Sample records for emergency supplies develop

  1. The application of supply chain management principles to emergency management logistics: An empirical study.

    PubMed

    Peterson, Matthew R; Young, Richard R; Gordon, Gary A

    2016-01-01

    Key elements of supply chain theory remain relevant to emergency management (EM) logistics activities. The Supply Chain Operations Reference model can also serve as a useful template for the planning, organizing, and execution of EM logistics. Through a series of case studies (developed through intensive survey of organizations and individuals responsible for EM), the authors identified the extent supply chain theory is being adopted and whether the theory was useful for emergency logistics managers. The authors found several drivers that influence the likelihood of an organization to implement elements of supply chain management: the frequency of events, organizational resources, population density, range of events, and severity of the disaster or emergency.

  2. Water assessment for the Lower Colorado River region-emerging energy technology development

    NASA Astrophysics Data System (ADS)

    1981-08-01

    Water supply availability for two hypothetical levels of emerging energy technology development are assessed. The water and related land resources implications of such hypothetical developments are evaluated. Water requirement, the effects on water quality, costs of water supplies, costs of disposal of wastewaters, and the environmental, economic and social impacts are determined, providing information for the development of non-nuclear energy research.

  3. Modeling relief demands in an emergency supply chain system under large-scale disasters based on a queuing network.

    PubMed

    He, Xinhua; Hu, Wenfa

    2014-01-01

    This paper presents a multiple-rescue model for an emergency supply chain system under uncertainties in large-scale affected area of disasters. The proposed methodology takes into consideration that the rescue demands caused by a large-scale disaster are scattered in several locations; the servers are arranged in multiple echelons (resource depots, distribution centers, and rescue center sites) located in different places but are coordinated within one emergency supply chain system; depending on the types of rescue demands, one or more distinct servers dispatch emergency resources in different vehicle routes, and emergency rescue services queue in multiple rescue-demand locations. This emergency system is modeled as a minimal queuing response time model of location and allocation. A solution to this complex mathematical problem is developed based on genetic algorithm. Finally, a case study of an emergency supply chain system operating in Shanghai is discussed. The results demonstrate the robustness and applicability of the proposed model.

  4. Modeling Relief Demands in an Emergency Supply Chain System under Large-Scale Disasters Based on a Queuing Network

    PubMed Central

    He, Xinhua

    2014-01-01

    This paper presents a multiple-rescue model for an emergency supply chain system under uncertainties in large-scale affected area of disasters. The proposed methodology takes into consideration that the rescue demands caused by a large-scale disaster are scattered in several locations; the servers are arranged in multiple echelons (resource depots, distribution centers, and rescue center sites) located in different places but are coordinated within one emergency supply chain system; depending on the types of rescue demands, one or more distinct servers dispatch emergency resources in different vehicle routes, and emergency rescue services queue in multiple rescue-demand locations. This emergency system is modeled as a minimal queuing response time model of location and allocation. A solution to this complex mathematical problem is developed based on genetic algorithm. Finally, a case study of an emergency supply chain system operating in Shanghai is discussed. The results demonstrate the robustness and applicability of the proposed model. PMID:24688367

  5. Two New Pieces of Emergency Response Equipment for use in Confined Space Environments

    NASA Technical Reports Server (NTRS)

    Graf, John

    2011-01-01

    NASA is developing two new pieces of emergency response equipment that recognize and address the constraints of a confined space environment. One piece of equipment is a respirator designed for use in a post fire environment. Traditional first responders generally use supplied air respirators - they provide cool, dry, safe breathing air to the first responder, and because they are supplied at above ambient pressure, the system is tolerant to a loose-fitting mask. Supplied air respirators have a limited supply of air, but because the traditional first responder intends to address the emergency from outside and then retreat, this limited air supply does not pose a serious problem. NASA uses a supplied oxygen respirator for first response to an emergency affecting air quality on the International Space Station. The air supply is rated for 15 minutes - ISS program managers sponsored a hardware development activity to provide the astronauts up to 8 hours of breathing protection after the supplied air system is exhausted. Size and weight limitations prevent the use of a supplied air system for 8 hours for six crew members. A trade study resulted in the selection of a filtering respirator system over a re-breather system; due to design simplicity, operational simplicity, and likely threats to air quality on ISS. The respirator cartridge that filters smoke particles, adsorbs organics and acid gases, and catalytically converts carbon monoxide to carbon dioxide has been qualified for use on ISS, and was delivered on STS-135, the final mission of the Space Shuttle Program.

  6. Emergency contraception: why can't you give it away? Qualitative findings from an evaluation of advance provision of emergency contraception.

    PubMed

    Fairhurst, Karen; Ziebland, Sue; Wyke, Sally; Seaman, Peter; Glasier, Anna

    2004-07-01

    The Lothian Emergency Contraception Project (LECP)--a primary care-based intervention to offer advance supplies of emergency contraception (EC) to women aged 16-29 was not associated with a reduction in abortion rates. We undertook case studies, utilizing qualitative and quantitative methods, to evaluate the intervention. In this article we present findings from qualitative interviews with 44 primary care professionals working at case study sites and 22 women who had received advance supplies to explain this failure. Professionals reported that women rarely asked for advance supplies of EC and they were reluctant to offer supplies to women because of concerns about contradictory sexual health messages implied by the offer, a perceived association of EC use with chaotic behavior by women, views about the sort of women suitable for advance supplies and practical difficulties making the offer. Women were reluctant to ask for advance supplies because of misgivings about the appropriateness of offering advance supplies to everybody and concerns about being judged by health professionals as morally inadequate. If advance provision of EC is to be successful in reducing abortion rates, professionals must address their concerns about EC and develop imaginative ways of encouraging women most at risk of unwanted pregnancy to take supplies home.

  7. Supply network science: Emergence of a new perspective on a classical field

    NASA Astrophysics Data System (ADS)

    Brintrup, Alexandra; Ledwoch, Anna

    2018-03-01

    Supply networks emerge as companies procure goods from one another to produce their own products. Due to a chronic lack of data, studies on these emergent structures have long focussed on local neighbourhoods, assuming simple, chain-like structures. However, studies conducted since 2001 have shown that supply chains are indeed complex networks that exhibit similar organisational patterns to other network types. In this paper, we present a critical review of theoretical and model based studies which conceptualise supply chains from a network science perspective, showing that empirical data do not always support theoretical models that were developed, and argue that different industrial settings may present different characteristics. Consequently, a need that arises is the development and reconciliation of interpretation across different supply network layers such as contractual relations, material flow, financial links, and co-patenting, as these different projections tend to remain in disciplinary siloes. Other gaps include a lack of null models that show whether the observed properties are meaningful, a lack of dynamical models that can inform how layers evolve and adopt to changes, and a lack of studies that investigate how local decisions enable emergent outcomes. We conclude by asking the network science community to help bridge these gaps by engaging with this important area of research.

  8. Supply network science: Emergence of a new perspective on a classical field.

    PubMed

    Brintrup, Alexandra; Ledwoch, Anna

    2018-03-01

    Supply networks emerge as companies procure goods from one another to produce their own products. Due to a chronic lack of data, studies on these emergent structures have long focussed on local neighbourhoods, assuming simple, chain-like structures. However, studies conducted since 2001 have shown that supply chains are indeed complex networks that exhibit similar organisational patterns to other network types. In this paper, we present a critical review of theoretical and model based studies which conceptualise supply chains from a network science perspective, showing that empirical data do not always support theoretical models that were developed, and argue that different industrial settings may present different characteristics. Consequently, a need that arises is the development and reconciliation of interpretation across different supply network layers such as contractual relations, material flow, financial links, and co-patenting, as these different projections tend to remain in disciplinary siloes. Other gaps include a lack of null models that show whether the observed properties are meaningful, a lack of dynamical models that can inform how layers evolve and adopt to changes, and a lack of studies that investigate how local decisions enable emergent outcomes. We conclude by asking the network science community to help bridge these gaps by engaging with this important area of research.

  9. National Response Framework

    DTIC Science & Technology

    2008-01-01

    special needs should enhance their awareness of risk and threats, develop household emergency plans that include care for pets and service animals , and...including persons, property, and structures. – Individuals with special needs, including those with service animals . – Individuals with household pets...supplies for household pets and service animals . See the recommended disaster supplies list at http://www.ready.gov. • Monitoring emergency

  10. Management of blood shortages in a tertiary care academic medical center: the Yale-New Haven Hospital frozen blood reserve.

    PubMed

    Erickson, Michelle L; Champion, Melanie H; Klein, Roger; Ross, Rebecca L; Neal, Zena M; Snyder, Edward L

    2008-10-01

    Threats to national and local blood supplies in America mandate development of an effective blood management system for emergency preparedness and efficient blood inventory management. Seasonal or acute blood shortages could be compounded by the unavoidable distribution inefficiencies of the blood pipeline during an emergency. The Yale-New Haven Hospital (YNHH) Blood Bank has developed a comprehensive emergency blood management plan, which includes maintenance of a tactical, limited frozen blood supply. A computer spreadsheet-based disaster prediction model has been designed to guide the use of the frozen reserve by testing various emergency scenarios. The frozen blood reserve can likely support normal hospital red blood cell (RBC) demands during typical (3-4 days) seasonal shortages, provide a reduced supply for up to 10 days, or meet an unexpected transient increased RBC demand without requiring intensive support from the regional blood center. However, the frozen blood supply is not designed to meet the massive transfusion demand associated with extreme or sustained disasters. Rather, it serves as a short-term bridge-over supply until blood center support can be reestablished. We review the reasons for initiating a blood management plan and describe how YNHH has implemented and sustains a frozen blood reserve as part of a comprehensive disaster management plan. Despite the operational complexity, the benefits of self-sufficiency, the ability to support routine hospital requirements, and the security of having a backup supply justify the expense and difficulty of maintaining a frozen blood reserve.

  11. Emergency material allocation with time-varying supply-demand based on dynamic optimization method for river chemical spills.

    PubMed

    Liu, Jie; Guo, Liang; Jiang, Jiping; Jiang, Dexun; Wang, Peng

    2018-04-13

    Aiming to minimize the damage caused by river chemical spills, efficient emergency material allocation is critical for an actual emergency rescue decision-making in a quick response. In this study, an emergency material allocation framework based on time-varying supply-demand constraint is developed to allocate emergency material, minimize the emergency response time, and satisfy the dynamic emergency material requirements in post-accident phases dealing with river chemical spills. In this study, the theoretically critical emergency response time is firstly obtained for the emergency material allocation system to select a series of appropriate emergency material warehouses as potential supportive centers. Then, an enumeration method is applied to identify the practically critical emergency response time, the optimum emergency material allocation and replenishment scheme. Finally, the developed framework is applied to a computational experiment based on south-to-north water transfer project in China. The results illustrate that the proposed methodology is a simple and flexible tool for appropriately allocating emergency material to satisfy time-dynamic demands during emergency decision-making. Therefore, the decision-makers can identify an appropriate emergency material allocation scheme in a balance between time-effective and cost-effective objectives under the different emergency pollution conditions.

  12. The development of the ICME supply-chain: Route to ICME implementation and sustainment

    NASA Astrophysics Data System (ADS)

    Furrer, David; Schirra, John

    2011-04-01

    Over the past twenty years, integrated computational materials engineering (ICME) has emerged as a key engineering field with great promise. Models simulating materials-related phenomena have been developed and are being validated for industrial application. The integration of computational methods into material, process and component design has been a challenge, however, in part due to the complexities in the development of an ICME "supply-chain" that supports, sustains and delivers this emerging technology. ICME touches many disciplines, which results in a requirement for many types of computational-based technology organizations to be involved to provide tools that can be rapidly developed, validated, deployed and maintained for industrial applications. The need for, and the current state of an ICME supply-chain along with development and future requirements for the continued pace of introduction of ICME into industrial design practices will be reviewed within this article.

  13. The role of ground water in water-supply emergency planning

    NASA Astrophysics Data System (ADS)

    Reichard, E. G.; Li, Z.; Hermans, C.

    2008-12-01

    Catastrophic events, such as earthquakes or floods, can result in water-supply disruptions. Such disruptions can cause large economic losses and pose threats to public health. Water managers seek to develop cost- effective strategies for reducing these risks and ensuring water security. In many areas, ground water can play an important role in such water-supply emergency planning. We present a probabilistic framework for estimating the hydraulic impacts and associated costs of using ground water as a backup supply in the event of a disruption in imported-water deliveries. We also estimate the benefits of ground-water management strategies, such as artificial recharge, in terms of reduced costs of responding to water-supply emergencies. The magnitude of these benefits will depend on the expected severity and duration of the imported-water disruption, the functioning of the hydrogeologic system, and economic parameters. We apply the framework to address water-supply emergency planning in the Los Angeles area. A simulation model is used to generate response functions, which relate emergency ground-water pumpage to potential adverse effects, such as increased pumping lifts, subsidence, and seawater intrusion. These response functions are incorporated into a Monte Carlo analysis, along with cost coefficients and information on the probable severity of the disruption. Disruption severity is represented by a probability distribution, which can be elicited from water managers. In the example, the primary emergency-related benefits of artificial recharge are reductions in potential subsidence costs. The framework could be extended to consider additional engineering factors (e.g., well capacities and integrity of local distribution systems), institutional arrangements, and regulatory requirements.

  14. Development of a model to determine oxygen consumption when crawling

    PubMed Central

    Pollard, J.P.; Heberger, J.R.; Dempsey, P.G.

    2016-01-01

    During a mine disaster or emergency, underground air can quickly become contaminated. In these circumstances, all underground mine workers are taught to don breathable air supply units at the first sign of an emergency. However, no contemporary oxygen consumption data is available for the purposes of designing breathing air supply equipment specifically for mine escape. Further, it would be useful to quantify the oxygen requirements of breathing air supply users for various escape scenarios. To address this need, 14 participants crawled a distance of 305 m each while their breath-by-breath oxygen consumption measurements were taken. Using these data, linear regression models were developed to determine peak and average oxygen consumption rates as well as total oxygen consumption. These models can be used by manufacturers of breathing air supply equipment to aid in the design of devices that would be capable of producing sufficient on-demand oxygen to allow miners to perform self-escape. PMID:26997858

  15. Handbook, Living Life's Emergencies: A Guide for Home Preparedness.

    ERIC Educational Resources Information Center

    Lavalla, Patrick

    Although not intended as a complete manual, the guide gives families a better chance of surviving and recovering from a major emergency by helping them learn what emergencies and disasters could occur in the area, how to prepare for them, what action to take in emergencies, and how to develop emergency skills. The guide explains what supplies to…

  16. Emergency response vaccines--a challenge for the public sector and the vaccine industry.

    PubMed

    Milstien, Julie; Lambert, Scott

    2002-11-22

    In partnership with industry, WHO has developed a number of strategies to facilitate access to vaccines recommended for use in national immunization programs. These strategies have been necessitated by the increasing fragility of vaccine supply for developing markets. The potential global spread of epidemic disease has made it imperative to expand these efforts. A new concept is proposed, that of essential vaccines, defined as "vaccines of public health importance that should be accessible to all people at risk". Essential vaccines will include emergency response vaccines that have become important due to resurgent outbreaks, threatening global pandemics, and situations where a global emergency immunization response may be needed. While some of the approaches already developed will be applicable to emergency response vaccines, other novel approaches requiring public sector intervention will be necessary. Procurement, financing and allocation of these emergency response vaccines, if left to governments or private individuals based on ability to pay, will threaten equitable access. The challenge will be to ensure development of and equitable access to these vaccines while not threatening the already fragile supply of other essential vaccines.

  17. The supply of pharmaceuticals in humanitarian assistance missions: implications for military operations.

    PubMed

    Mahmood, Maysaa; Riley, Kevin; Bennett, David; Anderson, Warner

    2011-08-01

    In this article, we provide an overview of key international guidelines governing the supply of pharmaceuticals during disasters and complex emergencies. We review the World Health Organization's guidelines on pharmaceutical supply chain management and highlight their relevance for military humanitarian assistance missions. Given the important role of pharmaceuticals in addressing population health needs during humanitarian emergencies, a good understanding of how pharmaceuticals are supplied at the local level in different countries can help military health personnel identify the most appropriate supply options. Familiarity with international guidelines involved in cross-border movement of pharmaceuticals can improve the ability of military personnel to communicate more effectively with other actors involved in humanitarian and development spheres. Enhancing the knowledge base available to military personnel in terms of existing supply models and funding procedures can improve the effectiveness of humanitarian military operations and invite policy changes necessary to establish more flexible acquisition and funding regulations.

  18. Managing water supply systems using free-market economy approaches: A detailed review of the implications for developing countries

    NASA Astrophysics Data System (ADS)

    Chikozho, C.; Kujinga, K.

    2017-08-01

    Decision makers in developing countries are often confronted by difficult choices regarding the selection and deployment of appropriate water supply governance regimes that sufficiently take into account national socio-economic and political realities. Indeed, scholars and practitioners alike continue to grapple with the need to create the optimum water supply and allocation decision-making space applicable to specific developing countries. In this paper, we review documented case studies from various parts of the world to explore the utility of free-market economics approaches in water supply governance. This is one of the major paradigms that have emerged in the face of enduring questions regarding how best to govern water supply systems in developing countries. In the paper, we postulate that increasing pressure on available natural resources may have already rendered obsolete some of the water supply governance regimes that have served human societies very well for many decades. Our main findings show that national and municipal water supply governance paradigms tend to change in tandem with emerging national development frameworks and priorities. While many developing countries have adopted water management and governance policy prescriptions from the international arena, national and local socio-economic and political realities ultimately determine what works and what does not work on the ground. We thus, conclude that the choice of what constitutes an appropriate water supply governance regime in context is never simple. Indeed, the majority of case studies reviewed in the paper tend to rely on a mix of market economics and developmental statism to make their water governance regimes more realistic and workable on the ground.

  19. 33 CFR 203.61 - Emergency water supplies due to contaminated water source.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... (5) Loss of water supply is not a basis for assistance under this authority. (6) Water will not be... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Emergency water supplies due to... PROCEDURES Emergency Water Supplies: Contaminated Water Sources and Drought Assistance § 203.61 Emergency...

  20. Water from the Coastal Plain aquifers in the Washington, D.C., metropolitan area

    USGS Publications Warehouse

    Papadopulos, S.S.; Bennett, R.R.; Mack, F.K.; Trescott, P.C.

    1974-01-01

    A brief study of the Atlantic Coastal Plain aquifers in the vicinity of the Washington, D.C., metropolitan area was made, using available data, to estimate the water-supply potential of these aquifers and to determine the possibility of developing an emergency water supply during droughts. Assuming that the data available are representative, the study indicates that the water-supply potential of these aquifers, within an assumed 30-mile radius of Washington, D.C., is about 170 million gallons per day. That is, these aquifers, which are now furnishing an estimated 60 million gallons per day, could be developed to supply an additional 110 million gallons per day on a continuous basis. This quantity might be even larger if a significant amount of water is derived from leakage through finer grained confining beds, but further studies would be necessary to determine the amount of leakage and the long-term effects of large-scale continuous use. Furthermore, under intermittent pumping conditions, an assumed emergency supply of 100 million gallons per day could probably be developed from well fields within a 30-mile radius of Washington. An exploration and testing program would be necessary to assess the reliability of these preliminary estimates.

  1. 14 CFR 25.1362 - Electrical supplies for emergency conditions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Equipment Electrical Systems and Equipment § 25.1362 Electrical supplies for emergency conditions. A suitable electrical supply must be... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Electrical supplies for emergency...

  2. Water Utility Planning for an Emergency Drinking Water Supply

    EPA Pesticide Factsheets

    Reviews roles and responsibilities among various levels of government regarding emergency water supplies and seeks to encourage collaboration and partnership regarding emergency water supply planning.

  3. Japanese suppliers in transition from domestic nuclear reactor vendors to international suppliers

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

    Forsberg, C.W.; Reich, W.J.; Rowan, W.J.

    1994-06-27

    Japan is emerging as a major leader and exporter of nuclear power technology. In the 1990s, Japan has the largest and strongest nuclear power supply industry worldwide as a result of the largest domestic nuclear power plant construction program. The Japanese nuclear power supply industry has moved from dependence on foreign technology to developing, design, building, and operating its own power plants. This report describes the Japanese nuclear power supply industry and examines one supplier--the Mitsubishi group--to develop an understanding of the supply industry and its relationship to the utilities, government, and other organizations.

  4. A triangular fuzzy TOPSIS-based approach for the application of water technologies in different emergency water supply scenarios.

    PubMed

    Qu, Jianhua; Meng, Xianlin; Yu, Huan; You, Hong

    2016-09-01

    Because of the increasing frequency and intensity of unexpected natural disasters, providing safe drinking water for the affected population following a disaster has become a global challenge of growing concern. An onsite water supply technology that is portable, mobile, or modular is a more suitable and sustainable solution for the victims than transporting bottled water. In recent years, various water techniques, such as membrane-assisted technologies, have been proposed and successfully implemented in many places. Given the diversity of techniques available, the current challenge is how to scientifically identify the optimum options for different disaster scenarios. Hence, a fuzzy triangular-based multi-criteria, group decision-making tool was developed in this research. The approach was then applied to the selection of the most appropriate water technologies corresponding to the different emergency water supply scenarios. The results show this tool capable of facilitating scientific analysis in the evaluation and selection of emergency water technologies for enduring security drinking water supply in disaster relief.

  5. The development of global vaccine stockpiles

    PubMed Central

    Yen, Catherine; Hyde, Terri B; Costa, Alejandro J; Fernandez, Katya; Tam, John S; Hugonnet, Stéphane; Huvos, Anne M; Duclos, Philippe; Dietz, Vance J; Burkholder, Brenton T

    2016-01-01

    Global vaccine stockpiles, in which vaccines are reserved for use when needed for emergencies or supply shortages, have effectively provided countries with the capacity for rapid response to emergency situations, such as outbreaks of yellow fever and meningococcal meningitis. The high cost and insufficient supply of many vaccines, including oral cholera vaccine and pandemic influenza vaccine, have prompted discussion on expansion of the use of vaccine stockpiles to address a wider range of emerging and re-emerging diseases. However, the decision to establish and maintain a vaccine stockpile is complex and must take account of disease and vaccine characteristics, stockpile management, funding, and ethical concerns, such as equity. Past experience with global vaccine stockpiles provide valuable information about the processes for their establishment and maintenance. In this Review we explored existing literature and stockpile data to discuss the lessons learned and to inform the development of future vaccine stockpiles. PMID:25661473

  6. 44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... equipment and supplies. 206.6 Section 206.6 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... may direct Federal agencies to donate or loan their equipment and supplies to State and local...

  7. Pilot statewide study of pediatric emergency department alignment with national guidelines.

    PubMed

    Costich, Julia F; Fallat, Mary E; Scaggs, C Morgan; Bartlett, Richard

    2013-07-01

    The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nursing Association have developed consensus guidelines for pediatric emergency department policies, procedures, supplies, and equipment. Kentucky received funding from the Health Resources and Services Administration through the Emergency Medical Services for Children program to pilot test the guidelines with the state's hospitals. In addition to providing baseline data regarding institutional alignment with the guidelines, the survey supported development of grant funding to procure missing items. Survey administration was undertaken by staff and members of the Kentucky Board of Emergency Medical Services Emergency Medical Services for Children work group and faculty and staff of the University of Kentucky College of Public Health and the University of Louisville School of Medicine. Responses were solicited primarily online with repeated reminders and offers of assistance. Seventy respondents completed the survey section on supplies and equipment either online or by fax. Results identified items unavailable at 20% or more of responding facilities, primarily the smallest sizes of equipment. The survey section addressing policy and procedure received only 16 responses. Kentucky facilities were reasonably well equipped by national standards, but rural facilities and small hospitals did not stock the smallest equipment sizes because of low reported volume of pediatric emergency department cases. Thus, a centralized procurement process that gives them access to an adequate range of pediatric supplies and equipment would support capacity building for the care of children across the entire state. Grant proposals were received from 28 facilities in the first 3 months of funding availability.

  8. Supplying emergency contraception to adolescents: the nurse's role.

    PubMed

    Hopkins, Craig

    2014-12-02

    This article explores issues surrounding the supply of emergency contraception to adolescents to reduce the risk of unintended pregnancy. It explains the female reproductive cycle, and describes the types of emergency contraception that may be supplied following unprotected sexual intercourse or contraception failure. The aftercare that should be offered to adolescents following the supply of emergency contraception is discussed, alongside issues surrounding the safeguarding of children and vulnerable adults.

  9. Community resiliency through recovery resource supply chain planning.

    PubMed

    Franklin, Charlotte; Todt, Kiersten

    2014-01-01

    Information in this paper is the result of recommendations and remedies developed at 'Local Supply Chain Capacity in a Crisis Summit Exercise' held in Arlington, VA on 30th-31st January,2013. At the event, which was funded through the Regional Catastrophic Preparedness Grant Program, national private sector and not-for-profit essential resource provider experts in sectors such as transportation, communication systems, energy/power, financial resources, medical supplies and other vital supplies, together with emergency managers, discussed best practices, major challenges and exchanged remedy recommendations.

  10. Vaccines, inspiring innovation in health.

    PubMed

    Pagliusi, Sonia; Dennehy, Maureen; Kim, Hun

    2018-05-19

    This report covers the topics of pandemics, epidemics and partnerships, including regulatory convergence initiatives, new technologies and novel vaccines, discussed by leading public and private sector stakeholders at the 18th Annual General Meeting (AGM) of the Developing Countries Vaccine Manufacturers' Network (DCVMN). Contributions of Gavi and the vaccine industry from emerging countries to the growing global vaccine market, by improving the supply base from manufacturers in developing countries and contributing to 58% of doses, were highlighted. The Coalition for Epidemic Preparedness Innovations (CEPI), the International Vaccine Institute (IVI) and others reported on new strategies to ensure speedy progress in preclinical and clinical development of innovative vaccines for future MERS, Zika or other outbreak response. Priorities for vaccine stockpiling, to assure readiness during emergencies and to prevent outbreaks due to re-emerging diseases such as yellow fever, cholera and poliomyelitis, were outlined. The role of partnerships in improving global vaccine access, procurement and immunization coverage, and shared concerns were reviewed. The World Health Organization (WHO) and other international collaborating partners provided updates on the Product, Price and Procurement database, the prequalification of vaccines, the control of neglected tropical diseases, particularly the new rabies elimination initiative, and regulatory convergence proposals to accelerate vaccine registration in developing countries. Updates on supply chain innovations and novel vaccine platforms were presented. The discussions enabled members and partners to reflect on efficiency of research & development, supply chain tools and trends in packaging technologies improving delivery of existing vaccines, and allowing a deeper understanding of the current public-health objectives, industry financing, and global policies, required to ensure optimal investments, alignment and stability of vaccine supply in developing countries. Copyright © 2018. Published by Elsevier Ltd.

  11. 33 CFR 203.61 - Emergency water supplies due to contaminated water source.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

  12. 33 CFR 203.61 - Emergency water supplies due to contaminated water source.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

  13. 33 CFR 203.61 - Emergency water supplies due to contaminated water source.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

  14. 33 CFR 203.61 - Emergency water supplies due to contaminated water source.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

  15. 33 CFR 203.13 - Available assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... addresses Rehabilitation Assistance and the RIP. (d) Emergency water supplies due to contaminated water source. The Corps may provide emergency supplies of clean water to any locality confronted with a source... welfare of the inhabitants of the locality. Subpart E addresses emergency water supply assistance. (e...

  16. 44 CFR 13.33 - Supplies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Supplies. 13.33 Section 13.33 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... GOVERNMENTS Post-Award Requirements Changes, Property, and Subawards § 13.33 Supplies. (a) Title. Title to...

  17. The development of global vaccine stockpiles.

    PubMed

    Yen, Catherine; Hyde, Terri B; Costa, Alejandro J; Fernandez, Katya; Tam, John S; Hugonnet, Stéphane; Huvos, Anne M; Duclos, Philippe; Dietz, Vance J; Burkholder, Brenton T

    2015-03-01

    Global vaccine stockpiles, in which vaccines are reserved for use when needed for emergencies or supply shortages, have effectively provided countries with the capacity for rapid response to emergency situations, such as outbreaks of yellow fever and meningococcal meningitis. The high cost and insufficient supply of many vaccines, including oral cholera vaccine and pandemic influenza vaccine, have prompted discussion on expansion of the use of vaccine stockpiles to address a wider range of emerging and re-emerging diseases. However, the decision to establish and maintain a vaccine stockpile is complex and must take account of disease and vaccine characteristics, stockpile management, funding, and ethical concerns, such as equity. Past experience with global vaccine stockpiles provide valuable information about the processes for their establishment and maintenance. In this Review we explored existing literature and stockpile data to discuss the lessons learned and to inform the development of future vaccine stockpiles. Copyright © 2015 World Health Organization. Published by Elsevier Ltd/Inc/BV. All rights reserved. Published by Elsevier Ltd. All rights reserved.

  18. Sources of emergency water supplies in San Mateo County, California

    USGS Publications Warehouse

    Wood, P.R.

    1975-01-01

    San Mateo County has several densely populated urban areas that get most of their water supplies from surface-water sources that could by damaged by a major earthquake or other general disaster. In the event of such a disaster, limited supplies of potable water may be obtained from selected wells, springs, and perennial streams. This report outlines the principal sources of existing water supplies, gives information on the need for emergency water-supply procedures, presents general criteria needed for selecting emergency water-supply wells, summarizes information for 60 selected water wells, numerous springs, and perennial streams that can be used as sources of water, and describes emergency water-purification procedures that can be used by individuals or small groups of people.

  19. Emergency contraception supply in Australian pharmacies after the introduction of ulipristal acetate: a mystery shopping mixed-methods study.

    PubMed

    Collins, Jack Charles; Schneider, Carl Richard; Moles, Rebekah Jane

    2018-05-09

    To explore the supply of emergency contraception (EC) from Australian community pharmacies after the introduction of ulipristal acetate (UPA) and to explore pharmacists' knowledge, decision-making, attitudes and beliefs surrounding supplying EC. A mixed-methods approach of mystery shopping with structured interview was employed. From August to November 2017, 20 pharmacy students mystery-shopped 10 community pharmacies in metropolitan Sydney, Australia, requesting "the morning after pill." Each pharmacy was visited five times with varying scenarios. Structured interviews were conducted immediately postvisit. Visit data were analyzed descriptively and comparatively. Interviews were transcribed verbatim and categorically analyzed. Of 50 planned visits, 43 were analyzed. EC was supplied in 38 requests by pharmacists (54% male). Levonorgestrel (LNG) was more frequently supplied than UPA (74% vs. 26%). UPA was only supplied when intercourse occurred >72 h prior. Directions for use were provided in 35 supplies. No difference in questioning or counseling was found based on sex of requester. Female pharmacists provided more counseling points (MED=4 [IQR=4-5] vs. MED=3 [IQR=0-4]; p<.01). Two pharmacists asked all guideline questions, and no pharmacist provided all guideline counseling points. Interviews elicited supply guidelines, regulatory and clinical knowledge, financial considerations, privacy and stock availability as factors influencing EC supply. EC was supplied in accordance with local legislation in all instances, with the majority supplied within the licensed timeframe for each EC formulation. LNG was supplied more frequently than UPA. UPA was only supplied in the 72-120-h timeframe. Clinical and regulatory knowledge, availability and cost to consumer were identified as factors influencing supply. This study found that despite the introduction of ulipristal acetate to the Australian market, it is not frequently supplied. Interviews identified the need for continuing professional development regarding pharmacist clinical and regulatory knowledge. Future guideline development should consider utility and user needs to optimize the implementation of guidelines. Copyright © 2018. Published by Elsevier Inc.

  20. 77 FR 48177 - Fuel Oil Systems for Emergency Power Supplies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... NUCLEAR REGULATORY COMMISSION [NRC-2012-0159] Fuel Oil Systems for Emergency Power Supplies AGENCY: Nuclear Regulatory Commission. ACTION: Draft regulatory guide; extension of comment period. SUMMARY: On... Regulatory Guide, DG- 1282, ``Fuel Oil Systems for Emergency Power Supplies,'' in the Federal Register for a...

  1. 75 FR 27002 - Petitions for Modification

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ...,000 feet of the working face, which contain the Hubble Breathable Air Unit Emergency Supply Container, (``HBA Unit Emergency Supply Container''), and otherwise complying with all applicable provisions set forth in 30 CFR 75.1506(b) through (g). The HBA Unit Emergency Supply Container is a steel reinforced...

  2. 44 CFR 208.38 - Reimbursement for re-supply and logistics costs incurred during Activation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Reimbursement for re-supply and logistics costs incurred during Activation. 208.38 Section 208.38 Emergency Management and...-supply and logistics costs incurred during Activation. With the exception of emergency procurement...

  3. 44 CFR 208.38 - Reimbursement for re-supply and logistics costs incurred during Activation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Reimbursement for re-supply and logistics costs incurred during Activation. 208.38 Section 208.38 Emergency Management and...-supply and logistics costs incurred during Activation. With the exception of emergency procurement...

  4. 44 CFR 208.38 - Reimbursement for re-supply and logistics costs incurred during Activation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Reimbursement for re-supply and logistics costs incurred during Activation. 208.38 Section 208.38 Emergency Management and...-supply and logistics costs incurred during Activation. With the exception of emergency procurement...

  5. 44 CFR 208.38 - Reimbursement for re-supply and logistics costs incurred during Activation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Reimbursement for re-supply and logistics costs incurred during Activation. 208.38 Section 208.38 Emergency Management and...-supply and logistics costs incurred during Activation. With the exception of emergency procurement...

  6. NASA Developments in Personnel Protective Equipment

    NASA Technical Reports Server (NTRS)

    Graf, John

    2015-01-01

    NASA has some unique and challenging PPE needs: there are credible threats to air quality (fire, ammonia leak, hydrazine leak)that require a contingency breathing apparatus that operates for many hours - but there is not enough space or up-mass to provide supplied air tanks. We cannot use "Scott Air Tanks" commonly used by firefighters and other first responders. NASA has developed a respirator based emergency breathing device. It uses a "one size fits everybody in the astronaut corps" hooded mask with excellent chemical permeability and fire resistance properties, and a filtering respirator cartridge that protects the wearer from ammonia leaks, hydrazine leaks, or products of combustion. If you need a small, lightweight emergency breathing system that lasts longer than a supplied air system, we should meet and learn if NASA sponsored technology development can help.

  7. Realized field tests

    NASA Astrophysics Data System (ADS)

    Cordes, V.

    1983-09-01

    Three solar generator projects in developing countries are discussed. A brackish water desalination unit was developed and built. A 2.4 kW solar generator supplies the desalination unit which produces 1.5 cum drinking water per day, and the pump installed for a hoisting depth of 20 m. The unit switches on if the solar energy is sufficiently high; a 160 Ahr battery guarantees constant operation. A photovoltaically supplied UHF transmitter was installed. A 3.6 kW solar generator and a battery make transmitter and air traffic warning illumination self-sufficient. A small diesel generator is installed for emergency cases. Experience shows that solar generator (4 kW) and battery have to be enlarged. An emergency solar energy generator was installed in a hospital. The solar generator has a maximum power of 150 W; together with a battery it can deliver the energy for a minimum 5 hr of emergency illumination.

  8. Emergency Food Supplies in Food Secure Households.

    PubMed

    Golem, Devon L; Byrd-Bredbenner, Carol

    2015-08-01

    Introduction Limited food supply paired with reduced access to food during emergency disasters can lead to malnutrition. To date, research evaluating the adequacy of household emergency food supplies relies on self-reported data from surveys and has not been measured objectively in households in the United States. The main objective of this study was to describe household calorie availability and nutrient density in a normal situation and to project changes that could occur when emergencies (eg, natural disasters) restrict replenishment of food supplies and disrupt water and/or energy needed for food preparation and storage. Hypothesis The calorie availability of the food supply within households in New Jersey (USA) is anticipated to be well above the recommended 3-day period. However, it is anticipated that the nutritional density of the food supply within these households will be negative. Additionally, the disaster-related factors that diminish the ability to consume stored food (eg, lack of water, power for cooking, and/or proper storage) will further reduce the caloric and nutritional adequacy of the household food supply. The household food supplies of 100 food secure families in New Jersey were inventoried at a non-emergency point in time. The number of days that the inventoried food supply would provide all household members 100% of the daily value (DV) for calories and other nutrients was determined. Additionally, the effects of water and power shortages on nutritional availability of household food supply were estimated. The households had an average of 33.16 days (SD=21.97; range=8.14-125.17 days) of calories at 100% DV for all household members. Lack of water, energy for cooking, or both would render a decrease in the total household calories by 28%, 35%, or 38%, respectively. Loss of power for greater than five days would reduce availability of household calories by 27%. A positive nutrient density was observed with and without the food-related resources of water and power. The mean food supply within the sampled households exceeds the current emergency preparedness recommendations, even when considering specific nutrients and emergency-related factors that affect ability to consume the food supply. Cross-sectional observation of the household food supply of food secure families in New Jersey reveals adequate dietary-based emergency preparedness and low vulnerability to emergency-induced food insecurity.

  9. 33 CFR 214.6 - Discussion.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... SUPPLIES OF DRINKING WATER § 214.6 Discussion. (a) The amendment provides for furnishing emergency supplies of drinking water. The method of furnishing those supplies is not provided for in the amendment, and... providing emergency supplies of clean drinking water. Sewage treatment and disposal, and other sanitary...

  10. 33 CFR 214.6 - Discussion.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... SUPPLIES OF DRINKING WATER § 214.6 Discussion. (a) The amendment provides for furnishing emergency supplies of drinking water. The method of furnishing those supplies is not provided for in the amendment, and... providing emergency supplies of clean drinking water. Sewage treatment and disposal, and other sanitary...

  11. 33 CFR 214.6 - Discussion.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... SUPPLIES OF DRINKING WATER § 214.6 Discussion. (a) The amendment provides for furnishing emergency supplies of drinking water. The method of furnishing those supplies is not provided for in the amendment, and... providing emergency supplies of clean drinking water. Sewage treatment and disposal, and other sanitary...

  12. 33 CFR 214.6 - Discussion.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... SUPPLIES OF DRINKING WATER § 214.6 Discussion. (a) The amendment provides for furnishing emergency supplies of drinking water. The method of furnishing those supplies is not provided for in the amendment, and... providing emergency supplies of clean drinking water. Sewage treatment and disposal, and other sanitary...

  13. 33 CFR 214.6 - Discussion.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... SUPPLIES OF DRINKING WATER § 214.6 Discussion. (a) The amendment provides for furnishing emergency supplies of drinking water. The method of furnishing those supplies is not provided for in the amendment, and... providing emergency supplies of clean drinking water. Sewage treatment and disposal, and other sanitary...

  14. Robust Water Supply Infrastructure Development Pathways: What, When and Where Matters the Most? (INVITED)

    NASA Astrophysics Data System (ADS)

    Reed, Patrick; Zeff, Harrison; Characklis, Gregory

    2017-04-01

    Water supply adaptation frameworks that seek robustness must adaptively trigger actions that are contextually appropriate to emerging system observations and avoid long term high regret lock-ins. As an example, emerging water scarcity concerns in southeastern United States are associated with several deeply uncertain factors, including rapid population growth, limited coordination across adjacent municipalities and the increasing risks for sustained regional droughts. Managing these uncertainties will require that regional water utilities identify regionally coordinated, scarcity-mitigating infrastructure development pathways that trigger time appropriate actions. Mistakes can lead to water shortages, overbuilt stranded assets and possibly financial failures. This presentation uses the Research Triangle area of North Carolina to illustrate the key concerns and challenges that emerged when helping Raleigh, Durham, Cary and Chapel Hill develop their long term water supply infrastructure pathways through 2060. This example shows how the region's water utilities' long term infrastructure pathways are strongly shaped by their short term conservation policies (i.e., reacting to evolving demands) and their ability to consider regional water transfers (i.e., reacting to supply imbalances). Cooperatively developed, shared investments across the four municipalities expand their capacity to use short term transfers to better manage severe droughts with fewer investments in irreversible infrastructure options. Cooperative pathways are also important for avoiding regional robustness conflicts, where one party benefits strongly at the expense of one or more the others. A significant innovation of this work is the exploitation of weekly and annual dynamic risk-of-failure action triggers that exploit evolving feedbacks between co-evolving human demands and regional supplies. These dynamic action triggers provide high levels of adaptivity, tailor actions to their specific context, and motivate the value of joint human—natural system observation systems. The insights from this work have general merit globally for urban regions where adjacent municipalities can benefit from cooperative planning.

  15. Emergency supply of prescription-only medicines to patients by community pharmacists: a mixed methods evaluation incorporating patient, pharmacist and GP perspectives

    PubMed Central

    Morecroft, Charles W; Mackridge, Adam J; Stokes, Elizabeth C; Gray, Nicola J; Wilson, Sarah E; Ashcroft, Darren M; Mensah, Noah; Pickup, Graham B

    2015-01-01

    Objective To evaluate and inform emergency supply of prescription-only medicines by community pharmacists (CPs), including how the service could form an integral component of established healthcare provision to maximise adherence. Design Mixed methods. 4 phases: prospective audit of emergency supply requests for prescribed medicines (October–November 2012 and April 2013); interviews with CPs (February–April 2013); follow-up interviews with patients (April–May 2013); interactive feedback sessions with general practice teams (October–November 2013). Setting 22 community pharmacies and 6 general practices in Northwest England. Participants 27 CPs with experience of dealing with requests for emergency supplies; 25 patients who received an emergency supply of a prescribed medicine; 58 staff at 6 general practices. Results Clinical audit in 22 pharmacies over two 4-week periods reported that 526 medicines were requested by 450 patients. Requests peaked over a bank holiday and around weekends. A significant number of supplies were made during practice opening hours. Most requests were for older patients and for medicines used in long-term conditions. Difficulty in renewing repeat medication (forgetting to order, or prescription delays) was the major reason for requests. The majority of medicines were ‘loaned’ in advance of a National Health Service (NHS) prescription. Interviews with CPs and patients indicated that continuous supply had a positive impact on medicines adherence, removing the need to access urgent care. General practice staff were surprised and concerned by the extent of emergency supply episodes. Conclusions CPs regularly provide emergency supplies to patients who run out of their repeat medication, including during practice opening hours. This may aid adherence. There is currently no feedback loop, however, to general practice. Patient care and interprofessional communication may be better served by the introduction of a formally structured and funded NHS emergency supply service from community pharmacies, with ongoing optimisation of repeat prescribing. PMID:26163029

  16. Sources of emergency water supplies in Santa Clara County, California

    USGS Publications Warehouse

    Akers, J.P.

    1977-01-01

    Water distribution systems in Santa Clara County, Calif., may be damaged and rendered inoperable by a large earthquake or other disaster. In such an event, individual agencies may have to implement emergency measures to supply water for drinking, firefighting, decontamination, or other purposes. In Santa Clara County, 128 wells have been identified as potential water-supply sources in emergencies. The criteria used to select the wells are: yield of at least 3 liters per second (50 gallons per minute), good water quality, ready accessibility, and available emergency power. Purification methods of small water supplies are described. (Woodard-USGS)

  17. 44 CFR 208.37 - Reimbursement for equipment and supply costs incurred during Activation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... and supply costs incurred during Activation. 208.37 Section 208.37 Emergency Management and Assistance... and supply costs incurred during Activation. (a) Allowable costs. DHS will reimburse costs incurred for the emergency procurement of equipment and supplies in the number, type, and up to the cost...

  18. Non-Lethal Weapons Effectiveness Assessment Development and Verification Study (Etude d’evaluation, de developpement et de verification de l’efficacite des armes non letales)

    DTIC Science & Technology

    2009-10-01

    will guarantee a solid base for the future. The content of this publication has been reproduced directly from material supplied by RTO or the...intensity threat involving a local population wanting to break into the camp to steal material and food supplies ; and • A higher intensity threat...combatant evacuation opeations, distribute emergency supplies , and evacuate/ relocate refugees and displaced persons. Specified NLW-relevant tasks are

  19. Availability of pediatric services and equipment in emergency departments: United States, 2006.

    PubMed

    Schappert, Susan M; Bhuiya, Farida

    2012-03-01

    This report presents data on the availability of pediatric services, expertise, and supplies for treating pediatric emergencies in U.S. hospitals. Data in this report are from the Emergency Pediatric Services and Equipment Supplement (EPSES), a self-administered questionnaire added to the 2006 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS samples nonfederal short-stay and general hospitals in the United States. Sample data were weighted to produce annual estimates of pediatric services, expertise, and equipment availability in hospital emergency departments (EDs). In 2006, only 7.2 percent of hospital EDs had all recommended pediatric emergency supplies, and 45.6 percent had at least 85.0 percent of recommended supplies. EDs in children's hospitals and hospitals with pediatric intensive care units (PICUs) were more likely to meet guidelines for pediatric emergency department services, expertise, and supplies. About 74.0 percent of these facilities had at least 85.0 percent of recommended supplies, compared with 42.4 percent of other facilities. Among children's hospitals and hospitals with PICUs, 66.0 percent had 24 hours a day, 7 days a week access to a board-certified pediatric emergency medicine attending physician; such access was uncommon in other types of hospitals. In general, little change was noted in the availability of emergency pediatric supplies between 2002-2003, when the initial EPSES was conducted, and 2006.

  20. 46 CFR 113.25-7 - Power supply overcurrent protection.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply overcurrent protection. 113.25-7 Section... COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-7 Power supply overcurrent protection. (a) If the general emergency alarm system is the only load supplied by the general...

  1. 46 CFR 113.25-7 - Power supply overcurrent protection.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Power supply overcurrent protection. 113.25-7 Section... COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-7 Power supply overcurrent protection. (a) If the general emergency alarm system is the only load supplied by the general...

  2. Modeling sustainability in renewable energy supply chain systems

    NASA Astrophysics Data System (ADS)

    Xie, Fei

    This dissertation aims at modeling sustainability of renewable fuel supply chain systems against emerging challenges. In particular, the dissertation focuses on the biofuel supply chain system design, and manages to develop advanced modeling framework and corresponding solution methods in tackling challenges in sustaining biofuel supply chain systems. These challenges include: (1) to integrate "environmental thinking" into the long-term biofuel supply chain planning; (2) to adopt multimodal transportation to mitigate seasonality in biofuel supply chain operations; (3) to provide strategies in hedging against uncertainty from conversion technology; and (4) to develop methodologies in long-term sequential planning of the biofuel supply chain under uncertainties. All models are mixed integer programs, which also involves multi-objective programming method and two-stage/multistage stochastic programming methods. In particular for the long-term sequential planning under uncertainties, to reduce the computational challenges due to the exponential expansion of the scenario tree, I also developed efficient ND-Max method which is more efficient than CPLEX and Nested Decomposition method. Through result analysis of four independent studies, it is found that the proposed modeling frameworks can effectively improve the economic performance, enhance environmental benefits and reduce risks due to systems uncertainties for the biofuel supply chain systems.

  3. Defining Roles for Pharmacy Personnel in Disaster Response and Emergency Preparedness.

    PubMed

    Alkhalili, Mohammad; Ma, Janice; Grenier, Sylvain

    2017-08-01

    Ongoing provision of pharmaceuticals and medical supplies is of key importance during and following a disaster or other emergency event. An effectively coordinated response involving locally available pharmacy personnel-drawing upon the efforts of licensed pharmacists and unlicensed support staff-can help to mitigate harms and alleviate hardship in a community after emergency events. However, pharmacists and their counterparts generally receive limited training in disaster medicine and emergency preparedness as part of their initial qualifications, even in countries with well-developed professional education programs. Pharmacy efforts have also traditionally focused on medical supply activities, more so than on general emergency preparedness. To facilitate future work between pharmacy personnel on an international level, our team undertook an extensive review of the published literature describing pharmacists' experiences in responding to or preparing for both natural and manmade disasters. In addition to identifying key activities that must be performed, we have developed a classification scheme for pharmacy personnel. We believe that this framework will enable pharmacy personnel working in diverse practice settings to identify and undertake essential actions that are necessary to ensure an effective emergency response and will promote better collaboration between pharmacy team members during actual disaster situations. (Disaster Med Public Health Preparedness. 2017;11:496-504).

  4. Community pharmacy supply of emergency hormonal contraception: a structured literature review of international evidence.

    PubMed

    Anderson, C; Blenkinsopp, A

    2006-01-01

    We could find no previous published review of the evidence relating to pharmacy supply of emergency hormonal contraception (EHC). Our objectives were to review, summarize and evaluate the peer-reviewed evidence relating to community pharmacy supply of EHC both in the UK and internationally. Systematic searches were conducted for peer-reviewed international research from January 1990 to January 2005. The UK Health Development Agency's Evidence Base 2000 standards and the evidence categories used by the UK Department of Health were applied to each paper. We included 24 peer-reviewed papers. There was one randomized controlled trial (RCT); the remainder of the studies were qualitative or observational studies. Pharmacy supply of EHC enables most women to receive it within 24 h of unprotected sexual intercourse. Services were highly rated by women. One RCT showed that improving access to EHC did not reduce the use of other contraceptives, lead to an increase in risky sexual behaviour or increase the incidence of sexually transmitted infections (STIs). Users expressed some concerns about the appropriateness of receiving additional pharmacist advice regarding future contraception use and STIs. One study found pharmacy supply had led to a decrease in attendances at accident and emergency departments. There is good evidence that community pharmacy EHC services provide timely access to treatment and are highly rated by women.

  5. Development of a Prototype Contingency Plan Suitable for Use by FEMA (federal Emergency Management Agency) in Coordinating the Wartime Allocation of Health Manpower between the Military and Civilian Sectors

    DTIC Science & Technology

    1983-09-30

    UNCLASSIFIED SECl’IKTY CLASm;IFICATION OF THIS PAGE (When Dato Entered) REPORT DOCUMENTATION PAGE READ ISTRUCTONSBEFORE COMPLETING FORM 1. REPORT...Civilian Health Manpower Requirements Data ... .................. 4.6 4.3.5 Civilian Health Manpower Supply Data . . 4.7 4.4 Gata Base Creation and...reaeral *agencies involved. What is required is the development of adequate data bases for the civilian sector health manpower supply and requirements

  6. Emergency supply of prescription-only medicines to patients by community pharmacists: a mixed methods evaluation incorporating patient, pharmacist and GP perspectives.

    PubMed

    Morecroft, Charles W; Mackridge, Adam J; Stokes, Elizabeth C; Gray, Nicola J; Wilson, Sarah E; Ashcroft, Darren M; Mensah, Noah; Pickup, Graham B

    2015-07-10

    To evaluate and inform emergency supply of prescription-only medicines by community pharmacists (CPs), including how the service could form an integral component of established healthcare provision to maximise adherence. Mixed methods. 4 phases: prospective audit of emergency supply requests for prescribed medicines (October-November 2012 and April 2013); interviews with CPs (February-April 2013); follow-up interviews with patients (April-May 2013); interactive feedback sessions with general practice teams (October-November 2013). 22 community pharmacies and 6 general practices in Northwest England. 27 CPs with experience of dealing with requests for emergency supplies; 25 patients who received an emergency supply of a prescribed medicine; 58 staff at 6 general practices. Clinical audit in 22 pharmacies over two 4-week periods reported that 526 medicines were requested by 450 patients. Requests peaked over a bank holiday and around weekends. A significant number of supplies were made during practice opening hours. Most requests were for older patients and for medicines used in long-term conditions. Difficulty in renewing repeat medication (forgetting to order, or prescription delays) was the major reason for requests. The majority of medicines were 'loaned' in advance of a National Health Service (NHS) prescription. Interviews with CPs and patients indicated that continuous supply had a positive impact on medicines adherence, removing the need to access urgent care. General practice staff were surprised and concerned by the extent of emergency supply episodes. CPs regularly provide emergency supplies to patients who run out of their repeat medication, including during practice opening hours. This may aid adherence. There is currently no feedback loop, however, to general practice. Patient care and interprofessional communication may be better served by the introduction of a formally structured and funded NHS emergency supply service from community pharmacies, with ongoing optimisation of repeat prescribing. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Personal Protective Equipment Supply Chain: Lessons Learned from Recent Public Health Emergency Responses.

    PubMed

    Patel, Anita; D'Alessandro, Maryann M; Ireland, Karen J; Burel, W Greg; Wencil, Elaine B; Rasmussen, Sonja A

    Personal protective equipment (PPE) that protects healthcare workers from infection is a critical component of infection control strategies in healthcare settings. During a public health emergency response, protecting healthcare workers from infectious disease is essential, given that they provide clinical care to those who fall ill, have a high risk of exposure, and need to be assured of occupational safety. Like most goods in the United States, the PPE market supply is based on demand. The US PPE supply chain has minimal ability to rapidly surge production, resulting in challenges to meeting large unexpected increases in demand that might occur during a public health emergency. Additionally, a significant proportion of the supply chain is produced off-shore and might not be available to the US market during an emergency because of export restrictions or nationalization of manufacturing facilities. Efforts to increase supplies during previous public health emergencies have been challenging. During the 2009 H1N1 influenza pandemic and the 2014 Ebola virus epidemic, the commercial supply chain of pharmaceutical and healthcare products quickly became critical response components. This article reviews lessons learned from these responses from a PPE supply chain and systems perspective and examines ways to improve PPE readiness for future responses.

  8. 7 CFR 764.351 - Emergency loan uses.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., which produce an agricultural commodity, to the stage of development the damaged perennials had obtained..., which include, but are not limited to, feed, seed, fertilizer, pesticides, farm supplies, and cash rent...

  9. 44 CFR 302.7 - Use of funds, materials, supplies, equipment, and personnel.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... use of civil defense personnel, organizational equipment, materials, and facilities, in preparation..., supplies, equipment, and personnel. 302.7 Section 302.7 Emergency Management and Assistance FEDERAL... EMERGENCY MANAGEMENT ASSISTANCE PROGRAM (EMA) § 302.7 Use of funds, materials, supplies, equipment, and...

  10. 44 CFR 208.38 - Reimbursement for re-supply and logistics costs incurred during Activation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... this subpart, DHS will not reimburse costs incurred for re-supply and logistical support during... and logistics costs incurred during Activation. 208.38 Section 208.38 Emergency Management and...-supply and logistics costs incurred during Activation. With the exception of emergency procurement...

  11. 46 CFR 113.25-6 - Power supply.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Power supply. 113.25-6 Section 113.25-6 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-6 Power supply. The emergency power source...

  12. 46 CFR 113.25-6 - Power supply.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Power supply. 113.25-6 Section 113.25-6 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-6 Power supply. The emergency power source...

  13. 46 CFR 113.25-6 - Power supply.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Power supply. 113.25-6 Section 113.25-6 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-6 Power supply. The emergency power source...

  14. 46 CFR 113.25-6 - Power supply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply. 113.25-6 Section 113.25-6 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-6 Power supply. The emergency power source...

  15. 46 CFR 113.25-6 - Power supply.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Power supply. 113.25-6 Section 113.25-6 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-6 Power supply. The emergency power source...

  16. A Two-Stage Approach for Medical Supplies Intermodal Transportation in Large-Scale Disaster Responses

    PubMed Central

    Ruan, Junhu; Wang, Xuping; Shi, Yan

    2014-01-01

    We present a two-stage approach for the “helicopters and vehicles” intermodal transportation of medical supplies in large-scale disaster responses. In the first stage, a fuzzy-based method and its heuristic algorithm are developed to select the locations of temporary distribution centers (TDCs) and assign medial aid points (MAPs) to each TDC. In the second stage, an integer-programming model is developed to determine the delivery routes. Numerical experiments verified the effectiveness of the approach, and observed several findings: (i) More TDCs often increase the efficiency and utility of medical supplies; (ii) It is not definitely true that vehicles should load more and more medical supplies in emergency responses; (iii) The more contrasting the traveling speeds of helicopters and vehicles are, the more advantageous the intermodal transportation is. PMID:25350005

  17. Space medicine - Answering the challenge

    NASA Technical Reports Server (NTRS)

    Lloyd, Charles W.

    1991-01-01

    The development of Space Station Freedom (SSF) Health Maintenance Facility (HMF) is discussed. Attention is given to HMF subsystems; the diagnostic radiological imaging system; the physician instruments; the pharmacy and central supply; the Fluid Therapy Subsystem; the restraints to be used for medical procedures; and the Safe Haven mode, which is a mode of station operation in which it is assumed that the HMF has been lost and the medical needs must be provided by the emergency medical equipment and supplies located in the Portable Emergency Provisions. Special attention is given to the pharmaceutical issues involved, including such as the product selection, oral medications, injectable medications, the effect of exposing medications to high vacuum, and the product shelf life.

  18. Growing pains: status of emergency medicine in Nicaragua.

    PubMed

    Gaitan, M; Mendez, W; Sirker, N E; Green, G B

    1998-03-01

    Nicaragua is one of the poorest nations in the Western Hemisphere. The health of the population suffers as a result of poor nutrition, epidemic diseases, natural and manmade disasters, sporadic violence, urban industrial growth, and inadequate government funding for even basic medical equipment and supplies. Within this environment, emergency services development has been recognized as an important and cost-effective public health intervention. In recent years, government and nongovernmental agencies working together have had a dramatic positive impact on the quality of emergency care provided.

  19. Vaccines: Shaping global health.

    PubMed

    Pagliusi, Sonia; Ting, Ching-Chia; Lobos, Fernando

    2017-03-14

    The Developing Countries Vaccine Manufacturers' Network (DCVMN) gathered leaders in immunization programs, vaccine manufacturing, representatives of the Argentinean Health Authorities and Pan American Health Organization, among other global health stakeholders, for its 17th Annual General Meeting in Buenos Aires, to reflect on how vaccines are shaping global health. Polio eradication and elimination of measles and rubella from the Americas is a result of successful collaboration, made possible by timely supply of affordable vaccines. After decades of intense competition for high-value markets, collaboration with developing countries has become critical, and involvement of multiple manufacturers as well as public- and private-sector investments are essential, for developing new vaccines against emerging infectious diseases. The recent Zika virus outbreak and the accelerated Ebola vaccine development exemplify the need for international partnerships to combat infectious diseases. A new player, Coalition for Epidemic Preparedness Innovations (CEPI) has made its entrance in the global health community, aiming to stimulate research preparedness against emerging infections. Face-to-face panel discussions facilitated the dialogue around challenges, such as risks of viability to vaccine development and regulatory convergence, to improve access to sustainable vaccine supply. It was discussed that joint efforts to optimizing regulatory pathways in developing countries, reducing registration time by up to 50%, are required. Outbreaks of emerging infections and the global Polio eradication and containment challenges are reminders of the importance of vaccines' access, and of the importance of new public-private partnerships. Copyright © 2017.

  20. Examination of why some community pharmacists do not provide 72-hour emergency prescription drugs to Medicaid patients when prior authorization is not available.

    PubMed

    Shepherd, Marvin D

    2013-09-01

    Existing federal law requires that a 72-hour emergency supply of a prescription drug be dispensed to Medicaid patients when prior authorization (PA) is not available and the medication is needed without delay. The pharmacist's role is to contact prescribers and inform them that PA is needed. If the prescriber cannot be reached, the pharmacist can dispense a 72-hour emergency supply. To determine (a) the reasons why some community pharmacy owners/managers, staff pharmacists, and technicians are not compliant with the law; (b) how often the decision is made; and (c) estimate how often pharmacies do not dispense the 72-hour emergency supply when PA is not available. A questionnaire was mailed to selected Texas community pharmacies. The instrument was developed by the researcher and reviewed by the Texas Medicaid Vendor Drug Program staff. The University of Texas, Office of Survey Research collected the data in September and October of 2011 by mail and online. The data were forwarded to the researcher for analyses. A total of 788 identified community pharmacies were mailed a packet containing 3 questionnaires to be completed by the pharmacist-in-charge, a staff pharmacist, and a pharmacy technician. There were 2 mailings of the questionnaire packet and follow-up telephone calls to nonrespondents. A total of 653 questionnaires were completed and returned from 288 community pharmacies (36.7%) out of 788 pharmacies that were mailed the questionnaire packets. A total of 368 (57.5%) completed questionnaires came from chain store pharmacy respondents and 272 (42.5%) questionnaires from independent pharmacy respondents. A total of 21.3% (n = 134) of the respondents indicated that they were not aware of the federal and state requirement to dispense a 72-hour emergency supply of a prescription drug to Medicaid patients when prior authorization (PA) is not available. A greater proportion of the chain store respondents (26.6%) were unaware of the requirement compared with the independent pharmacy respondents (14.3%). A total of 77.7% of the respondents estimated that they make the decision of providing or not providing a 72-hour emergency supply of medication 6 or fewer times a month. A total of 14.6% indicated that they make the decision 6 to 11 times a month, and 7.7% make the decision more than 11 times a month. When asked how often respondents had seen a 72-hour emergency prescription not being dispensed for Texas Medicaid recipients when PA was not available, 49.1% answered "never"; however, 30.0% indicated once or twice a month, 16.5% indicated from 1 to 5 times a week, and another 4.5% indicated more than 5 times a week. The top 2 reasons for not dispensing a 72 hour-emergency drug supply were: "Reluctant to open a new 'unit-of-use' container (especially 30-day supply bottles)" and "The Rx will most likely be changed with the PA call, so why dispense a 72-hour supply of the originally prescribed drug?" The top categories of 72-hour emergency prescription drug products that respondents would "likely" dispense were antibiotics; inhaler canisters; products for nausea/vomiting, cough, and cold; antiseizure agents; and diabetic treatment products. The results show that there are many factors why pharmacists do not provide 72-hour emergency medications when PA is unavailable. The lack of awareness of the federal and state requirements was significantly related to the frequency of 72-hour medications not being dispensed. In addition, other factors inhibiting the process were the pharmacists' inability to reach physicians or the lack of cooperation with physicians, prescriptions for controlled substances, drug-packing limitations, and the financial risk involved with dispensing a 72-hour supply.

  1. China, the United States, and competition for resources that enable emerging technologies

    USGS Publications Warehouse

    Gulley, Andrew L.; Nassar, Nedal T.; Xun, Sean

    2018-01-01

    Historically, resource conflicts have often centered on fuel minerals (particularly oil). Future resource conflicts may, however, focus more on competition for nonfuel minerals that enable emerging technologies. Whether it is rhenium in jet engines, indium in flat panel displays, or gallium in smart phones, obscure elements empower smarter, smaller, and faster technologies, and nations seek stable supplies of these and other nonfuel minerals for their industries. No nation has all of the resources it needs domestically. International trade may lead to international competition for these resources if supplies are deemed at risk or insufficient to satisfy growing demand, especially for minerals used in technologies important to economic development and national security. Here, we compare the net import reliance of China and the United States to inform mineral resource competition and foreign supply risk. Our analysis indicates that China relies on imports for over half of its consumption for 19 of 42 nonfuel minerals, compared with 24 for the United States—11 of which are common to both. It is for these 11 nonfuel minerals that competition between the United States and China may become the most contentious, especially for those with highly concentrated production that prove irreplaceable in pivotal emerging technologies.

  2. 46 CFR 161.002-2 - Types of fire-protective systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... systems will be considered to consist of normal and emergency power supplies, a fire detecting control... subpart, manual fire alarm systems will be considered to consist of normal and emergency power supplies, a...

  3. 46 CFR 161.002-2 - Types of fire-protective systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... systems will be considered to consist of normal and emergency power supplies, a fire detecting control... subpart, manual fire alarm systems will be considered to consist of normal and emergency power supplies, a...

  4. Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community Pharmacy for Emergency Repeat Medication Supply Service (PERMSS)

    PubMed Central

    Nazar, Hamde; Nazar, Zachariah; Simpson, Jill; Yeung, Andre; Whittlesea, Cate

    2016-01-01

    Objectives To demonstrate the contribution of community pharmacy from NHS 111 referrals out of hours (OOH) for emergency supply repeat medication requests via presentation of service activity, community pharmacist feedback and lean thinking transformation. Design Descriptive service evaluation using routine service activity data over the pilot period; survey of community pharmacists, and service redesign through lean thinking transformation. Setting North East of England NHS 111 provider and accredited community pharmacies across the North East of England. Participants Patients calling the North East of England NHS 111 provider during OOH with emergency repeat medication supply requests. Interventions NHS 111 referral to community pharmacies for assessment and if appropriate, supply of emergency repeat medication. Main outcome measures Number of emergency repeat medication supply referrals, completion rates, reasons for rejections, time of request, reason for access, medication(s), pharmaceutical advice and services provided. Secondary outcomes were community pharmacist feedback and lean thinking transformation of the patient pathway. Results NHS 111 referred 1468 patients to 114 community pharmacies (15/12/2014–7/4/2015). Most patients presented on Saturdays, with increased activity over national holidays. Community pharmacists completed 951 (64.8%) referrals providing 2297 medications; 412 were high risk. The most common reason for rejecting referrals was no medication in stock. Community pharmacists were positive about the provision of this service. The lean thinking transformation reduced the number of non-added value steps, waits and bottlenecks in the patient pathway. Conclusions NHS 111 can redirect callers OOH from urgent and emergency care services to community pharmacy for management of emergency repeat medication supply. Existing IT and community pharmacy regulations allowed patients to receive a medication supply and pharmaceutical advice. Community pharmacists supported integration into the NHS OOH services. Adopting lean thinking provided a structured framework to evaluate and redesign the service with the aim to improve effectiveness and efficiency. PMID:27566629

  5. System Statement of Tasks of Calculating and Providing the Reliability of Heating Cogeneration Plants in Power Systems

    NASA Astrophysics Data System (ADS)

    Biryuk, V. V.; Tsapkova, A. B.; Larin, E. A.; Livshiz, M. Y.; Sheludko, L. P.

    2018-01-01

    A set of mathematical models for calculating the reliability indexes of structurally complex multifunctional combined installations in heat and power supply systems was developed. Reliability of energy supply is considered as required condition for the creation and operation of heat and power supply systems. The optimal value of the power supply system coefficient F is based on an economic assessment of the consumers’ loss caused by the under-supply of electric power and additional system expences for the creation and operation of an emergency capacity reserve. Rationing of RI of the industrial heat supply is based on the use of concept of technological margin of safety of technological processes. The definition of rationed RI values of heat supply of communal consumers is based on the air temperature level iside the heated premises. The complex allows solving a number of practical tasks for providing reliability of heat supply for consumers. A probabilistic model is developed for calculating the reliability indexes of combined multipurpose heat and power plants in heat-and-power supply systems. The complex of models and calculation programs can be used to solve a wide range of specific tasks of optimization of schemes and parameters of combined heat and power plants and systems, as well as determining the efficiency of various redundance methods to ensure specified reliability of power supply.

  6. World Economic Growth and Oil: a Producers' Perspective

    NASA Astrophysics Data System (ADS)

    Shihab-Eldin, Adnan

    2014-07-01

    This paper examines the following assertions: * A high share of oil price in GDP limits economic growth, * Oil Price shocks trigger recession, * These effects will be escalated by peaked oil supply and rising developing world demand and together with increasing contributions to climate change will result in a global emergency. The role of energy in societal development and economic growth, from primitive man through the industrial revolution and the oil age to the present and the evolution of energy intensity are described. The principle role of oil as a transport fuel and the possibilities of alternatives are examined. It is concluded that oil dependence will continue for the foreseeable future. The history of the industry, market behavior and its economic effects are presented to establish precedent and the assertions are then examined. It is shown that rising oil prices are an unavoidable consequence of economic growth, that they have stimulated efficient minimum functional use and made more difficult conventional and unconventional sources economic. It is then argued that potentially these additional resources eliminate the possibility of supply shortage and that diversification of supply lessens the possibility of shock, together rendering a global emergency less likely than could have been previously envisaged.

  7. Success in the Works: A Profile of Canada's Emerging Workforce = Le nouveau mode d'emploi: Profil de la croissance du marche du travail.

    ERIC Educational Resources Information Center

    Canada Employment and Immigration Commission, Ottawa (Ontario).

    This study, in English and French, analyzes the trends emerging in labor demand and supply in Canada, and examines the challenges to preparing an adequately trained and prepared workforce. The economy and the labor force seem to be developing along divergent paths, creating a potential gap between the flexibility and skills of workers and the…

  8. AM-OER: An Agile Method for the Development of Open Educational Resources

    ERIC Educational Resources Information Center

    Arimoto, Maurício M.; Barroca, Leonor; Barbosa, Ellen F.

    2016-01-01

    Open Educational Resources have emerged as important elements of education in the contemporary society, promoting life-long and personalized learning that transcends social, economic and geographical barriers. To achieve the potential of OERs and bring impact on education, it is necessary to increase their development and supply. However, one of…

  9. [Organization of medical equipment and stock supply of military medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry in emergency situations].

    PubMed

    Korniushko, I G; Iakovlev, S V; Krasavin, K D; Lemeshkin, R N

    2011-10-01

    The article outlined the modern concept of medical equipment and stock supply of medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry involved into the remedial of the medical actions of emergency situations. The structure of the units of medical supplies in these conditions is presented.

  10. EMERGENCY RESPONSE FOR PUBLIC WATER SUPPLIES AFTER HURRICANE KATRINA

    EPA Science Inventory

    Hurricane Katrina resulted in damage and destruction to local water supplies in Mississippi and Louisiana affecting millions of people. Immediately following the devastation, a multidisciplinary team of 30 EPA emergency response, research, and water program personnel joined force...

  11. Emerging Trends in Supply Chain Emissions Engagement

    EPA Pesticide Factsheets

    This report discusses emerging trends over the last decade in companies’ ability to manage their supply chain greenhouse gas emissions and focuses on how leading companies are engaging their suppliers in order to quantify the full impact of businesses

  12. Feasibility analysis of system dynamics for inland maritime logistics.

    DOT National Transportation Integrated Search

    2014-02-01

    In the last decades, a number of factors have re-shaped the shipping industry, including the growth of international trade, the emergence of new markets, and the development of multimodal supply chains. This has led maritime transportation system, wh...

  13. Emergency Physicians as Good Samaritans: Survey of Frequency, Locations, Supplies and Medications.

    PubMed

    Burkholder, Taylor W; King, Renee A

    2016-01-01

    Little is known about the frequency and locations in which emergency physicians (EPs) are bystanders to an accident or emergency; equally uncertain is which contents of an "emergency kit" may be useful during such events. The aim of this study was to describe the frequency and locations of Good Samaritan acts by EPs and also determine which emergency kit supplies and medications were most commonly used by Good Samaritans. We conducted an electronic survey among a convenience sample of EPs in Colorado. Respondents reported a median frequency of 2.0 Good Samaritan acts per five years of practice, with the most common locations being sports and entertainment events (25%), road traffic accidents (21%), and wilderness settings (19%). Of those who had acted as Good Samaritans, 86% reported that at least one supply would have been useful during the most recent event, and 66% reported at least one medication would have been useful. The most useful supplies were gloves (54%), dressings (34%), and a stethoscope (20%), while the most useful medications were oxygen (19%), intravenous fluids (17%), and epinephrine (14%). The majority of EPs can expect to provide Good Samaritan care during their careers and would be better prepared by carrying a kit with common supplies and medications where they are most likely to use them.

  14. Implementing Liberia's poverty reduction strategy: An assessment of emergency and essential surgical care.

    PubMed

    Sherman, Lawrence; Clement, Peter T; Cherian, Meena N; Ndayimirije, Nestor; Noel, Luc; Dahn, Bernice; Gwenigale, Walter T; Kushner, Adam L

    2011-01-01

    To document infrastructure, personnel, procedures performed, and supplies and equipment available at all county hospitals in Liberia using the World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care. Survey of county hospitals using the World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care. Sixteen county hospitals in Liberia. Infrastructure, personnel, procedures performed, and supplies and equipment available. Uniformly, gross deficiencies in infrastructure, personnel, and supplies and equipment were identified. The World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care was useful in identifying baseline emergency and surgical conditions for evidenced-based planning. To achieve the Poverty Reduction Strategy and delivery of the Basic Package of Health and Social Welfare Services, additional resources and manpower are needed to improve surgical and anesthetic care.

  15. Development of engineering drawing ability for emerging engineering education

    NASA Astrophysics Data System (ADS)

    Guo, Jian-Wen; Cao, Xiao-Chang; Xie, Li; Jin, Jian-Jun; Wang, Chu-Diao

    2017-09-01

    Students majoring in engineering is required by the emerging engineering education (3E) in the aspect of their ability of engineering drawing. This paper puts forward training mode of engineering drawing ability for 3E. This mode consists of three kinds of training including training in courses, training in competitions and training in actual demand. We also design the feasible implementation plan and supplies viable references to carry out the mode.

  16. Emergency preparedness in a sample of persons with disabilities.

    PubMed

    Gershon, Robyn R M; Kraus, Lewis E; Raveis, Victoria H; Sherman, Martin F; Kailes, June I

    2013-01-01

    The objective of this study was to characterize emergency preparedness in this vulnerable population, and to ascertain the role of the personal assistant (PA) and the potential impact of prior emergency experience on preparedness efforts. Cross-sectional Internet-based survey conducted in 2011. Convenience sample. Two-hundred fifty-three community residents with cognitive and /or physical disabilities, all receiving personal assistance services. Emergency preparedness, operationalized as responses to a seven-item scale. The mean score for the emergency preparedness scale was 2.32 (SD = 2.74), range 0-7. Even though 62.8 percent (n = 159) of the participants had previously experienced one or more large-scale emergencies, only 47.4 percent (n = 120) of the entire sample and 55.3 percent (n = 88) of those with actual emergency experience reported preparing an emergency plan. Sixty-three percent (n = 76) of those reporting a plan had involved their PA in its development. Participants who reported such involvement were significantly more likely to have higher scores on the emergency preparedness scale (p < 0.001). Participants who had experienced a prior emergency were also more likely to score higher on the emergency preparedness scale (p < 0.001). In general, participants reported limited attention to other basic preparedness recommendations: only 28 percent (n = 70) had prepared a "go-bag" with necessary supplies, 29 percent (n = 74) had developed a strategy for communicating with their PA during emergencies, and 32 percent (n = 81) had stockpiled emergency supplies. Of particular importance, only 26 percent (n = 66) had made alternative back-up plans for personal assistance. Involving the PA in the planning process and experiencing an emergency were both significantly associated with higher emergency preparedness scores in this sample of people living with disabilities. However, critical deficiencies in preparedness were noted, such as lack of back-up plans for replacing their PA. Despite a concerted national effort to improve preparedness in the population of people living with disabilities, important preparedness gaps remain. These findings highlight the need for additional study on emergency preparedness barriers in people living with disabilities so that effective strategies to reduce vulnerabilities can be identified.

  17. Center for Corporate Climate Leadership: Emerging Trends in Supply Chain Emissions Engagement

    EPA Pesticide Factsheets

    This report discusses emerging trends over the last decade in companies’ ability to manage their supply chain greenhouse gas emissions and focuses on how leading companies are engaging their suppliers in order to quantify the full impact of businesses

  18. Inflight medical emergencies.

    PubMed

    Lyznicki, J M; Williams, M A; Deitchman, S D; Howe, J P

    2000-08-01

    This report responds to resolutions asking the American Medical Association (AMA) to develop recommendations for the use of medical equipment and technology onboard commercial airlines. Information for the report was derived from a search of the MEDLINE database and references listed in pertinent articles, as well as through communications with experts in aerospace and emergency medicine. Based on this information, the AMA Council on Scientific Affairs determined that, while inflight morbidity and mortality are uncommon, serious events do occur, which require immediate emergency care. Management of serious problems requires an integrated emergency response system that ensures rapid notification of medical personnel on the ground, assistance from appropriately trained flight crews and passenger volunteers (if available), and adequate medical supplies and equipment to stabilize the victim. Physicians have an important role in the preflight evaluation and counseling of potential passengers who are at risk of inflight medical complications, and in providing inflight medical assistance. Some U.S. and foreign air carriers are upgrading inflight emergency medical kits and placing automated external defibrillators aboard aircraft. Few data are available regarding the effectiveness of such improvements in improving health or survival outcomes. Recent federal legislation requires assessment of the extent of inflight medical emergencies, including the adequacy of emergency medical supplies and equipment carried onboard commercial airliners. This legislation also should alleviate liability concerns by providing immunity for physicians and others who render inflight medical assistance.

  19. The Critical Role of Supply Chains in Preventing Human Immunodeficiency Virus Drug Resistance in Low- and Middle-Income Settings.

    PubMed

    Minior, Thomas; Douglas, Meaghan; Edgil, Dianna; Srivastava, Meena; Crowley, John; Firth, Jacqueline; Lapidos-Salaiz, Ilana; Williams, Jason; Lee, Lana

    2017-12-01

    The functioning of the supply chain may be a driving factor behind the development of human immunodeficiency virus (HIV) drug resistance (HIVDR) in many low- and middle-income countries (LMICs). Additionally, the effectiveness of supply chains will likely impact the scale-up of both viral-load monitoring and HIVDR testing. This article describes the complexities of global supply chains relevant for LMICs and presents early data on stock-outs and drug substitutions in several countries supported by the US President's Emergency Plan for AIDS Relief. Supply chain systems will need to be strengthened to minimize interruptions as new antiretroviral therapy regimens are introduced and to facilitate adoption of new laboratory technologies. Published by Oxford University Press for the Infectious Diseases Society of America 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  20. Contingent approach to Internet-based supply network integration

    NASA Astrophysics Data System (ADS)

    Ho, Jessica; Boughton, Nick; Kehoe, Dennis; Michaelides, Zenon

    2001-10-01

    The Internet is playing an increasingly important role in enhancing the operations of supply networks as many organizations begin to recognize the benefits of Internet- enabled supply arrangements. However, the developments and applications to-date do not extend significantly beyond the dyadic model, whereas the real advantages are to be made with the external and network models to support a coordinated and collaborative based approach. The DOMAIN research group at the University of Liverpool is currently defining new Internet- enabled approaches to enable greater collaboration across supply chains. Different e-business models and tools are focusing on different applications. Using inappropriate e- business models, tools or techniques will bring negative results instead of benefits to all the tiers in the supply network. Thus there are a number of issues to be considered before addressing Internet based supply network integration, in particular an understanding of supply chain management, the emergent business models and evaluating the effects of deploying e-business to the supply network or a particular tier. It is important to utilize a contingent approach to selecting the right e-business model to meet the specific supply chain requirements. This paper addresses the issues and provides a case study on the indirect materials supply networks.

  1. A Secure Architecture to Provide a Medical Emergency Dataset for Patients in Germany and Abroad.

    PubMed

    Storck, Michael; Wohlmann, Jan; Krudwig, Sarah; Vogel, Alexander; Born, Judith; Weber, Thomas; Dugas, Martin; Juhra, Christian

    2017-01-01

    The ongoing fragmentation of medical care and mobility of patients severely restrains exchange of lifesaving information about patient's medical history in case of emergencies. Therefore, the objective of this work is to offer a secure technical solution to supply medical professionals with emergency-relevant information concerning the current patient via mobile accessibility. To achieve this goal, the official national emergency data set was extended by additional features to form a patient summary for emergencies, a software architecture was developed and data security and data protection issues were taken into account. The patient has sovereignty over his/her data and can therefore decide who has access to or can change his/her stored data, but the treating physician composes the validated dataset. Building upon the introduced concept, future activities are the development of user-interfaces for the software components of the different user groups as well as functioning prototypes for upcoming field tests.

  2. Emergency Response Planning to Reduce the Impact of Contaminated Drinking Water during Natural Disasters

    EPA Science Inventory

    Natural disasters can be devastating to local water supplies affecting millions of people. Disaster recovery plans and water industry collaboration during emergencies protect consumers from contaminated drinking water supplies and help facilitate the repair of public water system...

  3. 46 CFR 112.43-11 - Illumination for launching operations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 112.43-11 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-11 Illumination for launching operations. Branch circuits supplying power to lights for survival craft launching operations must supply no...

  4. 46 CFR 112.43-11 - Illumination for launching operations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 112.43-11 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-11 Illumination for launching operations. Branch circuits supplying power to lights for survival craft launching operations must supply no...

  5. 46 CFR 112.43-11 - Illumination for launching operations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 112.43-11 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-11 Illumination for launching operations. Branch circuits supplying power to lights for survival craft launching operations must supply no...

  6. 46 CFR 112.43-11 - Illumination for launching operations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 112.43-11 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-11 Illumination for launching operations. Branch circuits supplying power to lights for survival craft launching operations must supply no...

  7. 46 CFR 112.43-11 - Illumination for launching operations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 112.43-11 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-11 Illumination for launching operations. Branch circuits supplying power to lights for survival craft launching operations must supply no...

  8. Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community Pharmacy for Emergency Repeat Medication Supply Service (PERMSS).

    PubMed

    Nazar, Hamde; Nazar, Zachariah; Simpson, Jill; Yeung, Andre; Whittlesea, Cate

    2016-08-26

    To demonstrate the contribution of community pharmacy from NHS 111 referrals out of hours (OOH) for emergency supply repeat medication requests via presentation of service activity, community pharmacist feedback and lean thinking transformation. Descriptive service evaluation using routine service activity data over the pilot period; survey of community pharmacists, and service redesign through lean thinking transformation. North East of England NHS 111 provider and accredited community pharmacies across the North East of England. Patients calling the North East of England NHS 111 provider during OOH with emergency repeat medication supply requests. NHS 111 referral to community pharmacies for assessment and if appropriate, supply of emergency repeat medication. Number of emergency repeat medication supply referrals, completion rates, reasons for rejections, time of request, reason for access, medication(s), pharmaceutical advice and services provided. Secondary outcomes were community pharmacist feedback and lean thinking transformation of the patient pathway. NHS 111 referred 1468 patients to 114 community pharmacies (15/12/2014-7/4/2015). Most patients presented on Saturdays, with increased activity over national holidays. Community pharmacists completed 951 (64.8%) referrals providing 2297 medications; 412 were high risk. The most common reason for rejecting referrals was no medication in stock. Community pharmacists were positive about the provision of this service. The lean thinking transformation reduced the number of non-added value steps, waits and bottlenecks in the patient pathway. NHS 111 can redirect callers OOH from urgent and emergency care services to community pharmacy for management of emergency repeat medication supply. Existing IT and community pharmacy regulations allowed patients to receive a medication supply and pharmaceutical advice. Community pharmacists supported integration into the NHS OOH services. Adopting lean thinking provided a structured framework to evaluate and redesign the service with the aim to improve effectiveness and efficiency. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  9. Evolution of the Water Balance of an Urban Catchment (Extended Abst)

    EPA Science Inventory

    The 20th century marked the emergence of the modem American City and its complex extensive infrastructure for supplying drinking water, treating wastewater and managing storm water. During this period of intense urban development, unintentional mismanagement of the urban water ba...

  10. Groundwater potential for water supply during droughts in Korea

    NASA Astrophysics Data System (ADS)

    Hyun, Y.; Cha, E.; Moon, H. J.

    2016-12-01

    Droughts have been receiving much attention in Korea because severe droughts occurred in recent years, causing significant social, economic and environmental damages in some regions. Residents in agricultural area, most of all, were most damaged by droughts with lack of available water supplies to meet crop water demands. In order to mitigate drought damages, we present a strategy to keep from agricultural droughts by using groundwater to meet water supply as a potential water resource in agricultural areas. In this study, we analyze drought severity and the groundwater potential to mitigate social and environmental damages caused by droughts in Korea. We evaluate drought severity by analyzing spatial and temporal meteorological and hydrological data such as rainfall, water supply and demand. For drought severity, we use effective drought index along with the standardized precipitation index (SPI) and standardized runoff index(SRI). Water deficit during the drought period is also quantified to consider social and environmental impact of droughts. Then we assess the feasibility of using groundwater as a potential source for groundwater impact mitigation. Results show that the agricultural areas are more vulnerable to droughts and use of groundwater as an emergency water resource is feasible in some regions. For a case study, we select Jeong-Sun area located in Kangwon providence having well-developed Karst aquifers and surrounded by mountains. For Jeong-Sun area, we quantify groundwater potential use, design the method of water supply by using groundwater, and assess its economic benefit. Results show that water supply system with groundwater abstraction can be a good strategy when droughts are severe for an emergency water supply in Jeong-Sun area, and groundwater can also be used not only for a dry season water supply resource, but for everyday water supply system. This case study results can further be applicable to some regions with no sufficient water infrastructure and high groundwater use potential. For concrete conclusions, rigorous study on performance evaluation of water supply using groundwater is further needed.

  11. The Rhode Island Medical Emergency Distribution System (MEDS).

    PubMed

    Banner, Greg

    2004-01-01

    The State of Rhode Island conducted an exercise to obtain and dispense a large volume of emergency medical supplies in response to a mass casualty incident. The exercise was conducted in stages that included requesting supplies from the Strategic National Stockpile and distributing the supplies around the state. The lessons learned included how to better structure an exercise, what types of problems were encountered with requesting and distributing supplies, how to better work with members of the private medical community who are not involved in disaster planning, and how to become aware of the needs of special population groups.

  12. Analysis of trends in the development of cities' heat supply systems

    NASA Astrophysics Data System (ADS)

    Stennikov, V. A.; Mednikova, E. E.

    2016-09-01

    New challenges—including the modern urban development policy, formation of the market of energy efficient technologies and different types of equipment of a broad power capacity range, tightening requirements to reliability, quality, and economic accessibility of heat supply—enhance the competitiveness of decentralized heat supply. In addition, its spontaneous growth and not always reasonable implementation lead to unjustified expenses, low efficiency, and ecological inconsistency. This proves the relevance of solving the problems of dividing an urban territory into zones of centralized heating (CH) and decentralized heating (DCH) along with their planning and justification, as well as determining a reasonable level of heat supply centralization and concentration of heat sources' power capacity. Solving these problems using the suggested method will allow optimizing the application areas for various types of heat supply and heat sources, justifying the degree of heat power capacity concentration and the extent of the systems as early as at the phase of a detailed urban planning project and then refining them during the design of urban heat supply systems. This will dramatically improve the reasonability of the decisions made and will simplify the procedure of their implementation. For criteria of limiting the extent (radius) of heat supply systems and defining their type, we suggest using standard values—the density of heat load per unit length of the pipeline and per unit area of urban territory. Standard values must be differentiated across the territory of Russia taking into account regional climatic and economic conditions and unique characteristics of heat supply development in cities and towns. The present article continues and develops the statements made in the previous articles created within the framework of the Theory of Hydraulic Circuits and takes into account the current situation and emerging trends in heat supply.

  13. Emergency Physicians as Good Samaritans: Survey of Frequency, Locations, Supplies and Medications

    PubMed Central

    Burkholder, Taylor W.; King, Renee A.

    2016-01-01

    Introduction Little is known about the frequency and locations in which emergency physicians (EPs) are bystanders to an accident or emergency; equally uncertain is which contents of an “emergency kit” may be useful during such events. The aim of this study was to describe the frequency and locations of Good Samaritan acts by EPs and also determine which emergency kit supplies and medications were most commonly used by Good Samaritans. Methods We conducted an electronic survey among a convenience sample of EPs in Colorado. Results Respondents reported a median frequency of 2.0 Good Samaritan acts per five years of practice, with the most common locations being sports and entertainment events (25%), road traffic accidents (21%), and wilderness settings (19%). Of those who had acted as Good Samaritans, 86% reported that at least one supply would have been useful during the most recent event, and 66% reported at least one medication would have been useful. The most useful supplies were gloves (54%), dressings (34%), and a stethoscope (20%), while the most useful medications were oxygen (19%), intravenous fluids (17%), and epinephrine (14%). Conclusion The majority of EPs can expect to provide Good Samaritan care during their careers and would be better prepared by carrying a kit with common supplies and medications where they are most likely to use them. PMID:26823924

  14. 46 CFR 112.43-7 - Navigating bridge distribution panel.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Navigating bridge distribution panel. 112.43-7 Section... EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-7 Navigating bridge distribution... supplied from a distribution panel on the navigating bridge: (1) Navigation lights not supplied by the...

  15. 46 CFR 112.43-13 - Navigation light indicator panel supply.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Navigation light indicator panel supply. 112.43-13 Section 112.43-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-13 Navigation light indicator panel...

  16. 46 CFR 112.43-13 - Navigation light indicator panel supply.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Navigation light indicator panel supply. 112.43-13 Section 112.43-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-13 Navigation light indicator panel...

  17. 46 CFR 112.43-13 - Navigation light indicator panel supply.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Navigation light indicator panel supply. 112.43-13 Section 112.43-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-13 Navigation light indicator panel...

  18. 46 CFR 112.43-13 - Navigation light indicator panel supply.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Navigation light indicator panel supply. 112.43-13 Section 112.43-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-13 Navigation light indicator panel...

  19. 46 CFR 112.43-13 - Navigation light indicator panel supply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Navigation light indicator panel supply. 112.43-13 Section 112.43-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-13 Navigation light indicator panel...

  20. 33 CFR 214.10 - Types of assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.10 Types of assistance. The temporary emergency supplies of clean drinking water may be provided through such actions as: (a) The use of water tank trucks to haul clean drinking water from a nearby known safe source to water points established for local...

  1. 33 CFR 214.10 - Types of assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.10 Types of assistance. The temporary emergency supplies of clean drinking water may be provided through such actions as: (a) The use of water tank trucks to haul clean drinking water from a nearby known safe source to water points established for local...

  2. 33 CFR 214.4 - Additional authority.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.4 Additional authority. Section 82(2), Pub. L. 93-251... of Engineers, in the exercise of his discretion, is further authorized to provide emergency supplies of clean drinking water, on such terms as he determines to be advisable, to any locality which he...

  3. 33 CFR 214.4 - Additional authority.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.4 Additional authority. Section 82(2), Pub. L. 93-251... of Engineers, in the exercise of his discretion, is further authorized to provide emergency supplies of clean drinking water, on such terms as he determines to be advisable, to any locality which he...

  4. 33 CFR 214.4 - Additional authority.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.4 Additional authority. Section 82(2), Pub. L. 93-251... of Engineers, in the exercise of his discretion, is further authorized to provide emergency supplies of clean drinking water, on such terms as he determines to be advisable, to any locality which he...

  5. 33 CFR 214.4 - Additional authority.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.4 Additional authority. Section 82(2), Pub. L. 93-251... of Engineers, in the exercise of his discretion, is further authorized to provide emergency supplies of clean drinking water, on such terms as he determines to be advisable, to any locality which he...

  6. 33 CFR 214.4 - Additional authority.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.4 Additional authority. Section 82(2), Pub. L. 93-251... of Engineers, in the exercise of his discretion, is further authorized to provide emergency supplies of clean drinking water, on such terms as he determines to be advisable, to any locality which he...

  7. 46 CFR 112.43-7 - Navigating bridge distribution panel.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Navigating bridge distribution panel. 112.43-7 Section... EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Lighting Systems § 112.43-7 Navigating bridge distribution... supplied from a distribution panel on the navigating bridge: (1) Navigation lights not supplied by the...

  8. The search of the best mode of the reserve power supply consumption during the nuclear reactor’s emergency shutdown procedures in case of force majeure circumstances

    NASA Astrophysics Data System (ADS)

    Zagrebaev, A. M.; Trifonenkov, A. V.

    2017-01-01

    This article deals with the problem of the control mode choice for a power supply system in case of force majeure circumstances. It is not known precisely, when a force majeure incident occurs, but the threatened period is given, when the incident is expected. It is supposed, that force majeure circumstances force nuclear reactor shutdown at the moment of threat coming. In this article the power supply system is considered, which consists of a nuclear reactor and a reserve power supply, for example, a hydroelectric pumped storage power station. The reserve power supply has limited capacity and it doesn’t undergo the threatened incident. The problem of the search of the best reserve supply time-distribution in case of force majeure circumstances is stated. The search is performed according to minimization of power loss and damage to the infrastructure. The software has been developed, which performs automatic numerical search of the approximate optimal control modes for the reserve power supply.

  9. Post‐war development of emergency medicine in Kosovo

    PubMed Central

    O'Hanlon, K P

    2007-01-01

    Objectives To (1) investigate emergency medical care priorities in Kosovo, (2) assess Kosovo's post‐war development of emergency medical services and (3) identify expectations. Methods An instrument with seven open‐ended questions, approved by the institutional review board, was designed for in‐person interviews (preferred) or written survey. The survey was administered in October 2003 at the Kosovo University Clinical Center, Pristina, Kosovo, and one regional hospital. Targeted participants were emergency care providers, clinical consultants and health policy consultants. Surveys were conducted by interview with simultaneous interpretation by a native Albanian speaker, an orthopaedic surgeon or in written Albanian form. The responses were evaluated quantitatively and qualitatively. Results 13 respondents participated in the study: 10 gave interviews and 3 provided written response; 7 were emergency care providers, 4 were emergency care consultants and 2 were health policy consultants. Emergency care priorities were defined as trauma, cardiac disease and suicide. Most respondents believed that emergency medicine as a specialised field was a post‐war development. The international community was credited with the provision of infrastructure, supplies and training. Most respondents denied any harm from international assistance. However, some respondents described instances of inappropriate international investment. Ongoing needs are training of providers and equipping of facilities and vehicles. Improved hospital management, political administration and international involvement are thought to be necessary for continued development. Conclusions Survey respondents agreed on priorities in emergency care, credited the international community with development to date, and identified administrative structures and international training support as the keys to ongoing development. PMID:17183036

  10. Ethical, religious and factual beliefs about the supply of emergency hormonal contraception by UK community pharmacists.

    PubMed

    Cooper, Richard J; Bissell, Paul; Wingfield, Joy

    2008-01-01

    Community pharmacists' role in the sale and supply of emergency hormonal contraception (EHC) represents an opportunity to increase EHC availability and utilise pharmacists' expertise but little is known about pharmacists' attendant ethical concerns. Semi-structured qualitative interviews were undertaken with 23 UK pharmacists to explore their views and ethical concerns about EHC. Dispensing EHC was ethically acceptable for almost all pharmacists but beliefs about selling EHC revealed three categories: pharmacists who sold EHC, respected women's autonomy and peers' conscientious objection but feared the consequences of limited EHC availability; contingently selling pharmacists who believed doctors should be first choice for EHC supply but who occasionally supplied and were influenced by women's ages, affluence and genuineness; non-selling pharmacists who believed EHC was abortion and who found selling EHC distressing and ethically problematic. Terminological/factual misunderstandings about EHC were common and discussing ethical issues was difficult for most pharmacists. Religion informed non-selling pharmacists' ethical decisions but other pharmacists prioritised professional responsibilities over their religion. Pharmacists' ethical views on EHC and the influence of religion varied and, together with some pharmacists' reliance upon non-clinical factors, led to a potentially variable supply, which may threaten the prompt availability of EHC. Misunderstandings about EHC perpetuated lay beliefs and potentially threatened correct advice. The influence of subordination and non-selling pharmacists' dispensing EHC may also lead to variable supply and confusion amongst women. Training is needed to address both factual/terminological misunderstandings about EHC and to develop pharmacists' ethical understanding and responsibility.

  11. Internet Usage In The Fresh Produce Supply Chainin China

    NASA Astrophysics Data System (ADS)

    Xu, Xiaoxiao; Duan, Yanqing; Fu, Zetian; Liu, Xue

    Although effective implementation of the Internet technologies has a great potential for improving efficiency and reducing wastage within the fresh produce supply chain. the situation of the Internet usage by SMEs (small and medium sized enterprises) in the fresh produce supply chain is still unclear in China. As the main players, SMEs haven't been given enough attention from both academics and governments. Therefore, this research attempts to address this issue by, first, investigating the current usage of the Internet and related software by Chinese SMEs in the fresh produce supply chain, and then, by identifying enablers and barriers faced by SMEs to call government's attention. As a part of an EU-Asia IT&C funded project, a survey was carried out with SMEs in this industry from five major cities in China. The results reveal that in the relatively developed areas of China, SMEs in the fresh produce supply chain are rapidly adopting the Internet and software packages, but the level of adoption varies greatly and there is a significant lack of integration among the supply chain partners. Chinese SMEs are keen to embrace emerging technologies and have acted to adopt new software and tools. Given that cost of implementation is not a barrier, their concern over legal protection and online security must be addressed for further development.

  12. 44 CFR 208.37 - Reimbursement for equipment and supply costs incurred during Activation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Reimbursement for equipment... SEARCH AND RESCUE RESPONSE SYSTEM Response Cooperative Agreements § 208.37 Reimbursement for equipment... for the emergency procurement of equipment and supplies in the number, type, and up to the cost...

  13. 29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

  14. 29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

  15. 29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

  16. 29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

  17. 42 CFR 482.41 - Condition of participation: Physical environment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... rooms, and stairwells. In all other areas not serviced by the emergency supply source, battery lamps and flashlights must be available. (2) There must be facilities for emergency gas and water supply. (b) Standard...; (ii) The dispensers are installed in a manner that minimizes leaks and spills that could lead to falls...

  18. Ambulatory Healthcare Utilization in the United States: A System Dynamics Approach

    NASA Technical Reports Server (NTRS)

    Diaz, Rafael; Behr, Joshua G.; Tulpule, Mandar

    2011-01-01

    Ambulatory health care needs within the United States are served by a wide range of hospitals, clinics, and private practices. The Emergency Department (ED) functions as an important point of supply for ambulatory healthcare services. Growth in our aging populations as well as changes stemming from broader healthcare reform are expected to continue trend in congestion and increasing demand for ED services. While congestion is, in part, a manifestation of unmatched demand, the state of the alignment between the demand for, and supply of, emergency department services affects quality of care and profitability. The central focus of this research is to provide an explanation of the salient factors at play within the dynamic demand-supply tensions within which ambulatory care is provided within an Emergency Department. A System Dynamics (SO) simulation model is used to capture the complexities among the intricate balance and conditional effects at play within the demand-supply emergency department environment. Conceptual clarification of the forces driving the elements within the system , quantifying these elements, and empirically capturing the interaction among these elements provides actionable knowledge for operational and strategic decision-making.

  19. Assessing Emergency Preparedness and Response Capacity Using Community Assessment for Public Health Emergency Response Methodology: Portsmouth, Virginia, 2013.

    PubMed

    Kurkjian, Katie M; Winz, Michelle; Yang, Jun; Corvese, Kate; Colón, Ana; Levine, Seth J; Mullen, Jessica; Ruth, Donna; Anson-Dwamena, Rexford; Bayleyegn, Tesfaye; Chang, David S

    2016-04-01

    For the past decade, emergency preparedness campaigns have encouraged households to meet preparedness metrics, such as having a household evacuation plan and emergency supplies of food, water, and medication. To estimate current household preparedness levels and to enhance disaster response planning, the Virginia Department of Health with remote technical assistance from the Centers for Disease Control and Prevention conducted a community health assessment in 2013 in Portsmouth, Virginia. Using the Community Assessment for Public Health Emergency Response (CASPER) methodology with 2-stage cluster sampling, we randomly selected 210 households for in-person interviews. Households were questioned about emergency planning and supplies, information sources during emergencies, and chronic health conditions. Interview teams completed 180 interviews (86%). Interviews revealed that 70% of households had an emergency evacuation plan, 67% had a 3-day supply of water for each member, and 77% had a first aid kit. Most households (65%) reported that the television was the primary source of information during an emergency. Heart disease (54%) and obesity (40%) were the most frequently reported chronic conditions. The Virginia Department of Health identified important gaps in local household preparedness. Data from the assessment have been used to inform community health partners, enhance disaster response planning, set community health priorities, and influence Portsmouth's Community Health Improvement Plan.

  20. The burgeoning recognition and accommodation of the social supply of drugs in international criminal justice systems: An eleven-nation comparative overview.

    PubMed

    Coomber, Ross; Moyle, Leah; Belackova, Vendula; Decorte, Tom; Hakkarainen, Pekka; Hathaway, Andrew; Laidler, Karen Joe; Lenton, Simon; Murphy, Sheigla; Scott, John; Stefunkova, Michaela; van de Ven, Katinka; Vlaemynck, Marieke; Werse, Bernd

    2018-06-08

    It is now commonly accepted that there exists a form of drug supply, that involves the non-commercial supply of drugs to friends and acquaintances for little or no profit, which is qualitatively different from profit motivated 'drug dealing proper'. 'Social supply', as it has become known, has a strong conceptual footprint in the United Kingdom, shaped by empirical research, policy discussion and its accommodation in legal frameworks. Though scholarship has emerged in a number of contexts outside the UK, the extent to which social supply has developed as an internationally recognised concept in criminal justice contexts is still unclear. Drawing on an established international social supply research network across eleven nations, this paper provides the first assessment of social supply as an internationally relevant concept. Data derives from individual and team research stemming from Australia, Belgium, Canada, Czech Republic, Finland, Germany, Hong Kong, the Netherlands, England and Wales, and the United States, supported by expert reflection on research evidence and analysis of sentencing and media reporting in each context. In situ social supply experts addressed a common set of questions regarding the nature of social supply for their particular context including: an overview of social supply research activity, reflection on the extent that differentiation is accommodated in drug supply sentencing frameworks; evaluating the extent to which social supply is recognised in legal discourse and in sentencing practices and more broadly by e.g. criminal justice professionals in the public sphere. A thematic analysis of these scripts was undertaken and emergent themes were developed. Whilst having an absence of local research, New Zealand is also included in the analysis as there exists a genuine discursive presence of social supply in the drug control and sentencing policy contexts in that country. Findings suggest that while social supply has been found to exist as a real and distinct behaviour, its acceptance and application in criminal justice systems ranges from explicit through to implicit. In the absence of dedicated guiding frameworks, strong use is made of discretion and mitigating circumstances in attempts to acknowledge supply differentiation. In some jurisdictions, there is no accommodation of social supply, and while aggravating factors can be applied to differentiate more serious offences, social suppliers remain subject to arbitrary deterrent sentencing apparatus. Due to the shifting sands of politics, mood, or geographical disparity, reliance on judicial discretion and the use of mitigating circumstances to implement commensurate sentences for social suppliers is no longer sufficient. Further research is required to strengthen the conceptual presence of social supply in policy and practice as a behaviour that extends beyond cannabis and is relevant to users of all drugs. Research informed guidelines and/or specific sentencing provisions for social suppliers would provide fewer possibilities for inconsistency and promote more proportionate outcomes for this fast-growing group. Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved.

  1. Modeling Changes in Bed Surface Texture and Aquatic Habitat Caused by Run-of-River Hydropower Development

    NASA Astrophysics Data System (ADS)

    Fuller, T. K.; Venditti, J. G.; Nelson, P. A.; Popescu, V.; Palen, W.

    2014-12-01

    Run-of-river (RoR) hydropower has emerged as an important alternative to large reservoir-based dams in the renewable energy portfolios of China, India, Canada, and other areas around the globe. RoR projects generate electricity by diverting a portion of the channel discharge through a large pipe for several kilometers downhill where it is used to drive turbines before being returned to the channel. Individual RoR projects are thought to be less disruptive to local ecosystems than large hydropower because they involve minimal water storage, more closely match the natural hydrograph downstream of the project, and are capable of bypassing trapped sediment. However, there is concern that temporary sediment supply disruption may degrade the productivity of salmon spawning habitat downstream of the dam by causing changes in the grain size distribution of bed surface sediment. We hypothesize that salmon populations will be most susceptible to disruptions in sediment supply in channels where; 1) sediment supply is high relative to transport capacity prior to RoR development, and 2) project design creates substantial sediment storage volume. Determining the geomorphic effect of RoR development on aquatic habitat requires many years of field data collection, and even then it can be difficult to link geomorphic change to RoR development alone. As an alternative, we used a one-dimensional morphodynamic model to test our hypothesis across a range of pre-development sediment supply conditions and sediment storage volumes. Our results confirm that coarsening of the median surface grain-size is greatest in cases where pre-development sediment supply was highest and sediment storage volumes were large enough to disrupt supply over the course of the annual hydrograph or longer. In cases where the pre-development sediment supply is low, coarsening of the median surface grain-size is less than 2 mm over a multiple-year disruption period. When sediment supply is restored, our results show that the time required for a channel to re-establish its pre-development median surface grain-size is inversely correlated to the pre-development sediment supply conditions. These results demonstrate that morphodynamic models can be a valuable tool in assessing the risk to aquatic habitat from RoR development.

  2. Emergency preparedness for those who care for infants in developed country contexts

    PubMed Central

    2011-01-01

    Emergency management organisations recognise the vulnerability of infants in emergencies, even in developed countries. However, thus far, those who care for infants have not been provided with detailed information on what emergency preparedness entails. Emergency management authorities should provide those who care for infants with accurate and detailed information on the supplies necessary to care for them in an emergency, distinguishing between the needs of breastfed infants and the needs of formula fed infants. Those who care for formula fed infants should be provided with detailed information on the supplies necessary for an emergency preparedness kit and with information on how to prepare formula feeds in an emergency. An emergency preparedness kit for exclusively breastfed infants should include 100 nappies and 200 nappy wipes. The contents of an emergency preparedness for formula fed infants will vary depending upon whether ready-to-use liquid infant formula or powdered infant formula is used. If ready-to-use liquid infant formula is used, an emergency kit should include: 56 serves of ready-to-use liquid infant formula, 84 L water, storage container, metal knife, small bowl, 56 feeding bottles and teats/cups, 56 zip-lock plastic bags, 220 paper towels, detergent, 120 antiseptic wipes, 100 nappies and 200 nappy wipes. If powdered infant formula is used, an emergency preparedness kit should include: two 900 g tins powdered infant formula, 170 L drinking water, storage container, large cooking pot with lid, kettle, gas stove, box of matches/lighter, 14 kg liquid petroleum gas, measuring container, metal knife, metal tongs, feeding cup, 300 large sheets paper towel, detergent, 100 nappies and 200 nappy wipes. Great care with regards hygiene should be taken in the preparation of formula feeds. Child protection organisations should ensure that foster carers responsible for infants have the resources necessary to formula feed in the event of an emergency. Exclusive and continued breastfeeding should be promoted as an emergency preparedness activity by emergency management organisations as well as health authorities. The greater the proportion of infants exclusively breastfed when an emergency occurs, the more resilient the community, and the easier it will be to provide effective aid to the caregivers of formula fed infants. PMID:22059481

  3. 44 CFR 13.33 - Supplies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... aggregate fair market value upon termination or completion of the award, and if the supplies are not needed... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Supplies. 13.33 Section 13.33... GOVERNMENTS Post-Award Requirements Changes, Property, and Subawards § 13.33 Supplies. (a) Title. Title to...

  4. 19 CFR 358.103 - Importation of supplies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Importation of supplies. 358.103 Section 358.103 Customs Duties INTERNATIONAL TRADE ADMINISTRATION, DEPARTMENT OF COMMERCE SUPPLIES FOR USE IN EMERGENCY RELIEF WORK § 358.103 Importation of supplies. (a) Where the President, acting under section 318 of the...

  5. The transitional dynamics of caloric ecosystems: changes in the food supply around the world

    PubMed Central

    Basu, Sanjay

    2018-01-01

    Changes to the global food supply have been characterized by greater availability of edible oils, sweeteners, and meats—a profound “nutrition transition” associated with rising obesity, type 2 diabetes, and cardiovascular disease. Through an analysis of three longitudinal databases of food supply, sales and economics across the period 1961–2010, we observed that the change in global food supply has been characterized by a dramatic rise in pig meat consumption in China and poultry consumption in North America. These changes have not been experienced by all rapidly-developing countries, and are not well explained by changes in income. The changes in food supply include divergence among otherwise similar neighboring countries, suggesting that the changes in food supply are not an inevitable result of economic development. Furthermore, we observed that the nutrition transition does not merely involve an adoption of “Western” diets universally, but can also include an increase in the supply of edible oils that are uncommon in Western countries. Much of the increase in sales of sugar-sweetened beverages and packaged foods is attributable to a handful of multinational corporations, but typically from products distributed through domestic production systems rather than foreign importation. While North America and Latin America continued to have high sugar-sweetened beverage and packaged food sales in recent years, Eastern Europe and the Middle East have become emerging markets for these products. These findings suggest further study of natural experiments to identify which policies may mitigate nutritional risk factors for chronic disease in the context of economic development. PMID:29568162

  6. Preparing for possible motor fuel shortages: a community planning guide, Roswell, New Mexico

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

    Not Available

    This guide is prepared to provide a practical approach for the community of Roswell, New Mexico, to respond to fuel supply disruptions. It contains: overviews highlighting fuel supplies and government roles in emergency transportation planning; factors in contingency planning which include community profiles, needs, resources, and constraints; and the local emergency planning process. (MHR)

  7. 44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Donation or loan of Federal... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... governments for use and distribution by them for the purposes of the Stafford Act. (b) A donation or loan may...

  8. 44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Donation or loan of Federal... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... governments for use and distribution by them for the purposes of the Stafford Act. (b) A donation or loan may...

  9. 44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Donation or loan of Federal... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... governments for use and distribution by them for the purposes of the Stafford Act. (b) A donation or loan may...

  10. 44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Donation or loan of Federal... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... governments for use and distribution by them for the purposes of the Stafford Act. (b) A donation or loan may...

  11. 77 FR 31026 - Use of Computer Simulation of the United States Blood Supply in Support of Planning for Emergency...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ... enhancements to extend the model predictions from red blood cell units to other blood components, such as...] Use of Computer Simulation of the United States Blood Supply in Support of Planning for Emergency...: Notice of public workshop. The Food and Drug Administration (FDA) is announcing a public workshop...

  12. Nursing home evacuation plans.

    PubMed

    Castle, Nicholas G

    2008-07-01

    I examined evacuation plans from 2134 nursing homes and analyzed national data to determine the types of nursing homes cited for deficiencies in their evacuation plans. Evacuation plans were assessed according to criteria developed by an expert panel funded by the Office of the Inspector General. Deficiency citations came from the Online Survey, Certification, and Recording database, collected from 1997 to 2005. Four specific citations, for written emergency plans, staff training, written evacuation plans, and fire drills, were examined with multivariate logistic regression. Most plans had water supply provisions (96%). Only 31% specified an evacuation route. The rate of citations was relatively stable throughout the study period: each year approximately 0.6% of facilities were found to be deficient in written emergency plans, 2.1% in staff training, 1.2% in written evacuation plans, and 7.9% in fire drills. Some nursing homes need more specific evacuation plans. Water supply was the most and evacuation routes were the least well-addressed areas.

  13. Bridging the gap: the role of pharmacists in managing the drug supply cycle within non-governmental organizations.

    PubMed

    Villacorta-Linaza, Rocio

    2009-10-01

    Access to essential medicines remains one of the biggest problems that developing countries are facing in health care systems. Non-governmental organizations (NGOs) are implementing health programmes on the ground in areas affected by natural disasters or conflict. A vital component of these health programmes is the drug supply system. Based on a field research conducted in Pakistan 2007 and a field work experience in Afghanistan within an international NGO-Merlin-this paper analysed the four functions of the Drug Supply Cycle (Selection, Procurement, Distribution and Use) focusing attention on the importance in management support systems once the emergency phase is over. It shows the core role that the pharmacist plays within NGOs as a member of the health staff with the ability to improve the management of the Drug Supply Cycle. Copyright (c) 2009 John Wiley & Sons, Ltd.

  14. Prepositioning emergency supplies under uncertainty: a parametric optimization method

    NASA Astrophysics Data System (ADS)

    Bai, Xuejie; Gao, Jinwu; Liu, Yankui

    2018-07-01

    Prepositioning of emergency supplies is an effective method for increasing preparedness for disasters and has received much attention in recent years. In this article, the prepositioning problem is studied by a robust parametric optimization method. The transportation cost, supply, demand and capacity are unknown prior to the extraordinary event, which are represented as fuzzy parameters with variable possibility distributions. The variable possibility distributions are obtained through the credibility critical value reduction method for type-2 fuzzy variables. The prepositioning problem is formulated as a fuzzy value-at-risk model to achieve a minimum total cost incurred in the whole process. The key difficulty in solving the proposed optimization model is to evaluate the quantile of the fuzzy function in the objective and the credibility in the constraints. The objective function and constraints can be turned into their equivalent parametric forms through chance constrained programming under the different confidence levels. Taking advantage of the structural characteristics of the equivalent optimization model, a parameter-based domain decomposition method is developed to divide the original optimization problem into six mixed-integer parametric submodels, which can be solved by standard optimization solvers. Finally, to explore the viability of the developed model and the solution approach, some computational experiments are performed on realistic scale case problems. The computational results reported in the numerical example show the credibility and superiority of the proposed parametric optimization method.

  15. Greening Operations Management: An Online Sustainable Procurement Course for Practitioners

    ERIC Educational Resources Information Center

    Walker, Helen L.; Gough, Stephen; Bakker, Elmer F.; Knight, Louise A.; McBain, Darian

    2009-01-01

    In the Operations Management field, sustainable procurement has emerged as a way to green the purchasing and supply process. This paper explores issues in sustainable procurement training. The authors formed an interdisciplinary team to design, deliver and evaluate a training programme to promote and develop sustainable procurement in the United…

  16. Modelling the time at which overcrowding and feed interruption emerge on the swine premises under movement restrictions during a classical swine fever outbreak.

    PubMed

    Weng, H Y; Yadav, S; Olynk Widmar, N J; Croney, C; Ash, M; Cooper, M

    2017-03-01

    A stochastic risk model was developed to estimate the time elapsed before overcrowding (TOC) or feed interruption (TFI) emerged on the swine premises under movement restrictions during a classical swine fever (CSF) outbreak in Indiana, USA. Nursery (19 to 65 days of age) and grow-to-finish (40 to 165 days of age) pork production operations were modelled separately. Overcrowding was defined as the total weight of pigs on premises exceeding 100% to 115% of the maximum capacity of the premises, which was computed as the total weight of the pigs at harvest/transition age. Algorithms were developed to estimate age-specific weight of the pigs on premises and to compare the daily total weight of the pigs with the threshold weight defining overcrowding to flag the time when the total weight exceeded the threshold (i.e. when overcrowding occurred). To estimate TFI, an algorithm was constructed to model a swine producer's decision to discontinue feed supply by incorporating the assumptions that a longer estimated epidemic duration, a longer time interval between the age of pigs at the onset of the outbreak and the harvest/transition age, or a longer progression of an ongoing outbreak would increase the probability of a producer's decision to discontinue the feed supply. Adverse animal welfare conditions were modelled to emerge shortly after an interruption of feed supply. Simulations were run with 100 000 iterations each for a 365-day period. Overcrowding occurred in all simulated iterations, and feed interruption occurred in 30% of the iterations. The median (5th and 95th percentiles) TOC was 24 days (10, 43) in nursery operations and 78 days (26, 134) in grow-to-finish operations. Most feed interruptions, if they emerged, occurred within 15 days of an outbreak. The median (5th and 95th percentiles) time at which either overcrowding or feed interruption emerged was 19 days (4, 42) in nursery and 57 days (4, 130) in grow-to-finish operations. The study findings suggest that overcrowding and feed interruption could emerge early during a CSF outbreak among swine premises under movement restrictions. The outputs derived from the risk model could be used to estimate and evaluate associated mitigation strategies for alleviating adverse animal welfare conditions resulting from movement restrictions.

  17. Defense Industrial Base: An Overview of an Emerging Issue

    DTIC Science & Technology

    1993-03-01

    supplies it needs to rapidly increase the production of weapons and supporting equipment in wartime. This lack of access is primarily considered a...ommittete on Technology and Securily , ,Joint Econonue Committee, we are attempting Io develop a proposed analytical framework for assessing the national...industry’s continuing ability to develop and produce weapon systems using the most advanced technology. According to recent studies, a growing number

  18. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals

    PubMed Central

    2014-01-01

    Objectives Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question ‘What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?’ Methods We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of ‘know-do’ gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. Results During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. Conclusion The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary for PNG to meet the health-related Millennium Development Goals. PMID:25848545

  19. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals.

    PubMed

    Brown, Andrew N; Gilbert, Ben

    2014-01-01

    Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question 'What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?' We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of 'know-do' gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary for PNG to meet the health-related Millennium Development Goals.

  20. Joint Energy Supply and Routing Path Selection for Rechargeable Wireless Sensor Networks.

    PubMed

    Tang, Liangrui; Cai, Jinqi; Yan, Jiangyu; Zhou, Zhenyu

    2018-06-17

    The topic of network lifetime has been attracting much research attention because of its importance in prolonging the standing operation of battery-restricted wireless sensor networks, and the rechargeable wireless sensor network has emerged as a promising solution. In this paper, we propose a joint energy supply and routing path selection algorithm to extend the network lifetime based on an initiative power supply. We develop a two-stage energy replenishment strategy to supplement the energy consumption of nodes as much as possible. Furthermore, the influence of charging factors on the selection of next-hop nodes in data routing is considered. The simulation results show that our algorithm effectively prolong the network lifetime, and different demands of network delay and energy consumption can be obtained by dynamically adjusting parameters.

  1. 33 CFR 203.62 - Drought assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Supplies: Contaminated Water Sources and Drought Assistance § 203.62 Drought assistance. (a) Authority. The... non-Federal responsibility for providing an adequate supply of water to local inhabitants. Corps assistance to provide emergency water supplies will only be considered when non-Federal interests have...

  2. 46 CFR 113.10-9 - Power supply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply. 113.10-9 Section 113.10-9 Shipping COAST... SYSTEMS AND EQUIPMENT Fire and Smoke Detecting and Alarm Systems § 113.10-9 Power supply. (a) General... battery, the charger must be supplied from the final emergency power source. Upon loss of power to the...

  3. 46 CFR 113.10-9 - Power supply.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Power supply. 113.10-9 Section 113.10-9 Shipping COAST... SYSTEMS AND EQUIPMENT Fire and Smoke Detecting and Alarm Systems § 113.10-9 Power supply. (a) General... battery, the charger must be supplied from the final emergency power source. Upon loss of power to the...

  4. A Study of Fuel Supplies for Emergency Power Generation at Air Logistics Centers.

    DTIC Science & Technology

    1980-06-01

    D-AD087 088 AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH SCHOOL--ETC F/. I"/. STUDY OF FUEL SUPPLIES FOR EMERGENCY POWER GENERATION AT AIR -ETCIU...public release; distribution unlimited 17. DISTRIBUTION STATEMENT (at thme abstract sneered lei Black 20. 1 itoINt~ &P 190-17. FlEDiC C. L N uS "il I...operations required by a wartime scenario may depend upon the use of emergency back-up generators to provide electrical power to critical facilities. After

  5. Assessment of potassium iodide (KI) distribution program among communities within the emergency planning zones (EPZ) of two nuclear power plants.

    PubMed

    Blando, James; Robertson, Corwin; Pearl, Katina; Dixon, Carline; Valcin, Martin; Bresnitz, Eddy

    2007-02-01

    The primary objective of this study was to evaluate a joint state and local government-sponsored potassium iodide (KI) distribution program in New Jersey. This program is part of a radiological emergency response system for residents living within the Emergency Planning Zones (EPZs) of nuclear power facilities. KI pills and an informational fact sheet were distributed locally at six different public clinics in the summer of 2002. In this study, a mailed survey was developed, pilot tested, and sent to the general public to assess knowledge about KI use. The survey consisted of two groups of people, those who attended a KI distribution clinic and those that did not attend a clinic. There was a statistically significant difference in knowledge among the two groups of survey respondents regarding KI prophylaxis, with a mean of 46% of survey questions answered correctly by those who attended a clinic vs. 15% by those who did not attend. Certain questions were problematic for the public to answer correctly and included potential low compliance with government instructions for taking KI, confusion regarding where the public can obtain KI pills during an emergency, and the lack of awareness on the proper use of KI for children, pregnant women, and persons over the age of 40 y. Additional outreach in these specific areas is warranted. This study also found that there was a highly variable geographic pattern of homes that have a supply of KI pills, with some areas having 60% of the households supplied with pills from the clinic while other areas had as low as 1% of the homes supplied with KI pills.

  6. 46 CFR 112.55-5 - Emergency lighting loads.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AND POWER SYSTEMS Storage Battery Installation § 112.55-5 Emergency lighting loads. When supplying emergency lighting loads, the storage battery initial voltage must not exceed the standard system voltage by...

  7. 46 CFR 112.55-5 - Emergency lighting loads.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... AND POWER SYSTEMS Storage Battery Installation § 112.55-5 Emergency lighting loads. When supplying emergency lighting loads, the storage battery initial voltage must not exceed the standard system voltage by...

  8. 46 CFR 112.55-5 - Emergency lighting loads.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... AND POWER SYSTEMS Storage Battery Installation § 112.55-5 Emergency lighting loads. When supplying emergency lighting loads, the storage battery initial voltage must not exceed the standard system voltage by...

  9. 46 CFR 112.55-5 - Emergency lighting loads.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... AND POWER SYSTEMS Storage Battery Installation § 112.55-5 Emergency lighting loads. When supplying emergency lighting loads, the storage battery initial voltage must not exceed the standard system voltage by...

  10. 46 CFR 112.55-5 - Emergency lighting loads.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... AND POWER SYSTEMS Storage Battery Installation § 112.55-5 Emergency lighting loads. When supplying emergency lighting loads, the storage battery initial voltage must not exceed the standard system voltage by...

  11. 46 CFR 133.80 - Emergency instructions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Emergency instructions. 133.80 Section 133.80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS LIFESAVING SYSTEMS... emergency. (b) Emergency instructions. Illustrations and instructions in English and any other appropriate...

  12. HYDRA: A Middleware-Oriented Integrated Architecture for e-Procurement in Supply Chains

    NASA Astrophysics Data System (ADS)

    Alor-Hernandez, Giner; Aguilar-Lasserre, Alberto; Juarez-Martinez, Ulises; Posada-Gomez, Ruben; Cortes-Robles, Guillermo; Garcia-Martinez, Mario Alberto; Gomez-Berbis, Juan Miguel; Rodriguez-Gonzalez, Alejandro

    The Service-Oriented Architecture (SOA) development paradigm has emerged to improve the critical issues of creating, modifying and extending solutions for business processes integration, incorporating process automation and automated exchange of information between organizations. Web services technology follows the SOA's principles for developing and deploying applications. Besides, Web services are considered as the platform for SOA, for both intra- and inter-enterprise communication. However, an SOA does not incorporate information about occurring events into business processes, which are the main features of supply chain management. These events and information delivery are addressed in an Event-Driven Architecture (EDA). Taking this into account, we propose a middleware-oriented integrated architecture that offers a brokering service for the procurement of products in a Supply Chain Management (SCM) scenario. As salient contributions, our system provides a hybrid architecture combining features of both SOA and EDA and a set of mechanisms for business processes pattern management, monitoring based on UML sequence diagrams, Web services-based management, event publish/subscription and reliable messaging service.

  13. Preparing Women to Teach Non-Traditional Vocational Education. Information Series No. 137.

    ERIC Educational Resources Information Center

    Kane, Roslyn D.

    The impetus for developing a model to retrain women teachers and skilled women to become teachers in traditionally male-intensive secondary vocational education has emerged from a combination of problems and issues. The most pertinent of these involve the factors of supply and demand, coupled with the need to reduce sex stereotyping and bias in…

  14. Business Continuity Management Plan

    DTIC Science & Technology

    2014-12-01

    organization ( Shaw , 2004). Navy Supply Systems Command (NAVSUP) does not have a framework that can help develop a business continuity management (BCM...cites two case studies that demonstrate how an organization mitigated issues during catastrophic events that led to disruptions to their business ...www.uschamber.com/sites/default/files/legacy/ issues /defense/files/guideli nesbc.pdf Comprehensive Emergency Management Associates. (2006). Business continuity

  15. 47 CFR 80.864 - Emergency electric lights.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Emergency electric lights. 80.864 Section 80... W § 80.864 Emergency electric lights. (a) Emergency electric light(s) must be installed to...) The emergency electric light(s) must be energized from the reserve power supply, if a reserve power...

  16. 47 CFR 80.864 - Emergency electric lights.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Emergency electric lights. 80.864 Section 80... W § 80.864 Emergency electric lights. (a) Emergency electric light(s) must be installed to...) The emergency electric light(s) must be energized from the reserve power supply, if a reserve power...

  17. 47 CFR 80.864 - Emergency electric lights.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Emergency electric lights. 80.864 Section 80... W § 80.864 Emergency electric lights. (a) Emergency electric light(s) must be installed to...) The emergency electric light(s) must be energized from the reserve power supply, if a reserve power...

  18. 47 CFR 80.864 - Emergency electric lights.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Emergency electric lights. 80.864 Section 80... W § 80.864 Emergency electric lights. (a) Emergency electric light(s) must be installed to...) The emergency electric light(s) must be energized from the reserve power supply, if a reserve power...

  19. 47 CFR 80.864 - Emergency electric lights.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Emergency electric lights. 80.864 Section 80... W § 80.864 Emergency electric lights. (a) Emergency electric light(s) must be installed to...) The emergency electric light(s) must be energized from the reserve power supply, if a reserve power...

  20. 33 CFR 214.9 - Requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... SUPPLIES OF DRINKING WATER § 214.9 Requirements. Providing emergency supplies of clean drinking water... met. (b) The extent of state and local efforts to provide clean drinking water and their capability to do so. Corps efforts to provide temporary supplies of drinking water must be limited to measures...

  1. 33 CFR 214.9 - Requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... SUPPLIES OF DRINKING WATER § 214.9 Requirements. Providing emergency supplies of clean drinking water... met. (b) The extent of state and local efforts to provide clean drinking water and their capability to do so. Corps efforts to provide temporary supplies of drinking water must be limited to measures...

  2. 33 CFR 214.9 - Requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... SUPPLIES OF DRINKING WATER § 214.9 Requirements. Providing emergency supplies of clean drinking water... met. (b) The extent of state and local efforts to provide clean drinking water and their capability to do so. Corps efforts to provide temporary supplies of drinking water must be limited to measures...

  3. 33 CFR 214.9 - Requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... SUPPLIES OF DRINKING WATER § 214.9 Requirements. Providing emergency supplies of clean drinking water... met. (b) The extent of state and local efforts to provide clean drinking water and their capability to do so. Corps efforts to provide temporary supplies of drinking water must be limited to measures...

  4. [Risk and crisis management by anesthesiologists regarding 'Guidelines for Actions Against Intraoperative Critical Hemorrhage' published by the Japanese Society of Anesthesiologists and the Japan Society of Transfusion Medicine and Cell Therapy].

    PubMed

    Irita, Kazuo; Yoshimura, Hayashi; Sakaguchi, Yoshiro; Takamatsu, Chihiro; Tokuda, Kentaro

    2008-09-01

    According to a survey of anesthesia-related critical incidents by the Japanese Society of Anesthesiologists, hemorrhage was the major cause of cardiac arrest developing in the operating room. To deal with critical hemorrhage swiftly, not only cooperation between anesthesiologists and surgeons but also the linkage of operating rooms with transfusion management divisions and the blood center is important. It is desirable for the hospital transfusion committee to prepare hospital regulations on 'actions to be taken to manage critical hemorrhage', and practice the implementation of these guidelines by simulated drills. When critical hemorrhage occurs, a person in charge is appointed, and an emergency is declared (call for manpower and notification of the emergency to the transfusion management divisions). A person in charge comprehensively assesses the hemostatic condition, hemodynamics, laboratory data, and blood product supply system, and consults the operator regarding the continuation of surgery or changing surgical procedures. When time is short, the cross-matching test is omitted, and the ABO-identical blood is used. When a supply of the identical ABO-type blood is not available, compatible blood type is used. The evolving concept of hemostatic resuscitation seems to be important to prevent coagulopathy, which easily develops during massive hemorrhage. Anesthesiologists should be aware of the risk of such an emergency transfusion and procedures to be taken to switch to transfusion of the ABO-identical blood. Establishment of a hospital emergency transfusion system depends on the overall capability of the critical and crisis management systems of the hospital.

  5. Emergency drinking water treatment during source water pollution accidents in China: origin analysis, framework and technologies.

    PubMed

    Zhang, Xiao-Jian; Chen, Chao; Lin, Peng-Fei; Hou, Ai-Xin; Niu, Zhang-Bin; Wang, Jun

    2011-01-01

    China has suffered frequent source water contamination accidents in the past decade, which has resulted in severe consequences to the water supply of millions of residents. The origins of typical cases of contamination are discussed in this paper as well as the emergency response to these accidents. In general, excessive pursuit of rapid industrialization and the unreasonable location of factories are responsible for the increasing frequency of accidental pollution events. Moreover, insufficient attention to environmental protection and rudimentary emergency response capability has exacerbated the consequences of such accidents. These environmental accidents triggered or accelerated the promulgation of stricter environmental protection policy and the shift from economic development mode to a more sustainable direction, which should be regarded as the turning point of environmental protection in China. To guarantee water security, China is trying to establish a rapid and effective emergency response framework, build up the capability of early accident detection, and develop efficient technologies to remove contaminants from water.

  6. Cockpit emergency safety system

    NASA Astrophysics Data System (ADS)

    Keller, Leo

    2000-06-01

    A comprehensive safety concept is proposed for aircraft's experiencing an incident to the development of fire and smoke in the cockpit. Fire or excessive heat development caused by malfunctioning electrical appliance may produce toxic smoke, may reduce the clear vision to the instrument panel and may cause health-critical respiration conditions. Immediate reaction of the crew, safe respiration conditions and a clear undisturbed view to critical flight information data can be assumed to be the prerequisites for a safe emergency landing. The personal safety equipment of the aircraft has to be effective in supporting the crew to divert the aircraft to an alternate airport in the shortest possible amount of time. Many other elements in the cause-and-effect context of the emergence of fire, such as fire prevention, fire detection, the fire extinguishing concept, systematic redundancy, the wiring concept, the design of the power supplying system and concise emergency checklist procedures are briefly reviewed, because only a comprehensive and complete approach will avoid fatal accidents of complex aircraft in the future.

  7. Drawing of the Buddy Secondary Life Support System

    NASA Image and Video Library

    1970-12-22

    S70-56965 (December 1970) --- Drawing of the newly developed Buddy Secondary Life Support System (BSLSS). The life-sustaining system will be provided for the first time on the Apollo 14 lunar landing mission. The two flexible hoses, to be used on the second Apollo 14 extravehicular activity (EVA), will be among the paraphernalia on the Modular Equipment Transporter (MET) or two-wheeled workshop, and readily accessible in an emergency. During EVAs the Portable Life Support System (PLSS) supplies the astronaut with breathing and suit-pressurizing oxygen and water flow for the liquid-cooling garment -- a suit of knitted long underwear with thin tubing woven in the torso and limbs. The tubes carry water from a reservoir in the PLSS, and the circulating water serves to carry the astronaut's metabolic heat to a heat exchanger in the PLSS. Before the BSLSS was devised, the emergency tank was required to furnish not only suit pressure and breathing oxygen, but also cooling through a high oxygen flow rate. The BSLSS, by sharing the water supply between the two crewmen, stretches the time of the emergency oxygen from about 40 minutes to 60 to 75 minutes.

  8. 75 FR 59238 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-27

    ...; Associated Form; and OMB Number: Leading Edge Supply Chain Survey; OMB Number 0701-TBD. Needs and Uses: This study seeks to uncover the emerging trends in supply chain management (SCM) practices, processes and... individuals with in depth experience in commercial supply chain management. Dated: August 27, 2010. Patricia L...

  9. U.S. Wind Energy Manufacturing and Supply Chain: A Competitiveness Analysis

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

    Fullenkamp, Patrick H; Holody, Diane S

    The goal of the project was to develop a greater understanding of the key factors determining wind energy component manufacturing costs and pricing on a global basis in order to enhance the competitiveness of U.S. manufacturers, and to reduce installed systems cost. Multiple stakeholders including DOE, turbine OEMs, and large component manufactures will all benefit by better understanding the factors determining domestic competitiveness in the emerging offshore and next generation land-based wind industries. Major objectives of this project were to: 1. Carry out global cost and process comparisons for 5MW jacket foundations, blades, towers, and permanent magnet generators; 2. Assessmore » U.S. manufacturers’ competitiveness and potential for cost reduction; 3. Facilitate informed decision-making on investments in U.S. manufacturing; 4. Develop an industry scorecard representing the readiness of the U.S. manufacturers’ to produce components for the next generations of wind turbines, nominally 3MW land-based and 5MW offshore; 5. Disseminate results through the GLWN Wind Supply Chain GIS Map, a free website that is the most comprehensive public database of U.S. wind energy suppliers; 6. Identify areas and develop recommendations to DOE on potential R&D areas to target for increasing domestic manufacturing competitiveness, per DOE’s Clean Energy Manufacturing Initiative (CEMI). Lists of Deliverables 1. Cost Breakdown Competitive Analyses of four product categories: tower, jacket foundation, blade, and permanent magnet (PM) generator. The cost breakdown for each component includes a complete Bill of Materials with net weights; general process steps for labor; and burden adjusted by each manufacturer for their process categories of SGA (sales general and administrative), engineering, logistics cost to a common U.S. port, and profit. 2. Value Stream Map Competitiveness Analysis: A tool that illustrates both information and material flow from the point of getting a customer order at the manufacturing plant; to the orders being forwarded by the manufacturing plant to the material suppliers; to the material being received at the manufacturing plant and processed through the system; to the final product being shipped to the Customer. 3. Competitiveness Scorecard: GLWN developed a Wind Industry Supply Chain Scorecard that reflects U.S. component manufacturers’ readiness to supply the next generation wind turbines, 3MW and 5MW, for land-based and offshore applications. 4. Wind Supply Chain Database & Map: Expand the current GLWN GIS Wind Supply Chain Map to include offshore elements. This is an on-line, free access, wind supply chain map that provides a platform for identifying active and emerging suppliers for the land-based and offshore wind industry, including turbine component manufacturers and wind farm construction service suppliers.« less

  10. Energy Vulnerability Assessment for the US Pacific Islands. Technical Appendix 2

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

    Fesharaki, F.; Rizer, J.P.; Greer, L.S.

    1994-05-01

    The study, Energy Vulnerability Assessment of the US Pacific Islands, was mandated by the Congress of the United States as stated in House Resolution 776-220 of 1992, Section 1406. The resolution states that the US Secretary of Energy shall conduct a study of the implications of the unique vulnerabilities of the insular areas to an oil supply disruption. Such study shall outline how the insular areas shall gain access to vital oil supplies during times of national emergency. The resolution defines insular areas as the US Virgin Islands, Puerto Rico, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands,more » and Palau. The US Virgin Islands and Puerto Rico are not included in this report. The US Department of Energy (USDOE) has broadened the scope of the study contained in the House Resolution to include emergency preparedness and response strategies which would reduce vulnerability to an oil supply disruption as well as steps to ameliorate adverse economic consequences. This includes a review of alternative energy technologies with respect to their potential for reducing dependence on imported petroleum. USDOE has outlined the four tasks of the energy vulnerability assessment as the following: (1) for each island, determine crude oil and refined product demand/supply, and characterize energy and economic infrastructure; (2) forecast global and regional oil trade flow patterns, energy demand/supply, and economic activities; (3) formulate oil supply disruption scenarios and ascertain the general and unique vulnerabilities of these islands to oil supply disruptions; and (4) outline emergency preparedness and response options to secure oil supplies in the short run, and reduce dependence on imported oil in the longer term.« less

  11. Global demand for rare earth resources and strategies for green mining

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

    Dutta, Tanushree

    Rare earth elements (REEs) are essential raw materials for emerging renewable energy resources and ‘smart’ electronic devices. Global REE demand is slated to grow at an annual rate of 5% by 2020. This high growth rate will require a steady supply base of REEs in the long run. At present, China is responsible for 85% of global rare earth oxide (REO) production. To overcome this monopolistic supply situation, new strategies and investments are necessary to satisfy domestic supply demands. Concurrently, environmental, economic, and social problems arising from REE mining must be addressed. There is an urgent need to develop efficientmore » REE recycling techniques from end-of-life products, technologies to minimize the amount of REEs required per unit device, and methods to recover them from fly ash or fossil fuel-burning wastes.« less

  12. Global demand for rare earth resources and strategies for green mining.

    PubMed

    Dutta, Tanushree; Kim, Ki-Hyun; Uchimiya, Minori; Kwon, Eilhann E; Jeon, Byong-Hun; Deep, Akash; Yun, Seong-Taek

    2016-10-01

    Rare earth elements (REEs) are essential raw materials for emerging renewable energy resources and 'smart' electronic devices. Global REE demand is slated to grow at an annual rate of 5% by 2020. This high growth rate will require a steady supply base of REEs in the long run. At present, China is responsible for 85% of global rare earth oxide (REO) production. To overcome this monopolistic supply situation, new strategies and investments are necessary to satisfy domestic supply demands. Concurrently, environmental, economic, and social problems arising from REE mining must be addressed. There is an urgent need to develop efficient REE recycling techniques from end-of-life products, technologies to minimize the amount of REEs required per unit device, and methods to recover them from fly ash or fossil fuel-burning wastes. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. A Medical Decision Support System for the Space Station Health Maintenance Facility

    PubMed Central

    Ostler, David V.; Gardner, Reed M.; Logan, James S.

    1988-01-01

    NASA is developing a Health Maintenance Facility (HMF) to provide the equipment and supplies necessary to deliver medical care in the Space Station. An essential part of the Health Maintenance Facility is a computerized Medical Decision Support System (MDSS) that will enhance the ability of the medical officer (“paramedic” or “physician”) to maintain the crew's health, and to provide emergency medical care. The computer system has four major functions: 1) collect and integrate medical information into an electronic medical record from Space Station medical officers, HMF instrumentation, and exercise equipment; 2) provide an integrated medical record and medical reference information management system; 3) manage inventory for logistical support of supplies and secure pharmaceuticals; 4) supply audio and electronic mail communications between the medical officer and ground based flight surgeons. ImagesFigure 1

  14. Emergency management logistics must become emergency supply chain management.

    PubMed

    Young, Richard R; Peterson, Matthew R

    2014-01-01

    Much has been written about how emergency management (EM) needs to look to the future regarding issues of resource management (monetary, human, and material). Constraints on budgets are ongoing and the staffing of emergency response activities is often difficult because volunteers have little to no training. The management of material resources has also been a challenge because 1) the categories of material vary by the type of emergency, 2) the necessary quantities of material are often not located near the ultimate point of need, and 3) the transportation assets are rarely available in the form and quantity required to allow timely and effective response. The logistics and resource management functions of EM (what we refer to as EM logistics) have been largely reactive, with little to no pre-event planning for potential demand. We applied the Supply Chain Operational Reference (SCOR) model to EM logistics in an effort to transform it to an integrated and scalable system of physical, information, and financial flows into which are woven the functions of sourcing, making, delivering, and returning, with an overarching planning function that transcends the organizational boundaries of participants. The result is emergency supply chain management, which embraces many more participants who share in a larger quantity of more useful information about the resources that need to be deployed when responding to and recovering from emergency events.

  15. Emergency cooling analysis for the loss of coolant malfunction

    NASA Technical Reports Server (NTRS)

    Peoples, J. A.

    1972-01-01

    This report examines the dynamic response of a conceptual space power fast-spectrum lithium cooled reactor to the loss of coolant malfunction and several emergency cooling concepts. The results show that, following the loss of primary coolant, the peak temperatures of the center most 73 fuel elements can range from 2556 K to the region of the fuel melting point of 3122 K within 3600 seconds after the start of the accident. Two types of emergency aftercooling concepts were examined: (1) full core open loop cooling and (2) partial core closed loop cooling. The full core open loop concept is a one pass method of supplying lithium to the 247 fuel pins. This method can maintain fuel temperature below the 1611 K transient damage limit but requires a sizable 22,680-kilogram auxiliary lithium supply. The second concept utilizes a redundant internal closed loop to supply lithium to only the central area of each hexagonal fuel array. By using this method and supplying lithium to only the triflute region, fuel temperatures can be held well below the transient damage limit.

  16. Circular economy practices among Chinese manufacturers varying in environmental-oriented supply chain cooperation and the performance implications.

    PubMed

    Zhu, Qinghua; Geng, Yong; Lai, Kee-hung

    2010-06-01

    The rapidly growing industrial activities in emerging economies such as China have been causing resource depletion and pollution problems. This reality requires China to adopt an integrated management approach to resolve the conflict between industrial development and environmental protection, and the concept of circular economy (CE) serves this purpose. In this paper, we examine if different types of manufacturing enterprises on environmental-oriented supply chain cooperation (ESCC) exist. We also determine if the Chinese manufacturer types varying in ESCC differ in their implementation of the CE practices towards achieving the CE-targeted goals on improving both environmental and economic performance. Our cluster analytic results with multivariate analysis of variance (MANOVA) among the four identified types of Chinese manufacturers varying in environmental-oriented supply chain cooperation highlight the importance to intensify the cooperation with upstream and downstream supply chain partners for a CE initiative to succeed. (c) 2010 Elsevier Ltd. All rights reserved.

  17. Medicine shortages: a commentary on causes and mitigation strategies.

    PubMed

    Iyengar, Swathi; Hedman, Lisa; Forte, Gilles; Hill, Suzanne

    2016-09-29

    Shortages of medicines and vaccines have been reported in countries of all income levels in recent years. Shortages can result from one or multiple causes, including shortages of raw materials, manufacturing capacity problems, industry consolidation, marketing practices, and procurement and supply chain management. Existing approaches to mitigate shortages include advance notice systems managed through medicine regulatory authorities, special programmes that track medicines, and interventions to improve efficiency of the medicine supply chain. Redistribution of supplies at the national level can mitigate some shortages in the short term. International redistribution and exceptional regulatory approvals may be used in limited circumstances, with the understanding that such approaches are complex and may introduce cost and quality risks. If it is necessary to prioritise patients to receive a medicine that is in shortage, evidence-based practice should be used to ensure optimal allocation. Important steps in reducing medicine shortages and their impact include identifying medicines that are most at risk, developing reporting systems to share information on current and emerging shortages, and improving data from medicine supply chains.

  18. From Walras’ auctioneer to continuous time double auctions: a general dynamic theory of supply and demand

    NASA Astrophysics Data System (ADS)

    Donier, J.; Bouchaud, J.-P.

    2016-12-01

    In standard Walrasian auctions, the price of a good is defined as the point where the supply and demand curves intersect. Since both curves are generically regular, the response to small perturbations is linearly small. However, a crucial ingredient is absent of the theory, namely transactions themselves. What happens after they occur? To answer the question, we develop a dynamic theory for supply and demand based on agents with heterogeneous beliefs. When the inter-auction time is infinitely long, the Walrasian mechanism is recovered. When transactions are allowed to happen in continuous time, a peculiar property emerges: close to the price, supply and demand vanish quadratically, which we empirically confirm on the Bitcoin. This explains why price impact in financial markets is universally observed to behave as the square root of the excess volume. The consequences are important, as they imply that the very fact of clearing the market makes prices hypersensitive to small fluctuations.

  19. 33 CFR 149.660 - What are the requirements for emergency power?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...; and (2) Contain only machinery and equipment for the supply of emergency power (i.e., no oil or... emergency power? 149.660 Section 149.660 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Equipment Emergency Power § 149.660 What are the requirements for emergency power? (a) Each pumping platform...

  20. 33 CFR 149.660 - What are the requirements for emergency power?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...; and (2) Contain only machinery and equipment for the supply of emergency power (in other words, no oil... emergency power? 149.660 Section 149.660 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Equipment Emergency Power § 149.660 What are the requirements for emergency power? (a) Each pumping platform...

  1. 33 CFR 149.660 - What are the requirements for emergency power?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...; and (2) Contain only machinery and equipment for the supply of emergency power (i.e., no oil or... emergency power? 149.660 Section 149.660 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Equipment Emergency Power § 149.660 What are the requirements for emergency power? (a) Each pumping platform...

  2. Healthcare logistics in disaster planning and emergency management: A perspective.

    PubMed

    VanVactor, Jerry D

    2017-12-01

    This paper discusses the role of healthcare supply chain management in disaster mitigation and management. While there is an abundance of literature examining emergency management and disaster preparedness efforts across an array of industries, little information has been directed specifically toward the emergency interface, interoperability and unconventional relationships among civilian institutions and the US Department of Defense (US DoD) or supply chain operations involved therein. To address this imbalance, this paper provides US DoD healthcare supply chain managers with concepts related to communicating and planning more effectively. It is worth remembering, however, that all disasters are local - under the auspice of tiered response involving federal agencies, the principal responsibility for responding to domestic disasters and emergencies rests with the lowest level of government equipped and able to deal with the incident effectively. As such, the findings are equally applicable to institutions outside the military. It also bears repeating that every crisis is unique: there is no such thing as a uniform response for every incident. The role of the US DoD in emergency preparedness and disaster planning is changing and will continue to do so as the need for roles in support of a larger effort also continues to change.

  3. 46 CFR 112.45-1 - Visible indicators.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...

  4. 46 CFR 112.45-1 - Visible indicators.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...

  5. 46 CFR 112.45-1 - Visible indicators.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...

  6. 46 CFR 112.45-1 - Visible indicators.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...

  7. 46 CFR 112.45-1 - Visible indicators.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...

  8. Are regional hospital pharmacies prepared for public health emergencies?

    PubMed

    Hsu, Edbert B; Casani, Julie A; Romanosky, Al; Millin, Michael G; Singleton, Christa M; Donohue, John; Feroli, E Robert; Rubin, Melvin; Subbarao, Italo; Whyne, Dianne M; Snodgrass, Thomas D; Kelen, Gabor D

    2006-01-01

    In the event of a major chemical, biological, radiological, nuclear, or explosive (CBRNE) attack or a natural disaster, large quantities of pharmaceuticals and medical supplies may be required with little or no warning. Pharmaceutical surge capacity for immediate response, before Strategic National Stockpile (SNS) supplies become available, remains a significant gap in emergency preparedness. To date, limited attempts have been made to assess collective regional hospital pharmaceutical response capabilities. In this project, we characterized the level of hospital pharmaceutical response preparedness in a major metropolitan region. The Johns Hopkins Office of Critical Event Preparedness and Response (CEPAR) convened a collaborative partnership to assess hospital pharmaceutical response capabilities. A survey was developed to characterize pharmaceutical response preparedness to CBRNE threats. All 22 acute care hospitals in the Maryland region were sent pharmaceutical response surveys, and responses were received from 86% (19/22). Within the past year, 84% (16/19) of hospitals had implemented an exercise with pharmacy participation. More than half of the hospitals expect to receive assistance from the SNS in 48 hours or less. Seventy-four percent (14/19) of the hospitals reported an additional dedicated reserve supply for biological events, 74% (14/19) for chemical events, and 58% (11/19) for radiological events. Many hospitals in this metropolitan region have taken important steps toward enhancing pharmaceutical preparedness. However, hospitals generally remain underprepared for CBRNE threats and collectively have limited supplies of antibiotics to provide prophylaxis or treatment for hospital staff, their families, and patients in the event of a significant biological incident.

  9. Design for Manufacture and Assembly for Product Development (Case study : Emergency Lamp)

    NASA Astrophysics Data System (ADS)

    Ngatilah, Y.; Pulansari, F.; Ernawati, Dira; Pujiastuti, C.; Parwati, C. I.; Prasetyo, B.

    2018-01-01

    Community needs that are not primary but important in everyday life are lights for lighting. State electricity company (PLN) is experiencing limitations in supplying electricity for this puIDRose. Therefore emergency lights (emergency lights) are already marketed in the community, which limited function only illuminate a very limited space. Therefore we developed the design of energy saving lamps using “Light Emitting Diode” (LED) which can illuminate the whole house as well as functioning as mobile phone charger (HP). The method used is Design for Manufacture and Assembly (DFMA), with the result of design development The percentage increase in assembly efficiency (E) is 0.01071 - 0.00645 = 0.00426 or = 39.76%. The decrease in material costs is IDR 234,000 - IDR 214,000 = IDR 20,000 or = 8.54% .Development design is received because of more assembly efficiency than the initial design. Power usage on previous products with series and designs of the original product can last only 4-5 hours non-stop, while the development of the design can survive 9-10 hours 2x more energy efficient.

  10. Report to Congress on Insular Area energy vulnerability

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

    Not Available

    1994-05-01

    This report was prepared in response to Section 1406 of the Energy Policy Act of 1992 (Public Law 102-486), which directed the Department of Energy (DOE) to ``conduct a study of the implications of the unique vulnerabilities of the insular areas to an oil supply disruption,`` and to ``outline how the insular areas shall gain access to vital oil supplies during times of national emergency.`` The Act defines the insular areas to be the US Virgin Islands and Puerto Rico in the Caribbean, and Guam, American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), and Palau in the Pacific.more » In the study, ``unique vulnerabilities`` were defined as susceptibility to: (1) more frequent or more likely interruptions of oil supplies compared to the US Mainland, and/or (2) disproportionately larger or more likely economic losses in the event of an oil supply disruption. In order to assess unique vulnerabilities, the study examined the insular areas` experience during past global disruptions of oil supplies and during local emergencies caused by natural disasters. The effects of several possible future global disruptions and local emergencies were also analyzed. Analyses were based on historical data, simulations using energy and economic models, and interviews with officials in the insular governments and the energy industry.« less

  11. User-managed inventory: an approach to forward-deployment of urgently needed medical countermeasures for mass-casualty and terrorism incidents.

    PubMed

    Coleman, C Norman; Hrdina, Chad; Casagrande, Rocco; Cliffer, Kenneth D; Mansoura, Monique K; Nystrom, Scott; Hatchett, Richard; Caro, J Jaime; Knebel, Ann R; Wallace, Katherine S; Adams, Steven A

    2012-12-01

    The user-managed inventory (UMI) is an emerging idea for enhancing the current distribution and maintenance system for emergency medical countermeasures (MCMs). It increases current capabilities for the dispensing and distribution of MCMs and enhances local/regional preparedness and resilience. In the UMI, critical MCMs, especially those in routine medical use ("dual utility") and those that must be administered soon after an incident before outside supplies can arrive, are stored at multiple medical facilities (including medical supply or distribution networks) across the United States. The medical facilities store a sufficient cache to meet part of the surge needs but not so much that the resources expire before they would be used in the normal course of business. In an emergency, these extra supplies can be used locally to treat casualties, including evacuees from incidents in other localities. This system, which is at the interface of local/regional and federal response, provides response capacity before the arrival of supplies from the Strategic National Stockpile (SNS) and thus enhances the local/regional medical responders' ability to provide life-saving MCMs that otherwise would be delayed. The UMI can be more cost-effective than stockpiling by avoiding costs due to drug expiration, disposal of expired stockpiled supplies, and repurchase for replacement.

  12. Workforce Projections 2010-2020: Annual Supply and Demand Forecasting Models for Physical Therapists Across the United States.

    PubMed

    Landry, Michel D; Hack, Laurita M; Coulson, Elizabeth; Freburger, Janet; Johnson, Michael P; Katz, Richard; Kerwin, Joanne; Smith, Megan H; Wessman, Henry C Bud; Venskus, Diana G; Sinnott, Patricia L; Goldstein, Marc

    2016-01-01

    Health human resources continue to emerge as a critical health policy issue across the United States. The purpose of this study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the United States into 2020. A traditional stock-and-flow methodology or model was developed and populated with publicly available data to produce estimates of supply and demand for physical therapists by 2020. Supply was determined by adding the estimated number of physical therapists and the approximation of new graduates to the number of physical therapists who immigrated, minus US graduates who never passed the licensure examination, and an estimated attrition rate in any given year. Demand was determined by using projected US population with health care insurance multiplied by a demand ratio in any given year. The difference between projected supply and demand represented a shortage or surplus of physical therapists. Three separate projection models were developed based on best available data in the years 2011, 2012, and 2013, respectively. Based on these projections, demand for physical therapists in the United States outstrips supply under most assumptions. Workforce projection methodology research is based on assumptions using imperfect data; therefore, the results must be interpreted in terms of overall trends rather than as precise actuarial data-generated absolute numbers from specified forecasting. Outcomes of this projection study provide a foundation for discussion and debate regarding the most effective and efficient ways to influence supply-side variables so as to position physical therapists to meet current and future population demand. Attrition rates or permanent exits out of the profession can have important supply-side effects and appear to have an effect on predicting future shortage or surplus of physical therapists. © 2016 American Physical Therapy Association.

  13. Mississippi River Headwaters Lakes in Minnesota, Low Flow Review

    DTIC Science & Technology

    1990-10-01

    CONTENTS Item Page OBJECTIVES OF LOW FLOW REVIEW 1 AUTHORITY FOR THIS LOW FLOW REVIEW 1 PROJECT AUTHORIZATION 1 AUTHORIZED PROJECT PURPOSES 2 WATER...OF CONTENTS (CONT) Item Page CONSUMPTIVE WATER USES 26 CORPS OF ENGINEERS WATER SUPPLY POLICIES 27 INTRODUCTION 27 EMERGENCY WATER SUPPLY 27 PLANNING...EFFECTS OF EMERGENCY 45 SUPPLEMENTAL FLOWS ii TABLE OF CONTENTS (CONT) Item Page LOW FLOW PLANNING BY OTHERS 46 LONG-RANGE WATER USE PLANNING FOR THE TWIN

  14. Protozoal agents: what are the dangers for the public water supply?

    PubMed

    Steiner, T S; Thielman, N M; Guerrant, R L

    1997-01-01

    Safe and efficient treatment of drinking water has been one of the major public health advances of the twentieth century. People in developed countries generally take for granted that their water is safe to drink, a luxury the majority of the world's population does not have. The leading cause of infant mortality in the developing world is infectious diarrhea, and the prevalence of diarrheal pathogens is largely influenced by the quality and quantity of clean water available for drinking and washing. Until recently, modern water treatment had all but eliminated these concerns in developed nations. Over the past two decades, however, the safety of our water supply has been threatened by the emergence of Cryptosporidium parvum, a protozoal pathogen. The hearty oocysts of this organism survive chlorination and filtration to cause a diarrheal illness that, while unpleasant enough in healthy people, is devastating in immunocompromised individuals. The 1993 Milwaukee outbreak, in which 403,000 people developed diarrhea from drinking water that met all the updated federal safety standards, demonstrated the tremendous public health importance of this organism. While earlier attention had focused on Giardia and amebic infections, the other "emerging" protozoan besides Cryptosporidium is Cyclospora. This review discusses the protozoal pathogens, including Cryptosporidium parvum, Giardia lamblia, Entamoeba histolytica, and Cyclospora cayetanensis, that cause waterborne diarrheal outbreaks and the threats they pose to the public.

  15. Hospital infectious disease emergency preparedness: a 2007 survey of infection control professionals.

    PubMed

    Rebmann, Terri; Wilson, Rita; LaPointe, Sue; Russell, Barbara; Moroz, Dianne

    2009-02-01

    Hospital preparedness for infectious disease emergencies is imperative. A 40-item hospital preparedness survey was administered to Association for Professionals in Infection Control and Epidemiology, Inc, members. Kruskal-Wallis tests were used to evaluate the relationship between hospital size and emergency preparedness in relation to various surge capacity measures. Significant findings were followed by Mann-Whitney U post hoc tests. Most hospitals have an infection control professional on their disaster committee, 24/7 infection control support, a health care worker prioritization plan for vaccine or antivirals, and nonhealth care facility surge beds but lack health care worker, laboratory, linen, and negative-pressure room surge capacity. Many hospitals participated in a disaster exercise recently and are stockpiling N95 respirators and medications. Few are stockpiling ventilators, surgical masks, or patient linens; those that are have

  16. Stakeholders Integration in Higher Education: Supply Chain Approach

    ERIC Educational Resources Information Center

    Al-Turki, U. M.; Duffuaa, S.; Ayar, T.; Demirel, O.

    2008-01-01

    Supply chain management principles have emerged in the last decade as a strategic option to meet new challenges in global business environment. Viewing business environment as part of a chain, starting from raw material suppliers to end customers passing by producers, is at the heart of supply-chain management. Many management principles have…

  17. Using lean methodology to decrease wasted RN time in seeking supplies in emergency departments.

    PubMed

    Richardson, David M; Rupp, Valerie A; Long, Kayla R; Urquhart, Megan C; Ricart, Erin; Newcomb, Lindsay R; Myers, Paul J; Kane, Bryan G

    2014-11-01

    Timely stocking of essential supplies in an emergency department (ED) is crucial to efficient and effective patient care. The objective of this study was to decrease wasted nursing time in obtaining needed supplies in an ED through the use of Lean process controls. As part of a Lean project, the team conducted a "before and after" prospective observation study of ED nurses seeking supplies. Nurses were observed for an entire shift for the time spent outside the patient room obtaining supplies at baseline and after implementation of a point-of-use storage system. Before implementation, nurses were leaving patient rooms a median of 11 times per 8-hour shift (interquartile range [IQR], 8 times per 8-hour shift) and 10 times per 12-hour shift (IQR, 23 times per 12-hour shift). After implementation of the new system, the numbers decreased to 2.5 per 8-hour shift (IQR, 2 per 8-hour shift) and 1 per 12-hour shift (IQR, 1 per 12-hour shift). A redesigned process including a standardized stocking system significantly decreases the number of searches by nurses for supplies.

  18. Care versus convenience: Examining paracetamol overdose in New Zealand and harm reduction strategies through sale and supply.

    PubMed

    Freeman, Nadia; Quigley, Paul

    2015-10-30

    To examine statistics on paracetamol overdose in New Zealand and investigate options to reduce paracetamol overdose rates, through supply reduction strategies. Data was gathered from the Ministry of Health's National Minimum Dataset and Wellington Hospital Emergency Department attendances. Twenty articles on supply reduction strategies were sourced through article database searches. A survey on paracetamol availability from online pharmacies within New Zealand was conducted by searching for New Zealand online pharmacies through Google. A five-year audit of data (2007-2012) from the Wellington Hospital Emergency Department revealed that paracetamol was the most common medication used for overdose (23%). National data on aminophenol derivatives accounted for 22.4% of poisonings in New Zealand's public hospitals. An online search found that 25 out of 27 online pharmacies sold packets containing 50 grams of paracetamol. However, the literature supported restricting packets to the minimum threshold for an acute exposure (10 g). Paracetamol poisoning is the most common form of drug overdose in many developed countries. Tightening restrictions on the quantity of paracetamol sold per packet, in all outlets in New Zealand, may be an effective strategy to reduce overdose rates. This includes online pharmacies where large quantities of paracetamol per packet are available for sale.

  19. Geospatial decision support framework for critical infrastructure interdependency assessment

    NASA Astrophysics Data System (ADS)

    Shih, Chung Yan

    Critical infrastructures, such as telecommunications, energy, banking and finance, transportation, water systems and emergency services are the foundations of modern society. There is a heavy dependence on critical infrastructures at multiple levels within the supply chain of any good or service. Any disruptions in the supply chain may cause profound cascading effect to other critical infrastructures. A 1997 report by the President's Commission on Critical Infrastructure Protection states that a serious interruption in freight rail service would bring the coal mining industry to a halt within approximately two weeks and the availability of electric power could be reduced in a matter of one to two months. Therefore, this research aimed at representing and assessing the interdependencies between coal supply, transportation and energy production. A proposed geospatial decision support framework was established and applied to analyze interdependency related disruption impact. By utilizing the data warehousing approach, geospatial and non-geospatial data were retrieved, integrated and analyzed based on the transportation model and geospatial disruption analysis developed in the research. The results showed that by utilizing this framework, disruption impacts can be estimated at various levels (e.g., power plant, county, state, etc.) for preventative or emergency response efforts. The information derived from the framework can be used for data mining analysis (e.g., assessing transportation mode usages; finding alternative coal suppliers, etc.).

  20. Setting up an emergency stock for metabolic diseases.

    PubMed

    Fernandez-Llamazares, C M; Serrano, M L; Manrique-Rodríguez, S; Sanjurjo-Sáez, M

    2010-01-01

    Therapeutic management of inborn errors of metabolism (IEMs) is complicated. The drugs involved are classified as orphan, and their supply depends on whether they are orphan medicines, investigational drugs, or need to be prepared as a compounded formula. We analyzed emergency criteria, availability, and permanent location of metabolic drugs within the hospital. Information on therapeutic usage, administration, and dosage was also recorded. A stock for treating IEMs should include chelating agents, drugs to treat deficiencies, enzyme supplements, and other specific treatments. Hyperammonemia was considered to be life-threatening; therefore, an emergency supply of drugs to treat this condition should be kept permanently in the hospitalization unit. Emergency drug stocks are highly recommended in tertiary hospitals in order to improve care for patients susceptible to IEM.

  1. On the Simulation-Based Reliability of Complex Emergency Logistics Networks in Post-Accident Rescues.

    PubMed

    Wang, Wei; Huang, Li; Liang, Xuedong

    2018-01-06

    This paper investigates the reliability of complex emergency logistics networks, as reliability is crucial to reducing environmental and public health losses in post-accident emergency rescues. Such networks' statistical characteristics are analyzed first. After the connected reliability and evaluation indices for complex emergency logistics networks are effectively defined, simulation analyses of network reliability are conducted under two different attack modes using a particular emergency logistics network as an example. The simulation analyses obtain the varying trends in emergency supply times and the ratio of effective nodes and validates the effects of network characteristics and different types of attacks on network reliability. The results demonstrate that this emergency logistics network is both a small-world and a scale-free network. When facing random attacks, the emergency logistics network steadily changes, whereas it is very fragile when facing selective attacks. Therefore, special attention should be paid to the protection of supply nodes and nodes with high connectivity. The simulation method provides a new tool for studying emergency logistics networks and a reference for similar studies.

  2. On the Simulation-Based Reliability of Complex Emergency Logistics Networks in Post-Accident Rescues

    PubMed Central

    Wang, Wei; Huang, Li; Liang, Xuedong

    2018-01-01

    This paper investigates the reliability of complex emergency logistics networks, as reliability is crucial to reducing environmental and public health losses in post-accident emergency rescues. Such networks’ statistical characteristics are analyzed first. After the connected reliability and evaluation indices for complex emergency logistics networks are effectively defined, simulation analyses of network reliability are conducted under two different attack modes using a particular emergency logistics network as an example. The simulation analyses obtain the varying trends in emergency supply times and the ratio of effective nodes and validates the effects of network characteristics and different types of attacks on network reliability. The results demonstrate that this emergency logistics network is both a small-world and a scale-free network. When facing random attacks, the emergency logistics network steadily changes, whereas it is very fragile when facing selective attacks. Therefore, special attention should be paid to the protection of supply nodes and nodes with high connectivity. The simulation method provides a new tool for studying emergency logistics networks and a reference for similar studies. PMID:29316614

  3. 75 FR 67698 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    .... Title, Form, and OMB Number: Leading Edge Supply Chain Survey; OMB Number 0701-TBD. Type of Request: New... uncover the emerging trends in supply chain management (SCM) practices, processes and metrics that could...

  4. Development of a rapid response plan for intraoperative emergencies: the Circulate, Scrub, and Technical Assistance Team.

    PubMed

    Earle, David; Betti, Diane; Scala, Emilia

    2017-01-01

    Unplanned intraoperative events are inevitable and cause stress and inefficiency among staff. We believe that developing a technical rapid response team with explicitly defined, narrow roles would reduce the amount of chaos during such emergencies. This article provides a detailed description of the development and implementation of such a program. In-situ simulation of an intraoperative emergency was used for a formal assessment of the current practice. Debriefing sessions identified areas of improvement and solicited solutions. A multidisciplinary working group then developed and implemented the technical rapid response team based on the needs assessment. The program was designed to create a Circulating, Scrubbing, and Technical Assistance Team that helps with equipment, supplies, anesthesia, and communication. We anticipate the program will foster a culture of safety, and promote positive relationships and attitudes of the entire multidisciplinary team. In the future, research regarding patient outcomes and staff satisfaction and safety attitudes may help provide objective evidence of the benefits of the program. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Friends in need

    NASA Astrophysics Data System (ADS)

    Carlowicz, Michael

    With supplies of food and fuel set to run out within days, scientists at the Russian Antarctic station at Mirny received some welcome relief on June 13. The National Science Foundation's icebreaking vessel, Nathaniel B. Palmer, delivered four tons of emergency food supplies to the 38 researchers wintering over at the station, which has not seen a supply ship in nearly a year.

  6. Digital Piracy: An Assessment of Consumer Piracy Risk and Optimal Supply Chain Coordination Strategies

    ERIC Educational Resources Information Center

    Jeong, Bong-Keun

    2010-01-01

    Digital piracy and the emergence of new distribution channels have changed the dynamics of supply chain coordination and created many interesting problems. There has been increased attention to understanding the phenomenon of consumer piracy behavior and its impact on supply chain profitability. The purpose of this dissertation is to better…

  7. The Diffusion and Impact of Radio Frequency Identification in Supply Chains: A Multi-Method Approach

    ERIC Educational Resources Information Center

    Wu, Xiaoran

    2012-01-01

    As a promising and emerging technology for supply chain management, Radio Frequency Identification (RFID) is a new alternative to existing tracking technologies and also allows a range of internal control and supply chain coordination. RFID has generated a significant amount of interest and activities from both practitioners and researchers in…

  8. Green supply chain management in China

    NASA Astrophysics Data System (ADS)

    Zhu, Qinghua; Sarkis, Joseph

    2004-02-01

    Globalization results in both pressure and drivers for Chinese enterprise to improve their environmental performance. As a developing country, China has to balance economic and environmental performance. Green supply chain management (GSCM) is emerging to be an important approach for Chinese enterprises to improve performance, possibly on both these dimensions. Using empirical results from 89 respondents on GSCM practice in Chinese manufacturing enterprises, we examine the relationships between pressures, practice and performance. The results will look at multiple dimensions of GSCM practice and performance, as well as various pressures they face. Discussion of the results will include practical implications for organizations, not only in China, but internationally who face similar pressures and seek to implement similar programs.

  9. Mean Residence Time and Emergency Drinking Water Supply.

    NASA Astrophysics Data System (ADS)

    Kralik, Martin; Humer, Franko

    2013-04-01

    Immediately after securing an endangered population, the first priority of aid workers following a disaster is the distribution of drinking water. Such emergency situations are reported from many parts of the world following regional chemical or nuclear pollution accidents, floods, droughts, rain-induced landslides, tsunami, and other extreme events. It is often difficult to organise a replacement water supply when regular water systems with short residence times are polluted, infiltrated or even flooded by natural or man-made disasters. They are either unusable or their restoration may take months or even years. Groundwater resources, proven safe and protected by the geological environment, with long residence times and the necessary infrastructure for their exploitation, would provide populations with timeous replacement of vulnerable water supply systems and make rescue activities more rapid and effective. Such resources have to be identified and investigated, as a substitute for affected drinking water supplies thereby eliminating or reducing the impact of their failure following catastrophic events. Even in many areas such water resources with long residence times in years or decades are difficult to find it should be known which water supply facilities in the region are matching these requirements to allow in emergency situation the transport of water in tankers to the affected regions to prevent epidemics, importing large quantities of bottled water. One should know the residence time of the water supply to have sufficient time to plan and install new safe water supply facilities. Development of such policy and strategy for human security - both long term and short term - is therefore needed to decrease the vulnerability of populations threatened by extreme events and water supplies with short residence times. Generally: The longer the residence time of groundwater in the aquifer, the lower its vulnerability. The most common and economic methods to estimate Mean Residence Times (MRTs) of the raw water of drinking water supplies is the measurement of the water-isotopes (oxygen-18, hydrogen-2 and tritium (3H)). The traceability and the quality oft he lumped model calculation is based on the quality and the density of input (meteorological) stations in the region with monthly measurements. In addition, noble gas measurements in the groundwater (helium-3, krypton-85) and of industrial tracer gases (chlorofluorocarbon (CFC) and sulphurhexaflorid (SF6)) are important tools to estimate the MRTs of the raw water in the aquifers. To exclude the presence of small amounts of very recent waters, which are in cases of accidents some times heavily polluted, the raw water is tested for natural radionuclides (beryllium-7 or sulphur-35) with very short half-life or artificial fluorescence tracers. In addition, the estimate of the MRTs of groundwater is an essential part of the vulnerability assessment of drinking water supplies due to climate change impacts (frequency of droughts and floods in the recharge area) and offers a valuable tool to specify a sustainable water abstraction. The applicability of this approach was tested in several springs and groundwater monitoring wells used for raw water abstraction for drinking water supply in Austria.

  10. Neighborhood organization activities: evacuation drills, clusters, and fire safety awareness

    Treesearch

    Dick White

    1995-01-01

    Emergency preparedness activities of one Berkeley-Oakland Hills neighborhood at the wildland/urban interface include establishing clusters that reduce fire hazards and fuel loads, setting aside emergency supplies, and identifying evacuation routes; taking emergency preparedness courses from the Offices of Emergency Services of Berkeley and Oakland (the CERT and CORE...

  11. Managing the innovation supply chain to maximize personalized medicine.

    PubMed

    Waldman, S A; Terzic, A

    2014-02-01

    Personalized medicine epitomizes an evolving model of care tailored to the individual patient. This emerging paradigm harnesses radical technological advances to define each patient's molecular characteristics and decipher his or her unique pathophysiological processes. Translated into individualized algorithms, personalized medicine aims to predict, prevent, and cure disease without producing therapeutic adverse events. Although the transformative power of personalized medicine is generally recognized by physicians, patients, and payers, the complexity of translating discoveries into new modalities that transform health care is less appreciated. We often consider the flow of innovation and technology along a continuum of discovery, development, regulation, and application bridging the bench with the bedside. However, this process also can be viewed through a complementary prism, as a necessary supply chain of services and providers, each making essential contributions to the development of the final product to maximize value to consumers. Considering personalized medicine in this context of supply chain management highlights essential points of vulnerability and/or scalability that can ultimately constrain translation of the biological revolution or potentiate it into individualized diagnostics and therapeutics for optimized value creation and delivery.

  12. Demand and supply of emergency help: an economic analysis of Red Cross services.

    PubMed

    Hackl, Franz; Pruckner, Gerald Josef

    2006-08-01

    This paper analyzes supply and demand side characteristics of (voluntary) Red Cross services in Austria. The demand side analysis is based on a contingent valuation study on people's willingness to pay for emergency treatment, transportation services and disaster relief activities. The supply side is identified by a high percentage of volunteers in the Red Cross organization which makes the provision of emergency help at low cost possible. We find that aggregate benefits of Red Cross services exceed their cost of production. Policy conclusions are drawn with respect to future recruitment and funding: whereas intrinsic motivation is important for the decision to volunteer, and financial incentives play a minor role in general, the young Red Cross activists work voluntarily for self-realization reasons and to continue their education. Age-specific recruitment strategies accompanied by word-of-mouth advertising are recommended to address potential volunteers. As long as the volunteering character of Red Cross services will be maintained and cost of production will not go up an increase of funds does not seem necessary in the future. Moreover, a radical change in the structure of funding may crowd out both donations and voluntary labor supply.

  13. Development of a university-based emergency department network: lessons learned.

    PubMed

    Pimentel, Laura; Hirshon, Jon Mark; Barrueto, Fermin; Browne, Brian J

    2012-10-01

    As part of the growth of emergency medical care in our state, our university-based emergency medicine practice developed a network of affiliated emergency department (ED) practices. The original practices were academic and based on a faculty practice model; more recent network development incorporated a community practice model less focused on academics. This article discusses the growth of that network, with a focus on the recent addition of a county-wide two-hospital emergency medicine practice. During the transition of the two EDs from a contract management group to the university network, six critical areas in need of restructuring were identified: 1) departmental leadership, 2) recruitment and retention of clinical staff members, 3) staffing strategies, 4) relationships with key constituents, 5) clinical operations, supplies, and equipment, and 6) compensation structure. The impact of changes was measured by comparison of core measures, efficiency metrics, patient volumes, admissions, and transfers to the academic medical center before and after the implementation of our practice model. Our review and modification of these components significantly improved the quality and efficiency of care at the community hospital system. The consistent presence of board certified emergency physicians optimized utilization of clinical resources in the community hospital and the academic health system. This dynamic led to a mutually beneficial merger of these major state healthcare systems. Copyright © 2012 Elsevier Inc. All rights reserved.

  14. Insular Area energy vulnerability, Puerto Rico, US Virgin Islands. Technical Appendix 1

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

    Stern, M.; Willard, E.E.; Efferding, S.

    1994-05-01

    This report was prepared in response to Section 1406 of the Energy Policy Act of 1992 (P.L. 192-486). The Act directed the Department of Energy (DOE) to ``conduct a study of the implications of the unique vulnerabilities of the insular areas to an oil supply disruption,`` and to ``outline how the insular areas shall gain access to vital oil supplies during times of national emergency.`` The Act defines the insular areas to be the US Virgin Islands and Puerto Rico in the Caribbean, and Guam, American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), and Palau in the Pacific.more » This report is the analysis of Puerto Rico and the US Virgin Islands. In the study, ``unique vulnerabilities`` were defined as susceptibility to: (1) more frequent or more likely interruptions of oil supplies compared to the mainland, and/or (2) disproportionately larger or more likely economic losses in the event of an oil supply disruption. In order to asses unique vulnerabilities, the study examined in the insular areas` experience during past global disruptions of oil supplies and during local emergencies caused by natural disasters. The effects of several possible future global disruptions and local emergencies were also analyzed. Analyses were based on historical data, simulations using energy and economic models, and interviews with officials in the insular governments and the energy industry.« less

  15. Framework for Optimal Global Vaccine Stockpile Design for Vaccine-Preventable Diseases: Application to Measles and Cholera Vaccines as Contrasting Examples.

    PubMed

    Thompson, Kimberly M; Duintjer Tebbens, Radboud J

    2016-07-01

    Managing the dynamics of vaccine supply and demand represents a significant challenge with very high stakes. Insufficient vaccine supplies can necessitate rationing, lead to preventable adverse health outcomes, delay the achievements of elimination or eradication goals, and/or pose reputation risks for public health authorities and/or manufacturers. This article explores the dynamics of global vaccine supply and demand to consider the opportunities to develop and maintain optimal global vaccine stockpiles for universal vaccines, characterized by large global demand (for which we use measles vaccines as an example), and nonuniversal (including new and niche) vaccines (for which we use oral cholera vaccine as an example). We contrast our approach with other vaccine stockpile optimization frameworks previously developed for the United States pediatric vaccine stockpile to address disruptions in supply and global emergency response vaccine stockpiles to provide on-demand vaccines for use in outbreaks. For measles vaccine, we explore the complexity that arises due to different formulations and presentations of vaccines, consideration of rubella, and the context of regional elimination goals. We conclude that global health policy leaders and stakeholders should procure and maintain appropriate global vaccine rotating stocks for measles and rubella vaccine now to support current regional elimination goals, and should probably also do so for other vaccines to help prevent and control endemic or epidemic diseases. This work suggests the need to better model global vaccine supplies to improve efficiency in the vaccine supply chain, ensure adequate supplies to support elimination and eradication initiatives, and support progress toward the goals of the Global Vaccine Action Plan. © 2014 Society for Risk Analysis.

  16. Winter Weather Checklists

    MedlinePlus

    ... walkways Supply of cat litter or bag of sand to add traction on walkways Flashlight and extra ... sealant for emergency tire repair Road salt and sand to help tires get traction Booster cables Emergency ...

  17. The state of emergency obstetric care services in Nairobi informal settlements and environs: Results from a maternity health facility survey

    PubMed Central

    Ziraba, Abdhalah K; Mills, Samuel; Madise, Nyovani; Saliku, Teresa; Fotso, Jean-Christophe

    2009-01-01

    Background Maternal mortality in Sub-Saharan Africa remains a challenge with estimates exceeding 1,000 maternal deaths per 100,000 live births in some countries. Successful prevention of maternal deaths hinges on adequate and quality emergency obstetric care. In addition to skilled personnel, there is need for a supportive environment in terms of essential drugs and supplies, equipment, and a referral system. Many household surveys report a reasonably high proportion of women delivering in health facilities. However, the quality and adequacy of facilities and personnel are often not assessed. The three delay model; 1) delay in making the decision to seek care; 2) delay in reaching an appropriate obstetric facility; and 3) delay in receiving appropriate care once at the facility guided this project. This paper examines aspects of the third delay by assessing quality of emergency obstetric care in terms of staffing, skills equipment and supplies. Methods We used data from a survey of 25 maternity health facilities within or near two slums in Nairobi that were mentioned by women in a household survey as places that they delivered. Ethical clearance was obtained from the Kenya Medical Research Institute. Permission was also sought from the Ministry of Health and the Medical Officer of Health. Data collection included interviews with the staff in-charge of maternity wards using structured questionnaires. We collected information on staffing levels, obstetric procedures performed, availability of equipment and supplies, referral system and health management information system. Results Out of the 25 health facilities, only two met the criteria for comprehensive emergency obstetric care (both located outside the two slums) while the others provided less than basic emergency obstetric care. Lack of obstetric skills, equipment, and supplies hamper many facilities from providing lifesaving emergency obstetric procedures. Accurate estimation of burden of morbidity and mortality was a challenge due to poor and incomplete medical records. Conclusion The quality of emergency obstetric care services in Nairobi slums is poor and needs improvement. Specific areas that require attention include supervision, regulation of maternity facilities; and ensuring that basic equipment, supplies, and trained personnel are available in order to handle obstetric complications in both public and private facilities. PMID:19284626

  18. 44 CFR 330.2 - Policies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Policies. 330.2 Section 330.2 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS...

  19. 44 CFR 330.2 - Policies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Policies. 330.2 Section 330.2 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS...

  20. 44 CFR 330.2 - Policies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Policies. 330.2 Section 330.2 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS...

  1. 44 CFR 330.2 - Policies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Policies. 330.2 Section 330.2 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS...

  2. 44 CFR 330.2 - Policies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Policies. 330.2 Section 330.2 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS...

  3. Research to support design and siting of deposition areas for dredged material from the Rodanthe Emergency Channel

    DOT National Transportation Integrated Search

    2017-06-30

    The Rodanthe Emergency Ferry Channel (REFC) is essential for transporting emergency personnel, equipment, and supplies to Hatteras Island communities following any event that renders the Herbert C. Bonner Bridge and/or North Carolina Highway 12 impas...

  4. 46 CFR 112.05-1 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS... dedicated emergency power source with sufficient capacity to supply those services that are necessary for... power source, except: (1) A load required by this part to be powered from the emergency power source; (2...

  5. 46 CFR 112.05-1 - Purpose.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS... dedicated emergency power source with sufficient capacity to supply those services that are necessary for... power source, except: (1) A load required by this part to be powered from the emergency power source; (2...

  6. 46 CFR 133.80 - Emergency instructions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Emergency instructions. 133.80 Section 133.80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS LIFESAVING SYSTEMS Requirements for All OSVs § 133.80 Emergency instructions. (a) General. Copies of clear instructions must be...

  7. 46 CFR 133.80 - Emergency instructions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Emergency instructions. 133.80 Section 133.80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS LIFESAVING SYSTEMS Requirements for All OSVs § 133.80 Emergency instructions. (a) General. Copies of clear instructions must be...

  8. 49 CFR 192.167 - Compressor stations: Emergency shutdown.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Components § 192.167 Compressor stations: Emergency shutdown. (a) Except for unattended field compressor... fires, and electrical facilities in the vicinity of gas headers and in the compressor building, except that: (i) Electrical circuits that supply emergency lighting required to assist station personnel in...

  9. 49 CFR 192.167 - Compressor stations: Emergency shutdown.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Components § 192.167 Compressor stations: Emergency shutdown. (a) Except for unattended field compressor... fires, and electrical facilities in the vicinity of gas headers and in the compressor building, except that: (i) Electrical circuits that supply emergency lighting required to assist station personnel in...

  10. Solving an emergency rescue materials problem under the joint reserves mode of government and framework agreement suppliers

    PubMed Central

    Sun, Xiao-Qing; Zhu, Rui; Li, Ming; Miao, Wang

    2017-01-01

    Emergency rescue material reserves are vital for the success of emergency rescue activities. In this study, we consider a situation where a government owned distribution center and framework agreement suppliers jointly store emergency rescue materials. Using a scenario-based approach to represent demand uncertainty, we propose a comprehensive transportation pattern for the following supply chain: “suppliers—government distribution center—disaster area.” Using a joint reserves model that includes the government and framework agreement suppliers, we develop a non-linear mathematic model that determines the choices of the framework suppliers, the corresponding optimal commitment quantities, and the quantity of materials that are stored at a government distribution center. Finally, we use IBM ILOG CPLEX to solve the numerical examples to verify the effectiveness of the mode and perform sensitivity analyses on the relevant parameters. PMID:29077722

  11. [Catastrophe hygiene, its contents and place in the federal surveillance service system in the protection of consumers' rights and human well-being].

    PubMed

    Shaposhnikov, A A; Lukicheva, T A

    2005-01-01

    In the past two decades, there has been an increase in the number of earthquakes, tidal waves, accidents at chemically dangerous enterprises, and other types of catastrophes, which have posed an emergency survival problem for society. The scientific development of this problem has given rise to a new area of preventive medicine--catastrophe hygiene that is designed to eliminate (reduce) the poor influence of emergency factors and to offer the suffered population safe conditions of accommodation and/or life, water supply, nutrition, and other elements of survival under these conditions. The paper defines the subject and objects of studies in catastrophe hygiene. It characterizes the value and role of this science in the organization and implementation of preventive measures to liquidate the medicosanitary consequences of emergencies, as well as the place of hygienic facilities and research institutes within the framework of the Russian emergency service.

  12. Pediatric emergency and essential surgical care in Zambian hospitals: a nationwide study.

    PubMed

    Bowman, Kendra G; Jovic, Goran; Rangel, Shawn; Berry, William R; Gawande, Atul A

    2013-06-01

    Pediatric surgical care in developing countries is not well studied. We sought to identify the range of pediatric surgery available, the barriers to provision, and level of safety of surgery performed for the entire pediatric population in Zambia. In cooperation with the Ministry of Health, we validated and adapted a World Health Organization instrument. During onsite visits, the availability of 32 emergency and essential surgical procedures relevant to children was surveyed. The availability of basic World Health Organization surgical safety criteria was determined. A single interviewer visited 103 (95%) of 108 surgical hospitals in Zambia and carried out 495 interviews. An average of 68% of the 32 emergency and essential surgical procedures was available (range 32%-100%). Lack of surgical skill was the primary reason for referral in 72% of procedure types, compared with 24%, 2% and 3% due to lack of equipment, supplies and anesthesia skills, respectively (p<0.001). Minimum pediatric surgical safety criteria were met by 14% of hospitals. The primary limitation to providing pediatric surgical care in Zambia is lack of surgical skills. Minimum safety standards were met by 14% of hospitals. Efforts to improve pediatric surgery should prioritize teaching surgical skills to expand access and providing safety training, equipment and supplies to increase safety. Copyright © 2013 Elsevier Inc. All rights reserved.

  13. Dealing with large-scale supply lines when introducing new regimens.

    PubMed

    Malati, Christine; Rosenfeld, Joshua; Mowafy, Sherif; Rittmiller, Trevor; Kuritsky, Joel; Crowley, John

    2017-07-01

    As programs plan the introduction of a new antiretroviral as part of a regimen for HIV treatment, supply chain considerations need to be taken into account. The key to success is balancing the introduction of a new regimen with the phasing out of an old regimen in a manner that does not result in either a shortage or an excess supply of either product while ensuring that patients continue receiving their medications. This necessitates that country programs, donors, and procurement entities possess an appreciation of the global antiretroviral market and understand the dynamics that the manufacturing of new antiretrovirals will have on the transition. Supply, demand, and financial considerations affect the capacity of the supply chain to facilitate a successful antiretroviral transition. Although this commentary draws on United States Agency for International Development experiences under the President's Emergency Plan for AIDS Relief from earlier antiretroviral treatment shifts, the approaches are applicable to other institutions and to future transitions. Three approaches were employed: ensuring the engagement of all key stakeholders in transition planning and execution, including clinicians, advocacy groups, supply chain professionals, ministry, and donors; conducting and updating regularly the national quantification and supply plans for all regimens; and introducing antiretroviral products into programs from regional warehouses based on firm orders. Extensive planning and accounting for supply chain factors is essential to ensuring a smooth transition to a new regimen and to enable the global antiretroviral market to respond adequately.

  14. Cloud computing for energy management in smart grid - an application survey

    NASA Astrophysics Data System (ADS)

    Naveen, P.; Kiing Ing, Wong; Kobina Danquah, Michael; Sidhu, Amandeep S.; Abu-Siada, Ahmed

    2016-03-01

    The smart grid is the emerging energy system wherein the application of information technology, tools and techniques that make the grid run more efficiently. It possesses demand response capacity to help balance electrical consumption with supply. The challenges and opportunities of emerging and future smart grids can be addressed by cloud computing. To focus on these requirements, we provide an in-depth survey on different cloud computing applications for energy management in the smart grid architecture. In this survey, we present an outline of the current state of research on smart grid development. We also propose a model of cloud based economic power dispatch for smart grid.

  15. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania.

    PubMed

    Mkoka, Dickson Ally; Goicolea, Isabel; Kiwara, Angwara; Mwangu, Mughwira; Hurtig, Anna-Karin

    2014-03-19

    Provision of quality emergency obstetric care relies upon the presence of skilled health attendants working in an environment where drugs and medical supplies are available when needed and in adequate quantity and of assured quality. This study aimed to describe the experience of rural health facility managers in ensuring the timely availability of drugs and medical supplies for emergency obstetric care (EmOC). In-depth interviews were conducted with a total of 17 health facility managers: 14 from dispensaries and three from health centers. Two members of the Council Health Management Team and one member of the Council Health Service Board were also interviewed. A survey of health facilities was conducted to supplement the data. All the materials were analysed using a qualitative thematic analysis approach. Participants reported on the unreliability of obtaining drugs and medical supplies for EmOC; this was supported by the absence of essential items observed during the facility survey. The unreliability of obtaining drugs and medical supplies was reported to result in the provision of untimely and suboptimal EmOC services. An insufficient budget for drugs from central government, lack of accountability within the supply system and a bureaucratic process of accessing the locally mobilized drug fund were reported to contribute to the current situation. The unreliability of obtaining drugs and medical supplies compromises the timely provision of quality EmOC. Multiple approaches should be used to address challenges within the health system that prevent access to essential drugs and supplies for maternal health. There should be a special focus on improving the governance of the drug delivery system so that it promotes the accountability of key players, transparency in the handling of information and drug funds, and the participation of key stakeholders in decision making over the allocation of locally collected drug funds.

  16. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania

    PubMed Central

    2014-01-01

    Background Provision of quality emergency obstetric care relies upon the presence of skilled health attendants working in an environment where drugs and medical supplies are available when needed and in adequate quantity and of assured quality. This study aimed to describe the experience of rural health facility managers in ensuring the timely availability of drugs and medical supplies for emergency obstetric care (EmOC). Methods In-depth interviews were conducted with a total of 17 health facility managers: 14 from dispensaries and three from health centers. Two members of the Council Health Management Team and one member of the Council Health Service Board were also interviewed. A survey of health facilities was conducted to supplement the data. All the materials were analysed using a qualitative thematic analysis approach. Results Participants reported on the unreliability of obtaining drugs and medical supplies for EmOC; this was supported by the absence of essential items observed during the facility survey. The unreliability of obtaining drugs and medical supplies was reported to result in the provision of untimely and suboptimal EmOC services. An insufficient budget for drugs from central government, lack of accountability within the supply system and a bureaucratic process of accessing the locally mobilized drug fund were reported to contribute to the current situation. Conclusion The unreliability of obtaining drugs and medical supplies compromises the timely provision of quality EmOC. Multiple approaches should be used to address challenges within the health system that prevent access to essential drugs and supplies for maternal health. There should be a special focus on improving the governance of the drug delivery system so that it promotes the accountability of key players, transparency in the handling of information and drug funds, and the participation of key stakeholders in decision making over the allocation of locally collected drug funds. PMID:24646098

  17. 43 CFR 12.830 - Buy American Act-Construction materials.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... articles, materials or supplies. However, emergency life safety systems, such as emergency lighting, fire alarm, and audio evacuation systems, which are discrete systems incorporated into a public building or...

  18. 43 CFR 12.830 - Buy American Act-Construction materials.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... articles, materials or supplies. However, emergency life safety systems, such as emergency lighting, fire alarm, and audio evacuation systems, which are discrete systems incorporated into a public building or...

  19. 43 CFR 12.830 - Buy American Act-Construction materials.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... articles, materials or supplies. However, emergency life safety systems, such as emergency lighting, fire alarm, and audio evacuation systems, which are discrete systems incorporated into a public building or...

  20. Nanomedicine: Past, present and future - A global perspective.

    PubMed

    Chang, Esther H; Harford, Joe B; Eaton, Michael A W; Boisseau, Patrick M; Dube, Admire; Hayeshi, Rose; Swai, Hulda; Lee, Dong Soo

    2015-12-18

    Nanomedicine is an emerging and rapidly evolving field and includes the use of nanoparticles for diagnosis and therapy of a variety of diseases, as well as in regenerative medicine. In this mini-review, leaders in the field from around the globe provide a personal perspective on the development of nanomedicine. The focus lies on the translation from research to development and the innovation supply chain, as well as the current status of nanomedicine in industry. The role of academic professional societies and the importance of government funding are discussed. Nanomedicine to combat infectious diseases of poverty is highlighted along with other pertinent examples of recent breakthroughs in nanomedicine. Taken together, this review provides a unique and global perspective on the emerging field of nanomedicine. Copyright © 2015. Published by Elsevier Inc.

  1. 18 CFR 430.15 - Conservation requirements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... considered to assure more reliable supplies of water during emergencies. (4) A drought emergency plan... drought conditions shall be prepared in cooperation with the municipalities in the service area. The plan...) A drought emergency plan specifying the actions to be taken to reduce demand in the event of drought...

  2. 18 CFR 430.15 - Conservation requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... considered to assure more reliable supplies of water during emergencies. (4) A drought emergency plan... drought conditions shall be prepared in cooperation with the municipalities in the service area. The plan...) A drought emergency plan specifying the actions to be taken to reduce demand in the event of drought...

  3. 18 CFR 430.15 - Conservation requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... considered to assure more reliable supplies of water during emergencies. (4) A drought emergency plan... drought conditions shall be prepared in cooperation with the municipalities in the service area. The plan...) A drought emergency plan specifying the actions to be taken to reduce demand in the event of drought...

  4. 18 CFR 430.15 - Conservation requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... considered to assure more reliable supplies of water during emergencies. (4) A drought emergency plan... drought conditions shall be prepared in cooperation with the municipalities in the service area. The plan...) A drought emergency plan specifying the actions to be taken to reduce demand in the event of drought...

  5. 46 CFR 112.50-7 - Compressed air starting.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Emergency Diesel and Gas Turbine Engine Driven Generator Sets § 112.50-7 Compressed... emergency power source. If this compressor supplies other auxiliaries, there must be a non-return valve at...

  6. First Aid Procedures for Dental Emergencies.

    ERIC Educational Resources Information Center

    Barsky, Nancy Happel; Londeree, Kathy

    1982-01-01

    Guidelines for first aid procedures for temporary relief of dental emergencies include information on: (1) dental first aid supplies; (2) treatment of oral injuries; (3) orthodontic emergencies; (4) toothaches; and (5) prolonged bleeding due to an extraction. Consulting a dentist as soon as possible is strongly recommended. (JN)

  7. Emergency Meal Planning for Diabetics

    MedlinePlus

    ... enough insulin and supplies on hand, including extra batteries for the glucometer emergency phone list with names ... unit and the local hospital radio with extra batteries flashlight with extra batteries candles and matches measuring ...

  8. Present and Future Water Supply for Mammoth Cave National Park, Kentucky

    USGS Publications Warehouse

    Cushman, R.V.; Krieger, R.A.; McCabe, John A.

    1965-01-01

    The increase in the number of visitors during the past several years at Mammoth Cave National Park has rendered the present water supply inadequate. Emergency measures were necessary during August 1962 to supplement the available supply. The Green River is the largest potential source of water supply for Mammoth Cave. The 30-year minimum daily discharge is 40 mgd (million gallons per day) . The chemical quality is now good, but in the past the river has been contaminated by oil-field-brine wastes. By mixing it with water from the existing supply, Green River water could be diluted to provide water of satisfactory quality in the event of future brine pollution. The Nolin River is the next largest potential source of water (minimum releases from Nolin Reservoir, 97-129 mgd). The quality is satisfactory, but use of this source would require a 8-mile pipeline. The present water supply comes from springs draining a perched aquifer in the Haney Limestone Member of the Golconda Formation on Flint Ridge. Chemical quality is excellent but the minimum observed flow of all the springs on Flint Ridge plus Bransford well was only 121,700 gpd (gallons per day). This supply is adequate for present needs but not for future requirements; it could be augmented with water from the Green River. Wet Prong Buffalo Creek is the best of several small-stream supplies in the vicinity of Mammoth Cave. Minimum flow of the creek is probably about 300,000 gpd and the quality is good. The supply is about 5 miles from Mammoth Cave. This supply also may be utilized for a future separate development in the northern part of the park. The maximum recorded yield of wells drilled into the basal ground water in the Ste. Genevieve and St. Louis Limestone is 36 gpm (gallons per minute). Larger supplies may be developed if a large underground stream is struck. Quality can be expected to be good unless the well is drilled too far below the basal water table and intercepts poorer quality water at a lower level. This source of supply might be used to augment the present supply, but locating the trunk conduits might be difficult. Water in alluvium adjacent to the Green River and perched water in the Big Clifty Sandstone Member of the Golconda Formation and Girkin Formation have little potential as a water supply.

  9. Implications of Emerging Vehicle Technologies on Rare Earth Supply and Demand in the United States

    DOE PAGES

    Fishman, Tomer; Myers, Rupert; Rios, Orlando; ...

    2018-01-25

    In this article, we explore the long-term demand and supply potentials of rare earth elements in alternative energy vehicles (AEVs) in the United States until 2050. Using a stock-flow model, we compare a baseline scenario with scenarios that incorporate an exemplary technological innovation: a novel aluminum–cerium–magnesium alloy. We find that the introduction of the novel alloy demonstrates that even low penetration rates can exceed domestic cerium production capacity, illustrating possible consequences of technological innovations to material supply and demand. End-of-life vehicles can, however, overtake domestic mining as a source of materials, calling for proper technologies and policies to utilize thismore » emerging source. The long-term importing of critical materials in manufactured and semi-manufactured products shifts the location of material stocks and hence future secondary supply of high-value materials, culminating in a double benefit to the importing country. This modeling approach is adaptable to the study of varied scenarios and materials, linking technologies with supply and demand dynamics in order to understand their potential economic and environmental consequences.« less

  10. Implications of Emerging Vehicle Technologies on Rare Earth Supply and Demand in the United States

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

    Fishman, Tomer; Myers, Rupert; Rios, Orlando

    In this article, we explore the long-term demand and supply potentials of rare earth elements in alternative energy vehicles (AEVs) in the United States until 2050. Using a stock-flow model, we compare a baseline scenario with scenarios that incorporate an exemplary technological innovation: a novel aluminum–cerium–magnesium alloy. We find that the introduction of the novel alloy demonstrates that even low penetration rates can exceed domestic cerium production capacity, illustrating possible consequences of technological innovations to material supply and demand. End-of-life vehicles can, however, overtake domestic mining as a source of materials, calling for proper technologies and policies to utilize thismore » emerging source. The long-term importing of critical materials in manufactured and semi-manufactured products shifts the location of material stocks and hence future secondary supply of high-value materials, culminating in a double benefit to the importing country. This modeling approach is adaptable to the study of varied scenarios and materials, linking technologies with supply and demand dynamics in order to understand their potential economic and environmental consequences.« less

  11. Turkey as an Emerging Energy Hub

    DTIC Science & Technology

    2010-06-01

    respecting environment concerns.”27 It has two dimensions; one of them is the view of the importing country, the other the view of the exporting ...country. For an importing country (consumer), energy security refers primarily to access to the sources and security of supplies,28 for an exporting ...production is insufficient for the country’s needs. Turkey is a developing country and needs energy to sustain its economic growth . To sustain that

  12. Photovoltaic powered ultraviolet and visible light-emitting diodes for sustainable point-of-use disinfection of drinking waters.

    PubMed

    Lui, Gough Yumu; Roser, David; Corkish, Richard; Ashbolt, Nicholas; Jagals, Paul; Stuetz, Richard

    2014-09-15

    For many decades, populations in rural and remote developing regions will be unable to access centralised piped potable water supplies, and indeed, decentralised options may be more sustainable. Accordingly, improved household point-of-use (POU) disinfection technologies are urgently needed. Compared to alternatives, ultraviolet (UV) light disinfection is very attractive because of its efficacy against all pathogen groups and minimal operational consumables. Though mercury arc lamp technology is very efficient, it requires frequent lamp replacement, involves a toxic heavy metal, and their quartz envelopes and sleeves are expensive, fragile and require regular cleaning. An emerging alternative is semiconductor-based units where UV light emitting diodes (UV-LEDs) are powered by photovoltaics (PV). Our review charts the development of these two technologies, their current status, and challenges to their integration and POU application. It explores the themes of UV-C-LEDs, non-UV-C LED technology (e.g. UV-A, visible light, Advanced Oxidation), PV power supplies, PV/LED integration and POU suitability. While UV-C LED technology should mature in the next 10 years, research is also needed to address other unresolved barriers to in situ application as well as emerging research opportunities especially UV-A, photocatalyst/photosensitiser use and pulsed emission options. Copyright © 2014 Elsevier B.V. All rights reserved.

  13. New York City Metropolitan Area Retail Motor Gasoline Supply Report

    EIA Publications

    2012-01-01

    Final report of the Energy Information Administration's (EIA) emergency survey, which was started on Friday, November 2, 2012, to monitor the vehicle fuel supply conditions in the New York City metropolitan area on a temporary basis after Hurricane Sandy.

  14. 29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies... detect fuel leaks. An example is a temperature limit switch often found on deep-fat food fryers found in...

  15. Energy technologies and the environment: Environmental information handbook

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

    Not Available

    1988-10-01

    This revision of Energy Technologies and the Environment reflects the changes in energy supply and demand, focus of environmental concern, and emphasis of energy research and development that have occurred since publication of the earlier edition in 1980. The increase in availability of oil and natural gas, at least for the near term, is responsible in part for a reduced emphasis on development of replacement fuels and technologies. Trends in energy development also have been influenced by an increased reliance on private industry initiatives, and a correspondingly reduced government involvement, in demonstrating more developed technologies. Environmental concerns related to acidmore » rain and waste management continue to increase the demand for development of innovative energy systems. The basic criteria for including a technology in this report are that (1) the technology is a major current or potential future energy supply and (2) significant changes in employing or understanding the technology have occurred since publication of the 1980 edition. Coal is seen to be a continuing major source of energy supply, and thus chapters pertaining to the principal coal technologies have been revised from the 1980 edition (those on coal mining and preparation, conventional coal-fired power plants, fluidized-bed combustion, coal gasification, and coal liquefaction) or added as necessary to include emerging technologies (those on oil shale, combined-cycle power plants, coal-liquid mixtures, and fuel cells).« less

  16. 43 CFR 12.830 - Buy American Act-Construction materials.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... articles, materials or supplies. However, emergency life safety systems, such as emergency lighting, fire... States exceeds 50 percent of the cost of all its components. Components of foreign origin of the same...

  17. 43 CFR 12.830 - Buy American Act-Construction materials.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... articles, materials or supplies. However, emergency life safety systems, such as emergency lighting, fire... States exceeds 50 percent of the cost of all its components. Components of foreign origin of the same...

  18. 77 FR 39745 - Fuel Oil Systems for Emergency Power Supplies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ... fuel oil systems for safety-related emergency diesel generators and oil-fueled gas turbine generators... emergency diesel generators and oil-fueled gas turbine generators, including assurance of adequate fuel oil.... The DG-1282 is proposed revision 2 of Regulatory Guide 1.137, ``Fuel Oil Systems for Standby Diesel...

  19. Understanding Supply Chain Management Practices for Small and Medium-Sized Enterprises

    NASA Astrophysics Data System (ADS)

    Thoo, AC; Sulaiman, Z.; Choi, SL; Kohar, UHA

    2017-06-01

    Small and medium enterprises (SMEs) are a major source of dynamism, innovation and flexibility for emerging and developing countries, as well as for the economies of the most industrialised nations. However, the survival and growth of SMEs can be difficult in the current competitive business environment and global marketplace. It can be a real challenge to deliver the right product and service at the most opportune time and at the lowest possible cost to the right customer. The challenge stresses the importance of managing cross-boundary relationships between business partners. For gaining a competitive advantage, supply chain management (SCM) is an effective tool to SMEs. Therefore, this paper aims to review the tenet of SCM, its benefits and practices to SMEs.

  20. Global health and transfusion medicine: education and training in developing countries.

    PubMed

    Eichbaum, Quentin; Shan, Hua; Goncalez, Thelma T; Duits, A J; Knox, Patricia; Reilly, Jim; Andrews, David

    2014-07-01

    Education and training in transfusion medicine have improved over the past decade in developing countries but are still generally deficient for the purpose of maintaining the safety of the global blood supply. In 2009, the World Health Organization global database on blood safety indicated that only 72% of countries in the world were able to meet their training needs necessary for maintaining the safety of their local blood supply. Educational approaches in transfusion medicine vary widely between continents and world regions. In this article, we summarize a session on global health education and training in developing countries that took place at the 2012 AABB conference. The panel consisted of transfusion representatives from South America (Brazil), Asia (China), Africa (South Africa), and the Caribbean (Curaçao), as well as a description of capacitation issues in postearthquake Haiti and the pivotal role of the US President's Emergency Plan for AIDS Relief (PEPFAR) in transfusion training and education in Africa. We present here summaries of each of these panel presentations. © 2014 AABB.

  1. Enhanced germination and gravitropism of soybean in a hypogeomagnetic field

    NASA Astrophysics Data System (ADS)

    Mo, Weichuan

    For the future manned space exploration, the duration of the missions would significantly in-crease. Investigating plant growth and development under the space environmental conditions is of essential importance for the food supply projects for the astronauts. Hypogeomagnetic field (HGMF), namely, extremely low magnetic field, is one of the main characters of the space environment. Germination is the first vital step of plant growth and development, which determines the final yield of plants. The effect of HGMF on plant growth, especially early ger-mination, still remains open. In this study, we established a hypogeomagnetic field (HGMF) incubation system, the remnant magnetic field inside no more than 250 nT. Soybean seeds were incubated at 25 in HGMF, and the very beginning of soybean germination, from water ab-sorbance of cotyledon to radicle emergence, was examined within 24 h. Our results showed that the germination ratio and weight ratio of emerged soybean radicles were markedly increased during germination in HGMF. Furthermore, the tropism angle of emerged radicle with gravity in HGMF was statistically smaller than that in GMF when the radicle direction was placed opposite to gravity before germination. These results indicate that the germination and gravit-ropism of soybean is enhanced in a hypogeomagnetic environment, This is a new finding about the early seed germination in such a low environmental magnetic field which is comparable to the magnetic field of Lunar Swirls on the Moon (a few hundred nT), and it might provide new perspectives on the space science researches concerning plant growth and food supply.

  2. The fox and the grapes: an Anglo-Irish perspective on conscientious objection to the supply of emergency hormonal contraception without prescription.

    PubMed

    Gallagher, Cathal T; Holton, Alice; McDonald, Lisa J; Gallagher, Paul J

    2013-10-01

    Emergency hormonal contraception (EHC) has been available from pharmacies in the UK without prescription for 11 years. In the Republic of Ireland this service was made available in 2011. In both jurisdictions the respective regulators have included 'conscience clauses', which allow pharmacists to opt out of providing EHC on religious or moral grounds providing certain criteria are met. In effect, conscientious objectors must refer patients to other providers who are willing to supply these medicines. Inclusion of such clauses leads to a cycle of cognitive dissonance on behalf of both parties. Objectors convince themselves of the existence of a moral difference between supply of EHC and referral to another supplier, while the regulators must feign satisfaction that a form of regulation lacking universality will not lead to adverse consequences in the long term. We contend that whichever of these two parties truly believes in that which they purport to must act to end this unsatisfactory status quo. Either the regulators must compel all pharmacists to dispense emergency contraception to all suitable patients who request it, or a pharmacist must refuse either to supply EHC or to refer the patient to an alternative supplier and challenge any subsequent sanctions imposed by their regulator.

  3. Agile supply chain capabilities: emerging patterns as a determinant of competitive objectives

    NASA Astrophysics Data System (ADS)

    Yusuf, Yahaya Y.; Adeleye, E. O.; Sivayoganathan, K.

    2001-10-01

    Turbulent change caused by factors such as changing customer and technological requirements threatens manufacturers through lower product life cycles, profits and bleak survival prospects. Therefore, several companies are stressing flexibility and agility in order to respond, real time, to the unique needs of customers and markets. However, the resource competencies required are often difficult to mobilise and retain by single companies. It is therefore imperative for companies to co-operate and leverage complementary competencies. To this end, legally separate and spatially distributed companies are becoming integrated through Internet-based technologies. The paper reviews emerging patterns in supply chain integration. It also explores the relationship between the emerging patterns and attainment of competitive objectives. The results reported in the paper are based on data from a survey by questionnaire. The survey involved 600 companies in the UK, as part of a larger study of agile manufacturing. The study was driven by a conceptual model, which relates supply chain practices to competitive objectives. The analysis involves the use of factor analysis to reduce research variables to a few principal components. Subsequently, multiple regression was conducted to study the relationship amongst the reduced variables. The results validate the proposed conceptual model and lend credence to current thinking that supply chain integration is a vital tool for competitive advantage.

  4. Multi-Objective Algorithm for Blood Supply via Unmanned Aerial Vehicles to the Wounded in an Emergency Situation

    PubMed Central

    Wen, Tingxi; Zhang, Zhongnan; Wong, Kelvin K. L.

    2016-01-01

    Unmanned aerial vehicle (UAV) has been widely used in many industries. In the medical environment, especially in some emergency situations, UAVs play an important role such as the supply of medicines and blood with speed and efficiency. In this paper, we study the problem of multi-objective blood supply by UAVs in such emergency situations. This is a complex problem that includes maintenance of the supply blood’s temperature model during transportation, the UAVs’ scheduling and routes’ planning in case of multiple sites requesting blood, and limited carrying capacity. Most importantly, we need to study the blood’s temperature change due to the external environment, the heating agent (or refrigerant) and time factor during transportation, and propose an optimal method for calculating the mixing proportion of blood and appendage in different circumstances and delivery conditions. Then, by introducing the idea of transportation appendage into the traditional Capacitated Vehicle Routing Problem (CVRP), this new problem is proposed according to the factors of distance and weight. Algorithmically, we use the combination of decomposition-based multi-objective evolutionary algorithm and local search method to perform a series of experiments on the CVRP public dataset. By comparing our technique with the traditional ones, our algorithm can obtain better optimization results and time performance. PMID:27163361

  5. Multi-Objective Algorithm for Blood Supply via Unmanned Aerial Vehicles to the Wounded in an Emergency Situation.

    PubMed

    Wen, Tingxi; Zhang, Zhongnan; Wong, Kelvin K L

    2016-01-01

    Unmanned aerial vehicle (UAV) has been widely used in many industries. In the medical environment, especially in some emergency situations, UAVs play an important role such as the supply of medicines and blood with speed and efficiency. In this paper, we study the problem of multi-objective blood supply by UAVs in such emergency situations. This is a complex problem that includes maintenance of the supply blood's temperature model during transportation, the UAVs' scheduling and routes' planning in case of multiple sites requesting blood, and limited carrying capacity. Most importantly, we need to study the blood's temperature change due to the external environment, the heating agent (or refrigerant) and time factor during transportation, and propose an optimal method for calculating the mixing proportion of blood and appendage in different circumstances and delivery conditions. Then, by introducing the idea of transportation appendage into the traditional Capacitated Vehicle Routing Problem (CVRP), this new problem is proposed according to the factors of distance and weight. Algorithmically, we use the combination of decomposition-based multi-objective evolutionary algorithm and local search method to perform a series of experiments on the CVRP public dataset. By comparing our technique with the traditional ones, our algorithm can obtain better optimization results and time performance.

  6. The impact of globalization on vaccine development and availability.

    PubMed

    Milstien, Julie B; Kaddar, Miloud; Kieny, Marie Paule

    2006-01-01

    Globalization is likely to affect many aspects of public health, one of which is vaccine-preventable communicable diseases. Important forces include increased funding initiatives supporting immunization at the global level; regulatory harmonization; widespread intellectual property rights provisions through the World Trade Organization agreements; the emergence of developing-country manufacturers as major players in vaccine supply; and the appearance of new communicable disease threats, including those potentially linked to bioterrorism. All of these forces can affect, either positively and negatively, the development and availability of vaccines. Harnessing these will be a challenge for policymakers and immunization stakeholders.

  7. Mechanics of Flapping Flight: Analytical Formulations of Unsteady Aerodynamics, Kinematic Optimization, Flight Dynamics, and Control

    NASA Astrophysics Data System (ADS)

    Taneja, Jayant Kumar

    Electricity is an indispensable commodity to modern society, yet it is delivered via a grid architecture that remains largely unchanged over the past century. A host of factors are conspiring to topple this dated yet venerated design: developments in renewable electricity generation technology, policies to reduce greenhouse gas emissions, and advances in information technology for managing energy systems. Modern electric grids are emerging as complex distributed systems in which a portfolio of power generation resources, often incorporating fluctuating renewable resources such as wind and solar, must be managed dynamically to meet uncontrolled, time-varying demand. Uncertainty in both supply and demand makes control of modern electric grids fundamentally more challenging, and growing portfolios of renewables exacerbate the challenge. We study three electricity grids: the state of California, the province of Ontario, and the country of Germany. To understand the effects of increasing renewables, we develop a methodology to scale renewables penetration. Analyzing these grids yields key insights about rigid limits to renewables penetration and their implications in meeting long-term emissions targets. We argue that to achieve deep penetration of renewables, the operational model of the grid must be inverted, changing the paradigm from load-following supplies to supply-following loads. To alleviate the challenge of supply-demand matching on deeply renewable grids, we first examine well-known techniques, including altering management of existing supply resources, employing utility-scale energy storage, targeting energy efficiency improvements, and exercising basic demand-side management. Then, we create several instantiations of supply-following loads -- including refrigerators, heating and cooling systems, and laptop computers -- by employing a combination of sensor networks, advanced control techniques, and enhanced energy storage. We examine the capacity of each load for supply-following and study the behaviors of populations of these loads, assessing their potential at various levels of deployment throughout the California electricity grid. Using combinations of supply-following strategies, we can reduce peak natural gas generation by 19% on a model of the California grid with 60% renewables. We then assess remaining variability on this deeply renewable grid incorporating supply-following loads, characterizing additional capabilities needed to ensure supply-demand matching in future sustainable electricity grids.

  8. An urban systems framework to assess the trans-boundary food-energy-water nexus: implementation in Delhi, India

    NASA Astrophysics Data System (ADS)

    Ramaswami, Anu; Boyer, Dana; Singh Nagpure, Ajay; Fang, Andrew; Bogra, Shelly; Bakshi, Bhavik; Cohen, Elliot; Rao-Ghorpade, Ashish

    2017-02-01

    This paper develops a generalizable systems framework to analyze the food-energy-water (FEW) nexus from an urban systems perspective, connecting in- and trans-boundary interactions, quantifying multiple environmental impacts of community-wide FEW provisioning to cities, and visualizing FEW supply-chain risks posed to cities by the environment. Delhi’s community-wide food demand includes household consumption by socio-economic-strata, visitors- and industrial food-use. This demand depends 90%, 76%, and 86% on trans-boundary supply of FEW, respectively. Supply chain data reveal unique features of trans-boundary FEW production regions (e.g. irrigation-electricity needs and GHG intensities of power-plants), yielding supply chain-informed coupled energy-water-GHG footprints of FEW provisioning to Delhi. Agri-food supply contributes to both GHG (19%) and water-footprints (72%-82%) of Delhi’s FEW provisioning, with milk, rice and wheat dominating these footprints. Analysis of FEW interactions within Delhi found >75% in-boundary water-use for food is for urban agriculture and >76% in-boundary energy-use for food is from cooking fuels. Food waste-to-energy and energy-intensity of commercial and industrial food preparation are key data gaps. Visualizing supply chains shows >75% of water embodied in Delhi’s FEW supply is extracted from locations over-drafting ground water. These baseline data enable evaluation of future urban FEW scenarios, comparing impacts of demand shifts, production shifts, and emerging technologies and policies, within and outside of cities.

  9. Water resources of the Flint area, Michigan

    USGS Publications Warehouse

    Wiitala, Sulo Werner; Vanlier, K.E.; Krieger, Robert A.

    1964-01-01

    This report describes the water resources of Genesee County, Mich., whose principal city is Flint. The sources of water available to the county are the Flint and Shiawassee Rivers and their tributaries, inland lakes, ground water, and Lake Huron. The withdrawal use of water in the county in 1958 amounted to about 45 mgd. Of this amount, 36 mgd was withdrawn from the Flint River by the Flint public water-supply system. The rest was supplied by wells. At present (1959) the Shiawassee River and its tributaries and the inland lakes are not used for water supply. Flint River water is used for domestic, industrial, and waste-dilution requirements in Flint. About 60 percent of the water supplied by the Flint public water system is used by Flint industry. At least 30 mgd of river water is needed for waste dilution in the Flint River during warm weather.Water from Holloway Reservoir, which has a storage capacity of 5,760 million gallons, is used to supplement low flows in the Flint River to meet water-supply and waste-dilution requirements. About 650 million gallons in Kearsley Reservoir, on a Flint River tributary, is held in reserve for emergency use. Based on records for the lowest flows during the period 1930-52, the Flint River system, with the two reservoirs in operation, is capable of supplying about 60 mgd at Flint, less evaporation and seepage losses. The 1958 water demands exceeded this amount. Development of additional storage in the Flint River basin is unlikely because of lack of suitable storage sites. Plans are underway to supply Flint and most of Genesee County with water from Lake Huron.The principal tributaries of the Flint River in and near Flint could furnish small supplies of water. Butternut Creek, with the largest flow of those studied, has an estimated firm yield of 0.054 mgd per sq mi for 95 percent of the time. The Shiawassee River at Byron is capable of supplying at least 29 mgd for 95 percent of the time.Floods are a serious problem in Flint. The April 1947 flood, the largest on record, caused nearly $4 million flood damage in Flint. A proposed flood-control plan for Flint calls for channel, floodwall, and levee improvements and the removal or modification of some bridges.Analyses of water samples taken from selected streams and lakes in the Flint area indicate that the waters are of the calcium bicarbonate type and generally hard to very hard. Flint River water is relatively uniform in quality although a progressive increase in iron, sodium, and chloride concentrations was noted between Otisville and Montrose. Downstream from Flint, the dissolved oxygencontent may be low during low flows. At times, concentrations of iron, manganese, phenols, color, and turbidity in Flint River water exceed the limits recommended in drinking water standards. Water temperatures ranged from freezing to 86°F in a 4-year period. The finished water supplied by the Flint water-treatment plant is fairly uniform in quality, moderately soft, alkaline, and low in color and turbidity. The pH is nearly always above 10. Further softening and removal of iron and related minerals would be desirable for certain industrial uses.The quality of the water sampled in the Flint River tributaries was generally similar to that of the Flint River. However, no phenols or oils and waxes were found. Softening and other treatment dependent upon use would be required if these streams were developed for water supply.Waters sampled in the Shiawassee River and selected lakes were generally less mineralized than Flint River water. Water from the lakes showed the lowest concentrations of dissolved solids. Softening would be required for nearly all uses. Additional treatment would depend upon contemplated use.Shallow deposits of sand and gravel deposited as outwash along glacial meltwater streams and as deltas in the glacial lakes that covered the northwestern part of the county are sources of water to moderate- and large-capacity wells. Thick deposits of sand and gravel also fill some of the valleys in the bedrock surface and yield moderate to large supplies of water. Production from public supply wells tapping the drift aquifers in the area ranges from about 50 to 1,200 gpm. The water from the drift aquifer is hard or very hard and commonly contains objectionable amounts of iron.The Saginaw formation is a source of water to wells supplying some of the small communities and industries in the county. The Saginaw, which is the uppermost bedrock formation in the area, underlies most of the county. It is composed of layers of sandstone, shale, and limestone and some beds of coal. The formation is composed principally of sandstone in some areas of the county, and shale in others. Production from wells tapping the Saginaw ranges from a few to about 500 gpm. The water produced is generally moderately hard or hard and commonly contains objectionable amounts of chloride. The quality of the water limits its development for water supply. Overdrafts from the Saginaw result in a lowering of the piezometric surface and commonly cause an upward migration of water high in chloride.The Michigan and Marshall formations are generally not sources of fresh water where they are overlain by the Saginaw formation. In the southern and eastern parts of the county where they are overlain by glacial deposits, they are a source of water of good quality. The quantity of water obtainable from these formations is not fully known. However, the Marshall may be a source of large supplies of water in the southeastern part of the county.An ample supply of water is available in lakes, ponds, and streams in the metropolitan area of Flint to meet requirements for domestic, sanitary, and firefighting use in civil defense emergencies. The extent of emergency use of water from these sources would depend upon the pumping, distribution, and treatment facilities available. Enough private industrial and commercial, and public wells are present in the area normally supplied by the Flint public water system to meet emergency requirements for domestic and sanitary use. Use of these wells would also depend upon available pumping and distribution facilities. Water from many of these wells contains objectionable amounts of chloride, but it could be used without treatment in an emergency.

  10. Evaluation of earthquake and tsunami on JSFR

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

    Chikazawa, Y.; Enuma, Y.; Kisohara, N.

    2012-07-01

    Evaluation of earthquake and tsunami on JSFR has been analyzed. For seismic design, safety components are confirmed to maintain their functions even against recent strong earthquakes. As for Tsunami, some parts of reactor building might be submerged including component cooling water system whose final heat sink is sea water. However, in the JSFR design, safety grade components are independent from component cooling water system (CCWS). The JSFR emergency power supply adopts a gas turbine system with air cooling, since JSFR does not basically require quick start-up of the emergency power supply thanks to the natural convection DHRS. Even in casemore » of long station blackout, the DHRS could be activated by emergency batteries or manually and be operated continuously by natural convection. (authors)« less

  11. Proactive Risk Assessments and the Continuity of Business Principles: Perspectives on This Novel, Combined Approach to Develop Guidance for the Permitted Movement of Agricultural Products during a Foot-and-Mouth Disease Outbreak in the United States.

    PubMed

    Goldsmith, Timothy J; Culhane, Marie Rene; Sampedro, Fernando; Cardona, Carol J

    2016-01-01

    Animal diseases such as foot-and-mouth disease (FMD) have the potential to severely impact food animal production systems. Paradoxically, the collateral damage associated with the outbreak response may create a larger threat to the food supply, social stability, and economic viability of rural communities than the disease itself. When FMD occurs in domestic animals, most developed countries will implement strict movement controls in the area surrounding the infected farm(s). Historically, stopping all animal movements has been considered one of the most effective ways to control FMD and stop disease spread. However, stopping all movements in an area comes at a cost, as there are often uninfected herds and flocks within the control area. The inability to harvest uninfected animals and move their products to processing interrupts the food supply chain and has the potential to result in an enormous waste of safe, nutritious animal products, and create animal welfare situations. In addition, these adverse effects may negatively impact agriculture businesses and the related economy. Effective disease control measures and the security of the food supply thus require a balanced approach based on science and practicality. Evaluating the risks associated with the movement of live animals and products before an outbreak happens provides valuable insights for risk management plans. These plans can optimize animal and product movements while preventing disease spread. Food security benefits from emergency response plans that both control the disease and keep our food system functional. Therefore, emergency response plans must aim to minimize the unintended negative consequence to farmers, food processors, rural communities, and ultimately consumers.

  12. What Should I Do? A Safety and Emergency Care Handbook.

    ERIC Educational Resources Information Center

    Crist, Mary Jo; And Others

    One of a series written especially for parents and other caregivers, this handbook offers an overview of emergency care and safety considerations. The discussion of emergency care focuses on supplies for the first aid kit and provides guidelines for dealing with bleeding, bites, burns, suffocation, eye injury, broken bones, head injuries, fevers,…

  13. American River Watershed Investigation, California. Volume 8. Appendix T

    DTIC Science & Technology

    1991-12-01

    American River in 1988. This model was developed for establishing new flood plain information for the Federal Emergency Management Agency for flood...PERTINENT CORRESPONDENCE B PLAN FORMULATION C ECONOMICS D WATER SUPPLY NEEDS E LAND USE Volume 2 F CULTURAL AND PALEONTOLOGICAL RESOURCES G SECTION 404...that the information provided in the Response to Comments Appendix will not be nearly as thorough as the discussions that are presented in the report

  14. The Army War College Review. Volume 1, Number 2. Student Publications

    DTIC Science & Technology

    2015-05-01

    A . Gulrez Emerging economic viability is a key 21st century enabler for national power and security.5 In Pakistan-China relations, trade...with Iran it would provide a small counterbalance50 on the eastern flank of the Gulf, preventing the possible disruption of China’s oil supply caused by...national reunification,55 (2) A peaceful rise through economic development,56 promotion of equally beneficial international cooperation,57 and a

  15. Joint Force Quarterly. Issue 57, 2nd Quarter 2010

    DTIC Science & Technology

    2010-04-01

    nevertheless poured in from home and abroad. Subsequent Sidetracks At age 51, I shed the uniform of an Army colonel on Friday, May 31, 1972, and the...necessitating the state of emergency Azerbaijani and turkish officials in Ankara discuss agreement establishing diplomatic relations A P Im ag es (U m it...the Army’s Rapid Equipping Force to develop a portable renewable /hybrid energy supply system, demonstrated at the National Training Center but not

  16. The Contribution of the Peruvian Armed Forces to the Socio-Economic Development of the Country.

    DTIC Science & Technology

    1986-03-01

    action programs was insurgency. Civic action was seen as a tool to eliminate or reduce the causes of economic and social discontent, the main source of...literacy programs, providing tr ahsportation, and didactic material. 2. Supply and maintainance of school furniture. 3. Construction, imrovement, and... Photography , Oceanography, lMapping, and Transportation. About the capacities and performance of the armed forces in civil defense and emergency

  17. Global reverse supply chain design for solid waste recycling under uncertainties and carbon emission constraint.

    PubMed

    Xu, Zhitao; Elomri, Adel; Pokharel, Shaligram; Zhang, Qin; Ming, X G; Liu, Wenjie

    2017-06-01

    The emergence of concerns over environmental protection, resource conservation as well as the development of logistics operations and manufacturing technology has led several countries to implement formal collection and recycling systems of solid waste. Such recycling system has the benefits of reducing environmental pollution, boosting the economy by creating new jobs, and generating income from trading the recyclable materials. This leads to the formation of a global reverse supply chain (GRSC) of solid waste. In this paper, we investigate the design of such a GRSC with a special emphasis on three aspects; (1) uncertainty of waste collection levels, (2) associated carbon emissions, and (3) challenges posed by the supply chain's global aspect, particularly the maritime transportation costs and currency exchange rates. To the best of our knowledge, this paper is the first attempt to integrate the three above-mentioned important aspects in the design of a GRSC. We have used mixed integer-linear programming method along with robust optimization to develop the model which is validated using a sample case study of e-waste management. Our results show that using a robust model by taking the complex interactions characterizing global reverse supply chain networks into account, we can create a better GRSC. The effect of uncertainties and carbon constraints on decisions to reduce costs and emissions are also shown. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Resource Demand Scenarios for the Major Metals.

    PubMed

    Elshkaki, Ayman; Graedel, T E; Ciacci, Luca; Reck, Barbara K

    2018-03-06

    The growth in metal use in the past few decades raises concern that supplies may be insufficient to meet demands in the future. From the perspective of historical and current use data for seven major metals-iron, manganese, aluminum, copper, nickel, zinc, and lead-we have generated several scenarios of potential metal demand from 2010 to 2050 under alternative patterns of global development. We have also compared those demands with various assessments of potential supply to midcentury. Five conclusions emerge: (1) The calculated demand for each of the seven metals doubles or triples relative to 2010 levels by midcentury; (2) The largest demand increases relate to a scenario in which increasingly equitable values and institutions prevail throughout the world; (3) The metal recycling flows in the scenarios meet only a modest fraction of future metals demand for the next few decades; (4) In the case of copper, zinc, and perhaps lead, supply may be unlikely to meet demand by about midcentury under the current use patterns of the respective metals; (5) Increased rates of demand for metals imply substantial new energy provisioning, leading to increases in overall global energy demand of 21-37%. These results imply that extensive technological transformations and governmental initiatives could be needed over the next several decades in order that regional and global development and associated metal demand are not to be constrained by limited metal supply.

  19. Outsourcing vaccine logistics to the private sector: The evidence and lessons learned from the Western Cape Province in South-Africa.

    PubMed

    Lydon, Patrick; Raubenheimer, Ticky; Arnot-Krüger, Michelle; Zaffran, Michel

    2015-06-26

    With few exceptions, immunization supply chains in developing countries continue to face chronic difficulties in providing uninterrupted availability of potent vaccines up to service delivery levels, and in the most efficient manner possible. As these countries struggle to keep pace with an ever growing number of vaccines, more and more Ministries of Health are considering options of engaging the private sector to manage vaccine storage, handling and distribution on their behalf. Despite this emerging trend, there is limited evidence on the benefits or challenges of this option to improve public supply chain performance for national immunization programmes. To bridge this knowledge gap, this study aims to shed light on the value proposition of outsourcing by documenting the specific experience of the Western Cape Province of South Africa. The methodology for this review rested on conducting two key supply chain assessments which allowed juxtaposing the performance of the government managed segments of the vaccine supply chain against those managed by the private sector. In particular, measures of effective vaccine management best practice and temperature control in the cold chain were analysed. In addition, the costs of engaging the private sector were analysed to get a better understanding of the economics underpinning outsourcing vaccine logistics. The results from this analysis confirmed some of the theoretical benefits of outsourcing to the private sector. Yet, if the experience in the Western Cape can be deemed a successful one, there are several policy and practice implications that developing countries should be mindful of when considering engaging the private sector. While outsourcing can help improve the performance of the vaccine supply chain, it has the potential to do the reverse if done incorrectly. The findings and lessons learnt from the Western Cape experience can serve as a step towards understanding the role of the private sector in immunization supply chain and logistics systems for developing countries. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. Waste biomass-to-energy supply chain management: a critical synthesis.

    PubMed

    Iakovou, E; Karagiannidis, A; Vlachos, D; Toka, A; Malamakis, A

    2010-10-01

    The development of renewable energy sources has clearly emerged as a promising policy towards enhancing the fragile global energy system with its limited fossil fuel resources, as well as for reducing the related environmental problems. In this context, waste biomass utilization has emerged as a viable alternative for energy production, encompassing a wide range of potential thermochemical, physicochemical and bio-chemical processes. Two significant bottlenecks that hinder the increased biomass utilization for energy production are the cost and complexity of its logistics operations. In this manuscript, we present a critical synthesis of the relative state-of-the-art literature as this applies to all stakeholders involved in the design and management of waste biomass supply chains (WBSCs). We begin by presenting the generic system components and then the unique characteristics of WBSCs that differentiate them from traditional supply chains. We proceed by discussing state-of-the-art energy conversion technologies along with the resulting classification of all relevant literature. We then recognize the natural hierarchy of the decision-making process for the design and planning of WBSCs and provide a taxonomy of all research efforts as these are mapped on the relevant strategic, tactical and operational levels of the hierarchy. Our critical synthesis demonstrates that biomass-to-energy production is a rapidly evolving research field focusing mainly on biomass-to-energy production technologies. However, very few studies address the critical supply chain management issues, and the ones that do that, focus mainly on (i) the assessment of the potential biomass and (ii) the allocation of biomass collection sites and energy production facilities. Our analysis further allows for the identification of gaps and overlaps in the existing literature, as well as of critical future research areas. (c) 2010 Elsevier Ltd. All rights reserved.

  1. Critical issues in sensor science to aid food and water safety.

    PubMed

    Farahi, R H; Passian, A; Tetard, L; Thundat, T

    2012-06-26

    The stability of food and water supplies is widely recognized as a global issue of fundamental importance. Sensor development for food and water safety by nonconventional assays continues to overcome technological challenges. The delicate balance between attaining adequate limits of detection, chemical fingerprinting of the target species, dealing with the complex food matrix, and operating in difficult environments are still the focus of current efforts. While the traditional pursuit of robust recognition methods remains important, emerging engineered nanomaterials and nanotechnology promise better sensor performance but also bring about new challenges. Both advanced receptor-based sensors and emerging non-receptor-based physical sensors are evaluated for their critical challenges toward out-of-laboratory applications.

  2. Blackout 2003: preparedness and lessons learned from the perspectives of four hospitals.

    PubMed

    Klein, Kelly R; Rosenthal, Marc S; Klausner, Howard A

    2005-01-01

    The blackout in North America of August 2003 was one of the worst on record. It affected eight US states and parts of Canada for >24 hours. Additionally, two large US cities, Detroit, Michigan and Cleveland, Ohio, suffered from a loss of water pressure and a subsequent ban on the use of public supplies of potable water that lasted four days. A literature review revealed a paucity of literature that describes blackouts and how they may affect the medical community. This paper includes a review of after-action reports from four inner-city, urban hospitals supplemented accounts from the authors' hospital's emergency operations center (EOC). Some of the problems encountered, included: (1)lighting; (2) elevator operations; (3) supplies of water; (4) communication operations; (5) computer failure; (6) lack of adequate supplies of food; (7) mobility to obtain X-ray studies; (8) heating, air condition, and ventilation; (9) staffing; (10) pharmacy; (11) registration of patients; (12) hospital EOC; (13) loss of isolation facilities; (14) inadequate supplies of paper; (15) impaired ability to provide care for non-emergency patients; (16) sanitation; and (17) inadequate emergency power. The blackout of 2003 uncovered problems within the US hospital system, ranging from staffing to generator coverage. This report is a review of the effects that the blackout and water ban of 2003 had on hospitals in a large inner-city area. Also discussed are solutions utilized at the time and recommendations for the future. The blackout of 2003 was an excellent test of disaster/emergency planning, and produced many valuable lessons to be used in future events.

  3. Life Support for Deep Space and Mars

    NASA Technical Reports Server (NTRS)

    Jones, Harry W.; Hodgson, Edward W.; Kliss, Mark H.

    2014-01-01

    How should life support for deep space be developed? The International Space Station (ISS) life support system is the operational result of many decades of research and development. Long duration deep space missions such as Mars have been expected to use matured and upgraded versions of ISS life support. Deep space life support must use the knowledge base incorporated in ISS but it must also meet much more difficult requirements. The primary new requirement is that life support in deep space must be considerably more reliable than on ISS or anywhere in the Earth-Moon system, where emergency resupply and a quick return are possible. Due to the great distance from Earth and the long duration of deep space missions, if life support systems fail, the traditional approaches for emergency supply of oxygen and water, emergency supply of parts, and crew return to Earth or escape to a safe haven are likely infeasible. The Orbital Replacement Unit (ORU) maintenance approach used by ISS is unsuitable for deep space with ORU's as large and complex as those originally provided in ISS designs because it minimizes opportunities for commonality of spares, requires replacement of many functional parts with each failure, and results in substantial launch mass and volume penalties. It has become impractical even for ISS after the shuttle era, resulting in the need for ad hoc repair activity at lower assembly levels with consequent crew time penalties and extended repair timelines. Less complex, more robust technical approaches may be needed to meet the difficult deep space requirements for reliability, maintainability, and reparability. Developing an entirely new life support system would neglect what has been achieved. The suggested approach is use the ISS life support technologies as a platform to build on and to continue to improve ISS subsystems while also developing new subsystems where needed to meet deep space requirements.

  4. 10 CFR 218.10 - Rule.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 3 2011-01-01 2011-01-01 false Rule. 218.10 Section 218.10 Energy DEPARTMENT OF ENERGY OIL STANDBY MANDATORY INTERNATIONAL OIL ALLOCATION Supply Orders § 218.10 Rule. (a) Upon the determination by the President that an international energy supply emergency exists, firms engaged in producing...

  5. 78 FR 59317 - Federal Acquisition Regulation; Ending Trafficking in Persons

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-26

    ..., emergency preparedness, safety equipment, sanitation and access to food and water. (g) A monitoring... supplies acquired, or the services required to be performed, outside the United States exceeds $500,000... involve services or supplies susceptible to trafficking. The compliance plan must be provided to the...

  6. Recommended advanced techniques for waterborne pathogen detection in developing countries.

    PubMed

    Alhamlan, Fatimah S; Al-Qahtani, Ahmed A; Al-Ahdal, Mohammed N

    2015-02-19

    The effect of human activities on water resources has expanded dramatically during the past few decades, leading to the spread of waterborne microbial pathogens. The total global health impact of human infectious diseases associated with pathogenic microorganisms from land-based wastewater pollution was estimated to be approximately three million disability-adjusted life years (DALY), with an estimated economic loss of nearly 12 billion US dollars per year. Although clean water is essential for healthy living, it is not equally granted to all humans. Indeed, people who live in developing countries are challenged every day by an inadequate supply of clean water. Polluted water can lead to health crises that in turn spread waterborne pathogens. Taking measures to assess the water quality can prevent these potential risks. Thus, a pressing need has emerged in developing countries for comprehensive and accurate assessments of water quality. This review presents current and emerging advanced techniques for assessing water quality that can be adopted by authorities in developing countries.

  7. 44 CFR 329.3 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ....3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS USE OF PRIORITIES AND ALLOCATION AUTHORITY FOR FEDERAL SUPPLY CLASSIFICATION (FSC... necessary or appropriate to promote the national defense and why defense-related requirements cannot be met...

  8. 44 CFR 329.3 - Procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ....3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS USE OF PRIORITIES AND ALLOCATION AUTHORITY FOR FEDERAL SUPPLY CLASSIFICATION (FSC... necessary or appropriate to promote the national defense and why defense-related requirements cannot be met...

  9. 44 CFR 329.3 - Procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ....3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS USE OF PRIORITIES AND ALLOCATION AUTHORITY FOR FEDERAL SUPPLY CLASSIFICATION (FSC... necessary or appropriate to promote the national defense and why defense-related requirements cannot be met...

  10. 44 CFR 329.3 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ....3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS USE OF PRIORITIES AND ALLOCATION AUTHORITY FOR FEDERAL SUPPLY CLASSIFICATION (FSC... necessary or appropriate to promote the national defense and why defense-related requirements cannot be met...

  11. 44 CFR 329.3 - Procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ....3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS USE OF PRIORITIES AND ALLOCATION AUTHORITY FOR FEDERAL SUPPLY CLASSIFICATION (FSC... necessary or appropriate to promote the national defense and why defense-related requirements cannot be met...

  12. Weather Safety: Making Emergency Preparations.

    ERIC Educational Resources Information Center

    Lobe, Bill

    1997-01-01

    Precautions to take before, what to do if outdoors or indoors during, and inspecting for damage after thunderstorms, tornadoes, hurricanes, and floods. Sidebars discuss emergency supplies to keep on hand, calculating distance from thunderstorms, and the Fujita tornado rating scale. (TD)

  13. HIGH FLUX NANOFILTRATION MEMBRANE FOR EMERGING CONTAMINANT CONTROL - PHASE I

    EPA Science Inventory

    A variety of inorganic and organic contaminants originating from municipal, agricultural and industrial wastewater sources are being found with increasing frequency in the Nation’s natural and drinking water supplies. These “emerging contaminants” include ...

  14. Sleep and Fatigue Among Seafarers: The Role of Environmental Stressors, Duration at Sea and Psychological Capital.

    PubMed

    Hystad, Sigurd W; Eid, Jarle

    2016-12-01

    Seafaring is an inherently stressful environment. Because working time and leisure time is spent in the same confined environment for a prolonged period of time, many stressors present in seafaring can also be conceived of as chronic. We explored the effects of duration at sea, seafaring experience, environmental stressors, and psychological capital (PsyCap) on the sleep quality and fatigue of seafarers. PsyCap is a construct that draws upon ideas from positive psychology and positive organizational behavior, and is intended to capture an individual's psychological capacities that can be developed and utilized for performance improvements. We collected survey data from a sample of seafarers working in the offshore re-supply industry ( n  = 402) and a sample of seafarers working on board combined passenger and cargo ships ( n  = 340). PsyCap emerged as a robust predictor with statistically significant relations to fatigue and sleep quality in both samples. PsyCap also interacted with duration at sea in explaining fatigue in seafarers working on board the passenger and cargo ships. Seafarers on passenger and cargo ships also reported significantly higher levels of fatigue than those working in the offshore re-supply industry. Coupled with emerging research showing that PsyCap is trainable, our results suggest that maritime organizations could have much to gain by being cognizant of and developing routines for continually developing the PsyCap of their employees.

  15. Effects of nitrogen and vapour pressure deficit on phytomer growth and development in a C4 grass.

    PubMed

    Yang, Fang; Gong, Xiao Ying; Liu, Hai Tao; Schäufele, Rudi; Schnyder, Hans

    2016-01-01

    Phytomers are basic morphological units of plants. Knowledge of phytomer development is essential for understanding morphological plasticity, functional-structural modelling of plant growth and the usage of leaf characteristics to indicate growth conditions at the time of production (e.g. stable isotope signals). Yet, systematic analysis on the process of phytomer development is unavailable for wild or perennial C 4 grasses. Also, effects of environmental factors, such as nitrogen nutrition or vapour pressure deficit (VPD), on coordination events of developmental processes of C 4 grasses have not been studied. This study investigates phytomer growth and development in Cleistogenes squarrosa, a predominant C 4 grass in the Eurasian steppe, grown at low (0.63 kPa) or high (1.58 kPa) VPD with low or high nitrogen supply in controlled environments. Elongation of phytomers on marked tillers was measured daily for 13 days. Then lengths of immature and mature phytomer components (blade, sheath and internode) of all phytomers were measured following dissection. Nitrogen nutrition and VPD had no effects on coordination of growth within and between phytomers: phytomer tips emerged when phytomers reached 26 % of their final length, coincident with the acceleration phase of its elongation; blade elongation stopped when phytomers reached ∼75 % of their final length and elongation of the preceding phytomer was confined to the internode. The relationship between fraction of final phytomer length and days after tip emergence for all treatments was well described by a sigmoidal function: y = 1/{1 + exp[(1.82 - x)/1.81]}. C. squarrosa exhibited little morphological plasticity at phytomer-level in response to nitrogen supply and VPD, but a clear increase in tillering under high N supply. Also, the invariant coordination of elongation within and between phytomers was a stable developmental feature, thus the quantitative coordination rules are applicable for predicting morphological development of C. squarrosa under contrasting levels of nitrogen nutrition or VPD. © The Authors 2016. Published by Oxford University Press on behalf of the Annals of Botany Company.

  16. Metropolitan Washington Area Water Supply Study. Appendix G. Non-Structural Studies.

    DTIC Science & Technology

    1983-09-01

    should minimize any impacts to the surrounding areas. The effects of land application systems on the socio -economic aspects of a community include... conflict this outfall might create with respect to the Washington Aqueduct Emergency Estuary Pumping Station. The operation of this intake, designed for...PB 214 970). " Socio -Economic Impact Study of Alternative Water Supply Systems," Annex D, Volume II, Washington Metropolitan Area Water Supply Study

  17. High emergency organ allocation rule in lung transplantation: a simulation study.

    PubMed

    Riou, Julien; Boëlle, Pierre-Yves; Christie, Jason D; Thabut, Gabriel

    2017-10-01

    The scarcity of suitable organ donors leads to protracted waiting times and mortality in patients awaiting lung transplantation. This study aims to assess the short- and long-term effects of a high emergency organ allocation policy on the outcome of lung transplantation. We developed a simulation model of lung transplantation waiting queues under two allocation strategies, based either on waiting time only or on additional criteria to prioritise the sickest patients. The model was informed by data from the United Network for Organ Sharing. We compared the impact of these strategies on waiting time, waiting list mortality and overall survival in various situations of organ scarcity. The impact of a high emergency allocation strategy depends largely on the organ supply. When organ supply is sufficient (>95 organs per 100 patients), it may prevent a small number of early deaths (1 year survival: 93.7% against 92.4% for waiting time only) without significant impact on waiting times or long-term survival. When the organ/recipient ratio is lower, the benefits in early mortality are larger but are counterbalanced by a dramatic increase of the size of the waiting list. Consequently, we observed a progressive increase of mortality on the waiting list (although still lower than with waiting time only), a deterioration of patients' condition at transplant and a decrease of post-transplant survival times. High emergency organ allocation is an effective strategy to reduce mortality on the waiting list, but causes a disruption of the list equilibrium that may have detrimental long-term effects in situations of significant organ scarcity.

  18. High emergency organ allocation rule in lung transplantation: a simulation study

    PubMed Central

    Boëlle, Pierre-Yves; Christie, Jason D.; Thabut, Gabriel

    2017-01-01

    The scarcity of suitable organ donors leads to protracted waiting times and mortality in patients awaiting lung transplantation. This study aims to assess the short- and long-term effects of a high emergency organ allocation policy on the outcome of lung transplantation. We developed a simulation model of lung transplantation waiting queues under two allocation strategies, based either on waiting time only or on additional criteria to prioritise the sickest patients. The model was informed by data from the United Network for Organ Sharing. We compared the impact of these strategies on waiting time, waiting list mortality and overall survival in various situations of organ scarcity. The impact of a high emergency allocation strategy depends largely on the organ supply. When organ supply is sufficient (>95 organs per 100 patients), it may prevent a small number of early deaths (1 year survival: 93.7% against 92.4% for waiting time only) without significant impact on waiting times or long-term survival. When the organ/recipient ratio is lower, the benefits in early mortality are larger but are counterbalanced by a dramatic increase of the size of the waiting list. Consequently, we observed a progressive increase of mortality on the waiting list (although still lower than with waiting time only), a deterioration of patients’ condition at transplant and a decrease of post-transplant survival times. High emergency organ allocation is an effective strategy to reduce mortality on the waiting list, but causes a disruption of the list equilibrium that may have detrimental long-term effects in situations of significant organ scarcity. PMID:29181383

  19. 46 CFR 199.110 - Survival craft muster and embarkation arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... be adequately illuminated by lighting with power supplied from the vessel's emergency source of electrical power. (d) Each alleyway, stairway, and exit giving access to a muster and embarkation station must be adequately illuminated by lighting that is capable of having its power supplied by the vessel's...

  20. 46 CFR 199.110 - Survival craft muster and embarkation arrangements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... be adequately illuminated by lighting with power supplied from the vessel's emergency source of electrical power. (d) Each alleyway, stairway, and exit giving access to a muster and embarkation station must be adequately illuminated by lighting that is capable of having its power supplied by the vessel's...

  1. The impact of water use fees on dispatching and water requirements for water-cooled power plants in Texas.

    PubMed

    Sanders, Kelly T; Blackhurst, Michael F; King, Carey W; Webber, Michael E

    2014-06-17

    We utilize a unit commitment and dispatch model to estimate how water use fees on power generators would affect dispatching and water requirements by the power sector in the Electric Reliability Council of Texas' (ERCOT) electric grid. Fees ranging from 10 to 1000 USD per acre-foot were separately applied to water withdrawals and consumption. Fees were chosen to be comparable in cost to a range of water supply projects proposed in the Texas Water Development Board's State Water Plan to meet demand through 2050. We found that these fees can reduce water withdrawals and consumption for cooling thermoelectric power plants in ERCOT by as much as 75% and 23%, respectively. To achieve these water savings, wholesale electricity generation costs might increase as much as 120% based on 2011 fuel costs and generation characteristics. We estimate that water saved through these fees is not as cost-effective as conventional long-term water supply projects. However, the electric grid offers short-term flexibility that conventional water supply projects do not. Furthermore, this manuscript discusses conditions under which the grid could be effective at "supplying" water, particularly during emergency drought conditions, by changing its operational conditions.

  2. The role of energy systems on hydropower in Turkey

    NASA Astrophysics Data System (ADS)

    Yuksel, Ibrahim; Arman, Hasan; Halil Demirel, Ibrahim

    2017-11-01

    Over the last two decades, global electricity production has more than doubled and electricity demand is rising rapidly around the world as economic development spreads to emerging economies. Not only has electricity demand increased significantly, it is the fastest growing end-use of energy. Therefore, technical, economic and environmental benefits of hydroelectric power make it an important contributor to the future world energy mix, particularly in the developing countries. On the other hand, the hydropower industry is closely linked to both water management and renewable energy production, and so has a unique role to play in contributing to sustainable development in a world where billions of people lack access to safe drinking water and adequate energy supplies. In addition to, approximately 1.6 billion people have no access to electricity and about 1.1 billion are without adequate water supply. However, resources for hydropower development are widely spread around the world. Potential exists in about 150 countries, and about 70% of the economically feasible potential remains to be developed-mostly in developing countries where the needs are most urgent. This paper deals with renewable energy systems and the role of hydropower in Turkey.

  3. Reduction of Harmful Emissions During Start and Warming Up of the Engine

    NASA Astrophysics Data System (ADS)

    Volkov, N.; Chainikov, D.

    2018-01-01

    The question of decrease in harmful emissions when idling of a truck engine in the conditions of low temperatures is considered. The implementation of the thermogenerator for a power supply of electrical elements is offered in a design of the self-powered heater. The principle of the device operation is based on a thermoelectric effect at which there is heat absorption and thermo-EMF emergence. In a consequence of this process electricity is produced. The exhaust gases of the self-powered heater are the source of the absorbed heat and act as fuel for the thermogenerator. It allows developing energy for a power supply of electrical elements of the heater. It gives the chance not to start the engine for warming up during the long parking, thereby reducing harmful emissions.

  4. Emerging foodborne pathogens

    USDA-ARS?s Scientific Manuscript database

    The emergence of new foodborne pathogens is due to a number of factors. An important factor is the globalization of the food supply with the possibility of the introduction of foodborne pathogens from other countries. Animal husbandry, food production, food processing, and food distribution system...

  5. Ensuring safe water in post-chemical, biological, radiological and nuclear emergencies

    PubMed Central

    Amar, Praveen Kumar

    2010-01-01

    Disaster scenarios are dismal and often result in mass displacement and migration of people. In eventuality of emergency situations, people need to be rehabilitated and provided with an adequate supply of drinking water, the most essential natural resource needed for survival, which is often not easily available even during non-disaster periods. In the aftermath of a natural or human-made disaster affecting mankind and livestock, the prime aim is to ensure supply of safe water to reduce the occurrence and spread of water borne disease due to interrupted, poor and polluted water supply. Chemical, biological, radiological and nuclear (CBRN) emergencies augment the dilemma as an additional risk of “contamination” is added. The associated risks posed to health and life should be reduced to as low as reasonably achievable. Maintaining a high level of preparedness is the crux of quick relief and efficient response to ensure continuous supply of safe water, enabling survival and sustenance. The underlying objective would be to educate and train the persons concerned to lay down the procedures for the detection, cleaning, and treatment, purification including desalination, disinfection, and decontamination of water. The basic information to influence the organization of preparedness and execution of relief measures at all levels while maintaining minimum standards in water management at the place of disaster, are discussed in this article. PMID:21829321

  6. Growing America's Energy Future

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

    None

    The emerging U.S. bioenergy industry provides a secure and growing supply of transportation fuels, biopower, and bioproducts produced from a range of abundant, renewable biomass resources. Bioenergy can help ensure a secure, sustainable, and economically sound future by reducing U.S. dependence on foreign oil, developing domestic clean energy sources, and generating domestic green jobs. Bioenergy can also help address growing concerns about climate change by reducing greenhouse gas emissions to create a healthier environment for current and future generations.

  7. An Examination of Charitable Meal Programs in Five Canadian cities.

    PubMed

    Pettes, Tyler; Dachner, Naomi; Gaetz, Stephen; Tarasuk, Valerie

    2016-01-01

    While there has recently been considerable research and public investment in strategies to address homelessness in Canada, food charity remains the primary response to hunger, with little evaluation of current efforts and no initiatives to develop more effective approaches. Using data from a 2010-2011 survey of charitable food assistance in five Canadian cities, this study was undertaken to describe charitable meal provisioning in each city and to compare the relative roles of emergency programs and multi-service agencies and their capacity to meet food needs. Most meals were provided by multi-service agencies, but like emergency programs, these agencies were heavily dependent on donations and they were more likely than emergency programs to report constraints and service interruptions because demands exceeded available supplies. Our findings underscore the resource-limited and often fragile nature of charitable meal programs in Canada and highlight the need for more effective models of response to problems of hunger.

  8. Developing U.S. oversight strategies for nanobiotechnology: learning from past oversight experiences.

    PubMed

    Paradise, Jordan; Wolf, Susan M; Kuzma, Jennifer; Kuzhabekova, Aliya; Tisdale, Alison W; Kokkoli, Efrosini; Ramachandran, Gurumurthy

    2009-01-01

    The emergence of nanotechnology, and specifically nanobiotechnology, raises major oversight challenges. In the United States, government, industry, and researchers are debating what oversight approaches are most appropriate. Among the federal agencies already embroiled in discussion of oversight approaches are the Food and Drug Administration (FDA), Environmental Protection Agency (EPA), Department of Agriculture (USDA), Occupational Safety and Health Administration (OSHA), and National Institutes of Health (NIH). All can learn from assessment of the successes and failures of past oversight efforts aimed at emerging technologies. This article reports on work funded by the National Science Foundation (NSF) aimed at learning the lessons of past oversight efforts. The article offers insights that emerge from comparing five oversight case studies that examine oversight of genetically engineered organisms (GEOs) in the food supply, pharmaceuticals, medical devices, chemicals in the workplace, and gene therapy. Using quantitative and qualitative analysis, the authors present a new way of evaluating oversight.

  9. An analysis of Belgian Cannabis Social Clubs' supply practices: A shapeshifting model?

    PubMed

    Pardal, Mafalda

    2018-04-13

    Cannabis Social Clubs (CSCs) are associations of cannabis users that collectively organize the cultivation and distribution of cannabis. As this middle ground supply model has been active in Belgium for over a decade, this paper aims to examine CSCs' supply practices, noting any shifts from previously reported features of the model. We draw on interviews with directors of seven currently active Belgian CSCs (n = 21) and their cannabis growers (n = 23). This data was complemented by additional fieldwork, as well as a review of CSCs' key internal documents. Most Belgian CSCs are formally registered non-profit associations. One of the Belgian CSCs has developed a structure of sub-divisions and regional chapters. The Belgian CSCs supply cannabis to members only, and in some cases only medical users are admitted. CSCs rely on in-house growers, ensuring supply in a cooperative and closed-circuit way, despite changes to the distribution methods The associations are relatively small-scale and non-commercially driven. The introduction of formal quality control practices remains challenging. As the CSC model is often included in discussions about cannabis policy, but remains in most cases driven by self-regulatory efforts, it is important to take stock of how CSCs' supply function has been implemented in practice - as doing so will improve our understanding of the model and of the wider range of cannabis 'supply architectures'. This paper highlights the continuity and changes in CSC practices, noting the emergence of several different variants of the CSC model, which are classified in a first CSC typology. Copyright © 2018 Elsevier B.V. All rights reserved.

  10. 8. INTERIOR, EMERGENCY ROOM, NORTHEAST OF MAIN CORRIDOR INTERSECTION (NEAR ...

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

    8. INTERIOR, EMERGENCY ROOM, NORTHEAST OF MAIN CORRIDOR INTERSECTION (NEAR WESTERN, MAIN ENTRY), FROM ENTRY IN NORTHWESTERN CORNER, LOOKING SOUTHEAST. - Oakland Naval Supply Center, Administration Building-Dental Annex-Dispensary, Between E & F Streets, East of Third Street, Oakland, Alameda County, CA

  11. 40 CFR 264.32 - Required equipment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... supply water hose streams, or foam producing equipment, or automatic sprinklers, or water spray systems... communications or alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  12. 40 CFR 264.32 - Required equipment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... supply water hose streams, or foam producing equipment, or automatic sprinklers, or water spray systems... communications or alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  13. 40 CFR 264.32 - Required equipment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... supply water hose streams, or foam producing equipment, or automatic sprinklers, or water spray systems... communications or alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  14. 40 CFR 264.32 - Required equipment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... supply water hose streams, or foam producing equipment, or automatic sprinklers, or water spray systems... communications or alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  15. Cytogenetic studies of three triazine herbicides. I. In vitro studies

    EPA Science Inventory

    Atrazine, simazine, and cyanazine are widely used pre-emergence and post-emergence triazine herbicides that have made their way into the potable water supply of many agricultural communities. Because of this and the prevalence of contradictory cytogenetic studies in the literatur...

  16. General Household Emergency Preparedness: A Comparison Between Veterans and Nonveterans

    PubMed Central

    Der-Martirosian, Claudia; Strine, Tara; Atia, Mangwi; Chu, Karen; Mitchell, Michael N.; Dobalian, Aram

    2015-01-01

    Background Despite federal and local efforts to educate the public to prepare for major emergencies, many US households remain unprepared for such occurrences. United States Armed Forces veterans are at particular risk during public health emergencies as they are more likely than the general population to have multiple health conditions. Methods This study compares general levels of household emergency preparedness between veterans and nonveterans by focusing on seven surrogate measures of household emergency preparedness (a 3-day supply of food, water, and prescription medications, a battery-operated radio and flashlight, a written evacuation plan, and an expressed willingness to leave the community during a mandatory evacuation). This study used data from the 2006 through 2010 Behavioral Risk Factor Surveillance System (BRFSS), a state representative, random sample of adults aged 18 and older living in 14 states. Results The majority of veteran and nonveteran households had a 3-day supply of food (88% vs 82%, respectively) and prescription medications (95% vs 89%, respectively), access to a working, battery-operated radio (82% vs 77%, respectively) and flashlight (97% vs 95%, respectively), and were willing to leave the community during a mandatory evacuation (91% vs 96%, respectively). These populations were far less likely to have a 3-day supply of water (61% vs 52%, respectively) and a written evacuation plan (24% vs 21%, respectively). After adjusting for various sociodemographic covariates, general health status, and disability status, households with veterans were significantly more likely than households without veterans to have 3-day supplies of food, water, and prescription medications, and a written evacuation plan; less likely to indicate that they would leave their community during a mandatory evacuation; and equally likely to have a working, battery-operated radio and fiashlight. Conclusion These findings suggest that veteran households appear to be better prepared for emergencies than do nonveteran households, although the lower expressed likelihood of veterans households to evacuate when ordered to do so may place them at a somewhat greater risk of harm during such events. Further research should examine household preparedness among other vulnerable groups including subgroups of veteran populations and the reasons why their preparedness may differ from the general population. PMID:24642181

  17. General household emergency preparedness: a comparison between veterans and nonveterans.

    PubMed

    Der-Martirosian, Claudia; Strine, Tara; Atia, Mangwi; Chu, Karen; Mitchell, Michael N; Dobalian, Aram

    2014-04-01

    Despite federal and local efforts to educate the public to prepare for major emergencies, many US households remain unprepared for such occurrences. United States Armed Forces veterans are at particular risk during public health emergencies as they are more likely than the general population to have multiple health conditions. This study compares general levels of household emergency preparedness between veterans and nonveterans by focusing on seven surrogate measures of household emergency preparedness (a 3-day supply of food, water, and prescription medications, a battery-operated radio and flashlight, a written evacuation plan, and an expressed willingness to leave the community during a mandatory evacuation). This study used data from the 2006 through 2010 Behavioral Risk Factor Surveillance System (BRFSS), a state representative, random sample of adults aged 18 and older living in 14 states. The majority of veteran and nonveteran households had a 3-day supply of food (88% vs 82%, respectively) and prescription medications (95% vs 89%, respectively), access to a working, battery-operated radio (82% vs 77%, respectively) and flashlight (97% vs 95%, respectively), and were willing to leave the community during a mandatory evacuation (91% vs 96%, respectively). These populations were far less likely to have a 3-day supply of water (61% vs 52%, respectively) and a written evacuation plan (24% vs 21%, respectively). After adjusting for various sociodemographic covariates, general health status, and disability status, households with veterans were significantly more likely than households without veterans to have 3-day supplies of food, water, and prescription medications, and a written evacuation plan; less likely to indicate that they would leave their community during a mandatory evacuation; and equally likely to have a working, battery-operated radio and flashlight. These findings suggest that veteran households appear to be better prepared for emergencies than do nonveteran households, although the lower expressed likelihood of veterans households to evacuate when ordered to do so may place them at a somewhat greater risk of harm during such events. Further research should examine household preparedness among other vulnerable groups including subgroups of veteran populations and the reasons why their preparedness may differ from the general population.

  18. Emergency, anaesthetic and essential surgical capacity in the Gambia

    PubMed Central

    Shivute, Nestor; Bickler, Stephen; Cole-Ceesay, Ramou; Jargo, Bakary; Abdullah, Fizan; Cherian, Meena

    2011-01-01

    Abstract Objective To assess the resources for essential and emergency surgical care in the Gambia. Methods The World Health Organization’s Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities – one tertiary referral hospital, 7 district/general hospitals, 46 health centres and 11 private health facilities – and included 110 questions divided into four sections: (i) infrastructure, type of facility, population served and material resources; (ii) human resources; (iii) management of emergency and other surgical interventions; (iv) emergency equipment and supplies for resuscitation. Questionnaire data were complemented by interviews with health facility staff, Ministry of Health officials and representatives of nongovernmental organizations. Findings Important deficits were identified in infrastructure, human resources, availability of essential supplies and ability to perform trauma, obstetric and general surgical procedures. Of the 18 facilities expected to perform surgical procedures, 50.0% had interruptions in water supply and 55.6% in electricity. Only 38.9% of facilities had a surgeon and only 16.7% had a physician anaesthetist. All facilities had limited ability to perform basic trauma and general surgical procedures. Of public facilities, 54.5% could not perform laparotomy and 58.3% could not repair a hernia. Only 25.0% of them could manage an open fracture and 41.7% could perform an emergency procedure for an obstructed airway. Conclusion The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions. PMID:21836755

  19. 14 CFR 23.1091 - Air induction system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... and their accessories must supply the air required by that engine and auxiliary power unit and their... cowling if the emergence of backfire flames will result in a hazard. (3) The supplying of air to the engine through the alternate air intake system may not result in a loss of excessive power in addition to...

  20. Sunlight Helps Laboratory Get Ready for Y2K

    Science.gov Websites

    by the end of December to provide emergency electricity to the Site Entrance Building (SEB), which solar power if the supply of electricity from the local utility grid is interrupted. The solar generator failure disrupts electricity supplies. If a power failure should be protracted, a secondary propane backup

  1. 46 CFR 309.203 - Value at time of loss.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Value at time of loss. 309.203 Section 309.203 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS VALUES FOR WAR RISK INSURANCE Stores and Supplies § 309.203 Value at time of loss. The value of unused stores and supplies on board a...

  2. Emerging nuclear programs in Asia: The Phillipines, Thailand, Indonesia, and Pakistan

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

    Williams, M.L.

    This article is a review of the potential for nuclear energy development in the developing nations of Pakistan, Indonesia, Thailand, and the Philippines. In each country, there is a substantial need for new generating capacity, and each is exploring the idea of having nuclear energy supply a meaningful portion of this new capacity. Of the four countries, only Pakistan is currently a nuclear operator, and one vintage CANDU plant in operation and the Chashma unit under construction. Thailand and Indonesia have ambitious plans to have 12 reactors in service by the year 2015.

  3. On the analysis of complex biological supply chains: From Process Systems Engineering to Quantitative Systems Pharmacology.

    PubMed

    Rao, Rohit T; Scherholz, Megerle L; Hartmanshenn, Clara; Bae, Seul-A; Androulakis, Ioannis P

    2017-12-05

    The use of models in biology has become particularly relevant as it enables investigators to develop a mechanistic framework for understanding the operating principles of living systems as well as in quantitatively predicting their response to both pathological perturbations and pharmacological interventions. This application has resulted in a synergistic convergence of systems biology and pharmacokinetic-pharmacodynamic modeling techniques that has led to the emergence of quantitative systems pharmacology (QSP). In this review, we discuss how the foundational principles of chemical process systems engineering inform the progressive development of more physiologically-based systems biology models.

  4. Improving sustainability by technology assessment and systems analysis: the case of IWRM Indonesia

    NASA Astrophysics Data System (ADS)

    Nayono, S.; Lehmann, A.; Kopfmüller, J.; Lehn, H.

    2016-09-01

    To support the implementation of the IWRM-Indonesia process in a water scarce and sanitation poor region of Central Java (Indonesia), sustainability assessments of several technology options of water supply and sanitation were carried out based on the conceptual framework of the integrative sustainability concept of the German Helmholtz association. In the case of water supply, the assessment was based on the life-cycle analysis and life-cycle-costing approach. In the sanitation sector, the focus was set on developing an analytical tool to improve planning procedures in the area of investigation, which can be applied in general to developing and newly emerging countries. Because sanitation systems in particular can be regarded as socio-technical systems, their permanent operability is closely related to cultural or religious preferences which influence acceptability. Therefore, the design of the tool and the assessment of sanitation technologies took into account the views of relevant stakeholders. The key results of the analyses are presented in this article.

  5. Spline Trajectory Algorithm Development: Bezier Curve Control Point Generation for UAVs

    NASA Technical Reports Server (NTRS)

    Howell, Lauren R.; Allen, B. Danette

    2016-01-01

    A greater need for sophisticated autonomous piloting systems has risen in direct correlation with the ubiquity of Unmanned Aerial Vehicle (UAV) technology. Whether surveying unknown or unexplored areas of the world, collecting scientific data from regions in which humans are typically incapable of entering, locating lost or wanted persons, or delivering emergency supplies, an unmanned vehicle moving in close proximity to people and other vehicles, should fly smoothly and predictably. The mathematical application of spline interpolation can play an important role in autopilots' on-board trajectory planning. Spline interpolation allows for the connection of Three-Dimensional Euclidean Space coordinates through a continuous set of smooth curves. This paper explores the motivation, application, and methodology used to compute the spline control points, which shape the curves in such a way that the autopilot trajectory is able to meet vehicle-dynamics limitations. The spline algorithms developed used to generate these curves supply autopilots with the information necessary to compute vehicle paths through a set of coordinate waypoints.

  6. 44 CFR 330.1 - Purpose.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS... subsection 101(c) to the Defense Production Act of 1950, as amended (the Act); and (b) Delegates authority...

  7. 44 CFR 330.1 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS... subsection 101(c) to the Defense Production Act of 1950, as amended (the Act); and (b) Delegates authority...

  8. 44 CFR 330.1 - Purpose.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS... subsection 101(c) to the Defense Production Act of 1950, as amended (the Act); and (b) Delegates authority...

  9. 44 CFR 330.1 - Purpose.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS... subsection 101(c) to the Defense Production Act of 1950, as amended (the Act); and (b) Delegates authority...

  10. 44 CFR 330.1 - Purpose.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... DOMESTIC ENERGY SUPPLIES IN ACCORDANCE WITH SUBSECTION 101(c) OF THE DEFENSE PRODUCTION ACT OF 1950, AS... subsection 101(c) to the Defense Production Act of 1950, as amended (the Act); and (b) Delegates authority...

  11. Emergency Preparedness: Balancing Electrical Supply and Demand

    ERIC Educational Resources Information Center

    Rose, Mary Annette

    2006-01-01

    Integrating technology learning goals and activities with recent experiences created by natural disasters is a valuable motivational strategy. The newfound appreciation that exists for personal emergency preparedness generates unique and sustained interest in alternative energy technologies and conservation. As described in this article, an ice…

  12. 46 CFR 112.05-1 - Purpose; preemptive effect.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS General § 112.05-1 Purpose; preemptive effect. (a) The purpose of this part is to ensure a dependable, independent, and dedicated emergency power source with sufficient capacity to supply...

  13. 46 CFR 112.05-1 - Purpose; preemptive effect.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS General § 112.05-1 Purpose; preemptive effect. (a) The purpose of this part is to ensure a dependable, independent, and dedicated emergency power source with sufficient capacity to supply...

  14. 46 CFR 112.05-1 - Purpose; preemptive effect.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS General § 112.05-1 Purpose; preemptive effect. (a) The purpose of this part is to ensure a dependable, independent, and dedicated emergency power source with sufficient capacity to supply...

  15. 44 CFR 206.12 - Use and coordination of relief organizations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... relief organizations. 206.12 Section 206.12 Emergency Management and Assistance FEDERAL EMERGENCY... voluntary organizations in the distribution of medicine, food, supplies, or other items, and in the... Service, and other voluntary organizations engaged in providing relief during and after a major disaster...

  16. 44 CFR 206.12 - Use and coordination of relief organizations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... relief organizations. 206.12 Section 206.12 Emergency Management and Assistance FEDERAL EMERGENCY... voluntary organizations in the distribution of medicine, food, supplies, or other items, and in the... Service, and other voluntary organizations engaged in providing relief during and after a major disaster...

  17. 44 CFR 206.12 - Use and coordination of relief organizations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... relief organizations. 206.12 Section 206.12 Emergency Management and Assistance FEDERAL EMERGENCY... voluntary organizations in the distribution of medicine, food, supplies, or other items, and in the... Service, and other voluntary organizations engaged in providing relief during and after a major disaster...

  18. 44 CFR 206.12 - Use and coordination of relief organizations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... relief organizations. 206.12 Section 206.12 Emergency Management and Assistance FEDERAL EMERGENCY... voluntary organizations in the distribution of medicine, food, supplies, or other items, and in the... Service, and other voluntary organizations engaged in providing relief during and after a major disaster...

  19. 40 CFR 267.32 - What equipment am I required to have?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... supply water hose streams, or foam-producing equipment, or automatic sprinklers, or water spray systems. ... alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  20. 40 CFR 267.32 - What equipment am I required to have?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... supply water hose streams, or foam-producing equipment, or automatic sprinklers, or water spray systems. ... alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  1. 40 CFR 267.32 - What equipment am I required to have?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... supply water hose streams, or foam-producing equipment, or automatic sprinklers, or water spray systems. ... alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  2. 40 CFR 267.32 - What equipment am I required to have?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... supply water hose streams, or foam-producing equipment, or automatic sprinklers, or water spray systems. ... alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  3. 40 CFR 267.32 - What equipment am I required to have?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... supply water hose streams, or foam-producing equipment, or automatic sprinklers, or water spray systems. ... alarm system capable of providing immediate emergency instruction (voice or signal) to facility...-held two-way radio, capable of summoning emergency assistance from local police departments, fire...

  4. 10 CFR Appendix R to Part 50 - Fire Protection Program for Nuclear Power Facilities Operating Prior to January 1, 1979

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Emergency lighting. Emergency lighting units with at least an 8-hour battery power supply shall be provided..., combustible and flammable gases and liquids, high efficiency particulate air and charcoal filters, dry ion...

  5. 10 CFR Appendix R to Part 50 - Fire Protection Program for Nuclear Power Facilities Operating Prior to January 1, 1979

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .... Emergency lighting. Emergency lighting units with at least an 8-hour battery power supply shall be provided..., combustible and flammable gases and liquids, high efficiency particulate air and charcoal filters, dry ion...

  6. 10 CFR Appendix R to Part 50 - Fire Protection Program for Nuclear Power Facilities Operating Prior to January 1, 1979

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... Emergency lighting. Emergency lighting units with at least an 8-hour battery power supply shall be provided..., combustible and flammable gases and liquids, high efficiency particulate air and charcoal filters, dry ion...

  7. 10 CFR Appendix R to Part 50 - Fire Protection Program for Nuclear Power Facilities Operating Prior to January 1, 1979

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... Emergency lighting. Emergency lighting units with at least an 8-hour battery power supply shall be provided..., combustible and flammable gases and liquids, high efficiency particulate air and charcoal filters, dry ion...

  8. The Effectiveness of International Non-Governmental Organizations' Response Operations during Public Health Emergency: Lessons Learned from the 2014 Ebola Outbreak in Sierra Leone.

    PubMed

    Shin, Yoon Ah; Yeo, Jungwon; Jung, Kyujin

    2018-04-01

    International Nongovernmental Organizations (INGOs) have played critical roles in improving the quality of primary health care in ordinary time and, indeed, responding to epidemic crises in developing countries. Due to a lack of empirical research for effectiveness of their responding activities, the legitimacy and accountability of nonprofits' engagement in the health crisis as a critical responder is doubted. This paper aims to examine the effectiveness of INGOs in a context of managing a fatal epidemic outbreak of Ebola in Sierra Leone during May-November, 2014; building healthcare infrastructures, providing medical supplies, educating local residents, and training response staffs. The analysis results show that development of healthcare infrastructures and provision of medical supplies have been significantly effective in terms of decreasing the severity of the crisis in chiefdoms. The findings imply that policy tools, which allow INGOs to enter to the field in a timely manner, can improve the effectiveness of INGOs' responses in current and future epidemic outbreaks in developing countries where people suffer from a lack of health infrastructures.

  9. The Effectiveness of International Non-Governmental Organizations’ Response Operations during Public Health Emergency: Lessons Learned from the 2014 Ebola Outbreak in Sierra Leone

    PubMed Central

    Shin, Yoon Ah; Yeo, Jungwon

    2018-01-01

    International Nongovernmental Organizations (INGOs) have played critical roles in improving the quality of primary health care in ordinary time and, indeed, responding to epidemic crises in developing countries. Due to a lack of empirical research for effectiveness of their responding activities, the legitimacy and accountability of nonprofits’ engagement in the health crisis as a critical responder is doubted. This paper aims to examine the effectiveness of INGOs in a context of managing a fatal epidemic outbreak of Ebola in Sierra Leone during May–November, 2014; building healthcare infrastructures, providing medical supplies, educating local residents, and training response staffs. The analysis results show that development of healthcare infrastructures and provision of medical supplies have been significantly effective in terms of decreasing the severity of the crisis in chiefdoms. The findings imply that policy tools, which allow INGOs to enter to the field in a timely manner, can improve the effectiveness of INGOs’ responses in current and future epidemic outbreaks in developing countries where people suffer from a lack of health infrastructures. PMID:29614756

  10. Strategic Sourcing of R&D: The Determinants of Success

    NASA Astrophysics Data System (ADS)

    Brook, Jacques W.; Plugge, Albert

    The outsourcing of the R&D function is an emerging practice of corporate firms. In their attempt to reduce the increasing cost of research and technology development, firms are strategically outsourcing the R&D function or repositioning their internal R&D organisation. By doing so, they are able to benefit from other technology sources around the world. So far, there is only limited research on how firms develop their R&D sourcing strategies and how these strategies are implemented. This study aims to identify which determinants contribute to the success of R&D sourcing strategies. The results of our empirical research indicate that a clear vision of how to manage innovation strategically on a corporate level is a determinant of an effective R&D strategy. Moreover, our findings revealed that the R&D sourcing strategy influences a firm's sourcing capabilities. These sourcing capabilities need to be developed to manage the demand as well as the supply of R&D services. The alignment between the demand capabilities and the supply capabilities contributes to the success of R&D sourcing.

  11. Developing Countries Vaccine Manufacturers Network: doing good by making high-quality vaccines affordable for all.

    PubMed

    Pagliusi, Sonia; Leite, Luciana C C; Datla, Mahima; Makhoana, Morena; Gao, Yongzhong; Suhardono, Mahendra; Jadhav, Suresh; Harshavardhan, Gutla V J A; Homma, Akira

    2013-04-18

    The Developing Countries Vaccine Manufacturers Network (DCVMN) is a unique model of a public and private international alliance. It assembles governmental and private organizations to work toward a common goal of manufacturing and supplying high-quality vaccines at affordable prices to protect people around the world from known and emerging infectious diseases. Together, this group of manufacturers has decades of experience in manufacturing vaccines, with technologies, know-how, and capacity to produce more than 40 vaccines types. These manufacturers have already contributed more than 30 vaccines in various presentations that have been prequalified by the World Health Organization for use by global immunization programmes. Furthermore, more than 45 vaccines are in the pipeline. Recent areas of focus include vaccines to protect against rotavirus, human papillomavirus (HPV), Japanese encephalitis, meningitis, hepatitis E, poliovirus, influenza, and pertussis, as well as combined pentavalent vaccines for children. The network has a growing number of manufacturers that produce a growing number of products to supply the growing demand for vaccines in developing countries. Copyright © 2013. Published by Elsevier Ltd.

  12. Use of simulated patients to assess the clinical and communication skills of community pharmacists.

    PubMed

    Weiss, Marjorie C; Booth, Anneka; Jones, Bethan; Ramjeet, Sarah; Wong, Eva

    2010-06-01

    To investigate the quality and appropriateness of Emergency Hormonal Contraception (EHC) supply from community pharmacies. Community pharmacies in the southwest of England during 2007. Two simulated patient ('mystery shopper') scenarios to each participating pharmacy, one where the supply of EHC would be appropriate (scenario 1) and one where there was a drug interaction between EHC and St John's Wort, and the supply inappropriate (scenario 2). Pharmacy consultations were rated using criteria developed from two focus groups: one with pharmacist academics and one with female university students. Feedback to pharmacists to inform their continuing professional development was provided. Scores on rating scales encompassing the clinical and communication skills of the participating community pharmacists completed immediately after each mystery shopper visit. 40 pharmacist visits were completed: 21 for scenario 1 and 19 for scenario 2. Eighteen pharmacists were visited twice. Five pharmacists visited for scenario 2 supplied EHC against professional guidance, although other reference sources conflicted with this advice. Pharmacies which were part of the local PGD scheme scored higher overall in scenario 1 (P = 0.005) than those not part of the scheme. Overall the communication skills of pharmacists were rated highly although some pharmacists used jargon when explaining the interaction for scenario 2. Formatively assessing communication skills in an integrative manner alongside clinical skills has been identified as an important part of the medical consultation skills training and can be incorporated into the routine assessment and feedback of pharmacy over-the-counter medicines advice.

  13. The alcohol supply: its importance to public health and safety, and essential research questions.

    PubMed

    Edwards, G; Holder, H D

    2000-12-01

    This paper seeks to identify the main questions which have emerged from the preceding papers concerning the supply side of alcohol. On any rational analysis these issues are of thoroughly legitimate concern to public health researchers. We list them under seven headings: (1) what drives the alcohol supply side? (2) What is the impact of alcohol supply on demand? (3) What are the benefits and risks to health and safety stemming from deregulation and what are the possibilities to avoid negative effects? (4) What is the size and significance of the alcohol supply which may derive from other than the officially approved channels? (5) Who are the important actors in the alcohol supply system? (6) What are local influences on alcohol supply and its distribution throughout communities? (7) What is to be learned from tobacco and other risky commodities about the importance of supply? Finally, we outline a series of possible next steps for a supply side initiative.

  14. International Trade of Wood Pellets (Brochure)

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

    Not Available

    The production of wood pellets has increased dramatically in recent years due in large part to aggressive emissions policy in the European Union; the main markets that currently supply the European market are North America and Russia. However, current market circumstances and trade dynamics could change depending on the development of emerging markets, foreign exchange rates, and the evolution of carbon policies. This fact sheet outlines the existing and potential participants in the wood pellets market, along with historical data on production, trade, and prices.

  15. Emergency Water Planning for Natural and Man-Made Emergencies: An Analytical Bibliography.

    DTIC Science & Technology

    1987-04-01

    provide for fast recovery from disaster damages. The most frequently considered elements of such plans include (1) establishing emergency...which utilities may restrict the supply of water available to customers by manipulating the physical system: (1) pressure reduction, (2) intermittent ...shutoff, and (3) complete shutoff. Both pressure reduction and intermittent shutoff pose the risk of damages to the" system resulting from negative

  16. 41 CFR 101-26.607-3 - Emergency requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Emergency requirements. 101-26.607-3 Section 101-26.607-3 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES AND...

  17. 44 CFR 302.7 - Use of funds, materials, supplies, equipment, and personnel.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL... necessary and essential State and local civil defense personnel and administrative expenses as prescribed by... documentation justifying such need. (a) Emergencies. In addition to such civil defense use, Federal funds...

  18. 44 CFR 302.7 - Use of funds, materials, supplies, equipment, and personnel.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL... necessary and essential State and local civil defense personnel and administrative expenses as prescribed by... documentation justifying such need. (a) Emergencies. In addition to such civil defense use, Federal funds...

  19. 44 CFR 302.7 - Use of funds, materials, supplies, equipment, and personnel.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL... necessary and essential State and local civil defense personnel and administrative expenses as prescribed by... documentation justifying such need. (a) Emergencies. In addition to such civil defense use, Federal funds...

  20. 44 CFR 302.7 - Use of funds, materials, supplies, equipment, and personnel.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL... necessary and essential State and local civil defense personnel and administrative expenses as prescribed by... documentation justifying such need. (a) Emergencies. In addition to such civil defense use, Federal funds...

  1. 78 FR 40074 - Airworthiness Directives; Airbus Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... certain batch of passenger emergency oxygen container assemblies might become detached by extreme pulling of the mask tube at the end of oxygen supply causing a high temperature oxygen generator and mask to fall down. This proposed AD would require modifying the passenger emergency oxygen container assembly...

  2. Energy Harvesting from Upper-Limb Pulling Motions for Miniaturized Human-Powered Generators

    PubMed Central

    Yeo, Jeongjin; Ryu, Mun-ho; Yang, Yoonseok

    2015-01-01

    The human-powered self-generator provides the best solution for individuals who need an instantaneous power supply for travel, outdoor, and emergency use, since it is less dependent on weather conditions and occupies less space than other renewable power supplies. However, many commercial portable self-generators that employ hand-cranking are not used as much as expected in daily lives although they have enough output capacity due to their intensive workload. This study proposes a portable human-powered generator which is designed to obtain mechanical energy from an upper limb pulling motion for improved human motion economy as well as efficient human-mechanical power transfer. A coreless axial-flux permanent magnet machine (APMM) and a flywheel magnet rotor were used in conjunction with a one-way clutched power transmission system in order to obtain effective power from the pulling motion. The developed prototype showed an average energy conversion efficiency of 30.98% and an average output power of 0.32 W with a maximum of 1.89 W. Its small form factor (50 mm × 32 mm × 43.5 mm, 0.05 kg) and the substantial electricity produced verify the effectiveness of the proposed method in the utilization of human power. It is expected that the developed generator could provide a mobile power supply. PMID:26151204

  3. Energy Harvesting from Upper-Limb Pulling Motions for Miniaturized Human-Powered Generators.

    PubMed

    Yeo, Jeongjin; Ryu, Mun-ho; Yang, Yoonseok

    2015-07-03

    The human-powered self-generator provides the best solution for individuals who need an instantaneous power supply for travel, outdoor, and emergency use, since it is less dependent on weather conditions and occupies less space than other renewable power supplies. However, many commercial portable self-generators that employ hand-cranking are not used as much as expected in daily lives although they have enough output capacity due to their intensive workload. This study proposes a portable human-powered generator which is designed to obtain mechanical energy from an upper limb pulling motion for improved human motion economy as well as efficient human-mechanical power transfer. A coreless axial-flux permanent magnet machine (APMM) and a flywheel magnet rotor were used in conjunction with a one-way clutched power transmission system in order to obtain effective power from the pulling motion. The developed prototype showed an average energy conversion efficiency of 30.98% and an average output power of 0.32 W with a maximum of 1.89 W. Its small form factor (50 mm × 32 mm × 43.5 mm, 0.05 kg) and the substantial electricity produced verify the effectiveness of the proposed method in the utilization of human power. It is expected that the developed generator could provide a mobile power supply.

  4. [Situation of supply and boom of PET imaging: what is the future for technetium-99m in nuclear medicine?].

    PubMed

    Maia, S; Ayachi Hatit, N; Paycha, F

    2011-05-01

    Molecular imaging has shown its interest in the diagnosis, staging and therapy monitoring of many diseases, especially in the field of cancer. This imaging modality can detect non-invasively early molecular changes specific to these diseases. Its expansion includes two aspects linked firstly with the advanced techniques of imaging modalities and secondly with the development of tracers as radio pharmaceuticals for imaging new molecular targets. Technetium-99m ((99m)Tc), because of its physical characteristics, its widespread availability and low cost, is the most used radionuclide in molecular imaging with the technique of single photon emission computed tomography (SPECT). Nevertheless, the current difficulty concerning the supply and the great interest of Positron Emission Tomography (PET), the "competitor" imaging modality-using molecules labelled with fluorine-18 ((18)F), legitimates the question about the future of (99m)Tc, its supremacy and the emergence of new tracer labelled with (99m)Tc. Focusing on the actual and future supply situation, the place of SPECT imaging in nuclear medicine, as well as the development of new molecules labelled with (99m)Tc is necessary to show that this radionuclide will remain essential for the speciality in the next years. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  5. Developing an integrated 3D-hydrodynamic and emerging contaminant model for assessing water quality in a Yangtze Estuary Reservoir.

    PubMed

    Xu, Cong; Zhang, Jingjie; Bi, Xiaowei; Xu, Zheng; He, Yiliang; Gin, Karina Yew-Hoong

    2017-12-01

    An integrated 3D-hydrodynamic and emerging contaminant model was developed for better understanding of the fate and transport of emerging contaminants in Qingcaosha Reservoir. The reservoir, which supplies drinking water for nearly half of Shanghai's population, is located in Yangtze Delta. The integrated model was built by Delft3D suite, a fully integrated multidimensional modeling software. Atrazine and Bisphenol A (BPA) were selected as two representative emerging contaminants for the study in this reservoir. The hydrodynamic model was calibrated and validated against observations from 2011 to 2015 while the integrated model was calibrated against observations from 2014 to 2015 and then applied to explore the potential risk of high atrazine concentrations in the reservoir driven by agriculture activities. Our results show that the model is capable of describing the spatial and temporal patterns of water temperature, salinity and the dynamic distributions of two representative emerging contaminants (i.e. atrazine and BPA) in the reservoir. The physical and biodegradation processes in this study were found to play a crucial role in determining the fate and transport of atrazine and BPA in the reservoir. The model also provides an insight into the potential risk of emerging contaminants and possible mitigation thresholds. The integrated approach can be a very useful tool to support policy-makers in the future management of Qingcaosha Reservoir. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. 40 CFR Appendix III to Part 310 - Form: Application for Reimbursement to Local Governments for Emergency Response to Hazardous...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... sampling supplies. EQ Equipment EQ1: Replacement—for durable equipment declared a total loss as a result of... equipment or supplies Passenger and nonpassenger vehicle rental costs will be considered for private...: Utilities—for power, water, electricity and other services exclusive of transportation and communications...

  7. Disabled personnel emergency-heating system. Final report

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

    Van Dine, N.

    1974-12-16

    This progress report describes a receiving well for the operating fuel supply (two provided) designed within the unit to permit parasitic heat loss from the system to be captured by the fuel supply. The Zero can housing provides adequate volume to accommodate stowage of the fluid-flow umbilicals for connection of the heater system to the tubulated casualty bag liner.

  8. 2013 Survey of Iowa groundwater and evaluation of public well vulnerability classifications for contaminants of emerging concern

    USDA-ARS?s Scientific Manuscript database

    Groundwater supplies drinking water to about 80% of Iowa’s 3 million people, with over 2 million of these people obtaining their drinking water from public water supplies (PWS). Such PWS are required by the United States Environmental Protection Agency (US EPA) to monitor finished water for a varie...

  9. 75 FR 78979 - Application to Export Electric Energy; Twin Rivers Paper Company Inc.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    .... Twin Rivers has requested an export authorization in order to be able to supply emergency power as... proposed action will not adversely impact on the reliability of the U.S. electric power supply system... electric energy from the United States to Canada pursuant to section 202(e) of the Federal Power Act. DATES...

  10. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... supplies. 766.13 Section 766.13 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of... other assistance by reason of an emergency. Such sales will be made only where there is no commercial...

  11. Water resources of the Green Bay area, Wisconsin: G in Water resources of industrial regions: A summary of the source, occurrence, availability, and use of water in the area

    USGS Publications Warehouse

    Knowles, Doyle Blewer; Dreher, F.C.; Whetstone, George Walter

    1964-01-01

    In an emergency, industrial and public supply wells could supply at least 6 mgd for a sustained period and probably as much as 10 mgd for a period of several days. Six of the wells that formerly supplied the city of Green Bay are maintained in operating condition and could furnish about the same quantity of water as the industrial and other public supply wells. Small streams in the area would be supplemental sources of water, and the water in the Fox River and Green Bay is easily accessible.

  12. Rule Based Expert System for Monitoring Real Time Drug Supply in Hospital Using Radio Frequency Identification Technology

    NASA Astrophysics Data System (ADS)

    Driandanu, Galih; Surarso, Bayu; Suryono

    2018-02-01

    A radio frequency identification (RFID) has obtained increasing attention with the emergence of various applications. This study aims to examine the implementation of rule based expert system supported by RFID technology into a monitoring information system of drug supply in a hospital. This research facilitates in monitoring the real time drug supply by using data sample from the hospital pharmacy. This system able to identify and count the number of drug and provide warning and report in real time. the conclusion is the rule based expert system and RFID technology can facilitate the performance in monitoring the drug supply quickly and precisely.

  13. A Self-Powered Wearable Noninvasive Electronic-Skin for Perspiration Analysis Based on Piezo-Biosensing Unit Matrix of Enzyme/ZnO Nanoarrays.

    PubMed

    Han, Wuxiao; He, Haoxuan; Zhang, Linlin; Dong, Chuanyi; Zeng, Hui; Dai, Yitong; Xing, Lili; Zhang, Yan; Xue, Xinyu

    2017-09-06

    The emerging multifunctional flexible electronic-skin for establishing body-electric interaction can enable real-time monitoring of personal health status as a new personalized medicine technique. A key difficulty in the device design is the flexible power supply. Here a self-powered wearable noninvasive electronic-skin for perspiration analysis has been realized on the basis of a piezo-biosensing unit matrix of enzyme/ZnO nanoarrays. The electronic-skin can detect lactate, glucose, uric acid, and urea in the perspiration, and no outside electrical power supply or battery is used in the biosensing process. The piezoelectric impulse of the piezo-biosensing units serves as the power supply and the data biosensor. The working mechanism can be ascribed to the piezoelectric-enzymatic-reaction coupling effect of enzyme/ZnO nanowires. The electronic-skin can real-time/continuously monitor the physiological state of a runner through analyzing the perspiration on his skin. This approach can promote the development of a new-type of body electric and self-powered biosensing electronic-skin.

  14. Trends in Preventable Inpatient and Emergency Department Utilization in California Between 2012 and 2015: The Role of Health Insurance Coverage and Primary Care Supply.

    PubMed

    Cunningham, Peter; Sheng, Yaou

    2018-06-01

    Expansions of health insurance coverage tend to increase hospital emergency department (ED) utilization and inpatient admissions. However, provisions in the Affordable Care Act that expanded primary care supply were intended in part to offset the potential for increased hospital utilization. To examine the association between health insurance coverage, primary care supply, and ED and inpatient utilization, and to assess how both factors contributed to trends in utilization in California between 2012 and 2015. Population-based measures of ED and inpatient utilization, insurance coverage, and primary care supply were constructed for California counties for the years 2012 through 2015. Fixed effects regression analysis is used to examine the association between health insurance coverage, primary care supply, and rates of preventable ED and inpatient utilization. Higher levels of Medicaid coverage in a county are associated with higher levels of preventable ED and inpatient utilization, although greater numbers of primary care practitioners and Federally Qualified Health Centers reduce this type of utilization. Increases in coverage accelerated a long-term increase in ED visits and prevented an even larger decrease in inpatient admissions, but changes in coverage do not fully explain these underlying trends. Increases in primary care supply offset the effects of coverage changes only modestly. Policymakers should not overstate the impact of the Affordable Care Act on increasing ED visits, and should focus on better understanding the underlying factors that are driving the trends.

  15. 46 CFR 28.870 - Emergency source of electrical power.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (a) The following electrical loads must be connected to an independent emergency source of power capable of supplying all connected loads continuously for at least three hours: (1) Navigation lights; (2... ventilated compartment. The batteries must be protected from falling objects; (4) Each battery tray must be...

  16. 18 CFR 153.13 - Emergency reconstruction.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... loss of gas supply or capacity are applicable to facilities subject to section 3 of the Natural Gas Act... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Emergency reconstruction. 153.13 Section 153.13 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY...

  17. 46 CFR 28.375 - Emergency source of electrical power.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... COMMERCIAL FISHING INDUSTRY VESSELS Requirements for Vessels Which Have Their Keel Laid or Are at a Similar... systems; (3) Bilge pumps; (4) Fire protection and detection systems, including fire pumps; (5... (11.0 meters) in length need only supply communication equipment by an emergency source of electrical...

  18. 46 CFR 28.375 - Emergency source of electrical power.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... COMMERCIAL FISHING INDUSTRY VESSELS Requirements for Vessels Which Have Their Keel Laid or Are at a Similar... systems; (3) Bilge pumps; (4) Fire protection and detection systems, including fire pumps; (5... (11.0 meters) in length need only supply communication equipment by an emergency source of electrical...

  19. 46 CFR 28.375 - Emergency source of electrical power.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... COMMERCIAL FISHING INDUSTRY VESSELS Requirements for Vessels Which Have Their Keel Laid or Are at a Similar... systems; (3) Bilge pumps; (4) Fire protection and detection systems, including fire pumps; (5... (11.0 meters) in length need only supply communication equipment by an emergency source of electrical...

  20. 46 CFR 28.375 - Emergency source of electrical power.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... COMMERCIAL FISHING INDUSTRY VESSELS Requirements for Vessels Which Have Their Keel Laid or Are at a Similar... systems; (3) Bilge pumps; (4) Fire protection and detection systems, including fire pumps; (5... (11.0 meters) in length need only supply communication equipment by an emergency source of electrical...

  1. 33 CFR 214.5 - Policy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Policy. 214.5 Section 214.5 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY SUPPLIES OF DRINKING WATER § 214.5 Policy. Emergency work under this authority will be applied to...

  2. 46 CFR 28.375 - Emergency source of electrical power.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... COMMERCIAL FISHING INDUSTRY VESSELS Requirements for Vessels Which Have Their Keel Laid or Are at a Similar... systems; (3) Bilge pumps; (4) Fire protection and detection systems, including fire pumps; (5... (11.0 meters) in length need only supply communication equipment by an emergency source of electrical...

  3. 48 CFR 52.225-9 - Buy American Act-Construction Materials.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... subcontractor for incorporation into the building or work. The term also includes an item brought to the site preassembled from articles, materials, or supplies. However, emergency life safety systems, such as emergency... building or work and that are produced as complete systems, are evaluated as a single and distinct...

  4. The people factor: An analysis of the human resources landscape for immunization supply chain management.

    PubMed

    Kasonde, Musonda; Steele, Pamela

    2017-04-19

    Human resources is the backbone of any system and the key enabler for all other functions to effectively perform. This is no different with the Immunization Supply Chain, more so in todays' complex operating environment with the increasing strain caused by new vaccines and expanding immunization programmes (Source: WHO, UNICEF). In order to drive the change that is required for sustainability and continuous improvement, every immunization supply chain needs an effective leader. A dedicated and competent immunization supply chain leader with adequate numbers of skilled, accountable, motivated and empowered personnel at all levels of the health system to overcome existing and emerging immunization supply chain (ISC) challenges. Without an effective supply chain leader supported by capable and motivated staff, none of the interventions designed to strengthen the supply chain can be effective or sustainable (Source: Gavi Alliance SC Strategy 2014). This landscape analysis was preceded by an HR Evidence Review (March 2014) and has served to inform global partner strategies and country activities, as well as highlight where most support is required. The study also aimed to define the status quo in order to create some form of baseline against which to measure the impact of interventions related to HR going forward. The analysis was comprised of a comprehensive desk review, a survey of 40 respondents from 32 countries and consultations with ISC practitioners in several forums. The findings highlight key areas that should inform the pillars of a HR capacity development plan. At the same time, it revealed that there are some positive examples of where countries are actively addressing some of the issues identified and putting in place mechanisms and structures to optimize the SC function. Copyright © 2017. Published by Elsevier Ltd.

  5. Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care.

    PubMed

    Kingham, T Peter; Kamara, Thaim B; Cherian, Meena N; Gosselin, Richard A; Simkins, Meghan; Meissner, Chris; Foray-Rahall, Lynda; Daoh, Kisito S; Kabia, Soccoh A; Kushner, Adam L

    2009-02-01

    Lack of access to surgical care is a public health crisis in developing countries. There are few data that describe a nation's ability to provide surgical care. This study combines information quantifying the infrastructure, human resources, interventions (ie, procedures), emergency equipment and supplies for resuscitation, and surgical procedures offered at many government hospitals in Sierra Leone. Site visits were performed in 2008 at 10 of the 17 government civilian hospitals in Sierra Leone. The World Health Organization's Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was used to assess surgical capacity. There was a paucity of electricity, running water, oxygen, and fuel at the government hospitals in Sierra Leone. There were only 10 Sierra Leonean surgeons practicing in the surveyed government hospitals. Many procedures performed at most of the hospitals were cesarean sections, hernia repairs, and appendectomies. There were few supplies at any of the hospitals, forcing patients to provide their own. There was a disparity between conditions at the government hospitals and those at the private and mission hospitals. There are severe shortages in all aspects of infrastructure, personnel, and supplies required for delivering surgical care in Sierra Leone. While it will be difficult to improve the infrastructure of government hospitals, training additional personnel to deliver safe surgical care is possible. The situational analysis tool is a valuable mechanism to quantify a nation's surgical capacity. It provides the background data that have been lacking in the discussion of surgery as a public health problem and will assist in gauging the effectiveness of interventions to improve surgical infrastructure and care.

  6. Model simulation of the Manasquan water-supply system in Monmouth County, New Jersey

    USGS Publications Warehouse

    Chang, Ming; Tasker, Gary D.; Nieswand, Steven

    2001-01-01

    Model simulation of the Manasquan Water Supply System in Monmouth County, New Jersey, was completed using historic hydrologic data to evaluate the effects of operational and withdrawal alternatives on the Manasquan reservoir and pumping system. Changes in the system operations can be simulated with the model using precipitation forecasts. The Manasquan Reservoir system model operates by using daily streamflow values, which were reconstructed from historical U.S. Geological Survey streamflow-gaging station records. The model is able to run in two modes--General Risk analysis Model (GRAM) and Position Analysis Model (POSA). The GRAM simulation procedure uses reconstructed historical streamflow records to provide probability estimates of certain events, such as reservoir storage levels declining below a specific level, when given an assumed set of operating rules and withdrawal rates. POSA can be used to forecast the likelihood of specified outcomes, such as streamflows falling below statutory passing flows, associated with a specific working plan for the water-supply system over a period of months. The user can manipulate the model and generate graphs and tables of streamflows and storage, for example. This model can be used as a management tool to facilitate the development of drought warning and drought emergency rule curves and safe yield values for the water-supply system.

  7. An Integrated Framework for Analysis of Water Supply Strategies in a Developing City: Chennai, India

    NASA Astrophysics Data System (ADS)

    Srinivasan, V.; Gorelick, S.; Goulder, L.

    2009-12-01

    Indian cities are facing a severe water crisis: rapidly growing population, low tariffs, high leakage rates, inadequate reservoir storage, are straining water supply systems, resulting in unreliable, intermittent piped supply. Conventional approaches to studying the problem of urban water supply have typically considered only centralized piped supply by the water utility. Specifically, they have tended to overlook decentralized actions by consumers such as groundwater extraction via private wells and aquifer recharge by rainwater harvesting. We present an innovative integrative framework for analyzing urban water supply in Indian cities. The framework is used in a systems model of water supply in the city of Chennai, India that integrates different components of the urban water system: water flows into the reservoir system, diversion and distribution by the public water utility, groundwater flow in the urban aquifer, informal water markets and consumer behavior. Historical system behavior from 2002-2006 is used to calibrate the model. The historical system behavior highlights the buffering role of the urban aquifer; storing water in periods of surplus for extraction by consumers via private wells. The model results show that in Chennai, distribution pipeline leaks result in the transfer of water from the inadequate reservoir system to the urban aquifer. The systems approach also makes it possible to evaluate and compare a wide range of centralized and decentralized policies. Three very different policies: Supply Augmentation (desalination), Efficiency Improvement (raising tariffs and fixing pipe leaks), and Rainwater Harvesting (recharging the urban aquifer by capturing rooftop and yard runoff) were evaluated using the model. The model results suggest that a combination of Rainwater Harvesting and Efficiency Improvement best meets our criteria of welfare maximization, equity, system reliability, and utility profitability. Importantly, the study shows that combination policy emerges as optimal because of three conditions that are prevalent in Chennai: 1) widespread presence of private wells, 2) inadequate availability of reservoir storage to the utility, and 2) high cost of new supply sources.

  8. Cell fate regulation in early mammalian development

    NASA Astrophysics Data System (ADS)

    Oron, Efrat; Ivanova, Natalia

    2012-08-01

    Preimplantation development in mammals encompasses a period from fertilization to implantation and results in formation of a blastocyst composed of three distinct cell lineages: epiblast, trophectoderm and primitive endoderm. The epiblast gives rise to the organism, while the trophectoderm and the primitive endoderm contribute to extraembryonic tissues that support embryo development after implantation. In many vertebrates, such as frog or fish, maternally supplied lineage determinants are partitioned within the egg. Cell cleavage that follows fertilization results in polarization of these factors between the individual blastomeres, which become restricted in their developmental fate. In contrast, the mouse oocyte and zygote lack clear polarity and, until the eight-cell stage, individual blastomeres retain the potential to form all lineages. How are cell lineages specified in the absence of a maternally supplied blueprint? This is a fundamental question in the field of developmental biology. The answer to this question lies in understanding the cell-cell interactions and gene networks involved in embryonic development prior to implantation and using this knowledge to create testable models of the developmental processes that govern cell fates. We provide an overview of classic and contemporary models of early lineage development in the mouse and discuss the emerging body of work that highlights similarities and differences between blastocyst development in the mouse and other mammalian species.

  9. Survey of the capacity for essential surgery and anaesthesia services in Papua New Guinea

    PubMed Central

    Martin, Janet; Tau, Goa; Cherian, Meena Nathan; Vergel de Dios, Jennifer; Mills, David; Fitzpatrick, Jane; Adu-Krow, William; Cheng, Davy

    2015-01-01

    Objective To assess capacity to provide essential surgical services including emergency, obstetric and anaesthesia care in Papua New Guinea (PNG) in order to support planning for relevant post-2015 sustainable development goals for PNG. Design Cross-sectional survey. Setting Hospitals and health facilities in PNG. Participants 21 facilities including 3 national/provincial hospitals, 11 district/rural hospitals, and 7 health centres. Outcome measures The WHO Situational Analysis Tool to Assess Emergency and Essential Surgical Care (WHO-SAT) was used to measure each participating facility's capacity to deliver essential surgery and anaesthesia services, including 108 items related to relevant infrastructure, human resources, interventions and equipment. Results While major surgical procedures were provided at each hospital, fewer than 30% had uninterrupted access to oxygen, and 57% had uninterrupted access to resuscitation bag and mask. Most hospitals reported capacity to provide general anaesthesia, though few hospitals reported having at least one certified surgeon, obstetrician and anaesthesiologist. Access to anaesthetic machines, pulse oximetry and blood bank was severely limited. Many non-hospital health centres providing basic surgical procedures, but almost none had uninterrupted access to electricity, running water, oxygen and basic supplies for resuscitation, airway management and obstetric services. Conclusions Capacity for essential surgery and anaesthesia services is severely limited in PNG due to shortfalls in physical infrastructure, human resources, and basic equipment and supplies. Achieving post-2015 sustainable development goals, including universal healthcare, will require significant investment in surgery and anaesthesia capacity in PNG. PMID:26674504

  10. Attitudes and practices of pharmacists towards emergency contraception in Durban, South Africa.

    PubMed

    Hariparsad, N

    2001-06-01

    Emergency contraception, which is used to prevent pregnancy following unprotected intercourse, could prove invaluable to a country like South Africa which has high fertility and pregnancy rates. However, the success of emergency contraception is dependent on the awareness, knowledge, attitudes and practices amongst health-care providers and the public towards it. The aim of this study was to assess the attitudes and practices of community pharmacists towards emergency contraception. The study was conducted in North and South Central Durban, South Africa. This questionnaire-based study sought from pharmacists the frequency of demand and supply of emergency contraception, as well as their attitudes and practices towards it. The sample included all 182 pharmacies located in the study area. A total of 96% of pharmacists had received requests for emergency contraception within the last year. On average, each pharmacist received 177 requests for emergency contraception. Sixty-nine per cent of pharmacists were in favor of making emergency contraceptive pills available without a prescription, 62% were already supplying emergency contraceptive pills without a prescription and 67% felt that it was important to increase public awareness regarding emergency contraception. Ninety-one per cent of pharmacists did not have any literature regarding emergency contraception to hand to clients, 68% had a private area in their pharmacy to counsel patients and 86% of pharmacists indicated that they discussed long-term contraception with clients. This study is the first in South Africa aimed at determining the utilization of emergency contraception. However, further studies are required in order to ascertain information that will assist in changing current health policies to improve those in reproductive health care.

  11. Household emergency preparedness by housing type from a community assessment for public health emergency response (CASPER), Michigan.

    PubMed

    Murti, Michelle; Bayleyegn, Tesfaye; Stanbury, Martha; Flanders, William Dana; Yard, Ellen; Nyaku, Mawuli; Wolkin, Amy

    2014-02-01

    We examined the association between housing type and household emergency preparedness among households in Oakland County, Michigan. We used interview data on household emergency preparedness from a cluster design survey in Oakland County, Michigan, in 2012. We compared survey-weighted frequencies of household demographics, medical conditions, and preparedness measures in single-detached homes versus multi-unit dwellings, and determined the unadjusted odds ratios (OR) and the income-level adjusted OR for each preparedness measure. Households had similar demographics and medical conditions between housing types. Unadjusted ORs were statistically significant for single detached homes having a generator (11.1), back-up heat source (10.9), way to cook without utilities (5.8), carbon monoxide (CO) detector (3.8), copies of important documents (3.4), evacuation routes (3.1), and 3-day supply of water (2.5). Income level adjusted ORs remained statistically significant except for owning a CO detector. Households in multi-unit dwellings were less likely to have certain recommended emergency plans and supplies compared to those in single detached homes. Further research is required to explore the feasibility, barriers, and alternatives for households in multi-unit dwellings in terms of complying with these measures.

  12. Dynamic equilibrium strategy for drought emergency temporary water transfer and allocation management

    NASA Astrophysics Data System (ADS)

    Xu, Jiuping; Ma, Ning; Lv, Chengwei

    2016-08-01

    Efficient water transfer and allocation are critical for disaster mitigation in drought emergencies. This is especially important when the different interests of the multiple decision makers and the fluctuating water resource supply and demand simultaneously cause space and time conflicts. To achieve more effective and efficient water transfers and allocations, this paper proposes a novel optimization method with an integrated bi-level structure and a dynamic strategy, in which the bi-level structure works to deal with space dimension conflicts in drought emergencies, and the dynamic strategy is used to deal with time dimension conflicts. Combining these two optimization methods, however, makes calculation complex, so an integrated interactive fuzzy program and a PSO-POA are combined to develop a hybrid-heuristic algorithm. The successful application of the proposed model in a real world case region demonstrates its practicality and efficiency. Dynamic cooperation between multiple reservoirs under the coordination of a global regulator reflects the model's efficiency and effectiveness in drought emergency water transfer and allocation, especially in a fluctuating environment. On this basis, some corresponding management recommendations are proposed to improve practical operations.

  13. National mass care strategy: a national integrated approach.

    PubMed

    Mintz, Amy; Gonzalez, Waddy

    2013-01-01

    Mass care refers to a wide range of humanitarian activities that collectively provide life- sustaining services, such as emergency sheltering, feeding, reunification, distribution of emergency supplies and recovery information, before or in the aftermath of an emergency or disaster. Most services are coordinated and provided by non-governmental organisations and/or local government. Based on the lessons learned in the aftermath of Hurricanes Katrina and Rita in 2005, the American Red Cross, the Federal Emergency Management Agency and the National Voluntary Organizations Active in Disasters joined efforts to expand national mass care capabilities in order to support survivors in the wake of catastrophic events, as well as to enhance the integration of volunteers and non-governmental organisations into the broader national effort. These efforts resulted in the creation of the National Mass Care Council in 2010, with representatives of Federal and State agencies, voluntary organisations and the private sector working together to develop a unified approach to mass care and to ensure the provision of consistent and uniform services across the USA, regardless of the magnitude of the event.

  14. Results of the second phase of the drought-disaster test-drilling program near Morristown, N.J.

    USGS Publications Warehouse

    Vecchioli, John; Nichols, William D.; Nemickas, Bronius

    1967-01-01

    The continued drought in northeastern New Jersey through the summer of 1966 with its attendant water-supply problems resulted in an extension of the drought-disaster test-drilling program originally requested by the Office of Emergency Planning on August 30, 1965. Authorization to continue test drilling was fiven by the Office of Emergency Planning on September 26, 1966, with the stipulation that all field work be complete by January 31, 1977. Contractural costs were paid by the Office of Emergency Planning, whereas personnel costs were shared by the U.S. Geological Survey and the New Jersey Department of Conservation and Economic Development, Division of Water Policy and Supply.The work undertaken in 1965 by the Geological Survey was "...to preform the necessary drilling and testing of wells to identify the extent and nature of a reserve ground-water source in the vicinity of the Passaic River near the northern New Jersey metropolitan area." Results of this first phase were made available in the fall of 1966 in Water Resources Circular 16 of the New Jersey Department of Conservation and Economic Development. Three of the five areas tested (figure 1)--two in Parsippany-Troy Hills Township (areas 2 and 4) and one in East Hanover Township (area 1), Morris County--proved capable of providing an aggregate sustained yield of 7.5 million gallons daily (mgd) from wells constructed in sand and gravel deposits. Because significant supplies of ground water for emergency use were located in the first phase of the exploratory test-drilling program, it was though desirable to extend the originally planned studies so as to obtain maximum practicable information on emergency supplies.During this second phase of the investigation, drilling was conducted in 16 sites in Chatham, Madison, and Florham Park Boroughs and in Hanover and East Hanover Townships, Morris County. (See figure 2.) The drilling in Hanover and East Hanover Townships, and part of the drilling done in Florham Park was to explore the availability of large undeveloped ground-water supplies. Drilling in Chatham, Madison, and Florham Park Boroughs was done primarily to determine the extent and continuity of buried valley-fill aquifers, so that a full evaluation of the effects of pumpage from other areas on these already heavily pumped areas could be made. In addition, it was anticipated that the drilling could help in defining the feasibility of artificial recharge of the heavily pumped areas and in the determination of the prospective method of recharge and points of emplacement.Arrangements for easements with landowners, preparation of specifications for well drilling and seismic work, and supervision of well drilling and seismic contracts were all performed by the New Jersey District, Water Resources Division of the Geological Survey.Prior to the test drilling, seismic exploration under contract with Alpine Geophysical Associates of Norwood, N. J. was conducted at five locations in the Chatham-Madison-Florham Park area and at one place in Parsippany-Troy Hills Township. The seismic work was done to determine the most favorable location for a test well at several potential test-well sites and to help in the interpretation of subsurface geology between test sites.Contracts for the drilling of the test holes were awarded during November and drilling commences on November 30. Kaye Well drilling, Inc. of Jackson, N. J. was the recipient of a contract for eight of the test holes, and a second contract was awarded to Rinbrand Well Drilling Co., Inc. of Glen Rock, N. J.--also for eight test holes.Acknowledgment is due to the many public officials of Chatham, Madison, Florham Park, Morristown, and East Hanover Township as well as officials of the Braidburn Corporation and Esso Research and Engineering Co., who cooperated by making their lands available for exploration.

  15. Responsible Management and Use of a Personal Take-Home Naloxone Supply: A Pilot Project

    ERIC Educational Resources Information Center

    McAuley, Andrew; Lindsay, George; Woods, Maureen; Louttit, Derek

    2010-01-01

    Aims: To assess if Scottish drug users, their family and friends could be trained in critical incident management and the safe and effective administration of naloxone. The project also sought to monitor whether drug users can manage their own personal take-home naloxone (THN) supply and use it appropriately in an emergency opiate overdose…

  16. Updating FRCS, the Fuel Reduction Cost Simulator, for national biomass assessments

    Treesearch

    Dennis Dykstra; Bruce Hartsough; Bryce. Stokes

    2009-01-01

    In 2005 the USDA and DOE jointly published a report concluding that it would be technically feasible to supply a billion dry tons of biomass annually from farms and forests throughout the United States in support of an emerging bioenergy and bioproducts industry. The report was criticized because it defined "supply" largely in terms of physical availability...

  17. Personnel emergency carrier vehicle

    NASA Technical Reports Server (NTRS)

    Owens, Lester J. (Inventor); Fedor, Otto H. (Inventor)

    1987-01-01

    A personnel emergency carrier vehicle is disclosed which includes a vehicle frame supported on steerable front wheels and driven rear wheels. A supply of breathing air is connected to quick connect face mask coupling and umbilical cord couplings for supplying breathing air to an injured worker or attendant either with or without a self-contained atmospheric protection suit for protection against hazardous gases at an accident site. A non-sparking hydraulic motion is utilized to drive the vehicle and suitable direction and throttling controls are provided for controlling the delivery of a hydraulic driving fluid from a pressurized hydraulic fluid accumulator. A steering axis is steerable through a handle to steer the front wheels through a linkage assembly.

  18. [Operating room during natural disaster: lessons from the 2011 Tohoku earthquake].

    PubMed

    Fukuda, Ikuo; Hashimoto, Hiroshi; Suzuki, Yasuyuki; Satomi, Susumu; Unno, Michiaki; Ohuchi, Noriaki; Nakaji, Shigeyuki

    2012-03-01

    Objective of this study is to clarify damages in operating rooms after the 2011 Tohoku Earthquake. To survey structural and non-structural damage in operating theaters, we sent questionnaires to 155 acute care hospitals in Tohoku area. Questionnaires were sent back from 105 hospitals (70.3%). Total of 280 patients were undergoing any kinds of operations during the earthquake and severe seismic tremor greater than JMA Seismic Intensity 6 hit 49 hospitals. Operating room staffs experienced life-threatening tremor in 41 hospitals. Blackout occurred but emergency electronic supply unit worked immediately in 81 out of 90 hospitals. However, emergency power plant did not work in 9 hospitals. During earthquake some materials fell from shelves in 44 hospitals and medical instruments fell down in 14 hospitals. In 5 hospitals, they experienced collapse of operating room wall or ceiling causing inability to maintain sterile operative field. Damage in electric power and water supply plus damage in logistics made many operating rooms difficult to perform routine surgery for several days. The 2011 Tohoku earthquake affected medical supply in wide area of Tohoku district and induced dysfunction of operating room. Supply-chain management of medical goods should be reconsidered to prepare severe natural disaster.

  19. Triangulating the Sociohydrology of Water Supply, Quality and Forests in the Triangle

    NASA Astrophysics Data System (ADS)

    Band, L. E.

    2016-12-01

    The North Carolina Research Triangle is among the most rapidly growing metropolitan areas in the United States, with decentralized governance split among several different municipalities, counties and water utilities. Historically smaller populations, plentiful rainfall, and riparian rights based water law provided both a sense of security for water resources and influenced the development of separate infrastructure systems across the region. The growth of water demand with rising populations with typical suburban sprawl, the development of multi-use reservoirs immediately downstream of urban areas, and increased hydroclimate variability have raised the potential for periodic water scarcity coupled with increasing eutrophication of water supplies. We discuss the interactions and tradeoffs between management of emerging water scarcity, quality and forest biodiversity in the Triangle as a model for the US Southeast. Institutional stakeholders include water supply and stormwater utilities, environmental NGOs, federal, state, county and municipal governments, developers and home owner associations. We emphasize principles of ecohydrologic resilience learned in heavily instrumented research watersheds, adapted to rapidly developing urban systems, and including socioeconomic and policy dynamics. Significant 20th century reforestation of central North Carolina landscapes have altered regional water balances, while providing both flood and water quality mitigation. The regrowth forest is dynamic and heterogeneous in water use based on age class and species distribution, with substantial plantation and natural regeneration. Forecasts of land use and forest structural and compositional change are based on scenario socioeconomic development, climate change and forecast wood product markets. Urban forest and green infrastructure has the potential to mediate the trade-offs and synergies of these goals, but is in a very nascent state. Computational tools to assess policy alternatives impacts on water quality, quantity and forest biodiversity are developed to serve information to multiple stakeholders, and communicate and visualize outcomes.

  20. The role of groundwater governance in emergencies during different phases of natural disasters

    NASA Astrophysics Data System (ADS)

    Vrba, Jaroslav

    2016-03-01

    The establishment of water governance in emergency situations supports timely and effective reaction with regard to the risk and impact of natural disasters on drinking-water supplies and populations. Under such governance, emergency activities of governmental authorities, rescue and aid teams, water stakeholders, local communities and individuals are coordinated with the objective to prevent and/or mitigate disaster impact on water supplies, to reduce human suffering due to drinking-water failure during and in the post-disaster period, and to manage drinking-water services in emergency situations in an equitable manner. The availability of low-vulnerability groundwater resources that have been proven safe and protected by geological features, and with long residence time, can make water-related relief and rehabilitation activities during and after an emergency more rapid and effective. Such groundwater resources have to be included in water governance and their exploration must be coordinated with overall management of drinking-water services in emergencies. This paper discusses institutional and technical capacities needed for building effective groundwater governance policy and drinking-water risk and demand management in emergencies. Disaster-risk mitigation plans are described, along with relief measures and post-disaster rehabilitation and reconstruction activities, which support gradual renewal of drinking-water services on the level prior to the disaster. The role of groundwater governance in emergencies differs in individual phases of disaster (preparedness, warning, impact/relief, rehabilitation). Suggested activities and actions associated with these phases are summarized and analysed, and a mode of their implementation is proposed.

  1. The Complexities of Implementing Cluster Supply Chain - Case Study of JCH

    NASA Astrophysics Data System (ADS)

    Xue, Xiao; Zhang, Jibiao; Wang, Yang

    As a new type of management pattern, "cluster supply chain" (CSC) can help SMEs to face the global challenges through all kinds of collaboration. However, a major challenge in implementing CSC is the gap between theory and practice in the field. In an effort to provide a better understanding of this emerging phenomenon, this paper presents the implementation process of CSC in the context of JingCheng Mechanical & Electrical Holding co., ltd.(JCH) as a case study. The cast study of JCH suggests that the key problems in the practice of cluster supply chain: How do small firms use cluster supply chain? Only after we clarify the problem, the actual construction and operation of cluster supply chain does show successful results as it should be.

  2. Petroleum and Health Care: Evaluating and Managing Health Care's Vulnerability to Petroleum Supply Shifts

    PubMed Central

    Bednarz, Daniel; Bae, Jaeyong; Pierce, Jessica

    2011-01-01

    Petroleum is used widely in health care—primarily as a transport fuel and feedstock for pharmaceuticals, plastics, and medical supplies—and few substitutes for it are available. This dependence theoretically makes health care vulnerable to petroleum supply shifts, but this vulnerability has not been empirically assessed. We quantify key aspects of petroleum use in health care and explore historical associations between petroleum supply shocks and health care prices. These analyses confirm that petroleum products are intrinsic to modern health care and that petroleum supply shifts can affect health care prices. In anticipation of future supply contractions lasting longer than previous shifts and potentially disrupting health care delivery, we propose an adaptive management approach and outline its application to the example of emergency medical services. PMID:21778473

  3. Quantifying air distribution, ventilation effectiveness and airborne pollutant transport in an aircraft cabin mockup

    NASA Astrophysics Data System (ADS)

    Wang, Aijun

    The health, safety and comfort of passengers during flight inspired this research into cabin air quality, which is closely related to its airflow distribution, ventilation effectiveness and airborne pollutant transport. The experimental facility is a full-scale aircraft cabin mockup. A volumetric particle tracking velocimetry (VPTV) technique was enhanced by incorporating a self-developed streak recognition algorithm. Two stable recirculation regions, the reverse flows above the seats and the main air jets from the air supply inlets formed the complicated airflow patterns inside the cabin mockup. The primary air flow was parallel to the passenger rows. The small velocity component in the direction of the cabin depth caused less net air exchange between the passenger rows than that parallel to the passenger rows. Different total air supply rate changed the developing behaviors of the main air jets, leading to different local air distribution patterns. Two indices, Local mean age of air and ventilation effectiveness factor (VEF), were measured at five levels of air supply rate and two levels of heating load. Local mean age of air decreased linearly with an increase in the air supply rate, while the VEF remained consistent when the air supply rate varied. The thermal buoyancy force from the thermal plume generated the upside plume flow, opposite to the main jet flow above the boundary seats and thus lowered the local net air exchange. The airborne transport dynamics depends on the distance between the source and the receptors, the relative location of pollutant source, and air supply rate. Exposure risk was significantly reduced with increased distance between source and receptors. Another possible way to decrease the exposure risk was to position the release source close to the exhaust outlets. Increasing the air supply rate could be an effective solution under some emergency situations. The large volume of data regarding the three-dimensional air velocities was visualized in the CAVE virtual environment. ShadowLight, a virtual reality application was used to import and navigate the velocity vectors through the virtual airspace. A real world demonstration and an active interaction with the three-dimensional air velocity data have been established.

  4. 10 CFR 436.105 - Emergency conservation plan.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... plan, for assuaging the impact of a sudden disruption in the supply of oil-based fuels, natural gas or... emergencies is to address both buildings and general operations. Provisions shall be made for testing... year in gasoline, other oil-based fuels, natural gas, or electricity for periods of up to 12 months. In...

  5. 10 CFR 436.105 - Emergency conservation plan.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... plan, for assuaging the impact of a sudden disruption in the supply of oil-based fuels, natural gas or... emergencies is to address both buildings and general operations. Provisions shall be made for testing... year in gasoline, other oil-based fuels, natural gas, or electricity for periods of up to 12 months. In...

  6. LOW-LEVEL EMERGING CONTAMINANTS IN LAKE HAVASU, ARIZONA AND CALIFORNIA AND THEIR ACCESS TO LAKE HAVASU CITY'S DRINKING WATER SUPPLY

    EPA Science Inventory

    In preparation of a wastewater effluent re-charge and recovery program, involving alluvial fan sediments, the City of Lake Havasu initiated a survey to evaluate possible waterborne sources of emerging contaminants in the water/wastewater distribution cycle. This distribution cyc...

  7. What happened when Scottish women were given advance supplies of emergency contraception? A survey and qualitative study of women's views and experiences.

    PubMed

    Ziebland, Sue; Wyke, Sally; Seaman, Pete; Fairhurst, Karen; Walker, Jeremy; Glasier, Anna

    2005-04-01

    The Lothian Emergency Contraception Project in Scotland was a radical intervention in which women aged 16-29 were given 5 packs of emergency contraception (EC) to keep at home. We use survey and qualitative interview data to describe how women used the project packs and their views of advance supplies. The women's accounts suggest that concerns that eased access to emergency contraception will lead to repeated use and risky sex appear to be largely unfounded. Women were pleased to be offered the packs, which were reported as having practical advantages and also sparing them the difficulty of negotiating a sometimes awkward consultation. Respondents explained how they used their packs of EC and in their accounts used justifications, repetition and distancing to emphasise that they would not take risks with contraception or sexually transmitted infections. We interpret the data in the light of the observation that EC has an anomalous role in contraception and the work of applied linguists Candlin and Lucas who have demonstrated the difficulties inherent in the family planning consultation.

  8. An Innovative Interactive Modeling Tool to Analyze Scenario-Based Physician Workforce Supply and Demand.

    PubMed

    Gupta, Saurabh; Black-Schaffer, W Stephen; Crawford, James M; Gross, David; Karcher, Donald S; Kaufman, Jill; Knapman, Doug; Prystowsky, Michael B; Wheeler, Thomas M; Bean, Sarah; Kumar, Paramhans; Sharma, Raghav; Chamoli, Vaibhav; Ghai, Vikrant; Gogia, Vineet; Weintraub, Sally; Cohen, Michael B; Robboy, Stanley J

    2015-01-01

    Effective physician workforce management requires that the various organizations comprising the House of Medicine be able to assess their current and future workforce supply. This information has direct relevance to funding of graduate medical education. We describe a dynamic modeling tool that examines how individual factors and practice variables can be used to measure and forecast the supply and demand for existing and new physician services. The system we describe, while built to analyze the pathologist workforce, is sufficiently broad and robust for use in any medical specialty. Our design provides a computer-based software model populated with data from surveys and best estimates by specialty experts about current and new activities in the scope of practice. The model describes the steps needed and data required for analysis of supply and demand. Our modeling tool allows educators and policy makers, in addition to physician specialty organizations, to assess how various factors may affect demand (and supply) of current and emerging services. Examples of factors evaluated include types of professional services (3 categories with 16 subcategories), service locations, elements related to the Patient Protection and Affordable Care Act, new technologies, aging population, and changing roles in capitated, value-based, and team-based systems of care. The model also helps identify where physicians in a given specialty will likely need to assume new roles, develop new expertise, and become more efficient in practice to accommodate new value-based payment models.

  9. An Innovative Interactive Modeling Tool to Analyze Scenario-Based Physician Workforce Supply and Demand

    PubMed Central

    Gupta, Saurabh; Black-Schaffer, W. Stephen; Crawford, James M.; Gross, David; Karcher, Donald S.; Kaufman, Jill; Knapman, Doug; Prystowsky, Michael B.; Wheeler, Thomas M.; Bean, Sarah; Kumar, Paramhans; Sharma, Raghav; Chamoli, Vaibhav; Ghai, Vikrant; Gogia, Vineet; Weintraub, Sally; Cohen, Michael B.

    2015-01-01

    Effective physician workforce management requires that the various organizations comprising the House of Medicine be able to assess their current and future workforce supply. This information has direct relevance to funding of graduate medical education. We describe a dynamic modeling tool that examines how individual factors and practice variables can be used to measure and forecast the supply and demand for existing and new physician services. The system we describe, while built to analyze the pathologist workforce, is sufficiently broad and robust for use in any medical specialty. Our design provides a computer-based software model populated with data from surveys and best estimates by specialty experts about current and new activities in the scope of practice. The model describes the steps needed and data required for analysis of supply and demand. Our modeling tool allows educators and policy makers, in addition to physician specialty organizations, to assess how various factors may affect demand (and supply) of current and emerging services. Examples of factors evaluated include types of professional services (3 categories with 16 subcategories), service locations, elements related to the Patient Protection and Affordable Care Act, new technologies, aging population, and changing roles in capitated, value-based, and team-based systems of care. The model also helps identify where physicians in a given specialty will likely need to assume new roles, develop new expertise, and become more efficient in practice to accommodate new value-based payment models. PMID:28725751

  10. Supply and demand of some critical metals and present status of their recycling in WEEE.

    PubMed

    Zhang, Shengen; Ding, Yunji; Liu, Bo; Chang, Chein-Chi

    2017-07-01

    New development and technological innovations make electrical and electronic equipment (EEE) more functional by using an increasing number of metals, particularly the critical metals (e.g. rare and precious metals) with specialized properties. As millions of people in emerging economies adopt a modern lifestyle, the demand for critical metals is soaring. However, the increasing demand causes the crisis of their supply because of their simple deficiency in the Earth's crust or geopolitical constraints which might create political issues for their supply. This paper focuses on the sustainable supply of typical critical metals (indium, rare earth elements (REEs), lithium, cobalt and precious metals) through recycling waste electrical and electronic equipment (WEEE). To illuminate this issue, the production, consumption, expected future demand, current recycling situation of critical metals, WEEE management and their recycling have been reviewed. We find that the demand of indium, REEs, lithium and cobalt in EEE will continuously increasing, while precious metals are decreasing because of new substitutions with less or even without precious metals. Although the generation of WEEE in 2014 was about 41.9 million tons (Mt), just about 15% (6.5 Mt) was treated environmentally. The inefficient collection of WEEE is the main obstacle to relieving the supply risk of critical metals. Furthermore, due to the widespread use in low concentrations, such as indium, their recycling is not just technological problem, but economic feasibility is. Finally, relevant recommendations are point out to address these issues. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Adapted hydropower-driven water supply system: assessment of an underground application in an Indonesian karst area

    NASA Astrophysics Data System (ADS)

    Oberle, P.; Ikhwan, M.; Stoffel, D.; Nestmann, F.

    2016-09-01

    Populated karst landscapes can be found all over the world, although their natural boundary conditions mostly lead to distinct challenges regarding a sustainable water supply. Especially in developing and emerging countries, this situation aggravates since appropriate technologies and water management concepts are rarely available. Against this background, the interdisciplinary, German-Indonesian joint project " Integrated Water Resources Management (IWRM) Indonesia", funded by the German Federal Ministry of Education and Research (BMBF), focused on the development and exemplary implementation of adapted techniques to remedy the partly severe water scarcity in the region Gunung Sewu. This karst area, widely known as " Java's poorhouse", is located on the southern coast of Java Island and distinctly suffers from the mentioned constraints. Under the aegis of the Karlsruhe Institute of Technology (KIT), the conceptual and technical achievements of the "IWRM Indonesia" joint research project are characterized by a high potential for multiplication not only for karst areas but also for non-karst regions. One of the project's major accomplishments is the erection of an innovative hydropower-driven water supply facility located in a karst cave 100 m below ground and continuously supplying tens of thousands of people with fresh water. Referring to the plant's innovative character and the demanding conditions on-site, the implementation was a highly iterative process leading to today's autonomous operation by an Indonesian public authority. Based on the experiences gained during design, construction, operation and monitoring phase, this paper introduces an implementation approach for adapted technologies as well as a comprising technical and economical assessment of the plant's operation.

  12. A review of existing and emerging digital technologies to combat the global trade in fake medicines.

    PubMed

    Mackey, Tim K; Nayyar, Gaurvika

    2017-05-01

    The globalization of the pharmaceutical supply chain has introduced new challenges, chief among them, fighting the international criminal trade in fake medicines. As the manufacture, supply, and distribution of drugs becomes more complex, so does the need for innovative technology-based solutions to protect patients globally. Areas covered: We conducted a multidisciplinary review of the science/health, information technology, computer science, and general academic literature with the aim of identifying cutting-edge existing and emerging 'digital' solutions to combat fake medicines. Our review identified five distinct categories of technology including mobile, radio frequency identification, advanced computational methods, online verification, and blockchain technology. Expert opinion: Digital fake medicine solutions are unifying platforms that integrate different types of anti-counterfeiting technologies as complementary solutions, improve information sharing and data collection, and are designed to overcome existing barriers of adoption and implementation. Investment in this next generation technology is essential to ensure the future security and integrity of the global drug supply chain.

  13. Improving the relevance and impact of decision support research: A co-production framework and water management case study

    NASA Astrophysics Data System (ADS)

    Smith, R.; Kasprzyk, J. R.; Dilling, L.; Basdekas, L.; Kaatz, L.

    2016-12-01

    In light of the unpredictable effects of climate change and population shifts, responsible resource management will require new types of information and strategies going forward. For water utilities, this means that water supply infrastructure systems must be expanded and/or managed for changes in overall supply and increased extremes. Utilities have begun seeking innovative tools and methods to support planning and decision making, but there are limited channels through which they can gain exposure to emerging tools from the research world, and for researchers to uptake important real-world planning and decision context. A transdisciplinary team of engineers, social and climate scientists, and water managers designed this study to develop and apply a co-production framework which explores the potential of an emerging decision support tool to enhance flexibility and adaptability in water utility planning. It also demonstrates how to improve the link between research and practice in the water sector. In this study we apply the co-production framework to the use of Multiobjective Evolutionary Algorithms (MOEAs). MOEAs have shown promise in being able to generate and evaluate new planning alternatives but they have had little testing or application in water utilities. Anchored by two workshops, this study (1) elicited input from water managers from six water suppliers on the Front Range of Colorado, USA, to create a testbed MOEA application, and (2) evaluated the managers' responses to multiobjective optimization results. The testbed consists of a Front Range-relevant hypothetical water supply model, the Borg MOEA, hydrology and demand scenarios, and a set of planning decisions and performance objectives that drive the link between the algorithm and the model. In this presentation we describe researcher-manager interactions at the initial workshop that served to establish relationships and provide in-depth information to researchers about regional water management context. We also describe the development of, and experiences from, the second workshop which included activities for water managers to interact directly with MOEA testbed results. Finally, we evaluate the co-production framework itself and the potential for the feedback from managers to shape future development of decision support tools.

  14. Sustainable infrastructure system modeling under uncertainties and dynamics

    NASA Astrophysics Data System (ADS)

    Huang, Yongxi

    Infrastructure systems support human activities in transportation, communication, water use, and energy supply. The dissertation research focuses on critical transportation infrastructure and renewable energy infrastructure systems. The goal of the research efforts is to improve the sustainability of the infrastructure systems, with an emphasis on economic viability, system reliability and robustness, and environmental impacts. The research efforts in critical transportation infrastructure concern the development of strategic robust resource allocation strategies in an uncertain decision-making environment, considering both uncertain service availability and accessibility. The study explores the performances of different modeling approaches (i.e., deterministic, stochastic programming, and robust optimization) to reflect various risk preferences. The models are evaluated in a case study of Singapore and results demonstrate that stochastic modeling methods in general offers more robust allocation strategies compared to deterministic approaches in achieving high coverage to critical infrastructures under risks. This general modeling framework can be applied to other emergency service applications, such as, locating medical emergency services. The development of renewable energy infrastructure system development aims to answer the following key research questions: (1) is the renewable energy an economically viable solution? (2) what are the energy distribution and infrastructure system requirements to support such energy supply systems in hedging against potential risks? (3) how does the energy system adapt the dynamics from evolving technology and societal needs in the transition into a renewable energy based society? The study of Renewable Energy System Planning with Risk Management incorporates risk management into its strategic planning of the supply chains. The physical design and operational management are integrated as a whole in seeking mitigations against the potential risks caused by feedstock seasonality and demand uncertainty. Facility spatiality, time variation of feedstock yields, and demand uncertainty are integrated into a two-stage stochastic programming (SP) framework. In the study of Transitional Energy System Modeling under Uncertainty, a multistage stochastic dynamic programming is established to optimize the process of building and operating fuel production facilities during the transition. Dynamics due to the evolving technologies and societal changes and uncertainty due to demand fluctuations are the major issues to be addressed.

  15. External breast prostheses in post-mastectomy care: women's qualitative accounts.

    PubMed

    Gallagher, P; Buckmaster, A; O'Carroll, S; Kiernan, G; Geraghty, J

    2010-01-01

    A good-quality external breast prosthesis and prosthesis-fitting service is an integral part of the recovery process post-mastectomy. However, this is an area of care that has minimal information or research available. The aim of this research was to investigate women's experience of the provision, fitting, supply and use of breast prostheses in Ireland. To ascertain women's own personal and subjective experiences, five focus groups with 47 women recruited through national cancer advocacy/support organizations and four Follow-up Breast Clinics throughout Ireland were conducted. As a result, five main themes emerged: (1) The fitting experience--Fitting? (2) Post-mastectomy products--Having? (3) Cost--Affording? (4) Information--Knowing? and (5) Adaptation--Accepting? The emerging themes pinpointed the impact of the fitting experience, fitting environment and the qualities of a prosthesis fitter on a woman's experience in obtaining a first or replacement breast prosthesis; the importance of the physical characteristics of the prosthesis and mastectomy bras; cost, affordability and entitlements; a lack of and perceived difficulty in getting information; and the myriad of personal and social impacts of a breast prosthesis for the woman. These findings are integral for the development of standards of practice in the fitting and supply of external breast prostheses in post-mastectomy care.

  16. Revisiting the destination ranking procedure in development of an Intervening Opportunities Model for public transit trip distribution

    NASA Astrophysics Data System (ADS)

    Nazem, Mohsen; Trépanier, Martin; Morency, Catherine

    2015-01-01

    An Enhanced Intervening Opportunities Model (EIOM) is developed for Public Transit (PT). This is a distribution supply dependent model, with single constraints on trip production for work trips during morning peak hours (6:00 a.m.-9:00 a.m.) within the Island of Montreal, Canada. Different data sets, including the 2008 Origin-Destination (OD) survey of the Greater Montreal Area, the 2006 Census of Canada, GTFS network data, along with the geographical data of the study area, are used. EIOM is a nonlinear model composed of socio-demographics, PT supply data and work location attributes. An enhanced destination ranking procedure is used to calculate the number of spatially cumulative opportunities, the basic variable of EIOM. For comparison, a Basic Intervening Opportunities Model (BIOM) is developed by using the basic destination ranking procedure. The main difference between EIOM and BIOM is in the destination ranking procedure: EIOM considers the maximization of a utility function composed of PT Level Of Service and number of opportunities at the destination, along with the OD trip duration, whereas BIOM is based on a destination ranking derived only from OD trip durations. Analysis confirmed that EIOM is more accurate than BIOM. This study presents a new tool for PT analysts, planners and policy makers to study the potential changes in PT trip patterns due to changes in socio-demographic characteristics, PT supply, and other factors. Also it opens new opportunities for the development of more accurate PT demand models with new emergent data such as smart card validations.

  17. Privatisation and outsourcing in wartime: the humanitarian challenges.

    PubMed

    Carbonnier, Gilles

    2006-12-01

    The tendency today to privatise many activities hitherto considered the exclusive preserve of the state has given rise to sharp debate. The specific nature of humanitarian emergencies elucidates in particularly stark contrast some of the main challenges connected to the privatisation and outsourcing of essential public services, such as the provision of drinking water and health care. Privatising the realms of defence and security, which are at the very core of state prerogative, raises several legal and humanitarian concerns. This article focuses on the roles and responsibilities of the various parties involved in armed conflicts, especially those of private companies engaged in security, intelligence and interrogation work, and in the provision of water supply and health services. It highlights the need for humanitarian and development actors to grasp better the potential risks and opportunities related to privatisation and outsourcing with a view to supplying effective protection and assistance to communities affected by war.

  18. Opportunity for high value-added chemicals from food supply chain wastes.

    PubMed

    Matharu, Avtar S; de Melo, Eduardo M; Houghton, Joseph A

    2016-09-01

    With approximately 1.3 billion tonnes of food wasted per annum, food supply chain wastes (FSCWs) may be viewed as the contemporary Periodic Table of biobased feedstock chemicals (platform molecules) and functional materials. Herein, the global drivers and case for food waste valorisation within the context of global sustainability, sustainable development goals and the bioeconomy are discussed. The emerging potential of high value added chemicals from certain tropical FSCW is considered as these are grown in three major geographical areas: Brazil, India and China, and likely to increase in volume. FSCW in the context of biorefineries is discussed and two case studies are reported, namely: waste potato, and; orange peel waste. Interestingly, both waste feedstocks, like many others, produce proteins and with the global demand for vegetable proteins on the rise then proteins from FSCW may become a dominant area. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Emergency and backup power supplies at Department of Energy facilities: Augmented Evaluation Team -- Final report

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

    Not Available

    This report documents the results of the Defense Programs (DP) Augmented Evaluation Team (AET) review of emergency and backup power supplies (i.e., generator, uninterruptible power supply, and battery systems) at DP facilities. The review was conducted in response to concerns expressed by former Secretary of Energy James D. Watkins over the number of incidents where backup power sources failed to provide electrical power during tests or actual demands. The AET conducted a series of on-site reviews for the purpose of understanding the design, operation, maintenance, and safety significance of emergency and backup power (E&BP) supplies. The AET found that themore » quality of programs related to maintenance of backup power systems varies greatly among the sites visited, and often among facilities at the same site. No major safety issues were identified. However, there are areas where the AET believes the reliability of emergency and backup power systems can and should be improved. Recommendations for improving the performance of E&BP systems are provided in this report. The report also discusses progress made by Management and Operating (M&O) contractors to improve the reliability of backup sources used in safety significant applications. One area that requires further attention is the analysis and understanding of the safety implications of backup power equipment. This understanding is needed for proper graded-approach implementation of Department of Energy (DOE) Orders, and to help ensure that equipment important to the safety of DOE workers, the public, and the environment is identified, classified, recognized, and treated as such by designers, users, and maintainers. Another area considered important for improving E&BP system performance is the assignment of overall ownership responsibility and authority for ensuring that E&BP equipment performs adequately and that reliability and availability are maintained at acceptable levels.« less

  20. Multi-tracer approach (18O, 3H/3He, CFC, SF6, 35S) to find the best emergency drinking water supply, Vorarlberg, Austria

    NASA Astrophysics Data System (ADS)

    Kralik, Martin; Vergnaud, Virginie; Uriostegui, Stephanie; Esser, Bradley

    2016-04-01

    To provide an emergency drinking water supply in case of catastrophic events (regional chemical accidents, floods, earth quakes etc.), wells and springs should be known which are fed by a large reservoir. Such reservoirs provide a good filtering capacity and long Mean Residence Times (MRTs) of the raw water. Their existence allows to use these resources for longer periods excluding the danger of contamination. This provides the water authorities the necessary time to set measures to protect the general water supply. After preselection of 16 wells and springs all over the territory of the province of Vorarlberg at the western end of Austria by the local water authority, these wells and springs were measured (water temperature, electric conductivity, pH and dissolved oxygen content) and sampled monthly for δ 18O/2H measurements over the winter half-year 2013/14. At the same time the tritium concentrations of the October and March samples were measured as well. Based on the variation of the monthly on-site measurements and the δ 18O/2H results 12 wells and springs were selected for further investigations. On these sites samples for 3H/3He, CFC-11/12/113, SF6 and sulphur-35 measurements were collected in August 2014. As expected from a humid alpine area, non of the selected springs or wells showed really long MRTs. Five out of 16 investigated sites are regarded as well suited to be used as emergency water source with a range of MRTs of 9 - 30 years. Five springs and wells are regarded of limited suitability due to the shorter MRTs of 5 - 9 years. In two springs the 3H/3He method could not be applied due to He-degassing in a karst-system and during sampling. CFC and SF6 excess at some sites with anthropogenic and geogenic sources hampered the utilisation of these gases as dating tool, but they were useful as source tracers. Sulphur-35 was detected in two wells only, indicating contribution of very young water (< 1 year). In both cases MRTs of 13 - 17 years, calculated from the other applied tracers, otherwise would have supported the suitability of these wells as emergency drinking water supply. In general, the combination of tracers measured here over the period of one year are well suited to select and confirm springs or wells to be used as emergency drinking water supply, even situated in areas with fast groundwater cycles.

  1. ARkStorm@Tahoe: Stakeholder perspectives on vulnerabilities and preparedness for an extreme storm event in the greater Lake Tahoe, Reno, and Carson City region

    USGS Publications Warehouse

    Albano, Christine M.; Cox, Dale A.; Dettinger, Michael; Shaller, Kevin; Welborn, Toby L.; McCarthy, Maureen

    2014-01-01

    Atmospheric rivers (ARs) are strongly linked to extreme winter precipitation events in the Western U.S., accounting for 80 percent of extreme floods in the Sierra Nevada and surrounding lowlands. In 2010, the U.S. Geological Survey developed the ARkStorm extreme storm scenario for California to quantify risks from extreme winter storms and to allow stakeholders to better explore and mitigate potential impacts. To explore impacts on natural resources and communities in montane and adjacent environments, we downscaled the scenario to the greater Lake Tahoe, Reno and Carson City region of northern Nevada and California. This ArkStorm@Tahoe scenario was presented at six stakeholder meetings, each with a different geographic and subject matter focus. Discussions were facilitated by the ARkStorm@Tahoe team to identify social and ecological vulnerabilities to extreme winter storms, science and information needs, and proactive measures that might minimize impacts from this type of event. Information collected in these meetings was used to develop a tabletop emergency response exercise and set of recommendations for increasing resilience to extreme winter storm events in both Tahoe and the downstream communities of Northern Nevada.Over 300 individuals participated in ARkStorm@Tahoe stakeholder meetings and the emergency response exercise, including representatives from emergency response, natural resource and ecosystem management, health and human services, public utilities, and businesses. Interruption of transportation, communications, and lack of power and backup fuel supplies were identified as the most likely and primary points of failure across multiple sectors and geographies, as these interruptions have cascading effects on natural and human systems by impeding emergency response efforts. Other key issues that arose in discussions included contamination risks to water supplies and aquatic ecosystems, especially in the Tahoe Basin and Pyramid Lake, interagency coordination, credentialing, flood management, and coordination of health and human services during such an event. Mitigation options were identified for each of the key issues. Several science needs were identified, particularly the need for improved flood inundation maps. Finally, key lessons learned were identified and may help to increase preparedness, response and recovery from extreme storms in the future.

  2. A University-Industry Collaborative Response to the Growing Global Demand for Student Talent: Using Interpretive Phenomenology to Discover Life-World Knowledge

    ERIC Educational Resources Information Center

    Vauterin, Johanna Julia; Linnanen, Lassi; Michelsen, Karl-Erik

    2013-01-01

    The supply of student talent is now taking on an increasingly global dimension and this has extended the breadth of university-industry interaction. Set in the context of a rapidly growing international student market, knowledge transfer between academia and business through global student talent supply is an emerging practice. This paper…

  3. The Growing Need for Diverse Blood Donors.

    PubMed

    MacIntyre, Linda M

    2017-07-01

    : Research shows that phenotype matching can improve the outcomes of people who receive repeated transfusions. In addition, the demographics of the United States are shifting, and more ethnically and racially diverse donors are needed. These factors have health implications and require ongoing efforts to ensure a safe and adequate U.S. blood supply. Nurses can help to develop and implement strategies to increase the number and diversity of blood donors, ensuring donations better match the needs of transfusion recipients daily and in the event of a public health emergency.

  4. On the use of fractional order PK-PD models

    NASA Astrophysics Data System (ADS)

    Ionescu, Clara; Copot, Dana

    2017-01-01

    Quantifying and controlling depth of anesthesia is a challenging process due to lack of measurement technology for direct effects of drug supply into the body. Efforts are being made to develop new sensor techniques and new horizons are explored for modeling this intricate process. This paper introduces emerging tools available on the ‘engineering market’ imported from the area of fractional calculus. A novel interpretation of the classical drug-effect curve is given, enabling linear control. This enables broadening the horizon of signal processing and control techniques and suggests future research lines.

  5. Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru.

    PubMed

    Stewart, Matthew; Grahmann, Bridget; Fillmore, Ariel; Benson, L Scott

    2017-08-01

    Introduction Disasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster. Problem The purpose of this study was to assess disaster preparedness and risk perception in communities surrounding Trujillo, Peru. After designing a novel disaster preparedness and risk perception survey based on guidelines from the International Federation of Red Cross and Red Crescent Societies (IFRC; Geneva, Switzerland), investigators performed a cross-sectional survey of potentially vulnerable communities surrounding Trujillo, Peru. Data were entered and analyzed utilizing the Research Electronic Data Capture (REDCap; Harvard Catalyst; Boston, Massachusetts USA) database. A total of 230 study participants were surveyed, composed of 37% males, 63% females, with ages ranging from 18-85 years old. Those surveyed who had previously experienced a disaster (41%) had a higher perception of future disaster occurrence and potential disaster impact on their community. Overall, the study participants consistently perceived that earthquakes and infection had the highest potential impact of all disasters. Twenty-six percent of participants had an emergency supply of food, 24% had an emergency water plan, 24% had a first aid kit at home, and only 20% of the study participants had an established family evacuation plan. Natural and man-made disasters will remain a threat to the safety and health of communities in all parts of the world, especially within vulnerable communities in LMICs; however, little research has been done to identify disaster perception, vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans. Stewart M , Grahmann B , Fillmore A , Benson LS . Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387-392.

  6. Emergency health planning.

    PubMed

    HARDMAN, A C

    1962-12-01

    This paper outlines the development of emergency health planning as a function of government. Ten provinces have the basic responsibility for the organization, preparation and operation of medical, nursing, hospital and public health services in an emergency. The Department of National Health and Welfare is responsible for the provision of advice and assistance to the provincial and municipal governments in such matters. Eight provinces have now hired full-time planning staffs to co-ordinate the health planning of the Provincial Departments of Health and Provincial Emergency Measures Organization.Four major programs have been established. The first program provides for the continuity of leadership and guidance by health authorities at the federal, provincial and municipal level. Essential records have been developed and emergency legislation prepared. This program, however, will be of little use unless health services are organized at the municipal level. In this organizational program, advice and assistance have been provided to existing hospitals and departments of health in the conduct of disaster planning. The efforts of these agencies are co-ordinated by municipal health authorities into a community disaster plan. The third program deals with information and education of the general public and the health workers. This program is designed to make the family unit self-sufficient for up to seven days and the health worker prepared to undertake his emergency role. The first three programs are directed to the organization and training of manpower; the fourth program provides the necessary supplies. From the national medical stockpile of $18,000,000, some $12,000,000 has been received, packaged for long-term storage and distributed to regional depots across the country. To ensure their ready availability in time of emergency an agreement has been reached with seven provinces for the release of hospital disaster kits.

  7. Emergency revascularisation in a patient with acute mesenteric ischaemia: the role of open revascularisation and compensatory blood flow.

    PubMed

    Morbi, Abigail H M; Nordon, Ian M

    2016-08-01

    This case highlights the importance of timely diagnosis and management of acute mesenteric ischaemia and illustrates the compensatory mechanisms of the mesenteric vasculature. A 53-year-old female presented with fever, abdominal pain, and vomiting. The patient had no risk factors for atherosclerosis and was a non-smoker in sinus rhythm with no history of coagulopathy. She was initially treated for viral gastroenteritis. Due to lack of clinical improvement and a rising C-Reactive Protein (416), a CT scan was performed. This demonstrated small bowel ischaemia, chronic occlusion of the coeliac axis, and a long acute-on-chronic occlusion of the superior mesenteric artery (SMA). The length and morphology of the SMA occlusion precluded endovascular treatment. Emergency laparotomy demonstrated 1 m of necrotic small bowel and a pulseless mesentery. An aorto-SMA bypass, using good-quality long saphenous vein was performed, with segmental small bowel resection. Postoperative nutritional support was required with discharge on the 23rd post-operative day. Interval surveillance confirmed graft patency. One year post-discharge, she presented to routine clinic with paroxysmal right iliac fossa pain and decreased appetite. CT angiography showed a long tight 75% stenosis of the graft and she was admitted for mesenteric angioplasty. Angiography confirmed a significantly hypertrophied inferior mesenteric artery, which was now the dominant mesenteric supply. This case demonstrates the importance of emergency mesenteric revascularisation and how it acts as a bridge to anatomical compensation, allowing the collateral circulation to develop and the IMA to hypertrophy, becoming the dominant mesenteric supply.

  8. Chemical decontamination technical resources at Los Alamos National Laboratory (2008)

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

    Moore, Murray E

    This document supplies information resources for a person seeking to create planning or pre-planning documents for chemical decontamination operations. A building decontamination plan can be separated into four different sections: Pre-planning, Characterization, Decontamination (Initial response and also complete cleanup), and Clearance. Of the identified Los Alamos resources, they can be matched with these four sections: Pre-planning -- Dave Seidel, EO-EPP, Emergency Planning and Preparedness; David DeCroix and Bruce Letellier, D-3, Computational fluids modeling of structures; Murray E. Moore, RP-2, Aerosol sampling and ventilation engineering. Characterization (this can include development projects) -- Beth Perry, IAT-3, Nuclear Counterterrorism Response (SNIPER database); Fernandomore » Garzon, MPA-11, Sensors and Electrochemical Devices (development); George Havrilla, C-CDE, Chemical Diagnostics and Engineering; Kristen McCabe, B-7, Biosecurity and Public Health. Decontamination -- Adam Stively, EO-ER, Emergency Response; Dina Matz, IHS-IP, Industrial hygiene; Don Hickmott, EES-6, Chemical cleanup. Clearance (validation) -- Larry Ticknor, CCS-6, Statistical Sciences.« less

  9. Protein and DNA Modifications: Evolutionary Imprints of Bacterial Biochemical Diversification and Geochemistry on the Provenance of Eukaryotic Epigenetics

    PubMed Central

    Aravind, L.; Burroughs, A. Maxwell; Zhang, Dapeng; Iyer, Lakshminarayan M.

    2014-01-01

    Epigenetic information, which plays a major role in eukaryotic biology, is transmitted by covalent modifications of nuclear proteins (e.g., histones) and DNA, along with poorly understood processes involving cytoplasmic/secreted proteins and RNAs. The origin of eukaryotes was accompanied by emergence of a highly developed biochemical apparatus for encoding, resetting, and reading covalent epigenetic marks in proteins such as histones and tubulins. The provenance of this apparatus remained unclear until recently. Developments in comparative genomics show that key components of eukaryotic epigenetics emerged as part of the extensive biochemical innovation of secondary metabolism and intergenomic/interorganismal conflict systems in prokaryotes, particularly bacteria. These supplied not only enzymatic components for encoding and removing epigenetic modifications, but also readers of some of these marks. Diversification of these prokaryotic systems and subsequently eukaryotic epigenetics appear to have been considerably influenced by the great oxygenation event in the Earth’s history. PMID:24984775

  10. Protein and DNA modifications: evolutionary imprints of bacterial biochemical diversification and geochemistry on the provenance of eukaryotic epigenetics.

    PubMed

    Aravind, L; Burroughs, A Maxwell; Zhang, Dapeng; Iyer, Lakshminarayan M

    2014-07-01

    Epigenetic information, which plays a major role in eukaryotic biology, is transmitted by covalent modifications of nuclear proteins (e.g., histones) and DNA, along with poorly understood processes involving cytoplasmic/secreted proteins and RNAs. The origin of eukaryotes was accompanied by emergence of a highly developed biochemical apparatus for encoding, resetting, and reading covalent epigenetic marks in proteins such as histones and tubulins. The provenance of this apparatus remained unclear until recently. Developments in comparative genomics show that key components of eukaryotic epigenetics emerged as part of the extensive biochemical innovation of secondary metabolism and intergenomic/interorganismal conflict systems in prokaryotes, particularly bacteria. These supplied not only enzymatic components for encoding and removing epigenetic modifications, but also readers of some of these marks. Diversification of these prokaryotic systems and subsequently eukaryotic epigenetics appear to have been considerably influenced by the great oxygenation event in the Earth's history. Copyright © 2014 Cold Spring Harbor Laboratory Press; all rights reserved.

  11. The humanitarian common logistic operating picture: a solution to the inter-agency coordination challenge.

    PubMed

    Tatham, Peter; Spens, Karen; Kovács, Gyöngyi

    2017-01-01

    Although significant progress has been made in developing the practice of humanitarian logistics, further improvements in efficiency and effectiveness have the potential to save lives and reduce suffering. This paper explores how the military/emergency services' concept of a common operating picture (COP) can be adapted to the humanitarian logistics context, and analyses a practical and proven approach to addressing the key challenge of inter-agency coordination and decision-making. Successful adaptation could provide the mechanism through which predicted and actual demands, together with the location and status of material in transit, are captured, evaluated, and presented in real time as the basis for enhanced decision-making between actors in the humanitarian supply network. Through the introduction of a humanitarian logistics COP and its linkages to national disaster management systems, local communities and countries affected by disasters and emergencies will be better placed to oversee and manage their response activities. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

  12. CDC Safety Training Course for Ebola Virus Disease Healthcare Workers

    PubMed Central

    Sobel, Jeremy; Piper, Catherine; Gould, Deborah; Bhadelia, Nahid; Dott, Mary; Fiore, Anthony; Fischer, William A.; Frawley, Mary Jo; Griffin, Patricia M.; Hamilton, Douglas; Mahon, Barbara; Pillai, Satish K.; Veltus, Emily F.; Tauxe, Robert; Jhung, Michael

    2017-01-01

    Response to sudden epidemic infectious disease emergencies can demand intensive and specialized training, as demonstrated in 2014 when Ebola virus disease (EVD) rapidly spread throughout West Africa. The medical community quickly became overwhelmed because of limited staff, supplies, and Ebola treatment units (ETUs). Because a mechanism to rapidly increase trained healthcare workers was needed, the US Centers for Disease Control and Prevention developed and implemented an introductory EVD safety training course to prepare US healthcare workers to work in West Africa ETUs. The goal was to teach principles and practices of safely providing patient care and was delivered through lectures, small-group breakout sessions, and practical exercises. During September 2014–March 2015, a total of 570 participants were trained during 16 course sessions. This course quickly increased the number of clinicians who could provide care in West Africa ETUs, showing the feasibility of rapidly developing and implementing training in response to a public health emergency. PMID:29154748

  13. Influence of awareness and availability of medical alternatives on parents seeking paediatric emergency care.

    PubMed

    Ellbrant, Julia A; Åkeson, S Jonas; Karlsland Åkeson, Pia M

    2018-06-01

    Direct seeking of care at paediatric emergency departments may result from an inadequate awareness or a short supply of medical alternatives. We therefore evaluated the care-seeking patterns, availability of medical options and initial medical assessments - with overall reference to socioeconomic status - of parents at an urban paediatric emergency department in a Scandinavian country providing free paediatric healthcare. The parents of children assessed by paediatric emergency department physicians at a Swedish university hospital over a 25-day winter period completed a questionnaire on recent medical contacts and their reasons for attendance. Additional information was obtained from ledgers, patient records and population demographics. In total, 657 of 713 eligible patients (92%) were included. Seventy-nine per cent of their parents either failed to or managed to establish medical contact before the emergency department visit, whereas 21% sought care with no attempt at recent medical contact. Visits with a failed telephone or primary care contact (18%) were more common outside office hours ( p=0.014) and were scored as less urgent ( p=0.014). A perceived emergency was the main reason for no attempt at medical contact before the visit. Direct emergency department care-seeking was more common from the city district with the lowest socioeconomic status ( p=0.027). Although most parents in this Swedish study tried to seek medical advice before attending a paediatric emergency department, perceived emergency, a short supply of telephone health line or primary care facilities and lower socioeconomic status contributed to direct care-seeking by almost 40% of parents. Pre-hospital awareness and the availability of medical alternatives with an emphasis on major differences in socioeconomic status should therefore be considered to further optimize care-seeking in paediatric emergency departments.

  14. More food, more bioenergy and fewer greenhouse gas emissions (GHGe) - is it possible?

    NASA Astrophysics Data System (ADS)

    Long, S. P.

    2012-12-01

    Global demand for our four major food and feed crops is beginning to out-strip supply, at a time when year-on-year yield per unit area increases are stagnating and while emerging climate trends may further threaten supply. In this context it seems unlikely that in the medium term the continued use of land suited to food and feed production for bioenergy will be either socially acceptable or economically viable. It will be argued that the use of food crops, which have been developed to meet nutritional needs, for bioenergy is environmentally flawed and sub-optimal with respect to net GHGe. It will be shown that using Miscanthus, canes, agave and poplars as examples, there are many opportunities, some partially realized, to achieve very substantial quantities of bioenergy on abandoned or non-agricultural land, globally, with positive GHGe benefits and without unsustainable impacts on food production. Achieving all three goals will depend on new policies based on a holistic view of these demands on land rather than the disaggregated policy development based on single issues, which has characterised this arena in recent years.

  15. The Anaesthesia Gas Supply System

    PubMed Central

    Das, Sabyasachi; Chattopadhyay, Subhrajyoti; Bose, Payel

    2013-01-01

    The anaesthesia gas supply system is designed to provide a safe, cost-effective and convenient system for the delivery of medical gases at the point of-use. The doctrine of the anaesthesia gas supply system is based on four essential principles: Identity, continuity, adequacy and quality. Knowledge about gas supply system is an integral component of safe anaesthetic practice. Mishaps involving the malfunction or misuse of medical gas supply to operating theatres have cost many lives. The medical gases used in anaesthesia and intensive care are oxygen, nitrous oxide, medical air, entonox, carbon dioxide and heliox. Oxygen is one of the most widely used gases for life-support and respiratory therapy besides anaesthetic procedures. In this article, an effort is made to describe the production, storage and delivery of anaesthetic gases. The design of anaesthesia equipment must take into account the local conditions such as climate, demand and power supply. The operational policy of the gas supply system should have a backup plan to cater to the emergency need of the hospital, in the event of the loss of the primary source of supply. PMID:24249882

  16. 21 CFR 203.3 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... acutely ill or injured persons; provision of minimal emergency supplies of drugs to nearby nursing homes...' and distributors' warehouses, chain drug warehouses, and wholesale drug warehouses; independent...

  17. 21 CFR 203.3 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... acutely ill or injured persons; provision of minimal emergency supplies of drugs to nearby nursing homes...' and distributors' warehouses, chain drug warehouses, and wholesale drug warehouses; independent...

  18. 21 CFR 203.3 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... acutely ill or injured persons; provision of minimal emergency supplies of drugs to nearby nursing homes...' and distributors' warehouses, chain drug warehouses, and wholesale drug warehouses; independent...

  19. New and Emerging Occupations: Fact or Fancy.

    ERIC Educational Resources Information Center

    Bienstock, Herbert

    The job market should be considered as interaction between supply and demand, and not from the perspective of new and emerging occupations. Three recent major post-World War II changes in the human resources posture have tended to create labor surpluses: shift from rural South to urban North, increased number of working women, and the postwar baby…

  20. Progress in biocatalysis with immobilized viable whole cells: systems development, reaction engineering and applications.

    PubMed

    Polakovič, Milan; Švitel, Juraj; Bučko, Marek; Filip, Jaroslav; Neděla, Vilém; Ansorge-Schumacher, Marion B; Gemeiner, Peter

    2017-05-01

    Viable microbial cells are important biocatalysts in the production of fine chemicals and biofuels, in environmental applications and also in emerging applications such as biosensors or medicine. Their increasing significance is driven mainly by the intensive development of high performance recombinant strains supplying multienzyme cascade reaction pathways, and by advances in preservation of the native state and stability of whole-cell biocatalysts throughout their application. In many cases, the stability and performance of whole-cell biocatalysts can be highly improved by controlled immobilization techniques. This review summarizes the current progress in the development of immobilized whole-cell biocatalysts, the immobilization methods as well as in the bioreaction engineering aspects and economical aspects of their biocatalytic applications.

  1. Multi-Agent Simulation of Allocating and Routing Ambulances Under Condition of Street Blockage after Natural Disaster

    NASA Astrophysics Data System (ADS)

    Azimi, S.; Delavar, M. R.; Rajabifard, A.

    2017-09-01

    In response to natural disasters, efficient planning for optimum allocation of the medical assistance to wounded as fast as possible and wayfinding of first responders immediately to minimize the risk of natural disasters are of prime importance. This paper aims to propose a multi-agent based modeling for optimum allocation of space to emergency centers according to the population, street network and number of ambulances in emergency centers by constraint network Voronoi diagrams, wayfinding of ambulances from emergency centers to the wounded locations and return based on the minimum ambulances travel time and path length implemented by NSGA and the use of smart city facilities to accelerate the rescue operation. Simulated annealing algorithm has been used for minimizing the difference between demands and supplies of the constrained network Voronoi diagrams. In the proposed multi-agent system, after delivering the location of the wounded and their symptoms, the constraint network Voronoi diagram for each emergency center is determined. This process was performed simultaneously for the multi-injuries in different Voronoi diagrams. In the proposed multi-agent system, the priority of the injuries for receiving medical assistance and facilities of the smart city for reporting the blocked streets was considered. Tehran Municipality District 5 was considered as the study area and during 3 minutes intervals, the volunteers reported the blocked street. The difference between the supply and the demand divided to the supply in each Voronoi diagram decreased to 0.1601. In the proposed multi-agent system, the response time of the ambulances is decreased about 36.7%.

  2. Long-term improvement of agricultural vegetation by floodwater spreading in the Gareh Bygone Plain, Iran. In the pursuit of human security, is artificial recharge of groundwater more lucrative than selling oil?

    NASA Astrophysics Data System (ADS)

    Mesbah, Sayyed Hamid; Mohammadnia, Mehrdad; Kowsar, Sayyed Ahang

    2016-03-01

    In southern Iran's Gareh Bygone Plain, water-supply qanats in four mixed farming communities were desiccated by over-pumping of illegal dug wells throughout the area. Emergency situations developed, resulting in city-ward migration. Since 1983, 193 million m3 of water has been supplied to those communities by floodwater spreading (FWS) to facilitate spate irrigation of sandy rangeland (2,034 ha) and artificial recharge of groundwater (ARG), of which 76 % has recharged the aquifer. This resulted in a reverse migration of the population. The irrigated area in the 2010-2011 growing season increased 13.2 fold when compared to the pre-FWS period, and year-round forage for about 700 sheep has been provided since 1991. The ARG is a logical alternative to building large dams in Iran; 420,000 km2 of coarse-grained alluvium provides capacity to store 5,000 km3 of water, representing more than ten times the annual precipitation of the whole country. As the equivalent cost for building dams to accommodate that volume is estimated at US12.5 × 1012, the potential value of the alluvium may be realized. ARG on the recharge areas of 33,000 of the desiccated qanats eventually could rejuvenate them. As agricultural commodities absorb 19 % of the monetary value of Iran's imports, and ARG activities could supply the water to produce them, alluvium is even more valuable than oil, which provides foreign exchange. More importantly, ARG on 140,000 km2 of the alluvium could strengthen the capacity to adapt to droughts and reduce the number and impact of water-related emergency situations.

  3. Climate in Context - How partnerships evolve in regions

    NASA Astrophysics Data System (ADS)

    Parris, A. S.

    2014-12-01

    In 2015, NOAA's RISA program will celebrate its 20th year of exploration in the development of usable climate information. In the mid-1990s, a vision emerged to develop interdisciplinary research efforts at the regional scale for several important reasons. Recognizable climate patterns, such as the El Nino Southern Oscillation (ENSO), emerge at the regional level where our understanding of observations and models coalesce. Critical resources for society are managed in a context of regional systems, such as water supply and human populations. Multiple scales of governance (local, state, and federal) with complex institutional relationships can be examined across a region. Climate information (i.e. data, science, research etc) developed within these contexts has greater potential for use. All of this work rests on a foundation of iterative engagement between scientists and decision makers. Throughout these interactions, RISAs have navigated diverse politics, extreme events and disasters, socio-economic and ecological disruptions, and advances in both science and technology. Our understanding of information needs is evolving into a richer understanding of complex institutional, legal, political, and cultural contexts within which people can use science to make informed decisions. The outcome of RISA work includes both cases where climate information was used in decisions and cases where capacity for using climate information and making climate resilient decisions has increased over time. In addition to balancing supply and demand of scientific information, RISAs are engaged in a social process of reconciling climate information use with important drivers of society. Because partnerships are critical for sustained engagement, and because engagement is critically important to the use of science, the rapid development of new capacity in regionally-based science programs focused on providing climate decision support is both needed and challenging. New actors can bolster existing partnerships, but also impact trust developed through engagement. Examining other partnership-driven science initiatives, such as Digital Coast or NIDIS, can help identify critical elements of governance and network management that could be applied to the regional climate programs.

  4. Anthropogenic Cycles of Rare Earth Elements

    NASA Astrophysics Data System (ADS)

    Du, X.; Graedel, T. E.

    2009-12-01

    This research will develop quantitatively resolved anthropogenic cycles and in-use stocks for the rare earth metals specifically cerium, lanthanum and dysprosium in Japan, China, and the U.S. for the year of 2007. Rare earth elements (REE) is a group of 17 scare metals widely used in a growing number of emerging technologies and have been in high demand for emerging technologies as raw materials during past the three decades. New market participants from newly industrializing countries, primarily China, have had strong impacts on the demand of share. Consequently, the importance to sustain a reliable, steady, uninterrupted supply on global market triggered comprehensive research to recognize and understand the life cycles of rare earths. Moreover, because China plays a dominant role in mining production since 1990, it requires the assessment for the countries, which are almost completely dependent on imports from China with respect to rare earth resources. The study aims to analyze the flows and stocks of rare earth elements individually as elemental form in spite of their natural geological co-occurrence and mixed composition in applications. By applying the method of Material Flow Analysis (MFA) work has been done on evaluating current and historical flows of specific technologically significant materials, for example, copper, zinc, nickel, etc., determining the stocks available in different types of reservoirs (e.g., lithosphere, in-use) and the flows among the reservoirs, developing scenarios of possible futures of metal use, and assessing the environmental and policy implications of the results. Therefore, REE as a new target deserves inclusion because of its potential demand-supply conflict and importance to secure the competitive advantage of technical innovation in future. This work will generate a quantitatively resolved anthropogenic life cycle and in-use stocks for REE for the main target countries for a chosen year, 2007, providing flows and stocks from mining to use to recycling quantifying the cycles for Japan, China and the U.S. as three representative types of consumers and paying attention to aspects of resource sustainability. Being well aware of the stages in the metal life cycle helps the sustainable development and policy making in long term. The goal is to consider REE resource availability, sustainability, and development strategies in the future that can sustain a reliable, steady, uninterrupted REE supply on the global market.

  5. Anthrax in injecting drug users: the need for increased vigilance in the clinic.

    PubMed

    Ascough, Stephanie; Altmann, Daniel Martin

    2015-06-01

    The emergence of a previously unrecognized route of Bacillus anthracis infection over the last few years has led to concern: sporadic anthrax outbreaks among heroin users in northern Europe have demonstrated the severe pathology associated with the newly described 'injectional anthrax'. With a high case fatality rate and non-specific early symptoms, this is a novel clinical manifestation of an old disease. Lack of awareness of this syndrome among emergency room clinicians can lead to a delayed diagnosis among heroin users; indeed, for many health workers in developed countries, where infection by B. anthracis is rare, this may be the first time they have encountered anthrax infections. As the putative route of contamination of the heroin supply is potentially ongoing, it is important that clinicians and public health workers remain vigilant for early signs of injectional anthrax.

  6. Expanding contraceptive choice in the developing world: lessons from the Lao People's Democratic Republic and the Republic of Zambia.

    PubMed

    d'Arcangues, Catherine M; Ba-Thike, Katherine; Say, Lale

    2013-12-01

    Women need different forms of contraception over their lifetime. In the developed world, they have access to some 20 different methods. In developing countries, only a few options are available. This paper focuses on four under-used methods: intrauterine devices, implants, emergency contraception and female condoms. It examines reasons for their low uptake, strategies used for their adoption, and challenges in sustaining these efforts, in two countries: Laos and Zambia. In-country documentation and reports from international partners were reviewed; questionnaires were sent and interviews carried out with ministry officials, senior providers, and local representatives of international organisations and international non-governmental organisations. In Laos, the family planning programme is relatively young; its challenges include ensuring the sustainability of services and supplies, improving the quality of IEC to dispel misconceptions surrounding contraception, and developing novel distribution systems to reach rural populations. Zambia has a much older programme, which lost ground in the face of competing health priorities. Its challenges include strengthening the supply chain management, coordinating the multiple groups of providers and ensuring the sustainability of services in rural areas. The contrast offered by Laos and Zambia illustrates the importance of regular evaluation to identify priority areas for improving contraceptive delivery.

  7. Emerging policy issues in PURPA implementation: an examination of policy issues related to federal and state efforts to encourage development of cogeneration and small power production under Title II of PURPA

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

    Not Available

    Purpose of this study is to examine the results of FERG and state efforts to encourage the development of cogeneration and small power production under Title II of the Public Utility Regualtory Policies Act of 1978 (PURPA) in the years since the statute was enacted. The frame of reference specified by DOE for use in this study includes both the original purposes of the legislation as set forth in PURPA and the current overall energy policy goal which is to ''foster an adequate supply of energy at reasonable costs.'' This review of PURPA implementation efforts is designed to assess themore » results to date in terms of achieving the stated goals of the statute (including ''to encourage cogeneration and small power production''), identify perceived areas of conflict between federal and state efforts to maximize development of qualifying facilities (QFs) and current Administration concerns for achieving greater levels of economic efficiency in electric power supply, briefly examine the nature of such conflicts, with reference to specific cases wherever possible, and suggest possible means of conforming government efforts to encourage QF development with the economic efficiency objectives underlying national energy policy.« less

  8. Evaluation of online disaster and emergency preparedness resources.

    PubMed

    Friedman, Daniela B; Tanwar, Manju; Richter, Jane V E

    2008-01-01

    Increasingly, individuals are relying on the Internet as a major source of health information. When faced with sudden or pending disasters, people resort to the Internet in search of clear, current, and accurate instructions on how to prepare for and respond to such emergencies. Research about online health resources ascertained that information was written at the secondary education and college levels and extremely difficult for individuals with limited literacy to comprehend. This content analysis is the first to assess the reading difficulty level and format suitability of a large number of disaster and emergency preparedness Web pages intended for the general public. The aims of this study were to: (1) assess the readability and suitability of disaster and emergency preparedness information on the Web; and (2) determine whether the reading difficulty level and suitability of online resources differ by the type of disaster or emergency and/or Website domain. Fifty Websites containing information on disaster and/or emergency preparedness were retrieved using the Google search engine. Readability testing was conducted on the first Web page, suggested by Google, addressing preparedness for the general public. The reading level was assessed using Flesch-Kincaid (F-K) and Flesch Reading Ease (FRE) measures. The Suitability Assessment of Materials (SAM) instrument was used to evaluate additional factors such as graphics, layout, and cultural appropriateness. The mean F-K readability score of the 50 Websites was Grade 10.74 (95% CI = 9.93, 11.55). The mean FRE score was 45.74 (95% CI = 41.38, 50.10), a score considered "difficult."A Web page with content about both risk and preparedness supplies was the most difficult to read according to F-K (Grade level = 12.1). Web pages with general disaster and emergency information and preparedness supplies were considered most difficult according to the FRE (38.58, 95% CI = 30.09, 47.08). The average SAM score was 48% or 0.48 (95% CI = 0.45, 0.51), implying below average suitability of these Websites. Websites on pandemics and bioterrorism were the most difficult to read (F-K: p = 0.012; FRE: p = 0.014) and least suitable (SAM: p = 0.035) compared with other disasters and emergencies. The results suggest the need for readily accessible preparedness resources on the Web that are easy-to-read and visually appropriate. Interdisciplinary collaborations between public health educators, risk communication specialists, and Web page creators and writers are recommended to ensure the development and dissemination of disaster and emergency resources that consider literacy abilities of the general public.

  9. Combat Medical Modernization: Posturing Low Supply And High Demand Assets To Meet Emerging And Future Capability Requirements

    DTIC Science & Technology

    2015-07-01

    OFFICE OF THE AIR FORCE SURGEON GENERAL FELLOWSHIP PAPER COMBAT MEDICAL MODERNIZATION: POSTURING LOW SUPPLY AND HIGH DEMAND ASSETS TO...Maj, USAF, MSC Scott A. Baker, Capt, USAF, MSC A Research Report Submitted to HQ AF/SG35X In Partial Fulfillment of Medical Plans Fellowship...i TABLE OF FIGURES 3 I. INTRODUCTION 5 II. CURRENT MEDICAL EN-ROUTE CARE CAPABILITY

  10. Potential impacts of global warming on water resources in southern California.

    PubMed

    Beuhler, M

    2003-01-01

    Global warming will have a significant impact on water resources within the 20 to 90-year planning period of many water projects. Arid and semi-arid regions such as Southern California are especially vulnerable to anticipated negative impacts of global warming on water resources. Long-range water facility planning must consider global climate change in the recommended mix of new facilities needed to meet future water requirements. The generally accepted impacts of global warming include temperature, rising sea levels, more frequent and severe floods and droughts, and a shift from snowfall to rain. Precipitation changes are more difficult to predict. For Southern California, these impacts will be especially severe on surface water supplies. Additionally, rising sea levels will exacerbate salt-water intrusion into freshwater and impact the quality of surface water supplies. Integrated water resources planning is emerging as a tool to develop water supplies and demand management strategies that are less vulnerable to the impacts of global warming. These tools include water conservation, conjunctive use of surface and groundwater and desalination of brackish water and possibly seawater. Additionally, planning for future water needs should include explicit consideration of the potential range of global warming impacts through techniques such as scenario planning.

  11. The production of information in the attention economy

    PubMed Central

    Ciampaglia, Giovanni Luca; Flammini, Alessandro; Menczer, Filippo

    2015-01-01

    Online traces of human activity offer novel opportunities to study the dynamics of complex knowledge exchange networks, in particular how emergent patterns of collective attention determine what new information is generated and consumed. Can we measure the relationship between demand and supply for new information about a topic? We propose a normalization method to compare attention bursts statistics across topics with heterogeneous distribution of attention. Through analysis of a massive dataset on traffic to Wikipedia, we find that the production of new knowledge is associated to significant shifts of collective attention, which we take as proxy for its demand. This is consistent with a scenario in which allocation of attention toward a topic stimulates the demand for information about it, and in turn the supply of further novel information. However, attention spikes only for a limited time span, during which new content has higher chances of receiving traffic, compared to content created later or earlier on. Our attempt to quantify demand and supply of information, and our finding about their temporal ordering, may lead to the development of the fundamental laws of the attention economy, and to a better understanding of social exchange of knowledge information networks. PMID:25989177

  12. When should governments increase the supply of psychiatric beds?

    PubMed

    Allison, S; Bastiampillai, T; Licinio, J; Fuller, D A; Bidargaddi, N; Sharfstein, S S

    2018-04-01

    Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system. In the USA, for example, prisons have replaced mental hospitals as the largest institutions housing people with SMI. There is no international consensus on the safe minimum numbers of acute, forensic and rehabilitation beds needed to reduce these risks. As a consequence, Organisation for Economic Cooperation and Development (OECD) countries have wide variations in the mix of hospital beds with an average of 71 beds per 100 000 population. Policymakers face difficult choices with few studies to guide decisions on supplying beds. The UK Royal College of Psychiatrists offered a policy framework, which was adapted for Australia. The government of the State of South Australia increased the supplies of crisis, acute and forensic beds to meet a mandatory target to safely reduce mental health boarding in the EDs.

  13. MDRO - Multidrug-Resistant Organisms

    MedlinePlus

    ... the OSHA Directorate of Technical Support and Emergency Management at (202) 693-2300 for assistance accessing PDF materials. Administration | Central Supply ... Scope | Glossary | References | Site Map | Credits Freedom of Information ...

  14. Survey of the capacity for essential surgery and anaesthesia services in Papua New Guinea.

    PubMed

    Martin, Janet; Tau, Goa; Cherian, Meena Nathan; Vergel de Dios, Jennifer; Mills, David; Fitzpatrick, Jane; Adu-Krow, William; Cheng, Davy

    2015-12-16

    To assess capacity to provide essential surgical services including emergency, obstetric and anaesthesia care in Papua New Guinea (PNG) in order to support planning for relevant post-2015 sustainable development goals for PNG. Cross-sectional survey. Hospitals and health facilities in PNG. 21 facilities including 3 national/provincial hospitals, 11 district/rural hospitals, and 7 health centres. The WHO Situational Analysis Tool to Assess Emergency and Essential Surgical Care (WHO-SAT) was used to measure each participating facility's capacity to deliver essential surgery and anaesthesia services, including 108 items related to relevant infrastructure, human resources, interventions and equipment. While major surgical procedures were provided at each hospital, fewer than 30% had uninterrupted access to oxygen, and 57% had uninterrupted access to resuscitation bag and mask. Most hospitals reported capacity to provide general anaesthesia, though few hospitals reported having at least one certified surgeon, obstetrician and anaesthesiologist. Access to anaesthetic machines, pulse oximetry and blood bank was severely limited. Many non-hospital health centres providing basic surgical procedures, but almost none had uninterrupted access to electricity, running water, oxygen and basic supplies for resuscitation, airway management and obstetric services. Capacity for essential surgery and anaesthesia services is severely limited in PNG due to shortfalls in physical infrastructure, human resources, and basic equipment and supplies. Achieving post-2015 sustainable development goals, including universal healthcare, will require significant investment in surgery and anaesthesia capacity in PNG. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  15. Burning questions: Exploring the impact of natural disasters on community pharmacies.

    PubMed

    Mak, Pey Wen; Singleton, Judith

    The past decade has seen a rapid change in the climate system with an increased risk of extreme weather events. On and following the 3rd of January 2013, Tasmania experienced three catastrophic bushfires, which led to the evacuation of several communities, the loss of many properties, and a financial cost of approximately AUD$80 million. To explore the impacts of the 2012/2013 Tasmanian bushfires on community pharmacies. Qualitative research methods were undertaken, employing semi-structured telephone interviews with a purposive sample of seven Tasmanian pharmacists. The interviews were recorded and transcribed, and two different methods were used to analyze the text. The first method utilized Leximancer ® text analytics software to provide a birds-eye view of the conceptual structure of the text. The second method involved manual, open and axial coding, conducted independently by the two researchers for inter-rater reliability, to identify key themes in the discourse. Two main themes were identified - 'people' and 'supply' - from which six key concepts were derived. The six concepts were 'patients,' 'pharmacists,' 'local doctor,' 'pharmacy operations,' 'disaster management planning,' and 'emergency supply regulation.' This study identified challenges faced by community pharmacists during Tasmanian bushfires. Interviewees highlighted the need for both the Tasmanian State Government and the Australian Federal Government to recognize the important primary care role that community pharmacists play during natural disasters, and therefore involve pharmacists in disaster management planning. They called for greater support and guidance for community pharmacists from regulatory and other government bodies during these events. Their comments highlighted the need for a review of Tasmania's three-day emergency supply regulation that allows pharmacists to provide a three-day supply of a patient's medication without a doctor's prescription in an emergency situation. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Seizing the strategic opportunities of emerging technologies by building up innovation system: monoclonal antibody development in China.

    PubMed

    Zhang, Mao-Yu; Li, Jian; Hu, Hao; Wang, Yi-Tao

    2015-11-04

    Monoclonal antibodies (mAbs), as an emerging technology, have become increasingly important in the development of human therapeutic agents. How developing countries such as China could seize this emerging technological opportunity remains a poorly studied issue in prior literature. Thus, this paper aims to investigate the research and development of mAbs in China based on an innovation system functions approach and probes into the question of how China has been taking advantage of emerging technologies to overcome its challenges of building up a complete innovation system in developing mAbs. Mixed research methods were applied by combining archival data and field interviews. Archival data from the China Food and Drug Administration, Web of Science, the United States Patent and Trademark Office, the Chinese Clinical Trial Registry, and the National Science and Technology Report Service were used to examine the status quo of the technology and research and development (R&D) activities in China, while the opinions of researchers and managers in this field were synthesized from the interviews. From the perspective of innovation system functions, technological development of mAb in China is being driven by incentives such as the subsidies from the State and corporate R&D funding. Knowledge diffusion has been well served over the last 10 years through exchanging information on networks and technology transfer with developed countries. The State has provided clear guidance on search of emerging mAb technologies. Legitimacy of mAb in China has gained momentum owing to the implementation of government policies stipulated in the "The Eleventh Five-year Plan" in 2007, as well as national projects such as the "973 Program" and "863 Program", among others. The potential of market formation stays high because of the rising local demand and government support. Entrepreneurial activities for mAb continue to prosper. In addition, the situation of resource supply has been improved with the support of the State. This study finds that a complete innovation system for mAb has begun to take shape in China. MAb innovators in China are capitalizing on this emerging technological opportunity to participate in the global drive of developing the value chain for the innovative drug. In the long run, the build-up of the research system for mAb in China could bring about more driving forces to the mAb innovation system.

  17. Service readiness, health facility management practices, and delivery care utilization in five states of Nigeria: a cross-sectional analysis.

    PubMed

    Gage, Anastasia J; Ilombu, Onyebuchi; Akinyemi, Akanni Ibukun

    2016-10-06

    Existing studies of delivery care in Nigeria have identified socioeconomic and cultural factors as the primary determinants of health facility delivery. However, no study has investigated the association between supply-side factors and health facility delivery. Our study analyzed the role of supply-side factors, particularly health facility readiness and management practices for provision of quality maternal health services. Using linked data from the 2005 and 2009 health facility and household surveys in the five states in which the Community Participation for Action in the Social Sector (COMPASS) project was implemented, indices of health service readiness and management were developed based on World Health Organization guidelines. Multilevel logistic regression models were run to determine the association between these indices and health facility delivery among 2710 women aged 15-49 years whose last child was born within the five years preceding the surveys and who lived in 51 COMPASS LGAs. The health facility delivery rate increased from 25.4 % in 2005 to 44.1 % in 2009. Basic amenities for antenatal care provision, readiness to deliver basic emergency obstetric and newborn care, and management practices supportive of quality maternal health services were suboptimal in health facilities surveyed and did not change significantly between 2005 and 2009. The LGA mean index of basic amenities for antenatal care provision was more positively associated with the odds of health facility delivery in 2009 than in 2005, and in rural than in urban areas. The LGA mean index of management practices was associated with significantly lower odds of health facility delivery in rural than in urban areas. The LGA mean index of facility readiness to deliver basic emergency obstetric and neonatal care declined slightly from 5.16 in 2005 to 3.98 in 2009 and was unrelated to the odds of health facility delivery. Supply-side factors appeared to play a role in health facility delivery after controlling for socio-demographic factors. Improving uptake of delivery care would require greater attention to rural-urban inequities and health facility management practices, and to increasing the number of health facilities with fundamental elements for delivery of basic emergency obstetric and neonatal care.

  18. Impact of radio-frequency identification (RFID) technologies on the hospital supply chain: a literature review.

    PubMed

    Coustasse, Alberto; Tomblin, Shane; Slack, Chelsea

    2013-01-01

    Supply costs account for more than one-third of the average operating budget and constitute the second largest expenditure in hospitals. As hospitals have sought to reduce these costs, radio-frequency identification (RFID) technology has emerged as a solution. This study reviews existing literature to gauge the recent and potential impact and direction of the implementation of RFID in the hospital supply chain to determine current benefits and barriers of adoption. Findings show that the application of RFID to medical equipment and supplies tracking has resulted in efficiency increases in hospitals with lower costs and increased service quality. RFID technology can reduce costs, improve patient safety, and improve supply chain management effectiveness by increasing the ability to track and locate equipment, as well as monitoring theft prevention, distribution management, and patient billing. Despite ongoing RFID implementation in the hospital supply chain, barriers to widespread and rapid adoption include significant total expenditures, unclear return on investment, and competition with other strategic imperatives.

  19. Impact of Radio-Frequency Identification (RFID) Technologies on the Hospital Supply Chain: A Literature Review

    PubMed Central

    Coustasse, Alberto; Tomblin, Shane; Slack, Chelsea

    2013-01-01

    Supply costs account for more than one-third of the average operating budget and constitute the second largest expenditure in hospitals. As hospitals have sought to reduce these costs, radio-frequency identification (RFID) technology has emerged as a solution. This study reviews existing literature to gauge the recent and potential impact and direction of the implementation of RFID in the hospital supply chain to determine current benefits and barriers of adoption. Findings show that the application of RFID to medical equipment and supplies tracking has resulted in efficiency increases in hospitals with lower costs and increased service quality. RFID technology can reduce costs, improve patient safety, and improve supply chain management effectiveness by increasing the ability to track and locate equipment, as well as monitoring theft prevention, distribution management, and patient billing. Despite ongoing RFID implementation in the hospital supply chain, barriers to widespread and rapid adoption include significant total expenditures, unclear return on investment, and competition with other strategic imperatives. PMID:24159272

  20. Web 2.0 and internet social networking: a new tool for disaster management?--lessons from Taiwan.

    PubMed

    Huang, Cheng-Min; Chan, Edward; Hyder, Adnan A

    2010-10-06

    Internet social networking tools and the emerging web 2.0 technologies are providing a new way for web users and health workers in information sharing and knowledge dissemination. Based on the characters of immediate, two-way and large scale of impact, the internet social networking tools have been utilized as a solution in emergency response during disasters. This paper highlights the use of internet social networking in disaster emergency response and public health management of disasters by focusing on a case study of the typhoon Morakot disaster in Taiwan. In the case of typhoon disaster in Taiwan, internet social networking and mobile technology were found to be helpful for community residents, professional emergency rescuers, and government agencies in gathering and disseminating real-time information, regarding volunteer recruitment and relief supplies allocation. We noted that if internet tools are to be integrated in the development of emergency response system, the accessibility, accuracy, validity, feasibility, privacy and the scalability of itself should be carefully considered especially in the effort of applying it in resource poor settings. This paper seeks to promote an internet-based emergency response system by integrating internet social networking and information communication technology into central government disaster management system. Web-based networking provides two-way communication which establishes a reliable and accessible tunnel for proximal and distal users in disaster preparedness and management.

  1. Optimal Decision-making Model of Integrated Water Resources Management - A Case of Hsinchu Water Resources Management

    NASA Astrophysics Data System (ADS)

    Wang, S. Y.; Ho, C. C.; Chang, L. C.

    2017-12-01

    The public use water in Hsinchu are mainly supplied from Baoshan Reservoir, Second Baoshan Reservoir, Yongheshan Reservoir and Longen Weir. However, the increasing water demand, caused by development of the Hsinchu Science and Industrial Park, results in supply stable water getting more difficult. For stabilize water supply in Hsinchu, the study applies long-term and short-term plans to fulfill the water shortage. Developing an efficient methodology to define a cost-effective action portfolio is an important task. Hence, the study develops a novel decision model, the Stochastic Programming with Recourse Decision Model (SPRDM), to estimate a cost-effective action portfolio. The first-stage of SPRDM determine the long-term action portfolio and the portfolio accompany recourse information (the probability for water shortage event). The second-stage of SPRDM optimize the cost-effective action portfolio in response to the recourse information. In order to consider the uncertainty of reservoir sediment and demand growth, the study set 9 scenarios comprise optimistic, most likely, and pessimistic reservoir sediment and demand growth. The results show the optimal action portfolio consist of FengTain Lake and Panlon Weir, Hsinchu Desalination Plant, Domestic and Industrial Water long-term plans, and Emergency Backup Well, Irrigation Water Transference, Preliminary Water Rationing, Advanced Water Rationing and Water Transport from Other Districts short-term plans. The minimum expected cost of optimal action portfolio is NT$1.1002 billion. The results can be used as a reference for decision making because the results have considered the uncertainty of varied hydrology, reservoir sediment, and water demand growth.

  2. A Study on Management Standards and Manual of Water supply system for the response of Mt. Baekdu Volcanic Eruption in South Korea

    NASA Astrophysics Data System (ADS)

    Lee, G.; Jee, Y.; Kim, J.

    2013-12-01

    Korea is regarded as a safety area from the volcanic disaster, however, the countermeasures for Mt. Baekdu volcanic eruption has been discussed because the possibility of the volcanic eruption had been heightened and various experimental results show risk of Mt. Baekdu volcanic eruption. The purpose of study is to establish management standards and manual for water supply system through the analysis of the volcanic ash effect to the water supply systems. In this study, similar case study for the water supply system to the volcanic ash damage had been investigated. Present status of water supply system and response manual for water supply systems also had been investigated. And then problems of present response manual using had been estimated. As the result, damage according to Mt. Baekdu volcanic eruption on the water supply system could be forecasted. And the direction of management standard and response manual has been established. Acknowledgments This research was supported by a grant [NEMA-BAEKDUSAN-2012-2-2] from the Volcanic Disaster Preparedness Research Center sponsored by National Emergency Management Agency of Korea.

  3. Simulating partially illegal markets of private tanker water providers on the country level: A multi-agent, hydroeconomic case-study of Jordan

    NASA Astrophysics Data System (ADS)

    Klassert, C. J. A.; Yoon, J.; Gawel, E.; Klauer, B.; Sigel, K.; Talozi, S.; Lachaut, T.; Selby, P. D.; Knox, S.; Gorelick, S.; Tilmant, A.; Harou, J. J.; Mustafa, D.; Medellin-Azuara, J.; Rajsekhar, D.; Avisse, N.; Zhang, H.

    2016-12-01

    In arid countries around the world, markets of private small-scale water providers, mostly delivering water via tanker trucks, have emerged to balance the shortcomings of public water supply systems. While these markets can provide substantial contributions to meeting customers' water demands, they often partially rely on illegal water abstractions, thus imposing an unregulated and unmonitored strain on ground and surface water resources. Despite their important impacts on water users' welfare and resource sustainability, these markets are still poorly understood. We use a multi-agent, hydroeconomic simulation model, developed as part of the Jordan Water Project, to investigate the role of these markets in a country-wide case-study of Jordan. Jordan's water sector is characterized by a severe and growing scarcity of water resources, high intermittency in the public water network, and a strongly increasing demand due to an unprecedented refugee crisis. The tanker water market serves an important role in providing water from rural wells to households and commercial enterprises, especially during supply interruptions. In order to overcome the lack of direct data about this partially illegal market, we simulate demand and supply for tanker water. The demand for tanker water is conceptualized as a residual demand, remaining after a water user has depleted all available cheap and qualitatively reliable piped water. It is derived from residential and commercial demand functions on the basis of survey data. Tanker water supply is determined by farm simulation models calculating the groundwater pumping cost and the agricultural opportunity cost of tanker water. A market algorithm is then used to match rural supplies with users' demands, accounting for survey data on tanker operators' transport costs and profit expectations. The model is used to gain insights into the size of the tanker markets in all 89 subdistricts of Jordan and their responsiveness to various policy interventions. A dynamic coupling of the model with a country-wide groundwater model allows for projections of the spatial development of the tanker market over time. Accounting for this important supply source will be essential for the formulation of any policy aiming to reconcile the interests of water users with resource sustainability.

  4. Patient group directions to enable hospital nurses to supply medicines.

    PubMed

    Dimond, Brigit

    Sarah is a nurse specialist in accident and emergency (A&E) nursing. She is told by the consultant that as a nurse specialist she is able to supply various ointments and pain killers for patients who are only seen by the clinical nurse specialist in A&E. She feels that this is the equivalent of prescribing and considers that there should be a more formal procedure. What is the law?

  5. Assessing Disaster Preparedness Among Select Children's Summer Camps in the United States and Canada.

    PubMed

    Chang, Megan; Sielaff, Alan; Bradin, Stuart; Walker, Kevin; Ambrose, Michael; Hashikawa, Andrew

    2017-08-01

    Children's summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of disasters. We partnered with a national, web-based electronic health records system to send camp leadership of 315 camp organizations a 14-question online survey of disaster preparedness. One response from each camp was selected in the following order of importance: owner, director, physician, nurse, medical technician, office staff, and other. The results were analyzed using descriptive statistics. A total of 181 camps responses were received, 169 of which were complete. Camp types were overnight (60%), day (21%), special/medical needs (14%), and other (5%). Survey respondents were directors (52%), nurses (14%), office staff (10%), physicians (5%), owners (5%), emergency medical technicians (2%), and other (12%). Almost 18% of camps were located >20 mi from a major medical center, and 36% were >5 mi from police/fire departments. Many camps were missing emergency supplies: car/booster seats for evacuation (68%), shelter (35%), vehicles for evacuation (26%), quarantine isolation areas (21%), or emergency supplies of extra water (20%) or food (17%). Plans were unavailable for the following: power outages (23%); lockdowns (15%); illness outbreaks (15%); tornadoes (11%); evacuation for fire, flood, or chemical spill (9%); and other severe weather (8%). Many camps did not have online emergency plans (53%), plans for children with special/medical needs (38%), methods to rapidly communicate information to parents (25%), or methods to identify children for evacuation/reunification with parents (40%). Respondents reported that staff participation in disaster drills varied for weather (58%), evacuations (46%), and lockdowns (36%). The majority (75%) of respondents had not collaborated with medical organizations for planning. A substantial proportion of camps were missing critical components of disaster planning. Future interventions must focus on developing summer camp-specific disaster plans, increasing partnerships, and reassessing national disaster plans to include summer camp settings.

  6. Influences of Preparedness Knowledge and Beliefs on Household Disaster Preparedness.

    PubMed

    Thomas, Tracy N; Leander-Griffith, Michelle; Harp, Victoria; Cioffi, Joan P

    2015-09-11

    In response to concern about strengthening the nation's ability to protect its population and way of life (i.e., security) and ability to adapt and recover from emergencies (i.e., resilience), the President of the United States issued Presidential Policy Directive 8: National Preparedness (PPD-8) (1). Signed on March 30, 2011, PPD-8 is a directive for the U.S. Department of Homeland Security to coordinate a comprehensive campaign across government, private and nonprofit sectors, and individuals to build and sustain national preparedness. Despite efforts by the Federal Emergency Management Agency (FEMA) and other organizations to educate U.S. residents on becoming prepared, growth in specific preparedness behaviors, including actions taken in advance of a disaster to be better prepared to respond to and recover, has been limited (2). In 2012, only 52% of U.S. residents surveyed by FEMA reported having supplies for a disaster (2), a decline from 57% who reported having such supplies in 2009 (3). It is believed that knowledge influences behavior, and that attitudes and beliefs, which are correlated with knowledge, might also influence behavior (4). To determine the association between knowledge and beliefs and household preparedness, CDC analyzed baseline data from Ready CDC, a personal disaster preparedness intervention piloted among Atlanta- and Morgantown-based CDC staff members during 2013–2015. Compared with persons with basic preparedness knowledge, persons with advanced knowledge were more likely to have assembled an emergency kit (44% versus 17%), developed a written household disaster plan (9% versus 4%), and received county emergency alert notifications (63% versus 41%). Similarly, differences in household preparedness behaviors were correlated with beliefs about preparedness. Persons identified as having strong beliefs in the effectiveness of disaster preparedness engaged in preparedness behaviors at levels 7%–30% higher than those with weaker preparedness beliefs. Understanding the influences of knowledge and beliefs on household disaster preparedness might provide an opportunity to inform messages promoting household preparedness.

  7. A methodology for evacuation design for urban areas: theoretical aspects and experimentation

    NASA Astrophysics Data System (ADS)

    Russo, F.; Vitetta, A.

    2009-04-01

    This paper proposes an unifying approach for the simulation and design of a transportation system under conditions of incoming safety and/or security. Safety and security are concerned with threats generated by very different factors and which, in turn, generate emergency conditions, such as the 9/11, Madrid and London attacks, the Asian tsunami, and the Katrina hurricane; just considering the last five years. In transportation systems, when exogenous events happen and there is a sufficient interval time between the instant when the event happens and the instant when the event has effect on the population, it is possible to reduce the negative effects with the population evacuation. For this event in every case it is possible to prepare with short and long term the evacuation. For other event it is possible also to plan the real time evacuation inside the general risk methodology. The development of models for emergency conditions in transportation systems has not received much attention in the literature. The main findings in this area are limited to only a few public research centres and private companies. In general, there is no systematic analysis of the risk theory applied in the transportation system. Very often, in practice, the vulnerability and exposure in the transportation system are considered as similar variables, or in other worse cases the exposure variables are treated as vulnerability variables. Models and algorithms specified and calibrated in ordinary conditions cannot be directly applied in emergency conditions under the usual hypothesis considered. This paper is developed with the following main objectives: (a) to formalize the risk problem with clear diversification (for the consequences) in the definition of the vulnerability and exposure in a transportation system; thus the book offers improvements over consolidated quantitative risk analysis models, especially transportation risk analysis models (risk assessment); (b) to formalize a system of models for evacuation simulation; (c) to calibrate and validate system of model for evacuation simulation from a real experimentation. In relation to the proposed objectives in this paper: (a) a general framework about risk analysis is reported in the first part, with specific methods and models to analyze urban transportation system performances in emergency conditions when exogenous phenomena occur and for the specification of the risk function; (b) a formulation of the general evacuation problem in the standard simulation context of "what if" approach is specified in the second part with reference to the model considered for the simulation of transportation system in ordinary condition; (c) a set of models specified in the second part are calibrated and validated from a real experimentation in the third part. The experimentation was developed in the central business district of an Italian village and about 1000 inhabitants were evacuated, in order to construct a complete data-base. Our experiment required that socioeconomic information (population, number employed, public buildings, schools, etc.) and ‎transport supply characteristics (infrastructures, etc.) be measured before and during experimentation. The real data of evacuation were recorded with 30 video cameras for laboratory analysis. The results are divided into six strictly connected tasks: Demand models; Supply and supply-demand interaction models for users; Simulation of refuge areas for users; Design of path choice models for emergency vehicles; Pedestrian outflow models in a building; Planning process and guidelines.

  8. Assessing regional public health preparedness: a new tool for considering cross-border issues.

    PubMed

    Jones, Maggie; O'Carroll, Patrick; Thompson, Jack; D'Ambrosio, Luann

    2008-01-01

    To provide regional, state, and local public health officials a conceptual framework and checklist for assessing regional public health emergency preparedness, specifically in regard to cross-border public health preparedness needs. The project had four phases that are as follows: defining the scope, conducting a literature review, soliciting expert opinion, and creating the assessment framework and checklist. A conceptual framework was developed to define the scope of the project on the basis of the kinds of resources likely to be shared across borders in a public health response (eg, data, supplies, staff), in support of the public health functions likely to be important in a health emergency (eg, epidemiology, laboratory). A literature review was then conducted to identify key articles and tools addressing regional preparedness. Key informant interviews (n = 23) were conducted with public health and emergency management professionals in the Pacific Northwest to identify a set of systems, agreements, and protocols that should be systematically considered in assessing regional public health preparedness. Using the literature review and themes from interviews, a checklist was developed. A checklist was developed for use by public health leaders, which recommends 24 specific agreements, protocols, systems, and management structures that should be considered to foster cross-border public health preparedness. Regional public health preparedness represents not only the sum of state-level preparedness of the states in a region but also the capacity of those states to collaborate across state and international borders during a public health emergency. This checklist provides a tool to systematically consider cross-border preparedness issues.

  9. Survey of the current state of emergency care in Chennai, India

    PubMed Central

    Khadpe, Jay; Thangalvadi, Tausif; Rajavelu, Parivalavan; Sinert, Richard

    2011-01-01

    BACKGROUND: On July 21, 2009, the Medical Council of India officially recognized the specialty of emergency medicine in India. The city of Chennai with over six and a half million people is the fourth largest on the subcontinent and has already been a prominent city of interest in the specialty's development. However, there is no standardization of the resources found in the city's emergency departments. This study was to survey the equipment, training, and certification of Chennai area emergency departments and their staff. METHODS: We conducted a cross-sectional survey of emergency department staff from 38 Chennai area hospitals. The survey instrument contained 44 questions pertaining to hospital demographics, staff training and certification, and ED equipment and supplies. The items on the survey were specifically chosen to represent only the most basic and common resources necessary to practise emergency medicine. RESULTS: The survey found a majority of hospitals are privately operated but there is a wide range in terms of size and volume of patients. A minority of both doctors and nurses are certified in BLS, ACLS, PALS, and ATLS. While almost all departments surveyed had the basic code medications, a number of basic equipment items were lacking from a large percentage of the EDs surveyed. CONCLUSION: The newly established EP community in Chennai will have the responsibility to establish standards for both training and resources so that the specialty may grow and provide a higher standard of emergency care moving into the future. PMID:25215004

  10. Public water supplies of the 100 largest cities of the United States, 1962

    USGS Publications Warehouse

    Durfor, Charles N.; Becker, Edith

    1964-01-01

    The report is divided into two sections. The first describes the uses of water in large cities, the raw-water supplies available for public supplies, tl-<; major and minor constituents and the properties of water, the methods of analyses, the treatment of water, the effects of chemical treatment on constituents and properties of water, and the costs of water treatment. The second is a city-by-city inventory that gives (a) the population of the city, (b) the adjacent communities supplied by the city water system, (c) the total population served, (d) the sources of water supply (including auxiliary and emergency supplies), (e) the average amount of water used daily, (f) the lowest 30-day mean discharge of streams used for public supply during recent years, (g) the treatment of water, (h) the rated capacity of each water-treatment plant, and (i) the storage capacity for raw and finished water. For 58 of the cities, the sources of water, the location of water-treatment plants, and the areas served by the city system are shown on maps. Chemical, spectrographic, and radiochemical analyses of treated water and chemical and spectrographic analyses for many of the raw-water supplies are presented in tabular form.

  11. Proactive Supply Chain Performance Management with Predictive Analytics

    PubMed Central

    Stefanovic, Nenad

    2014-01-01

    Today's business climate requires supply chains to be proactive rather than reactive, which demands a new approach that incorporates data mining predictive analytics. This paper introduces a predictive supply chain performance management model which combines process modelling, performance measurement, data mining models, and web portal technologies into a unique model. It presents the supply chain modelling approach based on the specialized metamodel which allows modelling of any supply chain configuration and at different level of details. The paper also presents the supply chain semantic business intelligence (BI) model which encapsulates data sources and business rules and includes the data warehouse model with specific supply chain dimensions, measures, and KPIs (key performance indicators). Next, the paper describes two generic approaches for designing the KPI predictive data mining models based on the BI semantic model. KPI predictive models were trained and tested with a real-world data set. Finally, a specialized analytical web portal which offers collaborative performance monitoring and decision making is presented. The results show that these models give very accurate KPI projections and provide valuable insights into newly emerging trends, opportunities, and problems. This should lead to more intelligent, predictive, and responsive supply chains capable of adapting to future business environment. PMID:25386605

  12. Proactive supply chain performance management with predictive analytics.

    PubMed

    Stefanovic, Nenad

    2014-01-01

    Today's business climate requires supply chains to be proactive rather than reactive, which demands a new approach that incorporates data mining predictive analytics. This paper introduces a predictive supply chain performance management model which combines process modelling, performance measurement, data mining models, and web portal technologies into a unique model. It presents the supply chain modelling approach based on the specialized metamodel which allows modelling of any supply chain configuration and at different level of details. The paper also presents the supply chain semantic business intelligence (BI) model which encapsulates data sources and business rules and includes the data warehouse model with specific supply chain dimensions, measures, and KPIs (key performance indicators). Next, the paper describes two generic approaches for designing the KPI predictive data mining models based on the BI semantic model. KPI predictive models were trained and tested with a real-world data set. Finally, a specialized analytical web portal which offers collaborative performance monitoring and decision making is presented. The results show that these models give very accurate KPI projections and provide valuable insights into newly emerging trends, opportunities, and problems. This should lead to more intelligent, predictive, and responsive supply chains capable of adapting to future business environment.

  13. Local Governments (Executive Offices) Sector (NAICS 921110)

    EPA Pesticide Factsheets

    EPA regulatory information for government executive offices, including state implementation plans (SIPs), local emergency planning under EPCRA, drinking water treatment, water supply security, and compliance assistance for boiler & combustion regulations.

  14. Self-reported household impacts of large-scale chemical contamination of the public water supply, Charleston, West Virginia, USA.

    PubMed

    Schade, Charles P; Wright, Nasandra; Gupta, Rahul; Latif, David A; Jha, Ayan; Robinson, John

    2015-01-01

    A January 2014 industrial accident contaminated the public water supply of approximately 300,000 homes in and near Charleston, West Virginia (USA) with low levels of a strongly-smelling substance consisting principally of 4-methylcyclohexane methanol (MCHM). The ensuing state of emergency closed schools and businesses. Hundreds of people sought medical care for symptoms they related to the incident. We surveyed 498 households by telephone to assess the episode's health and economic impact as well as public perception of risk communication by responsible officials. Thirty two percent of households (159/498) reported someone with illness believed to be related to the chemical spill, chiefly dermatological or gastrointestinal symptoms. Respondents experienced more frequent symptoms of psychological distress during and within 30 days of the emergency than 90 days later. Sixty-seven respondent households (13%) had someone miss work because of the crisis, missing a median of 3 days of work. Of 443 households reporting extra expenses due to the crisis, 46% spent less than $100, while 10% spent over $500 (estimated average about $206). More than 80% (401/485) households learned of the spill the same day it occurred. More than 2/3 of households complied fully with "do not use" orders that were issued; only 8% reported drinking water against advice. Household assessments of official communications varied by source, with local officials receiving an average "B" rating, whereas some federal and water company communication received a "D" grade. More than 90% of households obtained safe water from distribution centers or stores during the emergency. We conclude that the spill had major economic impact with substantial numbers of individuals reporting incident-related illnesses and psychological distress. Authorities were successful supplying emergency drinking water, but less so with risk communication.

  15. Biofuel supply chain, market, and policy analysis

    NASA Astrophysics Data System (ADS)

    Zhang, Leilei

    Renewable fuel is receiving an increasing attention as a substitute for fossil based energy. The US Department of Energy (DOE) has employed increasing effort on promoting the advanced biofuel productions. Although the advanced biofuel remains at its early stage, it is expected to play an important role in climate policy in the future in the transportation sector. This dissertation studies the emerging biofuel supply chain and markets by analyzing the production cost, and the outcomes of the biofuel market, including blended fuel market price and quantity, biofuel contract price and quantity, profitability of each stakeholder (farmers, biofuel producers, biofuel blenders) in the market. I also address government policy impacts on the emerging biofuel market. The dissertation is composed with three parts, each in a paper format. The first part studies the supply chain of emerging biofuel industry. Two optimization-based models are built to determine the number of facilities to deploy, facility locations, facility capacities, and operational planning within facilities. Cost analyses have been conducted under a variety of biofuel demand scenarios. It is my intention that this model will shed light on biofuel supply chain design considering operational planning under uncertain demand situations. The second part of the dissertation work focuses on analyzing the interaction between the key stakeholders along the supply chain. A bottom-up equilibrium model is built for the emerging biofuel market to study the competition in the advanced biofuel market, explicitly formulating the interactions between farmers, biofuel producers, blenders, and consumers. The model simulates the profit maximization of multiple market entities by incorporating their competitive decisions in farmers' land allocation, biomass transportation, biofuel production, and biofuel blending. As such, the equilibrium model is capable of and appropriate for policy analysis, especially for those policies that have complex ramifications and result in sophisticate interactions among multiple stakeholders. The third part of the dissertation investigates the impacts of flexible fuel vehicles (FFVs) market penetration levels on the market outcomes, including cellulosic biofuel production and price, blended fuel market price, and profitability of each stakeholder in the biofuel supply chain for imperfectly competitive biofuel markets. In this paper, I investigate the penetration levels of FFVs by incorporating the substitution among different fuels in blended fuel demand functions through "cross price elasticity" in a bottom-up equilibrium model framework. The complementarity based problem is solved by a Taylor expansion-based iterative procedure. At each step of the iteration, the highly nonlinear complementarity problems with constant elasticity of demand functions are linearized into linear complimentarity problems and solved until it converges. This model can be applied to investigate the interaction between the stakeholders in the biofuel market, and to assist decision making for both cellulosic biofuel investors and government.

  16. Energy modeling. Volume 2: Inventory and details of state energy models

    NASA Astrophysics Data System (ADS)

    Melcher, A. G.; Underwood, R. G.; Weber, J. C.; Gist, R. L.; Holman, R. P.; Donald, D. W.

    1981-05-01

    An inventory of energy models developed by or for state governments is presented, and certain models are discussed in depth. These models address a variety of purposes such as: supply or demand of energy or of certain types of energy; emergency management of energy; and energy economics. Ten models are described. The purpose, use, and history of the model is discussed, and information is given on the outputs, inputs, and mathematical structure of the model. The models include five models dealing with energy demand, one of which is econometric and four of which are econometric-engineering end-use models.

  17. Emergency and urgent care capacity in a resource-limited setting: an assessment of health facilities in western Kenya

    PubMed Central

    Burke, Thomas F; Hines, Rosemary; Ahn, Roy; Walters, Michelle; Young, David; Anderson, Rachel Eleanor; Tom, Sabrina M; Clark, Rachel; Obita, Walter; Nelson, Brett D

    2014-01-01

    Objective Injuries, trauma and non-communicable diseases are responsible for a rising proportion of death and disability in low-income and middle-income countries. Delivering effective emergency and urgent healthcare for these and other conditions in resource-limited settings is challenging. In this study, we sought to examine and characterise emergency and urgent care capacity in a resource-limited setting. Methods We conducted an assessment within all 30 primary and secondary hospitals and within a stratified random sampling of 30 dispensaries and health centres in western Kenya. The key informants were the most senior facility healthcare provider and manager available. Emergency physician researchers utilised a semistructured assessment tool, and data were analysed using descriptive statistics and thematic coding. Results No lower level facilities and 30% of higher level facilities reported having a defined, organised approach to trauma. 43% of higher level facilities had access to an anaesthetist. The majority of lower level facilities had suture and wound care supplies and gloves but typically lacked other basic trauma supplies. For cardiac care, 50% of higher level facilities had morphine, but a minority had functioning ECG, sublingual nitroglycerine or a defibrillator. Only 20% of lower level facilities had glucometers, and only 33% of higher level facilities could care for diabetic emergencies. No facilities had sepsis clinical guidelines. Conclusions Large gaps in essential emergency care capabilities were identified at all facility levels in western Kenya. There are great opportunities for a universally deployed basic emergency care package, an advanced emergency care package and facility designation scheme, and a reliable prehospital care transportation and communications system in resource-limited settings. PMID:25260371

  18. HIV/AIDS related commodities supply chain management in public health facilities of Addis Ababa, Ethiopia: a cross-sectional survey.

    PubMed

    Berhanemeskel, Eyerusalem; Beedemariam, Gebremedhin; Fenta, Teferi Gedif

    2016-01-01

    A wide range of pharmaceutical products are needed for diagnosis, treatment, and prevention of HIV/AIDS. However, interrupted supplies and stock-outs are the major challenges in the supply chain of ARV medicines and related commodities. The aim of this study was to assess the supply chain management of HIV/AIDS related commodities in public health facilities of Addis Ababa, Ethiopia. A descriptive cross-sectional survey complemented by qualitative method was conducted in 24 public health facilities (4 hospitals and 20 health centers). A semi-structured questionnaire and observation check list were used to collect data on HIV/AIDS related service, reporting and ordering; receiving, transportation and storage condition of ARV medicines and test kits; and supportive supervision and logistics management information system. In addition, in-depth interview with flexible probing techniques was used to complement the quantitative data with emphasis to the storage condition of ARV medicines and test kits. Quantitative data was analyzed using SPSS version-20. Analysis of qualitative data involved rigorous reading of transcripts in order to identify key themes and data was analyzed using thematic approach. The study revealed that 16 health centers and one hospital had recorded and reported patient medication record. Six months prior to the study, 14 health centers and 2 hospitals had stopped VCT services for one time or more. Three hospitals and 18 health centers claimed to have been able to submit the requisition and report concerning ARV medicines to Pharmaceutical Fund and Supply Agency according to the specific reporting period. More than three-fourth of the health centers had one or more emergency order of ARV medicines on the day of visit, while all of hospitals had emergency order more than 3 times within 6 months prior to the study. All of the hospitals and nearly half of the health centers had an emergency order of test kits more than 3 times in the past 6 months. Overall, nearly 3/4th of the health facilities faced stock-out of one or more ARV medicines and test kits on the day of visit. There was no adequate data on patient medication record and stock status of HIV/AIDS related commodities. Moreover there were frequent stock-outs of ARV medicines and HIV test kits, which was an indicator of the weak supply chain management. Hospitals and health centers, therefore, should devise a system to capture and make use of patient medication record and stock status information so as to ensure continuous supply of the commodities.

  19. Sustainable Low-Carbon Expansion for the Power Sector of an Emerging Economy: The Case of Kenya.

    PubMed

    Carvallo, Juan-Pablo; Shaw, Brittany J; Avila, Nkiruka I; Kammen, Daniel M

    2017-09-05

    Fast growing and emerging economies face the dual challenge of sustainably expanding and improving their energy supply and reliability while at the same time reducing poverty. Critical to such transformation is to provide affordable and sustainable access to electricity. We use the capacity expansion model SWITCH to explore low carbon development pathways for the Kenyan power sector under a set of plausible scenarios for fast growing economies that include uncertainty in load projections, capital costs, operational performance, and technology and environmental policies. In addition to an aggressive and needed expansion of overall supply, the Kenyan power system presents a unique transition from one basal renewable resource-hydropower-to another based on geothermal and wind power for ∼90% of total capacity. We find geothermal resource adoption is more sensitive to operational degradation than high capital costs, which suggests an emphasis on ongoing maintenance subsidies rather than upfront capital cost subsidies. We also find that a cost-effective and viable suite of solutions includes availability of storage, diesel engines, and transmission expansion to provide flexibility to enable up to 50% of wind power penetration. In an already low-carbon system, typical externality pricing for CO 2 has little to no effect on technology choice. Consequently, a "zero carbon emissions" by 2030 scenario is possible with only moderate levelized cost increases of between $3 and $7/MWh with a number of social and reliability benefits. Our results suggest that fast growing and emerging economies could benefit by incentivizing anticipated strategic transmission expansion. Existing and new diesel and natural gas capacity can play an important role to provide flexibility and meet peak demand in specific hours without a significant increase in carbon emissions, although more research is required for other pollutant's impacts.

  20. Potassium iodide as a thyroid blocker--Three Mile Island to today.

    PubMed

    Halperin, J A

    1989-05-01

    The Three Mile Island (TMI) nuclear emergency in the U.S. in March 1979 marked the first occasion when use of potassium iodide (KI) was considered for thyroid blocking of the population in the vicinity of a potentially serious release of fission products from a nuclear power reactor. In face of a demand that could not be satisfied by commercial supplies of low-dose KI drug products from the U.S. pharmaceutical industry, the Food and Drug Administration directed the manufacture and stockpiling of sufficient quantities of saturated solution of potassium iodide (SSKI) to provide protection for one million people in the event of a large-scale release of radioiodines. Although the drug was not used, the experience of producing, stockpiling, and making ready for use a large quantity of the drug resulted in significant public policy, regulatory, and logistical issues. A number of these issues have been resolved through scientific debate and consensus, development of official guidance regarding the proper role of KI in nuclear emergencies, and the approval of New Drug Applications for KI products specifically intended for thyroid blocking in nuclear emergencies. Other issues regarding broad-scale implementation of the guidelines remain today. This paper traces the history of the development and implementation of the use of KI from pre-TMI to the present.

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