205 - Drug use by applicants: Obtaining information from drug treatment facility.

Code of Federal Regulations, 2012 CFR

2012-04-01

.... This section addresses a PHA's authority to request and obtain information from drug abuse treatment... household member. (2) Drug abuse treatment facility. An entity: (i) That holds itself out as providing, and... consent forms signed by such household member that: (i) Requests any drug abuse treatment facility to...

24 CFR 960.205 - Drug use by applicants: Obtaining information from drug treatment facility.

Code of Federal Regulations, 2011 CFR

2011-04-01

.... This section addresses a PHA's authority to request and obtain information from drug abuse treatment... household member. (2) Drug abuse treatment facility. An entity: (i) That holds itself out as providing, and... consent forms signed by such household member that: (i) Requests any drug abuse treatment facility to...

24 CFR 960.205 - Drug use by applicants: Obtaining information from drug treatment facility.

Code of Federal Regulations, 2010 CFR

2010-04-01

.... This section addresses a PHA's authority to request and obtain information from drug abuse treatment... household member. (2) Drug abuse treatment facility. An entity: (i) That holds itself out as providing, and... consent forms signed by such household member that: (i) Requests any drug abuse treatment facility to...

24 CFR 960.205 - Drug use by applicants: Obtaining information from drug treatment facility.

Code of Federal Regulations, 2013 CFR

2013-04-01

.... This section addresses a PHA's authority to request and obtain information from drug abuse treatment... household member. (2) Drug abuse treatment facility. An entity: (i) That holds itself out as providing, and... consent forms signed by such household member that: (i) Requests any drug abuse treatment facility to...

24 CFR 960.205 - Drug use by applicants: Obtaining information from drug treatment facility.

Code of Federal Regulations, 2014 CFR

2014-04-01

.... This section addresses a PHA's authority to request and obtain information from drug abuse treatment... household member. (2) Drug abuse treatment facility. An entity: (i) That holds itself out as providing, and... consent forms signed by such household member that: (i) Requests any drug abuse treatment facility to...

Engaging staff to improve quality and safety in an austere medical environment: a case-control study in two Sierra Leonean hospitals.

PubMed

Rosen, Michael A; Chima, Adaora M; Sampson, John B; Jackson, Eric V; Koka, Rahul; Marx, Megan K; Kamara, Thaim B; Ogbuagu, Onyebuchi U; Lee, Benjamin H

2015-08-01

Inadequate observance of basic processes in patient care such as patient monitoring and documentation practices are potential impediments to the timely diagnoses and management of patients. These gaps exist in low resource settings such as Sierra Leone and can be attributed to a myriad of factors such as workforce and technology deficiencies. In the study site, only 12.4% of four critical vital signs were documented in the pre-intervention period. Implement a failure mode and effects analysis (FMEA) to improve documentation of four patient vital signs: temperature, blood pressure, pulse rate and respiratory rate. FMEA was implemented among a subpopulation of health workers who are involved in monitoring and documenting patient vital signs. Pre- and post-FMEA monitoring and documentation practice were compared with a control site. Participants identified a four-step process to monitoring and documenting vital signs, three categories of failure modes and four potential solutions. Based on 2100 patient days of documentation compliance data from 147 patients between July and November 2012, staff members at the study site were 1.79 times more likely to document all four patient vital signs in the post-implementation period (95% CI [1.35, 2.38]). FMEA is a feasible and effective strategy for improving quality and safety in an austere medical environment. Documentation compliance improved at the intervention facility. To evaluate the scalability and sustainability of this approach, programs targeting the development of these types of process improvement skills in local staff should be evaluated. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

40 CFR 761.214 - Retention of manifest records.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.214 Retention of manifest records. (a)(1) A generator... Section 761.214 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES... receives a signed copy from the designated facility which received the PCB waste. This signed copy must be...

40 CFR 761.214 - Retention of manifest records.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.214 Retention of manifest records. (a)(1) A generator... Section 761.214 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES... receives a signed copy from the designated facility which received the PCB waste. This signed copy must be...

Looking for Trouble

ERIC Educational Resources Information Center

Rice, Mike

2006-01-01

Circuit breakers are the linchpin of an institution's power-distribution system, so it's not surprising that several warning signs of an aging system relate to these devices. When warning signs occur, it's a message to facilities managers and administrators that breakers may need to be upgraded to help the power distribution system meet existing…

Prospect for future South-Korea arms control

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

Kim, Y.

1992-04-22

This study deals with the Hot issues of the first five Prime Ministers (PM) meetings, which encompassed 15 months of negotiations and have resulted in the completion of the Agreement on South-North Reconciliation/Non-aggression and Cooperation after 46 years of division. After the signing of the agreement, detailed worker level progress has culminated in North Korea signing the nuclear safety treaty of the International Atomic Energy Agency (IAEA) and Acceptance of International Inspection of Nuclear Facilities South-North civil economic progress is on the way and at the 6th meeting, a head of state meeting was discussed. Taking all this into consideration,more » it is safe to say that an affirmative direction is being taken towards South-North relations. In this arena, a critical element for better South-North relations is arms control. If meetings on arms control between South-North make good progress, the solution for the Korean peninsula's reunification, as well as detente, will be achieved more quickly. Therefore, arms control on the Korean peninsula should be considered as an important point for improvement of the future South-North Korean relationship. The important fact that we should remember is that arms control is a common issue. Arms control should be solved by South-North Korea because a phased arms control can develop prior to conditions for reunification.« less

De Vries-Weber gain control and dark adaptation in human vision

NASA Astrophysics Data System (ADS)

Bouman, Maarten A.

2002-02-01

Thresholds for seeing light from a stimulus are determined by a mechanism that pairs subliminal excitations from both halves of a twin unit. Such excitations stem from a package of k>=1 receptor responses. A half-unit contains one red or one green cone and P rods. The receptor's ``Weber machine'' controls the receptor's gain. Each half of a twin unit contains a ``de Vries machine,'' which controls the half's k number. In the dark the receptor's dark noise events reset its Weber machine and the receptor's relation to its de Vries machine. A pairing product for light perception also represents a direction event. The local time signs of the two subliminal excitations are crucial for the polarity, size, and pace of the direction event. In relation to the time when and the area in which the stimulus is presented, these signs have average latency periods that depend on intensity and average locations that depend on movement. Polarity depends on which of the two subliminal excitations happens to arrive first at the twin's pairing facility. The intra- and inter-twin pairings in a persepton for the perceptions of light, edge and movement and the probability summation of the pairing products of the mutually independent three sets of twins of the retrinet improve intensity discrimination. Cross-pairings of intra-receptor pairings in red and green cones of a trion for yellow improve visual discrimination further. Discrimination of stimuli that exploit the model's entire summation mechanisms and pairing facilities represents ``what the perfect human eye sees best.'' For the model this threshold of modulation in quantum absorption is the ideal limit that is prescribed by statistical physics. The lateral and meta interaction in a twin unit enhance the contrast of an edge and of a temporal transient. The precision of the local time sign of a half's stimulation determines the spatiotemporal hyperfunctions for location and speed. The model's design for the perfect retinal mosaic consists of red twins situated along clockwise and counterclockwise spirals and green twins along circles that are concentric with the fovea. The model's descriptions of discrimination, adaptation, and hyperfunctions agree with experimental data.

Local Government Implementation of Long-Term Stewardship at Two DOE Facilities

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

John Pendergrass; Roman Czebiniak; Kelly Mott

2003-08-13

The Department of Energy (DOE) is responsible for cleaning up the radioactive and chemical contamination that resulted from the production of nuclear weapons. At more than one hundred sites throughout the country DOE will leave some contamination in place after the cleanup is complete. In order to protect human health and the environment from the remaining contamination DOE, U.S. Environmental Protection Agency (EPA), state environmental regulatory agencies, local governments, citizens and other entities will need to undertake long-term stewardship of such sites. Long-term stewardship includes a wide range of actions needed to protect human health in the environment for asmore » long as the risk from the contamination remains above acceptable levels, such as barriers, caps, and other engineering controls and land use controls, signs, notices, records, and other institutional controls. In this report the Environmental Law Institute (ELI) and the Energy Communities Alliance (ECA) examine how local governments, state environmental agencies, and real property professionals implement long-term stewardship at two DOE facilities, Losa Alamos National Laboratory and Oak Ridge Reservation.« less

L&D Manual Turn Lane Storage Validation/Update : Executive Summary Report

DOT National Transportation Integrated Search

2012-08-01

The formation of queues on a highway facility is a sign of the presence of operationally : inefficient sections of the facility. Queuing occurs at intersections in large part due to overflow : or inadequacy of turn bays, inadequate capacity, or poor ...

Alternative Techniques for Testing A Highway Information Systems

NASA Technical Reports Server (NTRS)

Mast, Truman; Mast, Truman

1974-01-01

The highway transport system as contrasted with other modes of transportation is quite unique in that the users of the system are responsible for the guidance and control functions of the vehicle. Research has shown that improved forms of motorist information, such as highway signs and markings, can enhance the predictability and reliability of the driving task. Test and evaluation of promising new concepts in motorist information must preceed widespread endorsement and implementation on our highway system. This paper reviews the merits and limitations of presently available human factor research techniques--laboratory, instrumented vehicle and traffic performance studies on operational facilities--for evaluating the efficacy of motorist information concepts. Specific examples are given to demonstrate the utility and the interrelationships of the alternative research techniques and there is a discussion of the most pressing immediate and future needs for improved highway signing and road marking research methodology.

42 CFR 424.36 - Signature requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... beneficiary's legal guardian. (2) A relative or other person who receives social security or other... any of the following: (i) The signed patient care/trip report; (ii) The facility or hospital registration/admission sheet; (iii) The patient medical record; (iv) The facility or hospital log; or (v) Other...

40 CFR 60.51Da - Reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... actions taken. (3) For owners or operators of affected facilities complying with the percent reduction...) and inlet emission rates (ni) as applicable. (2) The standard deviation of hourly averages for outlet... system malfunction, the owner or operator of the affected facility shall submit a signed statement: (1...

30 CFR 817.22 - Topsoil and subsoil.

Code of Federal Regulations, 2011 CFR

2011-07-01

...— (i) Occur at the site of small structures, such as power poles, signs, or fence lines; or (ii) Will... contaminants and unnecessary compaction that would interfere with revegetation; (iii) Be protected from wind... disturbances will result from facilities such as support facilities and preparation plants and where...

30 CFR 816.22 - Topsoil and subsoil.

Code of Federal Regulations, 2011 CFR

2011-07-01

... site of small structures, such as power poles, signs, or fence lines; or (ii) Will not destroy the... unnecessary compaction that would interfere with revegetation; (iii) Be protected from wind and water erosion... from facilities such as support facilities and preparation plants and where stockpiling of materials...

30 CFR 817.22 - Topsoil and subsoil.

Code of Federal Regulations, 2010 CFR

2010-07-01

...— (i) Occur at the site of small structures, such as power poles, signs, or fence lines; or (ii) Will... contaminants and unnecessary compaction that would interfere with revegetation; (iii) Be protected from wind... disturbances will result from facilities such as support facilities and preparation plants and where...

30 CFR 816.22 - Topsoil and subsoil.

Code of Federal Regulations, 2010 CFR

2010-07-01

... site of small structures, such as power poles, signs, or fence lines; or (ii) Will not destroy the... unnecessary compaction that would interfere with revegetation; (iii) Be protected from wind and water erosion... from facilities such as support facilities and preparation plants and where stockpiling of materials...

KSC-2012-4833

NASA Image and Video Library

2012-09-05

CAPE CANAVERAL, Fla. – Workers sign a steel beam before it is placed at the highest point of a new exhibit facility under construction at the Kennedy Space Center Visitor Complex. The 90,000-square-foot facility will house space shuttle Atlantis and 62 shuttle program exhibits. Photo credit: NASA/Kim Shiflett

KSC-2012-4830

NASA Image and Video Library

2012-09-05

CAPE CANAVERAL, Fla. – Workers sign a steel beam before it is placed at the highest point of a new exhibit facility under construction at the Kennedy Space Center Visitor Complex. The 90,000-square-foot facility will house space shuttle Atlantis and 62 shuttle program exhibits. Photo credit: NASA/Kim Shiflett

KSC-2012-4829

NASA Image and Video Library

2012-09-05

CAPE CANAVERAL, Fla. – Workers sign a steel beam before it is placed at the highest point of a new exhibit facility under construction at the Kennedy Space Center Visitor Complex. The 90,000-square-foot facility will house space shuttle Atlantis and 62 shuttle program exhibits. Photo credit: NASA/Kim Shiflett

31. SECTIONS AND DETAILS OF ARVFS FACILITY, INCLUDING RADIATION HAZARD ...

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

31. SECTIONS AND DETAILS OF ARVFS FACILITY, INCLUDING RADIATION HAZARD SIGN, WOOD RETAINING WALL, TANK COVER, AND DRAIN BOX. F.C. TORKELSON DRAWING NUMBER 842-ARVFS-701-3. INEL INDEX CODE NUMBER: 075 0701 851 151972. - Idaho National Engineering Laboratory, Advanced Reentry Vehicle Fusing System, Scoville, Butte County, ID

KSC-2012-4832

NASA Image and Video Library

2012-09-05

CAPE CANAVERAL, Fla. – A worker signs a steel beam before it is placed at the highest point of a new exhibit facility under construction at the Kennedy Space Center Visitor Complex. The 90,000-square-foot facility will house space shuttle Atlantis and 62 shuttle program exhibits. Photo credit: NASA/Kim Shiflett

KSC-2012-4831

NASA Image and Video Library

2012-09-05

CAPE CANAVERAL, Fla. – An event observer signs a steel beam before it is placed at the highest point of a new exhibit facility under construction at the Kennedy Space Center Visitor Complex. The 90,000-square-foot facility will house space shuttle Atlantis and 62 shuttle program exhibits. Photo credit: NASA/Kim Shiflett

NNSA B-Roll: MOX Facility

ScienceCinema

None

2017-12-09

In 1999, the National Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

NNSA B-Roll: MOX Facility

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

None

2010-05-21

In 1999, the National Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

The structures and the role of an international agency for the control of satellites

NASA Technical Reports Server (NTRS)

Dupuy, R. J.

1984-01-01

Legal questions involved in the liability of a proposed agency which would control internationally owned satellites for monitoring worldwide compliance with arms control agreements are discussed. Difficulties in acquiring the signed consent of all the relevant nations, and guaranteeing satisfactory compliance with the terms of such an agreement are noted. Additional problems to be solved comprise the construction of the ground based facilities and the satellites, the funding for the venture, and the reconciliation of the functions of the proposed agency with the sovereignty of individual states. The agency would gather, treat, and format data for signatories of arms control agreements and provide technical assistance in crisis conditions. It is concluded that the existence and functioning of the agency would reduce the amount of classified information and would consequently reduce the level of international tensions.

New orientation and accessibility option for persons with visual impairment: transportation applications for remote infrared audible signage.

PubMed

Crandall, William; Bentzen, Billie Louise; Myers, Linda; Brabyn, John

2001-05-01

BACKGROUND: For a blind or visually impaired person, a vital prerequisite to accessing any feature of the built environment is being able to find this feature. Braille signs, even where available, do not replace the functions of print signage because they cannot be read from a distance. Remotely readable infrared signs utilise spoken infrared message transmissions to label key environmental features, so that a blind person with a suitable receiver can locate and identify them from a distance. METHODS: Three problems that are among the most challenging and dangerous faced by blind travellers are negotiating complex transit stations, locating bus stops and safely and efficiently crossing light-controlled intersections. We report the results of human factors studies using a remote infrared audible sign system (RIAS), Talking Signs(R), in these critical tasks, examining issues such as the amount of training needed to use the system, its impact on performance and safety, benefits for different population subgroups and user opinions of its value. RESULTS: Results are presented in the form of both objective performance measures and in subjects' ratings of the usefulness of the system in performing these tasks. Findings are that blind people can quickly and easily learn to use remote infrared audible signage effectively and that its use improves travel safety, efficiency and independence.? CONCLUSIONS: The technology provides equal access to a wide variety of public facilities.

Making contact: rooting out the potential for exposure of commercial production swine facilities to feral swine in North Carolina.

PubMed

Engeman, Richard; Betsill, Carl; Ray, Tom

2011-03-01

Despite North Carolina's long history with feral swine, populations were low or absent in eastern counties until the 1990s. Feral swine populations have since grown in these counties which also contain a high density of commercial production swine (CPS) facilities. Sixteen of the highest swine producing U.S. counties also populated with feral swine are in North Carolina. Disconcertingly, since 2009, positive tests for exposure to swine brucellosis or pseudorabies virus have been found for feral swine. We surveyed 120 CSP facilities across four eastern counties to document the level and perception of feral swine activity around CSP facilities and to identify disease transmission potential to commercial stock. Nearly all facility operators (97%) recognized feral swine were in their counties. Far fewer said they had feral swine activity nearby (18%). Our inspections found higher presence than perceived with feral swine sign at 19% of facilities where operators said they had never observed feral swine or their sign. Nearly 90% expressed concern about feral to domestic disease transmission, yet only two facilities had grain bins or feeders fenced against wildlife access. Due to increasing feral swine populations, recent evidence of disease in feral populations, the importance of swine production to North Carolina's economy and the national pork industry, and potential for feral-domestic contact, we believe feral swine pose an increasing disease transmission threat warranting a stringent look at biosecurity and feral swine management at North Carolina CPS facilities.

78 FR 16414 - Systems for Telephonic Notification of Unsafe Conditions at Highway-Rail and Pathway Grade Crossings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-15

... exception, requiring a railroad to only place and maintain one sign at each vehicular entrance to a railroad...) of Sec. 234.311 to require a railroad only to place and maintain one sign at each vehicular entrance... industrial facilities. BRS commented that it is concerned for the safety of vehicular and pedestrian traffic...

Dead mouse hopping: Tyzzer's disease in spinifex hopping-mice (Notomys alexis).

PubMed

Stannard, Hayley J; Tulk, Melissa L; Old, Julie M

2017-03-01

Tyzzer's disease is caused by Clostridium piliformes and affects a wide range of domestic and wildlife species. Non-descript signs, if any, and a short incubation period make Tyzzer's disease difficult to diagnose and treat before death occurs. Here we describe an unexpected outbreak of Tyzzer's disease in a colony of native Australian spinifex hopping-mice (Notomys alexis). In this study captive hopping-mice were used in a nutrition trial (n=11), and others were housed in close proximity (n=4). During the nutrition trial, two hopping-mice exhibited signs of lethargy and diarrhoea, and were removed from the trial but died soon after. Other hopping-mice exhibited limited clinical signs of ill-health, prior to their death. In total four animals were found dead, and another seven were euthanised, to prevent a potential disease outbreak. Tyzzer's disease was confirmed post-mortem using histopathology silver stain to detect the bacilli-shaped bacteria (C. piliformes) in liver tissue of two hopping-mice. After Tyzzer's disease was confirmed enhanced infection control measures were implemented. Enhanced control measures included the use of metal containers for food and water, sick animals were fed and cleaned last, 5% sodium hypochlorite was used as the cleaning agent, stricter hand washing protocols and a change of gloves between feeding animals, and strict limits on persons entering the facility. Control measures for this disease should include euthanasia of any animals suspected to be infected, complete disinfection of all enclosures and associated equipment using sodium hypochlorite. Molecular methods could be employed to ensure complete removal of bacterial spores prior to new animals being moved into enclosures where affected animals were housed. Tyzzer's disease is a fast spreading disease which can cause detrimental effects to captive colonies and their environment. Captive colonies subjected to stress are at risk of Tyzzer's disease. Appropriate quarantine procedures, close montoring and quick action in response to signs of illness will ensure Tyzzer's disease outbreaks do not occur. Copyright © 2017 Elsevier B.V. All rights reserved.

Can motivational signs prompt increases in incidental physical activity in an Australian health-care facility?

PubMed

Marshall, A L; Bauman, A E; Patch, C; Wilson, J; Chen, J

2002-12-01

This study aimed to evaluate whether a stair-promoting signed intervention could increase the use of the stairs over the elevator in a health-care facility. A time-series design was conducted over 12 weeks. Data were collected before, during and after displaying a signed intervention during weeks 4-5 and 8-9. Evaluation included anonymous counts recorded by an objective unobtrusive motion-sensing device of people entering the elevator or the stairs. Self-report data on stair use by hospital staff were also collected. Stair use significantly increased after the first intervention phase (P = 0.02), but after the intervention was removed stair use decreased back towards baseline levels. Moreover, stair use did not significantly change after the re-introduction of the intervention. Lastly, stair use decreased below the initial baseline level during the final weeks of evaluation. Furthermore, there was no significant change in self-reported stair use by hospital staff. Therefore, the signed intervention aimed at promoting an increase in incidental physical activity produced small brief effects, which were not maintained. Further research is required to find more effective 'point of choice' interventions to increase incidental physical activity participation with more sustainable impact.

78 FR 73441 - Grants to States for Construction or Acquisition of State Homes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-06

... of State home facilities that furnish domiciliary, nursing home, or adult day health care to veterans... States of State home facilities that furnish domiciliary, nursing home, or adult day health care to... Providers Grant and Per Diem Program; and 64.026, Veterans State Adult Day Health Care. Signing Authority...

40 CFR 761.218 - Certificate of disposal.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.218 Certificate of disposal. (a) For each shipment of manifested PCB waste that the owner or operator of a disposal facility accepts by signing the manifest, the owner or operator of the disposal facility shall prepare a Certificate of Disposal for the PCBs and PCB...

33 CFR 156.150 - Declaration of inspection.

Code of Federal Regulations, 2014 CFR

2014-07-01

... operation if not at a facility; (3) The date and time the transfer operation is started; (4) A list of the... transfer operations on the transferring vessel or facility and a space for the date, time of signing... transferring product; and (6) The date and time the transfer operation is completed. (d) The form for the...

33 CFR 156.150 - Declaration of inspection.

Code of Federal Regulations, 2010 CFR

2010-07-01

... operation if not at a facility; (3) The date and time the transfer operation is started; (4) A list of the... transfer operations on the transferring vessel or facility and a space for the date, time of signing... transferring product; and (6) The date and time the transfer operation is completed. (d) The form for the...

33 CFR 156.150 - Declaration of inspection.

Code of Federal Regulations, 2012 CFR

2012-07-01

... operation if not at a facility; (3) The date and time the transfer operation is started; (4) A list of the... transfer operations on the transferring vessel or facility and a space for the date, time of signing... transferring product; and (6) The date and time the transfer operation is completed. (d) The form for the...

33 CFR 156.150 - Declaration of inspection.

Code of Federal Regulations, 2011 CFR

2011-07-01

... operation if not at a facility; (3) The date and time the transfer operation is started; (4) A list of the... transfer operations on the transferring vessel or facility and a space for the date, time of signing... transferring product; and (6) The date and time the transfer operation is completed. (d) The form for the...

33 CFR 156.150 - Declaration of inspection.

Code of Federal Regulations, 2013 CFR

2013-07-01

... operation if not at a facility; (3) The date and time the transfer operation is started; (4) A list of the... transfer operations on the transferring vessel or facility and a space for the date, time of signing... transferring product; and (6) The date and time the transfer operation is completed. (d) The form for the...

Development of a Control Optimization System for Real Time Monitoring of Managed Aquifer Recharge and Recovery Systems Using Intelligent Sensors

NASA Astrophysics Data System (ADS)

Smits, K. M.; Drumheller, Z. W.; Lee, J. H.; Illangasekare, T. H.; Regnery, J.; Kitanidis, P. K.

2015-12-01

Aquifers around the world show troubling signs of irreversible depletion and seawater intrusion as climate change, population growth, and urbanization lead to reduced natural recharge rates and overuse. Scientists and engineers have begun to revisit the technology of managed aquifer recharge and recovery (MAR) as a means to increase the reliability of the diminishing and increasingly variable groundwater supply. Unfortunately, MAR systems remain wrought with operational challenges related to the quality and quantity of recharged and recovered water stemming from a lack of data-driven, real-time control. This research seeks to develop and validate a general simulation-based control optimization algorithm that relies on real-time data collected though embedded sensors that can be used to ease the operational challenges of MAR facilities. Experiments to validate the control algorithm were conducted at the laboratory scale in a two-dimensional synthetic aquifer under both homogeneous and heterogeneous packing configurations. The synthetic aquifer used well characterized technical sands and the electrical conductivity signal of an inorganic conservative tracer as a surrogate measure for water quality. The synthetic aquifer was outfitted with an array of sensors and an autonomous pumping system. Experimental results verified the feasibility of the approach and suggested that the system can improve the operation of MAR facilities. The dynamic parameter inversion reduced the average error between the simulated and observed pressures between 12.5 and 71.4%. The control optimization algorithm ran smoothly and generated optimal control decisions. Overall, results suggest that with some improvements to the inversion and interpolation algorithms, which can be further advanced through testing with laboratory experiments using sensors, the concept can successfully improve the operation of MAR facilities.

Interlaced coarse-graining for the dynamical cluster approximation

NASA Astrophysics Data System (ADS)

Haehner, Urs; Staar, Peter; Jiang, Mi; Maier, Thomas; Schulthess, Thomas

The negative sign problem remains a challenging limiting factor in quantum Monte Carlo simulations of strongly correlated fermionic many-body systems. The dynamical cluster approximation (DCA) makes this problem less severe by coarse-graining the momentum space to map the bulk lattice to a cluster embedded in a dynamical mean-field host. Here, we introduce a new form of an interlaced coarse-graining and compare it with the traditional coarse-graining. We show that it leads to more controlled results with weaker cluster shape and smoother cluster size dependence, which with increasing cluster size converge to the results obtained using the standard coarse-graining. In addition, the new coarse-graining reduces the severity of the fermionic sign problem. Therefore, it enables calculations on much larger clusters and can allow the evaluation of the exact infinite cluster size result via finite size scaling. To demonstrate this, we study the hole-doped two-dimensional Hubbard model and show that the interlaced coarse-graining in combination with the DCA+ algorithm permits the determination of the superconducting Tc on cluster sizes, for which the results can be fitted with the Kosterlitz-Thouless scaling law. This research used resources of the Oak Ridge Leadership Computing Facility (OLCF) awarded by the INCITE program, and of the Swiss National Supercomputing Center. OLCF is a DOE Office of Science User Facility supported under Contract DE-AC05-00OR22725.

39 CFR 776.8 - Scope.

Code of Federal Regulations, 2010 CFR

2010-07-01

... trails, or boardwalks, including signs, the primary purposes of which are public education... Architectural Barriers Act or postal accessibility standards; (3) Any facility construction project deemed...

Honduras: Political and Economic Situation and U.S. Relations

DTIC Science & Technology

2006-10-13

2006.6 Amid the country’s hurricane reconstruction efforts, Honduras signed a poverty reduction and growth facility ( PRGF ) agreement with the International...macroeconomic discipline and to develop a comprehensive poverty reduction strategy. In February 2004, Honduras signed a three-year PRGF agreement...IMF Executive Board Completes Third Program and Financing Assurances Reviews under Honduras’ PRGF Arrangement,” Press Release No. 05/280, Dec. 16, 2005

Knowledge of neonatal danger signs among mothers attending well baby clinic in Nakuru Central District, Kenya: cross sectional descriptive study.

PubMed

Kibaru, Elizabeth Gathoni; Otara, Amos Magembe

2016-10-25

Neonatal mortality has remained high in Kenya despite various efforts being applied to reduce this negative trend. Early detection of neonatal illness is an important step towards improving new born survival. Toward this end there is need for the mothers to be able to identify signs in neonates that signifies severe neonatal illnesses. The objective of the study was to determine the level of knowledge of mothers attending well baby clinics on postnatal neonatal danger signs and determine the associated factors. Cross sectional descriptive study. Purposive sampling of Health care facilities that provide antenatal, delivery and postnatal services were identified. In each of the selected health facility structured questionnaires were administered to mothers with children aged six weeks to nine months attending well baby clinics. Frequencies, Chi square and multivariate logistic regression were determined using the SPSS software (version 20). During the period of study 414 mothers attending well baby clinics were interviewed. Information on neonatal dangers was not provided to 237 (57.2%) of the postnatal mothers during their antenatal clinic attendance by the health care providers. Majority of mothers 350 (84.5%) identified less than three neonatal danger signs. Hotness of the body (fever) was the commonly recognized danger sign by 310 (74.9%) postnatal mothers. Out of 414 mothers 193 (46.6%), 166 (40.1%), 146 (35.3%) and 24 (5.8%) identified difficulty in breathing, poor sucking, jaundice and lethargy/unconsciousness as new born danger signs respectively. Only 46 (11.1%) and 40 (9.7%) identified convulsion and hypothermia as new born danger signs respectively. Education Level, PNC accompaniment by Spouse, Danger signs information to Mother, Explanation of MCH booklet by Care provider during ANC and Mother read MCH Booklet were factors positively associated with improved knowledge of neonatal danger sign. In multivariate logistic regression none of the factors tested were statistically significant in relation to level of knowledge. Knowledge of neonatal danger signs was low among mothers attending well baby clinic despite the information being available in the MCH booklets provided to the mothers during antenatal clinics.

Walk-through survey report, Dravo Corporation, Engineering Works Ddivision, Neville Island, Pittsburgh, Pennsylvania, January 30, 1979

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

Billings, C.; Lazar, C.

1980-06-01

A walk-through survey was conducted on January 30, 1979, at the Engineering Works Division Shipyard of the Dravo Corporation in Pittsburgh, Pennsylvania, to determine whether this site would be suitable for inclusion in the in-depth survey of the shipbuilding-industry segment of the investigation of health hazards to painters. The shipyard is engaged in the design and construction of barges and towboats for river transport of bulk cargoes. Out of a workforce of 1,200 production personnel, there are 10 spray painters, 13 brush painters, 3 sign painters, and 10 painters' assistants. The painters have a low turnover rate and the companymore » has personnel records dating back to World War I. A safety and industrial-hygiene program operates at the facility and requires respiratory usage and various engineering controls for many painting operations. The authors conclude that the facility needs a better industrial-hygiene program than is now in effect. They recommend that the facility be included for consideration in the final study.« less

Diversion of drugs within health care facilities, a multiple-victim crime: patterns of diversion, scope, consequences, detection, and prevention.

PubMed

Berge, Keith H; Dillon, Kevin R; Sikkink, Karen M; Taylor, Timothy K; Lanier, William L

2012-07-01

Mayo Clinic has been involved in an ongoing effort to prevent the diversion of controlled substances from the workplace and to rapidly identify and respond when such diversion is detected. These efforts have found that diversion of controlled substances is not uncommon and can result in substantial risk not only to the individual who is diverting the drugs but also to patients, co-workers, and employers. We believe that all health care facilities should have systems in place to deter controlled substance diversion and to promptly identify diversion and intervene when it is occurring. Such systems are multifaceted and require close cooperation between multiple stakeholders including, but not limited to, departments of pharmacy, safety and security, anesthesiology, nursing, legal counsel, and human resources. Ideally, there should be a broad-based appreciation of the dangers that diversion creates not only for patients but also for all employees of health care facilities, because diversion can occur at any point along a long supply chain. All health care workers must be vigilant for signs of possible diversion and must be aware of how to engage a preexisting group with expertise in investigating possible diversions. In addition, clear policies and procedures should be in place for dealing with such investigations and for managing the many possible outcomes of a confirmed diversion. This article provides an overview of the multiple types of risk that result from drug diversion from health care facilities. Further, we describe a system developed at Mayo Clinic for evaluating episodes of potential drug diversion and for taking action once diversion is confirmed. Copyright © 2012 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

The Effect of Performance-Based Financial Incentives on Improving Health Care Provision in Burundi: A Controlled Cohort Study

PubMed Central

Rudasingwa, Martin; Soeters, Robert; Bossuyt, Michel

2015-01-01

To strengthen the health care delivery, the Burundian Government in collaboration with international NGOs piloted performance-based financing (PBF) in 2006. The health facilities were assigned - by using a simple matching method - to begin PBF scheme or to continue with the traditional input-based funding. Our objective was to analyse the effect of that PBF scheme on the quality of health services between 2006 and 2008. We conducted the analysis in 16 health facilities with PBF scheme and 13 health facilities without PBF scheme. We analysed the PBF effect by using 58 composite quality indicators of eight health services: Care management, outpatient care, maternity care, prenatal care, family planning, laboratory services, medicines management and materials management. The differences in quality improvement in the two groups of health facilities were performed applying descriptive statistics, a paired non-parametric Wilcoxon Signed Ranks test and a simple difference-in-difference approach at a significance level of 5%. We found an improvement of the quality of care in the PBF group and a significant deterioration in the non-PBF group in the same four health services: care management, outpatient care, maternity care, and prenatal care. The findings suggest a PBF effect of between 38 and 66 percentage points (p<0.001) in the quality scores of care management, outpatient care, prenatal care, and maternal care. We found no PBF effect on clinical support services: laboratory services, medicines management, and material management. The PBF scheme in Burundi contributed to the improvement of the health services that were strongly under the control of medical personnel (physicians and nurses) in a short time of two years. The clinical support services that did not significantly improved were strongly under the control of laboratory technicians, pharmacists and non-medical personnel. PMID:25948432

GIS analysis of the siting criteria for the Mixed and Low-Level Waste Treatment Facility and the Idaho Waste Processing Facility

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

Hoskinson, R.L.

1994-01-01

This report summarizes a study conducted using the Arc/Info{reg_sign} geographic information system (GIS) to analyze the criteria used for site selection for the Mixed and Low-Level Waste Treatment Facility (MLLWTF) and the Idaho Waste Processing Facility (IWPF). The purpose of the analyses was to determine, based on predefined criteria, the areas on the INEL that best satisfied the criteria. The coverages used in this study were produced by importing the AutoCAD files that produced the maps for a pre site selection draft report into the GIS. The files were then converted to Arc/Info{reg_sign} GIS format. The initial analysis was mademore » by considering all of the criteria as having equal importance in determining the areas of the INEL that would best satisfy the requirements. Another analysis emphasized four of the criteria as ``must`` criteria which had to be satisfied. Additional analyses considered other criteria that were considered for, but not included in the predefined criteria. This GIS analysis of the siting criteria for the IWPF and MLLWTF provides a logical, repeatable, and defensible approach to the determination of candidate locations for the facilities. The results of the analyses support the location of the Candidate Locations.« less

Diagrammatic guide signs for use on controlled access highways. Volume 1, Recommendations for diagrammatic guide signs

DOT National Transportation Integrated Search

1972-12-01

The purpose of the diagrammatic signing research project was to develop warrants and standards for the use of diagrammatic guide signs on controlled access highways. Volume 1 summarizes the entire diagrammatic signing research program objectives spon...

Lightning Protection System for HE Facilities at LLNL - Certification Template

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

Clancy, T J; Ong, M M; Brown, C G

2005-12-08

This document is meant as a template to assist in the development of your own lighting certification process. Aside from this introduction and the mock representative name of the building (Building A), this document is nearly identical to a lightning certification report issued by the Engineering Directorate at Lawrence Livermore National Laboratory. At the date of this release, we have certified over 70 HE processing and storage cells at our Site 300 facilities. In Chapters 1 and 2 respectively, we address the need and methods of lightning certification for HE processing and storage facilities at LLNL. We present the preferredmore » method of lightning protection in Chapter 3, as well as the likely building modifications that are needed to comply with this method. In Chapter 4, we present the threat assessment and resulting safe work areas within a cell. After certification, there may be changes to operations during a lightning alert, and this is discussed in Chapter 5. Chapter 6 lists the maintenance requirements for the continuation of lighting certification status. Appendices of this document are meant as an aid in developing your own certification process, and they include a bonding list, an inventory of measurement equipment, surge suppressors in use at LLNL, an Integrated Work and Safety form (IWS), and a template certification sign-off sheet. The lightning certification process involves more that what is spelled out in this document. The first steps involve considerable planning, the securing of funds, and management and explosives safety buy-in. Permits must be obtained, measurement equipment must be assembled and tested, and engineers and technicians must be trained in their use. Cursory building inspections are also recommended, and surge suppression for power systems must be addressed. Upon completion of a certification report and its sign-off by management, additional work is required. Training will be needed in order to educate workers and facility managers of the requirements of lightning certification. Operating procedures will need to be generated and/or modified with additional controls. Engineering controls may also be implemented requiring the modification of cells. Careful planning should bring most of these issues to light, making it clear where this document is helpful and were additional assistance may be necessary.« less

Production Potential of 47Sc Using Spallation Neutron Flux at the Los Alamos Isotope Production Facility

DTIC Science & Technology

2014-03-27

Kowash, PhD (Chairman) Date //signed// 14 March 2014 LTC Stephen McHale, PhD (Member) Date //signed// 10 March 2014 Dr. Jonathan Engle, PhD (Member) Date ...signed// 14 March 2014 Dr. Justin Clinton, PhD (Member) Date AFIT-ENP-14-M-02 Abstract Scandium-47 (T1/2 = 3.41d) forms stable complexes with...0.2 µCi g−1 µAh−1 in the 47Ti and 50Ti-oxide samples, respectively. Radioisotopic purities of 47Sc in excess of 90% are achieved by activation of 47Ti

All About MOX

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

None

2009-07-29

In 1999, the Nuclear Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

All About MOX

ScienceCinema

None

2018-01-16

In 1999, the Nuclear Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

Commonwealth of Pennsylvania. [Establishment of hazardous waste facilities

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

Not Available

Environmental Resources Secretary Arthur A. Davis and Commerce Secretary Raymond R. Christman have announced a joint initiative to establish commercial hazardous waste treatment and disposal facilities Pennsylvania. The state Hazardous Sites Cleanup Act, which Gov. Robert P. Casey signed into law last October, called for accelerated efforts in this regard. These included an expedited permitting process for facilities, requiring the Department of Environmental Resources (DER) to appoint a special sitting team to review permit applications, and designation of sitting coordinator within the Department of Commerce to identify potential developers of the facilities and encourage them to operate within Pennsylvania.

Who is Responsible for the DUF6 Conversion Facility EISs?

Science.gov Websites

project and web site. your e-mail address Sign Me Up Search: OK Button DUF6 Guide DU Uses DUF6 Management U.S. DOE Office of Environmental Management is preparing the two Depleted UF6 Conversion Facility EISs Energy (DOE), Office of Environmental Management (EM) is responsible for preparation of the Depleted UF6

Environmental Assessment for Proposed Demolition and Consolidation, Maxwell Air Force Base, Montgomery County, Alabama

DTIC Science & Technology

2013-09-01

leadership, and management responsibilities. In addition, AU is responsible for research in designated fields of aerospace, education, leadership...County, Alabama. Designation : Final Environmental Assessment Abstract: As a result of a memorandum signed by President Obama in June 2010, the...Force Exchange Service) -ANG (Air National Guard) & Reserve facilities -Government-owned, contractor-funded facilities -RDT&E ( Research

Facilities Performance Indicators Report 2010-11: Tracking Your Facilities Vital Signs

ERIC Educational Resources Information Center

APPA: Association of Higher Education Facilities Officers, 2012

2012-01-01

APPA's Information and Research Committee's goal for this year was to enhance the survey and report tools by making them both more navigable, user friendly, and accurate. Significant progress has been made with all of these initiatives. APPA also automated many of the internal processes for the survey and report, which resulted in a…

19. Photographic copy of photograph (ca. 1962, original print in ...

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

19. Photographic copy of photograph (ca. 1962, original print in possession of Peter Kiewit Sons' Co., Omaha, Nebraska) Photographer unknown. Road signs for Alpha Flight Launch Facility sites 8-11 and Bravo Flight Launch Facility sites 2 and 11 - Ellsworth Air Force Base, Delta Flight, 10 mile radius around Exit 127 off Interstate 90, Interior, Jackson County, SD

Prevalence of Comorbid Spasticity and Urinary Incontinence in Residents of a Long-Term Care Facility

ClinicalTrials.gov

2018-02-20

Spasticity, Muscle; Muscular Diseases; Musculoskeletal Disease; Muscle Hypertonia; Muscle Spasticity; Neuromuscular Manifestations; Signs and Symptoms; Nervous System Diseases; Neurologic Manifestations

Outdoor Advertising Control

DOT National Transportation Integrated Search

2002-04-22

The State of Montana agreed to provide "effective control" of outdoor adervtising by establishing a sign permit system; maintenance of an inventory of all permitted signs, and a periodic surveillance of the controlled routes to disvover unlawful sign...

30 CFR 817.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-UNDERGROUND MINING ACTIVITIES § 817.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 817.11. The operator shall...

30 CFR 816.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-SURFACE MINING ACTIVITIES § 816.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 816.11. The operator shall— (1...

30 CFR 817.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-UNDERGROUND MINING ACTIVITIES § 817.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 817.11. The operator shall...

30 CFR 816.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-SURFACE MINING ACTIVITIES § 816.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 816.11. The operator shall— (1...

30 CFR 816.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-SURFACE MINING ACTIVITIES § 816.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 816.11. The operator shall— (1...

30 CFR 817.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-UNDERGROUND MINING ACTIVITIES § 817.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 817.11. The operator shall...

30 CFR 817.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-UNDERGROUND MINING ACTIVITIES § 817.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 817.11. The operator shall...

30 CFR 817.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-UNDERGROUND MINING ACTIVITIES § 817.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 817.11. The operator shall...

30 CFR 816.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-SURFACE MINING ACTIVITIES § 816.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 816.11. The operator shall— (1...

30 CFR 816.66 - Use of explosives: Blasting signs, warnings, and access control.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Use of explosives: Blasting signs, warnings... STANDARDS-SURFACE MINING ACTIVITIES § 816.66 Use of explosives: Blasting signs, warnings, and access control. (a) Blasting signs. Blasting signs shall meet the specifications of § 816.11. The operator shall— (1...

[Implementation of the new drinking water regulation section sign 18: monitoring of drinking water systems in houses--water for public use].

PubMed

Hentschel, W; Voigt, K; Heudorf, U

2006-08-01

The monitoring of drinking water based on the drinking water regulation is one of the central tasks of public health authorities in Germany. With the coming into force of the new drinking water regulation in the year 2003 also water supply plants "from which water is made available for the public, in particular in schools, kindergartens, hospitals, restaurants and other communal facilities" must be supervised for the first time (TrinkwV section sign 18). Thus, for Frankfurt/Main the number of the facilities/objects which are to be supervised rose from approx. 300 to approx. 4,700. Since appropriate expansion of personnel was not possible, innovative solutions were in demand for implementation of these tasks. These are introduced here.

Implementing a tobacco-free hospital campus in Ireland: lessons learned.

PubMed

McArdle, D; Kabir, Z

2018-05-01

The Irish Health Service Executive (HSE) had set a target that all HSE facilities should implement the HSE Tobacco Free Campus (TFC) policy by 2015. The aims of this study are to examine hospital staff awareness and to assess the progress of selected HSE health care facilities towards a TFC policy. Three health care facilities that were conveniently located were self-selected in County Cork, namely, an acute hospital, a mental health service and an older person's facility. Three different types of quantitative data were collected between May and September 2016 drawn on Standards 3, 4 and 5 of the European Network for Tobacco Free Health Care Services (ENSH-Global) tools: (1) face-to-face consultation with health care facility managers on their progress towards the HSE TFC policy, (2) self-administered questionnaire to a purposive sample of 153 staff members across three health care facilities and (3) physical observation of signs of smoking and smoking-related information across each health care facility for objective verification of compliance. Of the 153 staff who completed the questionnaire, 64% were females, 39% were nurses, 20% were smokers and 76% agreed with the TFC policy. However, only 26% of the 153 staff had received training on motivational and tobacco cessation techniques. Seventy-seven percent of the 153 staff stated that the campus was not tobacco-free. Physical observation suggested signs of smoking within the campus across all three health care facilities surveyed. Staff awareness of the HSE TFC policy across selected health care facilities in Ireland is positive but is not sufficient. There are gaps in the implementation process of the HSE TFC policy in the health care facilities. Therefore, proper communication on the importance of the ENSH-Global standards and cessation training to all staff is necessary to help reduce smoking rates across the health care facilities and also to move towards a Tobacco Free Campus in Ireland.

Commercial portion-controlled foods in research studies: how accurate are label weights?

PubMed

Conway, Joan M; Rhodes, Donna G; Rumpler, William V

2004-09-01

The purpose of this study was to evaluate the reliability of label weights as surrogates for actual weights in commercial portion-controlled foods used in a research setting. Actual weights of replicate samples of 82 portion-controlled food items and 17 discrete units of food from larger packaging were determined over time. Comparison was made to the package label weights for the portion-controlled food items and the per-serving weights for the discrete units. The study was conducted at the US Department of Agriculture's Beltsville Human Nutrition Research Center's Human Study Facility, which houses a metabolic kitchen and human nutrition research facility. The primary outcome measures were the actual and label weights of 99 food items consumed by human volunteers during controlled feeding studies. Statistical analyses performed The difference between label and actual weights was tested by the paired t test for those data that complied with the assumptions of normality. The Wilcoxon signed rank test was used for the remainder of the data. Compliance with federal guidelines for packaged weights was also assessed. There was no statistical difference between actual and label weights for only 37 food items. The actual weights of 15 portion-controlled food items were 1% or more less than label weights, making them potentially out of compliance with federal guidelines. With advance planning and continuous monitoring, well-controlled feeding studies could incorporate portion-controlled food items and discrete units, especially beverages and confectionery products. Dietetics professionals should encourage individuals with diabetes and others on strict dietary regimens to check actual weights of portion-controlled products carefully against package weights.

The National Shipbuilding Research Program. National Workshop (4th) on Human Resource Innovation in Shipbuilding and Ship Repair

DTIC Science & Technology

1995-11-01

SHIP PRODUCTION COMMITTEE FACILITIES AND ENVIRONMENTAL EFFECTS SURFACE PREPARATION AND COATINGS DESIGN/PRODUCTION INTEGRATION HUMAN RESOURCE...we’re all about. 2 Exhibit 1 NATIONAL SHIPBUILDING RESEARCH PROGRAM RESEARCH PANELS SP-1 Facilities and Environmental Effects SP-3 Surface... effectively compete in the international commercial shipbuilding market. On November 30,1993, President Clinton signed into law the National

ISS Expedition 42 / 43 Soyuz Spacecraft and Crew Preparations for Launch

NASA Image and Video Library

2014-11-26

NASA TV (NTV) video file of crewmembers Terry Virts, Anton Shkaplerov (Roskosmos) and Samantha Cristoforetti (ESA) during final fit check of the Soyuz TMA 15M spacedraft at the Integration Facility, Baikonurk, Kazakhstan. Includes footage of the crew climbing into the Soyuz spacecraft, interviews, visit to museum where the crew sign posters and a flag; flag raising ceremony; and visit to mating facility.

The Health Literacy Environment of Hospitals and Health Centers. Partners for Action: Making Your Healthcare Facility Literacy-Friendly

ERIC Educational Resources Information Center

Rudd, Rima E.; Anderson, Jennie E.

2006-01-01

The "health literacy environment" of a healthcare facility represents the expectations, preferences, and skills of those providing health information and services. Some of these demands are in the form of physical aspects of the hospital or health center, such as signs and postings. At the same time, access to and navigation of health services…

Thoracotomy in the emergency department for resuscitation of the mortally injured.

PubMed

DiGiacomo, J Christopher; Angus, L D George

2017-06-01

Emergency department resuscitative thoracotomy is an intervention of last resort for the acutely dying victim of trauma. In light of improvements in pre-hospital emergency systems, improved operative strategies for survival such as damage control and improvements in critical care medicine, the most extreme of resuscitation efforts should be re-evaluated for the potential survivor, with success properly defined as the return of vital signs which allow transport of the patient to the operating room. A retrospective review of all patients at a suburban level I trauma center who underwent emergency department resuscitative thoracotomy as an adjunct to the resuscitation efforts normally delivered in the trauma receiving area over a 22 year period was performed. Survival of emergency department resuscitative thoracotomy was defined as restoration of vital signs and transport out of the trauma resuscitation area to the operating room. Sixty-eight patients were identified, of whom 27 survived the emergency department resuscitative thoracotomy and were transported to the operating room. Review of pre-hospital and initial hospital data between these potential long term survivors and those who died in the emergency department failed to demonstrate trends which were predictive of survival of emergency department resuscitative thoracotomy. The only subgroup which failed to respond to emergency department resuscitative thoracotomy was patients without signs of life at the scene who arrived to the treatment facility without signs of life. The patient population of the "potential survivor" has been expanded due to advances in critical care practices, technology, and surgical technique and every opportunity for survival should be provided at the outset. Emergency department resuscitative thoracotomy is warranted for any patient with thoracic or subdiaphragmatic trauma who presents in extremis with a history of signs of life at the scene or organized cardiac activity upon arrival. Patients who have no evidence of signs of life at the scene and have no organized cardiac activity upon arrival should be pronounced. Production and hosting by Elsevier B.V.

Mild neurological impairment may indicate a psychomotor endophenotype in patients with borderline personality disorder.

PubMed

Arbabi, Mohammad; Paast, Negin; Karim, Hamid Reza; Faghfori, Sara; Memari, Amir Hossein

2016-11-30

The aim of the present study was to determine whether patients with borderline personality disorder (BPD) show any neurological soft signs compared to healthy controls. Furthermore we sought to examine the role of common symptoms related to BPD, such as depression, anxiety or impulsivity, in association with neurological soft signs. Thirty patients with borderline personality disorder and thirty hospital-based controls were examined for neurological soft signs. The total score of neurological soft signs in BPD was significantly higher than controls. In terms of subscales, patients had higher scores in Sensory Integration and Motor Coordination and other neurological soft signs compared to control group. Multiple regression analysis showed that the impulsivity score was the best significant predictor of neurological soft signs in BPD. The increase of neurological soft signs in patients with BPD may address a non-focal neurological dysfunction in borderline personality disorder. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Smokefree signage at New Zealand racecourses and sports facilities with outdoor stands.

PubMed

Thomson, George; Wilson, Nick

2017-10-27

Smokefree signage is crucial to the implementation of smokefree policies for outdoor venues and for facilitating smoking denormalisation. Such signage helps to communicate the expected norms for not smoking at venues. Therefore, we aimed to identify such signage at racecourses and sports facilities that had outdoor stands. We surveyed the entrances of 25 racecourse and 25 sport facilities with outdoor stands, across New Zealand. There were smokefree signs at the main entrances of 40% of the sports facilities with outdoor stands, and at 16% of the 25 other entrances. None of the horse/greyhound racecourses had smokefree signage at any of their entrances.

Using all-way stop control for residential traffic management.

DOT National Transportation Integrated Search

1995-01-01

All-way, or multiway, stop signs are perhaps the most controversial form of residential traffic control. Residents are likely to request all-way stop signs more frequently than any other form of control. Stop signs are thought of as panaceas for many...

Interhospital paediatric intensive care transport: a novel transport unit based on a standard ambulance trolley.

PubMed

Vos, Gijs D; Buurman, Wim A; van Waardenburg, Dick A; Visser, Timo P L; Ramsay, Graham; Donckerwolcke, Raymond A M G

2003-09-01

A recent development in providing intensive care for children is that it is more and more centralized in tertiary centres. The centralization of intensive care facilities for children in tertiary centres demands a safe and well-organized transport system. The transfer of critically ill children from a referring general hospital to a tertiary paediatric intensive care centre should be performed by a specially trained and fully equipped transport team. During the transfer of these children continuous intensive care facilities should be provided. The minimal requirements of equipment and materials for transport that allow such care have been determined. The equipment consists of a monitor allowing continuous measurement of vital signs, a defibrillator, tools for airway and ventilatory management, an oxygen source, suction unit, fluid and electrolyte management, medication, resuscitation chart and a communication system. A mobile paediatric intensive care unit was constructed in order to store this equipment, including easily accessible ventilator and materials optimized for close patient observation and ventilator control.

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

NONE

Toshiba Display Services, a television picture-tube manufacturer in Horseheads, NY, recently was able to meet stringent state regulations to reduce emissions from two of its film applications lines by installing a regenerative catalytic oxidation system. Toshiba officials initially evaluated several technologies to control volatile organic compounds. After deciding that oxidation was the best technology for its facility, the company invited a number of suppliers to submit proposals. Because all of the oxidation technologies considered by Toshiba had the capability to achieve the destruction and removal efficiency requirement, the company combined the second and third decision elements and conducted an in-depthmore » comparison of the initial capital and ongoing operating costs for each proposal. Officials narrowed the field to two systems--the lowest-cost regenerative thermal oxidation system on the market and a regenerative catalytic oxidation system. The company selected St. Louis, Mo.-based Monsanto Enviro-Chem Systems Inc., to install its DynaCycle{reg_sign} regenerative catalytic oxidation system, marking the first Dyna-Cycle installation in a US television picture-tube facility.« less

Ralstonia pickettii-Induced Ataxia in Immunodeficient Mice

PubMed Central

Berard, Marion; Medaille, Christine; Simon, Meredith; Serre, Stéphanie; Pritchett-Corning, Kathleen; Dangles-Marie, Virginie

2009-01-01

We report here the characterization of an asymmetric ataxia syndrome (head tilt and circling, with death in the most severe cases) demonstrated by profoundly immunodeficient mice housed at the Institut Curie SPF facility. The immune system of the affected mice had been genetically modified so that they were deficient in both B and T cells. Extensive bacteriologic, parasitic, serologic, and histopathologic analysis of the affected animals and their healthy controls led us to identify Ralstonia pickettii as the causative agent of the ataxic syndrome. The outbreak was managed through a test-and-cull process. Even though they also carried Ralstonia pickettii, immunocompetent mice that were kept in the same facility, did not show any of the signs that were expressed by their immunodeficient counterparts. This case highlights the difficulty of maintaining immunocompetent and immunodeficient mice in the same microbiologic unit and the importance of enlarging the spectrum of health monitoring to opportunistic agents when investigating clinical cases in populations of immunocompromised rodents. PMID:19389312

EPQ model with learning consideration, imperfect production and partial backlogging in fuzzy random environment

NASA Astrophysics Data System (ADS)

Shankar Kumar, Ravi; Goswami, A.

2015-06-01

The article scrutinises the learning effect of the unit production time on optimal lot size for the uncertain and imprecise imperfect production process, wherein shortages are permissible and partially backlogged. Contextually, we contemplate the fuzzy chance of production process shifting from an 'in-control' state to an 'out-of-control' state and re-work facility of imperfect quality of produced items. The elapsed time until the process shifts is considered as a fuzzy random variable, and consequently, fuzzy random total cost per unit time is derived. Fuzzy expectation and signed distance method are used to transform the fuzzy random cost function into an equivalent crisp function. The results are illustrated with the help of numerical example. Finally, sensitivity analysis of the optimal solution with respect to major parameters is carried out.

1. Credit BG. The southwest and southeast sides of Weigh ...

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

1. Credit BG. The southwest and southeast sides of Weigh & Control appear as the camera looks due north (0°). Barricades on the northwest and northeast sides protect this structure from effects of any explosions at the Mixer Building (4233/E34), Oxidizer Grinder Building (4235/E-36) or other nearby propellant processing structures. The proliferation of doors is because many of the rooms have no interior interconnection--a safeguard to contain and prevent the internal spread of fires or explosions. Signs are posted on the doors describing maximum allowable propellant weights and number of personnel in rooms. A safety shower is featured on the southern exterior corner of the building. Apparatus on the roof consists of air conditioning ducts and fume vents. - Jet Propulsion Laboratory Edwards Facility, Weigh & Control Building, Edwards Air Force Base, Boron, Kern County, CA

Estimating the cost of referral and willingness to pay for referral to higher-level health facilities: a case series study from an integrated community case management programme in Uganda.

PubMed

Nanyonjo, Agnes; Bagorogoza, Benson; Kasteng, Frida; Ayebale, Godfrey; Makumbi, Fredrick; Tomson, Göran; Källander, Karin

2015-08-28

Integrated community case management (iCCM) relies on community health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring children when management is not possible. This study sought to establish the cost per sick child referred to seek care from a higher-level health facility by a CHW and to estimate caregivers' willingness to pay (WTP) for referral. Caregivers of 203 randomly selected children referred to higher-level health facilities by CHWs were interviewed in four Midwestern Uganda districts. Questionnaires and document reviews were used to capture direct, indirect and opportunity costs incurred by caregivers, CHWs and health facilities managing referred children. WTP for referral was assessed through the 'bidding game' approach followed by an open-ended question on maximum WTP. Descriptive analysis was conducted for factors associated with referral completion and WTP using logistic and linear regression methods, respectively. The cost per case referred to higher-level health facilities was computed from a societal perspective. Reasons for referral included having fever with a negative malaria test (46.8%), danger signs (29.6%) and drug shortage (37.4%). Among the referred, less than half completed referral (45.8%). Referral completion was 2.8 times higher among children with danger signs (p = 0.004) relative to those without danger signs, and 0.27 times lower among children who received pre-referral treatment (p < 0.001). The average cost per case referred was US$ 4.89 and US$7.35 per case completing referral. For each unit cost per case referred, caregiver out of pocket expenditure contributed 33.7%, caregivers' and CHWs' opportunity costs contributed 29.2% and 5.1% respectively and health facility costs contributed 39.6%. The mean (SD) out of pocket expenditure was US$1.65 (3.25). The mean WTP for referral was US$8.25 (14.70) and was positively associated with having received pre-referral treatment, completing referral and increasing caregiver education level. The mean WTP for referral was higher than the average out of pocket expenditure. This, along with suboptimal referral completion, points to barriers in access to higher-level facilities as the primary cause of low referral. Community mobilisation for uptake of referral is necessary if the policy of referring children to the nearest health facility is to be effective.

Design and implementation of community engagement interventions towards healthcare quality improvement in Ghana: a methodological approach.

PubMed

Alhassan, Robert Kaba; Nketiah-Amponsah, Edward; Arhinful, Daniel Kojo

2016-12-01

Nearly four decades after the Alma-Ata declaration of 1978 on the need for active client/community participation in healthcare, not much has been achieved in this regard particularly in resource constrained countries like Ghana, where over 70 % of communities in rural areas access basic healthcare from primary health facilities. Systematic Community Engagement (SCE) in healthcare quality assessment remains a grey area in many health systems in Africa, albeit the increasing importance in promoting universal access to quality basic healthcare services. Design and implement SCE interventions that involve existing community groups engaged in healthcare quality assessment in 32 intervention primary health facilities. The SCE interventions form part of a four year randomized controlled trial (RCT) in the Greater Accra and Western regions of Ghana. Community groups (n = 52) were purposively recruited and engaged to assess non-technical components of healthcare quality, recommend quality improvement plans and reward best performing facilities. The interventions comprised of five cyclical implementation steps executed for nearly a year. Wilcoxon sign rank test was used to ascertain differences in group perceptions of service quality during the first and second assessments, and ordered logistic regression analysis performed to determine factors associated with groups' perception of healthcare quality. Healthcare quality was perceived to be lowest in non-technical areas such as: information provision to clients, directional signs in clinics, drug availability, fairness in queuing, waiting times, and information provision on use of suggestion boxes and feedback on clients' complaints. Overall, services in private health facilities were perceived to be better than public facilities (p < 0.05). Community groups dominated by artisans and elderly members (60 + years) had better perspectives on healthcare quality than youthful groups (Coef. =1.78; 95 % CI = [-0.16 3.72]) and other categories of community groups (Coef. = 0.98; 95 % CI = [-0.10 2.06]). Non-technical components of healthcare quality remain critical to clients and communities served by primary healthcare providers. The SCE concept is a potential innovative and complementary quality improvement strategy that could help enhance client experiences, trust and confidence in healthcare providers. SCE interventions are more cost effective, community-focused and could easily be scaled-up and sustained by local health authorities.

JPL-20180430-JPLf-0001-Vice President Pence Visits NASA Jet Propulsion Laboratory

NASA Image and Video Library

2018-04-30

Vice President Mike Pence toured NASA's Jet Propulsion Laboratory (JPL) in Pasadena, California on Saturday, April 28 with his wife, Karen, and their daughter, Charlotte. JPL is the birthplace of numerous past, present and future robotic missions. Pence saw and heard more about JPL missions, which support the nation’s goals of furthering exploration of the Moon and Mars. JPL Director Mike Watkins led the tour for Pence and his guests. Vice President Pence toured JPL’s Mission Control where engineers communicate with spacecraft across the solar system through NASA’s Deep Space Network. While there, Charlotte Pence uplinked commands to the Mars Curiosity rover to execute its next science activities. The signal took about seven minutes to reach the rover, which is about 80-million miles from Earth. Pence also saw the Spacecraft Assembly Facility, where the Mars 2020 mission hardware is being assembled in a giant “clean room.” Mars 2020 will not only look for signs of habitable conditions on Mars in the ancient past, but will also search for signs of past microbial life itself.

Credit PSR. View looks north northeast (20°) at the concrete ...

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

Credit PSR. View looks north northeast (20°) at the concrete pad which forms the top of the sump pump facility. In the background stand Building 4303 (Air Compressor Building), Building 4307 (Supply and Equipment Warehouse) at left, Building 4305 (Unicon Portable Hangar) at center, and Building 4306 (Boiler House) at right. Sign marking Building 4302 was made from a disused road sign from somewhere on Edwards AFB - Edwards Air Force Base, North Base, Sump Pump, East of Second Street, Boron, Kern County, CA

Warrants for major traffic generator guide signing.

DOT National Transportation Integrated Search

2009-09-01

Major traffic generators (MTGs) are important regional attractions, events, or facilities that attract persons or groups from beyond a local community, city, or metropolitan area. MTGs are significant because of their unique educational, cultural, hi...

Object migration and authentication. [in computer operating systems design

NASA Technical Reports Server (NTRS)

Gligor, V. D.; Lindsay, B. G.

1979-01-01

The paper presents a mechanism permitting a type manager to fabricate a migrated object representation which can be entrusted to other subsystems or transmitted outside of the control of a local computer system. The migrated object representation is signed by the type manager in such a way that the type manager's signature cannot be forged and the manager is able to authenticate its own signature. Subsequently, the type manager can retrieve the migrated representation and validate its contents before reconstructing the object in its original representation. This facility allows type managers to authenticate the contents of off-line or network storage and solves problems stemming from the hierarchical structure of the system itself.

Enhancing Health Care Delivery through Ambient Intelligence Applications

PubMed Central

Kartakis, Sokratis; Sakkalis, Vangelis; Tourlakis, Panagiotis; Zacharioudakis, Georgios; Stephanidis, Constantine

2012-01-01

This paper presents the implementation of a smart environment that employs Ambient Intelligence technologies in order to augment a typical hospital room with smart features that assist both patients and medical staff. In this environment various wireless and wired sensor technologies have been integrated, allowing the patient to control the environment and interact with the hospital facilities, while a clinically oriented interface allows for vital sign monitoring. The developed applications are presented both from a patient's and a doctor's perspective, offering different services depending on the user's role. The results of the evaluation process illustrate the need for such a service, leading to important conclusions about the usefulness and crucial role of AmI in health care. PMID:23112664

Motor Signs Distinguish Children with High Functioning Autism and Asperger's Syndrome from Controls

ERIC Educational Resources Information Center

Jansiewicz, Eva M.; Goldberg, Melissa C.; Newschaffer, Craig J.; Denckla, Martha B.; Landa, Rebecca; Mostofsky, Stewart H.

2006-01-01

While many studies of motor control in autism have focused on specific motor signs, there has been a lack of research examining the complete range of subtle neuromotor signs. This study compared performance on a neurologic examination standardized for children (PANESS, Physical and Neurological Exam for Subtle Signs, Denckla ["1974 Developmental…

Unveiling of sign for Walter C. Williams Research Aircraft Integration Facility

NASA Technical Reports Server (NTRS)

1995-01-01

In a brief ceremony following a memorial service for the late Walter C. Williams on November 17, 1995, the Integrated Test Facility (ITF) at the NASA Dryden Flight Research Center at Edwards, California, was formally renamed the Walter C. Williams Research Aircraft Integration Facility. Shown is the family of Walt Williams: Helen, his widow, sons Charles and Howard, daughter Elizabeth Williams Powell, their spouses and children unveiling the new sign redesignating the Facility. The test facility provides state-of-the-art capabilities for thorough ground testing of advanced research aircraft. It allows researchers and technicians to integrate and test aircraft systems before each research flight, which greatly enhances the safety of each mission. In September 1946 Williams became engineer-in-charge of a team of five engineers who arrived at Muroc Army Air Base (now Edwards AFB) from the National Advisory Committee for Aeronautics's Langley Memorial Aeronautical Laboratory, Hampton, Virginia (now NASA's Langley Research Center), to prepare for supersonic research flights in a joint NACA-Army Air Forces program involving the rocket-powered X-1. This established the first permanent NACA presence at the Mojave Desert site although initially the five engineers and others who followed them were on temporary assignment. Over time, Walt continued to be in charge during the many name changes for the NACA-NASA organization, with Williams ending his stay as Chief of the NASA Flight Research Center in September 1959 (today NASA's Dryden Flight Research Center).

23 CFR 750.706 - Sign control in zoned and unzoned commercial and industrial areas.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 23 Highways 1 2012-04-01 2012-04-01 false Sign control in zoned and unzoned commercial and industrial areas. 750.706 Section 750.706 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHT-OF-WAY AND ENVIRONMENT HIGHWAY BEAUTIFICATION Outdoor Advertising Control § 750.706 Sign...

Use of Warning Signs for Dengue by Pediatric Health Care Staff in Brazil.

PubMed

Sicuro Correa, Luana; Hökerberg, Yara Hahr Marques; Oliveira, Raquel de Vasconcellos Carvalhaes de; Barros, Danielle Martins de Souza; Alexandria, Helenara Abadia Ferreira; Daumas, Regina Paiva; Andrade, Carlos Augusto Ferreira de; Passos, Sonia Regina Lambert; Brasil, Patrícia

2016-01-01

The aim of this study was to describe the use of dengue warning signs by pediatric healthcare staff in the Brazilian public health care system. Cross-sectional study (2012) with physicians, nurses, and nurse technicians assisting children in five health care facilities. Participants reported the use and importance of dengue warning signs in pediatrics clinical practice through a structured questionnaire. Differences in the use of signs (chi-square test) and in the ranking assigned to each of them (Kruskal-Wallis) were assessed according to health care occupation and level of care (p<0.05). The final sample comprised 474 participants (97%), mean age of 37 years (standard deviation = 10.3), mainly females (83.8%), physicians (40.1%) and from tertiary care (75.1%). The majority (91%) reported using warning signs for dengue in pediatrics clinical practice. The most widely used and highly valued signs were major hemorrhages (gastrointestinal, urinary), abdominal pain, and increase in hematocrit concurrent or not with rapid decrease in platelet count. Persistent vomiting as well as other signs of plasma leakage such as respiratory distress and lethargy/restlessness were not identified as having the same degree of importance, especially by nurse technicians and in primary or secondary care. Although most health care staff reported using dengue warning signs, it would be useful to extend the training for identifying easily recognizable signs of plasma leakage that occur regardless of bleeding.

Maine Facility Research Summary : Dynamic Sign Systems for Narrow Bridges

DOT National Transportation Integrated Search

1997-09-01

This report describes the development of operational surveillance data processing algorithms and software for application to urban freeway systems, conforming to a framework in which data processing is performed in stages: sensor malfunction detectio...

Environmental Management Waste Management Facility Waste Lot Profile 155.5 for K-1015-A Laundry Pit, East Tennessee Technology Park Oak Ridge, Tennessee

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

Bechtel Jacobs, Raymer J.E.

2008-06-12

In 1989, the Oak Ridge Reservation (ORR), which includes the East Tennessee Technology Park (ETTP), was placed on the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) National Priorities List. The Federal Facility Agreement (FFA) (DOE 1992), effective January 1, 1992, now governs environmental restoration activities conducted under CERCLA at the ORR. Following signing of the FFA, U.S. Department of Energy (DOE), U.S. Environmental Protection Agency (EPA), and the state of Tennessee signed the Oak Ridge Accelerated Cleanup Plan Agreement on June 18, 2003. The purpose of this agreement is to define a streamlined decision-making process to facilitatemore » the accelerated implementation of cleanup, to resolve ORR milestone issues, and to establish future actions necessary to complete the accelerated cleanup plan by the end of fiscal year 2008. While the FFA continues to serve as the overall regulatory framework for remediation, the Accelerated Cleanup Plan Agreement supplements existing requirements to streamline the decision-making process. The disposal of the K-1015 Laundry Pit waste will be executed in accordance with the 'Record of Decision for Soil, Buried Waste, and Subsurface Structure Actions in Zone, 2, East Tennessee Technology Park, Oak Ridge, Tennessee' (DOB/ORAH-2161&D2) and the 'Waste Handling Plan for the Consolidated Soil and Waste Sites with Zone 2, East Tennessee Technology Park, Oak Ridge, Tennessee' (DOE/OR/01-2328&D1). This waste lot consists of a total of approximately 50 cubic yards of waste that will be disposed at the Environmental Management Waste Management Facility (EMWMF) as non-containerized waste. This material will be sent to the EMWMF in dump trucks. This profile is for the K-1015-A Laundry Pit and includes debris (e.g., concrete, metal rebar, pipe), incidental soil, plastic and wood, and secondary waste (such as plastic sheeting, hay bales and other erosion control materials, wooden pallets, contaminated equipment, decontamination materials, etc.).« less

"Signs, Signs, Everywhere There's Signs...and the Sign Says": You Got to Have a PRAXIS II Membership Card to Get Inside

ERIC Educational Resources Information Center

Brown, Jonathan R.; Brown, Lisbeth J.; Brown, Courtney L.

2008-01-01

Teacher preparation programs have continued to see the ever-increasing control of teacher candidates by policymakers. To control means to regulate. The problem, according to these authors, is that there are currently at least three regulating measurement and assessment obstacles faced by teacher candidates in teacher preparation programs. The…

A new optimal sliding mode controller design using scalar sign function.

PubMed

Singla, Mithun; Shieh, Leang-San; Song, Gangbing; Xie, Linbo; Zhang, Yongpeng

2014-03-01

This paper presents a new optimal sliding mode controller using the scalar sign function method. A smooth, continuous-time scalar sign function is used to replace the discontinuous switching function in the design of a sliding mode controller. The proposed sliding mode controller is designed using an optimal Linear Quadratic Regulator (LQR) approach. The sliding surface of the system is designed using stable eigenvectors and the scalar sign function. Controller simulations are compared with another existing optimal sliding mode controller. To test the effectiveness of the proposed controller, the controller is implemented on an aluminum beam with piezoceramic sensor and actuator for vibration control. This paper includes the control design and stability analysis of the new optimal sliding mode controller, followed by simulation and experimental results. The simulation and experimental results show that the proposed approach is very effective. © 2013 ISA. Published by Elsevier Ltd. All rights reserved.

Legal and Ethical Imperatives for Using Certified Sign Language Interpreters in Health Care Settings: How to "Do No Harm" When "It's (All) Greek" (Sign Language) to You.

PubMed

Nonaka, Angela M

2016-09-01

Communication obstacles in health care settings adversely impact patient-practitioner interactions by impeding service efficiency, reducing mutual trust and satisfaction, or even endangering health outcomes. When interlocutors are separated by language, interpreters are required. The efficacy of interpreting, however, is constrained not just by interpreters' competence but also by health care providers' facility working with interpreters. Deaf individuals whose preferred form of communication is a signed language often encounter communicative barriers in health care settings. In those environments, signing Deaf people are entitled to equal communicative access via sign language interpreting services according to the Americans with Disabilities Act and Executive Order 13166, the Limited English Proficiency Initiative. Yet, litigation in states across the United States suggests that individual and institutional providers remain uncertain about their legal obligations to provide equal communicative access. This article discusses the legal and ethical imperatives for using professionally certified (vs. ad hoc) sign language interpreters in health care settings. First outlining the legal terrain governing provision of sign language interpreting services, the article then describes different types of "sign language" (e.g., American Sign Language vs. manually coded English) and different forms of "sign language interpreting" (e.g., interpretation vs. transliteration vs. translation; simultaneous vs. consecutive interpreting; individual vs. team interpreting). This is followed by reviews of the formal credentialing process and of specialized forms of sign language interpreting-that is, certified deaf interpreting, trilingual interpreting, and court interpreting. After discussing practical steps for contracting professional sign language interpreters and addressing ethical issues of confidentiality, this article concludes by offering suggestions for working more effectively with Deaf clients via professional sign language interpreters.

Illness recognition, decision-making, and care-seeking for maternal and newborn complications: a qualitative study in Sarlahi District, Nepal.

PubMed

Lama, Tsering P; Khatry, Subarna K; Katz, Joanne; LeClerq, Steven C; Mullany, Luke C

2017-12-21

Identification of maternal and newborn illness and the decision-making and subsequent care-seeking patterns are poorly understood in Nepal. We aimed to characterize the process and factors influencing recognition of complications, the decision-making process, and care-seeking behavior among families and communities who experienced a maternal complication, death, neonatal illness, or death in a rural setting of Nepal. Thirty-two event narratives (six maternal/newborn deaths each and 10 maternal/newborn illnesses each) were collected using in-depth interviews and small group interviews. We purposively sampled across specific illness and complication definitions, using data collected prospectively from a cohort of women and newborns followed from pregnancy through the first 28 days postpartum. The event narratives were coded and analyzed for common themes corresponding to three main domains of illness recognition, decision-making, and care-seeking; detailed event timelines were created for each. While signs were typically recognized early, delays in perceiving the severity of illness compromised prompt care-seeking in both maternal and newborn cases. Further, care was often sought initially from informal health providers such as traditional birth attendants, traditional healers, and village doctors. Key decision-makers were usually female family members; husbands played limited roles in decisions related to care-seeking, with broader family involvement in decision-making for newborns. Barriers to seeking care at any type of health facility included transport problems, lack of money, night-time illness events, low perceived severity, and distance to facility. Facility care was often sought only after referral or following treatment failure from an informal provider and private facilities were sought for newborn care. Respondents characterized government facility-based care as low quality and reported staff rudeness and drug type and/or supply stock shortages. Delaying the decision to seek skilled care was common in both newborn and maternal cases. Among maternal cases, delays in receiving appropriate care when at a facility were also seen. Improved recognition of danger signs and increased demand for skilled care, motivated through community level interventions and health worker mobilization, needs to be encouraged. Engaging informal providers through training in improved danger sign identification and prompt referral, especially for newborn illnesses, is recommended.

On the Control of Consensus Networks: Theory and Applications

NASA Astrophysics Data System (ADS)

Hudoba de Badyn, Mathias

Signed networks allow the study of positive and negative interactions between agents. In this thesis, three papers are presented that address controllability of networked dynamics. First, controllability of signed consensus networks is approached from a symmetry perspective, for both linear and nonlinear consensus protocols. It is shown that the graph-theoretic property of signed networks known as structural balance renders the consensus protocol uncontrollable when coupled with a certain type of symmetry. Stabilizability and output controllability of signed linear consensus is also examined, as well as a data-driven approach to finding bipartite consensus stemming from structural balance for signed nonlinear consensus. Second, an algorithm is constructed that allows one to grow a network while preserving controllability, and some generalizations of this algorithm are presented. Submodular optimization is used to analyze a second algorithm that adds nodes to a network to maximize the network connectivity.

Effectiveness of changeable message signs in controlling vehicle speeds in work zones.

DOT National Transportation Integrated Search

1994-01-01

Work zone speeds have customarily been regulated by standard regulatory or advisory speed signs. However, most drivers do not slow down in response to these static speed control measures. The changeable message sign (CMS) with radar unit has dynamic ...

Vice President Mike Pence Visits Kennedy Space Center - Tour of

NASA Image and Video Library

2018-02-21

Vice President Mike Pence signs a banner during a tour of the Boeing Commercial Crew and Cargo Processing Facility at NASA's Kennedy Space Center in Florida, on Feb. 21, 2018. During his visit, Pence chaired a meeting of the National Space Council in the high bay of the center's Space Station Processing Facility. The council's role is to advise the president regarding national space policy and strategy, and review the nation's long-range goals for space activities.

Vital signs monitoring and patient tracking over a wireless network.

PubMed

Gao, Tia; Greenspan, Dan; Welsh, Matt; Juang, Radford; Alm, Alex

2005-01-01

Patients at a disaster scene can greatly benefit from technologies that continuously monitor their vital status and track their locations until they are admitted to the hospital. We have designed and developed a real-time patient monitoring system that integrates vital signs sensors, location sensors, ad-hoc networking, electronic patient records, and web portal technology to allow remote monitoring of patient status. This system shall facilitate communication between providers at the disaster scene, medical professionals at local hospitals, and specialists available for consultation from distant facilities.

Use of Warning Signs for Dengue by Pediatric Health Care Staff in Brazil

PubMed Central

Hökerberg, Yara Hahr Marques; de Oliveira, Raquel de Vasconcellos Carvalhaes; Barros, Danielle Martins de Souza; Alexandria, Helenara Abadia Ferreira; Daumas, Regina Paiva; de Andrade, Carlos Augusto Ferreira; Passos, Sonia Regina Lambert; Brasil, Patrícia

2016-01-01

Objective The aim of this study was to describe the use of dengue warning signs by pediatric healthcare staff in the Brazilian public health care system. Methods Cross-sectional study (2012) with physicians, nurses, and nurse technicians assisting children in five health care facilities. Participants reported the use and importance of dengue warning signs in pediatrics clinical practice through a structured questionnaire. Differences in the use of signs (chi-square test) and in the ranking assigned to each of them (Kruskal-Wallis) were assessed according to health care occupation and level of care (p<0.05). Results The final sample comprised 474 participants (97%), mean age of 37 years (standard deviation = 10.3), mainly females (83.8%), physicians (40.1%) and from tertiary care (75.1%). The majority (91%) reported using warning signs for dengue in pediatrics clinical practice. The most widely used and highly valued signs were major hemorrhages (gastrointestinal, urinary), abdominal pain, and increase in hematocrit concurrent or not with rapid decrease in platelet count. Persistent vomiting as well as other signs of plasma leakage such as respiratory distress and lethargy/restlessness were not identified as having the same degree of importance, especially by nurse technicians and in primary or secondary care. Discussion Although most health care staff reported using dengue warning signs, it would be useful to extend the training for identifying easily recognizable signs of plasma leakage that occur regardless of bleeding. PMID:27716812

76 FR 2944 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-18

... equipment. Rehabilitate airfield guidance signs. Rehabilitate runway 16/34 (design only). Rehabilitate parallel and connecting taxiways (design only). Rehabilitate terminal building. Conduct wildlife hazard assessment. Terminal building expansion (design only). PFC administrative costs. Reconstruct west aircraft...

23 CFR 668.109 - Eligibility.

Code of Federal Regulations, 2013 CFR

2013-04-01

... damages consisting primarily of eroded shoulders, filled ditches and culverts, pavement settlement, mud..., not related to the increased traffic volumes, such as mowing, maintaining drainage, pavement signing... limited in ER reimbursement to the cost of a new facility to current design standards of comparable...

23 CFR 668.109 - Eligibility.

Code of Federal Regulations, 2010 CFR

2010-04-01

... damages consisting primarily of eroded shoulders, filled ditches and culverts, pavement settlement, mud..., not related to the increased traffic volumes, such as mowing, maintaining drainage, pavement signing... limited in ER reimbursement to the cost of a new facility to current design standards of comparable...

23 CFR 668.109 - Eligibility.

Code of Federal Regulations, 2014 CFR

2014-04-01

... damages consisting primarily of eroded shoulders, filled ditches and culverts, pavement settlement, mud..., not related to the increased traffic volumes, such as mowing, maintaining drainage, pavement signing... limited in ER reimbursement to the cost of a new facility to current design standards of comparable...

23 CFR 668.109 - Eligibility.

Code of Federal Regulations, 2012 CFR

2012-04-01

... damages consisting primarily of eroded shoulders, filled ditches and culverts, pavement settlement, mud..., not related to the increased traffic volumes, such as mowing, maintaining drainage, pavement signing... limited in ER reimbursement to the cost of a new facility to current design standards of comparable...

23 CFR 668.109 - Eligibility.

Code of Federal Regulations, 2011 CFR

2011-04-01

... damages consisting primarily of eroded shoulders, filled ditches and culverts, pavement settlement, mud..., not related to the increased traffic volumes, such as mowing, maintaining drainage, pavement signing... limited in ER reimbursement to the cost of a new facility to current design standards of comparable...

CDC Vital Signs: Making Health Care Safer -- Stop Infections from Lethal CRE Germs Now

MedlinePlus

... recommendations when treating patients with CRE. Dedicate rooms, staff, and equipment to patients with CRE. Prescribe antibiotics ... coordinated, and consistent effort by doctors, nurses, lab staff, medical facility leadership, health departments/states, policy makers, ...

ATCA digital controller hardware for vertical stabilization of plasmas in tokamaks

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

Batista, A. J. N.; Sousa, J.; Varandas, C. A. F.

2006-10-15

The efficient vertical stabilization (VS) of plasmas in tokamaks requires a fast reaction of the VS controller, for example, after detection of edge localized modes (ELM). For controlling the effects of very large ELMs a new digital control hardware, based on the Advanced Telecommunications Computing Architecture trade mark sign (ATCA), is being developed aiming to reduce the VS digital control loop cycle (down to an optimal value of 10 {mu}s) and improve the algorithm performance. The system has 1 ATCA trade mark sign processor module and up to 12 ATCA trade mark sign control modules, each one with 32 analogmore » input channels (12 bit resolution), 4 analog output channels (12 bit resolution), and 8 digital input/output channels. The Aurora trade mark sign and PCI Express trade mark sign communication protocols will be used for data transport, between modules, with expected latencies below 2 {mu}s. Control algorithms are implemented on a ix86 based processor with 6 Gflops and on field programmable gate arrays with 80 GMACS, interconnected by serial gigabit links in a full mesh topology.« less

KSC-98pc1151

NASA Image and Video Library

1998-09-22

KENNEDY SPACE CENTER, FLA. -- A technician in the Payload Hazardous Servicing Facility (PHSF) places a paper signed by workers in the PHSF inside a compartment in Deep Space 1. The payload is scheduled to fly on the Boeing Delta 7326 rocket to be launched in October. The first flight in NASA's New Millennium Program, Deep Space 1 is designed to validate 12 new technologies for scientific space missions of the next century. Onboard experiments include an ion propulsion engine and software that tracks celestial bodies so the spacecraft can make its own navigation decisions without the intervention of ground controllers. Deep Space 1 will complete most of its mission objectives within the first two months, but will also do a flyby of a near-Earth asteroid, 1992 KD, in July 1999

21 CFR 1311.10 - Eligibility to obtain a CSOS digital certificate.

Code of Federal Regulations, 2011 CFR

2011-04-01

... obtain a CSOS digital certificate from the DEA Certification Authority to sign electronic orders for controlled substances. (a) The person who signed the most recent DEA registration application or renewal... by a DEA registrant to sign orders for one or more schedules of controlled substances. ...

Development and MASH full-scale crash testing of a high-mounting-height temporary single sign support with aluminum sign.

DOT National Transportation Integrated Search

2013-03-01

Work zone traffic control devices such as temporary single sign supports are a primary means to communicate : information to motorists in work zone areas. The Federal Highway Administration and the Manual on Uniform Traffic : Control Devices require ...

77 FR 68113 - Notice of Intent To Prepare a Supplement to the 2008 Environmental Impact Statement for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-15

... current and future requirements and maximize the efficiency of support facilities, simulation training... EIS process is completed and a new ROD is signed by the DoN. During the 45-day public comment and...

32 CFR 552.18 - Administration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... when leaving facilities for which the Army has responsibility. These searches are authorized when based... prominently displayed sign, AR 420-70, (Buildings and Structures)), that they are liable to search when... authorized to search persons (or possessions, including vehicles of individuals), based on military necessity...

CLOSEUP VIEW LOOKING SOUTH AT THE SATURN I TEST STAND, ...

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

CLOSE-UP VIEW LOOKING SOUTH AT THE SATURN I TEST STAND, NOTE THE INTERPRETIVE SIGN EXPLAINING THE HISTORIC NATURE OF THE SATURN I TEST STAND. - Marshall Space Flight Center, Saturn Propulsion & Structural Test Facility, East Test Area, Huntsville, Madison County, AL

Awareness regarding risk factors, symptoms and treatment facilities for cancer in selected states of India.

PubMed

Raj, Sherin; Piang, Lam Khan; Nair, K S; Tiwari, V K; Kaur, H; Singh, Bacchu

2012-01-01

To study the level of awareness and knowledge about cancers and associated risk factors among households in selected states of India. In the study 3070 households were interviewed from six states viz, West Bengal, Kerala, Madhya Pradesh, Rajasthan and Mizoram. Knowledge of cancers other than those related to tobacco was very low (prostate 8%, colon 11% ) among the communities, with a poor awareness of warning signs and symptoms. The knowledge varied from state to state. It is found that the major source of information related to cancers was television (38%) followed by friends and relatives (36%). Only about 15 % of respondents had knowledge about cancer awareness camps organized in their districts but they did not have knowledge about the organizers of the camp. Findings suggested a strong need for strengthening of DCCP. It is important to create awareness among community through educational programs on cancer prevention, preventable cancer risk factors, benefits of early diagnosis, and availability of screening facilities. Integration of District Cancer Control activities with NRHM could be the most cost-effective strategy to prevent cancers and rural population.

Security of social network credentials for accessing course portal: Users' experience

NASA Astrophysics Data System (ADS)

Katuk, Norliza; Fong, Choo Sok; Chun, Koo Lee

2015-12-01

Social login (SL) has recently emerged as a solution for single sign-on (SSO) within the web and mobile environments. It allows users to use their existing social network credentials (SNC) to login to third party web applications without the need to create a new identity in the intended applications' database. Although it has been used by many web application providers, its' applicability in accessing learning materials is not yet fully investigated. Hence, this research aims to explore users' (i.e., instructors' and students') perception and experience on the security of SL for accessing learning contents. A course portal was developed for students at a higher learning institution and it provides two types of user authentications (i) traditional user authentication, and (ii) SL facility. Users comprised instructors and students evaluated the login facility of the course portal through a controlled lab experimental study following the within-subject design. The participants provided their feedback in terms of the security of SL for accessing learning contents. The study revealed that users preferred to use SL over the traditional authentication, however, they concerned on the security of SL and their privacy.

Symptoms of infectious diseases in immunocompromised travelers: a prospective study with matched controls.

PubMed

Baaten, Gijs G; Geskus, Ronald B; Kint, Joan A; Roukens, Anna H E; Sonder, Gerard J; van den Hoek, Anneke

2011-01-01

Immunocompromised travelers to developing countries are thought to have symptomatic infectious diseases more often and longer than non-immunocompromised travelers. Evidence for this is lacking. This study evaluates whether immunocompromised short-term travelers are at increased risk of diseases. A prospective study was performed between October 2003 and May 2010 among adult travelers using immunosuppressive agents (ISA) and travelers with inflammatory bowel disease (IBD), with their non-immunocompromised travel companions serving as matched controls with comparable exposure to infection. Data on symptoms of infectious diseases were recorded by using a structured diary. Among 75 ISA, the incidence of travel-related diarrhea was 0.76 per person-month, and the number of symptomatic days 1.32 per month. For their 75 controls, figures were 0.66 and 1.50, respectively (p > 0.05). Among 71 IBD, the incidence was 1.19, and the number of symptomatic days was 2.48. For their 71 controls, figures were 0.73 and 1.31, respectively (p > 0.05). These differences also existed before travel. ISA had significantly more and longer travel-related signs of skin infection and IBD suffered more and longer from vomiting. As for other symptoms, no significant travel-related differences were found. Only 21% of immunocompromised travelers suffering from diarrhea used their stand-by antibiotics. ISA and IBD did not have symptomatic infectious diseases more often or longer than non-immunocompromised travelers, except for signs of travel-related skin infection among ISA. Routine prescription of stand-by antibiotics for these immunocompromised travelers to areas with good health facilities is probably not more useful than for healthy travelers. © 2011 International Society of Travel Medicine.

76 FR 14105 - International Paper Company, Pineville Mill Industrial Packaging Group; Pineville, LA; Notice of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-15

... Company, Pineville Mill Industrial Packaging Group; Pineville, LA; Notice of Negative Determination on..., Pineville Mill, Industrial Packaging Group, Pineville, Louisiana (subject facility). The Department's Notice... Company, Pineville Mill, Industrial Packaging Group, Pineville, Louisiana. Signed in Washington, DC, on...

22 CFR 142.12 - Reasonable accommodation.

Code of Federal Regulations, 2010 CFR

2010-04-01

..., acquisition or modification of equipment or devices, the provision of readers or interpreters, and other... facilities, and size of budget; (2) Job restructuring, part-time or modified work schedules, acquisition and... sign language, when appropriate. (3) The nature and cost of the accommodation needed. (d) A recipient...

Arizona Takes on School Construction and Renovation

ERIC Educational Resources Information Center

Geiger, Philip E.

2001-01-01

Spurred by a state superior court deadline for developing a constitutional school capital finance system, Arizona Governor Jane Hull signed legislation (Students FIRST) that dramatically reformed school construction. This legislation created a School Facilities Board and established three funds for improving school conditions and meeting building…

76 FR 40229 - Psychiatric Evaluation and Treatment

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-08

... qualified to make decisions about the administration of psychopharmacologic medications and that, when... practitioner (Physician's Assistant or Nurse Practitioner), it must be signed by a licensed physician before it... advance practice nurses as part of the treatment team in correctional facilities.'' While the Bureau does...

18 CFR 415.33 - Uses by special permit.

Code of Federal Regulations, 2014 CFR

2014-04-01

... transient enterprises. (3) Drive-in theaters, signs and billboards. (4) Extraction of sand, gravel and other...) Utilities, railroad tracks, streets and bridges. Public utility facilities, roads, railroad tracks and... of protection may be provided for minor or auxiliary roads, railroads or utilities. (5) Water supply...

18 CFR 415.33 - Uses by special permit.

Code of Federal Regulations, 2011 CFR

2011-04-01

... transient enterprises. (3) Drive-in theaters, signs and billboards. (4) Extraction of sand, gravel and other...) Utilities, railroad tracks, streets and bridges. Public utility facilities, roads, railroad tracks and... of protection may be provided for minor or auxiliary roads, railroads or utilities. (5) Water supply...

18 CFR 415.33 - Uses by special permit.

Code of Federal Regulations, 2012 CFR

2012-04-01

... transient enterprises. (3) Drive-in theaters, signs and billboards. (4) Extraction of sand, gravel and other...) Utilities, railroad tracks, streets and bridges. Public utility facilities, roads, railroad tracks and... of protection may be provided for minor or auxiliary roads, railroads or utilities. (5) Water supply...

18 CFR 415.33 - Uses by special permit.

Code of Federal Regulations, 2010 CFR

2010-04-01

... transient enterprises. (3) Drive-in theaters, signs and billboards. (4) Extraction of sand, gravel and other...) Utilities, railroad tracks, streets and bridges. Public utility facilities, roads, railroad tracks and... of protection may be provided for minor or auxiliary roads, railroads or utilities. (5) Water supply...

18 CFR 415.33 - Uses by special permit.

Code of Federal Regulations, 2013 CFR

2013-04-01

... transient enterprises. (3) Drive-in theaters, signs and billboards. (4) Extraction of sand, gravel and other...) Utilities, railroad tracks, streets and bridges. Public utility facilities, roads, railroad tracks and... of protection may be provided for minor or auxiliary roads, railroads or utilities. (5) Water supply...

Shorter-Course Whole-Brain Radiotherapy for Brain Metastases in Elderly Patients

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

Rades, Dirk, E-mail: rades.dirk@gmx.net; Department of Radiation Oncology, University Hospital Hamburg-Eppendorf, Hamburg; Evers, Jasmin N.

2011-11-15

Purpose: Many patients with brain metastases receive whole-brain radiotherapy (WBRT) alone. Using 10 Multiplication-Sign 3 Gy in 2 weeks is the standard regimen in most centers. Regarding the extraordinarily poor survival prognosis of elderly patients with multiple brain metastases, a shorter WBRT regimen would be preferable. This study compared 10 Multiplication-Sign 3 Gy with 5 Multiplication-Sign 4 Gy in elderly patients ({>=}65 years). Methods and Materials: Data from 455 elderly patients who received WBRT alone for brain metastases were retrospectively analyzed. Survival and local (= intracerebral) control of 293 patients receiving 10 Multiplication-Sign 3 Gy were compared with 162 patientsmore » receiving 5 Multiplication-Sign 4 Gy. Eight additional potential prognostic factors were investigated including age, gender, Karnofsky performance score (KPS), primary tumor, number of brain metastases, interval from tumor diagnosis to WBRT, extracerebral metastases, and recursive partitioning analysis (RPA) class. Results: The 6-month overall survival rates were 29% after 5 Multiplication-Sign 4 Gy and 21% after 10 Multiplication-Sign 3 Gy (p = 0.020). The 6-month local control rates were 12% and 10%, respectively (p = 0.32). On multivariate analysis, improved overall survival was associated with KPS {>=} 70 (p < 0.001), only one to three brain metastases (p = 0.029), no extracerebral metastasis (p = 0.012), and lower RPA class (p < 0.001). Improved local control was associated with KPS {>=} 70 (p < 0.001), breast cancer (p = 0.029), and lower RPA class (p < 0.001). Conclusions: Shorter-course WBRT with 5 Multiplication-Sign 4 Gy was not inferior to 10 Multiplication-Sign 3 Gy with respect to overall survival or local control in elderly patients. 5 Multiplication-Sign 4 Gy appears preferable for the majority of these patients.« less

Early Sign Language Experience Goes Along with an Increased Cross-modal Gain for Affective Prosodic Recognition in Congenitally Deaf CI Users.

PubMed

Fengler, Ineke; Delfau, Pia-Céline; Röder, Brigitte

2018-04-01

It is yet unclear whether congenitally deaf cochlear implant (CD CI) users' visual and multisensory emotion perception is influenced by their history in sign language acquisition. We hypothesized that early-signing CD CI users, relative to late-signing CD CI users and hearing, non-signing controls, show better facial expression recognition and rely more on the facial cues of audio-visual emotional stimuli. Two groups of young adult CD CI users-early signers (ES CI users; n = 11) and late signers (LS CI users; n = 10)-and a group of hearing, non-signing, age-matched controls (n = 12) performed an emotion recognition task with auditory, visual, and cross-modal emotionally congruent and incongruent speech stimuli. On different trials, participants categorized either the facial or the vocal expressions. The ES CI users more accurately recognized affective prosody than the LS CI users in the presence of congruent facial information. Furthermore, the ES CI users, but not the LS CI users, gained more than the controls from congruent visual stimuli when recognizing affective prosody. Both CI groups performed overall worse than the controls in recognizing affective prosody. These results suggest that early sign language experience affects multisensory emotion perception in CD CI users.

Anal signs of child sexual abuse: a case–control study

PubMed Central

2014-01-01

Background There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Methods Retrospective case note review in a paediatric forensic unit. Cases: all eligible cases from1990 to 2007 alleging anal abuse. Controls: all children examined anally from 1998 to 2007 with possible physical abuse or neglect with no identified concern regarding sexual abuse. Fisher’s exact test (two-tailed) was performed to ascertain the significance of differences for individual signs between cases and controls. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. Results A total of 184 cases (105 boys, 79 girls), average age 98.5 months (range 26 to 179) were compared with 179 controls (94 boys, 85 girls) average age 83.7 months (range 35–193). Of the cases 136 (74%) had one or more signs described in anal abuse, compared to 29 (16%) controls. 79 (43%) cases and 2 (1.1%) controls had >1 sign. Reflex anal dilatation (RAD) and venous congestion were seen in 22% and 36% of cases but <1% of controls (likelihood ratios (LR) 40, 60 respectively), anal fissure in 14% cases and 1.1% controls (LR 13), anal laxity in 27% cases and 3% controls (LR 10). Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching. Erythema, swelling and fold changes were seen most commonly within 7 days of last reported contact; RAD, laxity, venous congestion, fissure and twitching were observed up to 6 months after the alleged assault. Conclusions Anal findings are more common in children alleging anal abuse than in those presenting with physical abuse or neglect with no concern about sexual abuse. Multiple signs are rare in controls and support disclosed anal abuse. PMID:24884914

Detection and risk stratification of women at high risk of preterm birth in rural communities near Nagpur, India.

PubMed

Patel, Archana; Prakash, Amber Abhijeet; Pusdekar, Yamini V; Kulkarni, Hemant; Hibberd, Patricia

2017-09-19

Presently, preterm birth is globally the leading cause of neonatal mortality. Prompt community based identification of women at high risk for preterm births (HRPB) can either help to avert preterm births or avail effective interventions to reduce neonatal mortality due to preterm births. We evaluated the performance of a package to train community workers to detect the presence of signs or symptoms of HRPB. Pregnant women enrolled in the intervention arm of a cluster randomized trial of Antenatal Corticosteroids (ACT Trial) conducted at Nagpur, India were informed about 4 directly observable signs and symptoms of preterm labor. Community health workers actively monitored these women from 24 to 36 weeks of gestation for these signs or symptoms. If they were present (HRPB positive) the identified women were brought to government health facilities for assessment and management. HRPB positive could also be determined by the provider if the woman presented directly to the facility. Risk stratification was based on the number of signs or symptoms present. The outcome of preterm birth was based on the clinical assessment of gestational age < 37 weeks at delivery or a birth weight of <2000 g. Between July 1, 2012 and 30 November, 2013, 686 of 7050 (9.7%) pregnant women studied, delivered preterm. 732 (10.4%) women were HRPB positive, of whom 333 (45.5%) delivered preterm. Of the remaining 6318(89.6%) HRPB negative women 353 (5.6%) delivered preterm. The likelihood ratio (LR) of a preterm birth in the HRPB positives was 8.14 (95% confidence interval 7.16-9.26). The LR of a preterm birth increased in women who had more signs or symptoms of HRBP (p < 0.00001). More signs or symptoms of HRPB were also associated with a shorter time to delivery, lower birth weight and higher rates of stillbirths, neonatal deaths and postnatal complications. Addition of risk stratification improved the prediction of preterm delivery (Integrated Discrimination Improvement 17% (95% CI 15-19%)). The package for detection of signs and symptoms of HRPB is feasible, promising and likely to improve management of preterm labor. NCT01073475 on February 21, 2010 and NCT01084096 on March 9, 2010.

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

LaFreniere, L. M.

The Commodity Credit Corporation (CCC), an agency of the U.S. Department of Agriculture (USDA), operated grain storage facilities at two different locations at Everest, Kansas (Figure 1.1). One facility (referred to in this report as the Everest facility) was at the western edge of the city of Everest. The CCC/USDA operated this facility from 1950 until the early 1970s. The second facility (referred to in this report as Everest East) was about 0.5 mi northeast of the town. The CCC/USDA operated this facility from 1954 until the early 1970s. While these two former CCC/USDA grain storage facilities were in operation,more » commercial grain fumigants containing carbon tetrachloride were in common use by the CCC/USDA and the private grain storage industry to preserve grain. In 1997, the Kansas Department of Health and Environment (KDHE) sampled several domestic drinking water and nondrinking water wells in the Everest area. The KDHE sampling was part of the CCC/USDA Private Well Sampling Program, which was initiated to determine whether carbon tetrachloride was present in domestic wells near former CCC/USDA grain storage facilities in Kansas. All of the sampled domestic drinking water wells were located outside the Everest city boundaries. As a result of this sampling, carbon tetrachloride contamination was identified at a single domestic drinking water well (the Nigh well; DW06) approximately 3/8 mi northwest of the former Everest CCC/USDA grain storage facility. The CCC/USDA subsequently connected the Nigh residence to the Everest municipal water system. As a result of the detection of carbon tetrachloride in this well, the KDHE conducted preliminary investigations to further evaluate the existence of contamination and its potential effect on public health and the environment. The KDHE concluded that carbon tetrachloride in groundwater at Everest might, in part, be linked to historical use of carbon tetrachloride-based grain fumigants at the former CCC/USDA facilities. For this reason, the CCC/USDA is conducting an environmental site investigation to determine the source(s) and extent of the carbon tetrachloride contamination at Everest and to assess whether the contamination requires remedial action. The investigation at Everest is being performed by the Environmental Research Division of Argonne National Laboratory. Argonne is a nonprofit, multidisciplinary research center operated by the University of Chicago for the U.S. Department of Energy (DOE). The CCC/USDA has entered into an interagency agreement with DOE, under which Argonne provides technical assistance to the CCC/USDA with environmental site characterization and remediation at its former grain storage facilities. At these facilities, Argonne is applying its QuickSite{reg_sign} environmental site characterization methodology. This methodology has been applied successfully at a number of former CCC/USDA facilities in Kansas and Nebraska and has been adopted by the American Society for Testing and Materials (ASTM 1998) as standard practice for environmental site characterization. Phase I of the QuickSite{reg_sign} investigation examined the key geologic, hydrogeologic, and hydrogeochemical relationships that define potential contaminant migration pathways at Everest (Argonne 2001). Phase II of the QuickSite{reg_sign} investigation at Everest was undertaken with the primary goal of delineating and improving understanding of the distribution of carbon tetrachloride contamination in groundwater at this site and the potential source area(s) that might have contributed to this contamination. To address this goal, four specific technical objectives were developed to guide the Phase II field studies. Sampling of near-surface soils at the former Everest CCC/USDA facility that was originally planned for Phase I had to be postponed until October 2000 because of access restrictions. Viable vegetation was not available for sampling then. This period is termed the first session of Phase II field work at Everest. The main session of field work for the Phase II QuickSite{reg_sign} investigation of the Everest site began on March 6, 2001. Work was suspended at the site on April 6, 2001, (1) because of access limitations to key properties, located north and west of the former CCC/USDA facility, imposed by the private owners at the onset of the spring planting season and (2) to permit further documentation by Argonne, at the request of the CCC/USDA, of the land use and ownership history of the Nigh property as a precursor to completion of the field work. This period is termed the second session of Phase II field work at Everest. Investigation of the Nigh property history was prompted by groundwater contamination evidence obtained during the second session of Phase II field activities (discussed in Section 3.7).« less

Clinical effectiveness of behavioral signs for screening chronic low-back pain patients in a work-oriented physical rehabilitation program.

PubMed

Werneke, M W; Harris, D E; Lichter, R L

1993-12-01

This prospective study investigated the relationship between behavioral sign scores (from Waddell) and the return to work status of chronic low-back pain patients who completed a work-oriented physical rehabilitation program without formal facility-related psychologic or social services. Further, the authors monitored the effect of this program on changing these scores. The program consisted of physical reconditioning through resistive exercises, flexibility and aerobic training, posture and body mechanics education, and progressive work simulation tasks and activities of daily living. One hundred eighty-three nonworking or partially disabled low-back pain patients with an average duration of 8.7 months' disability were included in the study. The presence of each of eight behavioral signs was tested for on entry and again on completion of the program. Analysis showed a significant drop in behavioral sign scores for patients who successfully returned to work. There was no significant reduction in scores for patients who did not return to work. The results suggest these signs may predict the effectiveness of treating chronic low-back pain patients in a return-to-work physical rehabilitation program. Conversely, screening for behavioral signs may identify low-back pain patients who would benefit from intensive behavioral and psychiatric testing and intervention efforts.

Spacelab Life Sciences 3 biomedical research using the Rhesus Research Facility

NASA Technical Reports Server (NTRS)

Ballard, R. W.; Searby, N. D.; Stone, L. S.; Hogan, R. P.; Viso, M.; Venet, M.

1992-01-01

In 1985, a letter of agreement was signed between the French space agency, CNES, and NASA, formally initiating a joint venture called the RHESUS Project. The goal of this project is to provide a facility to fly rhesus monkeys (Macaca mulatta) to support spaceflight experiments which are applicable but not practical to carry out on human subjects. Biomedical investigations in behavior/performance, immunology/microbiology, muscle physiology, cardiopulmonary physiology, bone/calcium physiology, regulatory physiology, and neurophysiology disciplines will be performed. The Rhesus Research Facility, hardware capable of supporting two adult rhesus monkeys in a microgravity environment, is being developed for a first flight on Spacelab Life Sciences in early 1996.

Addendum to the Closure Report for Corrective Action Unit 113: Area 25 R-MAD Facility, Nevada National Security Site, Nevada

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

NSTec Environmental Restoration

2011-02-24

This addendum to the Closure Report for Corrective Action Unit 113: Area 25, Reactor Maintenance, Assembly, and Disassembly Facility, Building 3110, Nevada Test Site, Nevada, DOE/NV--891-VOL I-Rev. 1, dated July 2003, provides details of demolition, waste disposal, and use restriction (UR) modification for Corrective Action Unit 113, Area 25 R-MAD Facility. Demolition was completed on July 15, 2010, when the last of the building debris was disposed. Final field activities were concluded on August 30, 2010, after all equipment was demobilized and UR signs were posted. This work was funded by the American Recovery and Reinvestment Act.

Determining a strategy for efficiently managing sign retroreflectivity in New Hampshire.

DOT National Transportation Integrated Search

2012-05-01

The Manual on Uniform Traffic Control Devices (MUTCD) has developed minimum retroreflectivity requirements for sign sheeting that will : become a federal mandate for roadside signs in 2015 and for overhead signs in 2018. In 2012, the New Hampshire De...

24 CFR 1710.16 - Regulatory exemption-determination required.

Code of Federal Regulations, 2011 CFR

2011-04-01

...) Specifies the developer's and purchaser's responsibilities for providing and maintaining roads, water and... in which the roads, water and sewer facilities and promised amenities will be completed; (iii... spouse makes a personal on-the-lot inspection of the lot to be purchased before signing a contract. (4...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2012 CFR

2012-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

29 CFR 1917.122 - Employee exits.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Employee exits. 1917.122 Section 1917.122 Labor Regulations...) MARINE TERMINALS Terminal Facilities § 1917.122 Employee exits. (a) Employee exits shall be clearly marked. (b) If an employee exit is not visible from employees' work stations, directional signs...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2010 CFR

2010-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2011 CFR

2011-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

Temporal Progression of Visual Injury from Blast Exposure

DTIC Science & Technology

2013-09-01

carprofen one day before the blast for pain management. A baseline of vision functionality is established before the blast using the metrics...returned to the animal facility. While animals do not show signs of pain following the blast exposure, carprofen is administered the next day as a

Waste Determination Equivalency - 12172

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

Freeman, Rebecca D.

2012-07-01

The Savannah River Site (SRS) is a Department of Energy (DOE) facility encompassing approximately 800 square kilometers near Aiken, South Carolina which began operations in the 1950's with the mission to produce nuclear materials. The SRS contains fifty-one tanks (2 stabilized, 49 yet to be closed) distributed between two liquid radioactive waste storage facilities at SRS containing carbon steel underground tanks with storage capacities ranging from 2,800,000 to 4,900,000 liters. Treatment of the liquid waste from these tanks is essential both to closing older tanks and to maintaining space needed to treat the waste that is eventually vitrified or disposedmore » of onsite. Section 3116 of the Ronald W. Reagan National Defense Authorization Act of Fiscal Year 2005 (NDAA) provides the Secretary of Energy, in consultation with the Nuclear Regulatory Commission (NRC), a methodology to determine that certain waste resulting from prior reprocessing of spent nuclear fuel are not high-level radioactive waste if it can be demonstrated that the waste meets the criteria set forth in Section 3116(a) of the NDAA. The Secretary of Energy, in consultation with the NRC, signed a determination in January 2006, pursuant to Section 3116(a) of the NDAA, for salt waste disposal at the SRS Saltstone Disposal Facility. This determination is based, in part, on the Basis for Section 3116 Determination for Salt Waste Disposal at the Savannah River Site and supporting references, a document that describes the planned methods of liquid waste treatment and the resulting waste streams. The document provides descriptions of the proposed methods for processing salt waste, dividing them into 'Interim Salt Processing' and later processing through the Salt Waste Processing Facility (SWPF). Interim Salt Processing is separated into Deliquification, Dissolution, and Adjustment (DDA) and Actinide Removal Process/Caustic Side Solvent Extraction Unit (ARP/MCU). The Waste Determination was signed by the Secretary of Energy in January of 2006 based on proposed processing techniques with the expectation that it could be revised as new processing capabilities became viable. Once signed, however, it became evident that any changes would require lengthy review and another determination signed by the Secretary of Energy. With the maturation of additional salt removal technologies and the extension of the SWPF start-up date, it becomes necessary to define 'equivalency' to the processes laid out in the original determination. For the purposes of SRS, any waste not processed through Interim Salt Processing must be processed through SWPF or an equivalent process, and therefore a clear statement of the requirements for a process to be equivalent to SWPF becomes necessary. (authors)« less

Anal signs of child sexual abuse: a case-control study.

PubMed

Hobbs, Christopher J; Wright, Charlotte M

2014-05-27

There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Retrospective case note review in a paediatric forensic unit. all eligible cases from 1990 to 2007 alleging anal abuse. all children examined anally from 1998 to 2007 with possible physical abuse or neglect with no identified concern regarding sexual abuse. Fisher's exact test (two-tailed) was performed to ascertain the significance of differences for individual signs between cases and controls. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. A total of 184 cases (105 boys, 79 girls), average age 98.5 months (range 26 to 179) were compared with 179 controls (94 boys, 85 girls) average age 83.7 months (range 35-193). Of the cases 136 (74%) had one or more signs described in anal abuse, compared to 29 (16%) controls. 79 (43%) cases and 2 (1.1%) controls had >1 sign. Reflex anal dilatation (RAD) and venous congestion were seen in 22% and 36% of cases but <1% of controls (likelihood ratios (LR) 40, 60 respectively), anal fissure in 14% cases and 1.1% controls (LR 13), anal laxity in 27% cases and 3% controls (LR 10).Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching. Erythema, swelling and fold changes were seen most commonly within 7 days of last reported contact; RAD, laxity, venous congestion, fissure and twitching were observed up to 6 months after the alleged assault. Anal findings are more common in children alleging anal abuse than in those presenting with physical abuse or neglect with no concern about sexual abuse. Multiple signs are rare in controls and support disclosed anal abuse.

22 CFR 124.4 - Deposit of signed agreements with the Directorate of Defense Trade Controls.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Deposit of signed agreements with the Directorate of Defense Trade Controls. 124.4 Section 124.4 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS AGREEMENTS, OFF-SHORE PROCUREMENT AND OTHER DEFENSE SERVICES § 124.4 Deposit of signed agreements with the Directorate...

23 CFR 750.712 - Reclassification of signs.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 23 Highways 1 2012-04-01 2012-04-01 false Reclassification of signs. 750.712 Section 750.712 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHT-OF-WAY AND ENVIRONMENT HIGHWAY BEAUTIFICATION Outdoor Advertising Control § 750.712 Reclassification of signs. Any sign lawfully erected after...

KSC-98pc1152

NASA Image and Video Library

1998-09-22

KENNEDY SPACE CENTER, FLA. -- Workers in the Payload Hazardous Servicing Facility (PHSF) place a rolled-up document inside Deep Space 1. The paper was signed by the workers in the PHSF. Deep Space 1 is scheduled to fly on the Boeing Delta 7326 rocket to be launched in October. The first flight in NASA's New Millennium Program, Deep Space 1 is designed to validate 12 new technologies for scientific space missions of the next century. Onboard experiments include an ion propulsion engine and software that tracks celestial bodies so the spacecraft can make its own navigation decisions without the intervention of ground controllers. Deep Space 1 will complete most of its mission objectives within the first two months, but will also do a flyby of a near-Earth asteroid, 1992 KD, in July 1999

KSC-98pc1153

NASA Image and Video Library

1998-09-22

KENNEDY SPACE CENTER, FLA. -- Through the open panel of Deep Space 1 can be seen the rolled-up document (on the left) signed by the workers in the Payload Hazardous Servicing Facility. Deep Space 1 is scheduled to fly on the Boeing Delta 7326 rocket to be launched in October. The first flight in NASA's New Millennium Program, Deep Space 1 is designed to validate 12 new technologies for scientific space missions of the next century. Onboard experiments include an ion propulsion engine and software that tracks celestial bodies so the spacecraft can make its own navigation decisions without the intervention of ground controllers. Deep Space 1 will complete most of its mission objectives within the first two months, but will also do a flyby of a near-Earth asteroid, 1992 KD, in July 1999

Contribution of Equal-Sign Instruction beyond Word-Problem Tutoring for Third-Grade Students with Mathematics Difficulty.

PubMed

Powell, Sarah R; Fuchs, Lynn S

2010-05-01

Elementary school students often misinterpret the equal sign (=) as an operational rather than a relational symbol. Such misunderstanding is problematic because solving equations with missing numbers may be important for higher-order mathematics skills including word problems. Research indicates equal-sign instruction can alter how typically-developing students use the equal sign, but no study has examined effects for students with mathematics difficulty (MD) or how equal-sign instruction contributes to word-problem skill for students with or without MD. The present study assessed the efficacy of equal-sign instruction within word-problem tutoring. Third-grade students with MD (n = 80) were assigned to word-problem tutoring, word-problem tutoring plus equal-sign instruction (combined) tutoring, or no-tutoring control. Combined tutoring produced better improvement on equal sign tasks and open equations compared to the other 2 conditions. On certain forms of word problems, combined tutoring but not word-problem tutoring alone produced better improvement than control. When compared at posttest to 3(rd)-grade students without MD on equal sign tasks and open equations, only combined tutoring students with MD performed comparably.

Research Support Facility (RSF): Leadership in Building Performance (Brochure)

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

Not Available

This brochure/poster provides information on the features of the Research Support Facility including a detailed illustration of the facility with call outs of energy efficiency and renewable energy technologies. Imagine an office building so energy efficient that its occupants consume only the amount of energy generated by renewable power on the building site. The building, the Research Support Facility (RSF) occupied by the U.S. Department of Energy's National Renewable Energy Laboratory (NREL) employees, uses 50% less energy than if it were built to current commercial code and achieves the U.S. Green Building Council's Leadership in Energy and Environmental Design (LEED{reg_sign})more » Platinum rating. With 19% of the primary energy in the U.S. consumed by commercial buildings, the RSF is changing the way commercial office buildings are designed and built.« less

Pendulum impact testing of an impact-breakaway, windresistant base connection for multi-post ground signs : [summary].

DOT National Transportation Integrated Search

2012-01-01

Roadside signs are critical to traffic control. : However, if not properly designed to yield : upon vehicle impact, these signs become lifethreatening : hazards. Yet, the signs must be able : to withstand wind loading, in Florida, up to : hurricane f...

Spatial and Facial Processing in the Signed Discourse of Two Groups of Deaf Signers with Clinical Language Impairment

ERIC Educational Resources Information Center

Penn, Claire; Commerford, Ann; Ogilvy, Dale

2007-01-01

The linguistic and cognitive profiles of five deaf adults with a sign language disorder were compared with those of matched deaf controls. The test involved a battery of sign language tests, a signed narrative discourse task and a neuropsychological test protocol administered in sign language. Spatial syntax and facial processing were examined in…

Sign Vocabulary in Deaf Toddlers Exposed to Sign Language since Birth

ERIC Educational Resources Information Center

Rinaldi, Pasquale; Caselli, Maria Cristina; Di Renzo, Alessio; Gulli, Tiziana; Volterra, Virginia

2014-01-01

Lexical comprehension and production is directly evaluated for the first time in deaf signing children below the age of 3 years. A Picture Naming Task was administered to 8 deaf signing toddlers (aged 2-3 years) who were exposed to Sign Language since birth. Results were compared with data of hearing speaking controls. In both deaf and hearing…

34 CFR 225.20 - When may a grantee draw down funds?

Code of Federal Regulations, 2010 CFR

2010-07-01

... SECONDARY EDUCATION, DEPARTMENT OF EDUCATION CREDIT ENHANCEMENT FOR CHARTER SCHOOL FACILITIES PROGRAM What... funds after it has signed a performance agreement acceptable to the Department of Education and the... performance agreement provided that the grantee requests to draw down and spend a specific amount of funds and...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2013 CFR

2013-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2014 CFR

2014-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

Top 10 School Survival Strategies

ERIC Educational Resources Information Center

Kennedy, Mike

2011-01-01

Another calendar year is ending without any clear signs that the financial situation is likely to improve for schools and universities across the nation. Four years into this economic drought, education institutions of all sizes from coast to coast have been forced to close facilities, increase class sizes, eliminate programs, postpone building…

24 CFR 1710.16 - Regulatory exemption-determination required.

Code of Federal Regulations, 2010 CFR

2010-04-01

... sewer facilities and any existing or promised amenities; (ii) Contains a good faith estimate of the year... the purchaser signed the sales contract, a warranty deed, or its equivalent under local law, which at... the requirements of one of the exemptions available under this chapter. (2) Each contract— (i...

PBF (PER620) interior, basement level. Concrete wall shows outline of ...

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

PBF (PER-620) interior, basement level. Concrete wall shows outline of reactor basin. Sign says, "Flashing Light - Reactor On - Evacuate Area." Date: May 2004. INEEL negative no. HD-41-5-3 - Idaho National Engineering Laboratory, SPERT-I & Power Burst Facility Area, Scoville, Butte County, ID

Mainstreaming Handicapped Individuals: Parks and Recreation Design Standards Manual.

ERIC Educational Resources Information Center

Illinois State Dept. of Conservation, Springfield.

Intended as a guide for designing and constructing accessible buildings and park facilities for handicapped persons, the manual details design considerations for the following areas: parks and recreation areas, identification signs, parking, trails, picnic areas, furnishings, camp sites, boating, fishing, play and game areas, swimming areas,…

77 FR 74006 - Polychlorinated Biphenyls (PCBs); Recycling Plastics From Shredder Residue

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-12

... show photographic identification, pass through a metal detector, and sign the EPA visitor log. All visitor bags are processed through an X-ray machine and subject to search. Visitors will be provided an... from metals recycling facilities (referred to by ISRI as automobile shredder residue (ASR) aggregate...

14 CFR 21.441 - Procedure manual.

Code of Federal Regulations, 2010 CFR

2010-01-01

... manual. (a) No DAS may exercise any authority under this subpart unless it submits, and obtains approval... limitations or Aircraft Flight Manuals, and sign supplemental type certificates. (b) No DAS may continue to perform any DAS function affected by any change in facilities or staff necessary to continue to meet the...

ARC-2010-ACD10-0037-165

NASA Image and Video Library

2010-08-03

Construction of the new NASA Ames Green Building dubbed Sustainability Base located on the Ames Research Center campus at Moffett Field, CA. Construction Sign. 'Future home of for NASA's Collaborative Support Facility' in partnership with AECOM & William McDonough + Partners and Swinerton Builders ....Sustainability Base ..window to the future on Earth.

75 FR 77570 - Airworthiness Directives; General Electric Company CF6 Series Turbofan Engines

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-13

... electronically. Mail: Docket Management Facility, U.S. Department of Transportation, 1200 New Jersey Avenue, SE...-2251. FOR FURTHER INFORMATION CONTACT: Tomasz Rakowski, Aerospace Engineer, Engine Certification Office... signed the comment on behalf of an association, business, labor union, etc.). You may review the DOT's...

Use of job aids to improve facility-based postnatal counseling and care in rural Benin.

PubMed

Jennings, L; Yebadokpo, A; Affo, J; Agbogbe, M

2015-03-01

This study examined the effect of a job aids-focused intervention on quality of facility-based postnatal counseling, and whether increased communication improved in-hospital newborn care and maternal knowledge of home practices and danger signs requiring urgent care. Ensuring mothers and newborns receive essential postnatal services, including health counseling, is integral to their survival. Yet, quality of clinic-based postnatal services is often low, and evidence on effective improvement strategies is scarce. Using a pre-post randomized design, data were drawn from direct observations and interviews with 411 mother-newborn pairs. Multi-level regression models with difference-in-differences analyses estimated the intervention's relative effect, adjusting for changes in the comparison arm. The mean percent of recommended messages provided to recently-delivered women significantly improved in the intervention arm as compared to the control (difference-in-differences [∆i - ∆c] +30.9, 95 % confidence interval (CI) 19.3, 42.5), and the proportion of newborns thermally protected within the first hour (∆i - ∆c +33.7, 95 % CI 19.0, 48.4) and delayed for bathing (∆i - ∆c +23.9, 95 % CI 9.4, 38.4) significantly increased. No significant changes were observed in early breastfeeding (∆i - ∆c +6.8, 95 % CI -2.8, 16.4) which was nearly universal. Omitting traditional umbilical cord substances rose slightly, but was insignificant (∆i - ∆c +8.5, 95 % CI -2.8, 19.9). The proportion of mothers with correct knowledge of maternal (∆i - ∆c +27.8, 95 % CI 11.0, 44.6) and newborn (∆i - ∆c +40.3, 95 % CI 22.2, 58.4) danger signs grew substantially, as did awareness of several home-care practices (∆i - ∆c +26.0, 95 % CI 7.7, 44.3). Counseling job aids can improve the quality of postnatal services. However, achieving reduction goals in maternal and neonatal mortality will likely require more comprehensive approaches to link enhanced facility services with community-based initiatives.

Finite-time synchronization of complex networks with non-identical nodes and impulsive disturbances

NASA Astrophysics Data System (ADS)

Zhang, Wanli; Li, Chuandong; He, Xing; Li, Hongfei

2018-01-01

This paper investigates the finite-time synchronization of complex networks (CNs) with non-identical nodes and impulsive disturbances. By utilizing stability theories, new 1-norm-based analytical techniques and suitable comparison, systems, several sufficient conditions are obtained to realize the synchronization goal in finite time. State feedback controllers with and without the sign function are designed. Results show that the controllers with sign function can reduce the conservativeness of control gains and the controllers without sign function can overcome the chattering phenomenon. Numerical simulations are offered to verify the effectiveness of the theoretical analysis.

Risk factors associated with neonatal deaths: a matched case-control study in Indonesia.

PubMed

Abdullah, Asnawi; Hort, Krishna; Butu, Yuli; Simpson, Louise

2016-01-01

Similar to global trends, neonatal mortality has fallen only slightly in Indonesia over the period 1990-2010, with a high proportion of deaths in the first week of life. This study aimed to identify risk factors associated with neonatal deaths of low and normal birthweight infants that were amenable to health service intervention at a community level in a relatively poor province of Indonesia. A matched case-control study of neonatal deaths reported from selected community health centres (puskesmas) was conducted over 10 months in 2013. Cases were singleton births, born by vaginal delivery, at home or in a health facility, matched with two controls satisfying the same criteria. Potential variables related to maternal and neonatal risk factors were collected from puskesmas medical records and through home visit interviews. A conditional logistic regression was performed to calculate odds ratios using the clogit procedure in Stata 11. Combining all significant variables related to maternal, neonatal, and delivery factors into a single multivariate model, six factors were found to be significantly associated with a higher risk of neonatal death. The factors identified were as follows: neonatal complications during birth; mother noting a health problem during the first 28 days; maternal lack of knowledge of danger signs for neonates; low Apgar score; delivery at home; and history of complications during pregnancy. Three risk factors (neonatal complication at delivery; neonatal health problem noted by mother; and low Apgar score) were significantly associated with early neonatal death at age 0-7 days. For normal birthweight neonates, three factors (complications during delivery; lack of early initiation of breastfeeding; and lack of maternal knowledge of neonatal danger signs) were found to be associated with a higher risk of neonatal death. The study identified a number of factors amenable to health service intervention associated with neonatal deaths in normal and low birthweight infants. These factors include maternal knowledge of danger signs, response to health problems noted by parents in the first month, early initiation of breastfeeding, and delivery at home. Addressing these factors could reduce neonatal deaths in low resource settings.

46 CFR 169.750 - Radio call sign.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Radio call sign. 169.750 Section 169.750 Shipping COAST... Control, Miscellaneous Systems, and Equipment Markings § 169.750 Radio call sign. Each vessel certificated for exposed or partially protected water service must have its radio call sign permanently displayed...

23 CFR 750.707 - Nonconforming signs.

Code of Federal Regulations, 2010 CFR

2010-04-01

... a later date become noncommercial, or signs lawfully erected on a secondary highway later classified... issued to a single sign owner, obviously in anticipation of the passage of a State control law. (ii... reestablished at a new location as a nonconforming use. (4) The sign must have been lawful on the effective date...

23 CFR 750.707 - Nonconforming signs.

Code of Federal Regulations, 2011 CFR

2011-04-01

... a later date become noncommercial, or signs lawfully erected on a secondary highway later classified... issued to a single sign owner, obviously in anticipation of the passage of a State control law. (ii... reestablished at a new location as a nonconforming use. (4) The sign must have been lawful on the effective date...

Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review

PubMed Central

2011-01-01

Background Comprehensive antenatal, perinatal and early postnatal care has the potential to significantly reduce the 3.58 million neonatal deaths that occur annually worldwide. This paper systematically reviews data on the proportion of neonates and children < 5 years of age that have access to health facilities in low and middle income countries. Gaps in available data by WHO region are identified, and an agenda for future research and advocacy is proposed. Methods For this paper, "utilization" was used as a proxy for "access" to a healthcare facility, and the term "facility" was used for any clinic or hospital outside of a person's home staffed by a "medical professional". A systematic literature search was conducted for published studies of children up to 5 years of age that included the neonatal age group with an illness or illness symptoms in which health facility utilization was quantified. In addition, information from available Demographic and Health Surveys (DHS) was extracted. Results The initial broad search yielded 2,239 articles, of which 14 presented relevant data. From the community-based neonatal studies conducted in the Southeast Asia region with the goal of enhancing care-seeking for neonates with sepsis, the 10-48% of sick neonates in the studies' control arms utilized a healthcare facility. Data from cross-sectional surveys involving young children indicate that 12 to 86% utilizing healthcare facilities when sick. From the DHS surveys, a global median of 58.1% of infants < 6 months were taken to a facility for symptoms of ARI. Conclusions There is a scarcity of data regarding the access to facility-based care for sick neonates/young children in many areas of the world; it was not possible to generalize an overall number of neonates or young children that utilize a healthcare facility when showing signs and symptoms of illness. The estimate ranges were broad, and there was a paucity of data from some regions. It is imperative that researchers, advocates, and policy makers join together to better understand the factors affecting health care utilization/access for newborns in different settings and what the barriers are that prevent children from being taken to a facility in a timely manner. PMID:22166258

Similar call signs

DOT National Transportation Integrated Search

2010-08-18

This presentation was given at the Partnership for Safety Meeting in Washington, DC. It examines the similarities that are found when calls signs are visually similar or similar sounding. Visually similar call signs increase the chances of controller...

Extravehicular mobility unit training and astronaut injuries

NASA Technical Reports Server (NTRS)

Strauss, Samuel; Krog, Ralph L.; Feiveson, Alan H.

2005-01-01

BACKGROUND: Astronaut spacewalk training can result in a variety of symptom complaints and possible injuries. This study quantified and characterized signs, symptoms, and injuries resulting from extravehicular activity spacesuit training at NASA's Neutral Buoyancy Laboratory, Johnson Space Center, Houston, TX, immersion facility. METHODS: We identified the frequency and incidence of symptoms by location, mechanisms of injury, and effective countermeasures. Recommendations were made to improve injury prevention, astronaut training, test preparation, and training hardware. At the end of each test, a questionnaire was completed documenting signs and symptoms, mechanisms of injury, and countermeasures. RESULTS: Of the 770 tests, there were 190 in which suit symptoms were reported (24.6%). There were a total of 352 reported suit symptom comments. Of those symptoms, 166 were in the hands (47.16%), 73 were in the shoulders (20.7%), and 40 were in the feet (11.4%). Others ranged from 6.0% to 0.28%, respectively, from the legs, arms, neck, trunk, groin, and head. Causal mechanisms for the hands included moisture and hard glove contacts resulting in fingernail injuries; in the shoulders, hard contact with suit components and strain mechanisms; and in the feet, hard boot contact. The severity of symptoms was highest in the shoulders, hands, and feet. CONCLUSIONS: Most signs and symptoms were mild, self-limited, of brief duration, and were well controlled by available countermeasures. Some represented the potential for significant injury with consequences affecting astronaut health and performance. Correction of extravehicular activity training-related injuries requires a multidisciplinary approach to improve prevention, medical intervention, astronaut training, test planning, and suit engineering.

Extravehicular mobility unit training and astronaut injuries.

PubMed

Strauss, Samuel; Krog, Ralph L; Feiveson, Alan H

2005-05-01

Astronaut spacewalk training can result in a variety of symptom complaints and possible injuries. This study quantified and characterized signs, symptoms, and injuries resulting from extravehicular activity spacesuit training at NASA's Neutral Buoyancy Laboratory, Johnson Space Center, Houston, TX, immersion facility. We identified the frequency and incidence of symptoms by location, mechanisms of injury, and effective countermeasures. Recommendations were made to improve injury prevention, astronaut training, test preparation, and training hardware. At the end of each test, a questionnaire was completed documenting signs and symptoms, mechanisms of injury, and countermeasures. Of the 770 tests, there were 190 in which suit symptoms were reported (24.6%). There were a total of 352 reported suit symptom comments. Of those symptoms, 166 were in the hands (47.16%), 73 were in the shoulders (20.7%), and 40 were in the feet (11.4%). Others ranged from 6.0% to 0.28%, respectively, from the legs, arms, neck, trunk, groin, and head. Causal mechanisms for the hands included moisture and hard glove contacts resulting in fingernail injuries; in the shoulders, hard contact with suit components and strain mechanisms; and in the feet, hard boot contact. The severity of symptoms was highest in the shoulders, hands, and feet. Most signs and symptoms were mild, self-limited, of brief duration, and were well controlled by available countermeasures. Some represented the potential for significant injury with consequences affecting astronaut health and performance. Correction of extravehicular activity training-related injuries requires a multidisciplinary approach to improve prevention, medical intervention, astronaut training, test planning, and suit engineering.

Early Sign Language Experience Goes along with an Increased Cross-Modal Gain for Affective Prosodic Recognition in Congenitally Deaf CI Users

ERIC Educational Resources Information Center

Fengler, Ineke; Delfau, Pia-Céline; Röder, Brigitte

2018-01-01

It is yet unclear whether congenitally deaf cochlear implant (CD CI) users' visual and multisensory emotion perception is influenced by their history in sign language acquisition. We hypothesized that early-signing CD CI users, relative to late-signing CD CI users and hearing, non-signing controls, show better facial expression recognition and…

Impaired recognition of traffic signs in adults with dyslexia.

PubMed

Brachacki, G W; Nicolson, R I; Fawcett, A J

1995-05-01

Ten adults with dyslexia (4 women and 6 men, mean age: 26.8 years, range: 19-43 years) and 11 controls (5 women and 6 men, mean age: 20.5 years, range: 18-29 years) were tested on their ability to differentiate between real and false traffic signs. The stimuli, computer-presented color pictures, were chosen to minimize the applicability of verbal or written linguistic skills to the task. The adults with dyslexia recognized the traffic signs significantly less well than did the controls. Furthermore, whereas for the controls there was a significant correlation between traffic sign recognition and driving experience, no such correlation was found for the adults with dyslexia. The results are interpreted in terms of a deficit in implicit learning.

Knowledge, practices and perceptions of geo-helminthes infection among parents of pre-school age children of coastal region, Kenya.

PubMed

Masaku, Janet; Mwende, Faith; Odhiambo, Gladys; Musuva, Rosemary; Matey, Elizabeth; Kihara, Jimmy H; Thuita, Isaac G; Njomo, Doris W

2017-03-01

Soil-transmitted helminthes (STHs) are common human parasitic diseases in most of the developing world particularly in Kenya. The ongoing National School-Based Deworming Programme (NSBDP) was launched in 2012 and is currently targeting 28 of the 47 endemic Counties. In an effort to improve treatment intervention strategies among Pre-School Age Children (PSAC) attending Early Childhood Development Centres (ECDC), we sought to assess parents' knowledge, perceptions and practices on worm infection. We conducted a qualitative cross-sectional study in four endemic sub-counties of two counties of coastal region of Kenya. A total of 20 focus group discussions (FGDs) categorized by gender were conducted among parents of pre-school age children. Participants were purposively selected based on homogenous characteristics with the saturation model determining the number of focus group discussions conducted. The data collected was analyzed manually by study themes. The majority of the parents had knowledge on worms and modes of transmission of the parasitic infections among the pre-school children. Also, most of the participants knew the causes of worm infection and the pre- disposing factors mentioned included poor hygiene and sanitation practices. Due to poor knowledge of signs and symptoms, misconceptions about the drugs administered during the NSBDP were common with a large majority of the parents indicating that the drugs were ineffective in worm control. The findings also indicated that most of the participants sought medical care on the onset of the signs and symptoms of worm infestation and preferred services provided at public health facilities as opposed to private health facilities or buying drugs from the local market citing mistrust of such services. Cultural beliefs, high cost of building and availability of vast pieces of land for human waste disposal were factors that contributed to low or lack of latrine ownership and usage by a large majority of the respondents. Our results show that to a large extent the parents of the pre-school age children have information on worm infections. However, some cultural beliefs and practices on the pathology and mode of transmission mentioned could be a hindrance to prevention and control efforts. There is need to implement health promotion campaigns to strengthen the impact of control strategies and reduce infection.

Knowledge, practices and perceptions of geo-helminthes infection among parents of pre-school age children of coastal region, Kenya

PubMed Central

Mwende, Faith; Odhiambo, Gladys; Musuva, Rosemary; Matey, Elizabeth; Kihara, Jimmy H.; Thuita, Isaac G.; Njomo, Doris W.

2017-01-01

Background Soil-transmitted helminthes (STHs) are common human parasitic diseases in most of the developing world particularly in Kenya. The ongoing National School-Based Deworming Programme (NSBDP) was launched in 2012 and is currently targeting 28 of the 47 endemic Counties. In an effort to improve treatment intervention strategies among Pre-School Age Children (PSAC) attending Early Childhood Development Centres (ECDC), we sought to assess parents’ knowledge, perceptions and practices on worm infection. Methodology We conducted a qualitative cross-sectional study in four endemic sub-counties of two counties of coastal region of Kenya. A total of 20 focus group discussions (FGDs) categorized by gender were conducted among parents of pre-school age children. Participants were purposively selected based on homogenous characteristics with the saturation model determining the number of focus group discussions conducted. The data collected was analyzed manually by study themes. Findings The majority of the parents had knowledge on worms and modes of transmission of the parasitic infections among the pre-school children. Also, most of the participants knew the causes of worm infection and the pre- disposing factors mentioned included poor hygiene and sanitation practices. Due to poor knowledge of signs and symptoms, misconceptions about the drugs administered during the NSBDP were common with a large majority of the parents indicating that the drugs were ineffective in worm control. The findings also indicated that most of the participants sought medical care on the onset of the signs and symptoms of worm infestation and preferred services provided at public health facilities as opposed to private health facilities or buying drugs from the local market citing mistrust of such services. Cultural beliefs, high cost of building and availability of vast pieces of land for human waste disposal were factors that contributed to low or lack of latrine ownership and usage by a large majority of the respondents. Conclusions Our results show that to a large extent the parents of the pre-school age children have information on worm infections. However, some cultural beliefs and practices on the pathology and mode of transmission mentioned could be a hindrance to prevention and control efforts. There is need to implement health promotion campaigns to strengthen the impact of control strategies and reduce infection. PMID:28358802

Implementation of the fugitive emissions system program: The OxyChem experience

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

Deshmukh, A.

An overview is provided for the Fugitive Emissions System (FES) that has been implemented at Occidental Chemical in conjunction with the computer-based maintenance system called PassPort{reg_sign} developed by Indus Corporation. The goal of PassPort{reg_sign} FES program has been to interface with facilities data, equipment information, work standards and work orders. Along the way, several implementation hurdles had to be overcome before a monitoring and regulatory system could be standardized for the appropriate maintenance, process and environmental groups. This presentation includes step-by-step account of several case studies that developed during the implementation of the FES system.

Minimum sign retroreflective guidelines : summary report

DOT National Transportation Integrated Search

1997-06-01

Retroreflective traffic control devices are designed to help offset the lack of visual cues in the nighttime driving environment. Currently, the Manual on Uniform Traffic Control Devices requires that signs be retroreflectorized, but no minimum in-se...

IET control building (TAN620). interior room. sign says, "emergency equipment ...

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

IET control building (TAN-620). interior room. sign says, "emergency equipment for metal fires." INEEL negative no. HD-21-1-2 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

A Randomized Cohort Controlled Trial to Compare Intern Sign-Out Training Interventions.

PubMed

Lee, Soo-Hoon; Terndrup, Christopher; Phan, Phillip H; Zaeh, Sandra E; Atsina, Kwame; Minkove, Nicole; Billioux, Alexander; Chatterjee, Souvik; Montague, Idoreyin; Clark, Bennett; Hughes, Andrew; Desai, Sanjay V

2017-12-01

Although previous studies have investigated the efficacy of specific sign-out protocols (such as the illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by reviewer [I-PASS] bundle), the implementation of a bundle can be time consuming and costly. We compared 4 sign-out training pedagogies on sign-out quality. To evaluate training interventions that best enhance multidimensional sign-out quality measured by information exchange, task accountability, and personal responsibility. Four general internal medicine firms were randomly assigned into 1 of the following 4 training interventions: didactics (control), I-PASS, policy mandate on task accountability, and Plan-Do-Study-Act (PDSA). First-year interns at a large, Mid-Atlantic internal medicine residency program. Eight trained observers examined 10 days each in the pre- and postintervention periods for each firm using a standardized sign-out checklist. Pre- and postintervention differences showed significant improvements in the transfer of patient information, task accountability, and personal responsibility for the I-PASS, policy mandate, and PDSA groups, respectively, in line with their respective training foci. Compared to the control, I-PASS reported the best improvements in sign-out quality, although there was room to improve in task accountability and responsibility. Different training emphases improved different dimensions of sign-out quality. A combination of training pedagogies is likely to yield optimal results. © 2017 Society of Hospital Medicine

A Retrospective Case Series of Surgical Implant Generation Network (SIGN) Placement at the Afghan National Police Hospital, Kabul, Afghanistan.

PubMed

Ertl, Christian W; Royal, David; Arzoiey, Humayoon Abdul; Shefa, Azizullah; Sultani, Salim; Mosafa, Mohammed Omar; Sadat, Safiullah; Zirkle, Lewis

2016-01-01

In Afghanistan, adequate and cost-effective medical care for even routine conditions is lacking; especially for complex injuries like long-bone fractures. The Surgical Implant Generation Network (SIGN) intramedullary nail is used for treatment of long-bone fractures from blunt injuries and does not require imaging. We are reporting for the first time results of the SIGN intramedullary nail at the Afghan National Police Hospital, a tertiary care facility in Kabul. 71 records from the SIGN Online Surgical Database were reviewed for gender, age, date of injury, implant date, patient's home of record, and type/ mechanism of injury. Mean age was 26.7 years, all but one being male; time from injury to implant ranged 1 to 401 days, with mean of 40.6 days. Long-bone fractures from motor vehicle accidents remained constant, and war injuries peaked in summer. Follow-up is limited because of security and financial burdens of travel. However, personal communication with Afghan National Police Hospital surgeons suggests that patients included in the current study have not experienced any adverse outcomes. While it remains to be seen if the SIGN Online Surgical Database will facilitate more comprehensive outcome studies, our results provide support for the efficacy of SIGN nails in treating long-bone fractures from war injuries. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

[Healthcare-associated infections and antimicrobial use in long term care facilities (HALT-2): German results of the second European prevalence survey].

PubMed

Ruscher, Claudia; Kraus-Haas, Martina; Nassauer, Alfred; Mielke, Martin

2015-04-01

Prevention of infections and strategies for the prudent use of antimicrobials in long-term care facilities have gained importance in view of the demographic changes, not only in Germany. To generate appropriate data and to identify relevant aspects of infection prevention in this field, the European Centre for Disease Prevention and Control (ECDC) launched the second point prevalence survey of healthcare-associated infections and antimicrobial use in European long-term care facilities in 2013 (HALT-2). Despite methodical adjustments in the collection of data on healthcare-associated infections, in this second survey healthcare workers in the participating facilities were intensively trained in methodology and data collection. Overall, 221 German facilities participated and collected data from 17,208 residents. Well-established structures of regional networks facilitated the recruitment of participants as well as the preparations for training and survey. The median prevalence of residents receiving at least one antimicrobial agent was 1.1% (95 %-CI 0,7-1,6)), which is remarkably low. However, the most frequently used antimicrobials in German facilities beside beta-lactams (penicillins 18.2%, other beta-lactams 17.2%) were quinolones (28.2%). Data collection of infections was performed based on signs and symptoms in detailed decision algorithms according to the recently updated McGeer surveillance criteria and yielded a median prevalence of 1.7% (95 %-CI 1,1-2,2). Symptomatic urinary tract infections (28.4%), skin and soft tissue infection (27.9%), and respiratory tract infections (24.7%) were identified both as the most common types of infections and the most common indications for the use of systemic antimicrobials. Clinical implications evolve mainly from the high use of quinolones. In terms of infection prevention measures, compliance of health care workers with a hand hygiene regimen revealed further potential for improvement.

Determining a strategy for efficiently managing sign retroreflectivity.

DOT National Transportation Integrated Search

2013-01-01

The Manual on Uniform Traffic : Control Devices (MUTCD) required : minimum retroreflectivity levels for : roadway signs and the Federal Highway : Administration required that a plan be in place : by 2012 to track roadway sign retroreflectivity. : The...

23 CFR 750.710 - Landmark signs.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 23 Highways 1 2012-04-01 2012-04-01 false Landmark signs. 750.710 Section 750.710 Highways FEDERAL... Outdoor Advertising Control § 750.710 Landmark signs. (a) 23 U.S.C. 131(c) permits the existence of signs... artistic significance, the preservation of which is consistent with the purpose of 23 U.S.C. 131. (b...

49 CFR 397.73 - Public information and reporting requirements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... in the form of maps, lists, road signs or some combination thereof. If road signs are used, those signs and their placements must comply with the provisions of the Manual on Uniform Traffic Control Devices, 2 published by the FMCSA, particularly the Hazardous Cargo signs identified as R14-2 and R14-3...

49 CFR 397.73 - Public information and reporting requirements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... in the form of maps, lists, road signs or some combination thereof. If road signs are used, those signs and their placements must comply with the provisions of the Manual on Uniform Traffic Control Devices, 2 published by the FMCSA, particularly the Hazardous Cargo signs identified as R14-2 and R14-3...

49 CFR 397.73 - Public information and reporting requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... in the form of maps, lists, road signs or some combination thereof. If road signs are used, those signs and their placements must comply with the provisions of the Manual on Uniform Traffic Control Devices, 2 published by the FMCSA, particularly the Hazardous Cargo signs identified as R14-2 and R14-3...

49 CFR 397.73 - Public information and reporting requirements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... in the form of maps, lists, road signs or some combination thereof. If road signs are used, those signs and their placements must comply with the provisions of the Manual on Uniform Traffic Control Devices, 2 published by the FMCSA, particularly the Hazardous Cargo signs identified as R14-2 and R14-3...

49 CFR 397.73 - Public information and reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... in the form of maps, lists, road signs or some combination thereof. If road signs are used, those signs and their placements must comply with the provisions of the Manual on Uniform Traffic Control Devices, 2 published by the FMCSA, particularly the Hazardous Cargo signs identified as R14-2 and R14-3...

Contribution of Equal-Sign Instruction beyond Word-Problem Tutoring for Third-Grade Students with Mathematics Difficulty

PubMed Central

Powell, Sarah R.; Fuchs, Lynn S.

2010-01-01

Elementary school students often misinterpret the equal sign (=) as an operational rather than a relational symbol. Such misunderstanding is problematic because solving equations with missing numbers may be important for higher-order mathematics skills including word problems. Research indicates equal-sign instruction can alter how typically-developing students use the equal sign, but no study has examined effects for students with mathematics difficulty (MD) or how equal-sign instruction contributes to word-problem skill for students with or without MD. The present study assessed the efficacy of equal-sign instruction within word-problem tutoring. Third-grade students with MD (n = 80) were assigned to word-problem tutoring, word-problem tutoring plus equal-sign instruction (combined) tutoring, or no-tutoring control. Combined tutoring produced better improvement on equal sign tasks and open equations compared to the other 2 conditions. On certain forms of word problems, combined tutoring but not word-problem tutoring alone produced better improvement than control. When compared at posttest to 3rd-grade students without MD on equal sign tasks and open equations, only combined tutoring students with MD performed comparably. PMID:20640240

Improved chain control operations.

DOT National Transportation Integrated Search

2010-01-01

In California, field maintenance personnel use turntable signs to advise motorists of chain control conditions on rural : highways and freeways. To do this an operator has to park, exit the vehicle, turn the sign on the shoulder and then : walk acros...

Active and passive surveillance for communicable diseases in child care facilities, Seattle-King County, Washington.

PubMed

MacDonald, J K; Boase, J; Stewart, L K; Alexander, E R; Solomon, S L; Cordell, R L

1997-12-01

The purpose of this study was to develop and evaluate models for public health surveillance of illnesses among children in out-of-home child care facilities. Between July 1992 and March 1994, 200 Seattle-King County child care facilities participated in active or enhanced passive surveillance, or both. Reporting was based on easily recognized signs, symptoms, and sentinel events. Published criteria were used in evaluating surveillance effectiveness, and notifiable disease reporting of participating and nonparticipating facilities was compared. Neither surveillance model was well accepted by child care providers. Enhanced passive and active surveillance had comparable sensitivity. Reporting delays and the large amount of time needed for data entry led to problems with timeliness, especially in terms of written reporting during active surveillance. Widespread active public health surveillance in child care facilities is not feasible for most local health departments. Improvements in public health surveillance in child care settings will depend on acceptability to providers.

The Effect of Tutoring With Nonstandard Equations for Students With Mathematics Difficulty.

PubMed

Powell, Sarah R; Driver, Melissa K; Julian, Tyler E

2015-01-01

Students often misinterpret the equal sign (=) as operational instead of relational. Research indicates misinterpretation of the equal sign occurs because students receive relatively little exposure to equations that promote relational understanding of the equal sign. No study, however, has examined effects of nonstandard equations on the equation solving and equal-sign understanding of students with mathematics difficulty (MD). In the present study, second-grade students with MD (n = 51) were randomly assigned to standard equations tutoring, combined tutoring (standard and nonstandard equations), and no-tutoring control. Combined tutoring students demonstrated greater gains on equation-solving assessments and equal-sign tasks compared to the other two conditions. Standard tutoring students demonstrated improved skill on equation solving over control students, but combined tutoring students' performance gains were significantly larger. Results indicate that exposure to and practice with nonstandard equations positively influence student understanding of the equal sign. © Hammill Institute on Disabilities 2013.

42 CFR 405.1205 - Notifying beneficiaries of hospital discharge appeal rights.

Code of Federal Regulations, 2011 CFR

2011-10-01

...” is defined as any facility providing care at the inpatient hospital level, whether that care is short... basis, limited to specialty care or providing a broader spectrum of services. This definition includes... beneficiary refuses to sign the notice. The hospital may annotate its notice to indicate the refusal, and the...

42 CFR 422.620 - Notifying enrollees of hospital discharge appeal rights.

Code of Federal Regulations, 2011 CFR

2011-10-01

... facility providing care at the inpatient hospital level, whether that care is short term or long term... specialty care or providing a broader spectrum of services. This definition also includes critical access... enrollee refuses to sign the notice. The hospital may annotate its notice to indicate the refusal, and the...

42 CFR 405.1205 - Notifying beneficiaries of hospital discharge appeal rights.

Code of Federal Regulations, 2010 CFR

2010-10-01

...” is defined as any facility providing care at the inpatient hospital level, whether that care is short... basis, limited to specialty care or providing a broader spectrum of services. This definition includes... beneficiary refuses to sign the notice. The hospital may annotate its notice to indicate the refusal, and the...

42 CFR 422.620 - Notifying enrollees of hospital discharge appeal rights.

Code of Federal Regulations, 2010 CFR

2010-10-01

... facility providing care at the inpatient hospital level, whether that care is short term or long term... specialty care or providing a broader spectrum of services. This definition also includes critical access... enrollee refuses to sign the notice. The hospital may annotate its notice to indicate the refusal, and the...

China’s Assistance and Government-Sponsored Investment Activities in Africa, Latin America, and Southeast Asia

DTIC Science & Technology

2009-11-25

line.55 In January 2008, the Indonesian state electricity company signed an agreement with China’s Eximbank to borrow $615 million to build coal -fired...aid in the construction of infrastructure and educational facilities in exchange for rights over copper and cobalt deposits .37 Examples of PRC

75 FR 16080 - Notice of Intent To Prepare an Environmental Impact Statement for Basewide Water Infrastructure...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-31

...- design and to develop additional alternatives for analysis. These two water infrastructure projects are... carbon, and reverse osmosis. The facility would be designed in modular form for ease of expandability... lighting, asphalt pavement, and pavement marking and signs. The project includes ``100-year storm'' flood...

40 CFR 761.218 - Certificate of disposal.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.218 Certificate of disposal. (a) For each shipment of manifested PCB waste that the owner or operator of a disposal facility accepts by signing the manifest, the... certifying the fact of disposal of the identified PCB waste, including the date(s) of disposal, and...

40 CFR 761.218 - Certificate of disposal.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.218 Certificate of disposal. (a) For each shipment of manifested PCB waste that the owner or operator of a disposal facility accepts by signing the manifest, the... certifying the fact of disposal of the identified PCB waste, including the date(s) of disposal, and...

40 CFR 761.218 - Certificate of disposal.

Code of Federal Regulations, 2012 CFR

2012-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.218 Certificate of disposal. (a) For each shipment of manifested PCB waste that the owner or operator of a disposal facility accepts by signing the manifest, the... certifying the fact of disposal of the identified PCB waste, including the date(s) of disposal, and...

40 CFR 761.218 - Certificate of disposal.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROHIBITIONS PCB Waste Disposal Records and Reports § 761.218 Certificate of disposal. (a) For each shipment of manifested PCB waste that the owner or operator of a disposal facility accepts by signing the manifest, the... certifying the fact of disposal of the identified PCB waste, including the date(s) of disposal, and...

18 CFR 50.3 - Applications/pre-filing; rules and format.

Code of Federal Regulations, 2010 CFR

2010-04-01

... filings must be signed in compliance with § 385.2005 of this chapter. (e) The Commission will conduct a... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Applications/pre-filing... INTERSTATE ELECTRIC TRANSMISSION FACILITIES § 50.3 Applications/pre-filing; rules and format. (a) Filings are...

36 CFR 7.15 - Shenandoah National Park.

Code of Federal Regulations, 2014 CFR

2014-07-01

... or unpaved road, or within sight of any sign which has been posted by park authorities to designate a... those areas of the park which are more than 250 yards from a paved road, and more than one-half mile from any park facilities other than trails, unpaved roads and trail shelters. The Superintendent may...

36 CFR 7.15 - Shenandoah National Park.

Code of Federal Regulations, 2012 CFR

2012-07-01

... or unpaved road, or within sight of any sign which has been posted by park authorities to designate a... those areas of the park which are more than 250 yards from a paved road, and more than one-half mile from any park facilities other than trails, unpaved roads and trail shelters. The Superintendent may...

36 CFR 7.15 - Shenandoah National Park.

Code of Federal Regulations, 2013 CFR

2013-07-01

... or unpaved road, or within sight of any sign which has been posted by park authorities to designate a... those areas of the park which are more than 250 yards from a paved road, and more than one-half mile from any park facilities other than trails, unpaved roads and trail shelters. The Superintendent may...

36 CFR 7.15 - Shenandoah National Park.

Code of Federal Regulations, 2011 CFR

2011-07-01

... or unpaved road, or within sight of any sign which has been posted by park authorities to designate a... those areas of the park which are more than 250 yards from a paved road, and more than one-half mile from any park facilities other than trails, unpaved roads and trail shelters. The Superintendent may...

40 CFR 370.41 - What is Tier I inventory information?

Code of Federal Regulations, 2011 CFR

2011-07-01

..., and phone number. (g) Emergency contact. The name, title, and phone number(s) of at least one local... chemical accident at your facility. You must provide an emergency phone number where such emergency... accompanied by your full name, official title, signature, date signed, and total number of pages in the...

40 CFR 370.41 - What is Tier I inventory information?

Code of Federal Regulations, 2012 CFR

2012-07-01

..., and phone number. (g) Emergency contact. The name, title, and phone number(s) of at least one local... chemical accident at your facility. You must provide an emergency phone number where such emergency... accompanied by your full name, official title, signature, date signed, and total number of pages in the...

38 CFR 1.467 - Restrictions on the use of identification cards and public signs.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Immunodeficiency Virus (hiv), Or Sickle Cell Anemia § 1.467 Restrictions on the use of identification cards and... abuse, alcoholism or alcohol abuse, HIV infection, or sickle cell anemia treatment program. A facility... alcohol abuse, HIV infection, or sickle cell anemia. (b) Treatment locations should not be identified by...

38 CFR 1.467 - Restrictions on the use of identification cards and public signs.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Immunodeficiency Virus (hiv), Or Sickle Cell Anemia § 1.467 Restrictions on the use of identification cards and... abuse, alcoholism or alcohol abuse, HIV infection, or sickle cell anemia treatment program. A facility... alcohol abuse, HIV infection, or sickle cell anemia. (b) Treatment locations should not be identified by...

38 CFR 1.467 - Restrictions on the use of identification cards and public signs.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Immunodeficiency Virus (hiv), Or Sickle Cell Anemia § 1.467 Restrictions on the use of identification cards and... abuse, alcoholism or alcohol abuse, HIV infection, or sickle cell anemia treatment program. A facility... alcohol abuse, HIV infection, or sickle cell anemia. (b) Treatment locations should not be identified by...

38 CFR 1.467 - Restrictions on the use of identification cards and public signs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Immunodeficiency Virus (hiv), Or Sickle Cell Anemia § 1.467 Restrictions on the use of identification cards and... abuse, alcoholism or alcohol abuse, HIV infection, or sickle cell anemia treatment program. A facility... alcohol abuse, HIV infection, or sickle cell anemia. (b) Treatment locations should not be identified by...

38 CFR 1.467 - Restrictions on the use of identification cards and public signs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Immunodeficiency Virus (hiv), Or Sickle Cell Anemia § 1.467 Restrictions on the use of identification cards and... abuse, alcoholism or alcohol abuse, HIV infection, or sickle cell anemia treatment program. A facility... alcohol abuse, HIV infection, or sickle cell anemia. (b) Treatment locations should not be identified by...

75 FR 33216 - Payment or Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-11

... treatment of eligible veterans at non-VA facilities and expand the circumstances under which payment for..., potentially eligible veterans would be appropriately afforded ample opportunity to qualify for this expanded...; 64.010, Veterans Nursing Home Care; and 64.011, Veterans Dental Care. Signing Authority The Secretary...

SLF Run/Walk for Safety and Health Month

NASA Image and Video Library

2018-03-13

Kennedy Space Center employees hold up signs showing their commitment to safety after crossing the finish line at the KSC Walk Run. The annual event, part of Kennedy’s Safety and Health Days, offers 10K, 5K and 2-mile options on the Shuttle Landing Facility runway in the spirit of friendly competition.

75 FR 64681 - Airworthiness Directives; General Electric Company (GE) CF6-45 Series and CF6-50 Series Turbofan...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-20

... follow the instructions for sending your comments electronically. Mail: Docket Management Facility, U.S... J. Richards, Aerospace Engineer, Engine Certification Office, FAA, Engine & Propeller Directorate... signed the comment on behalf of an association, business, labor union, etc.). You may review the DOT's...

Pure Air`s Bailly scrubber: A four-year retrospective

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

Manavi, G.B.; Vymazal, D.C.; Sarkus, T.A.

1997-12-31

Pure Air`s Advanced Flue Gas Desulfurization (AFGD) Clean Coal Project has completed four highly successful years of operation at NIPSCO`s Bailly Station. As part of their program, Pure Air has concluded a six-part study of system performance. This paper summarizes the results of the demonstration program, including AFGD performance on coals ranging from 2.0--2.4% sulfur. The paper highlights novel aspects of the Bailly facility, including pulverized limestone injection, air rotary sparger for oxidation, wastewater evaporation system and the production of PowerChip{reg_sign} gypsum. Operations and maintenance which have led to the facility`s notable 99.47% availability record are also discussed. A projectmore » company, Pure Air on the Lake Limited Partnership, owns the AFGD facility. Pure Air was the turn key contractor and Air Products and Chemicals, Inc. is the operator of the AFGD system.« less

Retrospective evaluation of methionine intoxication associated with urinary acidifying products in dogs: 1,525 cases (2001-2012).

PubMed

Hickey, Mara C; Son, Tolina T; Wismer, Tina

2015-01-01

To describe the signalment, clinical findings, timing of signs, outcome, and prognosis in a population of dogs exposed to methionine through the ingestion of urine acidifying products. Retrospective observational study from January 1, 2001 to December 31, 2012. Animal Poison Control Center. A total of 1,197 case calls yielding 1,525 dogs identified with presumed methionine ingestion. None. Records of dogs with presumptive methionine ingestion were reviewed from the American Society for the Prevention of Cruelty to Animals Animal Poison Control Center database. Ingested methionine doses ranged from 3.9 mg/kg to 23,462 mg/kg. Clinical signs developed in 47% of dogs. The most common clinical signs were gastrointestinal (GI) and neurologic. The mean onset of GI signs was 2.8 hours following ingestion. The mean onset of neurologic signs was 6.8 hours following ingestion. GI signs were identified with ingested doses ≥22.5 mg/kg. Vomiting was the most common GI sign. Neurologic signs were identified with ingested doses ≥94.6 mg/kg. Ataxia was the most common neurologic sign. Resolution of clinical signs occurred within 48 hours of ingestion, and no fatalities were reported. Prognosis for dogs with methionine intoxication is excellent. Vomiting and ataxia were the most common clinical signs associated with methionine toxicosis. © Veterinary Emergency and Critical Care Society 2015.

Awareness that early cancer lump is painless could decrease breast cancer mortality in developing countries.

PubMed

Garg, Pankaj

2016-06-10

There are several factors which contribute to patients' reporting late to healthcare facility even after detecting the breast lump (patient delay). Amongst these, one of the important factors in low- and middle-income countries is lack of awareness that early cancer lump is painless (ECLIPs). Pain is often taken as a danger sign and absence of pain is often not taken seriously. The studies have shown that up to 98% of women in low-income countries are unaware that a painless lump could be a warning sign of early breast cancer. This fact is significant because this could be one of the prime reasons for the women having discovered a painless lump in the breast, accidentally or by breast self-examination, presume it to be harmless and don't report early to health care facility. Therefore, creating awareness about ECLIPs could be an effective strategy to reduce mortality due to breast cancer in low- and middle-income countries. Moreover, unlike modifying risk factors which requires long term behavior modification, creating awareness about ECLIPs is easy and cost effective.

Measuring clinical outcomes of animal-assisted therapy: impact on resident medication usage.

PubMed

Lust, Elaine; Ryan-Haddad, Ann; Coover, Kelli; Snell, Jeff

2007-07-01

To measure changes in medication usage of as-needed, psychoactive medications and other select as-needed medication usage as a result of a therapy dog residing in the rehabilitation facility. Additional measures are participants' thoughts and feelings on quality-of-life factors. One group, pretest, post-test. Residential rehabilitation facility. Convenience sample, N = 58 residents living at the facility. A certified, trained therapy dog. Changes in as-needed medication usage for the following categories: analgesics, psychoactive medications, and laxatives, as well as changes in vital sign measurements of blood pressure, pulse, respiration rate, and body weight. Additionally, changes in the residents' perception of quality-of-life factors. One of the three monitored drug classes, analgesia, revealed a decrease in medication usage (mean = 2.6, standard deviation [SD] +/- 6.90, P = 0.017), and one of four monitored vital signs, pulse, showed a decrease (mean = 5.8, SD +/-7.39, P = 0.000) in study participants exposed to the therapy dog. Positive changes were reported in study participants' quality of life. The benefits to human welfare as a result of the presence of a therapy dog have the potential to decrease medication usage for certain conditions in long-term care patients as well as decrease costs. Pharmacist involvement in animal-assisted therapy has the potential to make unique and measurable improvements to best patient care.

Health education and community participation in the control of urinary schistosomiasis in Ghana.

PubMed

Aryeetey, M E; Aholu, C; Wagatsuma, Y; Bentil, G; Nkrumah, F K; Kojima, S

1999-06-01

To study the role of health education and community participation for the provision of facilities necessary for the control of urinary schistosomiasis in southern Ghana. Health education facilitates community participation in the provision of facilities for the control of bilharzia. Three rural communities drained by the Densu river in southern Ghana. Individuals aged 14 years and above formed groups of 10-12 persons by age, sex, ethnic and educational background; 15-16 groups were formed. Based on existing structures, one community received active, another passive health education and the third had no education. All three communities received chemotherapy. Study was carried out in three phases: pre-intervention phase--during which baseline data on residents' knowledge, attitude, beliefs and perception about bilharzia were collected using focus group discussions (FGD) prior to the second phase, intervention. Another FGD was held after 18 months to evaluate the intervention--third phase. This study suggests that most community members were aware of schistosomiasis but not as a disease. Before the health education, some residents believed bilharzia was a sign of manhood while others attributed the red colour of the urine to the red colour of a variety of sugar cane eaten in the area. After the health education, residents in the three areas constructed hand-dug wells. In addition, those who received active health education constructed two toilets for the schools and weeded the banks of the rivers. Residents also associated the disease with the water snail. Health education was useful in changing community perception on bilharzia.

Reliability of medical records in diagnosing inflammatory breast cancer in Egypt.

PubMed

Le, Lynne; Schairer, Catherine; Hablas, Ahmed; Meza, Jane; Watanabe-Galloway, Shinobu; Ramadan, Mohamed; Merajver, Sofia D; Seifeldin, Ibrahim A; Soliman, Amr S

2017-03-16

Inflammatory breast cancer (IBC) is a rare, aggressive breast cancer diagnosed clinically by the presence of diffuse erythema, peau d'orange, and edema that arise quickly in the affected breast. This study evaluated the validity of medical records in Gharbiah, Egypt in identifying clinical signs/symptoms of IBC. For 34 IBC cases enrolled in a case-control study at the Gharbiah Cancer Society and Tanta Cancer Center, Egypt (2009-2010), we compared signs/symptoms of IBC noted in medical records to those recorded on a standardized form at the time of IBC diagnosis by clinicians participating in the case-control study. We calculated the sensitivity and specificity of medical records as compared to the case-control study for recording these signs/symptoms. We also performed McNemar's tests. In the case-control study, 32 (94.1%) IBC cases presented with peau d'orange, 30 (88.2%) with erythema, and 31 (91.2%) with edema. The sensitivities of the medical records as compared to the case-control study were 0.8, 0.5, and 0.2 for peau d'orange, erythema, and edema, respectively. Corresponding specificities were 1.0, 0.5, and 1.0. p values for McNemar's test were <0.05 for all signs. Medical records had data on the extent and duration of signs for at most 27% of cases for which this information was recorded in the case-control study. Twenty-three of the 34 cases (67.6%) had confirmed diagnosis of IBC in their medical records. Medical records lacked information on signs/symptoms of IBC, especially erythema and edema, when compared to the case-control study. Deficient medical records could have implications for diagnosis and treatment of IBC and proper documentation of cases in cancer registries.

Energy Systems Integration Facility Control Room | Energy Systems

Science.gov Websites

Integration Facility | NREL Energy Systems Integration Facility Control Room Energy Systems Integration Facility Control Room The Energy Systems Integration Facility control room allows system engineers as the monitoring point for the facility's integrated safety and control systems. Photo of employees

Global tracking for a class of uncertain nonlinear systems with unknown sign-switching control direction by output feedback

NASA Astrophysics Data System (ADS)

Roux Oliveira, Tiago; Jacoud Peixoto, Alessandro; Hsu, Liu

2015-09-01

This paper addresses the design of a sliding mode controller for a class of high-order uncertain nonlinear plants with unmatched state-dependent nonlinearities and unknown sign of the high frequency gain, i.e., the control direction is assumed unknown. Differently from most previous studies, the control direction is allowed to switch its sign. We show that it is possible to obtain global exact tracking using only output-feedback by coupling a relay periodic switching function with a norm state observer. One significant advantage of the new scheme is its robustness and improved transient response under arbitrary changes of the control direction which have been theoretically demonstrated for jump variations and successfully tested by simulations. The proposed controller is also evaluated with a DC motor control experiment.

Risk factors associated with incidence and persistence of signs and symptoms of temporomandibular disorders.

PubMed

Marklund, Susanna; Wänman, Anders

2010-09-01

To analyze whether gender, self-reported bruxism, and variations in dental occlusion predicted incidence and persistence of temporomandibular disorder (TMD) during a 2-year period. The study population comprised 280 dental students at Umeå University in Sweden. The study design was that of a case-control study within a 2-year prospective cohort. The investigation comprised a questionnaire and a clinical examination at enrolment and at 12 and 24 months. Cases (incidence) and controls (no incidence) were identified among those without signs and symptoms of TMD at the start of the study. Cases with 2-year persistence of signs and symptoms of TMD were those with such signs and symptoms at all three examinations. Clinical registrations of baseline variables were used as independent variables. Odds ratio estimates and 95% confidence intervals of the relative risks of being a case or control in relation to baseline registrations were calculated using logistic regression analyses. The analyses revealed that self-reported bruxism and crossbite, respectively increased the risk of the 2-year cumulative incidence and duration of temporomandibular joint (TMJ) signs or symptoms. Female gender was related to an increased risk of developing and maintaining myofascial pain. Signs of mandibular instability increased the risk of maintained TMD signs and symptoms during the observation period. This 2-year prospective observational study indicated that self-reported bruxism and variations in dental occlusion were linked to the incidence and persistence of TMJ signs and symptoms to a higher extent than to myofascial pain.

Uniform Traffic Control and Warning Messages for Portable Changeable Message Signs

DOT National Transportation Integrated Search

1996-03-01

The purpose of this study was to develop and test word and symbol traffic control and hazard warning messages for use on portable changeable message signs (PCMSs). The literature was reviewed, State highway engineers were interviewed, PCMS manufactur...

Evaluation of retroreflective material on stop sign posts in Virginia.

DOT National Transportation Integrated Search

2009-01-01

The 2003 Manual on Uniform Traffic Control Devices (MUTCD) provides departments of transportation (DOTs) the option of using retroreflective material on sign posts when the DOTs determine that there is a need to draw attention to the sign, especially...

Clinical Features and Related Factors of Poststroke Pathological Laughing and Crying: A Case-Control Study.

PubMed

Wang, Geying; Teng, Fei; Chen, Yuhui; Liu, Yuanhua; Li, Yancheng; Cai, Li; Zhang, Xu; Nie, Zhiyu; Jin, Lingjing

2016-03-01

The purpose of this study was to analyze clinical features and related factors of poststroke pathological laughing and crying (PSPLC) and to differentiate PSPLC patients with and without pseudobulbar signs. We performed a case-control study in which 56 patients with PSPLC were matched to 56 control stroke patients by age and gender. The pathological laughing and crying scale was used to identify patients with PSPLC. Characteristics of PSPLC outbursts, presence of pseudobulbar signs and autonomic symptoms, lesion locations, and different clinical data were analyzed. Mild cognitive impairment (MCI) was evaluated by the Montreal Cognitive Assessment. Poststroke anger proneness (PSAP) was evaluated by comparison of the patients' premorbid states. Significantly more patients in the PSPLC group showed MCI, PSAP, and pseudobulbar signs than those in the control group. Most patients with PSPLC showed bilateral multiple lesions and the pons (especially the bilateral paramedian basal and basal-tegmental areas) stood out as the most important lesion location. Logistic regression analysis showed that pontine lesion, MCI, and PSAP were independently related to PSPLC; however, the presence of pseudobulbar signs was not related. PSPLC patients with pseudobulbar signs showed more recurrent strokes in the previous 2 years, more severe neurological deficits, as well as higher severity of PSPLC. In addition, more patients in the group with pseudobulbar signs showed concomitant autonomic symptoms. PSPLC, MCI, and PSAP could be manifestations of a more general disorder, in which pontine lesion plays an important role. PSPLC patients with pseudobulbar signs and those without show different features. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

A statistical analysis of the impact of advertising signs on road safety.

PubMed

Yannis, George; Papadimitriou, Eleonora; Papantoniou, Panagiotis; Voulgari, Chrisoula

2013-01-01

This research aims to investigate the impact of advertising signs on road safety. An exhaustive review of international literature was carried out on the effect of advertising signs on driver behaviour and safety. Moreover, a before-and-after statistical analysis with control groups was applied on several road sites with different characteristics in the Athens metropolitan area, in Greece, in order to investigate the correlation between the placement or removal of advertising signs and the related occurrence of road accidents. Road accident data for the 'before' and 'after' periods on the test sites and the control sites were extracted from the database of the Hellenic Statistical Authority, and the selected 'before' and 'after' periods vary from 2.5 to 6 years. The statistical analysis shows no statistical correlation between road accidents and advertising signs in none of the nine sites examined, as the confidence intervals of the estimated safety effects are non-significant at 95% confidence level. This can be explained by the fact that, in the examined road sites, drivers are overloaded with information (traffic signs, directions signs, labels of shops, pedestrians and other vehicles, etc.) so that the additional information load from advertising signs may not further distract them.

IET control building (TAN620). interior personnel service room. sign next ...

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

IET control building (TAN-620). interior personnel service room. sign next to shower stall says, "fight athlete's foot with sani-mist." INEEL negative no. HD-21-1-1 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

Behavioral Signs of Schizoidia and Schizotypy in the Biological Parents of Social Anhedonics

ERIC Educational Resources Information Center

Emmerson, Lindsay C.; Miller, Sarah L.; Blanchard, Jack J.

2009-01-01

A community sample of 88 putative schizotypes (48 social anhedonics, 40 controls), aged 18 to 19 years, and their biological parents (42 mothers of social anhedonics, 37 mothers of controls; 24 fathers of social anhedonics, 20 fathers of controls) receive videotaped diagnostic evaluations that serve as the basis for ratings of behavioral signs of…

Joint Task Force -Guantanamo Bay, Cuba: Open or Close?

DTIC Science & Technology

2013-03-01

Obama signed that executive order directing the closure of detention operations at Guantanamo Bay. Subsequently, despite domestically political and...domestically political and international scrutiny, detention operations at Guantanamo Bay, Cuba have evolved into the premier detention facility in the...operations at Guantanamo Bay. Subsequently, despite domestically political and international scrutiny, detention operations at Guantanamo Bay, Cuba

9 CFR 94.12 - Pork and pork products from regions where swine vesicular disease exists.

Code of Federal Regulations, 2010 CFR

2010-01-01

... not endanger the livestock of the United States. (c) Requirements for pork-filled pasta products from regions affected with swine vesicular disease. (1) Pork-filled pasta products processed for export to the... or of § 94.17. (2) The operator of the pork-filled pasta processing facility must have signed a...

77 FR 6601 - Facility Operating License Amendment From Nine Mile Point Nuclear Station, LLC.; Nine Mile Point...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-08

... (or its counsel or representative) to digitally sign documents and access the E-Submittal server for... Information (SGI) is necessary to respond to this notice must request document access by February 21, 2012... instructions on submitting comments and instructions on accessing documents related to this action, see [[Page...

Measuring Stability and Security in Iraq

DTIC Science & Technology

2009-11-04

safer for tourists. Additionally, 24 signed investment licenses totaling $1.122 billion have been directed toward tourism and hospitality industries...the U.S.-Iraq SA, and in accordance with the Presidential guidance articulated February 27, 2009, is the plan being executed for the responsible...conducting detention facility assessments, and inadequate ministerial coordination and planning remain unresolved. In summary, political

Uranium Quick Facts

Science.gov Websites

about this project and web site. your e-mail address Sign Me Up Search: OK Button DUF6 Guide DU Uses DUF6 Management and Uses DUF6 Conversion EIS Documents News FAQs Internet Resources Glossary Home  -mail icon E-mail to a friend DUF6 Guide | DU Uses | DUF6 Management | DUF6 Conversion Facility EISs

76 FR 16715 - Drawbridge Operation Regulation; Raritan River, Arthur Kill and Their Tributaries, Staten Island...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-25

... would like to know that they reached the Facility, please enclose a stamped, self-addressed postcard or... dedicated telephone hot line for vessel operators to call the bridge in advance to coordinate anticipated bridge closures. The telephone hot line number shall be posted on signs at the bridge clearly visible...

[Diagnostic significance of "bay sign" of medial meniscus under arthroscope in medial collateral ligament rupture of knee].

PubMed

Zhang, Wentao; Zhang, Xintao; Huang, Wei

2012-03-01

When knee medial collateral ligament (MCL) rupture, the upper surface of medial meniscus is exposed totally, like the gulf panoramic, which is called "panoramic views of the bay sign" or the "bay sign". To investigate the reliability and significance of the "bay sign" in diagnosis of knee MCL rupture under arthroscope. Between March 2007 and March 2011, 127 patients with knees injuries were divided into the observation group (n = 59) and control group (n = 68) based on the MRI results. In the observation group, 59 patients had MCL rupture by MRI, including 12 cases of MCL injury alone, 16 cases of MCL injury with lateral meniscus torn, 27 cases of MCL injury with anterior cruciate ligament (ACL) injury, 3 cases of MCL injury with ACL and posterior cruciate ligament (PCL) injury, and 1 case of MCL injury with patellar dislocation; there were 38 males and 21 females with an average age of 23.2 years (range, 16-39 years). In the control group, 68 patients had no MCL rupture by MRI, including 38 cases of ACL injury, 4 cases of ACL and PCL injury, and 26 cases of ACL and lateral meniscus injury; there were 45 males and 23 females with an average age of 31.8 years (range, 25-49 years). The "bay sign" was observed under arthroscope in 2 groups before and after operation. The positive "bay sign" was seen under arthroscope in the patients of the observation group before MCL repair; the "bay sign" disappeared after repair. No "bay sign" was seen in patients of the control group before and after ACL reconstruction. The "bay sign" is a reliable diagnostic evidence of MCL injury. It can be used as a basis to judge the success of MCL reconstruction during operation.

Neuro-adaptive backstepping control of SISO non-affine systems with unknown gain sign.

PubMed

Ramezani, Zahra; Arefi, Mohammad Mehdi; Zargarzadeh, Hassan; Jahed-Motlagh, Mohammad Reza

2016-11-01

This paper presents two neuro-adaptive controllers for a class of uncertain single-input, single-output (SISO) nonlinear non-affine systems with unknown gain sign. The first approach is state feedback controller, so that a neuro-adaptive state-feedback controller is constructed based on the backstepping technique. The second approach is an observer-based controller and K-filters are designed to estimate the system states. The proposed method relaxes a priori knowledge of control gain sign and therefore by utilizing the Nussbaum-type functions this problem is addressed. In these methods, neural networks are employed to approximate the unknown nonlinear functions. The proposed adaptive control schemes guarantee that all the closed-loop signals are semi-globally uniformly ultimately bounded (SGUUB). Finally, the theoretical results are numerically verified through simulation examples. Simulation results show the effectiveness of the proposed methods. Copyright © 2016 ISA. All rights reserved.

LPT. Low power test control building (TAN641) east facade. Sign ...

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

LPT. Low power test control building (TAN-641) east facade. Sign says "Energy and Systems Technology Laboratory, INEL" (Post-ANP-use). Camera facing west. INEEL negative no. HD-40-3-2 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

Variable message fog hazard warning signs to control vehicle operating characteristics : interim report, Interstate 5, North Albany.

DOT National Transportation Integrated Search

1972-04-01

This project is aimed at determining the effectiveness of variable message signs in controlling traffic on an Interstate highway during periods of hazardous driving conditions such as fog, vehicle accidents, or congestion. : The effectiveness of the ...

Duplex scanning diagnosis of internal carotid artery dissections. A case control study.

PubMed

Alecu, C; Fortrat, J O; Ducrocq, X; Vespignani, H; de Bray, J M

2007-01-01

The reliability of duplex scanning (DS) for the diagnosis of internal carotid artery dissections (ICAD) is not clear. Nine DS signs known to be suggestive for the diagnosis of ICAD were compared between 70 patients with ICAD and 70 matched patients without dissection. Visible internal tapering occlusion, regular eccentric narrowing channel, ectasia beyond the carotid bulb, resistive index asymmetry, blood flow slowdown, ophthalmic artery blood flow inversion, and biphasic flow are more frequent in cases than in controls (p < 0.001). Atheroma plaques were absent in 80% of ICAD. When DS direct signs and hemodynamic signs were studied, sensitivity was 90% and specificity 60%. Diagnosis of ICAD by DS could be improved if direct signs were combined with hemodynamic signs, giving a high sensitivity and a rather good specificity. Copyright 2007 S. Karger AG, Basel.

The development and evaluation of water-mist fire extinguishing systems

NASA Astrophysics Data System (ADS)

Beason, D. G.; Staggs, K. J.

1994-08-01

Fire protection for underfloor space is primarily provided by Halon 1301 which has proven to be very effective. However, due to the link between halons and the possible depletion of the stratospheric ozone layer, plans have been implemented to eventually phase out Halon 1301 and 1211. In September 1987 the Montreal Protocol concerning chlorofluorocarbons (CFC) and halons was signed by the United States, the European Economic Community, and 23 other nations. The Montreal Protocol calls for freezing halon production at 1986 levels. Because the majority of underfloor fire protection at Lawrence Livermore National Laboratory (LLNL), as well as other Department of Energy (DOE) sites, is either Halon 1301 or sprinklers, some other means of suppression will have to be developed and verified. The potential loss to facilities housing computer or control rooms damaged by underfloor fires can be extreme. These losses would not only include hardware and software replacement costs, but also lost computing and control capability. Here at LLNL technical research in a facility could be severely affected. Recent studies conducted by the Fire Research Discipline of the Special Projects Division have shown that severe fires fueled by cable insulation can develop within as little as a 6-in-high underfloor space (even with mechanical ventilation shut off). Studies also show that conventional sprinklers may not be effective in preventing this destruction. Therefore, we are investigating the water-mist fire extinguishing system as an alternative to Halon 1301 and sprinklers.

Poor quality data challenges conclusion and decision making: timely analysis of measles confirmed and suspected cases line list in Southern Nations Nationalities and People's Region, Ethiopia.

PubMed

Endriyas, Misganu; Solomon, Tarekegn; Belayhun, Bekele; Mekonnen, Emebet

2018-02-12

Measles is one of the leading causes of death among young children even though a safe and cost-effective vaccine is available. Timely analysis of measles surveillance data is crucial for epidemic control and can show disease control program status. Therefore, this study aimed to show vaccination status and delay in seeking health care using surveillance data. A retrospective study was carried out in Southern Nations Nationalities and People's Region (SNNPR), Ethiopia. We reviewed 2132 records from measles surveillance line list data from July 2013 to January 2014. Descriptive statistics were performed using SPSS 20 for Windows. From a total of 2132 confirmed and suspected measles cases, 1319 (61.9%), had at least one dose of measles containing vaccine; the rest 398 (18.7%) and 415 (19.5%) were unvaccinated and had unknown status respectively. About two fifth, 846 (39.7%), cases visited health facilities within 48 h of onset of clinical signs/symptoms with a median of 2.0 days, IQR (1.0, 3.0). Majority of the measles cases were vaccinated with at least one dose of measles containing vaccine and vaccination data or vaccine potency at lower level was unclear. Delay in seeking healthcare was noted as only about two fifth of cases visited health facilities within 48 h of clinical manifestation. Vaccination and surveillance data quality and factors associated with delay in seeking health care should be investigated.

The Clinical Significance of DC-SIGN and DC-SIGNR, which Are Novel Markers Expressed in Human Colon Cancer

PubMed Central

Chen, Kai; Chen, Zhe; Sun, Zhigang; Zhang, Zhuqing; Ding, Dongbing; Ren, Shuangyi; Zuo, Yunfei

2014-01-01

Background Colon cancer has always been diagnosed at a late stage, which is associated with poor prognosis. The currently used serum tumor markers CEA and CA19-9 display low sensitivity and specificity and may not have diagnostic value in early stage colon cancer. Thus, there is an urgent need to identify novel serum biomarkers for use in the early detection of colon cancer. Methods In this study, the expression of DC-SIGN and DC-SIGNR in serum was detected by enzyme-linked immunosorbent assay (ELISA). DC-SIGN and DC-SIGNR expression was detected in cancer tissues by immunohistochemistry (IHC). Results The level of sDC-SIGN was lower in patients than in the healthy controls, while the level of sDC-SIGNR in patients was higher than in the healthy controls. Both sDC-SIGN and sDC-SIGNR had diagnostic significances for cancer patients, and the combined diagnosis of these two markers was higher than both of them alone. Furthermore, there were significant differences between both sDC-SIGN and sDC-SIGNR in stage I/II patients and the healthy controls. Moreover, high sDC-SIGN level was accompanied with the long survival time. Additionally, DC-SIGNR was negative in the cancer foci and matched normal colon tissues but was weakly positive between the cancer foci. DC-SIGN staining was faint in matched normal colon tissues, strong in the tumor stroma and the invasive margin of colon cancer tissues, and negatively correlated with the sDC-SIGN level in serum from the same patient. Interestingly, the percent survival of patients with a DC-SIGN mean density of>0.001219 (the upper 95% confidence interval of matched normal colon tissues) was higher than for all other patients. Conclusion DC-SIGN and DC-SIGNR are blood-based molecular markers that can potentially be used for the diagnosis of early stage patients. Moreover, expression of DC-SIGN in serum and cancer tissues may affect the survival time for colon cancer patients. PMID:25504222

Importation of beef from countries infected with foot and mouth disease: a review of risk mitigation measures.

PubMed

Sutmoller, P

2001-12-01

Risk mitigation measures to reduce the risks associated with importing beef from countries affected by foot and mouth disease (FMD) consist of controls at the farm of origin, inspection of slaughterhouses and maturation and deboning of carcasses. This assessment evaluates the effect of these measures on the mitigation of the risks presented by meat from cattle with FMD, for each of the different stages of the disease. The four disease stages considered are the incubation period, the period of clinical signs, convalescence and the carrier stage. Efficient animal health systems, disease surveillance, and ante-mortem and post-mortem inspection of all cattle effectively reduce the risk of FMD transmission from cattle slaughtered during the period of clinical signs or convalescence. These measures fail if the cattle are slaughtered during the incubation period, because of the absence of clinical signs. Cattle in this stage of the infection are likely to be viraemic, with FMD virus present in the skeletal muscles. Maturation of the carcasses of viraemic cattle reduces the risk of virus presence in the beef. In addition, deboning and removal of the principal lymph nodes and large blood vessels eliminate a source of FMD contamination of the beef. However, the slaughter of viraemic cattle creates an additional hazard of gross environmental viral contamination of the slaughterhouse facilities. Therefore, the maturation process may create a false sense of security, and the emphasis should instead be placed on disease surveillance within the infected zone and on the farms of origin, to prevent the slaughter of herds that are incubating FMD. Cattle slaughtered during the carrier stage do not pose a risk for the international beef trade.

The impact of facility audits, evaluation reports and incentives on motivation and supply management among family planning service providers: an interventional study in two districts in Maputo Province, Mozambique.

PubMed

Vermandere, Heleen; Galle, Anna; Griffin, Sally; de Melo, Málica; Machaieie, Lino; Van Braeckel, Dirk; Degomme, Olivier

2017-05-02

Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the degree to which health workers feel motivated and responsible for monitoring supply. We explored how and to what extent motivation can be improved, and the impact this can have on avoiding stock-outs. Fifteen health facilities in Maputo Province, Mozambique, were divided into 3 groups (2 intervention groups and 1 control), and 10 monthly audits were implemented in each of these 15 facilities to collect data through examination of stock cards and stock-counts of 6 contraceptives. Based on these audits, the 2 intervention groups received a monthly evaluation report reflecting the quality of their supply management. One of these 2 groups was also awarded material incentives conditional on their performance. A Wilcoxon-Mann Whitney test was used to detect differences between the groups in the average number of stocked-out centres, while changes over time were verified through applying a Friedman test. Additionally, staff motivation was measured through interviewing health care providers of all centres at baseline, and after 5 and 10 months. To detect differences between the groups and changes over time, a Kruskal Wallis and a Wilcoxon signed-rank test were applied, respectively. Motivation reported by providers (n = 55, n = 40 and n = 39 at baseline, 1st and 2nd follow-up respectively) was high in all groups, during all rounds, and did not change over time. Facilities in the intervention groups had better supply management results (including less stock-outs) during the entire intervention period compared with those in the control group, but the difference was only significant for the group receiving both material incentives and a monthly evaluation. However, our data also suggest that supply management also improved in control facilities, receiving only a monthly audit. During this study, more stock-outs occurred for family planning methods with lower demand, but the number of stock-outs per family planning method in the intervention groups was only significantly lower, compared with the control group, for female condoms. While a rise in motivation was not measurable, stock management was enhanced possibly as a result of the monthly audits. This activity was primarily for data collection, but was described as motivating and supportive, indicating the importance of feedback on health workers' accomplishments. More research is needed to quantify the additional impact of the interventions (distribution of evaluation reports and material incentives) on staff motivation and supply management. Special attention should be paid to supply management of less frequently used contraceptive methods.

23 CFR 658.21 - Identification of National Network.

Code of Federal Regulations, 2012 CFR

2012-04-01

... the efficiency of the total traffic flow, such as time of day prohibitions, or lane use controls. (2....21 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC... National Network shall be signed. All signs shall conform to the Manual on Uniform Traffic Control Devices...

23 CFR 658.21 - Identification of National Network.

Code of Federal Regulations, 2013 CFR

2013-04-01

... the efficiency of the total traffic flow, such as time of day prohibitions, or lane use controls. (2....21 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC... National Network shall be signed. All signs shall conform to the Manual on Uniform Traffic Control Devices...

23 CFR 658.21 - Identification of National Network.

Code of Federal Regulations, 2014 CFR

2014-04-01

... the efficiency of the total traffic flow, such as time of day prohibitions, or lane use controls. (2....21 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC... National Network shall be signed. All signs shall conform to the Manual on Uniform Traffic Control Devices...

Investigation of the effectiveness of traffic sign training in terms of training methods and sign characteristics.

PubMed

Ng, Annie W Y; Chan, Alan H S

2011-06-01

This research investigated whether different training methods had any effect on the effectiveness of traffic sign training and whether there were any relationships between traffic sign characteristics and effectiveness of the training. Thirty-six participants were randomly assigned into 4 equal-sized groups (control, paired-associate learning, recall training, and recognition training) to study the learnability of Mainland China traffic signs. In paired-associate learning, participants studied each traffic sign along with a referent describing its meaning. In addition to being informed of the meaning of traffic signs, both recall training and recognition training provided participants with questions and feedback. For recall training, the questioning process was a recall task in which participants had to produce a meaning for a given traffic sign from memory. For recognition training, the questioning process was a recognition task that required participants to identify the most appropriate referent corresponding to a given sign. No traffic sign training was given to the control group. Each training method significantly improved comprehension of the meaning of traffic signs. Participants from recall training performed better in a posttraining test than those from paired-associate learning and recognition training, indicating that the recall training elicited a deeper level of learning. In addition, questioning and feedback had a positive influence on training effectiveness. Performance in the posttest was found to be better when the questioning process matched the test process. Regarding the traffic sign characteristics, semantic closeness had a long-lasting effect, in terms of the timescale of this experiment on traffic sign comprehension, and traffic signs were perceived as more meaningful after their intended meanings were studied. Recall training is more effective in enhancing comprehension of traffic signs than paired-associate learning and recognition training. The findings of this study provide a basis for useful recommendations for designing symbol-training programs to improve road safety for road users.

Pendulum impact testing of an impact-breakaway, windresistant base connection for multi-post ground signs.

DOT National Transportation Integrated Search

2012-07-01

Roadside signs play an important role in traffic control systems and must be placed adjacent to roadways. If they are not designed, : fabricated, and installed properly, ground signs may pose potential hazards to vehicle passengers in the event of a ...

Traffic control device evaluation program: simulator evaluation of sponsored changeable message signs and in-situ evaluation of rumble strip alternatives.

DOT National Transportation Integrated Search

2016-07-01

This report describes two research activities. One research study tested the effects of adding commercial : logos acknowledging sponsorship to Changeable Message Signs. A driving simulator study was conducted : using test signs with travel times and ...

Evaluation of a radar activated speed warning sign for school zone speed control.

DOT National Transportation Integrated Search

2004-01-01

During the fall of 2003, the Maine Department of Transportation tested a radar-activated speed warning : sign at two different locations in different towns near elementary schools. The sign was manufactured by : 3M and was loaned to MaineDOT for test...

A systematic review and meta-analysis of neurological soft signs in relatives of people with schizophrenia

PubMed Central

2011-01-01

Background Neurological soft signs are subtle but observable impairments in motor and sensory functions that are not localized to a specific area of the brain. Neurological soft signs are common in schizophrenia. It has been established that soft signs meet two of five criteria for an endophenotype, namely: association with the illness, and state independence. This review investigated whether soft signs met a further criterion for an endophenotype, namely familial association. It was hypothesized that if familial association were present then neurological soft signs would be: (a) more common in first-degree relatives of people with schizophrenia than in controls; and (b) more common in people with schizophrenia than in their first-degree relatives. Method A systematic search identified potentially eligible studies in the EMBASE (1980-2011), OVID - MEDLINE (1950-2011) and PsycINFO (1806-2011) databases. Studies were included if they carried out a three-way comparison of levels of soft signs between people with schizophrenia, their first-degree relatives, and normal controls. Data were extracted independently by two reviewers and cross-checked by double entry. Results After screening 8678 abstracts, seven studies with 1553 participants were identified. Neurological soft signs were significantly more common in first-degree relatives of people with schizophrenia than in controls (pooled standardised mean difference (SMD) 1.24, 95% confidence interval (c.i) 0.59-1.89). Neurological soft signs were also significantly more common in people with schizophrenia than in their first-degree relatives (SMD 0.92, 95% c.i 0.64-1.20). Sensitivity analyses examining the effects of age and group blinding did not significantly alter the main findings. Conclusions Both hypotheses were confirmed, suggesting that the distribution of neurological soft signs in people with schizophrenia and their first-degree relatives is consistent with the endophenotype criterion of familial association. PMID:21859445

The value of signs, symptoms and plasma heart-type fatty acid-binding protein (H-FABP) in evaluating patients presenting with symptoms possibly matching acute coronary syndrome: background and methods of a diagnostic study in primary care.

PubMed

Willemsen, Robert T A; Buntinx, Frank; Winkens, Bjorn; Glatz, Jan F; Dinant, Geert Jan

2014-12-12

Chest complaints presented to a general practitioner (GP) are frequently caused by diseases which have advantageous outcomes. However, in some cases, acute coronary syndrome (ACS) is present (1.5-22% of cases). The patient's signs, symptoms and electrocardiography results are insufficient diagnostic tools to distinguish mild disease from ACS. Therefore, most patients presenting chest complaints are referred to secondary care facilities where ACS is then ruled out in a majority of patients (78%). Recently, a point of care test for heart-type fatty acid-binding protein (H-FABP) using a low cut-off value between positive and negative of 4 ng/ml has become available. We aim to study the role of this point of care device in triage of patients presenting chest complaints possibly due to ACS, in primary care. Our research protocol is presented in this article. Results are expected in 2015. Participating GPs will register signs and symptoms in all patients presenting chest complaints possibly due to ACS. Point of care H-FABP testing will also be performed. Our study will be a derivation study to identify signs and symptoms that, combined with point of care H-FABP testing, can be part of an algorithm to either confirm or rule out ACS. The diagnostic value for ACS of this algorithm in general practice will be determined. A safe diagnostic elimination of ACS by application of the algorithm can be of significant clinical relevance. Improved triage and thus reduction of the number of patients with chest complaints without underlying ACS, that are referred to secondary care facilities, could lead to a substantial cost reduction. ClinicalTrials.gov, NCT01826994, accepted April 8th 2013.

The planetary positions and relationships at the dates of birth of a cohort of Nigerian schizophrenics.

PubMed

Ohaeri, J U

1997-01-01

Some astrological hypotheses related to predisposition to severe mental illness were tested by analysing the zodiacal signs, the interactions between planetary qualities (aspects), and the occurrence of full and new moon dates, on the dates of birth of 221 schizophrenics, compared with 112 normal subjects. The sun signs of the schizophrenics were significantly more likely to be in the signs associated with introversion, while those of the control population were significantly more likely to be in the outgoing signs. A significantly higher proportion of schizophrenics had their Mars (i.e., symbol of aggressiveness) in the outgoing signs than the normal population. A significantly higher proportion of control subjects fulfilled operational criteria for adequacy of number of aspects between the sun and the other planets. The tendency for a higher proportion of schizophrenics to have "difficult" aspects just failed to reach significance. A significantly higher proportion of control subjects had aspects between the sun and mars; and also a significantly higher proportion of control subjects had "soft" (helpful) aspects between the sun and mars. These findings are in keeping with the well-known oddity of schizophrenia (schiz = split; phren = mind); such that, a group which collectively is characterised by an "introverted" self (i.e. sun sign), has a coexisting aggressive tendency (i.e. strong mars) and poor integration between the elements of the psyche and the self (i.e. inadequacy of aspects between Sun and other planets). However, the findings give only partial support to key astrological postulates because there was a non-significant trend for more schizophrenics to be born in "water" signs and on full moon dates.

[Brief video-assisted observation of visual attention, facial expression, and motor skills for diagnosis of attention deficit/hyperactivity disorder (ADHD)].

PubMed

Kühle, H J; Hoch, C; Rautzenberg, P; Jansen, F

2001-10-01

Can video assisted observation of visual attention, facial expression and motor skills contribute to the diagnosis of attention deficit/hyperactivity disorder (ADHD)? 20 children from 6 to 10 years of age, diagnosed for ADHD following the DSM-IV criteria, and an age and sex matched control group of 20 children with harmless upper airway infections were filmed during 3 minutes playing cards with their mothers and 7 minutes of oral arithmetic exercises. Two persons were trained for eight hours in recognizing 22 signs for visual attention loss, alterated facial expression like oversized and sustained smile and abnormal motor skills in ADHD-patient videos. Then they viewed minutes 2 and 3 and 3 and 4 of the 40 children in a randomized sequence and scored the signs. 8 of the 22 signs showed high (r > .75) and 9 showed medium (r > .6) interrater correlations. The presence of signs in the ADHD and in the control group was highly significantly different (a = 0.01, U-Test of Mann and Whitney) for 10 of the 22 signs and significantly different for other 4 signs (a = 0.05). The four field table comparison between the frequency of the signs showed correct positioning in 80% of all cases. The loss of visual attention was the most frequent sign in ADHD children. The signs of alterated facial expression were also among the highly correlated signs. These are used by us to find the individual dose for stimulant medication.

Experts advise hospitals to heed warning signs, leverage security to prepare against shootings.

PubMed

2014-09-01

While hospital shootings are not commonplace, studies suggest they are happening with increasing frequency, and that EDs are particularly vulnerable to this type of violence. Researchers report that roughly a third of all hospital shootings occur in the emergency setting. Experts say such incidents are typically targeted events, not random acts. Consequently, effective security programs should emphasize preventive steps to defuse potentially volatile situations and prevent weapons from entering the facility. Hospital security departments should be equipped to provide training to employees throughout the facility so that employees know how to respond if an active shooter is identified. Researchers report that between 2000 and 2012 there were 154 shootings in American hospitals, and that the frequency of these events increased markedly in the later years of the study. Experts say hospital shootings may involve disgruntled patients, dementia patients, or psychiatric patients, but the most common perpetrators are prisoners who are brought into the hospital for treatment under guard. Security experts say effective safety plans should focus on identifying threatening language or other signs of agitation early on so that interventions can be employed. They also advise hospitals to install gun lockers at every entrance point so that lawful weapons can be stored before owners enter the facility. Liberalized gun laws in some regions are making security more difficult at public hospitals. Also, hospitals need to be careful with surveillance activities that could raise privacy concerns.

VITAL SIGNS AND FIRST OCCURRENCES IN NORMAL AND ABNORMAL NEWBORN ASIAN ELEPHANT ( ELEPHAS MAXIMUS) CALVES.

PubMed

Wiedner, Ellen; Kiso, Wendy K; Aria, Janice; Isaza, Ramiro; Lindsay, William; Jacobson, Gary; Jacobson, Kathy; Schmitt, Dennis

2017-12-01

Sixteen years of medical records documenting 19 births within a herd of Asian elephants ( Elephas maximus) at a private facility in the southeastern United States were reviewed. Of the 19 calves, 11 were normal at birth, requiring no additional veterinary care, and eight were abnormal, requiring veterinary care immediately or within the first week of birth. Descriptive statistics were used to evaluate morphometrics, vital signs, and behavioral milestones in newborn calves both normal and abnormal. Blood work and urinalysis results from all calves were compared to values for adult elephants. Medical management of abnormal calves is described. All calves had faster heart rates and respiratory rates than did adult elephants, but rectal temperatures were the same. Calves were precocious with regard to sitting and standing but could be very slow to nurse. The most-common medical conditions of newborn calves were umbilical abnormalities and problems associated with nursing. Two calves required cardiopulmonary resuscitation after birth but made full recoveries. Some conditions were not apparent at birth but were recognized a few hours or days later. Following veterinary intervention, six of the eight calves made full recoveries, suggesting that early identification and treatment of problems can greatly decrease mortality. This is the first report of multiple veterinary and behavioral parameters in normal and abnormal neonatal Asian elephants from a facility with a calf survival rate above 90%. This information may be helpful to other elephant-holding facilities in providing care to their newborn elephant calves.

Compliance with federal and state legislation by indoor tanning facilities in San Diego.

PubMed

Culley, C A; Mayer, J A; Eckhardt, L; Busic, A J; Eichenfield, L F; Sallis, J F; Quintana, P J; Woodruff, S I

2001-01-01

The prevalence rates of both skin cancers and indoor tanning among the US population are high and have increased substantially in recent years. Low compliance by indoor tanning facilities with safety regulations may place consumers at greater risk of skin and ocular damage. This study quantified the level of compliance by indoor tanning facilities with selected federal and state regulations and recommendations. Tanning facilities (N = 54) in San Diego County, California, were visited by a confederate posing as a prospective customer. Compliance with 13 regulations/recommendations were assessed by either direct query or observation of the presence/absence of signs and warning labels. Operators' responses to 5 risk-based questions also were noted. No facility complied with all 13 regulations/recommendations. Compliance with 3 protective eyewear regulations was high (89%-100%). In contrast, compliance with maximum tanning frequency recommendations (approximately 6%) and parental consent regulations (approximately 43%) was disturbingly low. The investigators recommend instituting mandatory, comprehensive training for operators, as well as systematic compliance monitoring with enforcement of penalties for noncompliance.

21 CFR 1311.145 - Digitally signing the prescription with the individual practitioner's private key.

Code of Federal Regulations, 2012 CFR

2012-04-01

... individual practitioner's private key. 1311.145 Section 1311.145 Food and Drugs DRUG ENFORCEMENT... Prescriptions § 1311.145 Digitally signing the prescription with the individual practitioner's private key. (a... digitally sign a controlled substance prescription using the private key associated with his digital...

21 CFR 1311.145 - Digitally signing the prescription with the individual practitioner's private key.

Code of Federal Regulations, 2011 CFR

2011-04-01

... individual practitioner's private key. 1311.145 Section 1311.145 Food and Drugs DRUG ENFORCEMENT... Prescriptions § 1311.145 Digitally signing the prescription with the individual practitioner's private key. (a... digitally sign a controlled substance prescription using the private key associated with his digital...

21 CFR 1311.145 - Digitally signing the prescription with the individual practitioner's private key.

Code of Federal Regulations, 2014 CFR

2014-04-01

... individual practitioner's private key. 1311.145 Section 1311.145 Food and Drugs DRUG ENFORCEMENT... Prescriptions § 1311.145 Digitally signing the prescription with the individual practitioner's private key. (a... digitally sign a controlled substance prescription using the private key associated with his digital...

21 CFR 1311.145 - Digitally signing the prescription with the individual practitioner's private key.

Code of Federal Regulations, 2013 CFR

2013-04-01

... individual practitioner's private key. 1311.145 Section 1311.145 Food and Drugs DRUG ENFORCEMENT... Prescriptions § 1311.145 Digitally signing the prescription with the individual practitioner's private key. (a... digitally sign a controlled substance prescription using the private key associated with his digital...

KSC01padig060

NASA Image and Video Library

2001-02-08

During a signing ceremony, Ed Gormel (left), executive director of Spaceport Florida Authority, and Roy Bridges Jr., Center Director, respond to a remark from the audience. The two are signing a SERPL Real Property Use Permit Agreement between the two organizations to construct a three-mile roadway. It is the start of a construction project that includes the Space Experiment Research & Processing Laboratory (SERPL). The signing took place outdoors on S.R. 3 prior to a groundbreaking ceremony for the roadway. The road, to be known as Space Commerce Way, will serve the public by providing a 24-hour access route through KSC from S.R. 3 to the NASA Causeway and KSC Visitor Complex. The SERPL project is enabled by a partnership and collaboration between NASA and the State of Florida to create a vital resource for international and commercial space customers. SERPL is considered a magnet facility, and will support the development and processing of life sciences experiments destined for the International Space Station and accommodate NASA, industry and academic researchers performing associated biological research

ProteoSign: an end-user online differential proteomics statistical analysis platform.

PubMed

Efstathiou, Georgios; Antonakis, Andreas N; Pavlopoulos, Georgios A; Theodosiou, Theodosios; Divanach, Peter; Trudgian, David C; Thomas, Benjamin; Papanikolaou, Nikolas; Aivaliotis, Michalis; Acuto, Oreste; Iliopoulos, Ioannis

2017-07-03

Profiling of proteome dynamics is crucial for understanding cellular behavior in response to intrinsic and extrinsic stimuli and maintenance of homeostasis. Over the last 20 years, mass spectrometry (MS) has emerged as the most powerful tool for large-scale identification and characterization of proteins. Bottom-up proteomics, the most common MS-based proteomics approach, has always been challenging in terms of data management, processing, analysis and visualization, with modern instruments capable of producing several gigabytes of data out of a single experiment. Here, we present ProteoSign, a freely available web application, dedicated in allowing users to perform proteomics differential expression/abundance analysis in a user-friendly and self-explanatory way. Although several non-commercial standalone tools have been developed for post-quantification statistical analysis of proteomics data, most of them are not end-user appealing as they often require very stringent installation of programming environments, third-party software packages and sometimes further scripting or computer programming. To avoid this bottleneck, we have developed a user-friendly software platform accessible via a web interface in order to enable proteomics laboratories and core facilities to statistically analyse quantitative proteomics data sets in a resource-efficient manner. ProteoSign is available at http://bioinformatics.med.uoc.gr/ProteoSign and the source code at https://github.com/yorgodillo/ProteoSign. © The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.

National Ignition Facility, High-Energy-Density and Inertial Confinement Fusion, Peer-Review Panel (PRP) Final Report

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

Keane, C. J.

2014-01-28

The National Ignition Facility (NIF) at Lawrence Livermore National Laboratory (LLNL) is operated as a National Nuclear Security Administration (NNSA) user facility in accordance with Department of Energy (DOE) best practices, including peer-reviewed experiments, regular external reviews of performance, and the use of a management structure that facilitates user and stakeholder feedback. NIF facility time is managed using processes similar to those in other DOE science facilities and is tailored to meet the mix of missions and customers that NIF supports. The NIF Governance Plan describes the process for allocating facility time on NIF and for creating the shot schedule.more » It also includes the flow of responsibility from entity to entity. The plan works to ensure that NIF meets its mission goals using the principles of scientific peer review, including transparency and cooperation among the sponsor, the NIF staff, and the various user communities. The NIF Governance Plan, dated September 28, 2012, was accepted and signed by LLNL Director Parney Albright, NIF Director Ed Moses, and Don Cook and Thomas D’Agostino of NNSA. Figure 1 shows the organizational structure for NIF Governance.« less

The Effects of a Locally Developed mHealth Intervention on Delivery and Postnatal Care Utilization; A Prospective Controlled Evaluation among Health Centres in Ethiopia.

PubMed

Shiferaw, Solomon; Spigt, Mark; Tekie, Michael; Abdullah, Muna; Fantahun, Mesganaw; Dinant, Geert-Jan

2016-01-01

Although there are studies showing that mobile phone solutions can improve health service delivery outcomes in the developed world, there is little empirical evidence that demonstrates the impact of mHealth interventions on key maternal health outcomes in low income settings. A non-randomized controlled study was conducted in the Amhara region, Ethiopia in 10 health facilities (5 intervention, 5 control) together serving around 250,000 people. Health workers in the intervention group received an android phone (3 phones per facility) loaded with an application that sends reminders for scheduled visits during antenatal care (ANC), delivery and postnatal care (PNC), and educational messages on dangers signs and common complaints during pregnancy. The intervention was developed at Addis Ababa University in Ethiopia. Primary outcomes were the percentage of women who had at least 4 ANC visits, institutional delivery and PNC visits at the health center after 12 months of implementation of the intervention. Overall 933 and 1037 women were included in the cross-sectional surveys at baseline and at follow-up respectively. In addition, the medical records of 1224 women who had at least one antenatal care visit were followed in the longitudinal study. Women who had their ANC visit in the intervention health centers were significantly more likely to deliver their baby in the same health center compared to the control group (43.1% versus 28.4%; Adjusted Odds Ratio (AOR): 1.98 (95%CI 1.53-2.55)). A significantly higher percentage of women who had ANC in the intervention group had PNC in the same health center compared to the control health centers (41.2% versus 21.1%: AOR: 2.77 (95%CI 2.12-3.61)). Our findings demonstrated that a locally customized mHealth application during ANC can significantly improve delivery and postnatal care service utilization possibly through positively influencing the behavior of health workers and their clients.

International Space Station Laboratory "Destiny" Hardware Move From MSFC to KSC

NASA Technical Reports Server (NTRS)

Welch, Andrew C.

2003-01-01

The transportation and handling of space flight hardware always demands the utmost care and planning. This was especially true when it came time to move the International Space Station lab module "Destiny" from its manufacturing facility at the Marshall Space Flight Center (MSFC) to the launch facility at the Kennedy Space Center in Florida. Good logistics management was the key to the coordination of the large team required to move the lab from the MSFC manufacturing facility 12 miles to the Huntsville International Airport. Overhead signs, power lines, and traffic lights had to be removed, law enforcement had to be coordinated and a major highway had to be completely shut down during the transportation phase of the move. The team responded well, and the move was accomplished on time with no major difficulties.

Sharp Injury and Exposure to Blood and Body Fluids among Health Care Workers in Health Care Centers of Eastern Ethiopia.

PubMed

Alemayehu, T; Worku, A; Assefa, N

2016-07-01

Health care workers are facing certain occupational hazards because of sharp injury and exposure to human blood and body fluids as a result of handling wastes. Though much attention is paid for the protection of these workers, the number of exposures and injuries do not show a sign of decline from time to time. To examine the occurrence of sharp injury and exposure to blood and body fluids in health care workers in health care centers in Ethiopia. In a case-control study, a randomly selected sample of 65 health facilities with 391 cases and 429 controls were studied. Data were collected through a self-administered questionnaire. Detailed analysis of exposure among the health care workers was done by logistic regression analysis with generalized estimating equations model to control correlation effects of responses within the cluster of health facilities. The number of health care workers who got sharp injury was 217 (26.5%). 296 (36.1%) had exposure to blood and body fluids. Working at Harari region (adjusted OR 0.44, 95% CI 0.26 to 0.75) and East Hararghea (adjusted OR 0.61, 95% CI 0.40 to 0.94), being male (adjusted OR 0.56, 95% CI 0.44 to 0.91), and a being nurse (adjusted OR 0.188, 95% CI 0.06 to 0.63) were independent risk factors of the exposure. Regardless of the anticipated low self-reporting for exposure status, the number of health care workers reported having sharp injury and exposure to blood and body fluids was high. Such high exposures indicate that health care workers are at high risk of acquiring blood-borne viral infections such as hepatitis B, hepatitis C, and HIV.

Effect of simulation on the ability of first year nursing students to learn vital signs.

PubMed

Eyikara, Evrim; Baykara, Zehra Göçmen

2018-01-01

The acquisition of cognitive, affective and psychomotor knowledge and skills are required in nursing, made possible via an interactive teaching method, such as simulation. This study conducted to identify the impact of simulation on first-year nursing students' ability to learn vital signs. A convenience sample of 90 first-year nursing students enrolled at a University, Ankara, in 2014-2015. Ninety students enrolled for lessons on the "Fundamentals of Nursing" were identified using a simple random sampling method. The students were taught vital signs theory via traditional methods. They were grouped into experimental 1, experimental 2 and control group, of 30 students each. Students in the experimental 1 group attended sessions on simulation and those in the experimental 2 group sessions on laboratory work, followed by simulation. The control group were taught via traditional methods and only attended the laboratory work sessions. The students' cognitive knowledge acquisition was evaluated using a knowledge test before and after the lessons. The ability to measure vital signs in adults (healthy ones and patients) was evaluated using a skill control list. A statistically significant difference was not observed between the groups in terms of the average pre-test scores on knowledge (p>0.050). Groups exposed to simulation obtained statistically significantly higher scores than the control group in post-test knowledge (p<0.050). The ability of the groups exposed to simulation to measure vital signs in healthy adults and patients was more successful than that the control group (p<0.050). This was statistically significant. Simulation had a positive effect on the ability of nursing students to measure vital signs. Thus, simulation should be included in the mainstream curriculum in order to effectively impart nursing knowledge and skills. Copyright © 2017 Elsevier Ltd. All rights reserved.

Temporal patterns of change in vital signs and Cardiac Arrest Risk Triage scores over the 48 hours preceding fatal in-hospital cardiac arrest.

PubMed

Oh, HyunSoo; Lee, KangIm; Seo, WhaSook

2016-05-01

To determine temporal patterns of vital sign and Cardiac Arrest Risk Triage score changes over the 48-hour period preceding cardiac arrest in an ICU setting. Vital sign instability usually occurs prior to cardiac arrest. However, few studies have been conducted on the temporal patterns of individual vital signs preceding cardiac arrest. A retrospective case-control study. The study subjects were 140 ICU patients (1 June 2011-31 December 2012): 46 died of cardiac arrest (case group), 45 died of other illnesses (control I group) and 49 were discharged after recovering (control II group). Initial detectable changes in blood pressure appeared 18-20 hours and became dramatic at 5-10 hours before cardiac arrest. Noticeable changes in heart rates began at 4 hours and became more prominent at 2 hours pre-arrest. No apparent patterns in respiratory rate changes were observed. Body temperatures usually indicated a hypothermic state pre-arrest. Cardiac Arrest Risk Triage scores were 16-18 at 48 hours pre-arrest and then continuously increased to 20. Only mean values of systolic blood pressures were significantly different between the three study groups. Mean diastolic blood pressures, heart rates, respiratory rates and Cardiac Arrest Risk Triage scores differed between the case and control II groups and between the control I and II groups. The study demonstrates vital sign instability preceded cardiac arrest and that the temporal patterns of changes in individual vital signs and Cardiac Arrest Risk Triage scores differed between groups. The findings of this study may aid the development of management strategies for cardiac arrest. © 2016 John Wiley & Sons Ltd.

75 FR 71373 - Airworthiness Directives; International Aero Engines V2500-A1, V2522-A5, V2524-A5, V2525-D5...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-23

... electronically. Mail: Docket Management Facility, U.S. Department of Transportation, 1200 New Jersey Avenue, SE... proposed AD. FOR FURTHER INFORMATION CONTACT: Carlos Fernandes, Aerospace Engineer, Engine Certification... who sent the comment (or signed the comment on behalf of an association, business, labor union, etc...

Dexmedetomidine to control signs associated with lisdexamfetamine dimesylate toxidrome in a cat.

PubMed

Norkus, Christopher L; Keir, Iain; Means, Charlotte

2017-03-01

A 5-month-old intact female domestic shorthaired cat had mydriasis, agitation, and increased locomotion after ingestion of lisdexamfetamine, 10.3 mg/kg body weight (BW). Despite treatment with IV fluids, IV acepromazine, oral cyproheptadine and intravenous lipid emulsion the patient's clinical signs worsened. Dexmedetomidine administered at 2 μg/kg BW and continued at 0.5 μg/kg BW per hour rapidly controlled the patient's signs. An episode of vomiting and hematuria developed. Follow-up 5 days after discharge revealed that the cat appeared normal.

Vital Signs Directed Therapy: Improving Care in an Intensive Care Unit in a Low-Income Country.

PubMed

Baker, Tim; Schell, Carl Otto; Lugazia, Edwin; Blixt, Jonas; Mulungu, Moses; Castegren, Markus; Eriksen, Jaran; Konrad, David

2015-01-01

Global Critical Care is attracting increasing attention. At several million deaths per year, the worldwide burden of critical illness is greater than generally appreciated. Low income countries (LICs) have a disproportionally greater share of critical illness, and yet critical care facilities are scarce in such settings. Routines utilizing abnormal vital signs to identify critical illness and trigger medical interventions have become common in high-income countries but have not been investigated in LICs. The aim of the study was to assess whether the introduction of a vital signs directed therapy protocol improved acute care and reduced mortality in an Intensive Care Unit (ICU) in Tanzania. Prospective, before-and-after interventional study in the ICU of a university hospital in Tanzania. A context-appropriate protocol that defined danger levels of severely abnormal vital signs and stipulated acute treatment responses was implemented in a four week period using sensitisation, training, job aids, supervision and feedback. Acute treatment of danger signs at admission and during care in the ICU and in-hospital mortality were compared pre and post-implementation using regression models. Danger signs from 447 patients were included: 269 pre-implementation and 178 post-implementation. Acute treatment of danger signs was higher post-implementation (at admission: 72.9% vs 23.1%, p<0.001; in ICU: 16.6% vs 2.9%, p<0.001). A danger sign was five times more likely to be treated post-implementation (Prevalence Ratio (PR) 4.9 (2.9-8.3)). Intravenous fluids were given in response to 35.0% of hypotensive episodes post-implementation, as compared to 4.1% pre-implementation (PR 6.4 (2.5-16.2)). In patients admitted with hypotension, mortality was lower post-implementation (69.2% vs 92.3% p = 0.02) giving a numbers-needed-to-treat of 4.3. Overall in-hospital mortality rates were unchanged (49.4% vs 49.8%, p = 0.94). The introduction of a vital signs directed therapy protocol improved the acute treatment of abnormal vital signs in an ICU in a low-income country. Mortality rates were reduced for patients with hypotension at admission but not for all patients.

Japan signs Ocean Agreement

NASA Astrophysics Data System (ADS)

The Ocean Research Institute of the University of Tokyo and the National Science Foundation (NSF) have signed a Memorandum of Understanding for cooperation in the Ocean Drilling Program (ODP). The agreement calls for Japanese participation in ODP and an annual contribution of $2.5 million in U.S. currency for the project's 9 remaining years, according to NSF.ODP is an international project whose mission is to learn more about the formation and development of the earth through the collection and examination of core samples from beneath the ocean. The program uses the drillship JOIDES Resolution, which is equipped with laboratories and computer facilities. The Joint Oceanographic Institutions for Deep Earth Sampling (JOIDES), an international group of scientists, provides overall science planning and program advice regarding ODP's science goals and objectives.

Effects of Iconicity and Semantic Relatedness on Lexical Access in American Sign Language

PubMed Central

Bosworth, Rain G.; Emmorey, Karen

2010-01-01

Iconicity is a property that pervades the lexicon of many sign languages, including American Sign Language (ASL). Iconic signs exhibit a motivated, non-arbitrary mapping between the form of the sign and its meaning. We investigated whether iconicity enhances semantic priming effects for ASL and whether iconic signs are recognized more quickly than non-iconic signs (controlling for strength of iconicity, semantic relatedness, familiarity, and imageability). Twenty deaf signers made lexical decisions to the second item of a prime-target pair. Iconic target signs were preceded by prime signs that were a) iconic and semantically related, b) non-iconic and semantically related, or c) semantically unrelated. In addition, a set of non-iconic target signs was preceded by semantically unrelated primes. Significant facilitation was observed for target signs when preceded by semantically related primes. However, iconicity did not increase the priming effect (e.g., the target sign PIANO was primed equally by the iconic sign GUITAR and the non-iconic sign MUSIC). In addition, iconic signs were not recognized faster or more accurately than non-iconic signs. These results confirm the existence of semantic priming for sign language and suggest that iconicity does not play a robust role in on-line lexical processing. PMID:20919784

Pilot test of Pickliq{reg_sign} process to determine energy and environmental benefits & economic feasibility

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

Olsen, D.R.

Green Technology Group (GTG) was awarded Grant No. DE-FG01-96EE 15657 in the amount of $99,904 for a project to advance GTG`s Pickliq{reg_sign} Process in the Copper and Steel Industries. The use of the Pickliq{reg_sign} Process can significantly reduce the production of waste acids containing metal salts. The Pickliq{reg_sign} Process can save energy and eliminate hazardous waste in a typical copper rod or wire mill or a typical steel wire mill. The objective of this pilot project was to determine the magnitude of the economic, energy and environmental benefits of the Pickliq{reg_sign} Process in two applications within the metal processing industry.more » The effectiveness of the process has already been demonstrated at facilities cleaning iron and steel with sulfuric acid. 9207 companies are reported to use sulfuric and hydrochloric acid in the USA. The USEPA TRI statistics of acid not recycled in the US is 2.4 x 10{sup 9} lbs (net) for Hydrochloric Acid and 2.0 x 10{sup 9} lbs (net) for Sulfuric Acid. The energy cost of not reclaiming acid is 10.7 x 10{sup 6} BTU/ton for Hydrochloric Acid and 21.6 x 10{sup 6} BTU/Ton for Sulfuric Acid. This means that there is a very large market for the application of the Pickliq{reg_sign} Process and the widespread use of the process will bring significant world wide savings of energy to the environment.« less

Guidelines for the effective operation and control of VDOT permanent variable message sign and highway advisory radio units : state of the practice and recommendations : technical assistance report.

DOT National Transportation Integrated Search

1996-01-01

On January 31, 1996, VDOT's Statewide Incident Management (SIM) Committee requested that guidelines for the control of permanent variable message sign (VMS) and permanent highway advisory radio (HAR) units be developed. The guidelines do not address ...

Application of Demand-Control Theory to Sign Language Interpreting: Implications for Stress and Interpreter Training.

ERIC Educational Resources Information Center

Dean, Robyn K.; Pollard, Robert Q., Jr.

2001-01-01

This article uses the framework of demand-control theory to examine the occupation of sign language interpreting. It discusses the environmental, interpersonal, and intrapersonal demands that impinge on the interpreter's decision latitude and notes the prevalence of cumulative trauma disorders, turnover, and burnout in the interpreting profession.…

27 CFR 478.103 - Posting of signs and written notification to purchasers of handguns.

Code of Federal Regulations, 2010 CFR

2010-04-01

... is, under certain circumstances, punishable by up to 10 years in prison. FEDERAL LAW The Gun Control... nonlicensee shall display at its licensed premises (including temporary business locations at gun shows) a sign as described in paragraph (e) of this section. The sign shall be displayed where customers can...

Neurological Soft Signs in Indian Children with Specific Developmental Disorders of Scholastic Skills

ERIC Educational Resources Information Center

Sadhu, Raja; Mehta, Manju; Kalra, Veena; Sagar, Rajesh; Mongia, Monica

2008-01-01

Aim: To compare the occurrence of neurological soft signs (NSS) in children with specific developmental disorders of scholastic skills (SDDSS) and normal children. Methods: 36 cases of SDDSS were compared with 30 control children regarding sociodemographic and clinical variables and neurological soft signs. Results: Children with SDDSS had…

23 CFR 750.710 - Landmark signs.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Outdoor Advertising Control § 750.710 Landmark signs. (a) 23 U.S.C. 131(c) permits the existence of signs lawfully in existence on October 22, 1965, determined by the State, subject to the approval of the... artistic significance, the preservation of which is consistent with the purpose of 23 U.S.C. 131. (b...

23 CFR 750.710 - Landmark signs.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Outdoor Advertising Control § 750.710 Landmark signs. (a) 23 U.S.C. 131(c) permits the existence of signs lawfully in existence on October 22, 1965, determined by the State, subject to the approval of the... artistic significance, the preservation of which is consistent with the purpose of 23 U.S.C. 131. (b...

Localization and recognition of traffic signs for automated vehicle control systems

NASA Astrophysics Data System (ADS)

Zadeh, Mahmoud M.; Kasvand, T.; Suen, Ching Y.

1998-01-01

We present a computer vision system for detection and recognition of traffic signs. Such systems are required to assist drivers and for guidance and control of autonomous vehicles on roads and city streets. For experiments we use sequences of digitized photographs and off-line analysis. The system contains four stages. First, region segmentation based on color pixel classification called SRSM. SRSM limits the search to regions of interest in the scene. Second, we use edge tracing to find parts of outer edges of signs which are circular or straight, corresponding to the geometrical shapes of traffic signs. The third step is geometrical analysis of the outer edge and preliminary recognition of each candidate region, which may be a potential traffic sign. The final step in recognition uses color combinations within each region and model matching. This system maybe used for recognition of other types of objects, provided that the geometrical shape and color content remain reasonably constant. The method is reliable, easy to implement, and fast, This differs form the road signs recognition method in the PROMETEUS. The overall structure of the approach is sketched.

Are vital signs indicative for bacteremia in newborns?

PubMed

Yapıcıoğlu, Hacer; Özlü, Ferda; Sertdemir, Yaşar

2015-01-01

Neonatal systemic infection is a leading cause of morbidity and mortality both in industrialized and developing countries. The aim of this prospective study was to evaluate if vital signs had a predictive power in neonatal sepsis as an early marker. This study was designed as a matched case-control study. Vital signs were monitorized prior to infection in newborns that had healthcare-associated blood stream infection (BSI). Maximum and minimum values of the vital signs (blood pressure, heart rate, respiratory rate and temperature) of the babies at rest were recorded from the nurse observation charts five days prior to clinical sepsis and compared with vital signs of healthy, age-matched babies. Maximum mean heart rates, respiratory rates and systolic blood pressure levels of the patients in BSI group were significantly higher than the control group in the past three days prior to clinical deterioration. Monitoring vital signs closely might be helpful in a newborn infant to define a BSI. In future, a respiratory and blood pressure predictive monitoring system such as heart rate variability index may be developed for newborn patients with sepsis.

The value of 'positive' clinical signs for weakness, sensory and gait disorders in conversion disorder: a systematic and narrative review.

PubMed

Daum, Corinna; Hubschmid, Monica; Aybek, Selma

2014-02-01

Experts in the field of conversion disorder have suggested for the upcoming DSM-V edition to put less weight on the associated psychological factors and to emphasise the role of clinical findings. Indeed, a critical step in reaching a diagnosis of conversion disorder is careful bedside neurological examination, aimed at excluding organic signs and identifying 'positive' signs suggestive of a functional disorder. These positive signs are well known to all trained neurologists but their validity is still not established. The aim of this study is to provide current evidence regarding their sensitivity and specificity. We conducted a systematic search on motor, sensory and gait functional signs in Embase, Medline, PsycINfo from 1965 to June 2012. Studies in English, German or French reporting objective data on more than 10 participants in a controlled design were included in a systematic review. Other relevant signs are discussed in a narrative review. Eleven controlled studies (out of 147 eligible articles) describing 14 signs (7 motor, 5 sensory, 2 gait) reported low sensitivity of 8-100% but high specificity of 92-100%. Studies were evidence class III, only two had a blinded design and none reported on inter-rater reliability of the signs. Clinical signs for functional neurological symptoms are numerous but only 14 have been validated; overall they have low sensitivity but high specificity and their use should thus be recommended, especially with the introduction of the new DSM-V criteria.

Vasopressin, cortisol, and catecholamine concentrations in dogs with dilated cardiomyopathy.

PubMed

Tidholm, Anna; Häggström, Jens; Hansson, Kerstin

2005-10-01

To evaluate plasma concentrations and urinary excretion of vasopressin and cortisol and urinary excretion of catecholamines in dogs with dilated cardiomyopathy (DCM). 15 dogs with clinical signs of DCM, 15 dogs with preclinical DCM, and 15 control dogs. Physical examinations, thoracic radiography, ECG, and echocardiography were performed on all dogs. Blood and urine samples were collected. Plasma concentration of vasopressin and the urine cortisol-to-urine creatinine ratio were significantly increased in dogs with clinical signs of DCM and dogs with preclinical DCM, compared with control dogs. Plasma vasopressin concentration was significantly higher in dogs with clinical signs of DCM, compared with dogs with preclinical DCM. Urine vasopressin-to-urine creatinine ratio was significantly increased in dogs with clinical signs of DCM, compared with dogs with preclinical DCM and control dogs. Urine epinephrine-to-urine creatinine ratio and urine norepinephrine-to-urine creatinine ratio were significantly increased in dogs with clinical signs of DCM, compared with control dogs. Plasma concentration of cortisol and urine dopamine-to-urine creatinine ratio did not differ significantly among groups. According to this study, the neuroendocrine pattern is changed in dogs with preclinical DCM. These changes are even more pronounced in dogs with clinical signs of DCM. Analysis of concentrations of vasopressin, cortisol, and catecholamines may aid in identification of the clinical stages of DCM. These findings may also provide a basis for additional studies of the possible beneficial effects of vasopressin antagonists and beta-adrenergic receptor antagonists in the treatment of dogs with congestive heart failure and DCM.

Endophthalmitis in eyes presenting with orbital signs: a case-control study.

PubMed

Rishi, Pukhraj; Rishi, Ekta; Nandi, Krishnendu; Khan, Balbir

2010-03-01

The purpose of this study was to assess the clinical profile and treatment outcomes in eyes with endophthalmitis presenting with orbital signs. A case-control study of 24 eyes with endophthalmitis and orbital signs at presentation (defined as ocular motility restriction and/or presence of " inverted perpendicular" sign on ultrasonography) was conducted between January 2000 and December 2006. The control group was constituted of 40 age- and sex-matched eyes with endophthalmitis presenting without orbital signs. Optimal structural outcome was defined as resolution of inflammation and infection. Adverse structural outcome was defined as development of phthisis bulbi or need for evisceration or development of retinal detachment. Optimal functional outcome was defined as improvement in postoperative visual acuity to 3/60 or better. The Pearson chi-square test was used with appropriate significance (P < or = 0.05) to compare the mean visual acuity before and after treatment. Twenty-four patients with a mean age of 46.4 years and a mean follow-up of 14.6 months were included. Treatment options included intravitreal antibiotics, vitrectomy, evisceration, and systemic antibiotics. Optimal structural outcome was achieved in 6 (25%) eyes. A total of 70.8% eyes had no light perception, whereas 4 (16.66%) patients regained ambulatory vision (>3/60). There was a statistically significant poor visual (P = 0.05) and structural outcome (P = 0.004), whereas in the control group, 25 patients (62.5%) had vision 3/60 or better (P = 0.001). Orbital signs are independent risk factors for poor structural and visual outcomes in eyes with endophthalmitis.

Driver’s Cognitive Workload and Driving Performance under Traffic Sign Information Exposure in Complex Environments: A Case Study of the Highways in China

PubMed Central

Lyu, Nengchao; Xie, Lian; Wu, Chaozhong; Fu, Qiang; Deng, Chao

2017-01-01

Complex traffic situations and high driving workload are the leading contributing factors to traffic crashes. There is a strong correlation between driving performance and driving workload, such as visual workload from traffic signs on highway off-ramps. This study aimed to evaluate traffic safety by analyzing drivers’ behavior and performance under the cognitive workload in complex environment areas. First, the driving workload of drivers was tested based on traffic signs with different quantities of information. Forty-four drivers were recruited to conduct a traffic sign cognition experiment under static controlled environment conditions. Different complex traffic signs were used for applying the cognitive workload. The static experiment results reveal that workload is highly related to the amount of information on traffic signs and reaction time increases with the information grade, while driving experience and gender effect are not significant. This shows that the cognitive workload of subsequent driving experiments can be controlled by the amount of information on traffic signs; Second, driving characteristics and driving performance were analyzed under different secondary task driving workload levels using a driving simulator. Drivers were required to drive at the required speed on a designed highway off-ramp scene. The cognitive workload was controlled by reading traffic signs with different information, which were divided into four levels. Drivers had to make choices by pushing buttons after reading traffic signs. Meanwhile, the driving performance information was recorded. Questionnaires on objective workload were collected right after each driving task. The results show that speed maintenance and lane deviations are significantly different under different levels of cognitive workload, and the effects of driving experience and gender groups are significant. The research results can be used to analyze traffic safety in highway environments, while considering more drivers’ cognitive and driving performance. PMID:28218696

Relationship between clinical signs and postmortem test status in cattle experimentally infected with the bovine spongiform encephalopathy agent

PubMed Central

2010-01-01

Background Various clinical protocols have been developed to aid in the clinical diagnosis of classical bovine spongiform encephalopathy (BSE), which is confirmed by postmortem examinations based on vacuolation and accumulation of disease-associated prion protein (PrPd) in the brain. The present study investigated the occurrence and progression of sixty selected clinical signs and behaviour combinations in 513 experimentally exposed cattle subsequently categorised postmortem as confirmed or unconfirmed BSE cases. Appropriate undosed or saline inoculated controls were examined similarly and the data analysed to explore the possible occurrence of BSE-specific clinical expression in animals unconfirmed by postmortem examinations. Results Based on the display of selected behavioural, sensory and locomotor changes, 20 (67%) orally dosed and 17 (77%) intracerebrally inoculated pathologically confirmed BSE cases and 21 (13%) orally dosed and 18 (6%) intracerebrally inoculated but unconfirmed cases were considered clinical BSE suspects. None of 103 controls showed significant signs and were all negative on diagnostic postmortem examinations. Signs indicative of BSE suspects, particularly over-reactivity and ataxia, were more frequently displayed in confirmed cases with vacuolar changes in the brain. The display of several BSE-associated signs over time, including repeated startle responses and nervousness, was significantly more frequent in confirmed BSE cases compared to controls, but these two signs were also significantly more frequent in orally dosed cattle unconfirmed by postmortem examinations. Conclusions The findings confirm that in experimentally infected cattle clinical abnormalities indicative of BSE are accompanied by vacuolar changes and PrPd accumulation in the brainstem. The presence of more frequently expressed signs in cases with vacuolar changes is consistent with this pathology representing a more advanced stage of disease. That BSE-like signs or sign combinations occur in inoculated animals that were not confirmed as BSE cases by postmortem examinations requires further study to investigate the potential causal relationship with prion disease. PMID:21143919

Advanced human-machine interface for collaborative building control

DOEpatents

Zheng, Xianjun S.; Song, Zhen; Chen, Yanzi; Zhang, Shaopeng; Lu, Yan

2015-08-11

A system for collaborative energy management and control in a building, including an energy management controller, one or more occupant HMIs that supports two-way communication between building occupants and a facility manager, and between building occupants and the energy management controller, and a facility manager HMI that supports two-way communication between the facility manager and the building occupants, and between the facility manager and the energy management controller, in which the occupant HMI allows building occupants to provide temperature preferences to the facility manager and the energy management controller, and the facility manager HMI allows the facility manager to configure an energy policy for the building as a set of rules and to view occupants' aggregated temperature preferences, and the energy management controller determines an optimum temperature range that resolves conflicting occupant temperature preferences and occupant temperature preferences that conflict with the facility manager's energy policy for the building.

75 FR 18572 - Facility Control Numbers

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-12

... DEPARTMENT OF THE TREASURY Internal Revenue Service Facility Control Numbers AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of planned use of Facility Control Numbers. SUMMARY: The IRS has developed and is publishing in this issue of the Federal Register, Facility Control Numbers to...

Effect of safety education on knowledge of and compliance with road safety signs among commercial motorcyclists in Uyo, Southern Nigeria.

PubMed

Johnson, O E; Adebayo, A M

2011-09-01

Compliance with road safety signs is important in the reduction of motorcycle accidents. The aim of this study was to implement health education intervention and assess its impact on the knowledge of and compliance with road safety signs among commercial motorcyclists in Uyo, Southern Nigeria. This was an intervention study among motorcyclists in Uyo, Southern Nigeria, with a control group from a similar town. The instrument of data collection was a semi-structured interviewer administered questionnaire. Subjects were selected through multistage sampling method. Baseline data on compliance to road safety signs was collected from both groups. Motorcyclists in the intervention group were given education on the importance of compliance to road safety signs. Data was subsequently collected from both groups 3 months post intervention and analysed using the Statistical Package for the Social Sciences version 11. A total of 200 respondents participated in the study, 100 from each group. Following intervention, respondents with good knowledge score increased from 21% at baseline to 82% at 3 months post intervention in the intervention group (p<0.05) and from 19% to 21% in the control group. Compliance score in the intervention group increased from 15% to 70% (p<0.05) and from 12% to 18% in the control group. A significant increase in compliance to road safety signs was recorded among motorcyclists in the intervention group after safety education. All motorcyclists should therefore be given education on road safety signs as this will improve compliance and lead to safer road use among them.

Ringers lactate vs Normal saline for children with acute diarrhea and severe dehydration- a double blind randomized controlled trial.

PubMed

Mahajan, Vidushi; Sajan, Shiv Saini; Sharma, Amit; Kaur, Jasbinder

2012-12-01

WHO recommends Ringers lactate (RL) and Normal Saline (NS) for rapid intravenous rehydration in childhood diarrhea and severe dehydration. We compared these two fluids for improvement in pH over baseline during rapid intravenous rehydration in children with acute diarrhea. Double-blind randomized controlled trial Pediatric emergency facilities at a tertiary-care referral hospital. Children with acute diarrhea and severe dehydration received either RL (RL-group) or NS (NS-group), 100 mL/kg over three or six hours. Children were reassessed after three or six hours. Rapid rehydration was repeated if severe dehydration persisted. Blood gas was done at baseline and repeated after signs of severe dehydration disappeared. Primary outcome was change in pH from baseline. Secondary outcomes included changes in serum electrolytes, bicarbonate levels, and base-deficit from baseline; mortality, duration of hospital stay, and fluids requirement. Twenty two children, 11 each were randomized to the two study groups. At primary end point (disappearance of signs of severe dehydration), the improvement in pH from baseline was not significant in RL-group [from 7.17 (0.11) to 7.28 (0.09)] as compared to NS-group [7.09 (0.11) to 7.21 (0.09)], P=0.17 (after adjusting for baseline serum Na/ Cl). Among this limited sample size, children in RL group required less fluids [median 310 vs 530 mL/kg, P=0.01] and had shorter median hospital stay [38 vs 51 hours, P=0.03]. There was no difference in improvement in pH over baseline between RL and NS among children with acute diarrhea and severe dehydration.

14 CFR 93.83 - Aircraft operations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Radar Control Facility), no person may operate an aircraft in flight within the North-South Corridor... from the Eglin Radar Control Facility or an appropriate FAA ATC facility; and (2) That person maintains two-way radio communication with the Eglin Radar Control Facility or an appropriate FAA ATC facility...

14 CFR 93.83 - Aircraft operations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Radar Control Facility), no person may operate an aircraft in flight within the North-South Corridor... from the Eglin Radar Control Facility or an appropriate FAA ATC facility; and (2) That person maintains two-way radio communication with the Eglin Radar Control Facility or an appropriate FAA ATC facility...

Validation study - on-road evaluation of the Cooperative Intersection Collision Avoidance System - Stop Sign Assist sign : (CICAS-SSA Report #5).

DOT National Transportation Integrated Search

2009-11-01

The CICAS-SSA sign is a roadside driver support system that is intended to improve gap rejection at rural stop-controlled intersections. The CICAS-SSA system tracks vehicle locations on a major roadway and then displays a message to a driver on the m...

Design of Lockage Waiting Areas at L.S.A.F. (Lower Saint Anthony Falls) Lock, Lock Number 2, and Lock Number 3, Upper Mississippi River.

DTIC Science & Technology

1980-01-01

RIVER. 41. PKRFORING ORG. REPORT Nme T% AUTNOR(q) S. CONTRACT OR GRANT NUNUERfa) DACW37-77-C-0148 PERORING ORGANIZATION NAME AND ADDRESS 10. PRGRAM ... prevent erosion. The other facilities provided 7 will be navigation buoys, a lockage waiting area sign, and two trash receptacles. LOCK 2. UPPER APPROACH

ACD16-0001-043

NASA Image and Video Library

2016-01-06

Senior executives from the Renault-Nissan Alliance, including Carlos Ghosn, chairman and CEO of Nissan, and Jose Munoz, chairman of Nissan North America, visited Ames for meetings and a showcase of the technical partnership between NASA and Nissan North America. Shown here on left is Carlos Ghosn, CEO, Nissan on right Eugene Tu, Ames Center Director in front to the NASA sign at the VMS Facility at Ames Research Center ,CA.

Women's experiences seeking informal sector abortion services in Cape Town, South Africa: a descriptive study.

PubMed

Gerdts, Caitlin; Raifman, Sarah; Daskilewicz, Kristen; Momberg, Mariette; Roberts, Sarah; Harries, Jane

2017-10-02

In settings where abortion is legally restricted, or permitted but not widely accessible, women face significant barriers to abortion access, sometimes leading them to seek services outside legal facilities. The advent of medication abortion has further increased the prevalence of informal sector abortion. This study investigates the reasons for attempting self-induction, methods used, complications, and sources of information about informal sector abortion, and tests a specific recruitment method which could lead to improved estimates of informal sector abortion prevalence among an at-risk population. We recruited women who have sought informal sector abortion services in Cape Town, South Africa using respondent driven sampling (RDS). An initial seed recruiter was responsible for initiating recruitment using a structured coupon system. Participants completed face-to-face questionnaires, which included information about demographics, informal sector abortion seeking, and safe abortion access needs. We enrolled 42 women, nearly one-third of whom reported they were sex workers. Thirty-four women (81%) reported having had one informal sector abortion within the past 5 years, 14% reported having had two, and 5% reported having had three. These women consumed home remedies, herbal mixtures from traditional healers, or tablets from an unregistered provider. Twelve sought additional care for potential warning signs of complications. Privacy and fear of mistreatment at public sector facilities were among the main reported reasons for attempting informal sector abortion. Most women (67%) cited other community members as their source of information about informal sector abortion; posted signs and fliers in public spaces also served as an important source of information. Women are attempting informal sector abortion because they seek privacy and fear mistreatment and stigma in health facilities. Some were unaware how or where to seek formal sector services, or believed the cost was too high. Many informal methods are ineffective and unsafe, leading to potential warning signs of complications and continued pregnancy. Sex workers may be at particular risk of unsafe abortion. Based on these results, it is essential that future studies sample women outside of the formal health sector. The use of innovative sampling methods would greatly improve our knowledge about informal sector abortion in South Africa.

Excessive lateral patellar translation on axial computed tomography indicates positive patellar J sign.

PubMed

Xue, Zhe; Song, Guan-Yang; Liu, Xin; Zhang, Hui; Wu, Guan; Qian, Yi; Feng, Hua

2018-03-20

The purpose of the study was to quantify the patellar J sign using traditional computed tomography (CT) scans. Fifty-three patients (fifty-three knees) who suffered from recurrent patellar instability were included and analyzed. The patellar J sign was evaluated pre-operatively during active knee flexion and extension. It was defined as positive when there was obvious lateral patellar translation, and negative when there was not. The CT scans were performed in all patients with full knee extension; and the parameters including bisect offset index (BOI), patellar-trochlear-groove (PTG) distance, and patellar lateral tilt angle (PLTA) were measured on the axial slices. All the three parameters were compared between the J sign-positive group (study group) and the J sign-negative group (control group). In addition, the optimal thresholds of the three CT scan parameters for predicting the positive patellar J sign were determined with receiver operating characteristic (ROC) curves, and the diagnostic values were assessed by the area under the curve (AUC). Among the fifty-three patients (fifty-three knees), thirty-seven (70%) showed obvious lateral patellar translation, which were defined as positive J sign (study group), and the remaining sixteen (30%) who showed no lateral translation were defined as negative J sign (control group). The mean values of the three CT parameters in the study group were all significantly larger compared to the control group, including BOI (121 ± 28% vs 88 ± 12%, P = 0.038), PTG distance (5.2 ± 6.6 mm vs - 4.4 ± 5.2 mm, P < 0.05), and PLTA (34.9 ± 10.5° vs 25.7 ± 3.4°, P = 0.001). Furthermore, the evaluation of ROC analysis showed that the AUC of BOI was the largest (AUC = 0.906) among the three parameters, and the optimal threshold of BOI to predict the positive patellar J sign was 97.5% (Sensitivity = 83.3%, Specificity = 87.5%). In this study, the prevalence of positive patellar J sign was 70%. The BOI measured from the axial CT scans of the knee joint can be used as an appropriate predictor to differentiate the positive J sign from the negative J sign, highlighting that the excessive lateral patellar translation on axial CT scan indicates positive patellar J sign. IV.

Acoustical criteria for hospital patient rooms: Resolving competing requirements

NASA Astrophysics Data System (ADS)

Brooks, Bennett M.

2003-10-01

The acoustical criteria for patient rooms in hospitals, nursing homes, and rehabilitation facilities may be based on several needs. One important requirement is that noise levels in the room be conducive to restful sleep. Also, caregivers must have easy auditory and visual access to the patients, and be able to hear vital sign monitor alarms. This often means that patient rooms are located near central nurse stations and that patient room doors are left open. Further, the recently published federal privacy standards developed by the U.S. Department of Health and Human Services (HSS) under the Health Insurance Portability and Accountability Act (HIPAA) require that ``appropriate physical safeguards'' be put in place to protect the confidentiality of patient health information. The simultaneous and competing requirements for speech privacy, caregiver access, and good sleeping conditions present a serious acoustical challenge to health care facility designers. Specific facility design issues and potential solution strategies are presented.

KSC-2013-3064

NASA Image and Video Library

2013-07-19

CAPE CANAVERAL, Fla. – At NASA’s Kennedy Space Center in Florida, Director Bob Cabana, at right, shakes hands with Larry Williams, president and CEO of Ballistic Recovery Systems Inc., or BRS Aerospace of Miami, Fla., after signing a new partnership agreement for use of the Parachute Refurbishment Facility, or PRF. Under a 10-year lease agreement, BRS Aerospace will operate and maintain the facility. The PRF previously was used during NASA’s Space Shuttle Program to manufacture and refurbish the solid rocket booster parachutes. Because of NASA’s transition from the shuttle to future commercial and government mission activities, the agreement allows NASA to preserve the unique facility capabilities for future spaceflight projects. Kennedy’s Center Planning and Development team and the Economic Development Commission of Florida’s Space Coast worked with BRS Aerospace to establish the agreement. For more information about BRS Aerospace, visit http://www.brsparachutes.com. Photo credit: NASA/Jim Grossmann

KSC-2013-3065

NASA Image and Video Library

2013-07-19

CAPE CANAVERAL, Fla. – At NASA’s Kennedy Space Center in Florida, Director Bob Cabana, at right, shakes hands with Larry Williams, president and CEO of Ballistic Recovery Systems Inc., or BRS Aerospace of Miami, Fla., after signing a new partnership agreement for use of the Parachute Refurbishment Facility, or PRF. Under a 10-year lease agreement, BRS Aerospace will operate and maintain the facility. The PRF previously was used during NASA’s Space Shuttle Program to manufacture and refurbish the solid rocket booster parachutes. Because of NASA’s transition from the shuttle to future commercial and government mission activities, the agreement allows NASA to preserve the unique facility capabilities for future spaceflight projects. Kennedy’s Center Planning and Development team and the Economic Development Commission of Florida’s Space Coast worked with BRS Aerospace to establish the agreement. For more information about BRS Aerospace, visit http://www.brsparachutes.com. Photo credit: NASA/Jim Grossmann

A Non-Invasive Multichannel Hybrid Fiber-Optic Sensor System for Vital Sign Monitoring

PubMed Central

Fajkus, Marcel; Nedoma, Jan; Martinek, Radek; Vasinek, Vladimir; Nazeran, Homer; Siska, Petr

2017-01-01

In this article, we briefly describe the design, construction, and functional verification of a hybrid multichannel fiber-optic sensor system for basic vital sign monitoring. This sensor uses a novel non-invasive measurement probe based on the fiber Bragg grating (FBG). The probe is composed of two FBGs encapsulated inside a polydimethylsiloxane polymer (PDMS). The PDMS is non-reactive to human skin and resistant to electromagnetic waves, UV absorption, and radiation. We emphasize the construction of the probe to be specifically used for basic vital sign monitoring such as body temperature, respiratory rate and heart rate. The proposed sensor system can continuously process incoming signals from up to 128 individuals. We first present the overall design of this novel multichannel sensor and then elaborate on how it has the potential to simplify vital sign monitoring and consequently improve the comfort level of patients in long-term health care facilities, hospitals and clinics. The reference ECG signal was acquired with the use of standard gel electrodes fixed to the monitored person’s chest using a real-time monitoring system for ECG signals with virtual instrumentation. The outcomes of these experiments have unambiguously proved the functionality of the sensor system and will be used to inform our future research in this fast developing and emerging field. PMID:28075341

Community health workers and health care delivery: evaluation of a women's reproductive health care project in a developing country.

PubMed

Wajid, Abdul; White, Franklin; Karim, Mehtab S

2013-01-01

As part of the mid-term evaluation of a Women's Health Care Project, a study was conducted to compare the utilization of maternal and neonatal health (MNH) services in two areas with different levels of service in Punjab, Pakistan. A cross-sectional survey was conducted to interview Married Women of Reproductive Age (MWRA). Information was collected on MWRA knowledge regarding danger signs during pregnancy, delivery, postnatal periods, and MNH care seeking behavior. After comparing MNH service utilization, the two areas were compared using a logistic regression model, to identify the association of different factors with the intervention after controlling for socio-demographic, economic factors and distance of the MWRA residence to a health care facility. The demographic characteristics of women in the two areas were similar, although socioeconomic status as indicated by level of education and better household amenities, was higher in the intervention area. Consequently, on univariate analysis, utilization of MNH services: antenatal care, TT vaccination, institutional delivery and use of modern contraceptives were higher in the intervention than control area. Nonetheless, multivariable analysis controlling for confounders such as socioeconomic status revealed that utilization of antenatal care services at health centers and TT vaccination during pregnancy are significantly associated with the intervention. Our findings suggest positive changes in health care seeking behavior of women and families with respect to MNH. Some aspects of care still require attention, such as knowledge about danger signs and neonatal care, especially umbilical cord care. Despite overall success achieved so far in response to the Millennium Development Goals, over the past two decades decreases in maternal mortality are far from the 2015 target. This report identifies some of the key factors to improving MNH and serves as an interim measure of a national and global challenge that remains a work in progress.

Community Health Workers and Health Care Delivery: Evaluation of a Women's Reproductive Health Care Project in a Developing Country

PubMed Central

Wajid, Abdul; White, Franklin; Karim, Mehtab S.

2013-01-01

Background As part of the mid-term evaluation of a Women's Health Care Project, a study was conducted to compare the utilization of maternal and neonatal health (MNH) services in two areas with different levels of service in Punjab, Pakistan. Methods A cross-sectional survey was conducted to interview Married Women of Reproductive Age (MWRA). Information was collected on MWRA knowledge regarding danger signs during pregnancy, delivery, postnatal periods, and MNH care seeking behavior. After comparing MNH service utilization, the two areas were compared using a logistic regression model, to identify the association of different factors with the intervention after controlling for socio-demographic, economic factors and distance of the MWRA residence to a health care facility. Results The demographic characteristics of women in the two areas were similar, although socioeconomic status as indicated by level of education and better household amenities, was higher in the intervention area. Consequently, on univariate analysis, utilization of MNH services: antenatal care, TT vaccination, institutional delivery and use of modern contraceptives were higher in the intervention than control area. Nonetheless, multivariable analysis controlling for confounders such as socioeconomic status revealed that utilization of antenatal care services at health centers and TT vaccination during pregnancy are significantly associated with the intervention. Conclusions Our findings suggest positive changes in health care seeking behavior of women and families with respect to MNH. Some aspects of care still require attention, such as knowledge about danger signs and neonatal care, especially umbilical cord care. Despite overall success achieved so far in response to the Millennium Development Goals, over the past two decades decreases in maternal mortality are far from the 2015 target. This report identifies some of the key factors to improving MNH and serves as an interim measure of a national and global challenge that remains a work in progress. PMID:24086541

Human Plant Exposures Reported to a Regional (Southwestern) Poison Control Center Over 8 Years.

PubMed

Enfield, Ben; Brooks, Daniel E; Welch, Sharyn; Roland, Maureen; Klemens, Jane; Greenlief, Kim; Olson, Rachel; Gerkin, Richard D

2018-03-01

There is little published data about human plant exposures reported to US poison control centers (PCCs). A retrospective chart review of all reported plant exposures to a single regional PCC between January 1, 2003 and December 31, 2010 was done to understand better the characteristics of plant exposure cases. Specific generic plant codes were used to identify cases. Recorded variables included patient demographics, plant involved, exposure variables, symptoms, management site, treatments, and outcome. Univariate and multivariate regression was used to identify outcome predictors. A total of 6492 charts met inclusion criteria. The average age was 16.6 years (2 months-94 years); 52.4% were male. The most common exposure reason was unintentional (98%), and the majority (92.4%) occurred at the patient's home. Ingestions (58.3%) and dermal exposures (34.3%) accounted for most cases. Cactus (27.5%), oleander (12.5%), Lantana (5.7%), and Bougainvillea (3.8%) were most commonly involved. Symptoms developed in 47.1% of patients, and were more likely to occur following Datura (66.7%), and Morning Glory or Milkweed (25% each) exposures. Almost 94% of patients were managed onsite (home) and only 5.2% involved evaluation in a health care facility (HCF). Only 37 (0.6%) patients required hospital admission, and 2.9% of cases resulted in more than minimal effects. Exposures resulting in more than minimal clinical effects were predicted by several variables: abnormal vital signs (OR = 35.62), abnormal labs (OR = 14.87), and management at a HCF (OR = 7.37). Hospital admissions were increased for patients already at a HCF (OR = 54.01), abnormal vital signs (OR = 23.28), and intentional exposures (OR = 14.7). Plant exposures reported to our poison control center were typically unintentional ingestions occurring at home. Most patients were managed onsite and few developed significant symptoms.

The Intersection of Care Seeking and Clinical Capacity for Patients With Highly Pathogenic Avian Influenza A (H5N1) Virus in Indonesia: Knowledge and Treatment Practices of the Public and Physicians.

PubMed

Kreslake, Jennifer M; Wahyuningrum, Yunita; Iuliano, Angela D; Storms, Aaron D; Lafond, Kathryn E; Mangiri, Amalya; Praptiningsih, Catharina Y; Safi, Basil; Uyeki, Timothy M; Storey, J Douglas

2016-12-01

Indonesia has the highest human mortality from highly pathogenic avian influenza (HPAI) A (H5N1) virus infection in the world. A survey of households (N=2520) measured treatment sources and beliefs among symptomatic household members. A survey of physicians (N=554) in various types of health care facilities measured knowledge, assessment and testing behaviors, and perceived clinical capacity. Households reported confidence in health care system capacity but infrequently sought treatment for potential HPAI H5N1 signs/symptoms. More clinicians were confident in their knowledge of diagnosis and treatment than in the adequacy of related equipment and resources at their facilities. Physicians expressed awareness of the HPAI H5N1 suspect case definition, yet expressed only moderate knowledge in questioning symptomatic patients about exposures. Self-reported likelihood of testing for HPAI H5N1 virus was high after learning of certain exposures. Knowledge of antiviral treatment was moderate, but it was higher among clinicians in puskesmas. Physicians in private outpatient clinics, the most heavily used facilities, reported the lowest confidence in their diagnostic and treatment capabilities. Educational campaigns can encourage recall of possible poultry exposure when patients are experiencing signs/symptoms and can raise awareness of the effectiveness of antivirals to drive people to seek health care. Clinicians may benefit from training regarding exposure assessment and referral procedures, particularly in private clinics. (Disaster Med Public Health Preparedness. 2016;10:838-847).

Behavioral characteristics and neurobiological substrates shared by Pavlovian sign-tracking and drug abuse.

PubMed

Tomie, Arthur; Grimes, Kathryn L; Pohorecky, Larissa A

2008-06-01

Drug abuse researchers have noted striking similarities between behaviors elicited by Pavlovian sign-tracking procedures and prominent symptoms of drug abuse. In Pavlovian sign-tracking procedures, repeated paired presentations of a small object (conditioned stimulus, CS) with a reward (unconditioned stimulus, US) elicits a conditioned response (CR) that typically consists of approaching the CS, contacting the CS, and expressing consummatory responses at the CS. Sign-tracking CR performance is poorly controlled and exhibits spontaneous recovery and long-term retention, effects that resemble relapse. Sign-tracking resembles psychomotor activation, a syndrome of behavioral responses evoked by addictive drugs, and the effects of sign-tracking on corticosterone levels and activation of dopamine pathways resemble the neurobiological effects of abused drugs. Finally, the neurobiological profile of individuals susceptible to sign-tracking resembles the pathophysiological profile of vulnerability to drug abuse, and vulnerability to sign-tracking predicts vulnerability to impulsive responding and alcohol self-administration. Implications of sign-tracking for models of drug addiction are considered.

Behavioral Characteristics and Neurobiological Substrates Shared by Pavlovian Sign-Tracking and Drug Abuse

PubMed Central

Tomie, Arthur; Grimes, Kathryn L.; Pohorecky, Larissa A.

2008-01-01

Drug abuse researchers have noted striking similarities between behaviors elicited by Pavlovian sign-tracking procedures and prominent symptoms of drug abuse. In Pavlovian sign-tracking procedures, repeated paired presentations of a small object (conditioned stimulus, CS) with a reward (unconditioned stimulus, US) elicits a conditioned response (CR) that typically consists of approaching the CS, contacting the CS, and expressing consummatory responses at the CS. Sign-tracking CR performance is poorly controlled and exhibits spontaneous recovery and long-term retention, effects that resemble relapse. Sign-tracking resembles psychomotor activation, a syndrome of behavioral responses evoked by addictive drugs, and the effects of sign-tracking on corticosterone levels and activation of dopamine pathways resemble the neurobiological effects of abused drugs. Finally, the neurobiological profile of individuals susceptible to sign-tracking resembles the pathophysiological profile of vulnerability to drug abuse, and vulnerability to sign-tracking predicts vulnerability to impulsive responding and alcohol self-administration. Implications of sign-tracking for models of drug addiction are considered. PMID:18234349

Usefulness of a topical combination of dinotefuran and pyriproxyfen for long-term control of clinical signs of allergic dermatitis in privately-owned cats in Ile-de-France region.

PubMed

Crosaz, Odile; Bonati, Silvia; Briand, Amaury; Chapelle, Elodie; Cochet-Faivre, Noëlle; Ka, Diane; Darmon-Hadjaje, Céline; Varloud, Marie; Guillot, Jacques

2017-08-23

The present study assessed the activity of a combination of dinotefuran and pyriproxyfen (Vectra® Felis) for long-term control (3 months) of allergic dermatitis (AD) in privately-owned cats under common household conditions in Ile-de-France region. This was an open pre-treatment vs post-treatment study. Twenty-eight client-owned cats with clinical signs of AD were enrolled in the study. They received topical application of the combination of dinotefuran and pyriproxyfen on days 0, 28, 56 and 84. Two parameters (clinical signs and pruritus severity) were used to assess the animals' condition on days 0, 28 and 84. Fleas were counted if they were observed. Of the 28 cats initially enrolled, 26 were presented on day 28 and 20 for the final evaluation on day 84. A significant improvement in clinical signs and pruritus was observed in cats for which fleas and/or flea feces were detected on day 0. Globally, the post-treatment AD clinical scores on days 28 and 84 were different from that of the pre-treatment on day 0, with a reduction of 30% and 71%, respectively. For cats with fleas and/or flea feces, the reduction on days 28 and 84 was 33% and 85%, respectively. The improvement of clinical signs and pruritus was not significant in cats with no visible fleas and no flea feces at the beginning of the trial (n = 8). The present study indicated that the treatment with a combination of dinotefuran and pyriproxyfen should be considered as useful in controlling fleas on cats without additional environmental treatment and useful for long-term control of clinical signs and pruritus in allergic cats.

Effect of inhalation aromatherapy with lavender essential oil on stress and vital signs in patients undergoing coronary artery bypass surgery: A single-blinded randomized clinical trial.

PubMed

Bikmoradi, Ali; Seifi, Zahra; Poorolajal, Jalal; Araghchian, Malihe; Safiaryan, Reza; Oshvandi, Khodayar

2015-06-01

At present, aromatherapy is used widely in medical research. This study aimed to investigate the effects of inhalation aromatherapy using lavender essential oil to reduce mental stress and improve the vital signs of patients after coronary artery bypass surgery (CABG). A single-blinded randomized controlled trial was conducted with 60 patients who had undergone CABG in a 2-day intervention that targeted stress reduction. Sixty subjects following coronary artery bypass surgery in two aromatherapy and control groups. The study was conducted in Ekbatan Therapeutic and Educational Center, Hamadan, Iran, in 2013. On the second and third days after surgery, the aromatherapy group patients received two drops of 2% lavender essential oil for 20min and the control group received two drops of distilled water as a placebo. The primary outcome was mental stress, which was measured before and after the intervention using the DASS-21 questionnaire. The secondary outcomes were vital signs, including the heart rate, respiratory rate, and systolic and diastolic blood pressure, which were measured before and after the intervention. The individual characteristics of the aromatherapy and control groups were the same. There were no significant difference in the mean mental stress scores and vital signs of the aromatherapy and control groups on the second or third days after surgery. Inhalation aromatherapy with lavender essential oil had no significant effects on mental stress and vital signs in patients following CABG, except the systolic blood pressure. Copyright © 2014 Elsevier Ltd. All rights reserved.

"Defense-in-Depth" Laser Safety and the National Ignition Facility

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

King, J J

The National Ignition Facility (NIF) is the largest and most energetic laser in the world contained in a complex the size of a football stadium. From the initial laser pulse, provided by telecommunication style infrared nanoJoule pulsed lasers, to the final 192 laser beams (1.8 Mega Joules total energy in the ultraviolet) converging on a target the size of a pencil eraser, laser safety is of paramount concern. In addition to this, there are numerous high-powered (Class 3B and 4) diagnostic lasers in use that can potentially send their laser radiation travelling throughout the facility. With individual beam paths ofmore » up to 1500 meters and a workforce of more than one thousand, the potential for exposure is significant. Simple laser safety practices utilized in typical laser labs just don't apply. To mitigate these hazards, NIF incorporates a multi layered approach to laser safety or 'Defense in Depth.' Most typical high-powered laser operations are contained and controlled within a single room using relatively simplistic controls to protect both the worker and the public. Laser workers are trained, use a standard operating procedure, and are required to wear Personal Protective Equipment (PPE) such as Laser Protective Eyewear (LPE) if the system is not fully enclosed. Non-workers are protected by means of posting the room with a warning sign and a flashing light. In the best of cases, a Safety Interlock System (SIS) will be employed which will 'safe' the laser in the case of unauthorized access. This type of laser operation is relatively easy to employ and manage. As the operation becomes more complex, higher levels of control are required to ensure personnel safety. Examples requiring enhanced controls are outdoor and multi-room laser operations. At the NIF there are 192 beam lines and numerous other Class 4 diagnostic lasers that can potentially deliver their hazardous energy to locations far from the laser source. This presents a serious and complex potential hazard to personnel. Because of this, a multilayered approach to safety is taken. This paper presents the philosophy and approach taken at the NIF in the multi-layered 'defense-in-depth' approach to laser safety.« less

APU diaphragm testing. Test plan

NASA Technical Reports Server (NTRS)

Shelley, Richard

1992-01-01

Auxiliary Power Unit (APU) fuel (hydrazine) tanks have had to be removed from the Columbia Shuttle (OV-102) because they have been in service for 11 years, which is the limit of their useful life. As part of an effort to determine whether the useful life of the fuel tanks can be extended, examination of the ethylene propylene rubber (EPR) diaphragm and the metal from one of the APU tanks is required. The JSC Propulsion and Power Division has requested White Sands Test Facility (WSTF) to examine the EPR diaphragm thoroughly and the metal casing generally from one tank. The objective is to examine the EPR diaphragm for signs of degradation that may limit the life of its function in the APU propellant tank. The metal casing will also be examined for signs of surface corrosion.

A Functional Analysis of Non-Vocal Verbal Behavior of a Young Child with Autism

ERIC Educational Resources Information Center

Normand, M. P.; Severtson, E. S.; Beavers, G. A.

2008-01-01

The functions of an American Sign Language response were experimentally evaluated with a young boy diagnosed with autism. A functional analysis procedure based on that reported by Lerman et al. (2005) was used to evaluate whether the target sign response would occur under mand, tact, mimetic, or control conditions. The target sign was observed…

Deficits in Narrative Abilities in Child British Sign Language Users with Specific Language Impairment

ERIC Educational Resources Information Center

Herman, Ros; Rowley, Katherine; Mason, Kathryn; Morgan, Gary

2014-01-01

This study details the first ever investigation of narrative skills in a group of 17 deaf signing children who have been diagnosed with disorders in their British Sign Language development compared with a control group of 17 deaf child signers matched for age, gender, education, quantity, and quality of language exposure and non-verbal…

The Emotional Impact and Ease of Recall of Warning Signs for Suicide: A Controlled Study

ERIC Educational Resources Information Center

Rudd, M. David; Mandrusiak, Michael; Joiner, Thomas E., Jr.; Berman, Alan L.; Van Orden, Kimberly A.; Hollar, Daniel

2006-01-01

In light of concerns about potential iatrogenic effects of information about suicide, in the current study we examined the emotional impact of reading a list of warning signs for suicide in comparison to comparable lists for heart attacks and diabetes. All participants read two sets of warning signs, with the experimental group reading the suicide…

Understanding the impact of supervision on reducing medication risks: an interview study in long-term elderly care.

PubMed

Vermeulen, J A; Kleefstra, S M; Zijp, E M; Kool, R B

2017-07-06

In 2009, the Dutch Health Care Inspectorate (IGZ) observed several serious risks to safety involving medication within elderly care facilities. However, by 2011, high risks had been reduced in almost all the organisations we visited. And yet the IGZ analysed too the alarming increase in the number of incidents arising in the self-reported national indicator of medication safety between 2009 and 2010. The aim of this study was to understand the factors that can explain this contradiction between the increase in self-reported medication incidents and the observation of the IGZ in reducing the risks to medication safety through supervision. We interviewed health care professionals of ten care facilities, visited by the IGZ, who were involved in, or responsible for, the improvement of medication safety in their institutions. As outcome measures we used the rate of medication safety risk per facility; the perceptions of the participant with regard to the reports of medication incidents; the level of medication safety of the facility; the measures used to improve medication safety; and the supervision of medication safety. This was a mixed methods study, qualitative in that we used semi-structured interviews, and quantitative, by calculating risks for the different organisations we visited. The findings from both study methods resulted in a comprehensive view and an in-depth understanding of this contradiction. The contradiction between the increase in self-reported medication incidents and the observation of reduced risks was explained by three themes: activities designed to improve medication safety, the reporting of medication incidents, and, lastly, the impact of supervision. The focus of the IGZ on issues of medication safety stimulated most elderly care facilities to reduce medication risks. Also, a change in the culture of reporting incidents caused an increase in the number of reported incidents. Supervision contributed to an improvement in actions geared towards reducing the risks associated with the safety of medication. It also increased a willingness to report such incidents. The more incidents reported are therefore not necessarily a sign of an increase in the risks, but can also be considered as a sign of a safer culture.

Risk-Based Remediation Approach for Cs-137 Contaminated Sediment/Soils at the Savannah River Site (SRS) Lower Three Runs Tail (U) - 13348 - SRNS-RP-2012-00546

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

Freeman, Candice; Bergren, Christopher; Blas, Susan

Lower Three Runs is a large blackwater stream that runs through the eastern and southern portion of the Savannah River Site. The Lower Three Runs watershed includes two SRS facility areas: P Area (P Reactor) and R Area (R Reactor) that provided effluent discharges to Lower Three Runs. During reactor operations, effluent discharges were well above natural (pre-industrial) or present day stream discharges. The watershed contains a 2,500-acre mainstream impoundment (PAR Pond), several smaller pre-cooler ponds, and a canal system that connects the pre-cooler ponds and discharges surface water to PAR Pond. From the PAR Pond dam, Lower Three Runsmore » flows approximately 36 kilometers braiding through bottom-land/flood-plain forests before it enters the Savannah River. About eight kilometers downstream from the PAR Pond dam, the SRS boundary narrows (termed the Lower Three Runs tail) providing a limited buffer of DOE property for the Lower Three Runs stream and associated flood-plain. Previous screening characterization efforts revealed Cs-137 contamination in the sediment/soils of the flood-plain. As a part of the American Recovery and Reinvestment Act stimulus package, a comprehensive characterization effort was executed on the sediment/soils of the Lower Three Runs tail flood-plain providing a comprehensive look at the contaminant signature of the area. As a follow-up to that characterization, a regulatory decision Core Team, comprised of members of the South Carolina Department of Health and Environmental Control, Environmental Protection Agency - Region IV, and DOE, conducted negotiations on a risk-based approach to address the level of contamination found in the tail flood-plain as an early action that provided a long-term solution to exposure scenarios. For evaluation purposes, the adolescent trespasser was selected as the most likely human receptor for the Lower Three Runs tail portion because of the natural attractiveness of the area for recreational activities (i.e., hunting, fishing, hiking etc.) and access from public property. Exposure of the adolescent trespasser to Cs-137 contaminated sediment/soil at concentrations greater than 23.7 pico curies per gram have been calculated to result in an unacceptable cancer risk (> 1 x 10{sup -4}). Comparing the characterization sampling results conducted in 2009 with the benchmark concentration of 23.7 pCi/g, identified elevated risk levels along three sampling areas in the Lower Three Runs tail portion. On January 5, 2012, it was agreed by the core team that a Removal Action in the Lower Three Runs tail was to be conducted for the identified soil/sediment locations in the three identified areas that exceed the 1 x 10{sup -4} risk (23.7 pCi/g) for the adolescent trespasser receptor. The addition of Land Use Controls following the Removal Action was appropriate to protect human health and the environment. A systematic screening matrix was initiated at the identified hot spots (i.e., sampling points with Cs-137 activities greater than 23.7 pCi/g) to identify the limits of the excavation area. Sediment/soil within the defined removal areas would be excavated to the depth necessary to achieve the cleanup goal and disposed of in a CERCLA Off-Site Rule approved disposal facility. It was agreed that this removal action would adequately reduce the volume of available Cs-137 in the Lower Three Runs tail and consequently residual activities of the Cs-137 would decay over time reducing the amount of Cs-137 available in the tail which would curtail risk. The Land Use Controls consist of installation of an additional seven miles of fencing at major road crossings, utility easements, and at areas that showed a higher probability of access. In addition, signs were placed along the entire SRS perimeter of the Lower Three Runs tail approximately every 200 feet. Sign posts included both a No Trespassing sign and a Contaminant Warning sign. The project initiated a subcontract for both the removal action and the installation of fencing and signs on May 1, 2012. All field activities were completed by July 26, 2012. The project excavated and disposed of over 2700 cubic yards of contaminated sediment/soil, erected approximately seven miles of fence and placed over 2,000 signs demonstrating DOE's commitment to protect human health and act as a good neighbor to residents in the area. (authors)« less

Site maps and facilities listings

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

Not Available

1993-11-01

In September 1989, a Memorandum of Agreement among DOE offices regarding the environmental management of DOE facilities was signed by appropriate Assistant Secretaries and Directors. This Memorandum of Agreement established the criteria for EM line responsibility. It stated that EM would be responsible for all DOE facilities, operations, or sites (1) that have been assigned to DOE for environmental restoration and serve or will serve no future production need; (2) that are used for the storage, treatment, or disposal of hazardous, radioactive, and mixed hazardous waste materials that have been properly characterized, packaged, and labelled, but are not used formore » production; (3) that have been formally transferred to EM by another DOE office for the purpose of environmental restoration and the eventual return to service as a DOE production facility; or (4) that are used exclusively for long-term storage of DOE waste material and are not actively used for production, with the exception of facilities, operations, or sites under the direction of the DOE Office of Civilian Radioactive Waste Management. As part of the implementation of the Memorandum of Agreement, Field Offices within DOE submitted their listings of facilities, systems, operation, and sites for which EM would have line responsibility. It is intended that EM facility listings will be revised on a yearly basis so that managers at all levels will have a valid reference for the planning, programming, budgeting and execution of EM activities.« less

26 CFR 1.169-1 - Amortization of pollution control facilities.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 2 2011-04-01 2011-04-01 false Amortization of pollution control facilities. 1....169-1 Amortization of pollution control facilities. (a) Allowance of deduction—(1) In general. Under... amortization of the amortizable basis (as defined in § 1.169-3) of any certified pollution control facility (as...

26 CFR 1.169-1 - Amortization of pollution control facilities.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Amortization of pollution control facilities. 1....169-1 Amortization of pollution control facilities. (a) Allowance of deduction—(1) In general. Under... amortization of the amortizable basis (as defined in § 1.169-3) of any certified pollution control facility (as...

26 CFR 1.169-1 - Amortization of pollution control facilities.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 2 2012-04-01 2012-04-01 false Amortization of pollution control facilities. 1....169-1 Amortization of pollution control facilities. (a) Allowance of deduction—(1) In general. Under... amortization of the amortizable basis (as defined in § 1.169-3) of any certified pollution control facility (as...

26 CFR 1.169-1 - Amortization of pollution control facilities.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 2 2014-04-01 2014-04-01 false Amortization of pollution control facilities. 1....169-1 Amortization of pollution control facilities. (a) Allowance of deduction—(1) In general. Under... amortization of the amortizable basis (as defined in § 1.169-3) of any certified pollution control facility (as...

26 CFR 1.169-1 - Amortization of pollution control facilities.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 2 2013-04-01 2013-04-01 false Amortization of pollution control facilities. 1....169-1 Amortization of pollution control facilities. (a) Allowance of deduction—(1) In general. Under... amortization of the amortizable basis (as defined in § 1.169-3) of any certified pollution control facility (as...

Double hump sign in indentation gonioscopy is correlated with presence of plateau iris configuration regardless of patent iridotomy.

PubMed

Kiuchi, Yoshiaki; Kanamoto, Takashi; Nakamura, Takao

2009-02-01

A plateau iris is one of the clinical forms of angle closure glaucoma. In patients with a patent iridotomy, the double hump sign detected during indentation gonioscopy has been reported to indicate the existence of a plateau iris configuration. The purpose of this study was to determine whether the double hump sign is correlated with the presence of the plateau iris syndrome regardless of the patency of the iridotomy. Five women and 3 men without a patent iridotomy presented with narrow angles on gonioscopy and a double hump sign on indentation gonioscopy. Ultrasound biomicroscopy (UBM) imaging was performed to determine the etiology of the narrow angle and double hump sign, and to determine the appropriate treatment to prevent the progression of visual field damage. Ten patients with narrow angles and without a double hump sign were also examined by UBM to serve as a control group. All 8 patients who showed double hump sign had a short iris root, which was inserted anterior to the ciliary face, a typical anatomic appearance of a plateau iris. On the other hand, only 1 eye of 10 eyes in control group appeared to have a plateau iris. A double hump sign observed on indentation gonioscopy is strongly correlated with the presence of a plateau iris, and therefore a useful indicator of a plateau iris configuration regardless of the patency of a laser iridotomy. Thus, a plateau iris configuration can be detected without using a UBM in many cases.

Depressive symptoms and the relationship of inflammation to physical signs and symptoms in heart failure patients.

PubMed

Heo, Seongkum; Moser, Debra K; Pressler, Susan J; Dunbar, Sandra B; Dekker, Rebecca L; Lennie, Terry A

2014-09-01

Depressive symptoms in patients with heart failure can affect the relationship between physical signs and symptoms and inflammation. To examine the relationship between soluble tumor necrosis factor receptor I and physical signs and symptoms and the effects of depressive symptoms on this relationship in patients with heart failure. Data on physical signs and symptoms (Symptom Status Questionnaire-Heart Failure), depressive symptoms (Beck Depression Inventory-II), and levels of the receptor (blood samples) were collected from 145 patients with heart failure. Data on the receptor were square root transformed to achieve normality. Patients were divided into 2 groups according to their scores for depressive symptoms (nondepressed <14 and depressed ≥14). Hierarchical multiple regression was used to analyze the data. In the total sample, with controls for covariates, higher levels of the receptor were significantly related to more severe physical signs and symptoms (F = 7.915; P < .001). In subgroup analyses, with controls for covariates, levels of the receptor were significantly related to physical signs and symptoms only in the patients without depression (F = 3.174; P = .005). Both depressive symptoms and inflammation should be considered along with physical signs and symptoms in patients with heart failure. Further studies are needed to determine the effects of improvement in inflammation on improvement in physical signs and symptoms, with consideration given to the effects of depressive symptoms. ©2014 American Association of Critical-Care Nurses.

Predictors of neonatal sepsis in developing countries.

PubMed

Weber, Martin W; Carlin, John B; Gatchalian, Salvacion; Lehmann, Deborah; Muhe, Lulu; Mulholland, E Kim

2003-08-01

Neonatal infections are a major cause of death worldwide. Simple procedures for identifying infants with infection that need referral for treatment are therefore of major public health importance. We investigated 3303 infants <2 months of age presenting with illness to health facilities in Ethiopia, The Gambia, Papua New Guinea and The Philippines, using a standardized approach. Historical factors and clinical signs predicting sepsis, meningitis, hypoxemia, deaths and an ordinal scale indicating severe disease were investigated by logistic regression, and the performance of simple combination rules was explored. In multivariable analysis, reduced feeding ability, no spontaneous movement, temperature >38 degrees C, being drowsy/unconscious, a history of a feeding problem, history of change in activity, being agitated, the presence of lower chest wall indrawing, respiratory rate >60 breaths/min, grunting, cyanosis, a history of convulsions, a bulging fontanel and slow digital capillary refill were independent predictors of severe disease. The presence of any 1 of these 14 signs had a sensitivity for severe disease (defined as sepsis, meningitis, hypoxemia, or radiologically proven pneumonia) of 87% and a specificity of 54%. More stringent combinations, such as demanding 2 signs from the list, resulted in a considerable loss of sensitivity. By contrast only slight loss of sensitivity and considerable gain of specificity resulted from reducing the list to 9 signs. Requiring the presence of fever and any other sign produced a diagnostic rule with extremely low sensitivity (25%). Physical signs can be used to identify young infants at risk of severe disease, however with limited specificity, resulting in large numbers of unnecessary referrals. Further studies are required to validate and refine the prediction of severe disease, especially in the first week of life, but there appear to be limits on the accuracy of prediction that is achievable.

Pipe Crawler{reg_sign} internal piping characterization system - deactivation and decommissioning focus area. Innovative Technology Summary Report

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

NONE

1998-02-01

Pipe Crawler{reg_sign} is a pipe surveying system for performing radiological characterization and/or free release surveys of piping systems. The technology employs a family of manually advanced, wheeled platforms, or crawlers, fitted with one or more arrays of thin Geiger Mueller (GM) detectors operated from an external power supply and data processing unit. Survey readings are taken in a step-wise fashion. A video camera and tape recording system are used for video surveys of pipe interiors prior to and during radiological surveys. Pipe Crawler{reg_sign} has potential advantages over the baseline and other technologies in areas of cost, durability, waste minimization, andmore » intrusiveness. Advantages include potentially reduced cost, potential reuse of the pipe system, reduced waste volume, and the ability to manage pipes in place with minimal disturbance to facility operations. Advantages over competing technologies include potentially reduced costs and the ability to perform beta-gamma surveys that are capable of passing regulatory scrutiny for free release of piping systems.« less

Tuberculosis infection control practices in a high-burden metro in South Africa: A perpetual bane for efficient primary health care service delivery.

PubMed

Engelbrecht, Michelle C; Kigozi, Gladys; Janse van Rensburg, Andre P; Van Rensburg, Dingie H C J

2018-05-30

Tuberculosis (TB) prevention, including infection control, is a key element in the strategy to end the global TB epidemic. While effective infection control requires all health system components to function well, this is an area that has not received sufficient attention inSouth Africa despite the availability of policy and guidelines. To describe the state of implementation of TB infection control measures in a high-burden metro in South Africa. The research was undertaken in a high TB- and HIV-burdened metropolitan area of South Africa. More specifically, the study sites were primary health care facilities (PHC), thatamong other services also diagnosed TB. A cross-sectional survey, focusing on the World Health Organization levels of infection control, which included structured interviews with nurses providing TB diagnosis and treatment services as well as observations, at all 41 PHC facilities in a high TB-burdened and HIV-burdened metro of South Africa. Tuberculosis infection control was poorly implemented, with few facilities scoring 80% and above on compliance with infection control measures. Facility controls: 26 facilities (63.4%) had an infection control committee and 12 (29.3%) had a written infection control plan. Administrative controls: 26 facilities (63.4%) reported separating coughing and noncoughing patients, while observations revealed that only 11 facilities (26.8%) had separate waiting areas for (presumptive) TB patients. Environmental controls: most facilities used open windows for ventilation (n = 30; 73.2%); however, on the day of the visit, only 12 facilities (30.3%) had open windows in consulting rooms. Personal protective equipment: 9 facilities (22%) did not have any disposable respirators in stock and only 9 respondents (22%) had undergone fit testing. The most frequently reported barrier to implementing good TBinfection control practices was lack of equipment (n = 22; 40%) such as masks and disposable respirators, as well as the structure or layout of the PHC facilities. The main recommendation to improve TB infection control was education for patients and health care workers (n = 18; 33.3%). All levels of the health care system should be engaged to address TB prevention and infection control in PHC facilities. Improved infection control will address the nosocomial spread of TB in health facilities and keep health care workers and patients safe from infection.

Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study.

PubMed

Bintabara, Deogratius; Mpembeni, Rose N M; Mohamed, Ahmed Abade

2017-08-29

Low knowledge of danger signs has been shown to delay seeking obstetric care which leads to high maternal mortality and morbidity worldwide. In Tanzania about half of pregnant women are informed about obstetric danger signs during antenatal care, but the proportion of those who have full knowledge of these obstetric danger signs is not known. This study assessed the knowledge of obstetric danger signs and its associated factors among recently-delivered women in Chamwino District, Tanzania. A community-based cross-sectional study was conducted in January 2014 in Chamwino District, Tanzania. A woman was considered knowledgeable if she spontaneously mentioned at least five danger signs in any of the three phases of childbirth (pregnancy, childbirth and postpartum) with at least one in each phase. Multistage cluster sampling was used to recruit study participants. Descriptive and bivariate analyses were conducted. Multivariable logistic regression analyses were performed to control for confounding and other important covariates. A total of 428 women were interviewed. The median age (IQR) was 26.5 (22-33) years. Only 25.2% of respondents were knowledgeable about obstetric danger signs during pregnancy, childbirth/labour and postpartum. Significant explanatory variables of being knowledgeable about obstetric danger signs were found to be maternal education (AOR = 1.96; 95% CI: 1.01, 3.82), maternal occupation (AOR = 2.23; 95% CI; 1.10, 4.52), spouse occupation (AOR = 2.10; 95% CI: 1.02, 4.32) and counseling on danger signs (AOR = 3.42; 95% CI: 1.36, 8.62) after controlling for the clustering effect, confounding and important covariates. A low proportion of women was found to be knowledgeable about obstetric danger signs in Chamwino district. Therefore, we recommend the Ministry of Health to design and distribute the maternal health booklets that highlight the obstetric danger signs, and encourage antenatal care providers and community health workers to provide frequent health education about these danger signs for every pregnant woman in order to increase their level of knowledge about obstetric danger signs.

Reflexology: its effects on physiological anxiety signs and sedation needs.

PubMed

Akin Korhan, Esra; Khorshid, Leyla; Uyar, Mehmet

2014-01-01

To investigate whether reflexology has an effect on the physiological signs of anxiety and level of sedation in patients receiving mechanically ventilated support, a single blinded, randomized controlled design with repeated measures was used in the intensive care unit of a university hospital in Turkey. Patients (n = 60) aged between 18 and 70 years and were hospitalized in the intensive care unit and receiving mechanically ventilated support. Participants were randomized to a control group or an intervention group. The latter received 30 minutes of reflexology therapy on their feet, hands, and ears for 5 days. Subjects had vital signs taken immediately before the intervention and at the 10th, 20th, and 30th minutes of the intervention. In the collection of the data, "American Association of Critical-Care Nurses Sedation Assessment Scale" was used. The reflexology therapy group had a significantly lower heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate than the control group. A statistically significant difference was found between the averages of the scores that the patients included in the experimental and control groups received from the agitation, anxiety, sleep, and patient-ventilator synchrony subscales of the American Association of Critical-Care Nurses Sedation Assessment Scale. Reflexology can serve as an effective method of decreasing the physiological signs of anxiety and the required level of sedation in patients receiving mechanically ventilated support. Nurses who have appropriate training and certification may include reflexology in routine care to reduce the physiological signs of anxiety of patients receiving mechanical ventilation.

First ATRF Chili Contest Proves It’s Not Always about the Meat | Poster

Cancer.gov

Wafting cumin through the building, 15 slow cookers full of chili lined an L-shaped conference room at the Frederick National Laboratory for Cancer Research Advanced Technology Research Facility (ATRF), as voters strolled past “No electioneering” signs and the tasting began Feb. 29. Chili No. 13 came out of the gate with a spicy authority. “My tongue’s still tingling,” said

Common Methods for Security Risk Analysis

DTIC Science & Technology

2005-01-12

recognized in the others. In Canada, three firms have been accredited as IT Security Evaluation and Testing (ITSET) Facility, under ISO / IEC 17025 -1999...harmonized security standards such as the Common Criteria and ISO 17799 may further increase the applicability of TRA approach. 3.4.8 MOST AUTOMATION...create something more suitable, the Common Criteria with Mutual Recognition Agreement (MRA) signed in October 1998. The CC became an ISO standard

NE TARDIS Banner Event

NASA Image and Video Library

2017-12-08

NASA Kennedy Space Center's Engineering Directorate held a banner signing event in the Prototype Development Laboratory to mark the successful delivery of a liquid oxygen test tank, called Tardis. Engineers and technicians worked together to develop the tank and build it to support cryogenic testing at Johnson Space Center's White Stands Test Facility in Las Cruces, New Mexico. The 12-foot-tall, 3,810-pound aluminum tank will be shipped to White Sands for testing.

Experimental Facilities and Aircraft Certification, International Symposium Proceedings

DTIC Science & Technology

1995-08-01

Symposium were Russian and English with providing simultaneous translation at the plenary ses- sions. The Symposium Proceedings are published in English...interstate memo- randum, signed on 30 June 1995 by V.S. Chernomyrdin and A.Gore, which was mentioned in the first part of this report. Simultaneously with this...mode by means of correction determination and trans- mission of such data to aircraft; - bench for both pilots ejection. Development of simultaneous

EVALUATION OF A COMMUNITY INTERVENTION FOR PROMOTION OF SAFE MOTHERHOOD IN ERITREA

PubMed Central

Turan, Janet Molzan; Tesfagiorghis, Mekonnen; Polan, Mary Lake

2010-01-01

Objectives We evaluated a community-based intervention to promote safe motherhood, focusing on knowledge and behaviors that may prevent maternal mortality and birth complications. The intervention aimed to increase women’s birth preparedness, knowledge of birth danger signs, use of antenatal care (ANC) services, and delivery at a health facility. Methods Volunteers from a remote rural community in Northern Eritrea were trained to lead participatory educational sessions on safe motherhood with women and men. The evaluation used a quasi-experimental design (non-equivalent group pretest-posttest) including cross-sectional surveys with postpartum women (pretest N=466, posttest N=378) in the intervention area and in a similar remote rural comparison area. Results Women’s knowledge of birth danger signs increased significantly in the intervention area, but not in the comparison area. There was a significant increase in the proportion of women who had the recommended four or more ANC visits during pregnancy in the intervention area (from 18% to 80%, p<.001); while this proportion did not change significantly in the comparison area (from 53% to 47%, p=0.194). There was a greater increase in delivery in a health facility in the intervention area. Conclusions Participatory sessions led by community volunteers can increase safe motherhood knowledge and encourage use of essential maternity services. PMID:21323845

An optimal contract approach to hospital financing.

PubMed

Boadway, Robin; Marchand, Maurice; Sato, Motohiro

2004-01-01

Existing models of hospital financing advocate mixed schemes which include both lump-sum and cost-based payments. The doctor is generally the unique decision maker, which is unrealistic in a hospital setting where both managers and doctors are involved. This paper develops a model in which managers and doctors are responsible for different decisions within the hospital. In this model, public authorities who provide the financing, hospital managers who allocate resources within the hospital, and doctors who assign patients to either a low-tech or a high-tech therapy have information of increasing quality on the casemix of patients. The public authorities sign with hospital managers contracts specifying some lump-sum financing and some size of a high-tech equipment. In turn, managers, who know the broad mix of patients in the hospital, sign with hospital doctors contracts that specify the non-medical resources allocated to this facility as well as some remuneration. Doctors, who know each patient's illness severity, select the patients to be treated by the high-tech facility, and receive from public authorities some fee-for-service payment that is differentiated according to the low- or high-tech treatment used for curing their patients. What emerges is a two-stage agency problem in which contracts are designed to elicit information in the most efficient way.

Traffic Signs in Complex Visual Environments

DOT National Transportation Integrated Search

1982-11-01

The effects of sign luminance on detection and recognition of traffic control devices is mediated through contrast with the immediate surround. Additionally, complex visual scenes are known to degrade visual performance with targets well above visual...

Guidelines for the operation of variable message signs on state highways

DOT National Transportation Integrated Search

2004-06-01

A variable message sign (VMS) is a traffic control device whose message can be changed manually, electrically, mechanically, or electromechanically to provide motorists with information about traffic congestion, traffic crashes, maintenance operation...

22 CFR 129.6 - Procedures for obtaining approval.

Code of Federal Regulations, 2014 CFR

2014-04-01

... brokering activities must be made to the Directorate of Defense Trade Controls, be signed by an empowered... activity in support of the U.S. Government. (c) The empowered official signing the request for approval...

Daytime Color Appearance of Retroreflective Traffic Control Sign Materials

DOT National Transportation Integrated Search

2013-04-01

Photometric measurements of the daytime chromaticity and luminance of retroreflective sign materials were made both in the laboratory and in the field. These instrument measurements were compared with daytime perceptual judgments of color properties ...

Advance Care Planning in Nursing Homes and Assisted Living Communities

PubMed Central

Daaleman, Timothy P.; Williams, Christianna S.; Preisser, John S.; Sloane, Philip D.; Biola, Holly; Zimmerman, Sheryl

2009-01-01

Objectives To determine the prevalence and characteristics of advance care planning (ACP) among persons dying in long-term care (LTC) facilities, and to examine the relationship between respondent, facility, decedent, and family characteristics and ACP. Design After-death interviews of family members of decedents and facility liaisons where decedents received care. Setting Stratified sample of 164 residential care/assisted living facilities and nursing homes in Florida, Maryland, New Jersey, and North Carolina. Subjects Family members and facility liaisons who gave 446 and 1014 reports, respectively, on 1015 decedent residents. Measurements Reports of death/dying discussions, known treatment preferences, and reports and records of signed living wills (LW), health care powers of attorney (HCPOA), do-not-resuscitate orders, and do-not-hospitalize orders. Results Family respondents reported a higher prevalence, compared with facility reports, of HCPOAs (92% vs 49%) and LWs (84% vs 43%). In family reports, non-white race and no private insurance were significantly associated with lower prevalence of LWs and HCPOAs; additionally, residing in nursing homes (vs assisted living facilities) and in North Carolina were associated with lower prevalence of reported LWs. In facility reports, non-white race, unexpected death and residing in North Carolina or Maryland were significantly associated with lower prevalence of LWs, whereas high Medicaid case mix, intact cognitive status and high family involvement were associated with lower prevalence of HCPOAs. Concordance of family and facility reporting of HCPOAs was significantly greater in facilities with fewer than 120 beds. Conclusions The prevalence of ACP in LTC is much higher than previously described, and there is marked variation in characteristics associated with ACP, despite moderately high concordance, when reported by the facility or family caregivers. PMID:19426940

The Evolution of 21 CFR Parts 210 & 211 for Drug Compounders: AN UNSPOKEN OPPORTUNITY FOR PHARMACISTS.

PubMed

Parks, Kenneth Chase; Bernard, Brian; Cogdill, Christopher Blake

2015-01-01

A high-level assessment of recent U.S. Food and Drug Administration audits of 503A facilities indicates that a regulatory paradigm shift is occurring. Data and rationale further indicates that the agency seems to be taking a proactive approach for how it monitors these facilities. The auditing practices and observations are eerily similar to those which are seen for 503B Outsourcing Facilities, as well as Current Good Manufacturing Practices Drug and Device Manufacture plants. Perhaps the U.S. Food and Drug Administration is attempting to avoid any major medical outbreaks that may stem from under-supervised drug preparation centers. This report presents the rationale that may be behind the U.S. Food and Drug Administration's motive for increased 503A scrutiny. In addition, new market incentives are also highlighted, as it seems that firms, which are able to maintain good graces with the agency, will be uniquely positioned to obtain greater market share. All signs indicate that for 503A facilities, regulatory compliance may be the key to greater market share.

Focusing giga-electronvolt heavy ions to micrometers at the Institute of Modern Physics

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

Sheng Lina; Du Guanghua; Guo Jinlong

2013-05-15

To study the radiation effect of cosmic heavy ions of low fluxes in electronics and living samples, a focusing heavy ion microbeam facility, for ions with energies of several MeV/u up to 100 MeV/u, was constructed in the Institute of Modern Physics of the Chinese Academy of Sciences. This facility has a vertical design and an experiment platform for both in-vacuum analysis and in-air irradiation. Recently, microbeam of {sup 12}C{sup 6+} with energy of 80.55 MeV/u was successfully achieved at this interdisciplinary microbeam facility with a full beam spot size of 3 {mu}m Multiplication-Sign 5 {mu}m on target in air.more » Different from ions with energy of several MeV/u, the very high ion energy of hundred MeV/u level induces problems in beam micro-collimation, online beam spot diagnosis, radiation protection, etc. This paper presents the microbeam setup, difficulties in microbeam formation, and the preliminary experiments performed with the facility.« less

EVALUATION OF GLOVEBOX GLOVES FOR EFFECTIVE PERMEATION CONTROL

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

Korinko, P.

A research and development task was undertaken to determine the permeabilities of hydrogen and dry air through different polymeric glove materials that are used to maintain the integrity of glovebox secondary containment. Fifteen different glove samples were obtained from four different manufacturers and samples cut from these gloves were tested. The gloves included baseline butyl rubber, Viton{reg_sign}, Dupont{reg_sign} Hypalon{reg_sign}, polyurethane, as well as composite gloves. The testing indicated that all of the vendor's butyl rubber gloves and the Jung Viton{reg_sign} gloves performed comparably in both gases.

Supervisory Control and Data Acquisition System | Energy Systems

Science.gov Websites

Integration Facility | NREL Supervisory Control and Data Acquisition System Supervisory Control supervisory control and data acquisition (SCADA) system monitors and controls safety systems and gathers real Energy Systems Integration Facility control room. The Energy Systems Integration Facility's SCADA system

Buffer Zone Sign Template

EPA Pesticide Factsheets

The certified pesticide applicator is required to post a comparable sign, designating a buffer zone around the soil fumigant application block in order to control exposure risk. It must include the don't walk symbol, product name, and applicator contact.

Recommended messages for truck-mounted changeable message signs during mobile operations.

DOT National Transportation Integrated Search

2009-08-01

"The use of truck-mounted changeable message signs (TMCMSs) for mobile operations is desirable for : providing drivers with information to better prepare them for unexpected conditions. Traditionally, : temporary traffic control for mobile operations...

Recommended messages for truck-mounted changeable message signs during mobile operations.

DOT National Transportation Integrated Search

2009-08-01

The use of truck-mounted changeable message signs (TMCMSs) for mobile operations is desirable for providing drivers with information to better prepare them for unexpected conditions. Traditionally, temporary traffic control for mobile operations has ...

Advantages and disadvantages : longitudinal vs. repeated cross-section surveys

DOT National Transportation Integrated Search

1979-01-01

Results are described of experiments conducted in Mississippi, California, and Oregon testing the effectiveness of speed control signs in rural school zones and small communities on high-speed, two-lane highways. Signs tested included existing signin...

Deficits in narrative abilities in child British Sign Language users with specific language impairment.

PubMed

Herman, Ros; Rowley, Katherine; Mason, Kathryn; Morgan, Gary

2014-01-01

This study details the first ever investigation of narrative skills in a group of 17 deaf signing children who have been diagnosed with disorders in their British Sign Language development compared with a control group of 17 deaf child signers matched for age, gender, education, quantity, and quality of language exposure and non-verbal intelligence. Children were asked to generate a narrative based on events in a language free video. Narratives were analysed for global structure, information content and local level grammatical devices, especially verb morphology. The language-impaired group produced shorter, less structured and grammatically simpler narratives than controls, with verb morphology particularly impaired. Despite major differences in how sign and spoken languages are articulated, narrative is shown to be a reliable marker of language impairment across the modality boundaries. © 2014 Royal College of Speech and Language Therapists.

An evaluation of generalization of mands during functional communication training.

PubMed

Falcomata, Terry S; Wacker, David P; Ringdahl, Joel E; Vinquist, Kelly; Dutt, Anuradha

2013-01-01

The primary purpose of this study was to evaluate the generalization of mands during functional communication training (FCT) and sign language training across functional contexts (i.e., positive reinforcement, negative reinforcement). A secondary purpose was to evaluate a training procedure based on stimulus control to teach manual signs. During the treatment evaluation, we implemented sign language training in 1 functional context (e.g., positive reinforcement by attention) while continuing the functional analysis conditions in 2 other contexts (e.g., positive reinforcement by tangible item; negative reinforcement by escape). During the generalization evaluation, we tested for the generalization of trained mands across functional contexts (i.e., positive reinforcement; negative reinforcement) by implementing extinction in the 2 nontarget contexts. The results suggested that the stimulus control training procedure effectively taught manual signs and treated destructive behavior. Specific patterns of generalization of trained mands and destructive behavior also were observed. © Society for the Experimental Analysis of Behavior.

An optimal ultrasonographic diagnostic test for early gout: A prospective controlled study

PubMed Central

Petraitis, Mykolas; Apanaviciene, Indre; Virviciute, Dalia; Baranauskaite, Asta

2017-01-01

Objective To identify the optimal sites for classification of early gout by ultrasonography. Methods Sixty patients with monosodium urate crystal-proven gout (25 with early gout [≤2-year symptom duration], 35 with late gout [>2-year symptom duration], and 36 normouricemic healthy controls) from one centre were prospectively evaluated. Standardized blinded ultrasound examination of 36 joints and the triceps and patellar tendons was performed to identify tophi and the double contour (DC) sign. Results Ultrasonographic sensitivity was lower in early than late gout. Binary logistic regression analysis showed that two ultrasonographic signs (tophi in the first metatarsophalangeal joint [odds ratio, 16.46] and the DC sign in the ankle [odds ratio, 25.18]) significantly contributed to the final model for early gout diagnosis (sensitivity and specificity of 84% and 81%, respectively). The inter-reader reliability kappa value for the DC sign and tophi was 0.712. Conclusions Four-joint investigation (both first metatarsophalangeal joints for tophi and both ankles for the DC sign) is feasible and reliable and could be proposed as a screening test for early ultrasonographic gout classification in daily practice. PMID:28617199

An optimal ultrasonographic diagnostic test for early gout: A prospective controlled study.

PubMed

Norkuviene, Eleonora; Petraitis, Mykolas; Apanaviciene, Indre; Virviciute, Dalia; Baranauskaite, Asta

2017-08-01

Objective To identify the optimal sites for classification of early gout by ultrasonography. Methods Sixty patients with monosodium urate crystal-proven gout (25 with early gout [≤2-year symptom duration], 35 with late gout [>2-year symptom duration], and 36 normouricemic healthy controls) from one centre were prospectively evaluated. Standardized blinded ultrasound examination of 36 joints and the triceps and patellar tendons was performed to identify tophi and the double contour (DC) sign. Results Ultrasonographic sensitivity was lower in early than late gout. Binary logistic regression analysis showed that two ultrasonographic signs (tophi in the first metatarsophalangeal joint [odds ratio, 16.46] and the DC sign in the ankle [odds ratio, 25.18]) significantly contributed to the final model for early gout diagnosis (sensitivity and specificity of 84% and 81%, respectively). The inter-reader reliability kappa value for the DC sign and tophi was 0.712. Conclusions Four-joint investigation (both first metatarsophalangeal joints for tophi and both ankles for the DC sign) is feasible and reliable and could be proposed as a screening test for early ultrasonographic gout classification in daily practice.

Drinking and driving behavior at stop signs and red lights.

PubMed

Wan, Jingyan; Wu, Changxu; Zhang, Yiqi; Houston, Rebecca J; Chen, Chang Wen; Chanawangsa, Panya

2017-07-01

Alcohol is one of the principal risk factors for motor vehicle crashes. One factor that contributes to vehicle crashes is noncompliance with stop signs and red lights. The present experiment investigated the effects of alcohol and drinking patterns on driving behavior at stop signs and red lights. 28 participants participated in drinking and simulated driving sessions during which they received a moderate dose of alcohol (0.08% BAC) or a placebo. Simulated driving tasks measured participants' driving performance at stop signs and red lights in response to each dose. Results suggested that alcohol impaired the driver control of speed and direction and prolonged their simple and complex reaction time, which were exhibited by impaired speed and lateral control, longer reaction time when the lights turned yellow, and lower deceleration towards stop signs and red lights. Visual degradation may also occur under alcohol intake. It was also suggested that alcohol impaired non-binge drinkers more severely. To be specific, higher acceleration was observed in impaired non-binge drinkers. Copyright © 2017 Elsevier Ltd. All rights reserved.

Vice President Mike Pence Visits Kennedy Space Center

NASA Image and Video Library

2018-02-20

Vice President Mike Pence, center, and his wife, Karen Pence, sign a guest book during a tour of the Blue Origin Manufacturing Facility near NASA's Kennedy Space Center in Florida, on Feb. 20, 2018. At right is Blue Origin CEO Robert Smith. Vice President Pence viewed the flown New Shepard Booster and Crew Capsule. The booster was the first launch vehicle with a successful vertical takeoff and vertical landing to demonstrate reusability. During his visit, Pence will chair a meeting of the National Space Council on Feb. 21, 2018 in the high bay of NASA Kennedy Space Center's Space Station Processing Facility. The council's role is to advise the president regarding national space policy and strategy, and review the nation's long-range goals for space activities.

Petropower energia project under way in Chile promises refiner better economics at lower cost

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

NONE

1996-12-31

Construction of the Republic of Chile`s first public/private industrial partnership project is well under way. Ground was broken for the $232-million Petropower Energia Limitada project early this year, shortly after the final contract between the parties - Foster Wheeler Power Systems, Inc. (FWPS); Petrox S.A. Refineria de Petroleo and Empresa Nacional del Petroleo (ENAP) - was signed. The Petropower project, located adjacent to Petrox`s 84,000-b/d refinery in Talcahuano, represents the first project ever to combine petroleum coking technology with cogeneration technology in a single project financing. Petropower is 85% owned by FWPS, 7.5% by ENAP, the Chilean national oil companymore » and parent of Petrox S.A. When completed in mid-1998, the Petropower project will enable Petrox to refine heavier crudes and enhance the refinery`s flexibility and economics. The project will consist of a delayed coking facility (a 12,000-b/d delayed coking unit and a 7,000-b/d hydrotreating plant) and a 67-MW (59 MW net) cogeneration plant. The coke produced will fuel a Foster Wheeler proprietary-design circulating fluidized-bed (CFB) boiler which will generate all the high-pressure steam and electric power needs of the Petrox refinery. This unit will be the first circulating fluidized-bed boiler to be built in Latin America. The cogeneration facility, using limestone as a reagent and equipped with a baghouse, will control SO{sub x} emissions from combustion of the green coke fuel and easily meet all Chilean environmental standards. Moreover, by constructing the cogeneration facility, Petrox will not have to proceed with capital improvements to existing facilities to ensure a reliable source of steam and electricity, resulting in substantial savings for Petrox. The cogeneration plant provides a permanent {open_quotes}disposal{close_quotes} for all coke produced by the delayed coker, thereby solving any future problems of unwanted or excess coke.« less

Factors Associated with the Use of Helicopter Inter-facility Transport of Trauma Patients to Tertiary Trauma Centers within an Organized Rural Trauma System

PubMed Central

Stewart, Kenneth; Garwe, Tabitha; Bhandari, Naresh; Danford, Brandon; Albrecht, Roxie

2016-01-01

Objective A review of the literature yielded little information regarding factors associated with the decision to use ground (GEMS) or helicopter (HEMS) emergency medical services for trauma patients transferred inter-facility. Furthermore, studies evaluating the impact of inter-facility transport mode on mortality have reported mixed findings. Since HEMS transport is generally reserved for more severely injured patients, this introduces indication bias, which may explain the mixed findings. Our objective was to identify factors at referring non-tertiary trauma centers (NTC) influencing transport mode decision. Methods This was a case-control study of trauma patients transferred from a Level III or IV NTC to a tertiary trauma center (TTC) within 24-hours reported to the Oklahoma State Trauma Registry between 2005 and 2012. Multivariable logistic regression was used to determine clinical and non-clinical factors associated with the decision to use HEMS. Results A total of 7380 patients met the study eligibility. Of these, 2803(38%) were transported inter-facility by HEMS. Penetrating injury, prehospital EMS transport, severe torso injury, hypovolemic shock, and TBI were significant predictors (p<0.05) of HEMS use regardless of distance to a TTC. Association between HEMS use and male gender, Level IV NTC, and local ground EMS resources varied by distance from the TTC. Many HEMS transported patients had minor injuries and normal vital signs. Conclusions Our results suggest that while distance remains the most influential factor associated with HEMS use, significant differences exist in clinical and non-clinical factors between patients transported by HEMS versus GEMS. To ensure comparability of study groups, studies evaluating outcome differences between HEMS and GEMS should take factors determining transport mode into account. The findings will be used to develop propensity scores to balance baseline risk between GEMS and HEMS patients for use in subsequent studies of outcomes. PMID:26986053

Acute Vilazodone Toxicity in a Pediatric Patient.

PubMed

Acker, Emily C; Sinclair, Elizabeth A; Beardsley, Andrew L; Ahmed, Sheikh S; Froberg, Blake A

2015-09-01

Vilazodone is a selective serotonin reuptake inhibitor and 5HT1A agonist recently approved to treat depression in adults. To date, there are minimal data available regarding the expected course and treatment of acute vilazodone ingestions. We report a case of a previously healthy 19-month-old girl who presented after an acute ingestion of an estimated 37 mg/kg vilazodone. She was taken to an outside emergency department approximately 1 h after an unwitnessed ingestion. Initially, the patient was noted to have decreased responsiveness, sluggish but reactive pupils, altered mental status, and reported seizure activity. She was given intravenous lorazepam for seizure control, intubated, and transferred to a pediatric tertiary care facility, where she continued to show signs of serotonin toxicity and received treatment with benzodiazepines and cyproheptadine. Despite vilazodone's long half-life and the large amount ingested, the patient was extubated within 10 h of presentation, had returned to baseline mental status by 22 h, and was discharged home approximately 57 h after ingestion. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Accidental ingestions are common in the pediatric population. Emergency physicians need to be aware of the signs and symptoms of acute medication toxicities, the expected clinical course, and the necessary supportive measures used to treat these patients. Because vilazodone is a recently approved medication, there is little experience with acute vilazodone ingestions. This report considerably increases the understanding of vilazodone's effects in the setting of an acute ingestion. Copyright © 2015 Elsevier Inc. All rights reserved.

Traffic safety program for school children through safe action and safe condition

NASA Astrophysics Data System (ADS)

Yulianto, Budi; Setiono, Mahmudah, Amirotul Musthofiah Hidayah; Santoso, Anjar Budi

2017-06-01

The facts indicate that the rights of pedestrians is on the wane. Many motorists are unwilling to provide a space for pedestrians, even when they want to cross the road at zebra-cross facility. The data of traffic accident in Surakarta City showed that 7.0% of accident victims in 2014 to 2015 were children aged 5-15 or the group of school-aged children. In general, the location of schools is on the edge of the road where a lot of vehicles run at high speed. Hence, it is very dangerous for the school children to cross the road. Pertaining to this issue, the Department of Transportation implements a program named School Safety Zone (ZoSS). ZoSS is a time-dependent speed control zone consisting of road markings, traffic signs, optional traffic signals, and rumble strips. The objective of this study was to evaluate the effectiveness of the ZoSS based on the perception of the users, including the students, teachers, parents, and community. This study was conducted through a series of activities including the distribution of questionnaire to obtain the road users' perceptions. The results showed that most of the respondents understood the meaning, aim, and benefit of ZoSS. However, it also found that traffic sign and method of cross the road (Four-T) was not recognized appropriately by the respondents. ZoSS program was generally ineffective since the pedestrians felt unsafe to cross the road due to the high-speed vehicles.

Refurbishment and Automation of the Thermal/Vacuum Facilities at the Goddard Space Flight Center

NASA Technical Reports Server (NTRS)

Donohue, John T.; Johnson, Chris; Ogden, Rick; Sushon, Janet

1998-01-01

The thermal/vacuum facilities located at the Goddard Space Flight Center (GSFC) have supported both manned and unmanned space flight since the 1960s. Of the 11 facilities, currently 10 of the systems are scheduled for refurbishment and/or replacement as part of a 5-year implementation. Expected return on investment includes the reduction in test schedules, improvements in the safety of facility operations, reduction in the complexity of a test and the reduction in personnel support required for a test. Additionally, GSFC will become a global resource renowned for expertise in thermal engineering, mechanical engineering and for the automation of thermal/vacuum facilities and thermal/vacuum tests. Automation of the thermal/vacuum facilities includes the utilization of Programmable Logic Controllers (PLCs) and the use of Supervisory Control and Data Acquisition (SCADA) systems. These components allow the computer control and automation of mechanical components such as valves and pumps. In some cases, the chamber and chamber shroud require complete replacement while others require only mechanical component retrofit or replacement. The project of refurbishment and automation began in 1996 and has resulted in the computer control of one Facility (Facility #225) and the integration of electronically controlled devices and PLCs within several other facilities. Facility 225 has been successfully controlled by PLC and SCADA for over one year. Insignificant anomalies have occurred and were resolved with minimal impact to testing and operations. The amount of work remaining to be performed will occur over the next four to five years. Fiscal year 1998 includes the complete refurbishment of one facility, computer control of the thermal systems in two facilities, implementation of SCADA and PLC systems to support multiple facilities and the implementation of a Database server to allow efficient test management and data analysis.

To Sign or Not to Sign? The Impact of Encouraging Infants to Gesture on Infant Language and Maternal Mind-Mindedness

ERIC Educational Resources Information Center

Kirk, Elizabeth; Howlett, Neil; Pine, Karen J.; Fletcher, Ben C.

2013-01-01

Findings are presented from the first randomized control trial of the effects of encouraging symbolic gesture (or "baby sign") on infant language, following 40 infants from age 8 months to 20 months. Half of the mothers were trained to model a target set of gestures to their infants. Frequent measures were taken of infant language…

The snow tire illusion: Different levels of perceptual assimilation across a single stimulus configuration.

PubMed

Gulan, Tanja; Valerjev, Pavle; Dujmović, Marin

2018-02-12

While observing a specific traffic sign in the field, we noticed an apparent distortion of size and shape of the circle that contained the sign. This novel illusion manifests as a distortion of the horizontal compared to the vertical dimension of the sign. The illusion seems to be underlined by similar mechanisms to those in the Delboeuf illusion. The aim of our study was to determine the existence and magnitude of the snow tire illusion. We conducted two experiments using the method of constant stimuli. The first experiment was conducted on the standard sign, while in the second, the stimuli were rotated 90° counterclockwise. Both experiments consisted of three conditions: the snow tire, the ellipse, and the simple circle (control) conditions. The data showed a robust illusion effect for both the standard and rotated sign compared to the control condition, with a large majority of participants experiencing the illusion. The snow tire illusion seems to be a combination of assimilation mechanisms of different magnitudes. The assimilation is larger for one dimension of the sign, thus producing the shape distortion. The illusion may be a manifestation of a thus far undocumented non-uniform effect of assimilation on perceived size and shape. © 2018 The Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.

Quantitative assessment of local perfusion change in acute intracerebral hemorrhage areas with and without "dynamic spot sign" using CT perfusion imaging.

PubMed

Fu, Fan; Sui, Binbin; Liu, Liping; Su, Yaping; Sun, Shengjun; Li, Yingying

2018-01-01

Background Positive "dynamic spot sign" has been proven to be a potential risk factor for acute intracerebral hemorrhage (ICH) expansion, but local perfusion change has not been quantitatively investigated. Purpose To quantitatively evaluate perfusion changes at the ICH area using computed tomography perfusion (CTP) imaging. Material and Methods Fifty-three patients with spontaneous ICH were recruited. Unenhanced computed tomography (NCCT), CTP within 6 h, and follow-up NCCT were performed for 21 patients in the "spot sign"-positive group and 32 patients in the control group. Cerebral perfusion change was quantitatively measured on regional cerebral blood flow/regional cerebral blood volume (rCBF/rCBV) maps. Regions of interest (ROIs) were set at the "spot-sign" region and the whole hematoma area for "spot-sign"-positive cases, and at one of the highest values of three interested areas and the whole hematoma area for the control group. Hematoma expansion was determined by follow-up NCCT. Results For the "spot-sign"-positive group, the average rCBF (rCBV) values at the "spot-sign" region and the whole hematoma area were 21.34 ± 15.24 mL/min/100 g (21.64 ± 21.48 mL/100g) and 5.78 ± 6.32 mL/min/100 g (6.07 ± 5.45 mL/100g); for the control group, the average rCBF (rCBV) values at the interested area and whole hematoma area were 2.50 ± 1.83 mL/min/100 g (3.13 ± 1.96 mL/100g) and 3.02 ± 1.80 mL/min/100 g (3.40 ± 1.44 mL/100g), respectively. Average rCBF and rCBV values of the "spot-sign" region were significantly different from other regions ( P < 0.001; P = 0.004). The average volumes of hematoma expansion in the "spot-sign"-positive and control groups were 25.24 ± 19.38 mL and -0.41 ± 1.34 mL, respectively. Conclusion The higher perfusion change at ICH on CTP images may reflect the contrast extravasation and be associated with the hematoma expansion.

Outdoor advertising control practices in Australia, Europe, and Japan

DOT National Transportation Integrated Search

2011-05-01

Although the Highway Beautification Act (HBA) has been credited with reducing the number of nonconforming signs and removing illegal signs throughout the country, the law is controversial and costly to administer. Many have questioned whether it has ...

Symbols and warrants for major traffic generator guide signing.

DOT National Transportation Integrated Search

2009-09-01

The Texas Manual on Uniform Traffic Control Devices (TMUTCD) provides the definition of regular traffic generators based on four population types but not for major traffic generators (MTGs). MTG signs have been considered to supplement the overall si...

Traffic control at stop sign approaches.

DOT National Transportation Integrated Search

2003-04-01

The objectives of this report were to: a) determine the number of crashes in Kentucky involving a driver disregarding a stop sign and the locations where these occur, b) determine the characteristics of these crashes, c) investigate loca tions with a...

Advance traffic control warning systems for maintenance operations : final report.

DOT National Transportation Integrated Search

1976-07-01

The report discusses the effect of certain variables defined by sign size, height of installation and legend on the driver responses as measured by speed, conflict and queuing parameters. Effects of electronically actuated, directional flashing signs...

Testing Consent Order on Refractory Ceramic Fibers

EPA Pesticide Factsheets

This notice announces that EPA has signed signed an enforceable testing consent order under the Toxic Substances Control Act (TSCA), 15 U.S.C. section 2601 at seq., with three of the primary producers of refractory ceramic fibers (RCF).

Anaerobic digestion of organic fraction of municipal solid waste combining two pretreatment modalities, high temperature microwave and hydrogen peroxide

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

Shahriari, Haleh, E-mail: haleh.shahriari@gmail.com; Warith, Mostafa; Hamoda, Mohamed

2012-01-15

Highlights: Black-Right-Pointing-Pointer Microwave and H{sub 2}O{sub 2} pretreatment were studied to enhance anaerobic digestion of organic waste. Black-Right-Pointing-Pointer The whole waste pretreated at 115 Degree-Sign C or 145 Degree-Sign C had the highest biogas production. Black-Right-Pointing-Pointer Biogas production of the whole waste decreased at 175 Degree-Sign C due to formation of refractory compounds. Black-Right-Pointing-Pointer Pretreatment to 145 Degree-Sign C and 175 Degree-Sign C were the best when considering only the free liquid fraction. Black-Right-Pointing-Pointer H{sub 2}O{sub 2} pretreatment had a lag phase and the biogas production was not higher than MW pretreated samples. - Abstract: In order to enhance anaerobicmore » digestion (AD) of the organic fraction of municipal solid waste (OFMSW), pretreatment combining two modalities, microwave (MW) heating in presence or absence of hydrogen peroxide (H{sub 2}O{sub 2}) were investigated. The main pretreatment variables affecting the characteristics of the OFMSW were temperature (T) via MW irradiation and supplemental water additions of 20% and 30% (SWA20 and SW30). Subsequently, the focus of this study was to evaluate mesophilic batch AD performance in terms of biogas production, as well as changes in the characteristics of the OFMSW post digestion. A high MW induced temperature range (115-175 Degree-Sign C) was applied, using sealed vessels and a bench scale MW unit equipped with temperature and pressure controls. Biochemical methane potential (BMP) tests were conducted on the whole OFMSW as well as the liquid fractions. The whole OFMSW pretreated at 115 Degree-Sign C and 145 Degree-Sign C showed 4-7% improvement in biogas production over untreated OFMSW (control). When pretreated at 175 Degree-Sign C, biogas production decreased due to formation of refractory compounds, inhibiting the digestion. For the liquid fraction of OFMSW, the effect of pretreatment on the cumulative biogas production (CBP) was more pronounced for SWA20 at 145 Degree-Sign C, with a 26% increase in biogas production after 8 days of digestion, compared to the control. When considering the increased substrate availability in the liquid fraction after MW pretreatment, a 78% improvement in biogas production vs. the control was achieved. Combining MW and H{sub 2}O{sub 2} modalities did not have a positive impact on OFMSW stabilization and enhanced biogas production. In general, all samples pretreated with H{sub 2}O{sub 2} displayed a long lag phase and the CBP was usually lower than MW irradiated only samples. First order rate constant was calculated.« less

Multiple factors affect a population of Agassiz's desert tortoise (Gopherus agassizii) in the Northwestern Mojave Desert

USGS Publications Warehouse

Berry, Kristin H.; Yee, Julie L.; Coble, Ashley A.; Perry, William M.; Shields, Timothy A.

2013-01-01

Numerous factors have contributed to declines in populations of the federally threatened Agassiz's Desert Tortoise (Gopherus agassizii) and continue to limit recovery. In 2010, we surveyed a low-density population on a military test facility in the northwestern Mojave Desert of California, USA, to evaluate population status and identify potential factors contributing to distribution and low densities. Estimated densities of live tortoises ranged spatially from 1.2/km2 to 15.1/km2. Although only one death of a breeding-age tortoise was recorded for the 4-yr period prior to the survey, remains of 16 juvenile and immature tortoises were found, and most showed signs of predation by Common Ravens (Corvus corax) and mammals. Predation may have limited recruitment of young tortoises into the adult size classes. To evaluate the relative importance of different types of impacts to tortoises, we developed predictive models for spatially explicit densities of tortoise sign and live tortoises using topography (i.e., slope), predators (Common Raven, signs of mammalian predators), and anthropogenic impacts (distances from paved road and denuded areas, density of ordnance fragments) as covariates. Models suggest that densities of tortoise sign increased with slope and signs of mammalian predators and decreased with Common Ravens, while also varying based on interaction effects involving these predictors as well as distances from paved roads, denuded areas, and ordnance. Similarly, densities of live tortoises varied by interaction effects among distances to denuded areas and paved roads, density of ordnance fragments, and slope. Thus multiple factors predict the densities and distribution of this population.

Facility-level variation in diabetes and blood pressure control in patients with diabetes: Findings from the Veterans Affairs national database.

PubMed

Rehman, Hasan; Akeroyd, Julia M; Ramsey, David; Ahmed, Sarah T; Merchant, Anwar T; Navaneethan, Sankar D; Petersen, Laura A; Virani, Salim S

2017-11-01

Intensive glycemic and blood pressure (BP) control in diabetic patients is associated with improved cardiovascular outcomes. We hypothesized that there is suboptimal glycemic and BP control with significant facility-level variation in patients with diabetes. We identified patients with diabetes receiving care in 130 facilities in the Veterans Affairs Health Care System. We assessed facility-level rates of glycemic (hemoglobin [Hb]A1c <7%), BP (BP <140/90 mmHg), and combined glycemic and BP control (HbA1c <7% and BP <140/90 mmHg), and their facility-level variation in using median rate ratios (MRR). Among 1 103 302 patients with diabetes, 50.2% participants had an HbA1c <7%, 77.5% had a BP <140/90 mmHg, and 39.8% had both, HbA1c <7% and BP <140/90 mmHg. Median facility-level rates were 50.3% (interquartile range [IQR], 47.9%-52.4%) for glycemic control, 78.4% (IQR, 75.2%-80.0%) for BP control, and 39.9% (IQR, 38.14%-42.34%) for combined glycemic and BP control. Unadjusted MRR for glycemic control was 1.61 (95% confidence interval [CI]: 1.51-1.70) which decreased to 1.16 (95% CI: 1.14-1.19) after adjusting for patient and facility-level variables, indicating a 16% variation in glycemic control between 2 identical patients receiving care at 2 random facilities. Unadjusted MRR for BP control was 1.49 (95% CI: 1.41-1.56), which decreased to 1.25 (95% CI: 1.21-1.28), whereas unadjusted MRR for combined glycemic and BP control was 1.59 (95% CI: 1.50-1.68), which decreased to 1.15 (95% CI: 1.13-1.17) after adjustment. Facility-level rates for BP control and glycemic control remain low with significant facility-level variation. Much of this is explained by patient and facility-level variables although 16%, 25%, and 15% variation in glycemic, BP, and combined glycemic and BP control remains unexplained. © 2017 Wiley Periodicals, Inc.

The design and implementation of the Technical Facilities Controller (TFC) for the Goldstone deep space communications complex

NASA Technical Reports Server (NTRS)

Killian, D. A.; Menninger, F. J.; Gorman, T.; Glenn, P.

1988-01-01

The Technical Facilities Controller is a microprocessor-based energy management system that is to be implemented in the Deep Space Network facilities. This system is used in conjunction with facilities equipment at each of the complexes in the operation and maintenance of air-conditioning equipment, power generation equipment, power distribution equipment, and other primary facilities equipment. The implementation of the Technical Facilities Controller was completed at the Goldstone Deep Space Communications Complex and is now operational. The installation completed at the Goldstone Complex is described and the utilization of the Technical Facilities Controller is evaluated. The findings will be used in the decision to implement a similar system at the overseas complexes at Canberra, Australia, and Madrid, Spain.

Electrokinetic decontamination of concrete. Final report, August 3, 1993--September 15, 1996

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

NONE

1998-12-31

The ELECTROSORB{reg_sign} {open_quotes}C{close_quotes} process is an electrokinetic process for decontaminating concrete. ELECTROSORB{reg_sign} {open_quotes}C{close_quotes} uses a carpet-like extraction pad which is placed on the contaminated concrete surface. An electrolyte solution is circulated from a supporting module. This module keeps the electrolyte solution clean. The work is advancing through the engineering development stage with steady progress toward a full scale demonstration unit which will be ready for incorporation in the DOE Large Scale Demonstration Program by Summer 1997. A demonstration was carried out at the Mound Facility in Miamisburg, Ohio, in June 1996. Third party verification by EG&G verified the effectiveness ofmore » the process. Results of this work and the development work that proceeded are described herein.« less

[Pregnant teens: signs, symptoms, complications and presence of stress].

PubMed

Correia, Divanise Suruagy; Santos, Layse Veloso de Amorim; Calheiros, Ascanio Marcos de Novais; Vieira, Maria Jésia

2011-03-01

The objective of this work is to analyze the correlation between signs, symptoms and complications and the presence of stress in pregnant adolescents in health facilities in Maceio, Alagoas, Brazil. Quantitative, cross-sectional data were collected through questionnaire survey and tests of applied stress in adolescents treated in prenatal care. Data were analyzed by Epi Info version 3.5, using the odds as a statistical measure. The survey involved 140 pregnant girls, aged from 10 to 19 years. Results show that 80.7% of them had some degree of stress, 57.1% being in the resistance phase and 18.6% at the stage of exhaustion. Statistical association was found between stress and some symptoms. The results indicate the presence of stress in adolescence and the need for special attention to the mental health of these women.

Pollution prevention at Air Force Plant {number{underscore}sign}4

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

Daniels, E.D.; Brown, C.J.; Strukely, T.

1999-07-01

Air Force Plant {number{underscore}sign}4 in Fort Worth, Texas is home to Lockheed Martin Tactical Aircraft Systems (LMTAS). This multi-million square foot facility provides all of the design, fabrication, assembly, and testing capabilities necessary to produce the F-16 fighter and the center fuselage of the F-22 fighter. A large number of chemical products and processes are required to achieve the complex manufacturing goals. Since the early 1980s, a pollution prevention program has been in place at LMTAS to eliminate or minimize the use of hazardous chemicals and processes. The structure involves an interdepartmental teaming arrangement to determine satisfactory alternatives to existingmore » procedures as well as development of environmentally friendly methods for new design. Many of the successes are a result of teaming arrangements between LMTAS and the USAF.« less

Electric field control of magnetoresistance in InP nanowires with ferromagnetic contacts.

PubMed

Zwanenburg, F A; van der Mast, D W; Heersche, H B; Kouwenhoven, L P; Bakkers, E P A M

2009-07-01

We demonstrate electric field control of sign and magnitude of the magnetoresistance in InP nanowires with ferromagnetic contacts. The sign change in the magnetoresistance is directly correlated with a sign change in the transconductance. Additionally, the magnetoresistance is shown to persist at such a high bias that Coulomb blockade has been lifted. We also observe the magnetoresistance when one of the ferromagnets is replaced by a nonmagnetic metal. We conclude that it must be induced by a single ferromagnetic contact, and that spin transport can be ruled out as the origin. Our results emphasize the importance of a systematic investigation of spin-valve devices in order to discriminate between ambiguous interpretations.

THERMOGRAVIMETRIC CHARACTERIZATION OF GLOVEBOX GLOVES

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

Korinko, P.

An experimental project was initiated to characterize mass loss when heating different polymer glovebox glove material samples to three elevated temperatures, 90, 120, and 150 C. Samples from ten different polymeric gloves that are being considered for use in the tritium gloveboxes were tested. The intent of the study was to determine the amount of material lost. These data will be used in a subsequent study to characterize the composition of the material lost. One goal of the study was to determine which glove composition would least affect the glovebox atmosphere stripper system. Samples lost most of the mass inmore » the initial 60 minutes of thermal exposure and as expected increasing the temperature increased the mass loss and shortened the time to achieve a steady state loss. The most mass loss was experienced by Jung butyl-Hypalon{reg_sign} at 146 C with 12.9% mass loss followed by Piercan Hypalon{reg_sign} at 144 C with 11.4 % mass loss and Jung butyl-Viton{reg_sign} at 140 C with 5.2% mass loss. The least mass loss was experienced by the Jung Viton{reg_sign} and the Piercan polyurethane. Unlike the permeation testing (1) the vendor and fabrication route influences the amount of gaseous species that is evolved. Additional testing to characterize these products is recommended. Savannah River Site (SRS) has many gloveboxes deployed in the Tritium Facility. These gloveboxes are used to protect the workers and to ensure a suitable environment in which to handle tritium gas products. The gas atmosphere in the gloveboxes is purified using a stripper system. The process gas strippers collect molecules that may have hydrogen or its isotopes attached, e.g., waters of hydration, acids, etc. Recently, sulfur containing compounds were detected in the stripper system and the presence of these compounds accelerates the stripper system's aging process. This accelerated aging requires the strippers to be replaced more often which can impact the facility's schedule and operational cost. It was posited that sulfur bearing and other volatile compounds were derived from glove off-gassing. Due to the large number of gloves in the facility, small mass loss from each glove could result in a significant total mass of undesirable material entering the glovebox atmosphere and subsequently the stripper system. A thermogravimetric analysis (TGA) study was conducted to determine the amount of low temperature volatiles that may be expected to offgas from the gloves. The data were taken on relatively small samples but are normalized with respect to the sample's surface area. Additional testing is needed to determine the composition of the off-gassing species. The TGA study was conducted to ascertain the magnitude of the issue and to determine if further experimentation is warranted or necessary.« less

[Measures to reduce lighting-related energy use and costs at hospital nursing stations].

PubMed

Su, Chiu-Ching; Chen, Chen-Hui; Chen, Shu-Hwa; Ping, Tsui-Chu

2011-06-01

Hospitals have long been expected to deliver medical services in an environment that is comfortable and bright. This expectation keeps hospital energy demand stubbornly high and energy costs spiraling due to escalating utility fees. Hospitals must identify appropriate strategies to control electricity usage in order to control operating costs effectively. This paper proposes several electricity saving measures that both support government policies aimed at reducing global warming and help reduce energy consumption at the authors' hospital. The authors held educational seminars, established a website teaching energy saving methods, maximized facility and equipment use effectiveness (e.g., adjusting lamp placements, power switch and computer saving modes), posted signs promoting electricity saving, and established a regularized energy saving review mechanism. After implementation, average nursing staff energy saving knowledge had risen from 71.8% to 100% and total nursing station electricity costs fell from NT$16,456 to NT$10,208 per month, representing an effective monthly savings of 37.9% (NT$6,248). This project demonstrated the ability of a program designed to slightly modify nursing staff behavior to achieve effective and meaningful results in reducing overall electricity use.

7 CFR 1424.10 - Succession and control of facilities and production.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 10 2014-01-01 2014-01-01 false Succession and control of facilities and production... § 1424.10 Succession and control of facilities and production. A person who obtains a facility that is... grant such request if it is determined that permitting such succession would serve the purposes of the...

7 CFR 1424.10 - Succession and control of facilities and production.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Succession and control of facilities and production... § 1424.10 Succession and control of facilities and production. A person who obtains a facility that is... grant such request if it is determined that permitting such succession would serve the purposes of the...

7 CFR 1424.10 - Succession and control of facilities and production.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Succession and control of facilities and production... § 1424.10 Succession and control of facilities and production. A person who obtains a facility that is... grant such request if it is determined that permitting such succession would serve the purposes of the...

7 CFR 1424.10 - Succession and control of facilities and production.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 10 2011-01-01 2011-01-01 false Succession and control of facilities and production... § 1424.10 Succession and control of facilities and production. A person who obtains a facility that is... grant such request if it is determined that permitting such succession would serve the purposes of the...

7 CFR 1424.10 - Succession and control of facilities and production.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Succession and control of facilities and production... § 1424.10 Succession and control of facilities and production. A person who obtains a facility that is... grant such request if it is determined that permitting such succession would serve the purposes of the...

Prevalence of Heart Failure Signs and Symptoms in a Large Primary Care Population Identified Through the Use of Text and Data Mining of the Electronic Health Record

PubMed Central

Vijayakrishnan, Rajakrishnan; Steinhubl, Steven R.; Ng, Kenney; Sun, Jimeng; Byrd, Roy J.; Daar, Zahra; Williams, Brent A.; deFilippi, Christopher; Ebadollahi, Shahram; Stewart, Walter F.

2014-01-01

Background The electronic health record contains a tremendous amount of data that if appropriately detected can lead to earlier identification of disease states such as heart failure (HF). Using a novel text and data analytic tool we explored the longitudinal EHR of over 50,000 primary care patients to identify the documentation of the signs and symptoms of HF in the years preceding its diagnosis. Methods and Results Retrospective analysis consisting of 4,644 incident HF cases and 45,981 group-matched controls. Documentation of Framingham HF signs and symptoms within encounter notes were carried out using a previously validated natural language processing procedure. A total of 892,805 affirmed criteria were documented over an average observation period of 3.4 years. Among eventual HF cases, 85% had at least one criterion within a year prior to their HF diagnosis (as did 55% of controls). Substantial variability in the prevalence of individual signs and symptoms were found in both cases and controls. Conclusions HF signs and symptoms are frequently documented in a primary care population as identified through automated text and data mining of EHRs. Their frequent identification demonstrates the rich data available within EHRs that will allow for future work on automated criterion identification to help develop predictive models for HF. PMID:24709663

Association of clinical signs with endoscopic findings in horses with nasopharyngeal cicatrix syndrome: 118 cases (2003-2008).

PubMed

Norman, Tracy E; Chaffin, M Keith; Bisset, Wesley T; Thompson, James A

2012-03-15

To characterize the associations between clinical signs of nasopharyngeal cicatrix syndrome (NCS) and endoscopic findings in horses. Retrospective, case-control study. 239 horses (118 case horses and 121 control horses). Medical records of horses that had an endoscopic evaluation of the upper airway performed between January 2003 and December 2008 were reviewed. Clinical signs and the appearance and anatomic locations of lesions identified during endoscopic evaluation were reviewed and recorded for each horse. The associations between clinical signs and endoscopic findings were evaluated by the use of a prospective logistic model that used a Bayesian method for inference and was implemented by a Markov chain Monte Carlo method. Nasal discharge was associated with acute inflammation of the pharynx and larynx. Exercise intolerance was associated with circumferential pharyngeal lesions. Respiratory noise was associated with chronic scarring of the pharynx, a combination of pharyngeal and laryngeal scarring, and circumferential scarring of the pharynx. Respiratory distress was associated with acute inflammation of all portions of the airway, especially when there was preexisting scarring and narrowing of the airway by ≥ 50%. Cough did not have any significant association with NCS, compared with results in control horses. Associations between the endoscopic appearance of NCS lesions and relevant clinical signs will help practitioners identify horses with NCS and allow them to select appropriate treatment.

Physical science receives stimulus boost

NASA Astrophysics Data System (ADS)

Gwynne, Peter

2009-03-01

Science fared well in the 787bn package to stimulate the US economy that President Barack Obama signed into law last month. The "recovery and reinvestment bill" includes 21.5bn for research and development (R&D), the bulk of which - some 18bn - will go directly to researchers. The remaining 3.5bn is allocated for facilities and equipment. Politicians had been bickering over the bill since it was first unveiled on 15 January.

NE TARDIS Banner Event

NASA Image and Video Library

2017-12-08

Workers sign the banner marking the successful delivery of a liquid oxygen test tank, called Tardis, in the Prototype Development Laboratory at NASA's Kennedy Space Center in Florida. Engineers and technicians worked together to develop the tank and build it at the lab to support cryogenic testing at Johnson Space Center's White Sands Test Facility in Las Cruces, New Mexico. The 12-foot-tall, 3,810-pound aluminum tank will be shipped to White Sands for testing.

A Study to Determine the Most Feasible Sign System for Improving the Flow of Patients in the Interior Hospital

DTIC Science & Technology

1985-08-01

29 E. NEW GRAPHICS DESIGNED BY AUTHOR ....... ................ .37 F. COST-BENEFIT ANALYSIS ........ ..................... ... 44 G. IMPLEMENTATION OF...Cornett, and Catherine Tillotson were invaluable in designing new hospital graphics . Finally, a big thanks for the faith and typing support of...February 1975): 25. "Careful Design Provides Outpatient Facility with Simple, Clear, Attractive Signage and Graphics ." Hospitals, Vol 53 (16 April 1979): 40

Central Asia: Regional Developments and Implications for U.S. Interests

DTIC Science & Technology

2009-11-20

Central Asia. Other officials have stated that a large - scale influx has not yet occurred. Actions of the IMU and IJU in Germany and Elsewhere Officials...Independence: Regional Tensions and Conflicts”) that stated that “as large - scale military operations against terrorism have come to an end in... breeder reactor at Aktau that was the world’s only nuclear desalinization facility. In 1997 and 1999, U.S.-Kazakh accords were signed on

Criminal poisoning: medical murderers.

PubMed

Furbee, R Brent

2006-03-01

It is impossible to determine the true incidence of homicides that occur within health care facilities. Over the years there have been numerous documented examples of health care providers preying on helpless patients. For several reasons, the health care system has been inadequate in its response. This article reviews some of those cases, the hospitals' responses, and the outcome of investigations,to reveal the common factors that can identify the warning signs of these tragic events.